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Preventing Diabetes In Pregnancy From Progressing To Type 2 Diabetes: Macrolevel System Change In South Australia And Vic
Funder
National Health and Medical Research Council
Funding Amount
$1,338,281.00
Summary
The greatest predictor of the likelihood of developing diabetes is having diabetes during pregnancy. This project will invite women who have developed diabetes during pregnancy to be registered for recall every two years. They would go to their general practitioner to be tested for diabetes and to be advised on risk factors for diabetes. A lifestyle modification program will be developed for these women to reduce the risk of progressing to diabetes.
Population-based Genetic Screening For Klinefelters Syndrome: A Critical Analysis
Funder
National Health and Medical Research Council
Funding Amount
$75,468.00
Summary
Klinefelter’s Syndrome (KS) is a common and important genetic condition affecting males, yet 70% are never diagnosed. Males with KS are always infertile and may have hormone imbalances, breast development, decreased facial and pubic hair, and varying levels of cognitive, social, behavioural and learning difficulties. Treatment and intervention options are available, if KS is diagnosed early enough. Screening for the condition is possible - but what would the advantages and disadvantages of this ....Klinefelter’s Syndrome (KS) is a common and important genetic condition affecting males, yet 70% are never diagnosed. Males with KS are always infertile and may have hormone imbalances, breast development, decreased facial and pubic hair, and varying levels of cognitive, social, behavioural and learning difficulties. Treatment and intervention options are available, if KS is diagnosed early enough. Screening for the condition is possible - but what would the advantages and disadvantages of this be?Read moreRead less
Developing Service Policies For Australians With Dual Sensory Impairment: An Integrated, Collaborative Pilot Project
Funder
National Health and Medical Research Council
Funding Amount
$324,313.00
Summary
The burden from hearing and vision impairments, greatest for people with dual sensory impairment (DSI), will rise with population ageing. Targeted rehabilitation and support for DSI may improve health and quality of life. This project will pilot an integrated, collaborative service model for assessment and rehabilitation of DSI in older people. The knowledge gained will inform policy development and optimise use of resources to provide the best possible care for older Australians with DSI.
Glucose Intolerance In Pregnancy : A Randomised Trial Of Current Management Practices
Funder
National Health and Medical Research Council
Funding Amount
$346,527.00
Summary
Glucose intolerance in pregnancy is diagnosed when a higher level of glucose than normal is found in blood after an oral glucose tolerance test. There is great variation in approaches to treatment of this condition in hospitals around Australia. The variation reflects uncertainty about whether treating women with glucose intolerance in pregnancy along similar guidelines to women with diabetes improves the outlook for their baby. There is the possibility such management, apart from being more cos ....Glucose intolerance in pregnancy is diagnosed when a higher level of glucose than normal is found in blood after an oral glucose tolerance test. There is great variation in approaches to treatment of this condition in hospitals around Australia. The variation reflects uncertainty about whether treating women with glucose intolerance in pregnancy along similar guidelines to women with diabetes improves the outlook for their baby. There is the possibility such management, apart from being more costly, may increase the risks for the mother of induction and caesarean section and reduce her quality of life. This study is designed to help clarify these uncertainties.Read moreRead less
ASSESSMENT OF PHOTOGRAPHY AS AN AID TO EARLY DETECTION OF MELANOMA IN OLDER MALES BY GENERAL PRACTITIONERS
Funder
National Health and Medical Research Council
Funding Amount
$36,110.00
Summary
Our previous studies have shown that older groups are more likely to present with advanced melanoma and that over half the deaths from melanoma occur in males over the age of 50. Early detection of melanoma in this group could therefore be expected to result in a major reduction in mortality from the disease. The reason for presentation with more advanced melanoma appears to be due to a high frequency of melanoma at hard to see sites such as the back and a form of melanoma (nodular melanoma) tha ....Our previous studies have shown that older groups are more likely to present with advanced melanoma and that over half the deaths from melanoma occur in males over the age of 50. Early detection of melanoma in this group could therefore be expected to result in a major reduction in mortality from the disease. The reason for presentation with more advanced melanoma appears to be due to a high frequency of melanoma at hard to see sites such as the back and a form of melanoma (nodular melanoma) that is hard to recognise in its early stages. Older people also are less able to recognise changes of melanoma. Our previous studies also showed that both doctors and lay people have poor ability to recognise changes in skin lesions over time but can do so if a photographic record is available. We wish therefore to evaluate in pilot studies whether a screening service based on photographic records taken at age 50 will assist in the early detection of melanoma in this age group. A pilot study is necessary to evaluate the feasibility of recruitment procedures, acceptability to doctors and cost-effectiveness. We have made substantial progress and are requesting another years funding to complete the study and its analysis. If the project is successful it is intended to conduct a larger randomised trial in the Hunter Region to evaluate this approach to screening. Thickness of the primary melanoma and survival from melanoma will be used as the endpoints.Read moreRead less
What Characterises Influential Population-oriented Public Health Policy Research In Australia?
Funder
National Health and Medical Research Council
Funding Amount
$447,174.00
Summary
This project examines the characteristics of Australian research and researchers whose work is judged to be influential in influencing public health policy in 6 areas: tobacco control, cancer screening, injury prevention, cardiovascular disease prevention, illicit drugs and alcohol control. The project involves work with both researchers and those who are in positions to advocate and enact policy (politicians, government officials, journalists, public health agencies).
A Comparative Review Of The Use Of Evidence In Colorectal Cancer Screening Policy Decisions In Australia, NZ And The UK.
Funder
National Health and Medical Research Council
Funding Amount
$75,451.00
Summary
This PhD is a qualitative research project exploring the role of evidence and other factors in policy decisions about cancer screening. This topic is important because the evidence for the effectiveness of screening programs varies, with evidence-based practices sometimes being less popular with the general public and decision-makers than those not based on evidence. This project will fill a gap in knowledge and aims to develop ways of better integrating research evidence and policy decisions.