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  • Funded Activity

    Risk Of Brain Cancer From Exposure To Radiofrequency Fields In Childhood And Adolescence

    Funder
    National Health and Medical Research Council
    Funding Amount
    $708,426.00
    Summary
    Mobile phone use is increasing in Australia, especially among children and young adults. This study is the Australian arm of an international multi-centre study that will investigate exposure to radiofrequency radiation from mobile phone use during childhood and adolescence and later onset of brain tumours in people between the ages of 10 and 24 years. There is considerable community concern and scientific interest about possible health effects from mobile phone exposure in young people and this .... Mobile phone use is increasing in Australia, especially among children and young adults. This study is the Australian arm of an international multi-centre study that will investigate exposure to radiofrequency radiation from mobile phone use during childhood and adolescence and later onset of brain tumours in people between the ages of 10 and 24 years. There is considerable community concern and scientific interest about possible health effects from mobile phone exposure in young people and this multi-centre study will provide important information about such cancer risks.
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    Funded Activity

    Review Of Impact Of Regional Evidence-based Disease Management Program For Patients With Chronic Obstructive Airways Dis

    Funder
    National Health and Medical Research Council
    Funding Amount
    $10,000.00
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    Funded Activity

    Surveillance And Analysis Of Avian Influenza Viruses In Wild Birds In Australia

    Funder
    National Health and Medical Research Council
    Funding Amount
    $250,237.00
    Summary
    Birds are commonly infected with bird flu viruses but most of these viruses do not cause disease. However, certain types of bird flu viruses, such as the H5N1 strain, can cause severe illness and death in 100% of infected birds. There is currently an epidemic of H5N1 bird flu occurring in Asia. Occasionally humans become infected by bird to human transmission and since 2003, 130+ people have been infected with H5N1 resulting in 60+ deaths. There are 3 ways in which dangerous strains of the virus .... Birds are commonly infected with bird flu viruses but most of these viruses do not cause disease. However, certain types of bird flu viruses, such as the H5N1 strain, can cause severe illness and death in 100% of infected birds. There is currently an epidemic of H5N1 bird flu occurring in Asia. Occasionally humans become infected by bird to human transmission and since 2003, 130+ people have been infected with H5N1 resulting in 60+ deaths. There are 3 ways in which dangerous strains of the virus may be brought to Australia by; infected people, domestic birds and migratory wading birds. In order to monitor the import of these viruses by migratory birds we will catch and take samples from large numbers of these birds in important areas where they congregate close to humans and poultry farms. We will identify what types of bird flu viruses these birds are carrying and if the viruses are capable of causing disease in birds and humans. We will also see if they can be treated by the influenza drugs that we currently have and we will study these viruses to find new drug targets. These viruses are commonest in ducks. Migratory wading birds and local ducks live in the same habitats so there is the chance that the wading birds and ducks could pass the viruses to each other. There is an additional concern that non-disease causing viruses could mutate in ducks and become pathogenic and pass from bird to bird or even human to human transmission which could cause a major human epidemic of bird flu in Australia. So we will also take samples from local ducks that occur in the same areas as the wading birds and test them for viruses as well. Our results will show what kinds of viruses are being carried by wading birds and ducks and if these viruses are a danger to people and poultry. We can then manage important areas so that humans and poultry do not come into contact with these viruses.
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    Funded Activity

    Validation Of A Competency Assessment Method For Persons With Dementia

    Funder
    National Health and Medical Research Council
    Funding Amount
    $580,451.00
    Summary
    Deciding what if any aspects of their financial affairs a person with dementia or suspected dementia can responsibly manage is a difficult process for health and legal professionals as well as for guardianship boards and tribunals. This process is often stressful for the older person, and families can find deciding when to “take over” stressful. Also, having family members manage the older person’s assets may result in family conflict. There is a small amount of overseas research examining this .... Deciding what if any aspects of their financial affairs a person with dementia or suspected dementia can responsibly manage is a difficult process for health and legal professionals as well as for guardianship boards and tribunals. This process is often stressful for the older person, and families can find deciding when to “take over” stressful. Also, having family members manage the older person’s assets may result in family conflict. There is a small amount of overseas research examining this issue. However, no comprehensive and validated method exists internationally or in Australia to determine competency in this context. We will test a methodology for assessing the capacity of individuals to manage their own financial affairs where dementia is an issue. This method involves the use of a number of reliable and well-validated instruments measuring the older person’s mental state, anxiety levels, depression, and social vulnerability combined with an interview exploring the personal circumstances of the older adult in relation to their financial affairs. We will work with the Office of the Adult Guardian in Queensland to recruit participants and to verify both the utility and usability of our methodology with stakeholders (e.g. solicitors, the Office of the Adult Guardian). A comparison will be made between the results obtained in approximately 200 financial competency cases with the competency opinions independently arrived at by the Office of the Adult Guardian in Queensland. As a result of this research, we will be able to ascertain the viability and utility of this assessment method, improve the method as per the data gathered, and ultimately seek future funding to trial the methods across multiple jurisdictions (e.g. other states) and contexts (e.g. various cultural contexts).
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    Funded Activity

    Adouble-blind Placebo Contorolled Study Of Subcutaneous Ketamine In The Management Of Cancer Pain

    Funder
    National Health and Medical Research Council
    Funding Amount
    $50,000.00
    Summary
    Palliative care teams are studying an anaesthetic, ketamine, used at low doses for cancer pain which is not responsive to opioid drugs. Clinical experience suggests ketamine may help in neuropathic pain, which is due to nerve damage and is common in cancer. The study involves five days of treatment at three doses of ketamine, to see how well pain is controlled on each dose. The highest dose given will be that which gives good pain control. The study compares ketamine with a placebo, and patients .... Palliative care teams are studying an anaesthetic, ketamine, used at low doses for cancer pain which is not responsive to opioid drugs. Clinical experience suggests ketamine may help in neuropathic pain, which is due to nerve damage and is common in cancer. The study involves five days of treatment at three doses of ketamine, to see how well pain is controlled on each dose. The highest dose given will be that which gives good pain control. The study compares ketamine with a placebo, and patients keep on their usual pain medicines. Participants are randomised to have ketamine or the placebo. The study looks at pain control, quality of life, ketamine side effects, and change in need for usual pain medicines. This is the first national clinical study of a new palliative care research network, the Palliative Care Clinical Trials Collaborative (PaCCSC). It is hoped that if ketamine is proven safe and effective in difficult cancer pain, it will be more easily available for cancer patients.
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    Funded Activity

    Promoting Partnerships In Peer-led Self-management Of Chronic Disease

    Funder
    National Health and Medical Research Council
    Funding Amount
    $400,000.00
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    Funded Activity

    Production Of Nasal Filters: Enhanced Prophylactic Protection From Aerosol Exposure

    Funder
    National Health and Medical Research Council
    Funding Amount
    $147,000.00
    Summary
    Influenza is a highly contagious disease that is transmitted via infective secretions containing the virus. An infected person produces tiny droplets of these secretions when coughing, sneezing, and talking, and the droplets are disseminated into the air where they are subsequently inhaled by others. A common way of preventing such transmission is to wear a mask to prevent droplet inhalation. While such masks may greatly reduce exposure, they do not eliminate it, as some viruses can pass around .... Influenza is a highly contagious disease that is transmitted via infective secretions containing the virus. An infected person produces tiny droplets of these secretions when coughing, sneezing, and talking, and the droplets are disseminated into the air where they are subsequently inhaled by others. A common way of preventing such transmission is to wear a mask to prevent droplet inhalation. While such masks may greatly reduce exposure, they do not eliminate it, as some viruses can pass around the edges of masks, particularly if it fits poorly, and also a small percentage can pass through the filter material. While influenza is usually not a major health problem in the general community, the emergence of a more hazardous strain will place an additional burden on health care and other facilities, and requires the development and optimization of measures to minimize virus spread and protect those who are exposed. The aim of this project is to build small filters that can be worn in the nose to provide additional filtration of inhaled air. These filters would be worn in combination with a mask in high exposure circumstances, such as by health care workers when treating infected patients or could be used when a mask was not normally worn to provide effective and discreet protection, such as in crowded public places. Developing such filters builds on our experience of making small samplers worn in the nose to measure allergen exposure. This experience is combined with advanced filter materials developed by leading US researchers that permit the efficient filtration of particles as small as viruses. This project will be conducted in collaboration with a leading Australian design group, and we will design and evaluate such filters for their ability to capture virus and thus protect the wearer. The filters should provide an intuitive, effective and inexpensive method to be used in combination with other hygiene measures to increase personal protection from acquiring highly transmissible respiratory diseases, particularly influenza. We expect to have prototypes of the filters available in 6 months so that production can commence.
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    Funded Activity

    PEACH Study- Patient Engagement And Coaching For Health: An Intensive Treatment Intervention For Patients With Type 2 Di

    Funder
    National Health and Medical Research Council
    Funding Amount
    $499,263.00
    Summary
    This study uses practice nurses integrated in existing general practice structures to implement telephone coaching for patients with type 2 diabetes (T2D) in a disadvantaged community. This is an evidence based patient empowerment strategy designed to increase patient self-management and engagement with the health care system to improve health outcomes.
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    Funded Activity

    Prospective Longitudinal Study - Symptom Clusters & Their Effects - Physical & Psychogical Functioning Patients Metastat

    Funder
    National Health and Medical Research Council
    Funding Amount
    $149,599.00
    Summary
    People with advanced cancer often experience several concurrent debilitating symptoms, yet most symptom research focuses on the study of individual symptoms. This study aims to gain a better understanding of the patterns and effects of specific groups of symptoms across the trajectory of a patient's illness following diagnosis of advanced cancer. Such knowledge is critical to the development of more focused symptom assessment processes and more appropriately targeted interventions.
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    Funded Activity

    Primary Care: What Is Their Approach To Patients With Advanced Cancer And Those Who Require Radiotherapy

    Funder
    National Health and Medical Research Council
    Funding Amount
    $50,000.00
    Summary
    It is recommended that 50-60% of all cancer patients receive radiotherapy at some time in their disease. However, only 38% of all cancer patients receive radiotherapy in Australia. Advanced cancer patients may be missing out on radiotherapy because they are not referred for palliative radiotherapy. The specific aims of this study are to: Explore the primary care approach to patients with advanced cancer and particularly those who require radiotherapy; Define factors that influence how Australian .... It is recommended that 50-60% of all cancer patients receive radiotherapy at some time in their disease. However, only 38% of all cancer patients receive radiotherapy in Australia. Advanced cancer patients may be missing out on radiotherapy because they are not referred for palliative radiotherapy. The specific aims of this study are to: Explore the primary care approach to patients with advanced cancer and particularly those who require radiotherapy; Define factors that influence how Australian GPs respond to symptoms of advanced cancer; Map the patients’ perspective on current referral practice for palliative care. This project will be comprised of three stages: simulated consultations with GPs, survey of GPs and patient interviews. These methods will enable researchers to develop an understanding of the primary care approach to patients with advanced cancer and those who require radiotherapy and how patients with advanced disease are referred for treatment.
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