A Multi-site Randomised Controlled Trial Comparing The Severity Of Constipation Symptoms Experienced By Palliative Care Patients Receiving Usual Care Compared To Those Diagnosed And Managed According To The Underlying Pathophysiology.
Funder
National Health and Medical Research Council
Funding Amount
$498,795.00
Summary
This research aims to consider whether the problems of constipation in palliative care are less severe when the physical changes that underlie the problem are explored.
A Sequential Multiple Assignment Randomised Trial (SMART) Of Nursing Interventions To Reduce Pain Associated With Chemotherapy Induced Peripheral Neuropathy
Funder
National Health and Medical Research Council
Funding Amount
$713,418.00
Summary
Modern chemotherapy treatments can result in damage to the peripheral nerves, resulting in a condition called peripheral neuropathy. This condition is characterised by a range of sensory and functional changes that can cause pain and reduced ability to perform daily activities. This project will test various non-pharmacological pain management measures to determine if they are effective in improving the quality of life of patients who experience this problem.
Systematic Expansion Of The Clinical Evidence Base In Opioid Prescribing For Refractory Dyspnoea At The End Of Life
Funder
National Health and Medical Research Council
Funding Amount
$414,535.00
Summary
Morphine can relieve breathlessness in the palliative setting. But many important questions remain. What is the best dose, should the dose change over time, do different medications provide the same relief, and how common is dyspnoea in the general population? This three part project will extend our knowledge to answer these questions. Population data will provide critical background to plan best care for future palliative patients distressed by breathlessness.
Randomised Double-blind Controlled Trial Of Oxygen Versus Air To Palliate Intractable End-of-life Dyspnoea When Pa02 >55
Funder
National Health and Medical Research Council
Funding Amount
$463,318.00
Summary
Shortness of breath at the end-of-life is one of the most feared symptoms. Unlike most other symptoms, it worsens as death approaches. Despite the fact that more than 50,000 Australian will die an expected death in the next year, of whom the majority will have breathlessness toward the end-of-life, we know little about how best to treat this symptom. Oxygen is frequently introduced but we have not identified whether it is more effective than medical air, and, if it is more effective, which patie ....Shortness of breath at the end-of-life is one of the most feared symptoms. Unlike most other symptoms, it worsens as death approaches. Despite the fact that more than 50,000 Australian will die an expected death in the next year, of whom the majority will have breathlessness toward the end-of-life, we know little about how best to treat this symptom. Oxygen is frequently introduced but we have not identified whether it is more effective than medical air, and, if it is more effective, which patients would most benefit from it. Because of this lack of evidence, oxygen is only funded in Australia in community settings for people who have severely low oxygen levels in their blood. Palliative oxygen is provided on a compassionate basis at times but this is on an ad hoc basis and does not ensure equitable access for people at the end of life who experience shortness of breath. This multi-centre study will compare oxygen and air, with neither the participant nor caring clinicians knowing which treatment they will receive. After careful explanation, volunteers who agree to participate will be asked to use the oxygen machine for at least 15 hours each day for 7 days and fill out a diary twice each day. Five centres across Australia are planning to enroll 240 participants in this study. Outcomes will include whether the sensation of breathlessness has improved, the overall quality of life while being treated, the ability to perform activities of daily living and any side effects experienced. This study is eagerly awaited by clinicians and health planners not only in Australia but in North America and Europe. This study will provide data in a long-standing international debate about the role of oxygen in people with relatively normal levels of oxygen in their blood who suffer from shortness of breath at the end-of-life.Read moreRead less
MICROSCALE PLANKTON AND PARTICLE DYNAMICS: COMPARING AND CONTRASTING AUSTRALIAN AND INTERNATIONAL SEAS. Microscopic phytoplankton are the basis of ocean ecosystems, but most predictions and measurements focus on processes that occur over kilometres. Our recent work shows that definite and regular submetre seascape topography exists. This grant will test the extent to which this seascape topography is the fundamental organisational unit of marine ecosystems and the extent to which it characteris ....MICROSCALE PLANKTON AND PARTICLE DYNAMICS: COMPARING AND CONTRASTING AUSTRALIAN AND INTERNATIONAL SEAS. Microscopic phytoplankton are the basis of ocean ecosystems, but most predictions and measurements focus on processes that occur over kilometres. Our recent work shows that definite and regular submetre seascape topography exists. This grant will test the extent to which this seascape topography is the fundamental organisational unit of marine ecosystems and the extent to which it characterises Australian coastal waters and open ocean water masses. This research takes a leadership role in defining and advancing our understanding of how marine ecosystems function. The project will bring over $200 million of Japanese infrastructure to Australia for 3 years.Read moreRead less
Discovery Early Career Researcher Award - Grant ID: DE240100633
Funder
Australian Research Council
Funding Amount
$460,573.00
Summary
Microplastics accumulation in Australian coastal wetlands. This project aims to quantify the intensity, rate and impact of the accumulation of microplastic particles in Australia’s coastal wetlands for the first time. This multidisciplinary project will examine interactions between microplastics, wetland ecology and carbon dynamics using advanced analytical chemistry, biogeochemistry and environmental microbiology. Expected outcomes of this project include the world’s first nationwide analysis o ....Microplastics accumulation in Australian coastal wetlands. This project aims to quantify the intensity, rate and impact of the accumulation of microplastic particles in Australia’s coastal wetlands for the first time. This multidisciplinary project will examine interactions between microplastics, wetland ecology and carbon dynamics using advanced analytical chemistry, biogeochemistry and environmental microbiology. Expected outcomes of this project include the world’s first nationwide analysis of the sequestration of microplastics and their influence on the carbon cycle in coastal ecosystems. This work will provide significant benefits, such as facilitating decision-making about microplastics emissions reduction and coastal wetlands conservation.Read moreRead less
Special Research Initiatives - Grant ID: SR0354804
Funder
Australian Research Council
Funding Amount
$10,000.00
Summary
ARC Research Network on Degraded Environment Assessment and Remediation. There are over 80,000 contaminated sites in Australia and >750,000,000 hectares of land impacted by soil acidity, sodicity, heavy-metals, nutrients and agricultural chemicals. The research network advances assessment, management and remediation of degraded environments (land, water, and air) through collaboration of the research programs developing sustainable solutions. The collective focus is minimising disposal and impac ....ARC Research Network on Degraded Environment Assessment and Remediation. There are over 80,000 contaminated sites in Australia and >750,000,000 hectares of land impacted by soil acidity, sodicity, heavy-metals, nutrients and agricultural chemicals. The research network advances assessment, management and remediation of degraded environments (land, water, and air) through collaboration of the research programs developing sustainable solutions. The collective focus is minimising disposal and impacts of contaminated soil and wastes, and land remediation. By facilitating communication, the network enhances national and international research coordination, interaction with regulators, end-users, industry, and other stakeholders, achievement of critical mass for new initiatives, enhances research training and contributes to a critical National Priority.Read moreRead less
Threats to the water quality and ecosystem of Coffin Bay, South Australia. Coffin Bay (South Australia) is experiencing worsening environmental conditions despite its major economic and ecological importance. Research is needed to understand the cause of this decline, particularly in light of a recent bacterial outbreak that impacted the aquaculture industry. This multidisciplinary project aims to deliver world-leading scientific advice based on novel field techniques and innovative models of th ....Threats to the water quality and ecosystem of Coffin Bay, South Australia. Coffin Bay (South Australia) is experiencing worsening environmental conditions despite its major economic and ecological importance. Research is needed to understand the cause of this decline, particularly in light of a recent bacterial outbreak that impacted the aquaculture industry. This multidisciplinary project aims to deliver world-leading scientific advice based on novel field techniques and innovative models of this complex inverse estuary system and its surrounding catchment. The new understanding of the sources, fluxes and fate of nutrients within the bay and the surrounding catchment, arising from this project, is expected to benefit management decision-making and establish a new standard in estuarine water quality investigation.Read moreRead less
Heavy metal phytotoxicity in long-term contaminated soils: Implications for the development of Australian regulatory guidelines and realistic environmental risk assessment. Heavy metal contamination is a serious global environmental problem. There are >80,000 potentially contaminated sites in Australia alone with many of these sites in the urban environment and former mining areas. The current guidelines for phytotoxicity testing (National Environmental Protection Measure 1999) are based on tota ....Heavy metal phytotoxicity in long-term contaminated soils: Implications for the development of Australian regulatory guidelines and realistic environmental risk assessment. Heavy metal contamination is a serious global environmental problem. There are >80,000 potentially contaminated sites in Australia alone with many of these sites in the urban environment and former mining areas. The current guidelines for phytotoxicity testing (National Environmental Protection Measure 1999) are based on total metal concentrations that do not take into consideration of bioavailability and wide ranging Australian soil types. Serious concerns have been raised on the applicability of these guidelines and their protective limits in ecological risk assessment. This project aims at developing phytotoxicity guidelines applicable to a wide range of soil types common to Australia.Read moreRead less
The Macroderma initiative: conserving ghost bats and informing development. This project aims to improve methods for capturing biological information required for environmental assessments of highly mobile species and enable strategic environmental planning in Northern Australia. Using Australia’s iconic ghost bat as a focus, the project will test and apply emerging technologies to obtain key information on a species’ population status and its critical resources to inform assessments of ecologic ....The Macroderma initiative: conserving ghost bats and informing development. This project aims to improve methods for capturing biological information required for environmental assessments of highly mobile species and enable strategic environmental planning in Northern Australia. Using Australia’s iconic ghost bat as a focus, the project will test and apply emerging technologies to obtain key information on a species’ population status and its critical resources to inform assessments of ecological impacts of industry development. Important benefits of the project include information and tools for streamlining development approvals and accurately assessing risks to threatened species to improve outcomes for both our economy and our natural environment.Read moreRead less