Cognitive Outcome And Therapeutic Interventions For Coronary Artery Disease.
Funder
National Health and Medical Research Council
Funding Amount
$392,104.00
Summary
Dementia is recognized as an increasingly important factor affecting quality of life as people age. Deaths from heart disease are declining, in part due to improved surgical techniques and to the use of less invasive methods to keep arteries open such as coronary stenting. It is now well known that 20 to 60% of patients experience some degree of impairment in thinking ability (cognitive impairment) after cardiac surgery, that this will persist in some of these individuals for years and may incre ....Dementia is recognized as an increasingly important factor affecting quality of life as people age. Deaths from heart disease are declining, in part due to improved surgical techniques and to the use of less invasive methods to keep arteries open such as coronary stenting. It is now well known that 20 to 60% of patients experience some degree of impairment in thinking ability (cognitive impairment) after cardiac surgery, that this will persist in some of these individuals for years and may increase the risk of long-term problems. Cognitive impairment affects people in many ways. While it is not yet known whether the occurrence of cognitive impairment predisposes to dementia, it is thought that Mild Cognitive Impairment (MCI) may do so. We propose to explore the link between MCI and Post Procedural Cognitive Deficit (PPCD) in patients with coronary disease from before the first point of objective diagnosis, i.e. prior to the coronary angiogram, and over a 12-month period, through and subsequent to further treatment interventions such as stenting or cardiac surgery. Our Pilot data suggest that PPCD does indeed occur after angiography, and we propose to identify how long this lasts, whether MCI predisposes to it and whether it is better to wait until it resolves before further interventions are undertaken. In this way we hope to identify the safest treatment strategy for patients with coronary disease that will minimize the occurrence of Cognitive Deficit and possibly longer-term cognitive changes after investigation and treatment for their symptoms.Read moreRead less
Novel Assessment And Intervention For Dementia: An Inter-disciplinary Translational Approach
Funder
National Health and Medical Research Council
Funding Amount
$720,021.00
Summary
This program of research focuses on i) a highly novel internationally competitive program of work focusing on the neural network correlates of sleep in dementia, sleep as a risk factor and the efficacy of sleep-wake interventions in reducing cognitive decline; ii) Innovative technologies for widespread screening of preclinical dementia and early intervention and iii) clinical trials focused on the testing of a of novel, highly translatable dementia risk reduction interventions.
Moving Behavioural Neuroscience & Neuroeconomics Into Dementia Prevention: Spatial Tracking And Economic Decision-making As New Sensitive Measures Of Daily Function
Funder
National Health and Medical Research Council
Funding Amount
$595,588.00
Summary
This project will aim to develop new measures for clinical trials by learning the relationship between older people's movements around the house, ability to make decisions about their health and finance and their cognitive performance. These instruments may aid future trials of drugs and other interventions for preventing dementia by indicating how basic behavioural patterns respond to interventions.
Early Intervention For Amnestic Mild Cognitive Impairment : A Randomised Trial Of Memory Management
Funder
National Health and Medical Research Council
Funding Amount
$577,556.00
Summary
It is increasingly recognised that Alzheimer’s disease can emerge slowly over years and persons presenting with memory impairment, or mild cognitive impairment (MCI), are at increased risk of developing Alzheimer’s disease. Following diagnosis of MCI, active management through symptomatic drug treatment remains equivocal, therefore, memory impairment continues to be troublesome and patients and families are seeking interventions that offer improvement in quality of life. Cognitive interventions ....It is increasingly recognised that Alzheimer’s disease can emerge slowly over years and persons presenting with memory impairment, or mild cognitive impairment (MCI), are at increased risk of developing Alzheimer’s disease. Following diagnosis of MCI, active management through symptomatic drug treatment remains equivocal, therefore, memory impairment continues to be troublesome and patients and families are seeking interventions that offer improvement in quality of life. Cognitive interventions are low cost and, where effective, can provide a stand-alone intervention or add value to the pharmacological approach. The primary aim of this study is to evaluate whether an early intervention program of memory training is effective in improving use of memory strategies in everyday life, and whether this has psychological and emotional benefits for individuals with MCI and their families. We will evaluate through a randomised controlled trial the efficacy of a memory-group program which will involve the family and patient, rather than just the person with MCI, in developing increased awareness of memory issues and specific strategies to prevent memory failures. Over successive cohorts recruited from memory clinics, families will be randomly assigned to either an immediate intervention or a delayed intervention (waiting-list control) group. We will also recruit a sample of healthy older adults who will be similarly randomised into early and late intervention groups. Healthy older adults will provide a means of establishing whether any improvements in the MCI groups are (i) to the same extent as healthy older adults and (ii) to normative levels. Evaluation will be at pre- and post-intervention and at six months follow-up on tests of memory, questionnaires of knowledge and use of memory strategies in everyday life, and appraisal of level of wellbeing. Information about memory and systematic training in compensatory memory skills are expected to significantly improve the capacity of patients and families to cope with everyday memory difficulties. Through active participation in the management of memory impairment, it is expected that the level of wellbeing will increase, for both patient and families.Read moreRead less
APLP2: A Neuroprotective Receptor For Acute Brain Injury
Funder
National Health and Medical Research Council
Funding Amount
$648,739.00
Summary
Traumatic brain injury (TBI) is the major cause of deaths in Australians under 45 years of age. We have shown that the amyloid precursor protein (APP) is protective in models of TBI. To understand how APP is neuroprotective we have isolated APP binding proteins and identified the amyloid precursor-like protein 2 (APLP2) molecule as a strong candidate for the APP-neuroprotective receptor. This grant will investigate the interaction between APP and APLP2 as a novel neuroprotective pathway in TBI.
Using eye movements to study how past experiences shape expectations. We intend to examine how the brain decides where to look next with our eyes, a decision made approximately three times every second. Understanding how the normal brain makes decisions will in turn help us to understand what happens when things go wrong in diseases like dementia and Parkinson's disease, with the hope of better - and earlier - diagnosis, and improved monitoring of treatment. In addition, our research will establ ....Using eye movements to study how past experiences shape expectations. We intend to examine how the brain decides where to look next with our eyes, a decision made approximately three times every second. Understanding how the normal brain makes decisions will in turn help us to understand what happens when things go wrong in diseases like dementia and Parkinson's disease, with the hope of better - and earlier - diagnosis, and improved monitoring of treatment. In addition, our research will establish an important research link with The University of Cambridge, and allow Australia to be competitive with laboratories in North America and Europe that are currently studying how the brain makes decisions about where to look.Read moreRead less
Getting back on track after the unexpected happens: decision making in predictable and unpredictable environments. This project intends to examine how the brain decides where to look next with our eyes, a decision made approximately three times every second. Understanding how the normal brain makes decisions will in turn help us to understand what happens when things go wrong in diseases like dementia and Parkinson's disease.
A computational and experimental investigation of reading aloud: Dyslexia, disyllables, and beyond. Australia is a world leader in computational cognitive science, particularly with respect to language processing. This project will help maintain and extend this position. Insights from the project will help us understand the processes that underlie both normal reading and reading disorders, particularly in areas that are comparatively neglected yet extremely important, such as how people read wor ....A computational and experimental investigation of reading aloud: Dyslexia, disyllables, and beyond. Australia is a world leader in computational cognitive science, particularly with respect to language processing. This project will help maintain and extend this position. Insights from the project will help us understand the processes that underlie both normal reading and reading disorders, particularly in areas that are comparatively neglected yet extremely important, such as how people read words of more than one syllable. Given that everyone in Australian needs to learn to read and that acquired and developmental disorders of reading are common, providing the theoretical base on which the processes involved in reading can be understood (and hence learnt and remediated most effectively) is of utmost importance.Read moreRead less
An innovative theory driven approach to enhancing situation awareness among road users in Australia. This project will develop, via on-road studies exploring road user behaviour, a first of its kind systems theoretic model of situation awareness (SA) for road transport. The model will then be used to inform the development of roadway design solutions to enhance road user SA, which will be tested through advanced simulation.
A new complex systems approach to road trauma: Applying systems thinking to the fatal five. By 2030 road trauma is expected to be the fifth leading cause of global deaths. The current road user centric road safety approach has failed to control the global health epidemic of road trauma. Although systems thinking is widely accepted to be the most effective approach for understanding and enhancing safety in complex systems, it has not yet been adopted in road safety efforts. This project aims to a ....A new complex systems approach to road trauma: Applying systems thinking to the fatal five. By 2030 road trauma is expected to be the fifth leading cause of global deaths. The current road user centric road safety approach has failed to control the global health epidemic of road trauma. Although systems thinking is widely accepted to be the most effective approach for understanding and enhancing safety in complex systems, it has not yet been adopted in road safety efforts. This project aims to apply a novel, integrated framework of systems analysis and design methods to the so called 'fatal five' causes of road trauma to create new knowledge on their causes and to develop and test new interventions that will enable the achievement of currently unreachable road safety targets.Read moreRead less