<?xml version="1.0" encoding="utf-8"?>
<!DOCTYPE trials [
<!ELEMENT trials (trial+)>

<!ELEMENT trial (main,contacts,countries,criteria,health_condition_code,health_condition_keyword,intervention_code,
          intervention_keyword,primary_outcome,secondary_outcome,secondary_sponsor,secondary_ids,source_support,ethics_reviews)>

<!ELEMENT main (trial_id,utrn?,reg_name,date_registration,primary_sponsor,public_title,acronym?,scientific_title,scientific_acronym?,
          date_enrolment,type_enrolment,target_size,recruitment_status,url?,study_type,study_design,phase,hc_freetext?,i_freetext?,results_actual_enrolment,results_date_completed,results_url_link,results_summary,           results_date_posted,results_date_first_publication,results_baseline_char,results_participant_flow,results_adverse_events,results_outcome_measures,results_url_protocol,results_IPD_plan, results_IPD_description)>
<!ELEMENT trial_id (#PCDATA)>
<!ELEMENT utrn (#PCDATA)>
<!ELEMENT reg_name (#PCDATA)>
<!ELEMENT date_registration (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT primary_sponsor (#PCDATA)>
<!ELEMENT public_title (#PCDATA)>
<!ELEMENT acronym (#PCDATA)>
<!ELEMENT scientific_title (#PCDATA)>
<!ELEMENT scientific_acronym (#PCDATA)>
<!ELEMENT date_enrolment (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT type_enrolment (#PCDATA)>
<!ELEMENT target_size (#PCDATA)>
<!ELEMENT recruitment_status (#PCDATA)><!-- Pending,Recruiting,Suspended,Complete,Other -->
<!ELEMENT url (#PCDATA)>
<!ELEMENT study_type (#PCDATA)><!-- interventional,observational -->
<!ELEMENT study_design (#PCDATA)>
<!ELEMENT phase (#PCDATA)>
<!ELEMENT hc_freetext (#PCDATA)>
<!ELEMENT i_freetext (#PCDATA)>
<!ELEMENT results_actual_enrolment (#PCDATA)>
<!ELEMENT results_date_completed (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT results_url_link (#PCDATA)>
<!ELEMENT results_summary (#PCDATA)>
<!ELEMENT results_date_posted (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT results_date_first_publication (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT results_baseline_char (#PCDATA)>
<!ELEMENT results_participant_flow (#PCDATA)>
<!ELEMENT results_adverse_events (#PCDATA)>
<!ELEMENT results_outcome_measures (#PCDATA)>
<!ELEMENT results_url_protocol (#PCDATA)>
<!ELEMENT results_IPD_plan (#PCDATA)>
<!ELEMENT results_IPD_description (#PCDATA)>


<!ELEMENT contacts (contact+)>
<!ELEMENT contact (type,firstname,middlename,lastname,address,city,country1,zip,telephone,email,affiliation)>
<!ELEMENT type (#PCDATA)><!-- Public,Scientific -->
<!ELEMENT firstname (#PCDATA)>
<!ELEMENT middlename (#PCDATA)>
<!ELEMENT lastname (#PCDATA)>
<!ELEMENT address (#PCDATA)>
<!ELEMENT city (#PCDATA)>
<!ELEMENT country1 (#PCDATA)>
<!ELEMENT zip (#PCDATA)>
<!ELEMENT telephone (#PCDATA)>
<!ELEMENT email (#PCDATA)>
<!ELEMENT affiliation (#PCDATA)>

<!ELEMENT countries (country2+)>
<!ELEMENT country2 (#PCDATA)>

<!ELEMENT criteria (inclusion_criteria,agemin,agemax,gender,exclusion_criteria)>
<!ELEMENT inclusion_criteria (#PCDATA)>
<!ELEMENT agemin (#PCDATA)>
<!ELEMENT agemax (#PCDATA)>
<!ELEMENT gender (#PCDATA)>
<!ELEMENT exclusion_criteria (#PCDATA)>

<!ELEMENT health_condition_code (hc_code+)>
<!ELEMENT hc_code (#PCDATA)>

<!ELEMENT health_condition_keyword (hc_keyword+)>
<!ELEMENT hc_keyword (#PCDATA)>

<!ELEMENT intervention_code (i_code+)>
<!ELEMENT i_code (#PCDATA)>

<!ELEMENT intervention_keyword (i_keyword+)>
<!ELEMENT i_keyword (#PCDATA)>

<!ELEMENT primary_outcome (prim_outcome+)>
<!ELEMENT prim_outcome (#PCDATA)>

<!ELEMENT secondary_outcome (sec_outcome+)>
<!ELEMENT sec_outcome (#PCDATA)>

<!ELEMENT secondary_sponsor (sponsor_name+)>
<!ELEMENT sponsor_name (#PCDATA)>

<!ELEMENT secondary_ids (secondary_id+)>
<!ELEMENT secondary_id (sec_id,issuing_authority)>
<!ELEMENT sec_id (#PCDATA)>
<!ELEMENT issuing_authority (#PCDATA)>

<!ELEMENT source_support (source_name+)>
<!ELEMENT source_name (#PCDATA)>

<!ELEMENT ethics_reviews (ethics_review+)>
<!ELEMENT ethics_review (status,approval_date,contact_name,contact_address,contact_phone,contact_email)>
<!ELEMENT status (#PCDATA)><!-- Not approved,Approved,NA -->
<!ELEMENT approval_date (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT contact_name (#PCDATA)>
<!ELEMENT contact_address (#PCDATA)>
<!ELEMENT contact_phone (#PCDATA)>
<!ELEMENT contact_email (#PCDATA)>
]>
<trials>
  <trial>
    <main>
      <trial_id>IRCT20140810018754N8</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2018-07-13</date_registration>
      <primary_sponsor>Iran University of Medical Sciences</primary_sponsor>
      <public_title>Effect of ultrasound on sinusitis</public_title>
      <acronym>ندارد</acronym>
      <scientific_title>Consideration of pulsed and continuous ultrasound mechanism(s) in culture and real time PCR data of staphylococcus and streptococcus in  chronic rhinosinusitis patients.</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2018-07-07</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>40</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/16919</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Double blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: Simple randomization, Blinding description: Participants are classified in different groups after familiarization with execution of the present study and obtaining informed consent but they are not aware of which group they are in. The outcome evaluator is not aware of which patient is being studied in any of the present study groups.</study_design>
      <phase>N/A</phase>
      <hc_freetext>Chronic rhinosinusitis.</hc_freetext>
      <i_freetext>Intervention 1: First intervention group or group 1: include chronic rhinosinusitis patients which treat with a ultrasound device on Frontal and Maxilla sinuses and parameters of: 1 megahertz frequency pulsed ultrasound (1MHzPUS) with 10 percent duty cycle, 4 centimeter per second the probe velocity, 1 watt per centimeters square intensity for Maxillary sinus and 0.5 watt per centimeters square intensity for frontal sinuses for 10 sessions. Intervention 2: Second intervention group or group 2: include chronic rhinosinusitis patients which treat with a ultrasound device on Frontal and Maxilla sinuses and parameters of: 1 megahertz frequency continuous ultrasound (1MHzCUS) with 10 percent duty cycle, 4 centimeter per second the probe velocity, 1 watt per centimeters square intensity for Maxillary sinus and 0.5 watt per centimeters square intensity for frontal sinuses for 10 sessions. Intervention 3: Control group or group 3: include chronic rhinosinusitis patients which ultrasound therapy is not performed for them. Data from this group will compare with group 1 and group 2 data and will use for analyzing the effects of ultrasound therapy. Intervention 4: Healthy subjects group or group 4: include subjects without chronic rhinosinusitis. Data from this group will consider as normal values for comparing ​​with treatment groups of the present study.</i_freetext>
      <results_actual_enrolment></results_actual_enrolment>
      <results_date_completed></results_date_completed>
      <results_url_link></results_url_link>
      <results_summary></results_summary>
      <results_date_posted></results_date_posted>
      <results_date_first_publication></results_date_first_publication>
      <results_baseline_char></results_baseline_char>
      <results_participant_flow></results_participant_flow>
      <results_adverse_events></results_adverse_events>
      <results_outcome_measures></results_outcome_measures>
      <results_url_protocol></results_url_protocol>
      <results_IPD_plan>Yes - There is a plan to make this available</results_IPD_plan>
      <results_IPD_description>What will be shared:
All data or results of the present study will be presented in an article or some articles that will be published after completing the study.

When:
After completing the present study and publishing the resulting article or articles.

To whom:
All researchers in the field of the present study.

Conditions:
With the same goal as the present study and with mention of the present study as the reference. All intellectual property rights of the present study belongs to the Iran University of Medical Sciences.

Where to obtain:
The corresponding author of the article or articles derived from this study.

How to obtain:
Written request from the author responsible for the present review after the publication of the resulting article or articles.

Comments:
</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Javad Sarrafzadeh</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Physiotherapy department, School of Rehabilitation Sciences, Madadkaran street., Shahnazari street, Madar squ., Mirdamad street.</address>
        <city>Tehran</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>15459-13487</zip>
        <telephone>+98 21 2222 8051</telephone>
        <email>sarrafzadeh.j@iums.ac.ir</email>
        <affiliation>Iran University of Medical Sciences</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Javad Sarrafzadeh</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Physiotherapy department, School of Rehabilitation Sciences, Madadkaran street., Shahnazari street, Madar squ., Mirdamad street.</address>
        <city>Tehran</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>15459-13487</zip>
        <telephone>+98 21 2222 8051</telephone>
        <email>sarrafzadeh.j@iums.ac.ir</email>
        <affiliation>Iran University of Medical Sciences</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iran (Islamic Republic of)</country2>
    </countries>
    <criteria>
      <inclusion_criteria>Presence of secretions in maxillary and frontal sinus cavities based on CT scan.
Secretions in the back of the throat or rhinorrhea for at least three months.</inclusion_criteria>
      <agemin>18 years</agemin>
      <agemax>65 years</agemax>
      <gender>Both</gender>
      <exclusion_criteria>Sinus or nasal polyps
A deviated nasal septum
Background of  rhinoplasty
Diabetes
Vasculitis
Hepatitis
Any type of malignancy in the skull
Any immunodeficiency</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code>J32.9</hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword>Chronic sinusitis, unspecified</hc_keyword>
    </health_condition_keyword>
    <intervention_code>
      <i_code>Treatment - Other</i_code>
      <i_code>Treatment - Other</i_code>
      <i_code>Treatment - Other</i_code>
      <i_code>Treatment - Other</i_code>
    </intervention_code>
    <intervention_keyword>
      <i_keyword>First intervention group or group 1: include chronic rhinosinusitis patients which treat with a ultrasound device on Frontal and Maxilla sinuses and parameters of: 1 megahertz frequency pulsed ultrasound (1MHzPUS) with 10 percent duty cycle, 4 centimeter per second the probe velocity, 1 watt per centimeters square intensity for Maxillary sinus and 0.5 watt per centimeters square intensity for frontal sinuses for 10 sessions.</i_keyword>
      <i_keyword>Second intervention group or group 2: include chronic rhinosinusitis patients which treat with a ultrasound device on Frontal and Maxilla sinuses and parameters of: 1 megahertz frequency continuous ultrasound (1MHzCUS) with 10 percent duty cycle, 4 centimeter per second the probe velocity, 1 watt per centimeters square intensity for Maxillary sinus and 0.5 watt per centimeters square intensity for frontal sinuses for 10 sessions.</i_keyword>
      <i_keyword>Control group or group 3: include chronic rhinosinusitis patients which ultrasound therapy is not performed for them. Data from this group will compare with group 1 and group 2 data and will use for analyzing the effects of ultrasound therapy.</i_keyword>
      <i_keyword>Healthy subjects group or group 4: include subjects without chronic rhinosinusitis. Data from this group will consider as normal values for comparing ​​with treatment groups of the present study.</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Colony count (measurement of the growth of bacteria in a sample that has been cultured for 24 to 48 hours). Timepoint: Before and after intervention. Method of measurement: Microscopic and real-time polymerase chain reaction (PCR) assays.</prim_outcome>
      <prim_outcome>Type of microbe. Timepoint: Before and after intervention. Method of measurement: Microscopic and real-time polymerase chain reaction (PCR) assays.</prim_outcome>
      <prim_outcome>Computed tomography (CT) scan score of Frontal and Maxillary sinuses. Timepoint: Before and after intervention. Method of measurement: Lund-Mackay method scoring.</prim_outcome>
      <prim_outcome>SNOT-20 test score (Sino-nasal Outcome Test-20). Timepoint: Before and after intervention. Method of measurement: From 0 up to 100 score.</prim_outcome>
    </primary_outcome>
    <secondary_outcome>
      <sec_outcome></sec_outcome>
    </secondary_outcome>
    <secondary_sponsor>
      <sponsor_name></sponsor_name>
    </secondary_sponsor>
    <secondary_ids>
      <secondary_id>
        <sec_id></sec_id>
        <issuing_authority></issuing_authority>
      </secondary_id>
    </secondary_ids>
    <source_support>
      <source_name>Iran University of Medical Sciences</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2016-12-13</approval_date>
        <contact_name>Ethics committee of Iran University of Medical Sciences</contact_name>
        <contact_address>5th floor, Iran University of Medical Sciences, Hemmat highway, between Sheikh Fazlollah Nuri and Chamran highways. Tehran Tehran Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
