Understanding The Role Of The Two Major Bacterial Pathogens In The Upper And Lower Airways Of Indigenous Children With Chronic Lung Disease
Funder
National Health and Medical Research Council
Funding Amount
$743,282.00
Summary
Lung infections are a major disease burden worldwide. Indigenous Australians are affected more; adults with severe lung disease can die in their 30s and 40s. These diseases start early, yet no in-depth studies of bacteria causing lung infections in children have been done. Our expert team proposes to use existing lung fluids from nearly 500 children with chronic lung disease (58% Indigenous), and state-of-the-art laboratory methods, to inform the design of vaccines to prevent lung disease.
A Randomised Controlled Trial Of Alternative Treatments To Intramuscular Penicillin For Impetigo In Aboriginal Children
Funder
National Health and Medical Research Council
Funding Amount
$1,326,182.00
Summary
We will conduct clinical trials to find an effective, simple and cheap oral alternative to injected penicillin for skin sores which could become the universal standard of care whether the patient is in Melbourne or Milingimbi. It would also likely be adopted by the World Health Organization as a standard of care for developing countries. This would lead directly to a reduced burden of skin sores and their complications. It would also open the way for studies to explore even simpler regimens.
A Randomised Placebo-controlled Trial Of Antibiotics To Prevent Urinary Tract Infection In Children
Funder
National Health and Medical Research Council
Funding Amount
$735,000.00
Summary
This study is needed to determine whether a common clinical practice long-term antibiotic treatment for children following urinary tract infection (UTI) - is safe and effective in preventing further UTI and if so, whether all appropriate children are being treated. UTI will affect about 10% of Australian children by high school age (88,000 children per year). Because UTI may damage the kidneys, the management priority for children with UTI has been prevention of further infection. Currently this ....This study is needed to determine whether a common clinical practice long-term antibiotic treatment for children following urinary tract infection (UTI) - is safe and effective in preventing further UTI and if so, whether all appropriate children are being treated. UTI will affect about 10% of Australian children by high school age (88,000 children per year). Because UTI may damage the kidneys, the management priority for children with UTI has been prevention of further infection. Currently this means the identification of children thought to be most at risk of recurrent UTI by renal tract imaging. Those found to have reflux of urine from the bladder to the kidney (present in about 30% of those with UTI) are then placed on antibiotics fro 2-5 years. Unfortunately there has never been a properly designed trial to test whether antibiotics do really prevent UTI and if so, whether children with reflux are the appropriate and only group requiring treatment. Long term antibiotics may in fact do more harm than good because of side effects like skin, bowel and blood problems and because resistant bacteria may develop. The design of this study involves the random allocation of placebo or antibiotic (cotrimoxazole, the usual antibiotic given in this case) to about 800 children after their first symptomatic UTI. These children are treated and followed for one year to determine the rate of futher UTI in both groups. Any difference in outcome between the two groups of children will be because of the antibiotic treatment. This study may prove long-term antibiotics are ineffective and therefore should not be routinely used. In this case investigation of children to detect vesicoureteric reflux would serve little purpose and should be abandoned. Alternatively antibiotic treatment may be shown as effective treatment for preventing further UTI and in this case the study will clearly identify those children who will benefit.Read moreRead less
The invisible parents project - exploring the barriers to effective parental and community involvement in three Northern Territory Schools. Education outcomes in the Northern Territory, particularly for Indigenous students, lag far behind those of other Australians, to the point that the situation can be considered a national emergency. This research program will explore ways to improve parental involvement. This will inform the Smith Family's efforts to undertake early intervention for children ....The invisible parents project - exploring the barriers to effective parental and community involvement in three Northern Territory Schools. Education outcomes in the Northern Territory, particularly for Indigenous students, lag far behind those of other Australians, to the point that the situation can be considered a national emergency. This research program will explore ways to improve parental involvement. This will inform the Smith Family's efforts to undertake early intervention for children who are at risk of education failure. It will provide benefits to the rural and regional communities who feed schools in Darwin and Katherine and provide national benefits through making a significant contribution of anthropologically-informed knowledge on the determinants of successful school outcomes.Read moreRead less
Playing for Life: A Case Study in Childhood, Culture and Transition. This study will advance Australian research on identity formation in postcolonial societies; develop child-focused research in academic anthropology; align Australian Aboriginal Studies with recent international progress in the field of children's social imagination; innovate the analysis of transforming Indigenous worldviews; create a perspective for in-depth psychological research with Aboriginal Australians; build a rich res ....Playing for Life: A Case Study in Childhood, Culture and Transition. This study will advance Australian research on identity formation in postcolonial societies; develop child-focused research in academic anthropology; align Australian Aboriginal Studies with recent international progress in the field of children's social imagination; innovate the analysis of transforming Indigenous worldviews; create a perspective for in-depth psychological research with Aboriginal Australians; build a rich resource for comparative research and for teaching. It also offers distinct social benefits: fostering the understanding of Aboriginal children's social and mental needs in processes of cultural transformation; enhancing equality by identifying the positive potentials in children and Aboriginal society.
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Determining implementation drivers in resilience education. Determining implementation drivers in resilience education. This project aims to develop implementation frameworks to help the education sector universally provide resilience education programmes. More young people have mental health problems. Although evidence-based resilience education reduces these problems, education sectors do not know how to address barriers to school provision. The solution is implementation research. This projec ....Determining implementation drivers in resilience education. Determining implementation drivers in resilience education. This project aims to develop implementation frameworks to help the education sector universally provide resilience education programmes. More young people have mental health problems. Although evidence-based resilience education reduces these problems, education sectors do not know how to address barriers to school provision. The solution is implementation research. This project will study system and school-level factors influencing primary and high school uptake of social and emotional learning curricula that enhance resilience; and implementation drivers at both system and school levels, and influences on uptake and student and staff resilience. The outcome is universal provision of resilience education programs that benefit young people.Read moreRead less
Incentivising On Country Aboriginal Employment: Anangu Futures. . This project aims to investigate the changing face of cultural tourism in central Australia and examine pathways towards sustainable aboriginal employment in and around Uluru-Kata Tjuta National Park. The project is significant because it brings together Aboriginal community members, industry and government stakeholders to identify micro-business opportunities, youth training initiatives, better relations across cultural divides, ....Incentivising On Country Aboriginal Employment: Anangu Futures. . This project aims to investigate the changing face of cultural tourism in central Australia and examine pathways towards sustainable aboriginal employment in and around Uluru-Kata Tjuta National Park. The project is significant because it brings together Aboriginal community members, industry and government stakeholders to identify micro-business opportunities, youth training initiatives, better relations across cultural divides, and the economic value of Aboriginal knowledge. Outcomes include a model for sustainable Aboriginal employment in remote and very remote contexts, and the development of culturally relevant and sustainable governing guidelines for regional investment. Benefits include more sustainable jobs for Aboriginal people.Read moreRead less
Securing the essential: assisting Indigenous communities and their service providers to sustainably manage water and energy supply. The provision of water and energy supplies to remote Aboriginal and Torres Strait Islander (ATSI) communities is a critical challenge for service providers. This project uses a novel unobtrusive smart metering system, aligned with culturally appropriate consultation with ATSI communities, to reveal patterns of household water and water related-energy consumption. Si ....Securing the essential: assisting Indigenous communities and their service providers to sustainably manage water and energy supply. The provision of water and energy supplies to remote Aboriginal and Torres Strait Islander (ATSI) communities is a critical challenge for service providers. This project uses a novel unobtrusive smart metering system, aligned with culturally appropriate consultation with ATSI communities, to reveal patterns of household water and water related-energy consumption. Significantly, the research aims to identify effective behavioural and technological water and energy efficiency strategies in three remote ATSI communities in Queensland, Northern Territory and Western Australia. A key outcome is to provide an adaptive evidence-based and community-driven handbook to facilitate the secure long-term supply and efficient use of energy and water resources in remote ATSI communities.Read moreRead less
School drug education for junior high school students in Victoria - Assessing the impact of a state-wide, evidence-based intervention
. Young people are faced with numerous and powerful influences to use both legal and illicit drugs, and drug education can play an important counterbalancing role in shaping a normative culture of safety, moderation and informed decision making in this group. The research will develop, implement and evaluate one all encompassing, evidence-based, drug education pr ....School drug education for junior high school students in Victoria - Assessing the impact of a state-wide, evidence-based intervention
. Young people are faced with numerous and powerful influences to use both legal and illicit drugs, and drug education can play an important counterbalancing role in shaping a normative culture of safety, moderation and informed decision making in this group. The research will develop, implement and evaluate one all encompassing, evidence-based, drug education program for junior high school students across Victoria. The study is unique in its size and scope and will be of national benefit because its findings will influence the nature of future drug education in all secondary schools in Australia.Read moreRead less
Strategies to reduce risk of heat induced illness during intermittent, high intensity activity in a tropical environment. Regular intermittent, high intensity physical activity (IHIA) affords protection against modern life-style diseases (type II diabetes, coronary heart disease and some cancers) but when conducted in the tropics, exposes persons to the risk of dehydration, heat cramps, hypotension, heat syncope, heat exhaustion and heat stroke. Australia has rapid population growth in the tropi ....Strategies to reduce risk of heat induced illness during intermittent, high intensity activity in a tropical environment. Regular intermittent, high intensity physical activity (IHIA) affords protection against modern life-style diseases (type II diabetes, coronary heart disease and some cancers) but when conducted in the tropics, exposes persons to the risk of dehydration, heat cramps, hypotension, heat syncope, heat exhaustion and heat stroke. Australia has rapid population growth in the tropics and key sporting fixtures have moved to the region. We have set up the research capability and must now move on a range of IHIA in sport, workplaces, armed and emergency services to provide strategies to reduce the risk of heat induced illness in a tropical environment.Read moreRead less