201 lines
14 KiB
PHP
201 lines
14 KiB
PHP
<!DOCTYPE html>
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<html lang="en">
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<head>
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@include('layouts.shared/title-meta', ['title' => 'Register & Signup'])
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@include('layouts.shared/head-css', ['mode' => $mode ?? '', 'demo' => $demo ?? ''])
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<link href="{{ asset('assets/libs/flatpickr/flatpickr.min.css') }}" rel="stylesheet" type="text/css" />
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<style>
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input[type="checkbox"] {
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transform: scale(1.5);
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margin-right: 5px;
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}
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</style>
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</head>
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<body class="loading authentication-bg authentication-bg-pattern" style="background-color: rgb(65, 154, 154);">
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<div class="account-pages mt-2 mb-5">
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<div class="container">
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<div class="row justify-content-center">
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<div class="col-md-8">
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<div class="card bg-pattern border">
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<div class="card-body p-4">
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<div class="text-center w-75 m-auto">
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<img src="{{ asset('/images/crest-logo.jpeg') }}" class="img-fluid"
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style="max-height: 100px;">
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<h4 class="text-center">Point of Care Spirometry Study</h4>
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</div>
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<div class="container mt-5">
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<!-- Participant Information Sheet -->
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<div class="card mt-4">
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<div class="card-header bg-info text-white">
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<h5>Participant Information Sheet</h5>
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</div>
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<div class="card-body">
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<p>
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<h2>Study Title:</h2>
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<h3>Impact of POC spirometry on diagnosis of Obstructive Airways Diseases in
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clinical practice.</h3>
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<p>
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India contributes to a high proportion of deaths and disability adjusted
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life years to the global mortality and morbidity of Asthma and COPD.
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Underdiagnosis and misdiagnosis of asthma and COPD are major reasons for the
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huge burden of obstructive airways diseases in our country. A major reason
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for underdiagnosis is underutilization of Spirometry-the gold standard for
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diagnosis of asthma and COPD. Of all the reasons for underutilization of
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Spirometry, lack of availability and non-affordability have been cited as
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the major reasons by doctors. With newer indigenously developed spirometers,
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accessibility and affordability are being addressed by industry partners. It
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is important to understand whether using these point of care spirometers is
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adding value to the quality of healthcare by improving the diagnosis of
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asthma and COPD in clinical settings. Hence, we are conducting this study
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called as ‘Point of care spirometry study’.
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</p>
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<p>
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We compliment you on your decision to purchase a point of care spirometer.
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We have received your contact details from the Cipla team which is helping
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you procure the spirometer. We would like to invite you to participate in
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the ‘Point of care Spirometry Study’ which is being conducted among 50 Chest
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Physicians and General Physicians in India who are about to procure the
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spirometers. You have been selected by a process of convenient sampling. We
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will be trying to understand whether adding a point of care spirometer helps
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diagnose a greater number of patients of asthma and COPD.
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</p>
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<p>
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The study will require your online participation and will use a web
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application for questionnaires and data collection. It will involve:
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</p>
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<ol>
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<li>One-time initial short questionnaire about your demographics and your
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practice.</li>
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<li>Daily record of each patient visiting your clinic with respiratory
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symptoms, using a very short questionnaire about symptoms and diagnosis
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for 1 month.</li>
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<li>After you have procured your spirometer, you will need to complete the
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training in spirometry procedure and interpretation provided by CREST.
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</li>
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<li>After training, once again a daily record of each patient visiting your
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clinic with respiratory symptoms using the same brief questionnaire as
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pre-spirometer month will have to be maintained for 1 month.</li>
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<li>Call from the CREST team for monitoring purposes.</li>
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<li>One-time feedback questionnaire at the end of 1 month post spirometry
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records.</li>
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</ol>
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<p>
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We will be grateful if you could spare this time from your busy schedule and
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participate in the study. Your responses will be totally anonymous, and your
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identity will not be disclosed to anyone. Your participation is entirely
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voluntary, but we would really appreciate your inputs and insights.
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</p>
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<p>
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This study is submitted to the Royal Pune independent Ethics Committee, Pune
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for approval for all states in India. The study has also been uploaded on
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the site of the Clinical Trials Registry of India. The registration number
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is awaited. This survey is being conducted in collaboration with Cipla Ltd.
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as our logistics partner.
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</p>
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<p>
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We thank the Cipla Team member in advance who has brought this survey to
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you. Your participation is completely voluntary. You will not be paid any
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money for your participation. However, you will be getting the training in
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Spirometry as well as hand holding for quality assurance, interpretation and
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troubleshooting for procedure from CREST. After the study is completed, you
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will be given a certificate of participation in this important study from
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CREST and your contribution will be acknowledged in the publication as part
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of the Point of Care Spirometry Study Group.
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</p>
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<p>
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Feel free to contact the investigator, Dr. Monica Barne on 9922933131 for
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any query/clarification. This is an investigator-initiated survey sponsored
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by Cipla Ltd.
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</p>
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</p>
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</div>
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</div>
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<!-- Informed Consent Form -->
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<div class="card mt-4">
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<div class="card-header bg-success text-white">
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<h5>Informed Consent Form</h5>
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</div>
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<div class="card-body">
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<form action="{{ route('doctorconsentsubmit') }}" method="POST">
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@csrf
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<label class="pb-2" for="confirm">
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<input type="checkbox" id="confirm" name="confirm">
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I confirm that I have been informed about the Point of Care Spirometry Study and I have had the opportunity to ask questions.
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</label><br>
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<label class="pb-2" for="voluntary">
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<input type="checkbox" id="voluntary" name="voluntary">
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I understand that my participation in the study is voluntary and that I am free to withdraw my consent at any time, without giving any reason, without my legal rights being affected.
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</label><br>
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<label class="pb-2" for="dataAccess">
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<input type="checkbox" id="dataAccess" name="dataAccess">
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I understand that the Sponsor of the clinical trial, others working on the Sponsor's behalf, the Ethics Committee and the regulatory authorities will not need my permission to look at my data both in respect of the current study and any further research that may be conducted in relation to it, even if I withdraw from the trial. I agree to this access.
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</label><br>
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<label class="pb-2" for="identityNotRevealed">
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<input type="checkbox" id="identityNotRevealed" name="identityNotRevealed">
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I understand that my identity will not be revealed in any information released to third parties or published.
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</label><br>
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<label class="pb-2" for="noRestriction">
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<input type="checkbox" id="noRestriction" name="noRestriction">
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I agree not to restrict the use of any data or results that arise from this study provided such a use is only for scientific purposes.
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</label><br>
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<label class="pb-2" for="monitoring">
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<input type="checkbox" id="monitoring" name="monitoring">
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I understand that the team from CREST will contact me for monitoring of the study.
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</label><br>
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<label class="pb-2" for="agreeStudy">
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<input type="checkbox" id="agreeStudy" name="agreeStudy">
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I agree to take part in the above study.
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</label><br>
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<button type="submit" class="btn btn-primary mt-3">Submit Your Consent and Proceed</button>
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</form>
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</div>
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</div>
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</div>
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</div> <!-- end card-body -->
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</div>
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<!-- end card -->
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</div> <!-- end col -->
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</div>
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<!-- end row -->
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</div>
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<!-- end container -->
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</div>
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<!-- end page -->
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@include('layouts.shared/footer-script')
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<script src="{{ asset('assets/libs/flatpickr/flatpickr.min.js') }}"></script>
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<script type="text/javascript">
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jQuery(document).ready(function($) {
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});
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</script>
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</body>
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</html>
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