Randomised Controlled Trial Of Hepatitis B Vaccine Completion In Injecting Drug Users
Funder
National Health and Medical Research Council
Funding Amount
$463,355.00
Summary
This randomised trial will examine strategies to increase hepatitis B vaccination in drug users by comparing 1) usual clinical care; 2) enhanced outreach; and 3) financial incentive payments and assessing the proportion in each group who a) complete all 3 doses and b) develop immunity. Results will provide policy-makers and clinicians with important data on effectiveness, including cost effectiveness, and will help scientists and affected communities prepare for clinical trials of new vaccines.
Is Male Circumcision An Acceptable And Feasible Intervention To Reduce HIV Transmission In Papua New Guinea
Funder
National Health and Medical Research Council
Funding Amount
$624,913.00
Summary
In PNG, Australia's nearest neighbour, 76 000 people live with HIV with predictions of up to 500 000 by 2025. African studies show 60% reduction in HIV if men are circumcised. Because relatively few men in PNG are circumcised, promoting circumcision may save thousands of lives. This study examines an NHMRC research priority area in Global Health by analysing social, cultural and religious aspects of circumcision. The study will assess if circumcision is an acceptable way to reduce HIV in PNG.
An Investigation Of The Relationship Between The Pharmaceutical Industry, Medical Profession And Medical Practitioners
Funder
National Health and Medical Research Council
Funding Amount
$186,449.00
Summary
In recent years there has been a rapid expansion in the number and range of interactions between the pharmaceutical industry and the medical profession. While this has the potential to advance research, education and health care, there are risks that such interactions may inappropriately serve commercial objectives and ultimately compromise the best interests of patients and society in general. Most major medical and pharmaceutical organisations have released guidelines of policy statements on t ....In recent years there has been a rapid expansion in the number and range of interactions between the pharmaceutical industry and the medical profession. While this has the potential to advance research, education and health care, there are risks that such interactions may inappropriately serve commercial objectives and ultimately compromise the best interests of patients and society in general. Most major medical and pharmaceutical organisations have released guidelines of policy statements on the relationship between the medical profession and the pharmaceutical industry. To date most debate has taken the form of personal observations or professional opinion , and there has been little objective research into medical industry interactions. This project aims to examine the relationship between the pharmaceutical industry, the medical profession and the medical practitioners. Specifically, the aim of this project is to establish whether this relationship as it currently exists, and as stated in guidelines from professional bodies, is appropriate in terms of justifiable ethical standards, empirical research and social perspectives. The results of this research will enable assessment of current guidelines and the development of further guidelines and regular process where appropriate.Read moreRead less
The Impact Of Oxytocin On Social Cognition And Behaviour In Youth With Autism Spectrum Disorders.
Funder
National Health and Medical Research Council
Funding Amount
$261,117.00
Summary
Deficits in social functioning are one of the core features of Autism Spectrum Disorders and evidence suggests that the Oxytocin (OT) system may be dysregulated in these individuals. This proposal tests the effects of synthetic OT in a sample of youth with ASD on measures of social cognition and behaviour. This research may lead to more efficient and effective treatments for ASD and may enhance our understanding of the mechanisms underlying Autism and related disorders.
After Hours Medical Care And Personal Safety Needs Of Urban General Practitioners
Funder
National Health and Medical Research Council
Funding Amount
$73,250.00
Summary
Experiences of violence and aggression are widespread within the health care field. Episodes of violence and aggression against general practitioners (GPs) in their working environment are not uncommon. These incidents frequently go unreported and the toll they take on GPs, on a personal as well as a professional level, is unknown. The frequency and severity of violence experienced by some health professionals is extreme. Such experiences may undermine the confidence and commitment of GPs and ma ....Experiences of violence and aggression are widespread within the health care field. Episodes of violence and aggression against general practitioners (GPs) in their working environment are not uncommon. These incidents frequently go unreported and the toll they take on GPs, on a personal as well as a professional level, is unknown. The frequency and severity of violence experienced by some health professionals is extreme. Such experiences may undermine the confidence and commitment of GPs and may inevitably have detrimental effects on health care services. Studies in the UK indicate that violence against general practitioners is increasing, violence against GPs in rural areas of Australia is also increasing but there have been no comparable studies carried out in our major cities. This research aims to ask general practitioners working in a range of different urban areas around NSW to describe their experiences of dealing with violent and aggressive patients. The study will be the first of its kind in Australia to provide an important insight into the level of violent and aggressive behaviour GPs are subjected to in city areas. One of the key areas of concern that has been reported in medical journals and the general press has been an increase in attacks on GPs making house-calls, this project will therefore be particularly focussed on GPs who provide after hours care. This study is important so in order to find out exactly what the incidence of violence against our urban general practitioners is, what type of violence is actually occurring, where it is occurring, who the perpetrators are, and also what the longer term psychological effects of abuse against general practitioners may be. The findings from this study will be used by the Commonwealth Government and Health Departments to plan better ways of providing after hours medical care. The findings may also be used to educate GPs and medical students about safety in the workplace.Read moreRead less
A Course Of Oxytocin Nasal Spray To Improve Social Communication In Young People With Autism
Funder
National Health and Medical Research Council
Funding Amount
$293,735.00
Summary
Autism is characterised by impairments in social behaviour and communication, and is a cause of major lifelong disability. A novel intervention, Oxytocin, enhances social communication in autism and non-clinical populations. This project will determine whether Oxytocin, taken twice daily over 8 weeks, improves social interaction skills in everyday life for young people with autism. This project represents a crucial step in developing a novel and effective new treatment for Autism.
The Effects Of Oxytocin Nasal Spray On Mechanisms Of Social-communication In Young People With Autism
Funder
National Health and Medical Research Council
Funding Amount
$191,400.00
Summary
Autism is charcterised by deficits in social behaviour and communication, and is a cause of major lifelong disability. A novel intervention, Oxytocin, enhances social communication in non-clinical populations. This project will determine whether OT improves social communication deficits characteristic of autism. This project is a critical first step towards treating a core deficit of autism.
Social Aspects Of Amputation Among An Aging Population In Urban And Rural Victoria
Funder
National Health and Medical Research Council
Funding Amount
$251,742.00
Summary
In recent years, social scientists have shown increasing interest in how individual and social structural factors inter-relate to produce wellbeing. An associated interest has been the role of social networks and social support for individuals with chronic disease, enabling them to manage ongoing illness or impairment, live fulfilling lives and experience wellbeing. To explore these issues in an Australian context, this project focuses on people who have had amputations from trauma, advanced dis ....In recent years, social scientists have shown increasing interest in how individual and social structural factors inter-relate to produce wellbeing. An associated interest has been the role of social networks and social support for individuals with chronic disease, enabling them to manage ongoing illness or impairment, live fulfilling lives and experience wellbeing. To explore these issues in an Australian context, this project focuses on people who have had amputations from trauma, advanced disease (e.g. cancer) or complications of chronic disease (e.g. diabetes). The study aims to increase our understanding of how people live with particular diseases and health conditions, the impact of these conditions on body image, self-esteem, social relationships and societal participation, and how structural, contextual and environmental factors affect individual functioning and disability. By including people of different gender, ethnicity, age and area of residence, the study is concerned with how life circumstances and socialization (including ideas of gender) influence outcome. The findings will contribute to our knowledge of adaptation and provide information relevant to improved care for people from different backgrounds. The study is significant because of the increase in chronic disease (relative to infectious disease) in contemporary industrialised societies, particularly with an aging population. The policy context of this work is government interest in maximising the independence and wellbeing of people who are aged and-or with chronic disease, while minimising the economic costs. The research is also significant to international agencies and consumer organisations concerned with reducing discrimination against and inequality of people with impairments. The study will contribute to the WHO classification of disability, and efforts to promote and protect the rights and dignity of persons with disabilities.Read moreRead less
Social Norms Regarding HIV-STI Risk And Risk Reduction Behaviours Among Men Who Have Sex With Men In Australia
Funder
National Health and Medical Research Council
Funding Amount
$692,269.00
Summary
In Australia, 85% of HIV infections are due to male homosexual contact. HIV-STI risk behaviour of individual gay-community-attached men has been well-studied, but social norms regarding behaviours are less well understood. We will collect new data about the norms regarding HIV-STI risk and risk reduction behaviours and compare their communication in gay communities in Sydney, Melbourne and Perth. This study will provide information to better target HIV prevention and promote safe sex among men.
Cardiovascular Disease (CVD) is major problem among indigenous Australians, and imposes a significant financial burden on the Australian health care system. CVD cannot be sufficiently explained by the increased prevalence of conventional cardiovascular risk factors such as diabetes, smoking and overweight. Predicted CVD rates among young Indigenous adults using conventional risk factors are about 30 times lower than the observed rate. Increased recognition has been given to the role of psychosoc ....Cardiovascular Disease (CVD) is major problem among indigenous Australians, and imposes a significant financial burden on the Australian health care system. CVD cannot be sufficiently explained by the increased prevalence of conventional cardiovascular risk factors such as diabetes, smoking and overweight. Predicted CVD rates among young Indigenous adults using conventional risk factors are about 30 times lower than the observed rate. Increased recognition has been given to the role of psychosocial factors in CVD, particularly, the poor psychosocial circumstances of Indigenous Australians. However, psychological phenomena resulting from adverse day-to-day experiences and their relationships to CVD, are poorly understood. This study aims to examine relationships between culturally valid measures of social, emotional and spiritual wellbeing, and traditional and novel cardiovascular risk factors. Findings from this study will help determine if the adverse psychosocial environment of many Aboriginal Australians contributes to the current excess morbidity and mortality from CVD. This study is embedded in a longitudinal study so that early life experiences can be taken into account. Sadly this population is especially suitable for a life course study, because the premature adult mortality and early onset of non-communicable diseases means the time intervals for development of morbidity and mortality events is relatively short.Read moreRead less