Two out of three farmers are affected by hearing loss. Farmers as a group are particularly at risk as their workplace is also their home. They are also exposed to many different and unique sources of noise on farms. This project tests the hypothesis that participating in early intervention hearing services focussed towards farming families will contribute to (a) significant reduction in the impact of hearing loss on farmers and (b) educate and empower farmers on their capacity to reduce their no ....Two out of three farmers are affected by hearing loss. Farmers as a group are particularly at risk as their workplace is also their home. They are also exposed to many different and unique sources of noise on farms. This project tests the hypothesis that participating in early intervention hearing services focussed towards farming families will contribute to (a) significant reduction in the impact of hearing loss on farmers and (b) educate and empower farmers on their capacity to reduce their noise exposure.Read moreRead less
Neisseria Gonorrhoeae Antmicrobial Resistance: Detection And Propagation
Funder
National Health and Medical Research Council
Funding Amount
$435,129.00
Summary
Neisseria gonorrhoeae, the pathogen that causes gonorrhoea, has developed resistance to multiple classes of antibiotics. The last remaining class of antibiotics that can successfully be used for general treatment of gonorrhoea is extended spectrum cephalosporins (ESCs). However, we are now starting to see Neisseria gonorrhoeae isolates with early signs of ESC resistance. This research will use molecular technology and mathematical modelling to investigate Neisseria gonorrhoeae antimicrobial resi ....Neisseria gonorrhoeae, the pathogen that causes gonorrhoea, has developed resistance to multiple classes of antibiotics. The last remaining class of antibiotics that can successfully be used for general treatment of gonorrhoea is extended spectrum cephalosporins (ESCs). However, we are now starting to see Neisseria gonorrhoeae isolates with early signs of ESC resistance. This research will use molecular technology and mathematical modelling to investigate Neisseria gonorrhoeae antimicrobial resistance in Australia.Read moreRead less
Improving Breathing Support For Newborn Infants In Non-Tertiary Centres: The HUNTER Trial
Funder
National Health and Medical Research Council
Funding Amount
$1,203,844.00
Summary
Every year in Australia, thousands of newborn babies have breathing difficulties. Our trial will study a new, simple method of providing breathing support to newborn babies in special care nurseries, called high-flow (HF). HF is cheaper, easier to use, and more comfortable for babies than the current standard treatment, called CPAP. If HF is as good as CPAP at supporting babies' breathing, it will change practice in Australia and around the world.
The Development Of A Composite Index Of Need For Regional Maternity Services: The Australian Regional Birthing Index (ARBI)
Funder
National Health and Medical Research Council
Funding Amount
$486,975.00
Summary
the Australian Regional Birthing Index (ARBI) is to be developed in response to the National Maternity Services Plan recommendation for an index to guide the provision of maternity services in rural and remote Australia. This index uses the size, remoteness, and vulnerability of the community, plus lessons learnt from the Canadian rural birth index. An Expert Panel of experienced clinicians, health planners and policy makers and managers of services will guide and test the feasibility of impleme ....the Australian Regional Birthing Index (ARBI) is to be developed in response to the National Maternity Services Plan recommendation for an index to guide the provision of maternity services in rural and remote Australia. This index uses the size, remoteness, and vulnerability of the community, plus lessons learnt from the Canadian rural birth index. An Expert Panel of experienced clinicians, health planners and policy makers and managers of services will guide and test the feasibility of implementing this index.Read moreRead less
Preventing Hospital Readmission In A Regional Australian Hospital Setting
Funder
National Health and Medical Research Council
Funding Amount
$565,695.00
Summary
Hospitals face high levels of emergency presentations and demand for inpatient care particularly for Aboriginal Australian people from remote communities. Readmissions lead to overcrowded emergency departments and poorer patient outcomes. We will evaluate the efficacy of a multidimensional case-based management intervention linking hospital and primary health in a regional Australian hospital with the aim of reducing hospital readmission and improving patient outcomes.
New Strategies To Increase Testing And Treatment For Endemic Sexually Transmitted Infections In Remote Aboriginal Communities
Funder
National Health and Medical Research Council
Funding Amount
$982,228.00
Summary
We will undertake a trial of two new approaches to increase the number of people being tested for curable sexually transmitted infection in remote Aboriginal communities. One strategy will involve offering community members a means of being tested without having to see a clinician unless the result is positive, and the other will involve a financial incentive. The study will provide new ways forward in the long and challenging campaign to rid remote communities of the burden of curable STIs.
Rheumatic Fever Follow-up Study (RhFFUS) _ Determining The Optimal Clinical Response For Minor Heart Valve Abnormalities In An Indigenous Australian Setting
Funder
National Health and Medical Research Council
Funding Amount
$1,394,792.00
Summary
Acute rheumatic fever (ARF) and rheumatic heart disease (RHD) are a major health issue for Indigenous Australians. In a previous study heart ultrasounds in Aboriginal and Torres Strait Islander children frequently showed suspicious but not diagnostic changes. RhFFUS (Rheumatic Fever Follow-Up Study) aims to see if these changes are associated with a higher risk of ARF and progression to RHD. If this is the case these high risk children could be identified earlier and offered regular antibiotics ....Acute rheumatic fever (ARF) and rheumatic heart disease (RHD) are a major health issue for Indigenous Australians. In a previous study heart ultrasounds in Aboriginal and Torres Strait Islander children frequently showed suspicious but not diagnostic changes. RhFFUS (Rheumatic Fever Follow-Up Study) aims to see if these changes are associated with a higher risk of ARF and progression to RHD. If this is the case these high risk children could be identified earlier and offered regular antibiotics to prevent this cause of heart disease.Read moreRead less
A Randomised Trial Of Rapid Point-of-care Tests For Chlamydia And Gonorrhoea Infections In Remote Aboriginal Communities
Funder
National Health and Medical Research Council
Funding Amount
$788,624.00
Summary
This project will trial a new kind of test for chlamydia and gonorrhoea that can provide immediate results at the time of clinical consultation. The trial will take place in remote Aboriginal communities. These tests have the potential to reduce re-infection rates by ensuring that people with infection have timely treatment. Health services will undertake standard practice in one year, and supplement standard practice by rapid point-of-care testing in the other year in a randomly assigned order.
Assessing Infrastructure And Contextual Factors In Relation To Cardiometabolic Outcomes In Remote Indigenous Communities: Evidence For Policy Change
Funder
National Health and Medical Research Council
Funding Amount
$1,113,005.00
Summary
Cardiometabolic diseases account for the major burden of morbidity and mortality for Indigenous populations. This study with 75 remote Indigenous communities will be the first to evaluate features of their social, built and physical environments in relation to cardiometabolic risks and diseases. Policy-relevant results will identify features of environments to be targeted to reduce chronic diseases for Indigenous peoples in remote communities.
Social And Cultural Resilience And Emotional Wellbeing Of Aboriginal Mothers In Prison (SCREAM)
Funder
National Health and Medical Research Council
Funding Amount
$925,847.00
Summary
The increasing imprisonment of Aboriginal women is a major public health issue affecting Aboriginal communities. One way in which the burden of disease and cycle of incarceration within families can be addressed is by improving health outcomes for incarcerated Aboriginal mothers and female carers. This mixed-methods study uses appropriate health measures, narrative data and action research to identify culturally safe models of health care for delivery in prisons and on re-integration to the comm ....The increasing imprisonment of Aboriginal women is a major public health issue affecting Aboriginal communities. One way in which the burden of disease and cycle of incarceration within families can be addressed is by improving health outcomes for incarcerated Aboriginal mothers and female carers. This mixed-methods study uses appropriate health measures, narrative data and action research to identify culturally safe models of health care for delivery in prisons and on re-integration to the community.Read moreRead less