<?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>IRCT20230718058826N2</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2023-08-28</date_registration>
      <primary_sponsor>mimas</primary_sponsor>
      <public_title>Correlation of forced expiratory technique, chest physiotherapy, pursed lips breathing exercises on cardiorespiratory and renal parameters fitness in acute pneumonia patients in Multan</public_title>
      <acronym>Cross sectional study</acronym>
      <scientific_title>Correlation of forced expiratory technique, chest physiotherapy, pursed lips breathing exercises on cardiorespiratory and renal parameters fitness in acute pneumonia patients in Multan</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2023-09-01</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>53</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/72146</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Triple blinded, Placebo: Not used, Assignment: Single, Purpose: Health service research, Other design features: Randomized single group desgin triple blinding study, Randomization description: We take three group 
•	Group I with forced expiratory technique(1.Take 3—5 slow deep breaths, inhaling through the nose, exhaling through pursed lips, using diaphragmatic breathing. 2. Take a deep breath and hold it for 1—3 seconds. 3. Exhale from mid-to-low lung volume (to clear secretions from peripheral airways). 4. Take a normal breath in and then squeeze it out by contracting the abdominal and chest wall muscles, with the mouth and glottis open, while whispering the word “huff” (sounds like a forced sigh) during exhalation. Repeat several times. 5. As secretions enter the larger airways, exhale from high-to-mid lung volume to clear secretions from more proximal airways. Repeat maneuver 2—3 times. 6. Take several relaxed diaphragmatic breaths before the next cough effort.)
•	Group II with chest physiotherapy(CPT should be done 1-4 times a day, preferably half an hour before meals or one and half hour after meals. The total duration should not exceed 30 minutes with 3-6 minutes in each position.)
•	Group III with Pursed lips breathing exercise( Pursed lip breathing was to be done as a home exercise daily for 5 min thrice a day over a period of 6 weeks.), Blinding description: Triple Blinding..
In triple blinding participant do not know in which group they are evaluated.
In triple blinding investigator are randomly evaluated.
In triple blinding data analyser analyse the data.</study_design>
      <phase>1</phase>
      <hc_freetext>Pneumonia.</hc_freetext>
      <i_freetext>Intervention group: 1 Forced expiratory technique, Intervention group 2 Chest physiotherapy exercises and intervention group 3 Pursed lips breathing..</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:
Correlation of forced expiratory technique, chest physiotherapy, pursed lips breathing exercises on cardiorespiratory and renal parameters fitness in acute pneumonia patients in Multan

When:
after 4 weeks

To whom:
supervisor

Conditions:
ethical consideration

Where to obtain:
supervisor

How to obtain:
documentation

Comments:
kindly consider for further evaluation</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Imran Ahmad Khan</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>HBL street near sabazazar station bosan road Multan.</address>
        <city>Multan</city>
        <country1>Pakistan</country1>
        <zip>66000</zip>
        <telephone>+92 61 6221111</telephone>
        <email>imranahmadkhandurrani@gmail.com</email>
        <affiliation>mimas</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Perwasha</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>HBL street near sabazazar station bosan road Multan.</address>
        <city>Multan</city>
        <country1>Pakistan</country1>
        <zip>66000</zip>
        <telephone>+92 61 6231111</telephone>
        <email>perwashanaseer123@gmail.com</email>
        <affiliation>mimas</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Pakistan</country2>
    </countries>
    <criteria>
      <inclusion_criteria>•	Young adults•	Age group of 18-30•	Acute pneumonia patient •	Acute pneumonia patients from Multan •	Good mental health</inclusion_criteria>
      <agemin>18 years</agemin>
      <agemax>35 years</agemax>
      <gender>Both</gender>
      <exclusion_criteria>•	Any type of physical disability•	Acute pneumonia patients with active infection•	Any type of mental disorder•	Any type of major surgery•	Older adults•	Childs•	Smear positive respiratory sample</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code>(J00-J99)</hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword>Diseases of the respiratory system</hc_keyword>
    </health_condition_keyword>
    <intervention_code>
      <i_code>Rehabilitation</i_code>
    </intervention_code>
    <intervention_keyword>
      <i_keyword>Intervention group: 1 Forced expiratory technique, Intervention group 2 Chest physiotherapy exercises and intervention group 3 Pursed lips breathing.</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Improve cardiorespiratory and renal parameters. Timepoint: 4 days/week for 4 weeks. Method of measurement: •	Pulse oximeter (choiceMMed), Digital Thermometer (certeza), Sphygmomanometer BP apparatus (Medisign Aneroid Sphygmomanometer MODEL: MC 2002), Glucose strips (on call plus), spirometer (besmed incentive), Cholesterol devise (beneCheck Multi-Monitoring Meter). Urine output measurements.•	Urine tests•	Blood tests•	Imaging tests•	Removing a sample of kidney tissue for testing.</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>mimas</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2023-10-01</approval_date>
        <contact_name>Muhammad Institute of Medical and Allied Sciences Multan.</contact_name>
        <contact_address>HBL street near sabazazar station bosan road Multan. Multan Punjab Pakistan</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
