Bisphosphonate Treatment Of Childhood Femoral Head Avascular Necrosis Due To Perthes Disease
Funder
National Health and Medical Research Council
Funding Amount
$1,368,242.00
Summary
Perthes disease (PD) occurs following loss of blood supply to the hip (femoral head). It is a severe childhood disorder with over 250 new cases per year in Australia. PD results in flattening of the normally round femoral head and painful arthritis. The hip becomes flat because the bone is eaten by cells called osteoclasts. We will test if a medicine aimed at stopping these osteoclasts can prevent hip flattening. This should decrease the risk of arthritis and the need for hip replacement.
Estimation Of Transient Increases In Bleeding Risk Associated With Physical Activity In Children With Haemophilia
Funder
National Health and Medical Research Council
Funding Amount
$102,143.00
Summary
Haemophilia A and B are genetic conditions which affect 1 in 7,000 males in Australia. These disorders cause frequent bleeding due to problems with the clotting factor in blood. Over the past decade there has been a move to administer clotting factor to children with haemophilia in order to prevent bleeds and the consequent damage to joints that occurs when bleeds occur in a joint. Participation in vigorous physical activity and sport is thought to increase the risk of bleeding. Because of this, ....Haemophilia A and B are genetic conditions which affect 1 in 7,000 males in Australia. These disorders cause frequent bleeding due to problems with the clotting factor in blood. Over the past decade there has been a move to administer clotting factor to children with haemophilia in order to prevent bleeds and the consequent damage to joints that occurs when bleeds occur in a joint. Participation in vigorous physical activity and sport is thought to increase the risk of bleeding. Because of this, children are often given clotting factor prior to playing sport. However clotting factor is extremely expensive. For example, a boy wanting to play tennis three times a week would require three injections of cIotting factor per week at a cost of approximately $250,000 a year. To date there is no good evidence about which physical activities are likely to increase the risk of bleeding. If this information was available clinicians would be able to optimise timing of administration of clotting factor so that it is administered prior to activities associated with high risk of bleeds. Another reason to quantify risk of bleeds associated with activity is to inform decisions about participation in physical activity. Every boy with haemophilia wants to know if he can play sport or ride a skateboard or jump on a trampoline. Informed decisions about participation require accurate estimates of risk. This study will use an innovative design to provide, for the first time, accurate estimates of the risk of bleeding associated with physical activity. This information will form the basis for clinical practice guidelines regarding participation in physical activity.Read moreRead less
Towards An Evidence-Based Model Of Paediatric Palliative Care
Funder
National Health and Medical Research Council
Funding Amount
$73,722.00
Summary
The aim of this study is to improve the evidence base in paediatric palliative care by determining: How families come to realise the need for palliative care; How health professionals (paediatricians, general practitioners, palliative care workers) come to realise the need for palliative care; What aspects of palliative care are of greatest value to dying children and their families; How families experience the service system as it is currently configured including community-based palliative car ....The aim of this study is to improve the evidence base in paediatric palliative care by determining: How families come to realise the need for palliative care; How health professionals (paediatricians, general practitioners, palliative care workers) come to realise the need for palliative care; What aspects of palliative care are of greatest value to dying children and their families; How families experience the service system as it is currently configured including community-based palliative care providers; The degree to which the views of health professionals accord with those of parents, and the extent to which this influences perceived quality of service delivery; and If, and to what extent the needs of children with malignant conditions differ from those with non-malignant conditions.Read moreRead less
Orthopaedic medicine utilises precise control of critical aspects of the bone healing response. This proposal looks at a novel, and powerful neural-based method for controlling these processes. This will be done by modulating the activity of the neuropeptide Y1 receptor, recently identified on osteoblastic cells and capable of powerful, inverse regulation of bone formation activity. Harnessing these effects will provide a critical tool for existing surgical practice.
Printhotics: A Digital Solution To Optimise Personalised Children’s Orthotic Devices
Funder
National Health and Medical Research Council
Funding Amount
$645,205.00
Summary
Ankle-foot orthoses (AFOs) are custom plastic braces worn around the foot and ankle that are crucial for the daily function of children with nerve, muscle and brain disorders. However, AFO usage is limited by significant wait times, poor adherence and a disconnect with patient preferences. My project, Printhotics, will generate novel AFO designs and production methods based on a concurrent discovery pipeline of co-design, 3D scanning, machine learning, and 3D printing.
ARDAC Second Phase Study : Antecedents Of Renal Disease In Aboriginal Children And Young Adults
Funder
National Health and Medical Research Council
Funding Amount
$86,570.00
Summary
Kidney disease is over-represented within Indigenous communities across Australia. Through screening 2000 participants, aged between 10 and 20 years of age, for risk factors of kidney disease this study will establish the number of young Indigenous people within NSW who show risk factors for kidney disease and add significant information to the natural history of chronic kidney disease. It is a follow on from the successful first phase study.
I am investigating several areas relating to Paediatric surgery in particular the quality and coverage of paediatric surgical trials. The context for this study is to evaluate the current state of paediatric surgical research for methodological rigour, aiming to establish an evidence base and agenda for future trials to improve outcomes in paediatric surgery. The project will involve epidemiological methodology studies and systematic reviews, data linkage and analysis of existing study datasets.
Biomechanics of the human spine measured using magnetic resonance imaging. Statistics show that 80% of the population suffer back pain at some time. However, because the spine is very complex our understanding of its mechanics and the causes of back pain are still limited. This project will investigate the anatomy and activity of the spinal muscles and the behaviour of the intervertebral disc in living subjects using innovative Magnetic Resonance Imaging techniques. Significant outcomes will be ....Biomechanics of the human spine measured using magnetic resonance imaging. Statistics show that 80% of the population suffer back pain at some time. However, because the spine is very complex our understanding of its mechanics and the causes of back pain are still limited. This project will investigate the anatomy and activity of the spinal muscles and the behaviour of the intervertebral disc in living subjects using innovative Magnetic Resonance Imaging techniques. Significant outcomes will be new definitive descriptions of the detailed anatomy of the spine and its mechanisms. This will enhance the accuracy and detail of models under development for predicting spinal function following disease, injury or surgical procedures.Read moreRead less
Bilayered and growth factor-loaded composite scaffolds for the guided bi-differentiation of bone marrow stem cells. The project will regenerate bone-cartilage (osteochondral) tissues using scaffolds, growth factors, and stem cells in order to repair osteochondral defects. The project will improve the quality of life for ~1.4 million Australians suffering from joint pain and disability due to damage or disease of cartilage and subchondral bone. The project will promote Australia research strength ....Bilayered and growth factor-loaded composite scaffolds for the guided bi-differentiation of bone marrow stem cells. The project will regenerate bone-cartilage (osteochondral) tissues using scaffolds, growth factors, and stem cells in order to repair osteochondral defects. The project will improve the quality of life for ~1.4 million Australians suffering from joint pain and disability due to damage or disease of cartilage and subchondral bone. The project will promote Australia research strength in biomaterials, tissue engineering, and drug delivery. The project will also create research opportunities for PhD students, who will be equipped with interdisciplinary skills.Read moreRead less