Impact Of Extreme Prematurity Or Extreme Low Birthweight On Young Adult Health And Well-Being: The Victorian Infant Collaborative Study (VICS) 1991-92 Longitudinal Cohort
Funder
National Health and Medical Research Council
Funding Amount
$725,496.00
Summary
Significant advances in medical care have increased survival of the tiniest and most premature babies. Those who have benefited from modern medicine are now in their mid-20s. We know they have more problems in childhood and adolescence compared with those born full term. However, we know little about their health problems in adulthood. This study will inform us of adult health problems in this vulnerable group and provide vital information about the best care for this increasing group of adults.
Endocrine And Molecular Regulation Of Placental CRH Expression
Funder
National Health and Medical Research Council
Funding Amount
$466,980.00
Summary
Approximately 70% of infant death is associated with premature birth. Preterm birth occurs in 6-10% of pregnancies, and there has been no reduction in the rates of premature birth in the last 30 years. This is largely because we remain ignorant of how normal and abnormal birth is controlled. Understanding the physiology of human pregnancy is a critical step in the development of ways to detect and prevent preterm birth. Our group has demonstrated a link between production of a hormone (corticotr ....Approximately 70% of infant death is associated with premature birth. Preterm birth occurs in 6-10% of pregnancies, and there has been no reduction in the rates of premature birth in the last 30 years. This is largely because we remain ignorant of how normal and abnormal birth is controlled. Understanding the physiology of human pregnancy is a critical step in the development of ways to detect and prevent preterm birth. Our group has demonstrated a link between production of a hormone (corticotrophin releasing hormone, CRH) in the placenta and the length of time the baby is carried in the mother. In women who will deliver prematurely a rise in CRH occurs earlier in the pregnancy and more rapidly, while in women who deliver late the rise occurs more slowly. This work has given rise to the concept of a biological clock that determines the length of time the fetus will be carried by the mother before birth, and in which production of CRH in the placenta plays a central role. We have been studying how the CRH gene is controlled in placental cells. We have discovered some regions in the DNA of the CRH gene which have important roles in controlling how much CRH is made by the placenta. The experiments described in this research project will determine the molecular mechanisms that control the production of CRH in the human placenta. This will be done in two ways: (1) by examining the DNA sequences involved in controlling expression of the CRH gene and (2) by identifying the proteins that actually perform the regulating functions that result in either increased or decreased amounts of CRH being produced by the placenta. This important information will help us better understand how normal and abnormal birth is controlled, and from that knowledge new ways to detect and prevent premature birth can be invented.Read moreRead less
Multicentre Trial Of Calcium Channel Blocker Versus Calcium Channel Blocker Plus Cox2 Inhibitor In Preterm Labour
Funder
National Health and Medical Research Council
Funding Amount
$644,130.00
Summary
Preterm birth is a major problem in our society, and has enormous consequences for parents and children. It also has a major impact on scarce financial resources. When women present in preterm labor, current therapies have only limited success in stopping contractions and postponing birth. They have not been shown to reduce the rates of the serious neonatal problems associated with prematurity. This project will be coordinated in Newcastle, N.S.W., and will involve major perinatal centres throug ....Preterm birth is a major problem in our society, and has enormous consequences for parents and children. It also has a major impact on scarce financial resources. When women present in preterm labor, current therapies have only limited success in stopping contractions and postponing birth. They have not been shown to reduce the rates of the serious neonatal problems associated with prematurity. This project will be coordinated in Newcastle, N.S.W., and will involve major perinatal centres throughout Australia, along with overseas centres. It will test a new combination of drugs for their ability to postpone delivery in women presenting with preterm labour. It is postulated that the combination of drugs will be more effective than existing therapies. The drugs used in the trial are Nifedipine and Rofecoxib. Complications of prematurity include neonatal death, cerebral palsy, visual and hearing impairment, and chronic lung disease. These complications are most significant in extremely premature infants - in particular, those under 28 weeks gestation at the time of their delivery. For this reason, the study will focus only on women presenting in labour below 28 weeks. The ability to stop labour is important, but the main aim of any treatment for preterm labour is to reduce the rates of neonatal death and handicap. Babies born to women enrolled in this study will be followed for a period of one year after birth to assess their outcomes. It is our hypothesis that the combination of Rofecoxib and Nifedipine will result in lower rates of death and handicap in babies than Nifedipine alone. In addition, we will examine the rates of side effects in women receiving therapy. Currently used therapies, including intravenous ventolin, have high rates of maternal side effects. Nifedipine and Rofecoxib have both been shown to have low rates of maternal side effects.Read moreRead less
Confronting everyday harms: preventing abuse of people with disability. The findings of the Disability Royal Commission necessitate new approaches to prevent violence, abuse, neglect and exploitation. Framed by recognition theory, this project proposes empirical research with young people with cognitive disability, using a new concept of ‘everyday harms’ in their paid relationships. The results will inform early responses to poor quality interactions in disability support. The strategic alliance ....Confronting everyday harms: preventing abuse of people with disability. The findings of the Disability Royal Commission necessitate new approaches to prevent violence, abuse, neglect and exploitation. Framed by recognition theory, this project proposes empirical research with young people with cognitive disability, using a new concept of ‘everyday harms’ in their paid relationships. The results will inform early responses to poor quality interactions in disability support. The strategic alliances with the government, industry and community partners will develop a practice framework to prevent everyday harms and the escalation to abuse, and to promote safety and wellbeing. The research has policy benefits for capacity-building in the sector to act on the rights and voices of people with disability. Read moreRead less
Antagonist Of Corticotrophin Releasing Hormone As Therapeutic Agents For The Prevention Of Premature Birth In Humans
Funder
National Health and Medical Research Council
Funding Amount
$376,650.00
Summary
In developed countries the most common cause of the death of a newborn baby is premature delivery. Pre-term delivery remains the greatest cause of neonatal mortality in the western world and a major consumer of health dollars (approx. $5-7B per year in the US alone). However, a delay in the onset of labour from 20 to 25 weeks has been shown to result in a 55% greater probability of infant survival (550 fewer deaths per 1000). This project will allow: The development of new drugs that will allow ....In developed countries the most common cause of the death of a newborn baby is premature delivery. Pre-term delivery remains the greatest cause of neonatal mortality in the western world and a major consumer of health dollars (approx. $5-7B per year in the US alone). However, a delay in the onset of labour from 20 to 25 weeks has been shown to result in a 55% greater probability of infant survival (550 fewer deaths per 1000). This project will allow: The development of new drugs that will allow the extension of pregnancy term The development of protocols that will in turn reduce neonatal mortality. Additionally we believe that these new agents will be useful in preventing the onset of labour after fetal surgery. Currently there are no effective treatments capable of substantially changing delivery dates. Available therapeutics delay the onset of labour, at best, 24 hours. However, recent exciting results from our laboratories show that rising concentrations of the placental peptide Corticotrophin Releasing Hormone (CRH) are associated with the onset of labour. Further, we have also delayed the onset of labour in pregnant sheep by infusing a relatively insoluble CRH antagonist into the sheep fetus. Labour commenced ONLY AFTER the drug was withdrawn from the mother. This project builds upon an interdisciplinary team: medicinal chemists, molecular modellers, pharmacologists and endocrinologists, to further develop an exciting Australian discovery. Successful completeion of this research will, for the first time, allow the control of pregnancy duration MAXIMISING the benefits to mother and child, reducing mortality and later life morbidities typically associated with premature birth.Read moreRead less
Celebrate. Remember. Fight Back. Episodic Volunteering for Non-Profits. This project seeks to improve the policy and practice of volunteer involvement in the non-profit sector. Non-profit organisations rely on volunteers, and their capacity to deliver vital community services is threatened by the decrease in long-term, continuous volunteering and increase in episodic (short-term, flexible) volunteering. The interdisciplinary project aims to use mixed methods (qualitative interviews and quantitat ....Celebrate. Remember. Fight Back. Episodic Volunteering for Non-Profits. This project seeks to improve the policy and practice of volunteer involvement in the non-profit sector. Non-profit organisations rely on volunteers, and their capacity to deliver vital community services is threatened by the decrease in long-term, continuous volunteering and increase in episodic (short-term, flexible) volunteering. The interdisciplinary project aims to use mixed methods (qualitative interviews and quantitative surveys) and multiple perspectives (volunteers and staff who manage them) to develop an episodic volunteering definition; to explore the economic and social impact of episodic volunteering, and to develop a theoretical model of volunteer retention. The findings are intended to provide an evidence base and recommendations for non-profit sector policy and practice.Read moreRead less
The production, use and effect of social work research. This project aims to reform social work research to improve the quality and effectiveness of human services. The human services industry is vital to many people’s quality of life, but lacks innovation and struggles to demonstrate its effectiveness. Crucially for social work, research expands thinking about how to respond to social disadvantage. This project intends to examine the scope and quality of Australian social work research in child ....The production, use and effect of social work research. This project aims to reform social work research to improve the quality and effectiveness of human services. The human services industry is vital to many people’s quality of life, but lacks innovation and struggles to demonstrate its effectiveness. Crucially for social work, research expands thinking about how to respond to social disadvantage. This project intends to examine the scope and quality of Australian social work research in child protection, disability services, and aged care; assess the use of this research to the human services sector and its effect on generating innovation; and develop strategies to advance the production, uptake, and effect of social work research.Read moreRead less
Building connections: schools as community hubs. This project aims to support school systems and planning authorities enhance engagement between schools and local communities. The key objective is to advance the cost-effective development of the infrastructure required to deliver community programs and services from school sites, in addition to education programs for school-aged students. The project expects to generate new knowledge about how best to plan, design, govern and manage facilities a ....Building connections: schools as community hubs. This project aims to support school systems and planning authorities enhance engagement between schools and local communities. The key objective is to advance the cost-effective development of the infrastructure required to deliver community programs and services from school sites, in addition to education programs for school-aged students. The project expects to generate new knowledge about how best to plan, design, govern and manage facilities and infrastructure to enable schools to operate successfully as more than a school, encouraging the development of resilient and connected communities. The outcomes are expected to include a development framework for maximising schools as community hubs.Read moreRead less
Aboriginal child restoration from out-of-home care: pathways for success. The soaring rates of Indigenous children living in out-of-home care requires an urgent response. This research aims to considerably advance the knowledge regarding child restoration by investigating the lived experiences and outcomes of Aboriginal parents whose children have been restored from care. The project intends to identify successful child restoration initiatives and produce an empirical roadmap for navigating serv ....Aboriginal child restoration from out-of-home care: pathways for success. The soaring rates of Indigenous children living in out-of-home care requires an urgent response. This research aims to considerably advance the knowledge regarding child restoration by investigating the lived experiences and outcomes of Aboriginal parents whose children have been restored from care. The project intends to identify successful child restoration initiatives and produce an empirical roadmap for navigating service systems with the goal of restoration. The project expects to make a substantial contribution to this largely neglected research area that will benefit birth parents and families, communities, practitioners, policy makers and academics. In doing so, it aspires to reduce the prevalence of Aboriginal children in care.Read moreRead less
Markets, migration and the work of care in Australia. The objective of this project is to strengthen the conceptual foundations for social policy in the critical domains of aged care and child care. Projected child care and aged care labour shortages and shifts in government policy towards consumer-directed provision, including in-home care, have intensified calls for increased care migration in Australia. Yet the links between care markets and migration, and their consequences for the provision ....Markets, migration and the work of care in Australia. The objective of this project is to strengthen the conceptual foundations for social policy in the critical domains of aged care and child care. Projected child care and aged care labour shortages and shifts in government policy towards consumer-directed provision, including in-home care, have intensified calls for increased care migration in Australia. Yet the links between care markets and migration, and their consequences for the provision of care and the care workforce are poorly understood in the Australian context. The project aims to explain the links between care policies, employment regulation and migration in cross-national perspective, generating new analytical insights and strengthening the evidence base for policy.Read moreRead less