ANZCTR search results

This study aims to examine the impact of supportive care screening and follow up on patients being treated at the Royal Women’s Hospital for gynaecological cancer. Who is it for? You may be eligible to join this study if you are a female aged 18 years or above who has a new diagnosis of gynaecological cancer for which you are undergoing treatment at the Royal Women’s Hospital. Study details Participants in this study will be randomly allocated (by chance) to one of two groups. Participants in one group will receive the standard hospital supportive care screening tools. Participants in the other group will receive an 'enhanced model of supportive care screening'. This incorporates a single supportive care intervention where the participant has a face-to-face conversation with one of our researchers regarding psychosocial stressors that may be impacting on the patient's cancer diagnosis and what can be done to alleviate some of those stressors. All participants will be asked to complete some questionnaires between 3-6 months post enrolment in order to evaluate their patient experience and quality of life. The study will also audit the process of the patient treatment pathway and review modifiable and non-modifiable factors in the patient commencing in, remaining in, and completing treatment, and describe any complexities arising from this process. Furthermore, it is hoped that this project will provide evidence to inform future psychosocial practices and evidence based guidelines within gynaecological cancer care.

Data collection using new technology has the capacity to improve the efficiency of data collection and reduce transcription errors in large data sets. As well, it has potential clinical relevance for management of client assessment and re-assessments. Functional reach is a validated measure of dynamic balance that is used for measuring limits of stability in response to a self-generated perturbation. It is widely used for a variety of clinical populations and compares well with other balance measures for clinical utility. Traditionally values are measured by a clinician reading values from a tape measure or ruler adjacent to the client. New motion capture software and cameras has the capacity to improve efficiency in both research and clinical contexts by accurately measuring, recording and storing information. As well, costs for this commercially available technology have reduced dramatically in recent times, making it cost-effective for a wide range of practical applications. The Kinect camera has been validated for range of motion, and several functional tasks like Timed Up and Go, however, to date no validation studies have been done using the Kinect for windows to compare its accuracy and clinical utility in a dynamic balance task. Recent advances in camera technology (last 5 months) have increased the sensitivity of motion capture and allowed us to test it in this way. Previously published validation studies using this technology are typically small Potential advantages include: *Reduced time for data collection *Improved storage of data *Reduced data collection time *Easy ability to securely gain and store data The aim of this project is to determine if the new camera technology is *accurate and * reliable

In this research project, we are trying to boost immune response against Epstein-Barr virus, with the aim of delaying the progression of multiple sclerosis (MS) and decreasing symptoms. Specifically, this trial aims to improve the killer T cell response against EBV, to enable the effective killing of virus-infected B cells. To do this, we are testing an experimental treatment for MS called adoptive immunotherapy. Adoptive immunotherapy involves collecting a patient's own blood, and then stimulating their T cells in the laboratory. This stimulation causes the EBV-specific T cells to multiply. Once the patient's EBV-specific T cells have been grown in the laboratory, they will be transferred back into the patient's blood, with the aim that they will recognise EBV-infected B cells in the brain and kill them. However, because some laboratory studies have suggested that EBV-specific T cells might aggravate inflammation in the brain and actually worsen MS, this treatment needs to be used cautiously.

Many people with Multiple Sclerosis (MS) experience problems with walking, which can make day to day activities difficult and often leads to falls. Improving walking ability is, therefore, of primary importance in maintaining health, independence, and quality of life in people living with MS. Walking problems in MS are often caused by a combination of typical symptoms, such as altered function of muscles, nerves, and senses. The key to improving mobility is, therefore, to use a range of different treatment techniques which address each of these symptoms. Foot sensation plays an important role in keeping the body upright and balanced whilst walking, yet, we know from previous studies that people with MS often have poor sensation on the soles of their feet. It is, therefore, possible that wearing a specially designed shoe insole, which enhances sensory information at the feet, could help people affected by MS to walk better. This would offer health care professionals a new, additional treatment technique to help manage walking problems in MS. This study will explore whether long-term wear of a textured shoe insole can improve walking in people with MS. We will analyse how people with MS walk over an even and uneven surface, when they are wearing the insoles for the first time, and after wearing the insoles for three months. We will explore whether wearing the insoles changes the way the body moves, or the leg and trunk muscles work during walking. We will also monitor any changes in the perception of foot sensation and the awareness of foot position, to help us better understand how our insoles may bring about their effects on walking. The benefit for people affected by MS is that this study could lead to the development of a new treatment technique, specifically an inexpensive, easy-to-administer shoe insole, which could help towards improving mobility and independent living.

To determine of masters sport participation increases physical, psychological, cognitive and social functioning Hypothesis - masters sport participation will increase physical, psychological, cognitive and social functioning functioning

It is well­-documented that burns and the associated wound care procedures are painful and distressing for children. Non-­pharmacological techniques are used in addition to pharmacological methods for control of pain and anxiety. Medical hypnosis in adults undergoing burn wound debridement (wound-cleaning and removal of dead tissue) has resulted in reductions in pain and anxiety. To our knowledge, there have not been any randomised controlled trials that have examined the efficacy of medical hypnosis to decrease healing times and pain/anxiety scores in paediatric burn patients. The aim of this study is to investigate whether medical hypnosis reduces pain and anxiety and enhances re­-epithelialisation (i.e. wound-healing) in children with acute burn injury. We hypothesise that there will be significantly lower pain and anxiety scores, lower levels of biological stress markers (cortisol and alpha-­amylase) and faster wound re-epithelialisation in the intervention group compared with the control group.

Congenital heart disease in adults is an increasingly important area. Aortic coarctation is a congenital cardiac condition; clinical presentation may vary from a patient with no symptoms to severe, early cardiac failure. Aortic coarctation is typically associated with high blood pressure or hypertension. Survival into adult life is excellent, however, a number of late complications are increasingly recognized. These include a tendency to difficult to control hypertension and the potential formation of cerebral aneurysm. An aneurysm is a weak area in a blood vessel that usually enlarges. It is often described as a “ballooning” of the blood vessel. Such cerebral, or brain aneurysms are potentially lethal. In this study, we are looking to determine whether patients with previous aortic coarctation repair may have disturbances in the blood flow in their brain. We will use transcranial Doppler ultrasound (TCD) to measure blood flow in the brain to compare patients who have previous surgical repair of aortic coarctation with healthy control participants.

In this prospective case series participants with cystoid macula oedema secondary to Central Retinal Vein Occlusion (CRVO) who are treatment naive will receive treatment with Eylea using an ‘inject and extend’ treatment protocol. In this study we aim to assess whether a ‘treat and extend’ regimen is a useful option in the treatment of CME associated with CRVO. We hypothesise that visual acuity outcomes will be non-inferior to that achieved in the pivotal trials and that this will be achieved with fewer visits to the clinic. The study will run for approximately 36 months. The recruitment period will last approximately 12 months. Participant involvement will last approximately 24 months.

Repetitive transcranial magnetic stimulation has been shown to be efficacious for treating depression and has been approved by the TGA for the treatment of depression in adults who have not responded to at least 2 trials of antidepressant medications. However, some people do not respond to the treatment. Sleep-wake cycle disruption, reduced cognitive functioning and changes in brain chemistry are prominent features of depression. It is unclear how rTMS affects these features and whether they are associated with response to rTMS treatment. We seek to investigate whether these features of patients are associated with rTMS treatment response.

There is currently a lack of research investigating interventions which target oral inferential comprehension in children with specific language impairment (SLI). This is despite the knowledge that children with SLI demonstrate poor oral inferential comprehension, and the evidence showing the importance of this skill for later reading comprehension and learning. Therefore, this study will involve developing and piloting an intervention targeted at improving oral inferential comprehension in a small randomised controlled trial of children with specific language impairment. The intervention is evidence-based, designed based on the intervention principles pertaining to the large body of research in speech pathology journals regarding interventions for children with specific language impairment . The findings will therefore add to the evidence-base of interventions and effective practice in the area of language comprehension, leading to improved long-term language and literacy outcomes for children with specific language impairment. The participants will be randomly allocated to one of two intervention groups (the inferential comprehension intervention or the comparison intervention targeting phonological awareness). The participants will then take part in the intervention, implemented by the researcher. The intervention will involve small group (4 children) activities, for approximately 30 minutes, twice per week for 8 weeks over the course of one Term. It is anticipated that the participants receiving the inferential comprehension intervention will demonstrate a significant improvement in their oral inferential comprehension compared to the participants receiving the phonological awareness intervention. It is also anticipated that the participants receiving the phonological awareness intervention will demonstrate a significant increase in their phonological awareness skills compared to the participants receiving the inferential comprehension intervention. This finding will provide preliminary support for the effectiveness of oral inferential comprehension intervention with this age group and population, and inform the practice of speech pathologists and educators working with children with SLI.