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Shaping the heart in early development - new insights into cellular modelling processes. Heart health is an important contributor to quality of life and longevity. This research will provide new insights into the way hormonal influences early in development shape a healthy heart. The project builds on the application of recently patented, sophisticated cell imaging techniques. Research students and trainees recruited to this project will benefit from their involvement with this leading edge tech ....Shaping the heart in early development - new insights into cellular modelling processes. Heart health is an important contributor to quality of life and longevity. This research will provide new insights into the way hormonal influences early in development shape a healthy heart. The project builds on the application of recently patented, sophisticated cell imaging techniques. Research students and trainees recruited to this project will benefit from their involvement with this leading edge technology. These studies are important in providing a basis for developing optimal management strategies for congenital heart conditions and preterm infants. Improved knowledge of the cardiac effects of fetal and neonatal exposure to steroids (to assist with lung maturation in prematurity or to control maternal asthma) will be gained.Read moreRead less
Fluid mechanics and physiology of blockages in vascular systems. Vascular disease is a major health problem both in Australia and worldwide. In particular, cardiovascular disease is a major killer of adult Australians. Engineers and mathematicians working with biologists will gain a greater understanding of vascular diseases, a major health problem, including cardiovascular disease, which is one of the biggest killers worldwide, as well as tackling renal circulation problems, which are a signifi ....Fluid mechanics and physiology of blockages in vascular systems. Vascular disease is a major health problem both in Australia and worldwide. In particular, cardiovascular disease is a major killer of adult Australians. Engineers and mathematicians working with biologists will gain a greater understanding of vascular diseases, a major health problem, including cardiovascular disease, which is one of the biggest killers worldwide, as well as tackling renal circulation problems, which are a significant problem and may contribute to hypertension. Detailed measurement and prediction will be undertaken of the mechanical loading and response of cells to their microenvironment, an important first step to controlling pathological responses which lead to a variety of autoimmune problems.Read moreRead less
Engineering Imaging and Supercomputer Prediction of Biofluid Flows. The potential of the information gained from the lung imaging for improving the diagnosis and monitoring of adult respiratory diseases, such as emphysema, pulmonary fibrosis and asthma, is enormous. Abnormalities in the structure and function of the kidney circulation are likely key factors causing hypertension, so a detailed understanding of the kidney circulation is required before we can cure or prevent hypertension. The rese ....Engineering Imaging and Supercomputer Prediction of Biofluid Flows. The potential of the information gained from the lung imaging for improving the diagnosis and monitoring of adult respiratory diseases, such as emphysema, pulmonary fibrosis and asthma, is enormous. Abnormalities in the structure and function of the kidney circulation are likely key factors causing hypertension, so a detailed understanding of the kidney circulation is required before we can cure or prevent hypertension. The research underpinning cardiovascular and renal flows will assist in the understanding of hypertension, a major risk factor for cardiovascular disease, which accounts for approximately 40% of all deaths in Australia and particularly high for dialysis patients. Read moreRead less
Advanced Bayesian Networks for Epidemiology. We will demonstrate the potential of advanced Artificial Intelligence for medical informatics by extending the capabilities of Bayesian Networks. Bayesian Networks excel when researchers need to combine causal and diagnostic reasoning in areas characterised by uncertainty. But they have one flaw which hinders their use: they do not yet easily mix continuous and discrete variables. We will extend them to handle such mixes, then demonstrate how much the ....Advanced Bayesian Networks for Epidemiology. We will demonstrate the potential of advanced Artificial Intelligence for medical informatics by extending the capabilities of Bayesian Networks. Bayesian Networks excel when researchers need to combine causal and diagnostic reasoning in areas characterised by uncertainty. But they have one flaw which hinders their use: they do not yet easily mix continuous and discrete variables. We will extend them to handle such mixes, then demonstrate how much they can improve on current methods for predicting, among other things, coronary heart disease (CHD).Read moreRead less
Impact of shear stress on vascular adaptations in humans. Large arteries are important for the delivery of blood and oxygen to organs such as the heart and brain. A primary physiological stimulus which controls the size and function of these crucial arteries is the magnitude of flow or, more accurately, shear force that the inner wall of the artery is exposed to. We have developed novel software which enables non-invasive assessment of arterial wall velocity, diameter and blood flow. We will ass ....Impact of shear stress on vascular adaptations in humans. Large arteries are important for the delivery of blood and oxygen to organs such as the heart and brain. A primary physiological stimulus which controls the size and function of these crucial arteries is the magnitude of flow or, more accurately, shear force that the inner wall of the artery is exposed to. We have developed novel software which enables non-invasive assessment of arterial wall velocity, diameter and blood flow. We will assess the impact of acute and chronic changes in wall flow and shear on arterial size and function. We will also develop new software which measures other aspects of artery wall behaviour. These basic human physiology studies have direct implications for assessment of artery health in humans.Read moreRead less
The effectiveness of pro-active telemarketing of a smoking cessation telephone counselling service. Despite the availability of services, such as telephone support lines to help people quit, only a small number of smokers seek help. One solution is to pro-actively contact and offer support with quitting to smokers in the community. This study will involve pro-actively contacting households by telephone and offering intensive, personalised telephone counselling to smokers to support them in the q ....The effectiveness of pro-active telemarketing of a smoking cessation telephone counselling service. Despite the availability of services, such as telephone support lines to help people quit, only a small number of smokers seek help. One solution is to pro-actively contact and offer support with quitting to smokers in the community. This study will involve pro-actively contacting households by telephone and offering intensive, personalised telephone counselling to smokers to support them in the quitting process. Such a service will provide treatment to smokers who might not otherwise seek assistance to quit, thereby greatly increasing the potential impact of quit smoking services at a community level.Read moreRead less
Defining targets and generating tools/therapeutic agents for prevention, diagnosis and therapy of atherothrombosis. Atherosclerosis and its complications such as myocardial infarction and stroke are a major cause of death and disability in Australia and worldwide. The proposed research program investigates new therapeutic targets and concepts (e.g. targeting of stem cells) to treat atherosclerosis and aims to develop new therapeutic agents using modern biotechnological methods. The project furth ....Defining targets and generating tools/therapeutic agents for prevention, diagnosis and therapy of atherothrombosis. Atherosclerosis and its complications such as myocardial infarction and stroke are a major cause of death and disability in Australia and worldwide. The proposed research program investigates new therapeutic targets and concepts (e.g. targeting of stem cells) to treat atherosclerosis and aims to develop new therapeutic agents using modern biotechnological methods. The project further aims to develop nanoparticle-based diagnostic tools to identify and preventatively treat atherosclerotic plaques that are prone to cause myocardial infarction. The expected outcome will provide direct benefit to patients and create new economic opportunities in Australian bio-/nanotechnology.Read moreRead less
Targeting genes elevated in the athlete's heart to improve function of the failing heart. Cardiovascular disease affects about 3.7 million Australians and heart failure ranks as one of the major killers, representing a huge burden on our health care system and economy. This situation is likely to get worse with an increasing ageing population. Current therapeutics for heart failure patients largely delay disease progression but generally fail in significantly improving heart function and quality ....Targeting genes elevated in the athlete's heart to improve function of the failing heart. Cardiovascular disease affects about 3.7 million Australians and heart failure ranks as one of the major killers, representing a huge burden on our health care system and economy. This situation is likely to get worse with an increasing ageing population. Current therapeutics for heart failure patients largely delay disease progression but generally fail in significantly improving heart function and quality of life. The proposal has focused on targeting the protective effects of 'good' heart growth by identifying genes elevated in the heart in response to exercise. Targeting genes elevated in the athlete's heart to improve function of the failing heart represents a new strategy for the treatment of heart failure.Read moreRead less
A randomised controlled trial of motivational interviewing as a tool to enhance secondary prevention strategies in cardiovascular disease. While there is increasing evidence for the efficacy of cardiac rehabilitation (CR) in reducing mortality and morbidity, adherence to risk factor modification strategies are problematic for many CR patients. This project will evaluate in a randomised controlled trial the benefit of motivational interviewing (MI) in enhancing secondary prevention strategies in ....A randomised controlled trial of motivational interviewing as a tool to enhance secondary prevention strategies in cardiovascular disease. While there is increasing evidence for the efficacy of cardiac rehabilitation (CR) in reducing mortality and morbidity, adherence to risk factor modification strategies are problematic for many CR patients. This project will evaluate in a randomised controlled trial the benefit of motivational interviewing (MI) in enhancing secondary prevention strategies in CR patients. Given the role of self-efficacy in predicting adherence, MI needs to be evaluated in CR. This study is significant in terms of preventative health, and its potential to improve the design and delivery of CR programs and increase patient adherence. Expected outcomes include increased adherence to cardiovascular risk modification and improved psychological well-being.Read moreRead less
Effect of modification of structural and cellular properties of the arterial wall on functional stiffness of large arteries. The Australian population is ageing, becoming more obese and showing earlier onset of age-related conditions such as high blood pressure, heart failure and inflammatory disorders. All these conditions are associated with possible increase arterial stiffness. Inflammatory disorders in Australia affect one in six people, increasing to one in five in the next decade. An equa ....Effect of modification of structural and cellular properties of the arterial wall on functional stiffness of large arteries. The Australian population is ageing, becoming more obese and showing earlier onset of age-related conditions such as high blood pressure, heart failure and inflammatory disorders. All these conditions are associated with possible increase arterial stiffness. Inflammatory disorders in Australia affect one in six people, increasing to one in five in the next decade. An equal proportion is affected by cardiovascular disease. This combined effect poses a massive burden on the national health budget. This project aims to investigate basic mechanism leading to degeneration of function of larger arteries and therapies to reverse the process and reduce cardiovascular risk in the community.Read moreRead less