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Research Topic : Complex interventions
Scheme : NHMRC Project Grants
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  • Funded Activity

    The Receptor-associated Protein (RAP) As A Molecular Chaperone For The Amyloid Protein (Abeta) Of Alzheimers Disease

    Funder
    National Health and Medical Research Council
    Funding Amount
    $402,403.00
    Summary
    Our research will examine the role of a protein known as the receptor-associated protein (RAP) in Alzheimer's disease. We will determine whether the protein contributes to the progression of Alzheimer's disease and we will examine the possiblity that that RAP may be used as a drug to treat the disease. The project could potentially have direct benefit for patients by leading to an effective treatment for dementia associated with Alzheimer's disease.
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    Funded Activity

    Alcohol Control, Consumption And Consequences: Time Series Analyses Of The Australian Experience

    Funder
    National Health and Medical Research Council
    Funding Amount
    $308,631.00
    Summary
    The study will be the first in Australia to systematically examine the relationships between population level alcohol consumption and mortality from specific causes such as liver disease, injuries and heart disease, with significant implications for epidemiology and health policy. The study will also undertake rigorous evaluations of the impact of historic changes to alcohol policies, which will provide evidence which can be used to guide future alcohol policy.
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    Funded Activity

    Developing And Applying Biologically Plausible Statistical Models For Normal And Non-normal Family Data

    Funder
    National Health and Medical Research Council
    Funding Amount
    $339,700.00
    Summary
    Although molecular and computing advances have enabled more detailed investigations of inherited diseases and the ability to fit realistic statistical models to these data, limitations still exist when analysing family data. Often only basic statistical analyses are performed, due to the lack of understanding of complexities within the data and-or inability of researchers to fit appropriate statistical models. These factors have hampered the search for genes and environmental factors influencing .... Although molecular and computing advances have enabled more detailed investigations of inherited diseases and the ability to fit realistic statistical models to these data, limitations still exist when analysing family data. Often only basic statistical analyses are performed, due to the lack of understanding of complexities within the data and-or inability of researchers to fit appropriate statistical models. These factors have hampered the search for genes and environmental factors influencing common diseases. This project aims to develop novel, biologically realistic statistical models for investigation of common, complex diseases, such as heart disease and cancer, in families. These models will incorporate both measured and unmeasured genetic and environmental factors, and will be applicable to both normally distributed and non-normally distributed traits. Model fitting will use computer-intensive simulation techniques. Application of the models to data from two large pre-existing studies of international renown, the Victorian Family Heart Study and the Australian Prostate Cancer Family Study, will enable a better understanding of the genetic and environmental factors influencing heart disease and cancer. The models will also be applicable to many other studies of diseases which use data from families, and allow more accurate and useful information to be obtained from data. Software will also be made freely available to other researchers. This will ultimately translate into better outcomes from familial genetic research, and eventually, better prevention, detection, and treatment of the diseases.
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    Funded Activity

    Buckle Up Safely: Pre-school Based Interventions For Appropriate Use Of Child Restraints.

    Funder
    National Health and Medical Research Council
    Funding Amount
    $731,552.00
    Summary
    Despite overwhelming evidence that child restraints dramatically reduce the risk of death and injury there are currently a large number of children globally who either do not use appropriate child restraints, or misuse them, contributing to the overwhelming burden of road traffic injury in children. This project, using rigorous methodology, will assess the efficacy of feasible, evidence based interventions aimed at increased use of appropriate restraints, and decreasing misuse.
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    Funded Activity

    Economic Evaluation Of PRISM: A Community Based Intervention Trial

    Funder
    National Health and Medical Research Council
    Funding Amount
    $512,845.00
    Summary
    This project evaluates the costs and outcomes of PRISM (Program of Resources, Information and Support to Mothers). PRISM is a community based intervention designed to promote the physical and mental health of mothers. This research project seeks to evaluate the costs and outcomes of the PRISM intervention in order to help inform judgements about its value. PRISM is being introduced in 8 local communities in Victoria with a further 8 communities acting as comparators. The full costs of the interv .... This project evaluates the costs and outcomes of PRISM (Program of Resources, Information and Support to Mothers). PRISM is a community based intervention designed to promote the physical and mental health of mothers. This research project seeks to evaluate the costs and outcomes of the PRISM intervention in order to help inform judgements about its value. PRISM is being introduced in 8 local communities in Victoria with a further 8 communities acting as comparators. The full costs of the intervention will be measured as will the impact the intervention has on the physical and mental health of mothers. Estimates of the intervention's economic benefits, that is the value that community members attach to the intervention's main outcomes will also be ascertained. In this way it is possible to judge whether or not the benefits of PRISM are worth its costs. Advanced statistical techniques will be used to ascertain the extent to which improved health outcomes in mothers are determined by individual, organisational or community-level factors.
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    Funded Activity

    After Hours Medical Care And Personal Safety Needs Of Urban General Practitioners

    Funder
    National Health and Medical Research Council
    Funding Amount
    $73,250.00
    Summary
    Experiences of violence and aggression are widespread within the health care field. Episodes of violence and aggression against general practitioners (GPs) in their working environment are not uncommon. These incidents frequently go unreported and the toll they take on GPs, on a personal as well as a professional level, is unknown. The frequency and severity of violence experienced by some health professionals is extreme. Such experiences may undermine the confidence and commitment of GPs and ma .... Experiences of violence and aggression are widespread within the health care field. Episodes of violence and aggression against general practitioners (GPs) in their working environment are not uncommon. These incidents frequently go unreported and the toll they take on GPs, on a personal as well as a professional level, is unknown. The frequency and severity of violence experienced by some health professionals is extreme. Such experiences may undermine the confidence and commitment of GPs and may inevitably have detrimental effects on health care services. Studies in the UK indicate that violence against general practitioners is increasing, violence against GPs in rural areas of Australia is also increasing but there have been no comparable studies carried out in our major cities. This research aims to ask general practitioners working in a range of different urban areas around NSW to describe their experiences of dealing with violent and aggressive patients. The study will be the first of its kind in Australia to provide an important insight into the level of violent and aggressive behaviour GPs are subjected to in city areas. One of the key areas of concern that has been reported in medical journals and the general press has been an increase in attacks on GPs making house-calls, this project will therefore be particularly focussed on GPs who provide after hours care. This study is important so in order to find out exactly what the incidence of violence against our urban general practitioners is, what type of violence is actually occurring, where it is occurring, who the perpetrators are, and also what the longer term psychological effects of abuse against general practitioners may be. The findings from this study will be used by the Commonwealth Government and Health Departments to plan better ways of providing after hours medical care. The findings may also be used to educate GPs and medical students about safety in the workplace.
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    Funded Activity

    Regional Immunosuppression For Corneal Transplantation

    Funder
    National Health and Medical Research Council
    Funding Amount
    $268,264.00
    Summary
    Blindness exerts major physical, emotional and economic constraints and hardship upon the sufferer. Corneal transplantation is a well-accepted surgical treatment for visual impairment caused by opacification of the cornea, the transparent window at the front of the eye. Corneas for transplantation are retrieved from people who have recently died, after permission has been sought from the donor's family. Unfortunately, a significant proportion of corneal transplants fail because they are recogniz .... Blindness exerts major physical, emotional and economic constraints and hardship upon the sufferer. Corneal transplantation is a well-accepted surgical treatment for visual impairment caused by opacification of the cornea, the transparent window at the front of the eye. Corneas for transplantation are retrieved from people who have recently died, after permission has been sought from the donor's family. Unfortunately, a significant proportion of corneal transplants fail because they are recognized as foreign, and undergo rejection by the recipient. Once a corneal graft has failed, it is no longer transparent to light. A number of novel interventions are being developed to reduce the incidence of corneal graft rejection, but at present it is uncertain exactly how these should be delivered to the patient. The research described in this application is designed to discover how therapeutic agents and interventions can best be targeted, to prevent corneal graft rejection. Overcoming an unwanted immune response would improve the outcome of corneal transplantation by as much as thirty percent.
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    Funded Activity

    Streptococcal Inhibitor Of Complement Complex: May Be Associated With Glomerulonephritis

    Funder
    National Health and Medical Research Council
    Funding Amount
    $174,790.00
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    Funded Activity

    Molecular Characterisation Of Caveolae Formation And Function

    Funder
    National Health and Medical Research Council
    Funding Amount
    $325,732.00
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    Funded Activity

    Design And Analysis Of Interrupted Time Series Studies In Health Care Research: Resolution Of Methodological Issues

    Funder
    National Health and Medical Research Council
    Funding Amount
    $307,125.00
    Summary
    An interrupted time series (ITS) study involves a population observed on multiple occasions before and after the implementation of an intervention program. However, methods for statistical analysis and designing such studies have not been well developed and many statistical analyses of such studies are flawed. This proposal will investigate appropriate methods for design and analysis, and develop guidelines and software for its implementation by health researchers.
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