ANZCTR search results

Trials of calorie and protein delivery in critically ill patients have failed to show positive outcomes. However, these trials predominately intervene during the acute phase (first 7 days) of an Intensive Care Unit (ICU) admission only, where metabolic responses to critical illness are likely to impair nutrient utilisation. Furthermore, there is an increasing recognition that nutrition is not a short-term intervention, and extended nutrient provision is required to demonstrate benefit. Little is currently known about nutrition practices in patients that have a longer (>7 day) ICU stay. The purpose of the study is to describe nutrition practices in long-stay critically ill adult patients. 200 patients will be recruited at the Royal Adelaide Hospital. Data for all eligible patients will be extracted from the Australian New Zealand Intensive Care Society Adult Patient Database (ANZICS APD) where applicable, and additional data collected from the patient electronic medical record (EMR), bedside nursing staff, or the patient themselves. Data analysis will be conducted in SPSS Statistics software in consultation with qualified biostatistician Ms Kylie Lange from the National Health and medical Research Council (NHMRC) Centre for Research Excellence at The University of Adelaide. This prospective observational study is an integral step in defining key gaps in nutrition delivery to inform a program of research on improving patient recovery through optimal nutrition.

The aim of this research project is to investigate whether the type of interface (a face mask or a mouthpiece) used during the measurement of cough strength, called peak cough flow, changes the values obtained. While face masks are commonly used during measurements of cough strength in clinical practice, a mouthpiece can also be used. However, it is unclear whether these interfaces are interchangeable. This is important to know as differences in the measurement of cough strength due to interface type could delay access to therapies to improve cough strength. If an individual is found to have a weak cough, therapies such as a cough assist machine can be used to improve cough effectiveness. Again, both face mask and mouthpiece interfaces are used with the cough assist machine but it is unclear if interface type changes the effectiveness of the cough assist machine. Currently no studies have compared face masks and mouthpieces in the measurement of cough strength in people with respiratory muscle weakness. Similarly, there is no information about how these two interfaces studies effect how cough assist machines perform or how comfortable each interface is to use.

The purpose of this trial is to compare the visual performance of spectacle lenses with films compared to commercial control spectacles in young myopic adults. Visual performance will be assessed with vision testing and questionnaires. It is hypothesized the visual performance of the test spectacle with film will be no different to control spectacles.

This study is aiming to determine the feasibility of delivering pelvic floor muscle training (in person vs. telehealth delivery) to treat urinary incontinence in female athletes. Who is it for? You may be eligible for this study if you are aged 18 or older, you are currently experiencing stress urinary incontinence (urinary leakage) during sport, you had only female pelvic floor anatomy at birth, you participate in any level of sport (competition or training) that includes high-impact activities (e.g. running, jumping, landing, cutting) or strength exercises (e.g. weight or power lifting) or contact activities (e.g. tackling) at least once per week and you have sufficient English language skills to understand instructions from the researcher. What does it involve? All participants who choose to enrol in this study will receive a femfit® device that provides live data on the person's ability to correctly contract their pelvic floor muscles. All participants will be offered five instructional sessions with the research physiotherapist over a 12 week period. These will either be in person or on telehealth. Each session will be 30 minutes in duration. Using the femfit® device, the research physiotherapist will teach participants their pelvic floor muscle training program. As a home exercise program, the participants will complete the pelvic floor muscle training program using the femfit® app and record their progress in an exercise diary. Participants will be asked to complete an online questionnaire to assess the frequency, severity, bother and impact of their urinary incontinence at the start and end of the 12 week intervention and after 12 months. They will also complete a questionnaire measuring their satisfaction of the program, perceived change in urinary incontinence and need for further treatment at the end of the 12 weeks. After 12 months, participants will also answer questions about duration of symptom improvement, utilisation of additional treatments and adherence to the home exercise program.

The goal of this study is to see how well the MyPREP program works to help people to learn how to manage their own mental health condition. The program is delivered with the support of a Peer Support Worker who also has experience living with a mental health condition. Our aim is to get feedback from participants about whether MyPREP is more helpful than ‘usual care’. MyPREP is a program made by members of this research team with the help of people with lived-experience of mental ill-health. MyPREP is a personal recovery plan and supports people to map out the strategies that help to keep people well, manage those ups and downs, move on from a crisis if one comes their way, and make active, meaningful and purposeful plans for now and the future. In this study participants will be guided through the MyPREP program by a ‘Self-Care Champion’ who is a trained Peer Support Worker from One Door Mental Health.

Severe alcohol-associated hepatitis (SAH) is a huge unmet medical need, associated with high mortality. Corticosteroids have not been associated with improved long-term survival benefit and there has been no improvement in survival in SAH with medical management during the last 60 years. SAH is associated with impaired growth of new cells in your liver (known as hepatocyte proliferation). Elevated Wnt signaling and increased hepatocyte proliferation have been linked to greater survival, suggesting that therapies that can enhance hepatocyte proliferation can benefit patients. R-spondins (RSPOs) are known enhancers of Wnt signaling. SZN-043 is a bispecific fusion protein and hepatocyte-specific RSPO mimetic shown to bring on hepatocyte-targeted Wnt signaling and hepatocyte proliferation in research studies performed in laboratories. SZN-043 was evaluated for safety and how the drug behaves in the human body in a single center, first-in-human study in healthy volunteers and patients with mild cirrhosis of the liver. This second study will evaluate the same things in patients who have severe AH.

This study aims to evaluate the clinical safety and performance of the TRAX Cruciate Retaining (CR) Total Knee System (TKS) used in primary Total Knee Arthroplasty (TKA) The study is prospective, multi-centre, non-randomised, comparative and single arm. The clinical safety will be evaluated through the analysis of adverse events and serious adverse events and thorough the 2-year survivorship of the system. Performance wil be evaluated through functional measurements and questionnaires. The clinical and safety performance of the TRAX CR TKS will be compared to the ones of modern cemented CR TKS used in primary TKA in Australia.

The determination of a specific diagnosis in patients with polyuria syndromes is a frequent problem in clinical practice. Determining the correct diagnosis is crucial to optimising the management of these conditions as treatment approaches differ, and both inadequate and incorrect treatment can cause severe complications. However, differentiating these conditions, particularly arginine vasopressin deficiency (AVP-D) and primary polydipsia has proven very difficult and complex stimulation testing is needed for the diagnosis of AVP-D and primary polydipsia. This study will look at the response of the body's pituitary gland to a single dose of a medication called tolvaptan compared to placebo to see if this could be used as a new and simpler test for the diagnosis of these conditions.

Following a tooth extraction, the body responds and adapts the bone around the extraction site in its normal healing process. Inevitably, this results in a decrease in the amount of bone and gum tissue at the extraction site. Dental implants are reliant on bone to facilitate their placement and support the implant as it functions as a tooth replacement. As such, minimising bone loss after an extraction is key to optimise the success of implant placement. Bone grafting techniques are commonly used to assist the body in healing promoting the maximum preservation of bone. New materials are available which aim to stimulate the body’s healing ability when used in conjunction with a standard grafting material. This study aims to evaluate the effectiveness of using a biological stimulating product (a viscoelastic gel containing hyaluronic acid and polynucleotides) in conjunction with the grafting material to maximise the healing response after an extraction.

The use of constraint-induced movement therapy in the upper limb is now a renowned ‘green light’ therapy for the treatment of children living with cerebral palsy where one side of their body is affected (unilateral cerebral palsy - UCP). This involves constraining the non-affected upper limb with a mitt or a splint in order to encourage targeted use of the affected limb to improve function. Currently, however, there are no well researched interventions targeted at the lower limb of infants and toddlers living with cerebral palsy, despite the knowledge that independence in gross motor skill acquisition positively affects cognitive development and the timing of critical window of motor neuronal development. We wish to investigate the feasibility and acceptability of this intervention on infants and toddlers, 10-18 months of age living with unilateral cerebral palsy. The key objectives of this research study include: 1. Is Baby Lower Extremity Constraint Induced Movement Therapy (Baby LE-CIMT) feasible for carers and therapists and acceptable to referrers of infants and toddlers with unilateral cerebral palsy? 2. What is the effect of Baby LE-CIMT on gross motor function, cognitive function, muscle volume and gait parameters in infants and toddlers with UCP?