ANZCTR search results

This project aims to assess the impact of rotavirus vaccine introduction on severe gastroenteritis in South Australian children. Prevalence of rotavirus coded hospitalisations and all-cause gastrenteritis hospitalisations will be compared for a two year period prior to introduction of the vaccine and a two year period following introduction of the vaccine. Severity of rotavirus coded admissions during the periods will also be assessed.

Every day, thousands of Australian children suffer the effects of asthma and eczema and families struggle with illness management and children's behavioural and emotional adjustment. Many parents experience difficulties with their caregiving role and lack confidence in their ability to manage their child's illness and ensure their wellbeing. This study aims to evaluate the efficacy of a brief, group-based parenting intervention for parents of children with asthma or eczema. It is expected that participating in a group-based parenting intervention has the potential to reduce ineffective and coercive parenting practices, and lead to improved child behavioural and emotional adjustment, better family wellbeing, and healthier children.

Objective: Agouti-related peptide is a neuropeptide (132-amino acid) produced in the arcuate nucleus of the hypothalamus. Interleukin-6 (IL-6) is excreting by adiposities, which increased by overweight and obesity. We examined the Impact of exercise conjugated diet and only diet on plasma concentration of agouti-related peptide and Inerleukine-6 in obese and overweight sedentary female collage students Research Methods and Procedures: A total of 30 subjects (age = 21.9 +/- 2.4; weight = 75.6 +/- 5.57; BF = 29.532 +/- 3.18 and BMI = 29.048 +/- 2.216) randomly divided into two experimental and one control groups. The experimental group1 Experienced twelve-day diet (D), the experimental group2 Experienced twelve-day diet (every day) with twelve-day running training (the intensity was 60 to 70 %HRmax for 50 minutes) every other day (AED) and control group remained sedentary with normal diet in this period. Blood samples were collected 24 hours before and after enforced protocol. Body fat percentage of subjects measured using 3 points method. After plasma separation, AGRP levels measured using ELISA method with special Kit. The data was analyzed by K-S, ANOVA and Tukey post-hoc. Results: After doing protocols, the plasma AGRP in the D group increased significantly (p<0.05). Furthermore, resting plasma IL-6 for AED groups reduced significantly (p<0.05). The data indicate that after enforced protocol, AED group was stable on resting plasma AGRP (p>0.05). Discussion: Aerobic Exercise conjugated Diet is better than only diet, because not only it was causing AgRP stable but reduced resting plasma IL-6 as well. Key word: AgRP, IL-6, Obesity, Overweight, Aerobic Exercise, Diet

The Out-and-about trial aims to change the practice of rehabilitation teams working with people with stroke in New South Wales, as well as increasing community participation in people with stroke. The trial will compare different types of education provided to 20 community rehabilitation teams and 300 people with stroke who they see over 12 months. It is hypothesised that teams that receive one type of education will perform better than teams that receive the other type of education.

To test whether population-level effects can be achieved by implementing best-evidence practice change strategies for the care and management of diabetes. The study will test whether a rural GP-focused intervention involving Continuing Medical Education (CME), reminders & feedback can: i. Improve patterns of diabetes care as measured by frequency of testing for blood lipids, haemoglobin A1c (HbA1c) and urinary albumin ii. Improve clinical outcomes as measured by glycaemic control, blood lipid control and urinary albumin control. iii. Be cost-effective in terms of cost per Quality Adjusted Life Year (QALY) gained as a result of improved clinical outcomes

This study aims to examine the pharmacokinetics of herbal medicine T89 in healthy western adults. Based on the similar study in Chinese people, it is hypothesised that following an oral administration, T89 will be detectable in the circulation at ~15 minutes, peaked at 60 minutes to 2 hours, significantly reduced at 6 to 8 hours, and undetectable after 12 hours. It is removed from the body through the urine, which starts at ~2 hours and completes within 24 hours following the administration.

Post burn injury, survivors undergo a “hypermetabolic” response resulting in loss of muscle mass and increase in fat tissue, increased cardiac work, and delays in wound healing. Consequently these patients have weakness, increased length of hospital stay decreased functional ability and delayed return to work rates. One way to counteract this problem is by pharmacological blockade ie using medication to block the hypermetabolic response. One drug that has been trialled extensively in paediatrics are beta - blockers which decrease the work of the heart. The studies in children have shown these drugs can improve donor site and graft healing, attenuate muscle mass loss, prevent loss of lean muscle mass, improve immune function and decrease in the high temperature, high heart rate, increased cardiac work, and fatty infiltration of the liver. There have been two small trials in adults who did not blind investigators, investigate long term factors and included patients with burns less than 30% total body surface area. We plan to complete a single blinded, randomized trial on beta -adrenergic blockade in large severe adult burns patients investigating a number of important long term outcomes including lean muscle mass, cardiac function, wound healing, exercise capacity and metabolic profile. The specific aim is to investigate whether Propranolol)1mg/kg/day) a nonselective beta(1,) beta(2)-receptor antagonist, can prevent the loss of lean muscle mass and improve cardiac function, wound healing, exercise capacity and metabolic profile following severe thermal injury

This study aims to compare the accuracy of two different diagnostic tests used to examine liver lesions in patients with colorectal cancer. Who is it for? You can join this study if you are aged 18 to 85 years and have colorectal cancer liver metastases for which you are considering surgery. Trial details Participants in this trial will undergo an Angio CT scan and an MRI with Primovist scan. The Angio CT is a very useful standard test which is used to detect lesions within the liver. The test is also very good at showing the relationship of the lesions to the important blood vessels within the liver. However, sometimes this CT picks up lesions which might not be colorectal cancer metastases (a deposit of colorectal cancer within the liver). It is important to know this so that patients are not excluded from surgery because they have too much disease. It is thought that MRI with Primovist may be better at characterising the liver lesions, i.e. MRI with Primovist is better at deciding whether a lesion seen is a colorectal metastases or not. There has never been a study that directly compares Angio CT with MRI with Primovist. This study would aim to make this comparison. It would help us decide which is the better test in different circumstances to assess the liver disease in a patient with colorectal cancer.

The objective of this trial is to examine the effects of administration of kava (a plant medicine) on driving ability, cognition, mood and anxiety measures in comparison to oxazepam (a synthetic anti-anxiety drug) and placebo in adults aged 18-65 presenting with current mild to moderate levels of anxiety. Participants will be randomly allocated to one of three treatments at each session during the study (A,B,C). At the end of the study they will have taken all of the interventions individually. The treatments consist of kava, oxazepam, or placebo tablets consumed orally. A. Kava (180mg) – 3 X 60mg tablets taken in one session. B. Oxazepam (30mg tablet) - 1 tablet taken in one session. C. Oxazepam placebo 1 tablet taken in one session, or kava placebo 3tablets taken in one session

Cervical intraepithelial neoplasia 1, 2 or 3 is the term used to describe a range of cellular changes on the cervix that over time can regress to normal or progress to cervical cancer. Cervical cancers are usually preceded by a long phase of preinvasive disease. Evidence has shown that there is a 43% likelihood of regression of CIN 2, a 35% likelihood of persistence of CIN 2 and a 20% probability of progression to CIN 3. Evidence in adolescents has shown an even higher rate of regression. The current treatment for this abnormality is a LLETZ biopsy of the cervix. This treatment is associated with complications in future pregnancies – premature rupture of membranes and preterm labour. Because of the high regression rate and pregnancy complications, young women, up to age 25, with biopsy proven CIN 2 at Christchurch and Dunedin Hospitals will be offered inclusion in the study. This will involve 6 monthly colposcopy clinic visits where a cervical smear, biopsy and tests for HPV, Proex, P16, Ki67 as opposed to immediate surgical management. If there is progression of this change to CIN 3 throughout follow-up a LLETZ will be offered. Follow-up is for 24 months – if the CIN 2 abnormality persists, LLETZ will be offered.