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A Phase 1 Trial of ALMB-0168 in Patients with Malignant Bone Disease
The purpose of this study is to test the safety of a new medication (called ALMB-0168) in people with malignant bone cancer lesions either from bone cancer or from migration of other cancers. Who is it for? You may be eligible for this study if you are aged 16 or older, and have confirmed bone cancer (osteosarcoma) or cancer cells in the bone originated from other cancers which has been deemed untreatable. Study details All participants in this study will receive the active medication ALMB-0168. The dose will depend on when the participant enrolls in the study. The medication is administered through a needle in the arm, and will continue for up to 6 months. As part of this study, all participants will have additional blood tests, imaging scans and answer questions regarding to your health. It is hoped this research will demonstrate the safety of ALMB-0168 and find the ideal dose for larger-scale studies.
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Reducing the risk of heart disease in people with breast cancer
The purpose of this study is to trial a new program, led by nurses, for management of heart (cardiovascular) disease in people being treated for breast cancer. Who is it for? You may be eligible for this study if you are aged 18 or over and have been diagnosed with breast cancer in the last 6 months. Study details All participants in this study will receive the intervention, which is a clinical pathway lead by nurses. As part of this pathway, participant will be assessed by a nurse for their level of heart disease risk. Depending on their level of risk, they will then receive either information resources (if low risk) or a care plan including referrals to appropriate health professionals to manage their risk factors (if intermediate or high risk). The nurse will then follow up every six weeks (if possible, by telephone) to monitor how each participant is going managing/reducing their level of heart disease risk and make any adjustments to their care plan, including additional referrals, as needed. Finally, the nurse will provide each participant with a plan for ongoing management of heart disease risk at the end of participation in the study. As part of this trial, participants will complete some questionnaires, surveys and have some additional routine health tests like weighing and blood pressure. If required, the nurse may recommend for additional tests such as blood tests to be performed, so that information such as cholesterol levels can be used to calculate participant's risk of heart disease. It is hoped this research will demonstrate that this program is feasible to maintain, and acceptable to patients.
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Utilizing lung ultrasound in COVID-19 patients in ICU – comparison of management strategies on survival and time on ventilation.
COVID-19 patients in intensive care will have their ongoing respiratory & ventilator management decided in one of two ways either 1. Using Lung Ultrasound imaging 2 The traditional method of using auscultation, arterial blood gases and ventilator settings such as static compliance Number of patients ventilated, length of stay (intensive care, hospital (time on ventilator , ventilator free days, mortality (in intensive care and at 28 day ) will be recorded and compared between the two groups. Both methods of management are standard in the intensive care units.
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Acute effect of food anthocyanins on cardiovascular disease biomarkers following a high fat meal challenge in overweight older adults
Metabolic imbalances at the postprandial state, particularly after a high fat meal are important contributing factors to development of cardiovascular diseases. The underlying mechanisms involves a sharp increase in triacylglycerol, a pro-inflammatory response along with an aberrant production of pro-oxidant molecules, which may impair vascular and endothelial functions. A high fat meal challenge is a method to investigate such imbalances promoted in a daily basis in Western diets. This study aims to investigate if food anthocyanins are able to attenuate these deleterious effects of high fat meals. Participants attended fasted and had a high-fat meal with either 250 ml of queen garnet plum juice (intervention rich in anthocyanins) or apricot juice (control free of anthocyanins).
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A Registry of Patients with Type B Aortic Syndromes
This registry will include patients who present with an abnormality in the wall of their aorta (Type B aortic syndrome) with the aim of determining the natural history and clinical outcomes of this condition. Specifically, the group will look at the outcomes of patients who were treated with early intervention and/or basic medical therapy. From this study, the relationship between patient factors including kidney injury, and benefit from early intervention will be reported.
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RCT comparing the clinical effectiveness of conventional instructor-facilitated cardiac compression training to automated training using high-fidelity mannequins
Healthcare professionals provide substandard chest compression following cardiac arrest, which is deemed a preventable harm because this skill can be acquired. The recent development of technology-enhanced cardiac compression training devices (high-fidelity mannequins) provides an alternative to traditional instructor-facilitated training. This pilot study aimes to compare the effectiveness of conventional and technology-enhanced training modalities. A pilot randomised controlled trial design will be used in a regional hospital in Queensland. Following baseline assessment, healthcare staff will be randomised to one of three groups: 1. traditional instructor-facilitated training; 2. high-fidelity mannequin training and continuous access to the training system to practise skills, and 3. high-fidelity mannequin training with no further access to the training system to practise skills. The primary outcome, cardiac compression skill levels, will be analysed using analysis of co-variance, adjusting for predictive co-variates. Secondary measures will be analysed using inferential statistics or presented descriptively.
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Evaluation of effect of eye drops on healthy volunteers
This clinical trial is aimed to determine the effect of topically applied eye drops on focusing power of the eye and size of the eye's aperture (pupil size). This study consists of two arms. Four types of eye drops will be tested in each arm. Each different type of drops will be instilled only once and drops will be instilled only in one eye. After instillation of drops, participants will be monitored over a duration of 24 hours. During these 24 hours there will be a total of four scheduled visits. Only standard optometric procedures will be conducted during these visits. Measurements of focusing power of the eye and pupil size will be conducted using non-invasive instruments.
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The effect of exercise during radiotherapy on tumour oxygenation to improve treatment effectiveness in prostate cancer patients
The purpose of this project is to investigate the feasibility and preliminary efficacy of exercise to increase prostate tumour blood flow and oxygenation as a means to improve the effectiveness of radiotherapy. Who is it for? You may be eligible to join this study if you are a male aged 18 years or over, have a diagnosis of localised or locally advanced prostate cancer, and are scheduled to receive radiotherapy. Study details: Participants in this study will receive a supervised exercise intervention for the duration of their radiotherapy treatment (6-8 weeks). The exercise program involves aerobic and resistance exercises undertaken 3 times per week in an exercise clinic setting. The exercise sessions are 20-30 minutes in duration and take place immediately before radiotherapy treatment sessions. All participants will complete assessments at baseline (i.e. before starting radiotherapy) and after completion of their radiotherapy treatment in order to evaluate tumour oxygenation, treatment side effects, aerobic fitness and functional capacity, as well as health-related quality of life. Additionally, participants will undergo further assessments to evaluate tumour blood flow and immune cell mobilisation in response to single exercise sessions. It is hoped that exercise will be found to be feasible during radiotherapy treatment for prostate cancer patients and that this research will contribute important new information that will be useful to clinicians in the management of prostate cancer.
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The ROX index in the Emergency Department – predicting NIV failure: a prospective observational study
Through the calculation of routinely collected patient data, we hope this study will demonstrate a numerical value which can be used to predict the success or failure of non-invasive ventilation. This is a form of respiratory support given to patients who are short of breath.
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Integrating pharmacists in residential aged care facilities to improve quality use of medicine
This study will assess the efficacy, cost effectiveness and sustainability of having on-site pharmacist in residential aged care facilities (RACFs), as part of the care team, to improve the quality of use of medicine and reduce hospitalisations among RACF residents. Improved quality use of medication can reduce medication related adverse effects and hospitalisations. The study design is a cluster randomised controlled trial with RACFs in the ACT comparing RACFs with an on-site pharmacist for 2 or 2.5 day a week for 1 year, or usual care (no on-site pharmacist). Findings will inform practice and policy, leading to benefits for RACF residents care, safety and health care budgets.