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Children and Adolescents: Respiratory Infection and Long-term Effects (CARE Study)
This study investigates ongoing symptoms following COVID-19 and influenza infections in children and teenagers. Parents of children who have had COVID-19 or influenza will be invited to participate. Initially, cases will be identified through presentations at the Women's and Children's Hospital and will then expand to include statewide notifications. After providing consent, participants (or their parents) will complete surveys at the start of the study and then again at 3, 6, and 12 months after the viral infection. These surveys will help researchers monitor any persistent health issues over time. The primary goal of the study is to understand how common these ongoing health problems are in young people and how they impact their daily lives.
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Can Self-Applied Local Vibration Help Older Adults Improve Their Balance?
This study aims to evaluate whether local vibration therapy self-applied to the lower limbs can improve balance in older adults. Participants will use a handheld vibration device on their lower limbs daily for six weeks. Their balance will be measured using the Four-Square Step Test and what they feel their 'balance confidence' in would be when performing various activities will be measured with the Activities-specific Balance Confidence Scale. We hypothesise that this therapy will improve balance and increase confidence. The results could provide a simple, cost-effective method to help older adults improve their balance.
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Effectiveness of PReventing chronic pain after whiplash Road Traffic Injury (PRioRTI)
PReventing chronic pain after whiplash Road Traffic Injury (PRioRTI) is a randomised, double-blinded, placebo-controlled, multi-centre Phase III trial to evaluate the effectiveness of early (within 96 hours of injury) treatment with pregabalin vs placebo in development of chronic pain after whiplash injury. 258 male and female participants, aged between 18 and 70 years old will be recruited in Emergency Departments (EDs) across several sites in Australia (Qld, NSW). Follow-up assessments will be completed at 6 weeks, 3-, 6- and 12-months using Participant Reported Outcome Measures completed by participants online in REDCap. It is hypothesised that participants who receive the pregabalin treatment will report lower levels of neck pain at the follow up time points than participants who receive the inactive placebo treatment.
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A first-in-human study of APG333 in healthy participants
The main aim of the study is to test the safety, tolerability, pharmacokinetics, and immunogenicity of a single dose of APG333. The results of this study will help inform the dosing and frequency of dosing in patients with inflammatory diseases such as asthma and chronic obstructive pulmonary disease, which is the anticipated main therapeutic use for APG333.
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Arthroscopic rotator cuff repair with leukocyte poor platelets rich plasma or concentrated bone marrow aspirate. A Prospective Randomized Controlled Trial.
The objective of this study is to assess the tendon healing rates and clinical outcomes of arthroscopic rotator cuff repair (aRCR). This randomised control trial (RCT) will compare the standard aRCR (Control group) with two treatment groups, aRCR augmented with either intra-operative administration of concentrated bone marrow aspirate (cBMA) or leukocyte-poor platelet rich plasma (LP-PRP). We hypothesise that augmented rotator cuff repair will result in statistically significant benefits for rotator cuff healing on ultrasound and MRI as well as clinical shoulder scores.
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Australian Decision Aid for low-risk Papillary Thyroid Cancer Impact on the use of a Decision Aid in Adult patients with Low Risk Thyroid cancer
This study will investigate the acceptability and impact of a hybrid paper- and web-based Australian Decision Aid on shared decision making for low-risk Papillary Thyroid Cancer Who is it for? You may be eligible to join this study if you are aged 18 years or above with a clinical suspicion of low-risk thyroid cancer Study details Participants in this study will be allocated to one of two groups based on the time point of clinical review: one group will receive standard care, where a decision on thyroid treatment is made in consultation with the patient's clinician. The other group will be provided with a hybrid (paper and web-based) decision aid for initial management of low-risk thyroid cancer. These decision aids will assist in providing the patient with relevant information and awareness, therefore creating choices for patients and their individual preferences. Information is tailored to patients and their treatment options, to enable shared decision making with their specialist. Clinicians’ and patients’ acceptability of the support aids in clinical practice will be assessed. Patients will answer questionnaires to determine decisional conflict, regret, satisfaction and health related quality of life. Total thyroidectomy remains the predominant procedure, despite recent guidelines advocating a de-escalation approach to thyroid cancer surgery. Treatment decision making in low-risk thyroid cancer is complex. This research will address the information gap in low-risk thyroid cancer management and examine the effect of a patient decision aid on the clinical encounter.
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ILYX-002 Pharmacokinetics in Healthy Volunteers
This early phase study is to assess the pharmacokinetics (how the body processes a drug), safety, and tolerability of ILYX-002 administered as an eye drop. ILYX-002 is being developed as a potential treatment for Dry Eye Disease. In this study, approximately 16 generally healthy male and female adults will be enrolled. Fourteen will receive ILYX-002 and two will receive vehicle, which is an eye drop of similar makeup except no active drug substance. Participants will stay at the study center for a total of 9 days. While residing at the study center, participants will receive their assigned study treatment approximately twice per day, be monitored closely for safety and tolerability, and have multiple, repeat blood draws. After discharge, participants will return for a final safety follow-up visit on Day 15. The total study duration will be up to 6 weeks, including a 4-week window for screening and determination of eligibility.
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Virtual sailing exercise on major depressive disorder
Major depressive disorder (MDD) is a prevalent chronic psychiatric disorder associated with reduced quality of life, hence posting substantial socioeconomic challenges to the community. Yet, effective routine strategies, pharmaceuticals and non-pharmaceuticals, that are in use in mental health management to reduce this burden are limited. Considering a clear unmet clinical need and the development of new technologies, this project proposes to conduct a pilot study, We hypothesise that the virtual sailing exercise over a 6 week period will reduce depression and improve the quality of life for people with MDD. We also hypothesis that the virtual sailing program could result in neuroplastic changes in the brain that restore altered functional connectivity MDD. Investigating the therapeutic potential of virtual sailing in the treatment of adults with MDD to establish evidence-informed strategies for future clinical translation.
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Perioperative propranolol and celecoxib (ProCel) in stage III melanoma
The aim of the study is to see whether taking a drug known as a COX-2 inhibitor (used for arthritis), and another known as a Beta blocker (used for heart rhythm management), for a number of days before and after surgery, has an impact on inflammation and stress hormones in patients with Stage III melanoma (such as melanoma in lymph nodes). Who is it for? You may be eligible for this study if you are an adult patient with known metastatic cutaneous melanoma in lymph nodes and/or in transit recurrences in skin, measuring at least 0.5cm in largest diameter, appropriate for surgical management and where surgery is expected to render the patient clinically disease free. Study details Participants will be randomly allocated to take a regimen of two drugs (propanolol and celecoxib) orally for a number of days before and after surgery, or to a standard care arm where participants will undergo surgery without an additional drug regimen. Participants will be asked to provide blood samples and complete questionnaires relating to their quality of life at baseline and up to 4 months after surgery. It is hoped that findings from this study will inform future studies on the effect of perioperative propanolol and celecoxib on recurrence rates of melanoma in patients with Stage III disease.
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Lactation Intensity and reduction in the prevalence of metabolic syndrome after a maternal complication of pregnancy: an observational cohort analysis
Major pregnancy complications such as preeclampsia and gestational diabetes mellitus are associated with development of type II diabetes mellitus and coronary heart disease, which are becoming ever more prevalent in young women. Despite clinical recommendations to optimise cardiovascular disease (CVD) risk factors after a complication of pregnancy, tailored lifestyle programs have poor adherence and are not suited to the lifestyle of a mother during the early postpartum period. Breastfeeding (lactation) is associated with a reduction in hypertension and diabetes later in life, however there has not been a direct focus on elucidating how breastfeeding affects certain components of cardiometabolic health in women with a previous pregnancy complication within the early postpartum period. We hypothesize that those who have a higher lactation intensity over 6 months postpartum (>=0.8 intensity score) will have a lower risk of metabolic syndrome at 6 months postpartum following a major pregnancy complication. This project aims to determine if lactation intensity is associated with a reduction in the rate of metabolic syndrome at 6 months postpartum in women with a maternal complication of pregnancy.