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8501. Postoperatory Recovery in Advanced Ovarian Cancer, Fast-Track Protocol vs. Classical Management

of data regarding the efficacy of Fast-track in the management of Advanced Gynecological cancer. Hypothesis: the application of a Fast-Track protocol in the management of patients with advanced Ovarian Cancer( Stage III, IV and relapses) may improve the postoperatory recovery of these patients allowing for an early discharge and significant cost reduction, when compared with de usual management, without increasing the number readmission or surgery related complications. Condition or disease (...) Intervention/treatment Phase Median Length of Stay Readmission Rate Surgery Related Complications Rate Cost Per Patient Rate Procedure: Fast-Track Protocol Procedure: Usual management Not Applicable Study Design Go to Layout table for study information Study Type : Interventional (Clinical Trial) Estimated Enrollment : 100 participants Allocation: Randomized Intervention Model: Parallel Assignment Masking: None (Open Label) Primary Purpose: Supportive Care Official Title: Ensayo clínico Comparando

2014 Clinical Trials

8502. Efficacy Study of Light Therapy as an Adjunctive Treatment for Parkinson's Disease

validated these findings. This study will use a double-blind design to evaluate the safety and efficacy of a non-invasive light therapy device to be used with ongoing pharmacotherapy for PD, over a six month treatment period. Condition or disease Intervention/treatment Phase Parkinson Disease Device: Spectramax light therapy device Device: Control light device Not Applicable Detailed Description: Parkinson's disease (PD) is traditionally described as a disorder of compromised dopamine (DA) function (...) 2014 Actual Primary Completion Date : October 2016 Actual Study Completion Date : December 23, 2016 Resource links provided by the National Library of Medicine related topics: related topics: Arms and Interventions Go to Arm Intervention/treatment Active Comparator: Spectramax light therapy device Light therapy device which emits a specific bandwidth combination and intensity of light. Device: Spectramax light therapy device Spectramax light therapy device emits a specific combination of bandwidths

2014 Clinical Trials

8503. Ischemic Compression on Post-needling Soreness

MTrP in the upper trapezius muscle Exclusion Criteria: Presence of coagulation disorders Neck or facial pain Previous application of a dry needling technique MTrP therapy in head or neck within the previous 3 months Fibromyalgia An insurmountable fear of needles as a reason of refusing the treatment History of surgery in the head or neck area Contacts and Locations Go to Information from the National Library of Medicine To learn more about this study, you or your doctor may contact the study (...) to elicit local twitch responses are associated with higher effectiveness in releasing MTrPs. Deep dry needling has obtained a grade A recommendation compared to sham, for immediate reduction of pain in patients with upper-quadrant myofascial pain syndrome. Nevertheless, trigger point dry needling are frequently associated to a post-needling soreness. The application of ischemic compression (IC) after trigger point injection in the upper trapezius muscle has shown higher reduction of pain and disability

2014 Clinical Trials

8504. Assessing Strategies for Increasing Male Involvement in Malawi's Antenatal Program

old and married Pregnant Received a positive HIV-test within the last day Will be in Lilongwe for the next month Able and willing to give locator information for >1 male partner in the Bwaila District Hospital catchment area (either a mobile number, a physical address, or both) Exclusion Criteria: Enrolled/enrolling in the PROMISE study Initially Presenting with a male sex partner Contacts and Locations Go to Information from the National Library of Medicine To learn more about this study, you (...) will conduct a pilot randomized controlled trial (RCT) of male partner recruitment. This study will contain two arms: patient referral and contract referral for uptake of cHTC (primary outcome). Condition or disease Intervention/treatment Phase HIV Behavioral: contract referral Behavioral: patient referral Not Applicable Study Design Go to Layout table for study information Study Type : Interventional (Clinical Trial) Actual Enrollment : 200 participants Allocation: Randomized Intervention Model: Parallel

2014 Clinical Trials

8505. Patient-Centered Care and Asian Americans

): University of California, San Francisco Study Details Study Description Go to Brief Summary: Liver cancer and hepatitis B are major health disparities for Asian Americans, while hepatitis C is a rising problem. Little is known about how to improve the quality of health care Asian Americans receive in general and for viral hepatitis in particular. Technology, specifically mobile applications, potentially can provide a flexible and efficient way to address these challenges. This proposed project seeks (...) to develop, implement, and test an intervention to increase hepatitis B and C screening for Asian Americans in 2 healthcare systems in the San Francisco Bay Area. The research team will develop, implement, and evaluate the efficacy of an interactive, patient- centered mobile application for use on a tablet computer to increase the rate of hepatitis B and C screening among unscreened Asian Americans age 18 and older. The team will use their experience from a successful track record in health promotion

2014 Clinical Trials

8506. Optimizing Resilience In Orofacial Pain and Nociception

Education Not Applicable Detailed Description: In recent years, there has been increasing interest in the contribution of positive psychological factors (e.g., optimism, pain acceptance, hope) to pain and pain-related coping. Although research supports the significance of these resilience factors in pain adaptation, psychological interventions based upon bolstering resilience have received far less attention. Emerging evidence supports the role of hope in psychosocial adjustment and enhancement (...) Enrollment : 36 participants Allocation: Randomized Intervention Model: Parallel Assignment Masking: Single (Participant) Primary Purpose: Treatment Official Title: Assessing the Efficacy of a Hope Intervention in Temporomandibular Disorder Study Start Date : September 2014 Actual Primary Completion Date : December 2015 Actual Study Completion Date : August 2016 Resource links provided by the National Library of Medicine related topics: Arms and Interventions Go to Arm Intervention/treatment Experimental

2014 Clinical Trials

8507. A Quit Smoking Study Using Smartphones

Drug: Nicotine patch Behavioral: Cessation Counseling Device: Mobile Games Not Applicable Study Design Go to Layout table for study information Study Type : Interventional (Clinical Trial) Actual Enrollment : 30 participants Allocation: Randomized Intervention Model: Parallel Assignment Masking: Single (Outcomes Assessor) Primary Purpose: Treatment Official Title: A Quit Smoking Study Using Smartphones Study Start Date : October 2014 Actual Primary Completion Date : May 2016 Actual Study Completion (...) Date : May 2016 Resource links provided by the National Library of Medicine related topics: available for: Arms and Interventions Go to Arm Intervention/treatment Experimental: Mobile Games This arm of the project will address the following question: How effective is the following intervention? Nicotine patch plus behavioral cessation counseling with access to Mobile Games. Drug: Nicotine patch 4-week starter kit of nicotine patch Behavioral: Cessation Counseling 5 brief counseling sessions Device

2014 Clinical Trials

8508. Evaluation of INRS With BCSK in Children With Spastic Bilateral Cerebral Palsy: a Randomized Controlled Trial.

of the treatment concept "Intensive Neurophysiological Rehabilitation System" (INRS). BCSK is used with the aims to reduce muscle tone and improve gross and fine motor function in children with Spastic Bilateral Cerebral Palsy. Condition or disease Intervention/treatment Phase Spastic Diplegia Cerebral Palsy Procedure: BCSK Procedure: Traditional spinal manipulation Procedure: INRS Not Applicable Detailed Description: The study is a collaboration between the International Clinic of Rehabilitation (ICR (...) Completion Date : August 2015 Resource links provided by the National Library of Medicine related topics: resources: Arms and Interventions Go to Arm Intervention/treatment Experimental: INRS with BCSK "Intensive Neurophysiological Rehabilitation System (INRS)" including the "Biomechanical correction of the spine according to Kozyavkin (BCSK)". The daily treatment for about 2 hours are in general equal for all children except for the type of spinal manipulation. Duration of all treatment will be noted

2014 Clinical Trials

8509. Intense Physiotherapies to Improve Function in Young Children With Cerebral Palsy

Posted : March 13, 2019 See Sponsor: University of Arizona Collaborators: Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) Tucson Medical Center Phoenix Children's Hospital United Cerebral Palsy-Central Arizona Nemours Children's Hospital Information provided by (Responsible Party): University of Arizona Study Details Study Description Go to Brief Summary: Cerebral palsy (CP) is a non-progressive disorder caused by an insult or injury to the brain when the brain (...) the intense approach of five therapies per week is the SOC. The positive results prompted another investigation to determine if such an approach would be feasible in the United States. A compliance rate of 81% confirmed feasibility and the perception that parents who have a child diagnosed with CP will do whatever they can to improve their child's motor function. Condition or disease Intervention/treatment Phase Cerebral Palsy Other: Physical and occupational therapy Not Applicable Detailed Description

2014 Clinical Trials

8510. Extra Short Implants Brånemark System® RP Ø4.5x4.5 mm Implants

Study Description Go to Brief Summary: An extra short, 2-piece implant with a Brånemark hexagon interface was developed with a bone anchoring length of only 4.5 mm, for subjects with severely resorbed jaws. Condition or disease Intervention/treatment Phase Healthy Volunteers With Severely Resorbed Jaws in Need of an Implant Supported Restoration Device: extra short implant Not Applicable Study Design Go to Layout table for study information Study Type : Interventional (Clinical Trial) Actual (...) level changes [ Time Frame: yearly, up to 5 years ] Secondary Outcome Measures : cumulative survival and success rates [ Time Frame: yearly, up to 5 years ] Other Outcome Measures: difference between maxilla and mandible [ Time Frame: yearly, up to 5 years ] Eligibility Criteria Go to Information from the National Library of Medicine Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more

2014 Clinical Trials

8511. Small Step Intervention for Infants With Cerebral Palsy and Other Neurodevelopmental Disorders

. The primary area of interest of this research programme is to determine the effectiveness of an early intervention program in children younger than 12 months of age who are at risk of developing CP. A randomised control trial is planned, addressing hand use, mobility and communication in a home-based program. New treatment principles based on recent knowledge of brain plasticity will be employed. The overarching goal of this research programme is to develop and evaluate new intervention principles (...) for children with neurodevelopmental disorders based upon theories of early learning induced brain plasticity. Our overall aims can be formulated as follows: To evaluate the effects of an early intervention programme on the overall development in children with risk of developing cerebral palsy and other neurodevelopmental disorders. The program includes intensive intervention towards the foci: hand use, mobility and communication in a home based program The hypothesis is that the design of the Small-Step

2014 Clinical Trials

8512. Effect of Adductor Canal Nerve Block Compared to a Simulated Block on Quadriceps Strength Following Knee Arthroplasty

correlates with poor functional recovery. Its cause is multifactorial, including a deficit of the quadriceps activation, an acute postoperative atrophy of the muscle and an important limitation related to postoperative pain. Peripheral nerve blocks using local anesthetics are frequently used for postoperative analgesia following TKA. Femoral nerve blockade reduces pain and opioid consumption and allows early passive mobilization after surgery. This block also facilitates functional recovery and allows (...) at 6 weeks after total knee arthroplasty. Condition or disease Intervention/treatment Phase Knee Arthroplasty Device: Adductor canal femoral nerve block Device: Simulated nerve blockade Not Applicable Detailed Description: On arrival in the operating room, patients will be randomly assigned to receive an adductor canal block under ultrasound guidance or a simulated block. In the adductor canal block group, a 18 Gauge Tuohy needle will be inserted and its position in the adductor canal adjacent

2014 Clinical Trials

8513. Performance Attributes and User Progression While Using Ekso

): Ekso Bionics Study Details Study Description Go to Brief Summary: This study is to evaluate the performance attributes and user progression of participants with motor complete and incomplete spinal cord injury (SCI) while utilizing the Ekso robotic exoskeleton in an eight week over ground, locomotor program. We hypothesize an improvement in progression and overall health while using Ekso. Condition or disease Intervention/treatment Phase Spinal Cord Injury Device: Ekso Not Applicable Study Design (...) Completion Date : January 2017 Resource links provided by the National Library of Medicine related topics: Arms and Interventions Go to Arm Intervention/treatment Experimental: Ekso treatment Device: Ekso Outcome Measures Go to Primary Outcome Measures : Number of participants able to complete gait training progression using Ekso [ Time Frame: baseline (1st session), session #1, session #12, session #24, followup at 12 weeks. Sessions occur 3x/week over an 8 week training period with a follow up visit

2014 Clinical Trials

8514. Using Smartphones to Provide Recovery Support Services

or disease Intervention/treatment Phase Substance Use Disorder (SUD) Recovery Other: EMA Only Other: EMI Only Other: EMA+EMI Other: Neither - RSAU Not Applicable Study Design Go to Layout table for study information Study Type : Interventional (Clinical Trial) Actual Enrollment : 401 participants Allocation: Randomized Intervention Model: Factorial Assignment Masking: None (Open Label) Primary Purpose: Supportive Care Official Title: Using Smartphones to Provide Recovery Support Services Experiment Study (...) Start Date : June 2015 Actual Primary Completion Date : October 2018 Estimated Study Completion Date : February 2020 Resource links provided by the National Library of Medicine related topics: Arms and Interventions Go to Arm Intervention/treatment Experimental: EMA Only See intervention Other: EMA Only The EMA only condition consists of: a) RSAU, b) an Android phone, c) a 6-hour EMA training on how to use the phone, HIV and SUD prevention, self-monitoring, procedures for completing the EMAs (see

2014 Clinical Trials

8515. Operative Treatment of Unstable Thoracic Cage Injuries and Chest Wall Deformity in Trauma

operation. Condition or disease Intervention/treatment Phase Trauma Flail Chest Rib Fractures Surgery Drug: NSAID Drug: Opioids Drug: Thoracic Epidural anaesthesia Drug: Paracetamol Procedure: Surgical management Not Applicable Detailed Description: Patients meeting the inclusion criteria and giving their informed consent will be enrolled in this prospective controlled study. Included patients at Sahlgrenska University Hospital will undergo surgical stabilization of chest wall injuries and patients (...) ) Fixation system is used for stabilizing rib fractures with plates and angular locked screws. In cases where thoracotomy is done the patients will receive an anterior and posterior chest tube and wound drain with active suction. All patients, both in the intervention and in the control group will be offered thoracic epidural anaesthesia. Broad-spectrum intravenous antibiotic therapy is given as long as the patient has chest tubes. Thrombotic prophylaxis with LMWH is given until the patient is mobilized

2014 Clinical Trials

8516. Role of the Right Portal Pedicle and Rouviere's Sulcus as an Anatomic Landmark in Laparoscopic Cholecystectomy

,conversion rate and hospital stay.It is supposed that the results of Experimental group are superior to the control group,difference is statistically significant(P<0.05). So the investigators can draw the conclusion that the anatomy method with the guide of right portal pedicle and Rouviere's sulcus is useful in laparoscopic cholecystectomy. Condition or disease Intervention/treatment Phase Gallstones Cholecystitis Polyps Procedure: Rouviere's sulcus Device: surgical instruments Not Applicable Detailed (...) aspect of the triangle of Calot is similarly incised using hook cautery. All remaining connective tissue is dissected out of the triangle of Calot using blunt dissection and hook cautery as needed to fully mobilize the gallbladder infundibulum. Study Design Go to Layout table for study information Study Type : Interventional (Clinical Trial) Estimated Enrollment : 60 participants Allocation: Randomized Intervention Model: Parallel Assignment Masking: Single (Participant) Primary Purpose: Treatment

2014 Clinical Trials

8517. Remote Exercise for Learning Anger and Excitation Management

Information provided by (Responsible Party): VA Pacific Islands Health Care System Study Details Study Description Go to Brief Summary: The immediate objective of this project was to demonstrate the feasibility of Remote Exercises for Learning Anger and Excitation Management (RELAX). The application is a remote, technology- enabled, anger treatment and management system based on current evidence-based CBT interventions. The project's objective was to show that RELAX (1) enables the practice of anger (...) management strategies remotely through mobile phone interfaces; (2) integrates with evidence-based treatments through the implementation of an existing CBT anger management course; (3) provides information, direction, and feedback through physiological sensors and signal analysis; and (4) supports communication and direction by the therapist through a web-based therapist interface. Condition or disease Intervention/treatment Phase Anger Stress Disorders, Post-Traumatic Behavioral: Anger Management

2014 Clinical Trials

8518. Effect of an Educational Program for Staff in Nursing Homes Concerning Patients Fecal Incontinence

, functionality and mobility, medical diagnosis, mouth and nutrition status, medications, treatment, examination/procedures Change in behavior among health personnel [ Time Frame: Baseline, after 3 months and after 6 months ] Measured by analyses of patient assessments and interventions as documented by health personnel in the electronic patient record and by the Fecal Incontinence in Nursing Home Patients questionnaire Eligibility Criteria Go to Information from the National Library of Medicine Choosing (...) of FI. The design of the study is a two armed cluster randomized trail (C-RCT) with a repeated cross-sectional approach.The results will be analysed according to multilevel and longitudinal modelling, and the study will use mixed effect models with the cluster treated as a random effect. Condition or disease Intervention/treatment Phase Fecal Incontinence Behavioral: Multifaceted educational program Not Applicable Study Design Go to Layout table for study information Study Type : Interventional

2014 Clinical Trials

8519. Diagnosis and Management of Myofascial Pain Syndrome in Women With Mastectomies

groups, being thus considered two factors in the comparisons, time and group. A significance level of 5% is assumed. Condition or disease Intervention/treatment Phase Breast Cancer Myofascial Trigger Point Other: Kinesiotherapy Other: Isquemic compression Other: High voltage electrical stimulation Not Applicable Study Design Go to Layout table for study information Study Type : Interventional (Clinical Trial) Estimated Enrollment : 60 participants Allocation: Randomized Intervention Model: Parallel (...) Assignment Masking: Single (Outcomes Assessor) Primary Purpose: Treatment Study Start Date : August 2014 Estimated Primary Completion Date : January 2015 Estimated Study Completion Date : December 2016 Resource links provided by the National Library of Medicine related topics: Arms and Interventions Go to Arm Intervention/treatment Experimental: kinesiotherapy + High voltage electrical stimulation Same protocol group kinesiotherapy + high voltage electrial stimulation with two rectangular electrodes (3x5

2014 Clinical Trials

8520. Heart Health 4 Moms

provided below. For general information, Layout table for eligibility information Ages Eligible for Study: 18 Years to 44 Years (Adult) Sexes Eligible for Study: Female Accepts Healthy Volunteers: Yes Criteria Inclusion Criteria: Within 5 years of a live birth complicated by preeclampsia as determined by medical chart review Age >=18 Not pregnant Normotensive or prehypertensive Access to the internet via computer or mobile device Able to communicate in English or Spanish at an 8th grade level (...) . Exclusion Criteria: Type 1 or Type 2 diabetes Currently pregnant Diagnosis of hypertension BP >140/90 mm Hg or on medications for treatment of hypertension Contacts and Locations Go to Information from the National Library of Medicine To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor. Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT02147626 Locations Layout table for location

2014 Clinical Trials

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