ANZCTR search results

From about the sixteenth week of pregnancy, breasts begin to produce the first milk, colostrum. Traditionally, antenatal colostrum expression (ACE) was performed as a means of preparing the breasts for breastfeeding after birth. More recently, ACE is performed to collect a supply of colostrum antenatally. Colostrum can be collected using a syringe, and safely stored in a freezer. The colostrum can then be defrosted and given to the baby. The stored colostrum can be used to treat hypoglycaemia in the infant after birth, or if breastfeeding issues occur. The use of ACE is controversial, as very few RCTs have been conducted in this area, with none in healthy women, and most using a small sample size . Some midwives and lactation consultants report advising healthy women to use hand expression during pregnancy, despite limited evidence to support the practice. Conversely, others do not encourage ACE due to a lack of evidence, or due to hospital policy. This study will investigate effects of ACE (from 37 wks gestation) on long term breastfeeding rates and also determine the feasibility of teaching pregnant women ACE using an online instructional video. If successful, this project will provide the platform for much needed research to determine the efficacy of teaching ACE in the general population, using an easy method that can readily be incorporated into routine antenatal practice.

The sense of taste has a significant role for identification of nutrients in foods, thereby initiating a variety of physiological and psychological responses to the nutrients, including satiety. The aim of the present study is to assess if carbohydrate taste sensitivity has an effect on carbohydrate intake-mediated satiety and to determine if the fibre content of a common food (riceberry rice vs jasmine rice in the form of beverages) can influence satiety.

The purpose of this study is to determine whether Venetoclax (a new drug), when combined with chemotherapy, improves response to treatment. Who is it for? You may be eligible to participate in this trial if you are aged 18 years or over, have been diagnosed with relapsed acute myeloid leukemia Study Details Eligible participants will receive venetoclax in combination with low-dose cytarabine. Treatment (each cycle is 28 days) will be given until disease progression, unacceptable toxicity, or withdrawal of consent. Participants will be required to have blood samples taken at the beginning of each cycle along with a medical exam in order for researchers to monitor whether the treatment is safe and whether it is effectively treating the leukemia. It is hoped that the findings of this trial will establish the benefits of venetoclax in combination with cytarabine for the treatment of leukemia patients early in the course of their disease.

Many people with cancer experience chronic nausea that has a significant impact on their quality of life. Nausea (and vomiting) unrelated to anti-cancer treatment remains an important and under-researched health problem. To address this, a series of high quality randomised controlled trials (RCTs) have been performed to try and improve the evidence base. This is study 4 in the series which will compare the effect of anti-nausea medication: oral olanzapine and oral haloperidol, on management of nausea in cancer patients. Who is it for? You may be eligible to join this study if you are aged 18 and above, have been diagnosed with cancer, experiencing nausea. Study details: Participants in this study are randomly allocated (by chance) to one of two groups. Participants in one group will receive Olanzapine (Zyprexa) once per day for three days. And participants in the second group will receive Haloperidol (Serenace) once per day for three days. Cost and effectiveness: Cost of each treatment will be assessed by collecting participant data at baseline, on exit, then weekly to an extended 7 day follow up period or death, whichever is sooner. Resource data to be collected will include health service utilisation and prognosis. Effectiveness of each treatment will be assessed by the use of the numerical rating scale. This research will provide new evidence to guide clinician choices of medications to better control nausea in patients with cancer.

AIM: To evaluate the safety and efficacy of VATS fissure completion (closing of air passage between lobes of the lung) followed by insertion of Zephyr Valves on improving the clinical status of participants with severe Chronic Obstructive Pulmonary Disease who have collateral ventilation (air moving between lobes). PARTICIPANTS: 20 participants at SVHM and SVPH over 24 months. METHOD: Participants will undergo two surgical procedures. The first procedure will be VATS fissure completion followed by CT assessment to ensure successful fissure completion. If successful, participants will undergo a second procedure 4 weeks later for insertion of the Zephyr Valve. Participants will be followed up over a 6 month period. EXPECTED OUTCOMES: Assessment of absolute change from pre-operative baseline at 6 months for: a. Residual Volume (RV) b. Forced Vital Capacity (FVC) c. FEV1/FVC ratio d. Total Lung Capacity (TLC) e. Exercise capacity by Six-minute walk test f. Quality of life (SGRQ) g. Dyspnoea score Percent mean change from pre-operative baseline at 6 months h. Forced Expiratory Volume in 1 second (FEV1)

The COATI study aims to study the impact of the VDL1.1 algorithm for automated control of inspired oxygen in term newborns and young infants with respiratory insufficiency requiring mechanical respiratory support (ventilation) and oxygen therapy. Time spent within the oxygen saturation target range will be compared during 12h periods of standard manual control and automated oxygen control (using the VDL1.1 algorithm which has been built into the SLE6000 ventilator as the OxyGenie setting) in random sequence. Comparison will also be made of time spent in hypoxic (too little oxygen) and hyperoxic (too much oxygen) ranges, frequency of hypoxic and hyperoxic episodes, overall oxygen requirement and frequency of manual FiO2 adjustments. The expected outcomes/hypothesis for this study are; That, under standard clinical conditions, the VDL1.1 oxygen control algorithm will be more effective in SpO2 targeting than manual control in the two study groups, with specifically: a) a higher proportion of time within target and alarm ranges b) a reduction of time in hypoxic and hyperoxic SpO2 ranges c) fewer hypoxic and hyperoxic episodes d) need for fewer manual FiO2 adjustments

The aim of this study is to test whether a structured physical activity program influences exercise capacity and heart, metabolic and muscle function in allogeneic stem cell transplant patients. Metabolism or metabolic function refers to all chemical reactions that are involved in maintaining the living state of all cells within the body. Who is it for? You may be eligible to join this study if you are aged 18 years and above and if you have been scheduled to receive a allogeneic stem cell transplant. Study details: Participants in this study will be randomly allocated to one of two treatment groups as follows: Treatment group 1: Participants in this group will receive the usual care when receiving an allogeneic stem cell transplant and will receive the usual guidelines in regards to physical activity provided by their treating haematologists. Treatment group 2: Participants in this group will undertake a 16-week physical activity program that involves a sedentary reduction program and a structured exercise program. This 16 week program will begin from the time of admission to hospital for the stem cell transplant (approximately 4 weeks as an inpatient, 12 weeks as an outpatient). Participants in this group will also wear a wearable activity device for the duration of the physical activity program. It is hoped this research will contribute to research surrounding the exercise capacity, heart, metabolic and muscle function of patients receiving allogeneic stem cell transplants. It is also hoped that this study will determine if a physical activity intervention can improve quality of life, reduce symptoms of fatigue and improve functional independence in these patients, compared with the usual treatment programs that currently exist.

We will investigate whether delivery of positive inflation pressure (PIP) (singly or repeated), triggered by a 3 second pause in respiration, can re-establish breathing efforts in preterm infants on continuous positive airway pressure (CPAP), a form of non-invasive respiratory support. The study will involve infants born at <30 weeks gestation who require CPAP support, and are having episodes of respiratory pauses. We will conduct a 16 hours crossover study comparing the use of a device to generate PIP with standard CPAP support. The study will be in blocks of 4 hours (randomly assigned) in which PIP is delivered singly, repeatedly (up to 3), or not at all (standard CPAP). We hypothesise that PIP will improve the regularity of breathing, and shorten the duration of respiratory pauses.

Pain is an expected problem after haemorrhoidectomy surgery and there have been a number of studies that have examined metronidazole in helping to reduce post-operative pain. The results are conflicting and the purpose of this study is to further examine the role of oral metronidazole plus standardised analgesia in reducing post-heamorrhoidectomy pain and compare its efficacy to placebo plus standardised analgesia.

The purpose of this study is to determine if a nurse-led, distance-delivered, intervention called ‘Engage’ can be used to increase childhood cancer survivors' self-efficacy, and improve their long-term physical and mental health by promoting engagement in survivorship care. Who is it for? You may be eligible if you are over the age of 16 and were treated for cancer at least 5 years prior to participation in this study, or you may be eligible if you are a parent of a cancer survivor who is less than 18 years old. Study details All participants in this study will receive two online or telephone consultations with a clinical nurse consultant, and a medical case review with a multidisciplinary team. The purpose of these consultations is to provide a referral pathway, and survivorship care plan. Participants will also need to complete four questionnaires at 1, 6, 12 and 24 months. How will this research contribute to childhood cancer survivors? It is hoped that this intervention will be used to improve the quality of life of childhood cancer survivors and reduce pressure on healthcare services associated with managing treatment-related late effects.