Displaying publications 181 - 200 of 215 in total

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  1. Mazrura, S., Rozita Hod, Hidayatulfathi, O., Zainudin, M.A., Mohamad Naim, M.R., Nadia Atiqah, M.N., et al.
    MyJurnal
    Dengue is one of the main vector-borne diseases affecting tropical countries and spreading to other countries at the global scenario without cease. The impact of climate variability on vector-borne diseases is well documented. The increasing morbidity, mortality and health costs of dengue and dengue haemorrhagic fever (DHF) are escalating at an alarming rate. Numerous efforts have been taken by the ministry of health and local authorities to prevent and control dengue. However dengue is still one of the main public health threats in Malaysia. This study was carried out from October 2009 by a research group on climate change and vector-borne diseases. The objective of this research project is to assess the community vulnerability to climate variability effect on dengue, and to promote COMBI as the community responses in controlling dengue. This project also aims to identify the community adaptive measures for the control of dengue. Various research methodologies were applied in this research project in different localities. Site visits, review on surveillance data and mapping on Aedes population, dengue cases and climate variability, community survey on the knowledge prevalence , opinions and practices (KOP) and mosquito ecology were carried out during pre- and post intervention phases. Community vulnerability towards Aedes and dengue were mapped out applying GIS. A series of workshops, group discussions and activities such as COMBI activities to promote Aedes control were conducted involving the Ledang communities, the health district officers and UKM researchers. These activities also included interventions and documentation of community responses and their adaptive capacities towards dengue. Trends on Aedes population, dengue cases and community surveys pre and post-interventions, the processes for dengue control activities were analysed. The research findings could provide understanding on the community vulnerability to dengue against climate variability, their responses and adaptive measures. The community advocacy on combats against Aedes is a possible effective solution in dengue control. This research could provide other dimensions in public health management to address the impacts of climate change on vector-borne diseases.
    Matched MeSH terms: Research Personnel
  2. Liew SM
    Malays Fam Physician, 2006;1(2):91-93.
    PMID: 27570598 MyJurnal
    Recommend that the following measures be applied universally: CPR training should emphasize the very low risk of disease transmission. Training in the use of barrier mask should be included; Oral barrier devices should be made freely available in hospital and in public areas e.g. hotels, theaters, health clubs and restaurants. A survey among health personnel in Malaysia conducted in 2005 found that nearly half of the 4989 subjects were either not confident at all or unsure about their ability in giving first-aid and CPR.13 The investigators however did not look at fear of infection in particular.
    Matched MeSH terms: Research Personnel
  3. Muhamad Saiful Bahri Yusoff, Mohd Jamil Yaacob, Nyi, Nyi Naing, Abdul Rahman Esa
    MyJurnal
    Many researchers have emphasized the importance of teaching stress management and self-care skills to medical students as they are vulnerable to develop psychological health problems. The researchers designed a 4-hour intervention based on the DEAL model to address these problems. This study aimed to determine outcomes of the DEAL-based intervention on medical students’ stress, anxiety and depression symptoms. Methods: A randomized controlled trial study was conducted on 171 medical students. Their stress, anxiety and depression symptoms were measured by the 21-item Depression Anxiety Stress Scale at five intervals; at 2 weeks before the intervention, and at 1 week, 8 weeks, 16 weeks and 32 weeks after the intervention. The mixed model ANCOVA was applied to determine the effect of the intervention on the participants’ psychological health at five intervals. Results: A total of 153 medical students (intervention = 73 and control = 80) completed this study. Results showed that the intervention group experienced significantly lower stress and depression symptoms than the control group. Although anxiety scores are consistently lower in the intervention group, no significant differences between groups were found. Conclusion: These results support the favourable outcomes of the intervention on psychological health of medical students. It is a promising intervention to be considered by medical schools as it consumes minimal amount of time, money, training and man power as well can be implemented easily.
    Matched MeSH terms: Research Personnel
  4. Yusoff, N., Reiko Yap, K.M., Ahmad, A.
    MyJurnal
    This study aims to explore the life experience of the husbands of women who survived breast cancer for more than five years following breast removal. Basic interpretative of qualitative methodology was applied in order to construct the phenomenon of breast cancer from the perspective of husbands. This approach allowed researchers to explore in-depth the experience of husbands in facing breast cancer of their wives. Four themes were identified. These are marital
    challenges, pattern of life, supportive atmosphere and psychological defenses. Health strategies should direct the family member to the specific pathway in order to facilitate them towards the effective action of healthcare at their level. Evidence from this study is a direction for future research and health planning for better health policy.
    Matched MeSH terms: Research Personnel
  5. Siti Zubaidah, S., Norfazilah, A.
    MyJurnal
    The attitudes shown by community towards the mentally ill patient can have implications for recovery. To gather robust evidence regarding community attitudes towards people with mental illness, a data collection is required. A cross sectional study was carried out to examine the community attitudes towards the mentally ill patients and its associated factors in Tampoi Town, Johor among 347 respondents. This study was conducted from June 2012 to June 2013. Community Attitudes towards the Mentally Ill questionnaire was used to examine public attitudes towards the mentally ill patients. Another questionnaire was used to determine media influence and history or experience with the mentally ill patients was administered by a researcher. The community in this town had a positive attitude towards the mentally ill patients. Benevolence attitude which represent the positive attitude has the highest mean score [37.13 (4.18)]. Social Restrictiveness attitude which represent the negative attitude has the lowest mean score [25.42 (4.82)]. Results indicated that race, educational level and previous experience with the mentally ill patients had a significant association with community attitudes towards the mentally ill patients. Meanwhile, age, gender, religion, occupation, income and media have no association with community attitudes towards the mentally ill patients. These results are expected to help the related parties in conducting various comprehensive and holistic programs or campaign. Specifically, medical social worker should be more sensitive to the public attitude toward the mentally ill patients so that they could recognize the contributing factors on negative attitudes and prevent them.
    Matched MeSH terms: Research Personnel
  6. Faisal, G.G., Zakaria, S.M., Najmuldeen, G.F.
    MyJurnal
    ntroduction: Currently, researchers are aiming to explore herbal plants to replace synthetic drugs because herbal plants contain high active compounds and fewer side effects. Our study was done to determine the antibacterial activity of Eurycoma longifolia Jack (E. longifolia) root using ethanol based extract. Methods: Five types of pathogenic bacterial strains were used; Gram-positive (Staphylococcus aureus and Bacillus ce- reus) and Gram-negative (Escherichia coli, Salmonella typhi and Pseudomonas aeruginosa). Disc diffusion assay and Minimum Inhibitory Concentration (MIC) tests were used to determine the inhibition zone and turbidity of suspension which reflects the antibacterial activity of the extract. Results: The ethanolic extract of E. longifolia Jack root extract showed positive results against Gram-positive bacteria (S. aureus and B. cereus) and Gram- negative (S. typhi). B.cereus and S.typhi showed inhibition zone values of 11.76mm and 14.33mm at the extract concentration of 150mg/ml that were higher than the positive control values (9.00, 12.67mm) respectively. However, E. coli and P. aeruginosa did not show any inhibition by the ethanol-based extract. Conclusion: From the results we can conclude that E.Longifolia root extract possesses antibacterial activity that can be further explored to produce new medicinal products.
    Matched MeSH terms: Research Personnel
  7. Lexshimi RG, Raja, Saadiah Tahir, Santhna, L.P., Md Nizam, J.
    Medicine & Health, 2007;2(2):146-153.
    MyJurnal
    The working environment of intensive care unit (ICU) nurses is a constant source of stress. Researchers have described ICU as a stressful environment because of the complex nature of patients’ health problems requiring an extensive use of very sophisticated technology. This study aimed to identify the prevalence of stress among staff nurses working in ICU, Hospital Universiti Kebangsaan Malaysia (HUKM), factors influencing stress and to explore the symptoms of stress experienced. This descriptive study was conducted on 67 staff nurses working in ICU, HUKM. Data was collected using self-administered questionnaires. The questionnaires included sections on socio-demographic data, factors influencing stress and symptoms of stress experienced. Data was analyzed using frequency and percentage. The Chi square test was used to examine the relationship between socio-demographic data and factors influencing stress. Findings indicated that stress symptoms were experienced by 100 per cent (n =67) of staff nurses Knowledge, working experience, critically ill patients, and environmental factors were one of  the many  factors contributing to the stress experienced by the ICU nurses in HUKM. Nurses working in ICU, HUKM are found to have a high level of stress. Recommendations like encouraging ICU nurses to take up post basic ICU courses and increasing the nurses quota can reduce the prevalence of stress among ICU nurses. Hospital management has an important role to play in reducing the stress levels of nurses working  in  ICU as stress has an effect on job performance and quality of nursing care.
    Matched MeSH terms: Research Personnel
  8. Abushouk AI, Negida A, Elshenawy RA, Zein H, Hammad AM, Menshawy A, et al.
    CNS Neurol Disord Drug Targets, 2018 Apr 26;17(1):14-21.
    PMID: 28571531 DOI: 10.2174/1871527316666170602101538
    Parkinson's disease (PD) is the most prevalent movement disorder in the world. The major pathological hallmarks of PD are death of dopaminergic neurons and the formation of Lewy bodies. At the moment, there is no cure for PD; current treatments are symptomatic. Investigators are searching for neuroprotective agents and disease modifying strategies to slow the progress of neurodegeneration. However, due to lack of data about the main pathological sequence of PD, many drug targets failed to provide neuroprotective effects in human trials. Recent evidence suggests the involvement of C-Abelson (c-Abl) tyrosine kinase enzyme in the pathogenesis of PD. Through parkin inactivation, alpha synuclein aggregation, and impaired autophagy of toxic elements. Experimental studies showed that (1) c-Abl activation is involved in neurodegeneration and (2) c-Abl inhibition shows neuroprotective effects and prevents dopaminergic neuronal' death. Current evidence from experimental studies and the first in-human trial shows that c-Abl inhibition holds the promise for neuroprotection against PD and therefore, justifies the movement towards larger clinical trials. In this review article, we discussed the role of c-Abl in PD pathogenesis and the findings of preclinical experiments and the first in-human trial. In addition, based on lessons from the last decade and current preclinical evidence, we provide recommendations for future research in this area.
    Matched MeSH terms: Research Personnel
  9. Farah, A.A., Sukor, R., Fatimah, A.B., Jinap, S.
    MyJurnal
    Nanotechnology contribute to significant impacts in every way in our daily life. Recently,
    the application of nanotechnology in biosensors has been a trend in developing a highly
    sensitive, selective, quick response, inexpensive, high volume production, great reliability
    and miniaturized sensors. High demands on the production of rapid sensors for food safety
    and quality control purposes are increasingly become the interest for researchers all over the
    world. This is because, in food sector, the quality of a certain product is based on their periodic
    chemical and microbilogical analysis. The uses of nanomaterials in biosensors are very
    promising because they mediate current flow. Surface modification of the electrode based on
    various nanomaterials including nanoparticle, nanofiber, nanowire and nanotube significantly
    increase the performance of the biosensor. Ultimately, this implementation will enhance the
    sensor’s sensitivity and stability. This review explores the previous research and development
    work on nanomaterials-based sensors for food applications.
    Matched MeSH terms: Research Personnel
  10. Ikhwanuddin M, Amin-Safwan A, Hasyima-Ismail N, Azra MN
    Data Brief, 2019 Oct;26:104477.
    PMID: 31667242 DOI: 10.1016/j.dib.2019.104477
    The present paper contains two datasets; i) the growth band count (GBC) of mud crab, Scylla olivacea collected from Setiu Wetlands, Terengganu coastal water, East coast of Peninsular Malaysia and ii) the increment sizes of body weight (BW) and carapace width (CW) of immature S. olivace after molting. The datasets presented here were associated with the research articles entitled i) "Study on carapace width growth band counts relationship of orange mud crab, S. olivacea (Herbst, 1796) from Terengganu Coastal Waters, Malaysia" (Hasyima-Ismail et al. 2017) [1] and ii) "Relationship between the carapace width and body weight increments and the confirmation of Stage 1 ovary after the molting of immature orange mud crabs, S. olivacea (Herbst, 1796), in captivity" (Amin-Safwan et al. 2019-2020) [2], and provided here as raw data of Supplementary materials. Raw datasets for GBC in the wild were generated by examination of the thin cross sectioning process of the gastric mill of S. olivacea. The GBC were measured for each individual crab wherein band counts ranged from 1 to 3. The analysis provides evidence that the GBC of the crabs can be determined through both mesocardiac and zygocardiac ossicles. This data is of importance to researchers for estimation of stock assessment and improvement of fisheries management to further improve policy. For the BW-CW increment data, a total of 135 immature crabs were sampled from Setiu Wetlands, Terengganu, Malaysia, and were introduced to limb autotomy technique in order to induced molt. Crabs were reared until successful molting and immediately prior to hardened shell, before final measurement of body weight and carapace width determination. Recorded data was analyzed by calculating the increment sizes, along with correlation and regression analysis between body weight and carapace width of mud crabs.
    Matched MeSH terms: Research Personnel
  11. Syed Ahmad Muhajir Alhaddad Syed E, Nurul Hudani Md N, Agnis S
    The benefit mobile technology brings is not limited to learning and entertainment but it also modifies human aspect of social communication. Despite the high number of previous research available concerning smartphones, there is still a gap of research that needs to be addressed such as its effect towards social competence. As the social system becomes complex, communication technology evolves to ensure the social needs are accomplished. For this study, 236 students aged between 13-14 years old were recruited and given a set of questionnaire which comprised Mobile Phone Problem Use Scale, Social Competence Scale for Teenagers and Self Scoring Self-Control Scale. In this study, the researcher attempted to examine the effect of excessive smartphone usage on social competence with self-control as mediator. Regression analysis was used to estimate the effect between the variables. The result indicates that there is negative relationship between excessive smartphone usage and social competence. However, when self-control is tested in the model as a mediator, excessive smartphones usage was not prevalent to predict social competence. This concludes to the apparent role of self-control as a mediator. The implication of study has contributed to the practical importance and methodological aspect of studies involving social competence and self-control.
    Matched MeSH terms: Research Personnel
  12. Akram Hassan, Swaminathan D
    Hydroxyapatite (HA) used for bone replacement is one of the most active areas of ceramic biomaterials research currently. It has been used clinically for the last 20 years due to its excellent biocompatibility, osseoconduction and osseointegration. Many modifications have been done to develop a stronger, tougher and biocompatible ceramic biomaterial because pure HA is brittle. Researchers in Universiti Sains Malaysia had developed this value added HA that is stronger and less brittle compared to pure HA. The objective of this in vitro study was to evaluate the genotoxic characteristic of the value added HA based material by using Bacterial Reverse Mutation Assay (Ames test). The Bacterial Reverse Mutation Assay of HA was performed on Salmonella typhimurium strains TA98, TA100, TA1535, TA1537 and Escherichia coli strain WP2 uvrA using the preincubation method in the presence and absence of an exogenous metabolic activation system. All the bacterial tester strains treated with and without S9 Mix showed no increase of revertant colonies with increase in concentration of test substance for both the dose finding test and the main test. The number of revertant colonies was less than twice that of the solvent control for all the five bacterial strains and this was reproducible for both the dose finding test and the main test. The numbers of revertant colonies in the negative and positive controls were within the background data of our laboratory. In conclusion the results of the tests showed that the value added HA was considered to have no reverse mutagenic potential under the present test conditions.
    Matched MeSH terms: Research Personnel
  13. J Exp Biol, 2019 Jan 03;222(Pt 1).
    PMID: 30606794 DOI: 10.1242/jeb.197764
    Danielle Levesque is an Assistant Professor at the University of Maine, USA, where she studies hibernation and torpor in mammals. She received her Bachelor's degree in Wildlife Biology from McGill University, Canada, in 2006, before completing her PhD with Barry Lovegrove at the University of KwaZulu-Natal, South Africa, in 2014. She then completed a Postdoctoral Fellowship at University of Malaysia Sarawak with Andrew Alek Tuen before moving to Maine in 2015.
    Matched MeSH terms: Research Personnel
  14. Yoshizawa G, Sasongko TH, Ho CH, Kato K
    Front Genet, 2017;8:99.
    PMID: 28775738 DOI: 10.3389/fgene.2017.00099
    The recent research and technology development in medical genomics has raised new issues that are profoundly different from those encountered in traditional clinical research for which informed consent was developed. Global initiatives for international collaboration and public participation in genomics research now face an increasing demand for new forms of informed consent which reflect local contexts. This article analyzes informed consent forms (ICFs) for genomic research formulated by four selected research programs and institutes in East Asia - the Medical Genome Science Program in Japan, Universiti Sains Malaysia Human Research Ethics Committee in Malaysia, and the Taiwan Biobank and the Taipei Medical University- Joint Institutional Review Board in Taiwan. The comparative text analysis highlights East Asian contexts as distinct from other regions by identifying communicative and social functions of consent forms. The communicative functions include re-contact options and offering interactive support for research participants, and setting opportunities for family or community engagement in the consent process. This implies that informed consent cannot be validated solely with the completion of a consent form at the initial stage of the research, and informed consent templates can facilitate interactions between researchers and participants through (even before and after) the research process. The social functions consist of informing participants of possible social risks that include genetic discrimination, sample and data sharing, and highlighting the role of ethics committees. Although international ethics harmonization and the subsequent coordination of consent forms may be necessary to maintain the quality and consistency of consent process for data-intensive international research, it is also worth paying more attention to the local values and different settings that exist where research participants are situated for research in medical genomics. More than simply tools to gain consent from research participants, ICFs function rather as a device of social communication between research communities and civic communities in liaison with intermediary agents like ethics committees, genetic counselors, and public biobanks and databases.
    Matched MeSH terms: Research Personnel
  15. Yap, Hui Cin, Asmah Hamid, Farah Wahida Ibrahim, Nor Fadilah Rajab, Yanti Rosli
    MyJurnal
    The emergence of research about the biological effects of electromagnetic field (EMF) have growing concern among
    researchers. The aim of this study was to investigate the effects on the brain of rats periodically exposed to 0.1 mT EMF.
    Total 24 adult male Sprague Dawley rats were subdivided randomly to 4 groups: 2 control groups (C1 6 hours: 6 h/
    day for 5 days; C2 20 hours: 20 h/day for 5 days) and 2 treatment groups which exposed to 0.1 mT EMF (T1 6 hours:
    6 h/day for 5 days; T2 20 hours: 20 h/day for 5 days). A significant decrease in the pyramidal cell number was higher
    as the exposure duration to EMF was extended (T1, p
    Matched MeSH terms: Research Personnel
  16. Armijo-Olivo S, de Castro-Carletti EM, Calixtre LB, de Oliveira-Souza AIS, Mohamad N, Fuentes J
    Am J Phys Med Rehabil, 2022 Jan 01;101(1):64-77.
    PMID: 34091470 DOI: 10.1097/PHM.0000000000001799
    The objective of this review was to summarize the concept of clinical significance and associated methods focusing on the area of rehabilitation to provide a resource to rehabilitation researchers and clinicians. Studies were searched on electronic databases from inception until July 28, 2020, with no date or language limits. Manual searches as well as Scopus forward citation for relevant references were performed. Narrative synthesis of study results was performed. Definitions of the concepts related to clinical significance, ways of calculating, and interpreting each method were provided using rehabilitation examples. An explanation of methods to evaluate clinical significance (distribution, anchor, and opinion-based methods) and their advantages and disadvantages were also provided. Considering the limitations of statistical significance in assuring meaningfulness of results, clinical interpretation of research outcomes and the report of clinical significance in intervention trials should be a priority in rehabilitation research. When possible, the use of multiple methods (distribution, anchor, and opinion based) is recommended. Thus, clinical researchers are encouraged to present results in a manner that allow the rehabilitation professionals to easily interpret and implement those results in their clinical practice.
    Matched MeSH terms: Research Personnel
  17. Hashim AM, Joseph LH, Embong J, Kasim Z, Mohan V
    Iran J Med Sci, 2012 Mar;37(1):54-7.
    PMID: 23115431
    Patients who are on prolonged ventilator support in critical care unit present wide variety of complications, which range from reduction in oxygen uptake to various musculoskeletal impairments. Early mobilization and rehabilitation are encouraged to manage these complications effectively. Use of tilt table to motivate early mobilization in the intensive care unit for ventilator practices is not a usual practice. However, this new technique has attracted involvements of clinicians and therapists for its therapeutic benefits to the patient. Herein we describe a case of a seventy eight-year-old male patient who suffered Motor car accident, and was on ventilator support in intensive care unit for more than one month. He underwent treatment using a tilt table protocol with other routine treatment, which benefited him based on clinical as well as physiological variables. For practitioners in intensive care units, this report may offer perceptivity into the alternate practice of early mobilization using tilt table, and for investigators it may promote interest for further studies.
    Matched MeSH terms: Research Personnel
  18. Hamzah AA, Rahman MN, Daud MA, Mahamood Z
    Malays J Med Sci, 2007 Jul;14(2):67-71.
    PMID: 22993495 MyJurnal
    Patients with Benign Prostatic Hyperplasia (BPH) commonly presents with lower urinary tract symptoms (LUTS), which can be of obstructive symptoms such as hesitancy, incomplete voiding, post void dribbling or of irritative symptoms such as urgency, frequency and nocturia. Various recent studies indicate that nocturia is a very important and bothersome lower urinary tract symptom especially among patients with Benign Prostatic Hyperplasia (BPH). The aims of the study was to determine the frequency of common urinary symptoms among patients with BPH in HUSM as well as to evaluate the extent of bothersomeness of each and every symptom to these patients. This study too was aimed at evaluating the success of TURP in resolving pre operative LUTS. This was a questionnaire-based survey using a validated ICSBPH model whereby patients with BPH were selected and quizzed personally by an investigator. A subset of patients who had undergone TURP were further questioned regarding their satisfaction with the procedure. When nocturia is defined as waking up at night once or more to pass urine, the prevalence of nocturia was about 90%, but only 1 in 6 patients considered this is a very serious symptom. Even if the definition was changed to waking up twice or more, the prevalence is still quite high at over 80%. Urgency were noted in half of the patients, but only a quarter of them consider it a serious problem. 1 in 5 patients experienced significant leak and almost all consider it serious. About one third of the studied population had to be catheterized due to urinary obstruction and interestingly only about half of them considered it as a very serious event. Overall, a great majority of these patients considered suffering from these urinary symptoms for the rest of their life as very devastating. This study conclude that although the prevalence of nocturia was high among BPH patients, but it was not considered serious by majority of them. In fact, LUTS in our BPH patients did not differ much from BPH patients elsewhere. On the whole, TURP resolved most of the LUTS effectively.
    Matched MeSH terms: Research Personnel
  19. Kumar S, Ratnavelu K
    PLoS One, 2016;11(6):e0157633.
    PMID: 27322645 DOI: 10.1371/journal.pone.0157633
    Scholars (n = 580) from 69 countries who had contributed articles in the field of Economics during the year 2015 participated in a survey that gauged their perceptions of various aspects of co-authorship, including its benefits, motivations, working relationships, order of authorship and association preferences. Among the main findings, significant differences emerged in the proportion of co-authored papers based on age, gender and number of years the researchers had spent in their present institution. Female scholars had a greater proportion of co-authored papers than male scholars. Respondents considered improved quality of paper, contribution of mutual expertise, and division of labor as the biggest benefits of and motivation for co-authorship. Contrary to common perceptions that Economics researchers used a predominantly alphabetical order of authorship, our study found that a considerable percentage of respondents (34.5%) had practiced an order of authorship based on the significance of the authors' contribution to the work. The relative importance of tasks differed significantly according to whether researchers co-authored as mentors or co-authored as colleagues. Lastly, researchers were found to associate, to varying degrees, with other researchers based on socio-academic parameters, such as nationality, ethnicity, gender, professional position and friendship. The study indicates that Economics authors perceive co-authorship as a rewarding endeavor. Nonetheless, the level of contribution and even the choice of association itself as a co-author depends to a great extent on the type of working relationship and socio-academic factors.
    Matched MeSH terms: Research Personnel*
  20. Bernhardt J, Lindley RI, Lalor E, Ellery F, Chamberlain J, Van Holsteyn J, et al.
    BMJ, 2015 Dec 11;351:h6432.
    PMID: 26658193 DOI: 10.1136/bmj.h6432
    OBJECTIVE: To report the number of participants needed to recruit per baby born to trial staff during AVERT, a large international trial on acute stroke, and to describe trial management consequences.

    DESIGN: Retrospective observational analysis.

    SETTING: 56 acute stroke hospitals in eight countries.

    PARTICIPANTS: 1074 trial physiotherapists, nurses, and other clinicians.

    OUTCOME MEASURES: Number of babies born during trial recruitment per trial participant recruited.

    RESULTS: With 198 site recruitment years and 2104 patients recruited during AVERT, 120 babies were born to trial staff. Births led to an estimated 10% loss in time to achieve recruitment. Parental leave was linked to six trial site closures. The number of participants needed to recruit per baby born was 17.5 (95% confidence interval 14.7 to 21.0); additional trial costs associated with each birth were estimated at 5736 Australian dollars on average.

    CONCLUSION: The staff absences registered in AVERT owing to parental leave led to delayed trial recruitment and increased costs, and should be considered by trial investigators when planning research and estimating budgets. However, the celebration of new life became a highlight of the annual AVERT collaborators' meetings and helped maintain a cohesive collaborative group.

    TRIAL REGISTRATION: Australian New Zealand Clinical Trials Registry no 12606000185561.

    DISCLAIMER: Participation in a rehabilitation trial does not guarantee successful reproductive activity.

    Matched MeSH terms: Research Personnel/statistics & numerical data*
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