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Active Minds, Happy Kids in Preschools: centre-based intervention feasibility study to increase physical activity, and decrease sedentary behaviour and screen time in preschool children
Active minds, happy kids is a centre-based intervention feasibility study which aims to increase physical activity, decrease sedentary behaviour, and decrease screen time. The centre-based components will be implementing in 2016. It is a 10 week pre- and post-intervention feasibility study to develop, implement and evaluate centre-based behaviour change strategies. Four preschools and/or childcare centres (hereafter collectively referred to as centres), and five families per centre, will be recruited. This research is being conducted by Dr Trina Hinkley, Prof Jo Salmon, Prof Anna Timperio, and Dr Kylie Hesketh. We anticipate benefits of this research may include gains in knowledge, insight, understanding of child behaviours and strategies to support healthy levels of physical activity and sedentary behaviours. The collection of this data will inform the development of a larger intervention in this population. Once effective strategies are identified, these can be disseminated to a larger segment of the population.
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Minimising the impact of high fructose foods for patients with Irritable Bowel Syndrome: investigating the use of added glucose to assist with fructose absorption from food by the small intestine in healthy volunteers and in patients with IBS
Malabsorption of fructose occurs in 40% of healthy Australians but may be a major problem for individuals with Irritable Bowel Syndrome. The addition of glucose has been shown to assist in free fructose absorption in test solutions and juices however this effect has never been investigated using whole foods. The aim was to investigate the effect on fructose absorption when glucose was added to foods with naturally high levels of free fructose in a randomised, single-blinded, crossover intervention trial.
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Impact of cherry consumption on acute exercise-induced inflammation in well-trained cyclists.
This study will utilise a randomised, double-blind, placebo-controlled, crossover design to investigate the following aims. 1. Determine if consumption of sweet cherries attenuates exercise-induced inflammation. 2. Determine if consumption of sweet cherries improves post-exercise recovery. 3. Determine if consumption of sweet cherries improves exercise performance. Inclusion criteria: competitive cyclists training for a minimum of 7 hours per week; an endurance training history of at least 3 years; Exclusion criteria: cardiovascular history; history of fainting; diabetes; history of allergy/reaction to stone fruit. Participants will be asked to refrain from ingesting dietary anthocyanins or flavonoids and will be provided with a food and exercise plan and diary to complete in the week prior to both the familiarisation and trial sessions. Participants will undergo an initial familiarisation session, at which time baseline blood samples will be taken. Participants will undertake a ramp incremental VO2max test to ascertain their level of cardiovascular fitness. Lactate and blood glucose measurements will be taken every 2 minutes via finger prick. Participants with a VO2max of between 4.5 and 5.0L/min will be included in the supplementation and trial sessions. Participants will be randomly assigned to the cherry or placebo group. Participants will be given blended cherry drinks containing cherries, water and lemon juice (at a ratio of 10:5:1) with an anthocyanin content of 540mg/drink or carbohydrate-matched, blended pear drinks containing 0% anthocyanin (placebo). Participants will be asked to consume one drink at 8pm for the 3 days prior to the cycling trial, and one drink 1 hour immediately prior to the commencement of the trial. To assess the efficacy of the blinding process, participants will be asked if they believe they have received the blended cherry drink or the placebo. The cycling trial will consist of 60second intervals of cycling on a cycle ergometer at a workload equivalent to 100%VO2max followed by 75 seconds of active recovery at 50%VO2max, until the 100%VO2max workload is unable to be maintained. A 10 minute warm-up and cool-down at 50%VO2max will be undertaken prior to and following the trial. Lactate and blood glucose measurements will be taken in each active recovery phase via finger prick. Venous blood samples will be collected immediately following exercise and at 24 hours post exercise. At 24 hours post exercise, participants will indicate perceived muscle soreness via a 10 cm visual analog scale. Following a washout period of at least two weeks, participant groups will crossover and the supplementation and cycling trial will be repeated. Blood samples will be tested for levels of the circulating inflammatory mediators IL-6, IL-10, TNFalpha, IL-1beta, CRP and MCP-1 using ELISA kits, and LOOH levels and creatine kinase levels will be monitored.
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Randomised wait-list controlled trial of Cognitive Behavior Therapy (CBT) for Anxiety in Parkinson's disease
Parkinson’s disease (PD) is an age-related incurable disorder observed in 3% of persons aged 65 years old and over, and 10% of those aged over 80 years old, making it one of the more common neurological disorders of later life. In Australia, 1 in every 340 people lives with this condition. The prevalence of anxiety in PD exceeds 50%, and it is a major contributor to a poor quality of life of patients and caregivers. However, anxiety is poorly identified in PD. There is a paucity of clinical trials primarily focussed on treating anxiety, and there are no evidence based effective and safe pharmacological treatment for anxiety in PD. To complicate matters further, anxiety in PD presents with unique and complex symptomatology which must be understood and addressed if intervention is to be effective. There is an urgent need for empirically validated interventions targeting PD-specific anxiety symptoms for successful treatment. The present study will be the first to provide empirical evidence for Cognitive Behaviour Therapy (CBT) for anxiety by conducting a waitlist-controlled tailored and dyadic CBT trial including PD patients and caregivers. The study also focuses on caregiver well-being and the relationship quality and satisfaction for PD and caregivers. The ultimate goal of the present proposal is to improve diagnosis and treatment of anxiety in PD; thus improve quality of life of patients and their caregivers. METHODS PD patients will be recruited from neurology outpatient clinics in Brisbane. Their carers will also be invited to participate in the study. Apart from neurology outpatient clinics, PD patients and their carers who express interest to participate in PD research through other PD studies, support groups and advertisements will also be recruited. Research design: This study is a randomised wait-list controlled intervention design. PD patients with anxiety will be randomly allocated to either the Cognitive Behaviour Therapy (CBT) intervention group (group 1) or control group. The wait-list control group will receive clinical monitoring and educational material about PD. The wait-list group will receive the intervention after group 1 completes the intervention.
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Safety Study of the .AlCath Force catheter in patients with atrial arrhythmias
The objective of this study is to provide supporting clinical evidence in particular with regard to the efficacy and safety of the AlCath Force ablation catheter and the Qubic Force device. It might reveal indicators for hidden risks and trigger further dedicated investigations or tests.
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Rotation thromboelastometry (ROTEM 'Registered Trademark') in obstetrics: baseline parameters in normal and complicated pregnancies. A prospective observational study on elective Caesarean patients.
Recruitment of parturients will occur at the Royal Brisbane and Women’s Hospital (RBWH). There is increasing use of ROTEM(TM) for point-of-care coagulation monitoring in patients with massive haemorrhage, but there still remains limited data on reference ranges in normal pregnancies and subsequently limited understanding of the effects of complicated pregnancies on ROTEM(TM) interpretation. With the recent implementation of ROTEM(TM) within the RBWH, reference ranges for the obstetric population need to be established to optimise interpretation of derived values.
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Rotational Thromboelastometry (ROTEM ('Registered Trademark') in obstetrics: baseline parameters in normal and complicated pregnancies. A prospective observational study on labour ward inpatients.
Recruitment of parturients will occur at the Royal Brisbane and Women’s Hospital (RBWH). There is increasing use of ROTEM(TM) for point-of-care coagulation monitoring in patients with massive haemorrhage, but there still remains limited data on reference ranges in normal pregnancies and subsequently limited understanding of the effects of complicated pregnancies on ROTEM(TM) interpretation. With the recent implementation of ROTEM(TM) within the RBWH, reference ranges for the obstetric population need to be established to optimise interpretation of derived values.
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L-Theanine in the Adjunctive Treatment of Generalised Anxiety Disorder: A Double-Blind Randomised Placebo-Controlled Trial
The objective of this trial is to assess the effectiveness and safety of L-theanine (an amino acid constituent of green tea [Camellia sinensis]) as an adjunctive therapy to treat GAD by conducting a phase II double-blind randomised controlled trial. It is hypothesised that L-theanine will be superior to placebo in reducing anxiety in participants with GAD.
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Evaluation of the Functional Outcomes Following a Saiph Total Knee Replacement and Reproducibility of Outcomes of Procedures performed by the General Surgeon Population compared with the Design Surgeon Team Procedures .
This is a prospective, international multi-centre clinical study. The study will enrol a minimum of 1000 patients over a 36 month recruitment period between approximately 25 surgeons at 30 centres in Australia and New Zealand. The objectives of the study are: * To evaluate the clinical outcomes of the Saiph Total Knee Replacement and ensure that it performs as intended. * To compare the results of this study to the optimal clinical results of the design surgeons to ensure their results can be reproduced. The Saiph Total Knee Replacement (TKR) is intended for use as a primary total knee replacement device consisting of a femoral, tibial, tibial bearing and optional patellar component. The Saiph TKR is CE marked, TGA approved and has a rebate code on the Prostheses List. Clinical evaluations: Standard, functional parameters such as range of motion will be assessed preoperatively, and postoperatively at 6 weeks and at 6/12 months. Further clinical evaluations at 2 years and 5 years will be collected only for those patients that return to clinic for this review. Patient outcome assessments: The KOOS (Full Version), Oxford Knee Score (OKS), EQ5D and UCLA Activity Scale will be assessed preoperatively, and postoperatively at 6/12 months, 2 years and 5 years. Radiographic evaluations: Anterior and lateral X-rays will be analysed preoperatively, immediately postoperatively and at standard of care time points thereafter.
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Exercise Training With A Cardiac Pacemaker
Patients with atrioventricular block and/or sinus node disease are commonly characterised by impaired functional capacity. Exercise training improves cardiorespiratory fitness, quality of life and measures of heart function. However, there is little evidence regarding the benefits of exercise training in patients requiring a pacemaker. This study will assess the benefits of exercise in this cohort, when compared with usual medical care.