scholarly journals Health care and social service use and cost in depressed african american elders: Results from the beat the blues randomized clinical trial

2013 ◽  
Vol 16 (3) ◽  
pp. A62
Author(s):  
L.T. Pizzi ◽  
E. Jutkowitz ◽  
K.D. Frick ◽  
D.C. Suh ◽  
K.M. Prioli ◽  
...  
Keyword(s):  
Health Care ◽  
Clinical Trial ◽  
African American ◽  
Randomized Clinical Trial ◽  
Social Service ◽  
Service Use

scholarly journals Telemanagement of Home-Isolated COVID-19 Patients Using Oxygen Therapy With Noninvasive Positive Pressure Ventilation and Physical Therapy Techniques: Randomized Clinical Trial (Preprint)

2020 ◽  
Author(s):  
Aya Sedky Adly ◽  
Mahmoud Sedky Adly ◽  
Afnan Sedky Adly
Keyword(s):  
Health Care ◽  
Clinical Trial ◽  
Physical Therapy ◽  
Randomized Clinical Trial ◽  
Health Care System ◽  
Oxygen Therapy ◽  
Early Stage ◽  
Home Based ◽  
Group A ◽  
Group B

BACKGROUND With the growing stress on hospitals caused by the COVID-19 pandemic, the need for home-based solutions has become a necessity to support these overwhelmed hospitals. OBJECTIVE The goal of this study was to compare two nonpharmacological respiratory treatment methods for home-isolated COVID-19 patients using a newly developed telemanagement health care system. METHODS In this single-blinded randomized clinical trial, 60 patients with stage 1 pneumonia caused by SARS-CoV-2 infection were treated. Group A (n=30) received oxygen therapy with bilevel positive airway pressure (BiPAP) ventilation, and Group B (n=30) received osteopathic manipulative respiratory and physical therapy techniques. Arterial blood gases of PaO<sub>2</sub> and PaCO<sub>2</sub>, pH, vital signs (ie, temperature, respiratory rate, oxygen saturation, heart rate, and blood pressure), and chest computed tomography scans were used for follow-up and for assessment of the course and duration of recovery. RESULTS Analysis of the results showed a significant difference between the two groups (<i>P</i>&lt;.05), with Group A showing shorter recovery periods than Group B (mean 14.9, SD 1.7 days, and mean 23.9, SD 2.3 days, respectively). Significant differences were also observed between baseline and final readings in all of the outcome measures in both groups (<i>P</i>&lt;.05). Regarding posttreatment satisfaction with our proposed telemanagement health care system, positive responses were given by most of the patients in both groups. CONCLUSIONS It was found that home-based oxygen therapy with BiPAP can be a more effective prophylactic treatment approach than osteopathic manipulative respiratory and physical therapy techniques, as it can impede exacerbation of early-stage COVID-19 pneumonia. Telemanagement health care systems are promising methods to help in the pandemic-related shortage of hospital beds, as they showed reasonable effectiveness and reliability in the monitoring and management of patients with early-stage COVID-19 pneumonia. CLINICALTRIAL ClinicalTrials.gov NCT04368923; https://clinicaltrials.gov/ct2/show/NCT04368923

scholarly journals Mental Health Service Use Among Adolescents Following Participation in a Randomized Clinical Trial for Depression

2014 ◽  
Vol 44 (4) ◽  
pp. 551-558 ◽  
Author(s):  
Sharon L. Brenner ◽  
Barbara J. Burns ◽  
John F. Curry ◽  
Susan G. Silva ◽  
Christopher J. Kratochvil ◽  
...  
Keyword(s):  
Mental Health ◽  
Clinical Trial ◽  
Mental Health Service ◽  
Health Service ◽  
Randomized Clinical Trial ◽  
Service Use ◽  
Mental Health Service Use ◽  
Health Service Use

scholarly journals A Randomized Clinical Trial of Trans-Dermal Nicotine Replacement in Pregnant African-American Smokers

2012 ◽  
Vol 17 (5) ◽  
pp. 897-906 ◽  
Author(s):  
Ayman A. E. El-Mohandes ◽  
Richard Windsor ◽  
Sylvia Tan ◽  
David C. Perry ◽  
Marie G. Gantz ◽  
...  
Keyword(s):  
Clinical Trial ◽  
African American ◽  
Randomized Clinical Trial ◽  
Nicotine Replacement

Multisystemic Therapy for high-risk African American adolescents with asthma: A randomized clinical trial.

2014 ◽  
Vol 82 (3) ◽  
pp. 536-545 ◽  
Author(s):  
Sylvie Naar-King ◽  
Deborah Ellis ◽  
Pamela S. King ◽  
Phebe Lam ◽  
Phillippe Cunningham ◽  
...  
Keyword(s):  
Clinical Trial ◽  
African American ◽  
High Risk ◽  
Randomized Clinical Trial ◽  
African American Adolescents ◽  
Multisystemic Therapy

scholarly journals Telemanagement of Home-Isolated COVID-19 Patients Using Oxygen Therapy With Noninvasive Positive Pressure Ventilation and Physical Therapy Techniques: Randomized Clinical Trial

10.2196/23446 ◽  
2021 ◽  
Vol 23 (4) ◽  
pp. e23446
Author(s):  
Aya Sedky Adly ◽  
Mahmoud Sedky Adly ◽  
Afnan Sedky Adly
Keyword(s):  
Health Care ◽  
Clinical Trial ◽  
Physical Therapy ◽  
Randomized Clinical Trial ◽  
Health Care System ◽  
Oxygen Therapy ◽  
Early Stage ◽  
Home Based ◽  
Group A ◽  
Group B

Background With the growing stress on hospitals caused by the COVID-19 pandemic, the need for home-based solutions has become a necessity to support these overwhelmed hospitals. Objective The goal of this study was to compare two nonpharmacological respiratory treatment methods for home-isolated COVID-19 patients using a newly developed telemanagement health care system. Methods In this single-blinded randomized clinical trial, 60 patients with stage 1 pneumonia caused by SARS-CoV-2 infection were treated. Group A (n=30) received oxygen therapy with bilevel positive airway pressure (BiPAP) ventilation, and Group B (n=30) received osteopathic manipulative respiratory and physical therapy techniques. Arterial blood gases of PaO2 and PaCO2, pH, vital signs (ie, temperature, respiratory rate, oxygen saturation, heart rate, and blood pressure), and chest computed tomography scans were used for follow-up and for assessment of the course and duration of recovery. Results Analysis of the results showed a significant difference between the two groups (P<.05), with Group A showing shorter recovery periods than Group B (mean 14.9, SD 1.7 days, and mean 23.9, SD 2.3 days, respectively). Significant differences were also observed between baseline and final readings in all of the outcome measures in both groups (P<.05). Regarding posttreatment satisfaction with our proposed telemanagement health care system, positive responses were given by most of the patients in both groups. Conclusions It was found that home-based oxygen therapy with BiPAP can be a more effective prophylactic treatment approach than osteopathic manipulative respiratory and physical therapy techniques, as it can impede exacerbation of early-stage COVID-19 pneumonia. Telemanagement health care systems are promising methods to help in the pandemic-related shortage of hospital beds, as they showed reasonable effectiveness and reliability in the monitoring and management of patients with early-stage COVID-19 pneumonia. Trial Registration ClinicalTrials.gov NCT04368923; https://clinicaltrials.gov/ct2/show/NCT04368923

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