South Eastern Sydney and Illawarra Area Health Service
 
Northern Illawarra Hospitals Group
graphic: print pagePrint page

Research Activity 2004/05

 
Research project Institution on whose behalf the research is being undertaken Researcher Description

Acute Pain Service

Comparison between the effectiveness of commencing epidural infusion analgesia intra-operatively to commencing the infusion postoperatively. Acute Pain Service,  Port Kembla Hospital. Negus B,
Brown D, Markocic S.
Two recurrent problems with post-operative epidural infusions are inadequate analgesia and hypotension. Concerns with increased patient discomfort and prolonged recovery ward stays instigated this study into the benefit of earlier commencement of the epidural infusion, ie during surgery in comparison to commencement in the recovery ward.
Comparison between morphine and morphine and ketamine for total knee replacements. Acute Pain Service, Port Kembla Hospital, Jeffs C,
Markocic S.
The study investigates the post operative total knee replacement pain management benefits of administering Ketamine in addition to Morphine.
Double-blind, double-dummy, randomised, parallel-arm equivalence (non-inferiority) study comparing hydromorphone hydrochloride extended-release capsules to MS Contin tablets, dosed at a ratio of 1:7.5, in cancer or non-cancer patients with a history of moderate to severe pain. Chronic Pain Service, Port Kembla Hospital. Bashford G. The purpose of this research is to compare the safety and effectiveness of a long-acting (extended-release) hydromorphone to long-acting morphine in patients with long-standing moderate to severe cancer or non-cancer pain.  
A double-blind, randomised, parallel group study to compare the efficacy, safety, and tolerability of OxyContin taken in combination with Gabapentin, versus placebo with Gabapentin, for the treatment of moderate to severe neuropathic pain in patients with diabetes mellitus. Chronic Pain Service, Port Kembla Hospital. Bashford G. Selected patients have experienced moderate to severe neuropathic pain due to diabetic peripheral neuropathy. The study aims to identify whether OxyContin, when taken in addition to Gabapentin, is a useful treatment for neuropathic pain.

Medical Stream

A phase III, parallel, double-blind, multi-centre trial to examine inducible myocardial perfusion abnormality detection with BMS068645 and Adenosine stress single photon emission computed tomography (SPECT) compared to coronary angiography. Bristol-Myers Squibb. Elison B,
Harvey S.
Investigating whether the study drug (BMS068645) has the potential to dilate coronary arteries prior to the administration
of a radioisotope for cardiac imaging, without unwanted side effects.
A comparison of bioelectrical impedance with dual energy x-ray absorptiometry for the determination of body fat in overweight and obese children aged 5-9 years. Nutrition Department, The Wollongong Hospital. Nowland A,
Cleary J.
This study aims to compare assessments of percentage body fat obtained using a field method, bioelectrical impedance assessment (BIA) to the reference method, dual energy x-ray absorptiometry in children. It is a sub study to the project: “The efficacy of a physical activity skill-development program and parent-centred dietary modification program for overweight and obese children”.  The results of this sub study will then be used to validate the data collected using the BIA on changes in body fat of children that have participated in this intervention study.
Ventilation perfusion SPECT: should ventilation perfusion imaging be routinely performed using SPECT? University of Newcastle. Fenwick J. The aim of this study is to determine if ventilation perfusion imaging should be routinely performed using single photon emission computed tomography (SPECT) in the diagnosis of pulmonary embolism.
Accuracy and prognostic value of myocardial perfusion scintigraphy when compared to coronary angiography and clinical outcome. Department of Nuclear Medicine, Nepean Hospital. Chan WL. The project is evaluating the diagnostic accuracy of myocardial perfusion imaging
(for detection / assessment of coronary artery disease) by comparison with the gold standard coronary angiography, and to assess its prognostic value by correlation with clinical outcomes. The project has potential significance in that the results may permit more appropriate and selective use of myocardial perfusion imaging in the future.
Evaluation of immediate post stress (exercise or pharmacological) gated single photon emission computed tomography (SPECT) compared to standard post stress gated stress imaging in myocardial perfusion imaging. Department of Nuclear Medicine, Wollongong Hospital. Elison B,
Arvela O,
Chan WL,
Shen L,
Harvey S.
Conventional gated SPECT cardiac imaging
for evaluation of left ventricular wall motion and left ventricular wall thickening (function) is routinely performed at approximately 30 minutes after injection of the radioisotope, as part of myocardial perfusion scanning for detection / assessment of coronary artery disease. Conventional gated SPECT studies evaluate left ventricular function and wall motion in a more ‘resting’ state rather than a true post stress (exercise) state.  Evaluating a true stress (exercise) gated SPECT study will improve the specificity of this investigation, notwithstanding the fact that there are well published sensitivity / specificity data regarding myocardial perfusion scanning utilising the conventional gated SPECT studies, and the myocardial perfusion scanning should identify ischaemia in a direct sense (abnormal wall motion post exercise) and an indirect sense by evaluating areas of ischaemia in the myocardium, thereby markedly improving sensitivity and specificity.
Clarity Timi 28. Bristol Myers Squibb. Owensby D,  NguyenDang T, McKenzie W. Comparing Clopidogrel versus placebo in the setting of standard treatment for myocardial infarction on culprit artery patency.
HAT Study. National Institute Health, USA. Owensby D,
Ryan M,
Vogl E.
Evaluating the use of automatic portable defibrillators in the home of patients with anterior myocardial infarction.
Illuminate study. Pfizer. Owensby D,
Vogl E,
Nguyen Dang T, Dunn C, Ford C,
Twomey P.
Comparing Lipitor to Lipitor plus. A new drug agent that raises HDL on cardiovascular outcomes in high risk patients.
Ontarget. Boehringer Ingelheim. Owensby D. Comparing Ramipril with Terlmisartan on cardiovascular outcomes in patients with high risk cardiovascular disease.
Oasis 5. Sanofi Synthelabo. Owensby D. Comparing Fondaparinux with the standard treatment Enoxaparin in acute coronary syndrome stabilisation.
IDEAL. Collaborative study with Australian and New Zealand renal physicians. Lonergan M. Comparing the initiation of dialysis, early and late.
ESP. Multinational and multicompany study. Lonergan M. To determine whether treating cholesterol in chronic renal failure and end stage renal failure is beneficial.
Renal Robics. Wollongong and Shoalhaven Hospitals' Renal Units; University of Wollongong. Lonergan M. To determine whether an organised exercise program improves outcomes in patients receiving haemodialysis.
FTY 720AZ218 study. Novartaris. Lonergan M. Evaluating the safety of drugs and steroids in adult renal transplant recipients.
HE05/093 renal impairment. University of Wollongong. Lonergan M. Management of patients with diabetes prior to commencing dialysis.
Sirolimus 310 AU. WYETH. Lonergan M. Multinational study comparing different drug therapies in renal transplant.
Survey of elderly persons and their health priorities regarding need for colonoscopy. Department of Gastroenterology, Wollongong Hospital. Ayonrinde K,  McDonald J. A survey of elderly people to ascertain their priorities regarding their health and their views regarding screening colonoscopies.
Indications and appropriateness of patients referred for percutaneous endoscopic gastrostomy (PEG) tube insertion. Department of Gastroenterology, Wollongong Hospital. Ayonrinde K,  McDonald J. A survey of the indications and appropriateness of inserting PEG tubes
and the outcomes after 30 days.
Upper gastrointestinal bleeding and relationship of anti-coagulant / anti-platelet medication. Department of Gastroenterology, Wollongong Hospital. Ayonrinde K,  McDonald J. A survey to ascertain any relationship between upper gastrointestinal bleeding and the use of anti-coagulant and / or anti-platelet drugs.
Outcomes and complications related to capsule endoscopy. Department of Gastroenterology, Wollongong Hospital. Abey S. An ongoing survey on the outcomes and complications of patients undergoing capsule endoscopy.

Critical Care

Severe Sepsis (XIGRIS). Eli Lilly Australia Pty Ltd. Simmons G. A trial of prophylactic (prevention) heparin in patients with severe sepsis and higher disease severity who are undergoing treatment with Drotrecogin Alfa (activated).
Normoglycaemia (NICE). The George Institute for International Health. Rachakonda S. A multi-centre trial examining two target ranges for glycaemic control in patients in intensive care.
Hospital Acquired Pneumonia (ATTAIN). Omnicare Clinical Research. Simmons G. A multinational trial of intravenous Telavancin versus Vancomycin for treatment of hospital acquired pneumonia, with a focus on patients with infections due to methicillin-resistant staphylococcus aureus (MRSA).

Nutrition

Review of dietary management of ulcerative colitis. Nutrition Department, Wollongong Hospital. Haantjens A. Reviewing current practices at Wollongong Hospital with the aim of ensuring that the approach taken is consistent across clinicians, and follows best practice guidelines.
Review of the dietary management of Chrons Disease. Nutrition Department, Wollongong Hospital. Haantjens A. Reviewing current practices at Wollongong Hospital with the aim of ensuring that the approach taken is consistent across clinicians, and follows best practice guidelines.
Dual energy x-ray bsorptiometry (DXA) versus bioelectrical impedance assessment (BIA). Which one is the best tool to use in children when estimating body composition? Nutrition Department, Wollongong Hospital. Cleary J,
Nowland A.
Comparing tools used to measure the body composition of children.
A review of best practice guideless in inflammatory bowel diseases. Nutrition Department, Wollongong Hospital. Lambert K. This project reviews current literature in this area and also benchmarks our practice with other hospitals throughout Australia. The main aim is to ensure we are meeting the best practice guidelines in this area.
Do patients with communication difficulties having greater difficulty accessing choice on the menu? Nutrition Department, Wollongong Hospital. Milosavljevic M. This projects specifically examines patients with communications difficulties ie non-English speaking, verbal difficulties, dementia, and what issues they experience with their meals. It utilises speech therapy techniques for the non-verbal patients and uses interpreters when required. It is the  first menu survey that includes this category of patients.
The effects of transfer from a palliative care unit to a nursing home on patients and their carers Illawarra Community Health. Garrard J. Qualitative study interviewing patients and carers who have been transferred from a palliative care unit to a nursing home, and asking about their experience of the process
of transfer.
Randomised, parallel-arm equivalence study comparing Hydromorphone Hydrochloride extended-release (HHER) capsules with Ms Contin tablets, at a dose ratio of 1:7.5, in cancer or non-cancer patients with a history of moderate to severe pain. Mundipharma Pty Ltd. Davis JM. An equivalence clinical trial for people with moderate to severe pain (cancer or non-cancer) comparing HHER and MS Contin. Patients whose pain is stabilised for 48 hours are randomised to either drug for two weeks.