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Topical use of Eucalypt sap resin for damaged skin
This protocol aims to explore the potential effectiveness of topical eucalypt sap resin application across a range of both acute and chronic skin injury and inflammatory conditions, using this novel Australian native ingredient with antimicrobial, styptic, and astringent properties. Skin conditions to be evaluated as individual case studies under this protocol cover wound care (both acute and chronic), fungal skin infections, acne, insect bites and sunburn.
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A study of Chlamydia trachomatis infection and reinfection in young adults
The purpose of this study is to generate key data in preparation for the Phase I/II study (safety, immunogenicity and descriptive efficacy proof of concept), and for the global Phase III vaccine efficacy study as part of the Chlamydia vaccine clinical development program. This study will monitor urogenital and extragenital infections or reinfections caused by Chlamydia trachomatis bacteria. Study details It is an observational study, and no vaccine will be administered. This study plans to identify and follow approximately 200 participants Ct NAAT positive from collected urogenital samples for a maximum of 7 months. Females will have vaginal, cervical (optional), oropharyngeal (optional), rectal (optional), and mucosal vaginal secretion (optional) samples collected and males will provide urine, oropharyngeal (optional), rectal (optional), and urethral (optional) samples for the detection of Ct infection. Study duration- The study duration will be variable depending on the baseline Ct infection status and Ct reinfection but will not exceed 7 months. -
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A Randomised, Double-Blind, Placebo-Controlled Study to Evaluate the Efficacy of SRS-MHT-44 against Long COVID in Adults Aged 18-65 Years.
In this randomised, double-blind, placebo-controlled study, 120 adults with Long COVID aged 18 to 65 years will be randomly assigned to receive a liquid herbal formula (SRS-MHT-44) daily or a placebo for 8 weeks. Changes in general wellbeing and quality of life will be assessed over time by administering several questionnaires. Moreover, changes in several biomarkers associated with inflammation, immunity, cardiovascular health, and general health will be evaluated over time. It is hypothesised that intake of the liquid herbal formula will lead to changes in Long-COVID related symptoms and blood markers associated with immunity, renal, cardiac and general health.
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Risk factors for developing heart failure in people with obesity
Participants with a diagnosis of heart failure with preserved ejection fraction (HFpEF) will undergo a cardiac MRI to see if any structural heart changes can be used to predict those who are high-risk for progression of disease. Weight changes, hospitalizations, and symptom will be tracked every 6-months for a minimum of 3 years, and linking data with the National Death Index will allow us to identify patterns between heart failure and cardiac-related death. This data will allow the implementation of screening with MRI and early intervention for high-risk groups.
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The effect of substantial weight loss with tirzepatide on heart failure with preserved ejection fraction in people with obesity
Diabetics on the study drug, tirzepatide, have been shown to experience significant weight loss during their treatment with this medication. Our study aims to identify its mechanism of action for patients with heart failure with preserved ejection fraction (HFpEF) and examine if treatment with this medication can significantly improve structural, functional, and symptomatic outcomes of patients with heart failure.
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Improving care of attention deficit hyperactivity disorder (ADHD) in people who use drugs
ADHD is a common neurodevelopmental disorder defined by the persistence of dysregulated attention, activity and impulsivity. The incidence of ADHD in childhood is 6-7%. Some symptoms improve in adolescence, but 2–4% of adults continue to meet the diagnostic criteria. ADHD is recognised in 3 to 4 times as many people seeking help for substance use disorder (SUD) as in the general population. Adults with ADHD who use drugs are often misdiagnosed and cannot access effective, targeted, multidisciplinary care. Individual specialists and specialist services will not treat ADHD in the presence of SUD. This project aims to demonstrate that recognition of ADHD and active management significantly improve quality of life and reduce substance use in people seeking help for SUD.
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LEPO: A phase 1 study of Leptospermum petersonii extract for patients with mesothelioma
Mesothelioma is an aggressive cancer with limited treatment options. We have conducted studies of a specific extract from Leptospermum petersonii (QV0; lemon scent tea tree) which showed reduction of cancer activities in the petri dish and also reduction of tumour in mice studies. This project is a first-in-human study of Leptospermum petersonii extract. Who is it for? You may be eligible for this study if you are an adult who has been diagnosed with mesothelioma. Study details All participants will be provided with Leptospermum petersonii extract to take by mouth for 6 weeks. Every 6 weeks, the dose of extract will be increased for 24 weeks. During this time, participants will be asked to provide blood, stool and urine samples, complete questionnaires, and will be monitored for side effects. It is hoped that this study will help determine if Leptospermum petersonii extract can be used safely in humans to control cancer by itself or in combination with other conventional treatment in mesothelioma patients
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Effect of a Digital Peer Support Intervention for ICU Survivors on Health Related Quality of Life: icuRESOLVE (icu Recovery Solutions Co-Designed through SurVivor Engagement) Randomised Controlled Trial
International and local research indicates that Intensive Care Unit (ICU) survivors (patients and families) experience adverse outcomes. In Australia, ICU survivors return home with little or no follow-up. Peer support, which brings survivors together to share experiences, holds potential to improve post-ICU outcomes although this warrants exploration. We have recently developed an in-person peer support model, where we engaged both ICU survivors and staff using a new and innovative method called experience-based co-design (EBCD). We recently tested the feasibility of this co-designed in-person peer support model for ICU survivors via a pilot trial (manuscript under review), that also included an ICU recovery booklet. Despite multiple strategies (including paying for car-parking, and travel costs), there were barriers to participants attending the hospital in-person. Further, the global pandemic necessitated the need to find ways of supporting ICU survivors in their recovery and in a format that did not require in-person attendance at hospital for this program. A further feasibility pilot trial was completed to test a digital format of this co-designed intervention, as well as a digital version of the ICU recovery booklet. This trial found that a digital peer support program and booklet, was feasible to deliver with regards to attendance rates, recruitment, and participant satisfaction. This next study will test these interventions at scale to determine the effectiveness of these interventions across the following two groups: 1. Digital peer support and an ICU recovery booklet; 2. Control care (no formal specialised ICU follow-up or ICU specific recovery information). We hypothesise that the digital peer support program and the recovery booklet will improve the health of participants at 90 days after hospitalisation, with reduced psychological distress, and improved social and informational support and resilience compared to usual care.
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Pilot trial assessing antibiotic duration in diabetic foot ulcers that probe to bone
Probe-to-bone test (PTB) is a simple bedside clinical test to aid in the diagnosis of diabetic foot osteomyelitis (OM). While it has been shown to be useful (especially in a high-risk cohort), diagnosis of OM is supported by additional tests such as X-rays and blood tests for markers of infection. The gold standard test for diagnosing OM is a bone biopsy, which is often not routinely performed due to the invasiveness of the procedure and the difficulty with accessing clinicians trained in performing this. Patients with diabetic foot ulcers and positive PTB tests are often treated for OM with prolonged courses of antibiotics despite normal X-rays and/or normal biomarkers of infection. This study aims to evaluate the safety and feasibility of treating patients with diabetic foot ulcers and positive PTB test with shorter courses of antibiotic therapy in a low-risk (outpatient) setting.
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A study of yoga for the management of atrial fibrillation
The Yoga AF study will enrol patients with atrial fibrillation who are undergoing a rhythm control strategy (ie trying to maintain sinus rhythm, the hearts normal rhythm), half of the participants will be randomly chosen to undertake a yoga program, which we believe may help reduce the amount of AF a person has. The aim of the study is to assess the effect of participation in a regular yoga program to see if regular yoga can reduce the number of recurrences and overall amount of atrial fibrillation a person experiences.