Cognitive Outcome And Therapeutic Interventions For Coronary Artery Disease.
Funder
National Health and Medical Research Council
Funding Amount
$392,104.00
Summary
Dementia is recognized as an increasingly important factor affecting quality of life as people age. Deaths from heart disease are declining, in part due to improved surgical techniques and to the use of less invasive methods to keep arteries open such as coronary stenting. It is now well known that 20 to 60% of patients experience some degree of impairment in thinking ability (cognitive impairment) after cardiac surgery, that this will persist in some of these individuals for years and may incre ....Dementia is recognized as an increasingly important factor affecting quality of life as people age. Deaths from heart disease are declining, in part due to improved surgical techniques and to the use of less invasive methods to keep arteries open such as coronary stenting. It is now well known that 20 to 60% of patients experience some degree of impairment in thinking ability (cognitive impairment) after cardiac surgery, that this will persist in some of these individuals for years and may increase the risk of long-term problems. Cognitive impairment affects people in many ways. While it is not yet known whether the occurrence of cognitive impairment predisposes to dementia, it is thought that Mild Cognitive Impairment (MCI) may do so. We propose to explore the link between MCI and Post Procedural Cognitive Deficit (PPCD) in patients with coronary disease from before the first point of objective diagnosis, i.e. prior to the coronary angiogram, and over a 12-month period, through and subsequent to further treatment interventions such as stenting or cardiac surgery. Our Pilot data suggest that PPCD does indeed occur after angiography, and we propose to identify how long this lasts, whether MCI predisposes to it and whether it is better to wait until it resolves before further interventions are undertaken. In this way we hope to identify the safest treatment strategy for patients with coronary disease that will minimize the occurrence of Cognitive Deficit and possibly longer-term cognitive changes after investigation and treatment for their symptoms.Read moreRead less
Functional Electrical Stimulation Assisted Cycling (eStimCycle):A Novel Intervention To Improve Outcomes In The Critically Ill
Funder
National Health and Medical Research Council
Funding Amount
$868,811.00
Summary
The legacy of critical illness leaves millions of survivors worldwide with long lasting deficits in physical and brain function as well as anxiety, depression and post-traumatic stress disorder. Early rehabilitation may prevent or minimise these effects. This study evaluates the effectiveness of functional electrical stimulation of muscles with assisted in-bed cycling (eStimCycle) on muscle bulk, strength, physical and brain function at hospital discharge, 6 and 12 months.
The ability of humans to detect and be aware of errors in behaviour is a fundamental aspect of human cognition. As the saying goes: "To Err Is Human". This project seeks to understand how individual differences in our genetic makeup contribute to our ability to detect and be aware of errors in our behaviour. Understanding the biological systems underpinning error monitoring may assist in the treatment of many psychiatric disorders which are marked by poor awareness of behaviour.
Using eye movements to study how past experiences shape expectations. We intend to examine how the brain decides where to look next with our eyes, a decision made approximately three times every second. Understanding how the normal brain makes decisions will in turn help us to understand what happens when things go wrong in diseases like dementia and Parkinson's disease, with the hope of better - and earlier - diagnosis, and improved monitoring of treatment. In addition, our research will establ ....Using eye movements to study how past experiences shape expectations. We intend to examine how the brain decides where to look next with our eyes, a decision made approximately three times every second. Understanding how the normal brain makes decisions will in turn help us to understand what happens when things go wrong in diseases like dementia and Parkinson's disease, with the hope of better - and earlier - diagnosis, and improved monitoring of treatment. In addition, our research will establish an important research link with The University of Cambridge, and allow Australia to be competitive with laboratories in North America and Europe that are currently studying how the brain makes decisions about where to look.Read moreRead less
Getting back on track after the unexpected happens: decision making in predictable and unpredictable environments. This project intends to examine how the brain decides where to look next with our eyes, a decision made approximately three times every second. Understanding how the normal brain makes decisions will in turn help us to understand what happens when things go wrong in diseases like dementia and Parkinson's disease.
Advancement Of A Personalised Approach To Minimising Infective Complications In Cancer Care
Funder
National Health and Medical Research Council
Funding Amount
$265,138.00
Summary
Managing infections in patients with cancer have become more difficult and unpredictable because of new generation cancer therapies. Measuring the response of the immune system (immune profiling) will allow us to predict which patients will develop infection so that action such as vaccination can be taken to reduce their risk. This program will refine immune profiling to personalise infection care for cancer patients and to introduce it into hospital practice.
Signaling Pathways To Enhance Potency Of AMPK-targeting Drugs
Funder
National Health and Medical Research Council
Funding Amount
$661,966.00
Summary
Sedentary lifestyles and consumption of high energy foods has led to epidemics of obesity-related metabolic diseases that place enormous financial and medical burden on the Australian economy. An attractive drug target to treat these diseases is AMP-activated protein kinase (AMPK) which functions as both a cellular fuel gauge and co-ordinator of whole-body metabolism. Our goal is to improve AMPK drug potency by identifying novel processes that sensitize AMPK to drugs.
UTILITY OF NOVEL BIOMARKERS IN THE PREDICTION OF MAJOR COMPLICATIONS OF TYPE II DIABETES MELLITUS
Funder
National Health and Medical Research Council
Funding Amount
$510,639.00
Summary
Diabetes is increasingly common. It can cause a variety of complications, the most serious being heart and kidney disease. The reasons why some patients develop such complications are not fully understood so it is difficult to predict who will be affected. The current project will use samples from a large international study of patients with diabetes to assess whether levels of specific markers in the blood help to predict major complications and clarify why they occur.
A computational and experimental investigation of reading aloud: Dyslexia, disyllables, and beyond. Australia is a world leader in computational cognitive science, particularly with respect to language processing. This project will help maintain and extend this position. Insights from the project will help us understand the processes that underlie both normal reading and reading disorders, particularly in areas that are comparatively neglected yet extremely important, such as how people read wor ....A computational and experimental investigation of reading aloud: Dyslexia, disyllables, and beyond. Australia is a world leader in computational cognitive science, particularly with respect to language processing. This project will help maintain and extend this position. Insights from the project will help us understand the processes that underlie both normal reading and reading disorders, particularly in areas that are comparatively neglected yet extremely important, such as how people read words of more than one syllable. Given that everyone in Australian needs to learn to read and that acquired and developmental disorders of reading are common, providing the theoretical base on which the processes involved in reading can be understood (and hence learnt and remediated most effectively) is of utmost importance.Read moreRead less
Effects Of Replacement And Withdrawal Of Testosterone In Human Males On Muscle, Bone And Fat
Funder
National Health and Medical Research Council
Funding Amount
$156,682.00
Summary
Male sex hormone or androgen deficiency (AD) is a common, but under-diagnosed condition. AD decreases well being and contributes to muscle weakness, bone fragility and weight gain. Cutting edge technology will be used to help explain how AD may relate to these negative effects, particularly on muscle function. Given the importance of aging, frailty, osteoporosis and obesity, understanding the role of hormones in these conditions may have major implications for prevention and treatment.