A Randomised Placebo-controlled Trial Of Antibiotics To Prevent Urinary Tract Infection In Children
Funder
National Health and Medical Research Council
Funding Amount
$735,000.00
Summary
This study is needed to determine whether a common clinical practice long-term antibiotic treatment for children following urinary tract infection (UTI) - is safe and effective in preventing further UTI and if so, whether all appropriate children are being treated. UTI will affect about 10% of Australian children by high school age (88,000 children per year). Because UTI may damage the kidneys, the management priority for children with UTI has been prevention of further infection. Currently this ....This study is needed to determine whether a common clinical practice long-term antibiotic treatment for children following urinary tract infection (UTI) - is safe and effective in preventing further UTI and if so, whether all appropriate children are being treated. UTI will affect about 10% of Australian children by high school age (88,000 children per year). Because UTI may damage the kidneys, the management priority for children with UTI has been prevention of further infection. Currently this means the identification of children thought to be most at risk of recurrent UTI by renal tract imaging. Those found to have reflux of urine from the bladder to the kidney (present in about 30% of those with UTI) are then placed on antibiotics fro 2-5 years. Unfortunately there has never been a properly designed trial to test whether antibiotics do really prevent UTI and if so, whether children with reflux are the appropriate and only group requiring treatment. Long term antibiotics may in fact do more harm than good because of side effects like skin, bowel and blood problems and because resistant bacteria may develop. The design of this study involves the random allocation of placebo or antibiotic (cotrimoxazole, the usual antibiotic given in this case) to about 800 children after their first symptomatic UTI. These children are treated and followed for one year to determine the rate of futher UTI in both groups. Any difference in outcome between the two groups of children will be because of the antibiotic treatment. This study may prove long-term antibiotics are ineffective and therefore should not be routinely used. In this case investigation of children to detect vesicoureteric reflux would serve little purpose and should be abandoned. Alternatively antibiotic treatment may be shown as effective treatment for preventing further UTI and in this case the study will clearly identify those children who will benefit.Read moreRead less
The BEST At Home Pragmatic Fall Prevention Program: Effectiveness, Cost Effectiveness And Implementation
Funder
National Health and Medical Research Council
Funding Amount
$1,386,133.00
Summary
Falls are a major public health issue with enormous personal, social and economic consequences. Certain types of exercise can prevent falls, however new strategies are needed to implement these programs more effectively to maximise uptake and adherence by older people. Researchers in fall prevention and health promotion are partnering with the Illawarra Shoalhaven Local Health District to evaluate the fall prevention effect of the Otago Exercise Programme when implemented in a group-based worksh ....Falls are a major public health issue with enormous personal, social and economic consequences. Certain types of exercise can prevent falls, however new strategies are needed to implement these programs more effectively to maximise uptake and adherence by older people. Researchers in fall prevention and health promotion are partnering with the Illawarra Shoalhaven Local Health District to evaluate the fall prevention effect of the Otago Exercise Programme when implemented in a group-based workshop format for older community-dwelling people.Read moreRead less
How do qualifications delivered by enterprises contribute to improved skill levels and other benefits for companies, workers and the nation? This project investigates the role of employer-based qualifications training in developing the skills and prospects of the Australian workforce and the competitive capabilities of companies. It focuses on enterprises that are accredited to deliver qualifications to their own workers, providing data to improve and expand this form of training.
Identifying effective strategies to grow and sustain a professional early years workforce. The National Early Years Workforce Strategy (2012) identifies the imperative for a larger, more qualified, professional, responsive and collaborative childcare workforce. This need is urgent. By 2014, Commonwealth legislation specifies that all long day-care centres must have a qualified teacher and minimum staff qualification of Certificate III. Yet high turnover, skill loss and failure to meet existing q ....Identifying effective strategies to grow and sustain a professional early years workforce. The National Early Years Workforce Strategy (2012) identifies the imperative for a larger, more qualified, professional, responsive and collaborative childcare workforce. This need is urgent. By 2014, Commonwealth legislation specifies that all long day-care centres must have a qualified teacher and minimum staff qualification of Certificate III. Yet high turnover, skill loss and failure to meet existing qualification standards persist. Nationally, multiple strategies are being implemented to achieve the new qualification standards but there is scant evidence about their effectiveness. This project aims to identify the most effective strategies to reduce loss and increase professional engagement in the early years workforce.Read moreRead less
Embodied Virtues and Expertise. The Project will provide a theoretical framework for understanding expertise. Crucially, the framework will provide an account that explains the motivation of experts, and allows for the virtues of experts to be analysed and promoted. The framework will thus fill a perceived gap in professional pedagogical disciplines such as Education, Nursing Education, and Medicine, in which the concept of expertise is central, but for which an adequate theoretical framework of ....Embodied Virtues and Expertise. The Project will provide a theoretical framework for understanding expertise. Crucially, the framework will provide an account that explains the motivation of experts, and allows for the virtues of experts to be analysed and promoted. The framework will thus fill a perceived gap in professional pedagogical disciplines such as Education, Nursing Education, and Medicine, in which the concept of expertise is central, but for which an adequate theoretical framework of expertise is lacking. Academics and practitioners from these disciplines will participate in conferences and workshops run under the Project.Read moreRead less
Virtual Reality Training Kit for Arc Welders. The aim of this research is to develop a virtual reality training package that enables welders to obtain basic manipulative skills in a safe environment before they are exposed to additional welding hazards. The research addresses the problem of welder training in a novel manner by utilizing a virtual reality simulator to allow the welding trainee to develop his manipulative and functional skills prior to attempting real welding tasks. An additional ....Virtual Reality Training Kit for Arc Welders. The aim of this research is to develop a virtual reality training package that enables welders to obtain basic manipulative skills in a safe environment before they are exposed to additional welding hazards. The research addresses the problem of welder training in a novel manner by utilizing a virtual reality simulator to allow the welding trainee to develop his manipulative and functional skills prior to attempting real welding tasks. An additional feature of the package is the internetworking facility that will allow monitoring and feedback of results to trainers. This is an advantage especially for remote communitiesRead moreRead less
Context, Judgement and Informal Learning at Work: An Investigation of Factors Crucial for Enhancing Performance. This project investigates learning that enables people to perform well the demanding aspects of their occupations. Detailed case studies of critical incidents in a range of workplaces will be constructed and the learning or otherwise by key players involved in these incidents will be elucidated and analysed. These findings will test and refine a theory of learning at work that concept ....Context, Judgement and Informal Learning at Work: An Investigation of Factors Crucial for Enhancing Performance. This project investigates learning that enables people to perform well the demanding aspects of their occupations. Detailed case studies of critical incidents in a range of workplaces will be constructed and the learning or otherwise by key players involved in these incidents will be elucidated and analysed. These findings will test and refine a theory of learning at work that conceptualises it, at its best, as a growing capacity to make appropriate context-sensitive judgements. Developing a sound theory of workplace learning is very important because, though it is currently a major policy focus, received theories are of limited explanatory value.Read moreRead less
Organizational Change And Treatment Of Depression And Dementia In Aged Care Facilities
Funder
National Health and Medical Research Council
Funding Amount
$567,052.00
Summary
Mental health disorders are common in aged care settings. However, these problems are not well managed. This situation results in distress for residents and family members, as well as high levels of burnout and turnover among staff. This project will address the organizational barriers with the aim of better managing and treating depression and behavioural problems associated with dementia.
Implementing Evidence Into Practice To Improve Chronic Lung Disease Management In Indigenous Australians: The Breathe Easy, Walk Easy-Lungs For Life (BE WELL) Project
Funder
National Health and Medical Research Council
Funding Amount
$780,089.00
Summary
The burden of chronic obstructive pulmonary disease (COPD) in Indigenous Australians far exceeds that in non-Indigenous Australians. The project will evaluate whether the BE WELL program can build the capacity of Aboriginal health workers to provide affordable and effective management of COPD, including pulmonary rehabilitation. This program will improve health outcomes, reduce hospital admissions and address the poor access to best-practice management of COPD in Indigenous communities.