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  • Funded Activity

    Glycaemia-increasing Effects Of Sprinting In Type 1 Diabetes: Toward The Validation Of New Clinical Guidelines For Hypoglycaemia Prevention

    Funder
    National Health and Medical Research Council
    Funding Amount
    $600,323.00
    Summary
    Recently, we found that the risk of hypoglycaemia associated with moderate intensity exercise in type 1 diabetic individuals is opposed by one or several short sprints performed during or after exercise. Our goal is to examine if exercising several hours before sprinting decreases its protective effect, and whether sprinting may impair several hours later the counterregulatory responses to hypoglycaemia. Finally, we will determine if guidelines advocating the use of short sprints reduce the risk .... Recently, we found that the risk of hypoglycaemia associated with moderate intensity exercise in type 1 diabetic individuals is opposed by one or several short sprints performed during or after exercise. Our goal is to examine if exercising several hours before sprinting decreases its protective effect, and whether sprinting may impair several hours later the counterregulatory responses to hypoglycaemia. Finally, we will determine if guidelines advocating the use of short sprints reduce the risk of hypoglycaemia under free living conditions.
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    Funded Activity

    Evidence-based Recommendations For Interpregnancy Intervals In High-income Countries

    Funder
    National Health and Medical Research Council
    Funding Amount
    $423,305.00
    Summary
    This study will identify the optimal and harmful interpregnancy intervals for a range of maternal and child outcomes in three high-income countries. With a study population of more than 7.5 million births and a longitudinal study design that matches pregnancies to the same women, this study will inform new interpregnancy interval recommendations for high-income countries that will lead to a reduction in avoidable excess morbidities attributable to uninformed pregnancy planning.
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    Funded Activity

    CareTrack Aged: Appropriate Care Delivered To Australians Living In Residential Aged Care

    Funder
    National Health and Medical Research Council
    Funding Amount
    $1,157,722.00
    Summary
    Given Australia’s rapidly ageing population, keeping up with future demands and maintaining quality of care in residential aged care facilities (RACF) is vital. This study will assess whether care delivered is consistent with the evidence in 15 conditions that are frequently managed in RACFs. These will include delirium, dementia, depression, pain management and medication management. We will also assess the quality of life of residents in RACFs.
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    Funded Activity

    A Randomised Evaluation Of The Appropriateness Of Anatomic Coronary Investigation In Cardiac Injury/MI Type 2

    Funder
    National Health and Medical Research Council
    Funding Amount
    $2,516,561.00
    Summary
    Myocardial infarction occurring in the context of another concurrent illness is associated with a higher morbidity, and mortality than patients presenting with spontaneous myocardial infarction. Significant variation in the use of coronary angiography for the investigation of these patients exists, and currently no trial evidence or guidelines define best practice. This trial will establish the optimal investigation and treatment approaches for the care of this very common clinical condition.
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    Funded Activity

    A Randomised Controlled Trial Of A Web-based, Organisational Systems Change Intervention To Increase Childcare Service Adherence To Dietary Guidelines

    Funder
    National Health and Medical Research Council
    Funding Amount
    $1,044,145.00
    Summary
    To improve children's health, leading health agencies recommend that childcare services provide foods to children consistent with dietary guidelines. The majority of Australian childcare services however do not provide foods that meet these guidelines. Using the highest quality research design, this study will test the effectiveness of a web-based intervention in supporting childcare services to improve the nutritional quality of food provided to children in care.
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    Funded Activity

    Strengthening The Evidence Foundation For Public Health Guidelines

    Funder
    National Health and Medical Research Council
    Funding Amount
    $987,647.00
    Summary
    Public health guidelines should be based on rigorous evidence. If underlying studies are not sound, guidelines will not be credible or implemented. Dietary guidelines have been criticized for being biased. Our group studies bias across the whole research process – from the questions asked to the final publication. This project will measure the influence of bias at all stages in nutrition research in order to improve the evaluation of this research and the evidence base for dietary guidance.
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    Funded Activity

    Implementation Of A Novel Clinical Pathway Of Care For Common Musculoskeletal Disorders In Primary Care.

    Funder
    National Health and Medical Research Council
    Funding Amount
    $1,525,730.00
    Summary
    This project provides a solution to the burden musculoskeletal disorders in Australia. We will implement a novel clinical pathway of care that uses simple questionnaires to determine whether people will recover simply or require complex care. If simple, we provide people and their healthcare practitioner with guideline-based information developed by our expert team. If complex, we refer them to an expert physiotherapist who can undertake more complex assessments and direct care appropriately.
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    Funded Activity

    How Can We Accurately Predict Intra-cranial Injury In Children: The APIC Study

    Funder
    National Health and Medical Research Council
    Funding Amount
    $836,500.00
    Summary
    Head injuries are a common in children. Even a seemingly minor incident may cause serious brain injury. Whilst head computed tomography (CT) identifies all important injuries there is a growing recognition that radiation from CTs increases the risk of fatal brain cancers, especially in younger children. This study of 10,000 children with head injuries aims to investigate the best way to accurately predict which children should undergo a head CT, and which children do not require one.
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    Funded Activity

    Evaluation Of SCID-I In The Diagnosis Of Mental Disorders In Indigenous Australians

    Funder
    National Health and Medical Research Council
    Funding Amount
    $988,007.00
    Summary
    Current estimates of mental disease among Indigenous Australians are inadequate. This research will examine the use of a structured interview tool that is promoted globally for diagnosing mental disorders, and then use the tool to quantify the burden of mental illness among Indigenous Australians. The findings will provide accurate estimates of occurrence of mental disorders, thereby help inform policy making and planning of services for Indigenous Australians.
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    Funded Activity

    A Randomised Controlled Trial Of Aetiology Based Antiemetic Guidelines For Reducing Nausea In Advanced Cancer Patients.

    Funder
    National Health and Medical Research Council
    Funding Amount
    $1,152,116.00
    Summary
    Nausea is a problem that can be very distressing to patients, and one that is difficult to assess and manage in patients with advanced cancer due to its multiple potential causes for this group. This study aims to test the effectiveness of an intervention which uses available anti-nausea medication specifically targeted to the likely cause of nausea for that individual to reduce the severity and impact of the symptom. It also tests second line medicatioins where nausea is unrelieved.
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