A New Direction For TB Control In Highly Endemic Countries: A RCT Of Active Case Finding
Funder
National Health and Medical Research Council
Funding Amount
$1,362,910.00
Summary
Tuberculosis is the number 1 health problem in Vietnam . Many people with TB do not know they have the disease but are infectious to others. Hence, the disease continues to spread. This project will investigate the role of x-ray screening to detect and treat more people with TB, particularly those who do not have symptoms. This may be an important element of future TB control programs in Vietnam and elsewhere in our region.
A Randomized Clinical Trial Comparing Effectiveness Of 4RIF And 9INH For Treatment Of Latent TB Infection
Funder
National Health and Medical Research Council
Funding Amount
$496,875.00
Summary
Treatment of latent tuberculosis infection (LTBI) is one intervention that is known to prevent the occurrence of active TB. Current treatment is based on a six to nine month course of isoniazid. The treatment has side effects in some people and many people do not complete the treatment. The present study is to test an alternative treatment regimen (4 months of rifampicin) which has fewer side-effects and is more likely to be completed.
Determining The Impact Of Opioid Substitution Therapy Upon Mortality And Recidivism Among Prisoners: A 22-year Data Linkage Study
Funder
National Health and Medical Research Council
Funding Amount
$354,114.00
Summary
This study will quantify the impact of opioid substitution therapy (OST; methadone or buprenorphine) on two important outcomes for opioid dependent prisoners: mortality, particularly in the post-release period; and subsequent criminal activity. The study will have almost 600,000 person-years of follow-up over 22 years, allowing fine grained analyses of disadvantaged subpopulations. The study has clear implications for the health of this population, crime reductions, and cost savings.
National Non-human Primate Breeding And Research Facility
Funder
National Health and Medical Research Council
Funding Amount
$2,640,742.00
Summary
Some biomedical research is best undertaken on primates, in order to allow the greatest relevance to understanding health and disease in humans. Examples of such research include studies into diseases like HIV-AIDS and much of the research into understanding the human brain and nervous system. The National Health and Medical Research Committee (NHMRC), through its Animal Welfare Committee, has taken an international leadership position in ensuring that any non-human primates used for biomedical ....Some biomedical research is best undertaken on primates, in order to allow the greatest relevance to understanding health and disease in humans. Examples of such research include studies into diseases like HIV-AIDS and much of the research into understanding the human brain and nervous system. The National Health and Medical Research Committee (NHMRC), through its Animal Welfare Committee, has taken an international leadership position in ensuring that any non-human primates used for biomedical research are bred and housed in the best possible facilities and looked after with the highest level of care available. To ensure this quality of care, it is NHMRC policy to only use animals that have been bred and reared specifically for research purposes. The National Non-Human Primate Breeding and Research Facility, hosted by Monash University, ensures that Australian community has access to macaque monkeys and marmosets to carry out research under the highest quality conditions. Additionally the colonies will provide a key resource in any national response to pandemics and bioterrorism for vaccine and response development.Read moreRead less
Distribution Kinetics Of Opioids Used In Substitution Programs
Funder
National Health and Medical Research Council
Funding Amount
$196,527.00
Summary
Heroin addiction is a major national and international problem costing hundreds of millons of dollars to Australia alone. The major form of treatment is methadone taken as maintenance treatment once a day. While methadone is effective in most addicts, about one third of them complain that it does not last long enough and they either tolerate this inadequate form of treatment or are prescribed a newer drug as part of a clinical trial or drop out and revert to heroin. We have previously shown that ....Heroin addiction is a major national and international problem costing hundreds of millons of dollars to Australia alone. The major form of treatment is methadone taken as maintenance treatment once a day. While methadone is effective in most addicts, about one third of them complain that it does not last long enough and they either tolerate this inadequate form of treatment or are prescribed a newer drug as part of a clinical trial or drop out and revert to heroin. We have previously shown that the blood levels of methadone are important in determining its best use and specifically, that those addicts for whom methadone does not hold have a greater drop in their blood levels after methadone has been absorbed into the body. This drop in blood levels is mainly due to methadone's redistribution throughout the body. Very little is known about how methadone distributes and redistributes throughout the body but it appears that the lung is the most important organ. A number of questions need to be answered to improve methadone's use: 1. How quickly is methadone taken up into the lung compared to the brain; 2. Why is the lung able to take up and release a large amount of methadone; 3. How does decreased respiration influence the lung and brain uptake of methadone; 4. What happens when another drug is prescribed (such as an antidepressant) which reduces the lung uptake of methadone; 5. Do some of the newer drugs for heroin addiction have better lung distribution and binding properties. We will perform studies of the concentrations of methadone and newer drugs in sheep that will provide the scientific basis for answering these questions and permit better use of drug treatment for heroin addiction.Read moreRead less
Maximising The Effectiveness Of Interactive Automated Programs For Smoking Cessation
Funder
National Health and Medical Research Council
Funding Amount
$922,582.00
Summary
This project is to design, implement and trial automated programs to help smokers quit. It makes use of the powers of modern computing and telecommunications. It uses information the person provides to personally tailor advice and assistance to smokers as they progress from beginning to think about quitting through to being a stable, happy non-smoker. In particular, we are interested in the relative value of detailed advice as compared with the capacity of modern messaging technology (SMS, voice ....This project is to design, implement and trial automated programs to help smokers quit. It makes use of the powers of modern computing and telecommunications. It uses information the person provides to personally tailor advice and assistance to smokers as they progress from beginning to think about quitting through to being a stable, happy non-smoker. In particular, we are interested in the relative value of detailed advice as compared with the capacity of modern messaging technology (SMS, voice, images) to provide a set of prompts and reminders that help smokers manage a quit attempt and help prevent them relapsing back to smoking. Once we have developed the interventions, we will subject them to a rigorous scientific trial to see how effective they are and also how cost-effective they prove. Our hope is that these programs will provide a cheap, accessible and effective way of helping smokers to quit and thus help reduce the huge toll of smoking-related disease.Read moreRead less
Treating Adult Obesity: Can A Tailored, Low Cost Dietetic Service Turn Around The Obesity Epidemic?
Funder
National Health and Medical Research Council
Funding Amount
$90,567.00
Summary
Dietitians are trained to treat obesity, yet Australia is in an obesity crisis. In this study we investigate the clinical service dietitians offer to treat obesity in adults from the dietitian and the client perspective. From this information, we will model a computer-based system with the ability to report financial, and health progress. This work will result in a model of care that is better, faster, more accessible, and improves the health of Australians.