Improving Quality Of Care For People With Dementia In The Acute Care Setting
Funder
National Health and Medical Research Council
Funding Amount
$1,859,855.00
Summary
People with dementia are often undetected in hospital. This can result in problems which impact their long-term health and wellbeing. An electronic nursing assessment system for people admitted to hospital which reduces nursing admission documentation time, increases identification of patients with cognitive impairment and risk of delirium on admission, supports care planning and increases time for direct clinical care will improve the quality of care for patients with dementia in hospital.
Cognitive Impairments And Post Traumatic Stress Symptoms In Children With Traumatic Brain Injury: A Longitudinal Study
Funder
National Health and Medical Research Council
Funding Amount
$482,250.00
Summary
Traumatic brain injury in children is common with more than 2000 new cases a year in Queensland and Victoria alone. Many children who experience a brain injury go on to have long-term difficulties such as significant educational and social problems. Post-traumatic stress occurs in children following traumatic physical injury. However it is not clear to what extent this is so for children who have received a traumatic brain injury. Furthermore, when there is a traumatic brain injury and traumatic ....Traumatic brain injury in children is common with more than 2000 new cases a year in Queensland and Victoria alone. Many children who experience a brain injury go on to have long-term difficulties such as significant educational and social problems. Post-traumatic stress occurs in children following traumatic physical injury. However it is not clear to what extent this is so for children who have received a traumatic brain injury. Furthermore, when there is a traumatic brain injury and traumatic stress, it is not clear how these interact, how they influence long-term outcomes, and what factors such as pre-injury functioning and family support and distress mediate outcomes. These issues are very important since effective rehabilitation of children following traumatic brain injury is essential to maximise long-term functioning and minimise disability. To be effective, rehabilitation must be guided by the knowledge about key factors that determine the recovery process. This study aims to provide answers to these questions by following two cohorts of children (aged 6-14) over 18 months after receiving a traumatic brain injury. In total 240 children will be recruited from Brisbane and Melbourne hospitals. They will be assessed at three, six, twelve and eighteen months post-injury using measures of cognitive, psychological and social functioning. Information on parent distress and behaviours will also be obtained. The information obtained will provide the basis for the development of a specific rehabilitation strategy for children with traumatic brain injury, including information on strategies to help prevent any confounding impact of post-traumatic stress on recovery.Read moreRead less
Benefit Of 2D-strain Surveillance In Improving Cardiovascular Outcomes In Cancer Patients Undergoing Cardiotoxic Chemotherapy
Funder
National Health and Medical Research Council
Funding Amount
$2,391,979.00
Summary
Cancer survivors are susceptible to heart failure (HF) caused by heart muscle damage from chemotherapy. The current testing for this problem is based on a measure that cannot identify minor changes of cardiac function. Cardiac strain is a sensitive new marker of cardiac function which is predictive of overt dysfunction & HF. This study seeks to identify whether strain can be used to assign treatments that lead to improved cardiac function and are eventually associated with a reduction in HF.
This study investigates how much an individual's genes and environment account for the wide variation in brain structure and function. Using brain imaging we examine in what way the connectivity of the brain of identical and non-identical twins is the same or different from that of their co-twin, and carry out analysis of their DNA to identify some of the genes involved. This will provide fundamental information on genetic mechanisms influencing variation in brain structure and function.
Validation Of Cognitive Assessments Using Telecommunication
Funder
National Health and Medical Research Council
Funding Amount
$257,261.00
Summary
This project will assess the use of video conferencing to enable geriatricians to assess and diagnose memory problems including dementia. Establishing the reliability of diagnosis and other related assessments, and identifying which functions can confidently be carried out via video conferencing, is one step towards extending the availability of this service to rural and remote communities. Access to accurate diagnosis and assessment of cognitive impairment is an important step in the management ....This project will assess the use of video conferencing to enable geriatricians to assess and diagnose memory problems including dementia. Establishing the reliability of diagnosis and other related assessments, and identifying which functions can confidently be carried out via video conferencing, is one step towards extending the availability of this service to rural and remote communities. Access to accurate diagnosis and assessment of cognitive impairment is an important step in the management of dementia, Alzheimer's disease and other associated disorders. High level expertise, such as that offered by a specialist Memory Disorder Clinic, is particularly important if there is uncertainty about the diagnosis, or if the prescription of cholinesterase inhibitors and associated medications are being considered. It was estimated that in 2005 there were 52,000 people diagnosed with dementia in Australia and by 2050 there will be an additional 175,000 cases each year. For the vast number of people who will be affected by dementia, early detection and intervention will play an important role in their healthy ageing experience. Access to accurate diagnosis and advice as a function of detection and intervention is often not as freely available to people in rural areas. The experience of travelling long distances for assessment can be detrimental to the emotional well being of people who may have dementia. Access to geriatrician services in a local rural area is an important element to maintaining their sense of well being. Geriatricians are not commonly available in rural areas which means current access to specialist diagnosis and assessment is either a missed opportunity or involves extensive travel. Internationally, there are many individuals living in remote regions with no access to geriatrician services, or reliable cognitive assessment. This study will inform similar experiments in other cultural settings.Read moreRead less
Discovery Indigenous Researchers Development - Grant ID: DI100100130
Funder
Australian Research Council
Funding Amount
$180,834.00
Summary
Developing predictive tools for rapid assessment of multiple impacts, including climate change, on the marine ecosystem of Torres Strait (Australia). This project will underpin Australia's long-term commitment to maintain environmental biodiversity and sustainability in the face of synergistic effects from multiple threats. We will describe the consequences of threats and stressors on marine processes, harvested resources, and ecosystem functioning by identifying vulnerable species and habitats. ....Developing predictive tools for rapid assessment of multiple impacts, including climate change, on the marine ecosystem of Torres Strait (Australia). This project will underpin Australia's long-term commitment to maintain environmental biodiversity and sustainability in the face of synergistic effects from multiple threats. We will describe the consequences of threats and stressors on marine processes, harvested resources, and ecosystem functioning by identifying vulnerable species and habitats. We will provide management advice on balancing cultural and ecosystem integrity, economic efficiency, and ecosystem resilience under scenarios of climate and environmental change. This information is of immediate use by Australian government agencies. The project will put Australian scientists at the forefront of research focused on the adaptation of marine ecosystems to synergistic effects.Read moreRead less
Australian Laureate Fellowships - Grant ID: FL190100062
Funder
Australian Research Council
Funding Amount
$3,130,000.00
Summary
A new functional approach to coral reefs. This project aims to identify the key ecosystem functions that are needed to sustain coral reefs and determine their susceptibility to disturbance. Around the world coral reefs are changing fast, challenging traditional scientific, management, and governance approaches. This project plans to address this challenge by implementing a new, functional, approach exploiting a unique combination of evolutionary and ecological methodologies. Expected outcomes in ....A new functional approach to coral reefs. This project aims to identify the key ecosystem functions that are needed to sustain coral reefs and determine their susceptibility to disturbance. Around the world coral reefs are changing fast, challenging traditional scientific, management, and governance approaches. This project plans to address this challenge by implementing a new, functional, approach exploiting a unique combination of evolutionary and ecological methodologies. Expected outcomes include a global overview of ecosystem function and an in-depth understanding of how ecosystems change over time. This is likely to result in specific, and practical, management objectives by identifying crucial ecosystem functions that support reefs and the people who rely on them. Read moreRead less
Emotion regulation in daily life: Capturing context and flexibility. This project aims to understand the role of contextual and individual factors in effective emotion regulation in daily life. The ability to manage emotions is central to virtually every aspect of psychosocial functioning and wellbeing. However, because research in this domain has relied heavily on laboratory methods, very little is known about emotion regulation as it naturally occurs in daily life. Using cutting-edge mobile te ....Emotion regulation in daily life: Capturing context and flexibility. This project aims to understand the role of contextual and individual factors in effective emotion regulation in daily life. The ability to manage emotions is central to virtually every aspect of psychosocial functioning and wellbeing. However, because research in this domain has relied heavily on laboratory methods, very little is known about emotion regulation as it naturally occurs in daily life. Using cutting-edge mobile technologies, this project aims to uncover when, and for whom, various forms of emotion regulation are most effective in daily life. Besides a significantly improved scientific understanding of emotion regulation, this project is expected to inform the development of novel person - and situation-specific interventions in the many applied domains involving emotion regulation.Read moreRead less
Ecosystem risk assessment. This project aims to develop a type-based framework for the world's ecosystems, and undertake the first broad-scale global risk assessment for ecosystems. It will include detailed Australian risk assessments and scenario analyses to develop sustainable management of ecosystem services and climate adaptation strategies. The outcomes include a global-scale framework for classifying terrestrial, freshwater and marine ecosystems, the first global Red List of Ecosystems and ....Ecosystem risk assessment. This project aims to develop a type-based framework for the world's ecosystems, and undertake the first broad-scale global risk assessment for ecosystems. It will include detailed Australian risk assessments and scenario analyses to develop sustainable management of ecosystem services and climate adaptation strategies. The outcomes include a global-scale framework for classifying terrestrial, freshwater and marine ecosystems, the first global Red List of Ecosystems and identified priorities for protecting remaining wild ecosystems and restoring those that have suffered degradation. This will help meet UN Sustainable Development Goals to improve human well-being globally.Read moreRead less
Promoting resilience of ecosystems through connectivity. The resilience of ecosystems in the face of major environmental disturbances is emerging as a major concern for modern ecology. Connectivity of ecosystem components is a critically important element of ecosystem function and should, theoretically, be central to system resilience. The relationship between connectivity and resilience, however, remains poorly substantiated by empirical data. By manipulating connectivity in laboratory experime ....Promoting resilience of ecosystems through connectivity. The resilience of ecosystems in the face of major environmental disturbances is emerging as a major concern for modern ecology. Connectivity of ecosystem components is a critically important element of ecosystem function and should, theoretically, be central to system resilience. The relationship between connectivity and resilience, however, remains poorly substantiated by empirical data. By manipulating connectivity in laboratory experiments using a well-understood model marine system, the project aims to determine how connectivity affects resilience. It could provide a crucial step towards integrating connectivity into management and conservation of natural resources.Read moreRead less