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Survival of ACL Reconstruction in Athletes
Potential participants will be identified from an existing database of knee surgery with ethical approval. If the sport of injury is undocumented then the participants medical record will be reviewed, which is within the parameters of the approved database. Participants will be contacted via email where possible and invited to complete the questionnaire online, using RedCap questionnaire which is hosted on a secure medical server at St Vincent’s Hospital. The questionnaire should take less than 5 minutes to complete. Participants who are unable or unwilling to complete the questionnaire online will be invited to complete a paper copy of the questionnaire, which can be posted to them and include a reply paid envelope. The questionnaire will consist of the ACL RSI scale, which is a disease specific, reliable and validated questionnaire for ACL injuries. Participants will also be asked if they have made a return to sport, whether any of their direct family members have had ACL injuries, and if they have sustained any further injuries to their knees. Results will be grouped according to sport of primary injury to determine the incidence of reinjury and return to sport across sporting populations.
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Assessment of an intraocular lens to provide independence from optical aids at all distances following cataract surgery in patients with astigmatism.
Intraocular lens technology has significantly developed over time to include multifocal and trifocal options. The motivated patient can now readily achieve optical independence for most circumstances. Previously, Alcon have provided the Panoptix Presbyopia Correcting IOL in spherical form only. Residual astigmatism has been shown to decrease unaided visual acuity. As approximately 40% of patients will have corneal astigmatism of 0.75D or greater, this represents a significant cohort of patients that may not adequately benefit from the Panoptix IOL in its current format. (Teresa JCRS 2009) The introduction of a toric option presents a positive opportunity for these patients to optimize their unaided vision at all distances. The objective of this study is to describe the visual outcomes and safety at minimum 6 months (180 days) post bilateral implantation of the Panoptix Toric IOL. Subject information will be drawn from a single study visit however preoperative and prior surgical information will be collated also.
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Smart Watches for the Diagnosis of Atrial Fibrillation in cardiac patients over 65
Sales of wearable technology have grown exponentially over the last few years. The latest generation devices promise the ability to diagnose a common abnormal rhythm, atrial fibrillation (AF) which is a leading cause of stroke. However, data on the accuracy of these diagnoses has not been validated in clinical trials. Our study aims to assess the accuracy of 2 commercially available smart watches for diagnosing AF compared to the gold standard 12 lead ECG. 200 participants will be recruited from the cardiology outpatient clinic. Those over 65 years of age will be included. Exclusion criteria will be: Participants <65 years, unable to provide consent, presence of pacemaker, non-ambulatory participants and those unable to record an ECG on the smart watch (eg. tremor, arthritis). Recordings will be taken from each watch and a 12 lead ECG acquired during the same session. The accuracy of each watch for diagnosing AF and sinus rhythm will be compared to the 12 lead ECG. A brief survey will also be given to each participant. Baseline characteristics including cardiovascular risk factors, history of arrhythmia's and medication use will be noted.
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Risk factors for intraoperative anaphylaxis to muscle relaxants: a case-control study.
This study is designed to measure the risk factors that are important in the development of muscle relaxant anaphylaxis. It does this by comparing risk factors between two similar groups of patients that have had anaphylaxis, the only difference being that one group suffered anaphylaxis to a muscle relaxant, the other to cephazolin.
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The effects of novel medicinal cannabis formulation IHL-42X on apnoea hypopnea index in adults with suspected or diagnosed mild to moderate obstructive sleep apnoea.
The purpose of this trial is to investigate the effects of nocturnal IHL-42X on apnoea hypopnea index, sleep quality and mood in healthy adults. This will be a 6- week, double-blind, placebo controlled randomised trial in patients with suspected or diagnosed mild to moderate Obstructive Sleep Apnoea (OSA) with 3 visits in total (V0, V1 and V2). It is hypothesised that the active treatment will reduce AHI, improve mood and improve well-being after 6 weeks supplementation compared to placebo.
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A falls, balance and bone health clinic: analysis of patient characteristics and outcomes
This study is a two-part longitudinal, observational study. Part 1 of the study will be a cross-sectional analysis ofroutinely collected data from the Prince of Wales hospital falls, balance and bone health clinic (1st of February 2019 - 31st of July, 2021) to proivde a descriptive analysis of attendees. Part 2 of the study will involve a follow-up questionnaire completed via telephone by patients that consent to be involved in this element of the study six to nine months after their clinic appointment date to gain isight into the uptake of clinic recommendations. It is hypothesised that patients that have a positive attitude and intention towards falls prevention recommended by health professionals will be more likely to participate in such recommendations. Also patients that participate in multi-component recommendations (e.g. Stepping On falls prevention program) will have greater improvements in outcomes (e.g. number of falls, fear of falling) compared to patients in single component recommendations (e.g. medication review).
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Autologous Protein Solution (APS)– the Biological symptom management of HIP osteoarthritis.
Title Autologous Protein Solution (APS) – the Biological symptom management of HIP osteoarthritis. The hypothesis of this study is that a single injection of APS (nSTRIDE, Zimmer Biomet USA) a product derived from the participant's own blood, is safe and leads to a reduction in hip pain and an improvement in hip function at 3 months which is sustained at 12 months. This will be tested in 10 participants aged over 40 years with painful hip osteoarthritis and mild to moderately severe structural change on x-rays.
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Coconut Oil in Alzheimer’s disease prevention 001 (COAD-P001)
A dietary intervention trial will be conducted in cognitively healthy subjects in sequential design. The trial will involve the consumption of increasing doses of a medium-chain triglyceride oil. Each dose will be consumed for 1 week and at the end of each dose period participants will donate blood samples, complete questionnaires and neuropsychological tests and have their anthropometric measurements and blood pressure taken. In addition, participants will complete a 3-day food records every week.
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The role of a low emulsifier diet in treating Crohn’s disease - Study 2
It is hypothesised that removal of dietary emulsifiers, which can help mix oil and water together, will treat gut inflammation seen in Crohn's disease. This proposal aims to address the main research question: Are dietary emulsifiers associated with breakdown of the intestinal barrier and inflammation? We have designed a low and high emulsifier diet and we plan to conduct a human dietary trial to examine the effects of a low emulsifier diet in patients with Crohn's disease. Crohn's disease patients will receive either a low emulsifier or controlled diet for 4 weeks. At the end of diet period, subjects will give blood, urine and faecal samples, which will be analysed for markers of inflammation.
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Vaginal Laser therapy for Treatment of Vaginal Looseness
This is a study to determine if vaginal laxity (looseness of the vagina) can be successfully treated using vaginal laser therapy. Currently there is no known effective treatment for this condition. For participants enrolled in the study, they will be assigned with equal likliehood to an active treatment with vaginal laser or sham (fake treatment) arm. Participants will receive 3 treatments, 4 weeks apart. We want to know how many women still have vaginal laxity 3,6 and 12 months after their final treatment.