The social determinants of childhood injury. Child hood injury is a preventable problem of major importance. This project will provide a comprehensive, research-based policy solution that will minimise death and disability among children zero to three years of age.
Preventing Weight Gain In Young To Mid-aged Women Living In Rural Communities;a Cluster Randomised Controlled Trial
Funder
National Health and Medical Research Council
Funding Amount
$896,169.00
Summary
Women living in rural communities are gaining weight faster than their urban counterparts. The prevention of weight gain in young rural women presents an opportunity that is urgently needed with potential for major benefits to physical, metabolic and reproductive health. The aim of this project is to prevent weight gain in women of reproductive age living in small rural communities, to improve the preventable risk factors for chronic disease such as poor diet quality and physical activity and to ....Women living in rural communities are gaining weight faster than their urban counterparts. The prevention of weight gain in young rural women presents an opportunity that is urgently needed with potential for major benefits to physical, metabolic and reproductive health. The aim of this project is to prevent weight gain in women of reproductive age living in small rural communities, to improve the preventable risk factors for chronic disease such as poor diet quality and physical activity and to conduct a comprehensive economic evaluation.Read moreRead less
Improving the identification of juvenile firesetters at high risk of recidivism. Young firesetters are not only responsible for some fifth of all fires, they also are at risk of becoming adult arsonists. Australian fire services provide educational programs for young firesetters but about a third may continue to light fires. This project will allow clarification of variables most associated with ongoing firesetting behaviour (recidivism), better prediction of high risk juveniles, understanding ....Improving the identification of juvenile firesetters at high risk of recidivism. Young firesetters are not only responsible for some fifth of all fires, they also are at risk of becoming adult arsonists. Australian fire services provide educational programs for young firesetters but about a third may continue to light fires. This project will allow clarification of variables most associated with ongoing firesetting behaviour (recidivism), better prediction of high risk juveniles, understanding of the predictive value of a screening tool, valid assessment of recidivism rates and an increased understanding of mental health agency involvement with firesetter families. These outcomes will help improve programs involving juvenile firesetters, thereby reducing arson and the high cost of uncontrolled fire.Read moreRead less
An Investigation into Suicidal Behaviours by Males during the Process of Marital and De Facto Separation. The project has a likelihood of reducing rates of fatal and non-fatal suicidal behaviour by high-risk groups such as males aged 25 - 44, and growing Australian populations such as the separated/divorced. The anticipated saving of lives, injuries, and mental distress is expected to achieve substantial and sustainable cutback in individual, corporate and public expenditure on mental health, i ....An Investigation into Suicidal Behaviours by Males during the Process of Marital and De Facto Separation. The project has a likelihood of reducing rates of fatal and non-fatal suicidal behaviour by high-risk groups such as males aged 25 - 44, and growing Australian populations such as the separated/divorced. The anticipated saving of lives, injuries, and mental distress is expected to achieve substantial and sustainable cutback in individual, corporate and public expenditure on mental health, injury control and suicide prevention by government, community and corporate agencies. Time and personnel resources utilised by the police, ambulance, coroner, hospital, and insurance departments can be diverted from highly preventable suicides to other areas. Read moreRead less
Evaluation Of Multidisciplinary Care Plans For Patients With Diabetes
Funder
National Health and Medical Research Council
Funding Amount
$83,500.00
Summary
Care planning for patients with chronic illnesses and complex needs is a major part of the Commonwealth Enhanced Primary Care package. This initiative, announced in late 1999, provides access to Medicare Benefits Schedule (MBS) items to remunerate general practitioners, involved in developing multidisciplinary care plans in cooperation with other health care providers. An issue of importance, and the one that this project investigates, is whether disease specific care is addressed in care plans ....Care planning for patients with chronic illnesses and complex needs is a major part of the Commonwealth Enhanced Primary Care package. This initiative, announced in late 1999, provides access to Medicare Benefits Schedule (MBS) items to remunerate general practitioners, involved in developing multidisciplinary care plans in cooperation with other health care providers. An issue of importance, and the one that this project investigates, is whether disease specific care is addressed in care plans and whether the care planning process is associated with improved provision and outcomes of care for a specific chronic illness. The chronic illness that has been chosen for this research project is diabetes because of its prevalence in the community, importance in general practice and because there are accepted standards of process and outcomes of care against which diabetes care contained in EPC care plans can be bench marked. Diabetes is estimated to affect 7.5% of the adult Australian population with more than 85% of those affected having type 2 or mature onset diabetes. Increasingly care of type 2 diabetes is provided in primary care under share care arrangements with specialist diabetes services and in a multidisciplinary team approach involving the patient and their carer as well as relevant health professionals. A recent review has shown that there is a lack of evidence on whether multidisciplinary care is associated with improved process and outcomes of diabetes care. The project will involve 50 general practitioners and 200 of their patients with diabetes in South West Sydney. The design of the project involves audit of the care plans to examine the extent and quality of the diabetes care contained in comparison to accepted benchmarks. The project will also audit the patients' medical records for the year of care before and after the care plan. This care will be compared to published guidelines for process of care and goals for outcomes.Read moreRead less
Characterisation Of Community Methicillin-resistant Staphylococcus Aureus And Their Control In Remote Communities
Funder
National Health and Medical Research Council
Funding Amount
$300,777.00
Summary
Before the introduction of antibiotics Staphylococcus aureus, the golden staph , was the major cause of infections in hospitals. Although the introduction of antibiotics helped control the organism it has gradually acquired resistance until strains have emerged which can only be treated with vancomycin. Consequently staphs have again emerged as a major hospital pathogen. The emergence of these multiply resistant strains corresponded to them acquiring methicillin resistance and consequently they ....Before the introduction of antibiotics Staphylococcus aureus, the golden staph , was the major cause of infections in hospitals. Although the introduction of antibiotics helped control the organism it has gradually acquired resistance until strains have emerged which can only be treated with vancomycin. Consequently staphs have again emerged as a major hospital pathogen. The emergence of these multiply resistant strains corresponded to them acquiring methicillin resistance and consequently they have come to be known as methicillin-resistant Staphylococcus aureus or MRSA. Soon after the emergence of MRSA the hospitals of Western Australia (WA) developed a policy to prevent introduced MRSA from becoming established in its hospitals. Although this has been successful the policy is now under threat with the emergence of MRSA in remote WA Aboriginal communities. Aboriginals in these communities have a large number of infections which are usually treated empirically. This can result in the selection of antibiotic resistant bacteria if they are present. Consequently, it is planned to regularly screen Aboriginal communities which are known to have a high prevalence of MRSA and recommend antibiotic prescribing which will not select for any resistant staphylococci carried by a person. This is possible because the community MRSA are still susceptible to some anti-staphylococcal drugs. If this program is shown to reduce the prevalence of MRSA in the communities then the program will be extended to other communities. Community MRSA are now being reported from other Australian states and it is planned to study these to see if they are related to the WA strains. The community isolates will be studied to assess their potential to acquire additional antibiotic resistances. As some strains are known to be more of a threat to hospitals than others methods will be investigated to develop rapid methods for detecting them.Read moreRead less
Community efficiency: testing MacArthur’s minimisation principle for competitive communities. Robert MacArthur, one of the 20th century’s greatest ecologists, developed theory that had profound impacts on our understanding of island biogeography, species coexistence, and competition, yet one of his most powerful theoretical predictions, that competitive communities should become more efficient over time, has never been tested. A greater understanding of the dynamics of community efficiency will ....Community efficiency: testing MacArthur’s minimisation principle for competitive communities. Robert MacArthur, one of the 20th century’s greatest ecologists, developed theory that had profound impacts on our understanding of island biogeography, species coexistence, and competition, yet one of his most powerful theoretical predictions, that competitive communities should become more efficient over time, has never been tested. A greater understanding of the dynamics of community efficiency will provide profound insights into the role of that community in the broader ecosystem, as well as strong predictions about the invasibility and stability of that community. Read moreRead less
Strengthening community partnerships to promote adolescent school engagement and prevent problems such as alcohol misuse and violence. The project will reduce community rates of adolescent school non-attendance, adolescent alcohol misuse and antisocial behaviour. Adolescent school exclusion, alcohol use and antisocial behaviour are highly prevalent in Australia, and can be reduced using a variety of strategies that are coordinated at the school and community level. The project will decrease adol ....Strengthening community partnerships to promote adolescent school engagement and prevent problems such as alcohol misuse and violence. The project will reduce community rates of adolescent school non-attendance, adolescent alcohol misuse and antisocial behaviour. Adolescent school exclusion, alcohol use and antisocial behaviour are highly prevalent in Australia, and can be reduced using a variety of strategies that are coordinated at the school and community level. The project will decrease adolescent problems through community improvements in child and adolescent protective influences and reductions in risk influences. Furthermore, the project will equip communities with the capacity to learn how to identify and implement strategies to address the major influences that have the potential to reduce adolescent behaviour problems.Read moreRead less