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A Randomised Controlled Trial Examining Stability Of New Types Of Highly Porous Surfaced Acetabular Components In Total Hip Replacement
Funder
National Health and Medical Research Council
Funding Amount
$216,490.00
Summary
Numbers of total hip replacements are steadily increasing. The most common complication of hip replacement is late implant loosening, which can be predicted by early migration. We will examine early migration of a trabecular metal acetabular cup without screws, compared to a titanium fibre metal acetabular cup fixed with screws. Ideally, an acetabular cup would achieve a level of initial stability by press-fit alone without screws, as screws increase the risk of bone loss around the prosthesis.
A Randomised Controlled Trial Of A Fluid Containing 140mmol/L Of Sodium Compared To A Fluid Containing 77mmol/L Of Sodium For Maintenance Intravenous Fluid Therapy In Hospitalised Children.
Funder
National Health and Medical Research Council
Funding Amount
$183,959.00
Summary
Intravenous fluid therapy is one of the most common and important treatments for children in hospital. In spite of this we know very little about what fluid should be used and there is now good evidence that children are experiencing adverse outcomes because of fluid treatment. The aim of this trial is to determine which intravenous fluid is best in children. It will be the largest and most relevant intravenous fluid trial performed in children. The results will have an immediate impact on treat ....Intravenous fluid therapy is one of the most common and important treatments for children in hospital. In spite of this we know very little about what fluid should be used and there is now good evidence that children are experiencing adverse outcomes because of fluid treatment. The aim of this trial is to determine which intravenous fluid is best in children. It will be the largest and most relevant intravenous fluid trial performed in children. The results will have an immediate impact on treating children worldwide.Read moreRead less
Prenatal Repeat Corticosteroids In Women At Risk Of Preterm Birth For Improving Neonatal Health - An Individual Patient Data Review
Funder
National Health and Medical Research Council
Funding Amount
$461,063.00
Summary
Giving repeat doses of prenatal corticosteroids to women at high risk of preterm birth reduces the risk of their babies having serivous health problems in the early weeks of life. It is unclear what dose, number of doses and interval between doses of corticosteroids is optimal. This review will determine if and how individual women should be treated with repeat corticosteroids to improve the health of their baby born too soon.
This Australian-led, investigator initiated and conducted study, is the first and only large scale clinical trial designed to assess the balance of potential benefits and risks of early rapid blood pressure lowering in intracerebral haemorrhage stroke, a disease in which there is still no convincing evidence of benefit from any medical treatment, where the role of surgery remains controversial, and from which the chances of surviving has failed to improve in recent decades.
The Effectiveness Of A Responsible Hospitality Audit And Feedback Intervention To Reduce Alcohol Related Harm
Funder
National Health and Medical Research Council
Funding Amount
$466,875.00
Summary
Alcohol is a major cause of death, injury and illness in Australia accounting for over 3,000 deaths and over 72,000 hospital admissions each year. Excessive drinking is estimated to cost the Australian community $7,560 million each year, representing 22% of all drug-related harm. Alcohol is a significant contributor to the occurrence of violence and crime. It is estimated that up to 70% of incidents attended by the police, and 77% of street offences such as assaults and malicious damage to prope ....Alcohol is a major cause of death, injury and illness in Australia accounting for over 3,000 deaths and over 72,000 hospital admissions each year. Excessive drinking is estimated to cost the Australian community $7,560 million each year, representing 22% of all drug-related harm. Alcohol is a significant contributor to the occurrence of violence and crime. It is estimated that up to 70% of incidents attended by the police, and 77% of street offences such as assaults and malicious damage to property, are alcohol-related. It is also estimated that 70% to 80% of night-time single-vehicle accidents are alcohol-related. A large proportion of assaults, offensive behaviour, malicious damage to property and drink driving occur following excessive drinking at licensed premises such as hotels and registered clubs. The risk of harm arising from the consumption of alcohol on licensed premises can be reduced by modifying such factors as service of alcohol to intoxicated patrons, service-supply of alcohol to underage patrons, management practices (eg. late closing) and environmental factors (eg. poor lighting). Auditing of licensed premises is an approach currently used by authorities to ensure compliance with licensing requirements. However, such audits do not focus on harm reduction and do not incorporate best practice audit and behaviour change features. No controlled studies have reported the effectiveness of such an audit approach in reducing the risk of violence and crime emanating from hotels and registered clubs. The proposed study aims to assess the effectiveness of a Responsible Hospitality Audit and feedback intervention in reducing service to intoxicated and underage patrons, and in reducing assaults-malicious damage to property following alcohol consumption on licensed premises. The outcomes of this study will be improved responsible service of alcohol actions and reduced alcohol-related crime associated with premises.Read moreRead less
A Randomized Comparison Evaluating The Value Of High-sensitivity Troponin In The Efficient Management Of Chest Pain Patients Across The Spectrum Of Risk For An Acute Coronary Syndrome
Funder
National Health and Medical Research Council
Funding Amount
$508,567.00
Summary
Chest pain patients are a large burden of emergency department demand. Their effective care requires timely risk assessment. High-sensitivity assays for cardiac muscle damage (troponin) increases the ability to detect patients with heart attacks, but may also lead to more abnormal results from other causes and more admissions. This randomized trial of current troponin versus a new troponin assays with robust initial evaluation of patient risk will provide a rationale for their use in modern care ....Chest pain patients are a large burden of emergency department demand. Their effective care requires timely risk assessment. High-sensitivity assays for cardiac muscle damage (troponin) increases the ability to detect patients with heart attacks, but may also lead to more abnormal results from other causes and more admissions. This randomized trial of current troponin versus a new troponin assays with robust initial evaluation of patient risk will provide a rationale for their use in modern care.Read moreRead less