Case-cohort Study Of The Association Between Pertussis Vaccination In Infancy And The Risk Of IgE-mediated Food Allergy.
Funder
National Health and Medical Research Council
Funding Amount
$144,742.00
Summary
Allergic diseases are one of the most important causes of chronic morbidity among children in Australia. This is a retrospective case-controlled trial, utilising data from the Australian immunisation register and cases of confirmed food allergy, to examine the role of vaccination in protection against food allergy. If a relationship between the type of vaccination and protection against allergy is found, this would have implications for allergy prevention and immunisation policy.
Case-control Study Of Reasons For Presentation Of Nonmelanocytic Skin Cancers At An Advanced Stage.
Funder
National Health and Medical Research Council
Funding Amount
$250,614.00
Summary
There are about four times as many skin cancers treated in Australia each year as all other cancers combined and the vast majority of these are the nonmelanocytic skin cancers (NMSC). While most of these cancers are easily treatable, a proportion of these cancers are not given potentially effective treatment until the cancer has reached an advanced stage. Preliminary results from our pilot studies indicate that at least 50% of patients with NMSC who are treated with radiotherapy and 92% of NMSC ....There are about four times as many skin cancers treated in Australia each year as all other cancers combined and the vast majority of these are the nonmelanocytic skin cancers (NMSC). While most of these cancers are easily treatable, a proportion of these cancers are not given potentially effective treatment until the cancer has reached an advanced stage. Preliminary results from our pilot studies indicate that at least 50% of patients with NMSC who are treated with radiotherapy and 92% of NMSC patients treated with a graft or flap surgical procedure by the dermatologists in Newcastle are so treated because of the extent of disease at the primary site. These advanced stage cancers make an important contribution to the 70,000 admissions to hospital for the treatment of NMSC each year in Australia. The total direct health services cost of treatment of these skin cancers was estimated to be $232,000,000 in 1993-94, which was more than for any other type of cancer. Some 379 people died from nonmelanocytic skin cancer in Australia in 1993 and these were all potentially preventable deaths. The study aims are therefore to: 1. Measure the contributions of delay in seeking treatment and inadequate inital treatment to the need for treatment of skin cancer at an advanced stage. 2. Ascertain the factors that are associated with delay in seeking treatment for skin cancer until it has reached an advanced stage. This study will be the first substantial and population-based study of advanced skin cancer and the factors that underlie it. It will give the first empirical guidance to the design of initiatives to prevent the development of advanced skin cancer, a major area of cost to Australian health services. The study will increase understanding of why some skin cancers are not treated definitively until they reach an advanced stage and guide the development of interventions to reduce the frequency of patients who present with advanced stage skin cancer.Read moreRead less
To Investigate Rates Of Peritonitis In Incident Peritoneal Dialysis Patients In Australia And Perform A Pilot Study Aimed At Reducing These Rates
Funder
National Health and Medical Research Council
Funding Amount
$92,314.00
Summary
Overall aims: To establish how much variation in PD practice exists between renal units in Australia; to establish current practice in 8 units; to perform an intervention study in 8 units; to analyse registry data re peritonitis in PD patients; to conduct interviews with PD patients who have had peritonitis. Expected outcomes: To establish if practice variation is associated with peritonitis rates; to see if active guideline implementation leads to better peritonitis rates; to establish the reas ....Overall aims: To establish how much variation in PD practice exists between renal units in Australia; to establish current practice in 8 units; to perform an intervention study in 8 units; to analyse registry data re peritonitis in PD patients; to conduct interviews with PD patients who have had peritonitis. Expected outcomes: To establish if practice variation is associated with peritonitis rates; to see if active guideline implementation leads to better peritonitis rates; to establish the reasons why therapy fails.Read moreRead less
Improving The Prevention And Clinical Management Of Infectious Diseases
Funder
National Health and Medical Research Council
Funding Amount
$236,146.00
Summary
Modern methods of analysis employ complex tools that are not always available or easily understood by doctors making decisions. The dosing of antibiotics is usually constant, even though known factors influence its effectiveness. Similarly, how effective vaccines are can be estimated from routinely available data. This project will develop tools and strategies to assist doctors and public health authorities make the best decisions by improving the analysis of existing data.
Centre Of Research Excellence On Sitting Time And Chronic Disease Prevention – Mechanisms, Measurement And Interventions
Funder
National Health and Medical Research Council
Funding Amount
$2,657,874.00
Summary
Australian research has identified serious health consequences arising from the 7 to 10 hours of daily sitting that most people do, especially in relation to ‘diseases of inactivity’ – type 2 diabetes, coronary heart disease and breast and colon cancer – that are an unwelcome burden on individuals, families and health systems. This new research examines the practical feasibility and the preventive-health benefits of changing children’s and adults’ sitting time in schools, workplaces and the home ....Australian research has identified serious health consequences arising from the 7 to 10 hours of daily sitting that most people do, especially in relation to ‘diseases of inactivity’ – type 2 diabetes, coronary heart disease and breast and colon cancer – that are an unwelcome burden on individuals, families and health systems. This new research examines the practical feasibility and the preventive-health benefits of changing children’s and adults’ sitting time in schools, workplaces and the home environment.Read moreRead less
Unlocking The Health Effects Of Sitting To Reduce Chronic Disease
Funder
National Health and Medical Research Council
Funding Amount
$638,517.00
Summary
This fellowship involves a series of studies that will fill gaps in evidence to inform national and international public health and clinical guideline recommendations on sitting time. It will provide crucial evidence on dose-response relationships, underlying mechanisms and the feasibility of making the relevant behavioural changes, providing more-precise evidence-based contributions to the development of public health policy and guidelines on sitting time.
Centre Of Research Excellence In Cognitive Health: Evidence, Intervention And Population Modelling
Funder
National Health and Medical Research Council
Funding Amount
$2,499,872.00
Summary
Cognitive health is essential for productivity at all ages. Common chronic diseases such as diabetes, and risk factors such as smoking, can reduce cognitive function and increase risk of cognitive decline. Our Centre aims to build evidence about the things that impact on cognitive health and lead to cognitive decline; to develop methods of reducing cognitive decline; and to measure the impact of cognitive impairment at the national level to inform the government on costs and planning.
Generating Evidence Of Reduced Rates Of Overweight/obesity In Children: Value Adding To Four Established Australasian Early Intervention Trials
Funder
National Health and Medical Research Council
Funding Amount
$193,758.00
Summary
Childhood obesity is a major health problem. Trials are now being done to see whether helping families when their baby is young will reduce the rate of overweight children. We will combine data from these trials (1800+ children) to see if the programs work. To get maximum information we need to combine the line-by-line raw data from each patient in each trial. This is called an individual patient data meta-analysis. It is the best method for finding reliable answers to important health issues.
Providing The Evidence To Guide Adult Immunisation Strategies
Funder
National Health and Medical Research Council
Funding Amount
$492,414.00
Summary
Australia's population is ageing and strategies to improve health in older adults are necessary to prevent an increasing burden on our health system. Adult vaccination is a relatively under-researched area with great potential to prevent disease in the population. This project focuses on four common vaccine preventable disease in adults, herpes zoster (shingles), influenza, invasive pneumococcal disease and pertussis. It will identify what their impact is on the health system and what groups of ....Australia's population is ageing and strategies to improve health in older adults are necessary to prevent an increasing burden on our health system. Adult vaccination is a relatively under-researched area with great potential to prevent disease in the population. This project focuses on four common vaccine preventable disease in adults, herpes zoster (shingles), influenza, invasive pneumococcal disease and pertussis. It will identify what their impact is on the health system and what groups of adults would benefit most from vaccination.Read moreRead less