Unraveling Mechanisms Of Liver Transplant Tolerance
Funder
National Health and Medical Research Council
Funding Amount
$694,822.00
Summary
Liver transplants are unique amongst solid organs as they are spontaneously accepted across different individuals and induce acceptance of other organs from the same donor co-transplanted at the same time. Using a new mouse liver transplantation model, this proposal will elucidate how the liver tissue performs this function and identify new markers associated with tolerance in the blood of mice. This knowledge will be used to identify liver transplant patients with reduced rejection risk.
Creating A Culture Of Safety And Respect: A Controlled, Mixed Methods Study Of The Effectiveness Of A Behavioural Accountability Intervention To Reduce Unprofessional Behaviours
Funder
National Health and Medical Research Council
Funding Amount
$875,978.00
Summary
Unprofessional behaviours among health professionals are common and are associated with increased patient dissatisfaction and medicolegal risk. Addressing these behaviours is a national issue. Ethos is a structured accountability system involving a process of early, non-punitive and tiered intervention and will be introduced across four Australian hospitals. This research will be the first controlled study to assess the effectiveness of the Ethos program to improve patient safety in Australia.
STudy Of Risk Assessment To Reduce Complications In Patients Following Noncardiac SurgerY (STRATIFY)
Funder
National Health and Medical Research Council
Funding Amount
$436,000.00
Summary
Cardiac problems account for many complications in patients undergoing major non-cardiac surgery, and even apparently minor cardiac damage is a marker of high risk for subsequent adverse events. Unfortunately, while money and effort is expended on identifying patients at risk, the appropriate response to this risk is quite unclear. The performance of bypass surgery or balloon angioplasty in order to treat the underlying coronary disease of at-risk patients is used in other situations, and reduce ....Cardiac problems account for many complications in patients undergoing major non-cardiac surgery, and even apparently minor cardiac damage is a marker of high risk for subsequent adverse events. Unfortunately, while money and effort is expended on identifying patients at risk, the appropriate response to this risk is quite unclear. The performance of bypass surgery or balloon angioplasty in order to treat the underlying coronary disease of at-risk patients is used in other situations, and reduces longterm risk. However, in many patients undergoing major noncardiac surgery, this approach may be inappropriately aggressive, as these patients are often elderly, have other diseases that make heart operations more difficult and risky than usual, and in any case may have a reduced life expectancy from the disease necessitating the operation. As the most critical issue is to ensure that patients undergo their surgery uneventfully, an alternative is the use of intensive medical therapy to protect the heart. This multicentre study, based at Brisbane hospitals that perform large numbers of major operations, will follow up patients for complications, and outcome (including quality of life) will be assessed six months after the operation. We will address two important questions about the efficacy and cost of risk reduction strategies. First, in patients at higher levels of risk and with a positive stress test, could a combination of medical therapy designed to protect the heart be as effective as current approaches, which include the performance of bypass surgery or coronary balloon angioplasty? Second, in patients identified as being at some risk - but low risk - are drugs sufficiently effective to avoid the need for further testing to quantify risk? As the population continues to age, the numbers of at risk patients undergoing major surgery will increase, and answers to these questions will provide important information to guide their management.Read moreRead less
The importance of price and perceived quality to the demand for fresh fruits and vegetables. It is estimated that the direct and indirect cost of diet-related diseases to Australia is between $2-3 billion per annum. One of the most important things that can be done to prevent diet-related disease is to encourage the population to eat more fruits and vegetables. The aim of this project is to examine the effect of price and perceived quality on the type and quantity of fruits and vegetables cons ....The importance of price and perceived quality to the demand for fresh fruits and vegetables. It is estimated that the direct and indirect cost of diet-related diseases to Australia is between $2-3 billion per annum. One of the most important things that can be done to prevent diet-related disease is to encourage the population to eat more fruits and vegetables. The aim of this project is to examine the effect of price and perceived quality on the type and quantity of fruits and vegetables consumed, especially among low-income households. The project will employ modelling techniques that are novel to this product group and that will provide valuable insights to the constraints and opportunities for increasing fruits and vegetables intake, as well as benchmarks for future research.Read moreRead less
Estimating The Burden Of Group A Streptococcal Diseases In Victoria
Funder
National Health and Medical Research Council
Funding Amount
$386,760.00
Summary
Despite the considerable advances in the diagnosis and treatment of group A streptococcal (GAS) diseases made during the last century, the impressive spectrum of infections caused by this organism continues to have a significant impact in developed countries. This spectrum includes diseases that are mild but common (e.g. sore throat, skin sores), rare but very severe (e.g. bloodstream infections, flesh-eating bacteria) and those that are more common in developing countries and the Aboriginal pop ....Despite the considerable advances in the diagnosis and treatment of group A streptococcal (GAS) diseases made during the last century, the impressive spectrum of infections caused by this organism continues to have a significant impact in developed countries. This spectrum includes diseases that are mild but common (e.g. sore throat, skin sores), rare but very severe (e.g. bloodstream infections, flesh-eating bacteria) and those that are more common in developing countries and the Aboriginal population (e.g. rheumatic fever, kidney disease). Streptococcal sore throat remains one of the most common childhood infections, and severe group A streptococcal diseases are thought to be increasing in incidence in Australia. Yet, there are no accurate data on the incidence and costs of these or other GAS diseases in non-Aboriginal Australians, or in most other populations around the world. It is becoming more urgent to collect this data as numerous vaccine candidates are entering human trials, new approaches to the treatment of sore throat are emerging, and new strategies to treat and control the spread of severe disease are being developed. We propose a comprehensive strategy to measure the incidence, prevalence and costs of each group of GAS diseases. We will follow a group of families for 12 months to detect cases of GAS sore throat and skin sores and measure the impact on the family. We will survey children in schools to estimate the prevalence of skin sores. We will check hospital records to calculate the number of cases of rheumatic fever and kidney disease. And we will maintain surveillance for severe diseases by checking hospital and laboratory records. We will also check to see if family members of people with severe disease have the GAS bacterium in their throats. We will then compile these data into a comprehensive estimate of the burden of disease in Victoria, and estimate the cost-effectiveness of different treatment and prevention strategies.Read moreRead less
Linkage Infrastructure, Equipment And Facilities - Grant ID: LE0775702
Funder
Australian Research Council
Funding Amount
$337,000.00
Summary
Climate controlled physical containment 2 (PC2) and pathogen/ insect contained glasshouse facility. The Australian economy relies heavily on agricultural production. The outcomes of the projects supported by these growth facilities will be of economic benefit to the nation by producing new knowledge of plant-insect and plant-pathogen interactions, how plants acquire essential nutrients, and how they respond to environmental stress. The research outcomes will benefit the environment by increasin ....Climate controlled physical containment 2 (PC2) and pathogen/ insect contained glasshouse facility. The Australian economy relies heavily on agricultural production. The outcomes of the projects supported by these growth facilities will be of economic benefit to the nation by producing new knowledge of plant-insect and plant-pathogen interactions, how plants acquire essential nutrients, and how they respond to environmental stress. The research outcomes will benefit the environment by increasing legume production and so reducing land degradation and risk of nitrate contamination of waterways and lowering the environmental risk from agrochemicals by developing safer strategies for control of pests and diseases. In addition, a number of projects that will benefit from the glasshouse facilities aim to produce healthier and safer foods.Read moreRead less
The evolution of multipartite mitochondrial genomes in the cyst-forming nematodes. The cyst-forming nematodes are a serious pest of agricultural crops throughout the world, attacking cereal, root and legume crops. Although sporadically recorded in Australia, they have not become established here. This project will characterize unique sequences from the noncoding portion of the mitochondrial genome of a range of cyst-forming nematodes, facilitating the development of molecular diagnostic screen ....The evolution of multipartite mitochondrial genomes in the cyst-forming nematodes. The cyst-forming nematodes are a serious pest of agricultural crops throughout the world, attacking cereal, root and legume crops. Although sporadically recorded in Australia, they have not become established here. This project will characterize unique sequences from the noncoding portion of the mitochondrial genome of a range of cyst-forming nematodes, facilitating the development of molecular diagnostic screening tools for these crop pests. This program will train a number of young scientists with skills in biotechnology, preparing them to join programs safeguarding our agricultural industries.Read moreRead less
The future of fruit fly control: making the Sterile Insect Technique work for Queensland fruit fly. The future of fruit fly control in Australia lies in the Sterile Insect Technique (SIT): it is the only non-pesticide option that can totally eliminate pest populations. Millions of dollars have already been invested to establish an SIT program against Queensland fruit fly (Q-fly) in southern and eastern Australia, but this program is currently largely ineffective due to the poor performance of t ....The future of fruit fly control: making the Sterile Insect Technique work for Queensland fruit fly. The future of fruit fly control in Australia lies in the Sterile Insect Technique (SIT): it is the only non-pesticide option that can totally eliminate pest populations. Millions of dollars have already been invested to establish an SIT program against Queensland fruit fly (Q-fly) in southern and eastern Australia, but this program is currently largely ineffective due to the poor performance of the mass-reared sterile flies. This project will apply genetic, ecological and technical solutions to the problems facing the current Q-fly control program. Effective control of Q-fly will enhance the international competitiveness of Australia's horticultural industries.Read moreRead less
Computational haemodynamics system for prediction of risk of rupture of cerebral aneurysms. Every year about 2000 Australians suffer a ruptured aneurysm in the brain and some 750 of these die within 4 weeks. Since there is an increase in the detection of unruptured aneurysms, especially in healthy young people, there is an urgent need to be able to decide which lead to rupture and to provide suitable treatment options. This project, which will provide markedly improved means of patient-specific ....Computational haemodynamics system for prediction of risk of rupture of cerebral aneurysms. Every year about 2000 Australians suffer a ruptured aneurysm in the brain and some 750 of these die within 4 weeks. Since there is an increase in the detection of unruptured aneurysms, especially in healthy young people, there is an urgent need to be able to decide which lead to rupture and to provide suitable treatment options. This project, which will provide markedly improved means of patient-specific risk determination for aneurysm rupture, will have significant impact in reducing associated costs on the national health burden due to cerebral hemorrhage and stroke, on community productivity and disability and on more efficient targeting of expensive and dangerous brain surgery.Read moreRead less