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
Creative Tropical City: Mapping Darwin's Creative Industries. This research will improve our knowledge and understanding of the creative industries in Darwin. It will provide a strong evidence base for the development of policy options for growing the creative industries in Darwin. And it will interrogate national and international creative industry policy frameworks for their applicability to Darwin.
Evaluation Of The Effectiveness Of Mobile Preschool For Child Health And Development In Remote Aboriginal Communities
Funder
National Health and Medical Research Council
Funding Amount
$456,369.00
Summary
This project is a retrospective study of the effectiveness of the NT Mobile Preschool Program using assessment data for children's emergent literacy, social and emotional competencies and health status. Effectiveness will be established by comparison with achievement and health status data for children not attending preschool and those in communities with no preschool service. The study will identify and describe the key factors influencing the health and learning outcomes of the three groups.
Special Research Initiatives - Grant ID: SR200200677
Funder
Australian Research Council
Funding Amount
$180,000.00
Summary
Staying on Country: Infrastructure Needs for Remote Community Viability. This project introduces the concept of infrastructural biographies to revisit the history of remote community formations from the self-determination era to today. Using ethnographic approaches to understand infrastructural legacies, it aims to interrogate the governance and hardware requirements for supporting Indigenous residents to stay on country. The project will produce four case studies capturing community resilience ....Staying on Country: Infrastructure Needs for Remote Community Viability. This project introduces the concept of infrastructural biographies to revisit the history of remote community formations from the self-determination era to today. Using ethnographic approaches to understand infrastructural legacies, it aims to interrogate the governance and hardware requirements for supporting Indigenous residents to stay on country. The project will produce four case studies capturing community resilience efforts in northern and central Australia. Expected benefits include an enhanced understanding of infrastructural issues in relation to viability concerns, and improved policy strategies for Indigenous corporations, NGOs, and governments working on remote Indigenous governance, maintenance programs, and climate-readiness.Read moreRead less
Diseases caused by the pneumococcus represent the largest cause of vaccine preventable death in the world today, mainly pneumonia and meningitis. In 2011, 16 developing countries will introduce pneumococcal conjugate vaccines, none in east Asia. Lack of research has been a major barrier to their use in the region. We have established an international centre of excellence in the field and we seek support to extend the capacity of this group and to transfer the technology to Vietnam.
Improving Birth Outcomes in China: consequences and potentials of policy, state and professional interactions. The aim of the project is to reduce morbidity and mortality associated with birth by informing health systems improvement in China. We will develop an innovative methodology to study consequences of policy, state and professional interactions on birth outcomes. This work is also relevant in other settings. Macro economic reforms in China have produced paradoxical disparities between ri ....Improving Birth Outcomes in China: consequences and potentials of policy, state and professional interactions. The aim of the project is to reduce morbidity and mortality associated with birth by informing health systems improvement in China. We will develop an innovative methodology to study consequences of policy, state and professional interactions on birth outcomes. This work is also relevant in other settings. Macro economic reforms in China have produced paradoxical disparities between rich and poor and urban and rural populations evident in maternal morbidity and mortality. Results will inform facilitative policies and models of service to optimise safety and increase effectiveness in deployment of human and monetary resources.Read moreRead less
Challenges, Possibilities and Future Directions: A National Assessment of Australia's Children's Courts. Children's Courts occupy a unique position in the child welfare and juvenile justice systems in responding to often marginalized delinquent youth and vulnerable children and families. Philosophical and structural shifts in Australia and overseas suggest community and legal system responses are often ineffective and contribute to longer-term problems, creating social challenges for governments ....Challenges, Possibilities and Future Directions: A National Assessment of Australia's Children's Courts. Children's Courts occupy a unique position in the child welfare and juvenile justice systems in responding to often marginalized delinquent youth and vulnerable children and families. Philosophical and structural shifts in Australia and overseas suggest community and legal system responses are often ineffective and contribute to longer-term problems, creating social challenges for governments and communities alike. This national study will examine how key stakeholders, including, significantly, judicial officers, view the Children's Court's contemporary responses and challenges, their preferred alternatives responses and the viability of suggested reforms, thus offering a unique contribution to informing legal and social policy change.Read moreRead less
A study investigating the feasibility of implementing a national approach to child and family health services. Understanding and strengthening the way in which universal health services are provided to pregnant women, children and families has the potential to impact over a million Australian families annually. The findings of this study will have national application as federal, state and territory governments work towards implementing a national approach to child and family health services. Th ....A study investigating the feasibility of implementing a national approach to child and family health services. Understanding and strengthening the way in which universal health services are provided to pregnant women, children and families has the potential to impact over a million Australian families annually. The findings of this study will have national application as federal, state and territory governments work towards implementing a national approach to child and family health services. The findings will inform effective multidisciplinary collaboration and service integration, address service gaps and duplication and lead to increased access to services. This study will generate new knowledge about characteristics of organisations, service delivery and professions that facilitate or hinder innovation.Read moreRead less
Can there be good policy? Tracing the paths between policy intent, evidence and practical benefit in regional and remote Australia. By tracking major health, housing and education reforms currently underway across regional and remote Australia, this research generates fresh perspectives on an urgent contemporary debate in Indigenous social affairs: namely, are governments best placed to drive social change or to determine policy imperatives; and if not, are there alternate ways to generate good ....Can there be good policy? Tracing the paths between policy intent, evidence and practical benefit in regional and remote Australia. By tracking major health, housing and education reforms currently underway across regional and remote Australia, this research generates fresh perspectives on an urgent contemporary debate in Indigenous social affairs: namely, are governments best placed to drive social change or to determine policy imperatives; and if not, are there alternate ways to generate good policy? An anthropological approach will be used to observe government policy at work. The research will explore the institutional reasons behind the gap between intention and outcome in Indigenous social policy; how failure cycles in policy are replicated; and possible techniques for creating and implementing a new ethics of policy engagement.Read moreRead less
Indigenous-led Sea Country Management: Protecting Australia's Marine Estate. This project aims to understand and support the aspirations and achievements of Sea Country Traditional Owners in leading the management of their marine and coastal estates. The project expects to generate new approaches to marine management based on Indigenous knowledge and governance systems and reconceptualise marine spatial and conservation planning methodologies. Expected outcomes include solutions to problems face ....Indigenous-led Sea Country Management: Protecting Australia's Marine Estate. This project aims to understand and support the aspirations and achievements of Sea Country Traditional Owners in leading the management of their marine and coastal estates. The project expects to generate new approaches to marine management based on Indigenous knowledge and governance systems and reconceptualise marine spatial and conservation planning methodologies. Expected outcomes include solutions to problems faced by Indigenous and non-Indigenous marine managers working in remote and cross-cultural spaces and supporting governments to implement effective and equitable legal and policy frameworks. This may provide significant cultural, environmental and economic benefits to Traditional Owners, governments and the Australian community.Read moreRead less