External Therapeutic Device To Support Rehabilitation Of The Hand Following Trauma Or Surgery
Funder
National Health and Medical Research Council
Funding Amount
$175,000.00
Summary
The loss of hand function will affect every aspect of an individual’s life. This includes the ability to feed and care for themselves and the ability to work and participate in family life. For people recovering from problems such as trauma, burns or surgery affecting the hand, careful management of hand rehabilitation can influence the outcome for the patient significantly. In order to reduce the possibility of mobility difficulties occurring, including loss of joint range of motion, muscle and ....The loss of hand function will affect every aspect of an individual’s life. This includes the ability to feed and care for themselves and the ability to work and participate in family life. For people recovering from problems such as trauma, burns or surgery affecting the hand, careful management of hand rehabilitation can influence the outcome for the patient significantly. In order to reduce the possibility of mobility difficulties occurring, including loss of joint range of motion, muscle and tendon sheath adhesions or non-functional scar tissue formation, continuous passive motion (CPM) is often indicated. Additionally, for people with reduced mobility of the hand due to upper limb paralysis, such as those with cervical spinal cord injury, stroke, cerebral palsy or peripheral nerve injury, disregard for management of the maintenance of the joint range of motion of the effected hand will result in contracture and limited joint range of motion. Such syndromes will reduce hand function, which is already limited by paralysis, and will negatively affect potential outcomes for aggressive rehabilitation techniques, such as tendon transfer surgery and functional neuromuscular stimulation. Therefore, in such cases, CPM is also indicated. Current devices applying CPM have shown to be effective in minimising the syndromes indicated above and these results are summarised in the Background and Research Plan attached to this proposal. Unfortunately, the use of such devices is not always prescribed by clinicians. This is due, mainly, to the limitations of these devices that are in the marketplace. These limitations include lack of secure finger placement, lack of portability, the inability to provide specialised therapy to specific joints and inflexible programming. This proposal introduces an improved device to be developed and these improvements form the proposal aims below. Given such an improved device, which can overcome many of the problems with current CPM machines, it is likely that that the clinical application of CPM will achieve the greater degree of prescription and application in hand rehabilitation. These improvements should overcome the clinical reticence to use these devices and restore a balance by increasing their use to the level that the scientific literature indicates they should have. The overall aim of the proposal is to take the device to a stage where it is ready for clinical trial.Read moreRead less
A Scalable Intervention For Increasing Vigorous Physical Activity Among Older Adolescents: The ‘ Burn To Learn ’ Cluster RCT
Funder
National Health and Medical Research Council
Funding Amount
$636,912.00
Summary
Physical inactivity has been described as a global pandemic and only 15% of Australian adolescents are sufficiently active. The pressure to perform in major school assessments drives many older adolescents to sacrifice physical activity to maximise academic performance. Our team has designed a time-efficient solution to increase physical activity in senior high school students using high intensity interval training which will be evaluated using a cluster randomised controlled trial.
Remotely sensed forest water use in space and time. Remotely sensed forest water use in space and time. This project aims to develop and apply new methods to scale forest water use from plot to catchment-level, using relationships between plot-level annual evapotranspiration and biophysical and biochemical properties of stands detectable by unmanned aircraft systems and other remote sensing platforms. Australia's water security depends on understanding how changes in forests from disturbance and ....Remotely sensed forest water use in space and time. Remotely sensed forest water use in space and time. This project aims to develop and apply new methods to scale forest water use from plot to catchment-level, using relationships between plot-level annual evapotranspiration and biophysical and biochemical properties of stands detectable by unmanned aircraft systems and other remote sensing platforms. Australia's water security depends on understanding how changes in forests from disturbance and climate change influence catchment water yields. This project will estimate water yields over time and space in ungauged catchments with disturbed eucalypt forests. This research is expected to enable more effective risk mitigation and planning for augmentations; improved fire management strategies; and better water management of the Murray Darling Basin.Read moreRead less
New methods for mapping variation in forest water use in time and space. Disturbance of eucalypt forests can have dramatic impacts on catchment water yields. In partnership with Melbourne Water Corporation, this project will develop and test new methods for accurate mapping of variation in water use across forested water supply catchments and for accurately determining the effects of this on water supplies.
The Identification Of Thoracic Targets For Prevention And Intervention In Bronchopulmonary Dysplasia
Funder
National Health and Medical Research Council
Funding Amount
$316,449.00
Summary
The persistence of breathing problems from infancy to later life is a complication of premature birth with lifelong consequences. Breathing problems often occur together with lung disease, but prematurity can also affect heart and blood vessel development, and weakness of the main breathing muscle. We will find out how much the heart, lungs and diaphragm contribute to breathing problems in babies; helping us to better predict, diagnose and treat severe breathing problems in babies born preterm.
Shallow water carbonate sediment dissolution in the global carbon cycle. Carbonate sediment dissolution is a globally significant process, but poorly understood in shallow marine waters. This project will determine whether the combined effect of organic matter, ocean acidification and pore water flow in shallow water carbonate sediments increases the release of calcium and alkalinity to the ocean. This project is significant because this release has not previously been accounted for and may lead ....Shallow water carbonate sediment dissolution in the global carbon cycle. Carbonate sediment dissolution is a globally significant process, but poorly understood in shallow marine waters. This project will determine whether the combined effect of organic matter, ocean acidification and pore water flow in shallow water carbonate sediments increases the release of calcium and alkalinity to the ocean. This project is significant because this release has not previously been accounted for and may lead to an additional uptake of atmospheric carbon dioxide into the global ocean, maybe some additional buffering against ocean acidification, but unfortunately, maybe also a loss of carbonate ecosystems. The outcomes of this project will make a significant contribution to our understanding of the global carbon cycle.
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The Structural Basis For Glutamate Transporter Function
Funder
National Health and Medical Research Council
Funding Amount
$373,144.00
Summary
Glutamate transporters are vacuum cleaners in the brain that suck the neurotransmitter glutamate into cells. When the glutamate vacuum breaks down or becomes blocked, glutamate levels outside cells increase, leading to cell death in the brain. This process underlies the damage in many brain diseases including Alzheimer’s disease and stroke. The aim of this project is to understand the mechanism of the glutamate vacuum cleaner so we can develop therapeutics to fix it when it breaks down.
Optimisation of catchment management: stable isotope studies of water storage and yield. Focusing on the Cotter catchment, this project will establish how the water content of soils and tree stems regulates the amount of water used by trees in sub-catchments, and thus how much reaches streams and dams. Small areas supply most of the water yield and this project will help identify where managers should focus efforts to increase yield.
Dissolution of CaCO3 in sediments in an acidifying ocean. Dissolution of calcium carbonate (CaCO3) in sediments in the context of ocean acidification is poorly understood. This project will use in situ advective benthic chamber incubations and experimental manipulations under future ocean acidification scenarios to determine the controls on the dissolution of CaCO3 in sediments. This project is significant because changes in the dissolution of CaCO3 in sediments in an acidifying ocean are at lea ....Dissolution of CaCO3 in sediments in an acidifying ocean. Dissolution of calcium carbonate (CaCO3) in sediments in the context of ocean acidification is poorly understood. This project will use in situ advective benthic chamber incubations and experimental manipulations under future ocean acidification scenarios to determine the controls on the dissolution of CaCO3 in sediments. This project is significant because changes in the dissolution of CaCO3 in sediments in an acidifying ocean are at least as important, and potentially more important, than calcification to the future accretion and survival of carbonate ecosystems. It is expected that outcomes of this project will significantly advance our understanding of the drivers of the dissolution of CaCO3 in sediments and the functioning of globally important carbonate ecosystems.Read moreRead less
Advancement Of A Personalised Approach To Minimising Infective Complications In Cancer Care
Funder
National Health and Medical Research Council
Funding Amount
$265,138.00
Summary
Managing infections in patients with cancer have become more difficult and unpredictable because of new generation cancer therapies. Measuring the response of the immune system (immune profiling) will allow us to predict which patients will develop infection so that action such as vaccination can be taken to reduce their risk. This program will refine immune profiling to personalise infection care for cancer patients and to introduce it into hospital practice.