<?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>IRCT20201012049010N1</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2020-11-12</date_registration>
      <primary_sponsor>Qazvin University of Medical Sciences</primary_sponsor>
      <public_title>The effect of balloon-blowing on dyspnea and oxygenation in non-critical adult covid-19 patients.</public_title>
      <acronym></acronym>
      <scientific_title>A pilot study of the evaluating of the effectiveness of balloon-blowing on dyspnea and oxygenation in non-critical adult covid-19 patients: a randomized clinical trial.</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2020-07-22</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>90</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/51591</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Single blinded, Placebo: Not used, Assignment: Factorial, Purpose: Treatment, Randomization description: Participants in the study were divided into two groups based on, blocks of 10, designed by Excel software in the form of random numbers, Blinding description: The collected data of the two groups were statistically analyzed without labels.</study_design>
      <phase>N/A</phase>
      <hc_freetext>dyspnea and hypoxia in COVID-19.</hc_freetext>
      <i_freetext>Intervention 1: Control group: They received all the necessary medication based on the decision of the relevant medical team. Intervention 2: Intervention group: They received all the necessary medication based on the diagnosis of the relevant medical team (Same with the control group) ; And also the patients were asked, after receiving adequate information and training about the procedure, to inflate a balloon, by blowing up and empty it at least 5 times a day and for a minimum 5 times each time, while lying on the bed. In case of insufficient power to inflate the balloon, the balloon was substituted with a latex glove. The balloons and/or latex gloves were replaced daily.</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 collected data will be available after publication in the relevant journal.

When:
Immediately after the publication of the article.

To whom:
All medical researchers and institutes.

Conditions:
All data will be provided to applicants by mentioning the source and the study performed.

Where to obtain:
Receiving the collected data can be done by email or phone call with the original designer of the project.

How to obtain:
The data will be provided, after checking the eligibility of the applicant, immediately.

Comments:
</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Mohammad Bargahi</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>No-20, Jahangir Ebrahim Ave, Jeyhoon St, tehran.</address>
        <city>Tehran</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>۱۳۴۳۹۶۳۷۸۵</zip>
        <telephone>+98 21 6601 6580</telephone>
        <email>mmd.bargahi@gmail.com</email>
        <affiliation>Qazvin University of Medical Sciences</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Mohammad Bargahi</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>No-20, Jahangir Ebrahim Ave, Jeyhoon St, tehran.</address>
        <city>Tehran</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>۱۳۴۳۹۶۳۷۸۵</zip>
        <telephone>+98 21 6601 6580</telephone>
        <email>mmd.bargahi@gmail.com</email>
        <affiliation>Qazvin University of Medical Sciences</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iran (Islamic Republic of)</country2>
    </countries>
    <criteria>
      <inclusion_criteria>≥ 18 years old
Patients with definitive diagnosis of Covid-19
Hospitalization in non-intensive care unit
dyspnea according to the patient
O2-saturation &lt;93% recorded by a pulse oximeter.</inclusion_criteria>
      <agemin>18 years</agemin>
      <agemax>no limit</agemax>
      <gender>Both</gender>
      <exclusion_criteria>History of lung diseases (under treatment)
History of kidney diseases (under treatment)
History of heart diseases
history of allergy to latex or balloon material
Any case of prohibition from Intense aerobic activity by a physician
the need for hospitalization in intensive care units(ICU or CCU).
Pregnancy
History of neurological diseases</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code>U07.1+R06.</hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword>تنگس نفس-هیپوکسی-کووید۱۹-پنومونی های وایرال</hc_keyword>
    </health_condition_keyword>
    <intervention_code>
      <i_code>N/A</i_code>
      <i_code>Treatment - Other</i_code>
    </intervention_code>
    <intervention_keyword>
      <i_keyword>Control group: They received all the necessary medication based on the decision of the relevant medical team.</i_keyword>
      <i_keyword>Intervention group: They received all the necessary medication based on the diagnosis of the relevant medical team (Same with the control group) ; And also the patients were asked, after receiving adequate information and training about the procedure, to inflate a balloon, by blowing up and empty it at least 5 times a day and for a minimum 5 times each time, while lying on the bed. In case of insufficient power to inflate the balloon, the balloon was substituted with a latex glove. The balloons and/or latex gloves were replaced daily.</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Intensity of dyspnea at rest. Timepoint: At the beginning of the study (before the intervention) and on days 1 and 2 after the intervention. Method of measurement: Based on Borg Modified Scale.</prim_outcome>
      <prim_outcome>Intensity of dyspnea after 50 meters of walking with pulse oximeter. Timepoint: At the beginning of the study (before the intervention) and on days 1 and 2 after the intervention. Method of measurement: Based on Borg Modified Scale.</prim_outcome>
      <prim_outcome>Oxygen saturation of arterial blood without oxygen therapy. Timepoint: At the beginning of the study (before the intervention) and on days 1 and 2 after the intervention. Method of measurement: After 5 minutes of separation from the oxygen mask by the same pulse oximeter.</prim_outcome>
      <prim_outcome>Arterial blood oxygen saturation with oxygen therapy. Timepoint: At the beginning of the study (before the intervention) and on days 1 and 2 after the intervention. Method of measurement: In the case of oxygen therapy, by the same pulse oximeter.</prim_outcome>
    </primary_outcome>
    <secondary_outcome>
      <sec_outcome>Gender. Timepoint: Upon entering the study. Method of measurement: Based on identity information.</sec_outcome>
      <sec_outcome>‌Body mass index. Timepoint: Upon entering the study. Method of measurement: Patient weight (Kg) divided by patient height to the power of 2 (m).</sec_outcome>
      <sec_outcome>Age. Timepoint: Upon entering the study. Method of measurement: Based on identity information.</sec_outcome>
      <sec_outcome>Extent of pulmonary involvement. Timepoint: Upon entering the study. Method of measurement: Based on a CT scan report.</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>Qazvin University of Medical Sciences</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2020-05-20</approval_date>
        <contact_name>Ethics and Research Committee of Qazvin University of Medical Sciences</contact_name>
        <contact_address>Dept. of research, Qazvin University of Medical, Mavedat Ave., Shahid Beheshti Blv.,Qazvin, Iran. Qazvin Qazvin Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
