Which Heart Failure Intervention Is Most Cost Effective In Reducing Hospital Care (WHICH? II) Trial: A Multicentre, Randomised Trial Of Standard Versus Intensified Management Of Metropolitan And Regional-dwelling Patients With Heart Failure
Funder
National Health and Medical Research Council
Funding Amount
$1,891,210.00
Summary
Chronic heart failure (CHF) management programs are now the gold-standard to cost-effectively care for thousands of Australians hospitalised with CHF each year. We’ve shown that home-based management is most cost-effective in reducing hospital stay in CHF. The Which Intervention is most Cost-effective in reducing Hospital care (WHICH? II) Trial, a multicentre, randomised study, will determine if more intensive care (via home visits and remote care contacts) further improves poor outcomes in CHF.
Determination Of Irradiation Dose Efficacy For Use In Impaction Grafting At Revision Joint Replacement
Funder
National Health and Medical Research Council
Funding Amount
$411,517.00
Summary
Primary hip replacement is a successful intervention for hip disease, but 10-15% of hip prostheses fail and require revision surgery within 10-15 years. At the time of revision, significant bone loss around the failed prosthesis is not uncommon. A bone reconstruction procedure, called impaction grafting, where donor bone is minced and placed in the areas of deficient bone before implanting the new prosthesis, has shown to give good results at more than ten years in some centres. A high incidence ....Primary hip replacement is a successful intervention for hip disease, but 10-15% of hip prostheses fail and require revision surgery within 10-15 years. At the time of revision, significant bone loss around the failed prosthesis is not uncommon. A bone reconstruction procedure, called impaction grafting, where donor bone is minced and placed in the areas of deficient bone before implanting the new prosthesis, has shown to give good results at more than ten years in some centres. A high incidence of early complications of this procedure have included loss of fixation within the bone. Fracture of the bone around prostheses has also reported in some centres. These events require more surgery, putting the patient at higher risk greater complications and longer rehabilitations. Recent improvements in surgical technique and donor bone preparation have improved results. A current debate questions whether the dose of irradiation can be reduced from 25 kGy, while maintaining sterility of allografts. The risk of bacterial contamination in allografts is low, and irradiation reduces the mechanical strength of the graft, contributing to complications when irradiated bone is used. The benefits of decontaminating the bone may be outweighed by the higher risk for failure due to poor bone quality and resulting prosthesis instability. We will use ISO standards to test the validity of radiation dose for sterilising bone ex vivo. In the absence of controlled human studies, our aim is also to compare the results of impaction grafting with non-irradiated bone versus bone irradiated at current doses used by Australian bone banks, and lower doses indicated by ex vivo testing. We will use a large animal model of revision hip replacement, with precise measures of prosthesis stability. The results of this study will guide clinical decisions regarding the efficacy of current bone graft preparation procedures and the use of irradiated bone in human hip replacement surgery.Read moreRead less
Operator-Analytic Methods in Telecommunication Systems. Many systems in information technology and telecommunications evolve under conditions of uncertainty. In this context, mathematical modelling is an essential component of the design process. We shall provide techniques for analysing a class of mathematical models, called operator-analytic models, which can be used to study many of the above-mentioned systems, such as the Internet. This project will deliver efficient numerical algorithms tha ....Operator-Analytic Methods in Telecommunication Systems. Many systems in information technology and telecommunications evolve under conditions of uncertainty. In this context, mathematical modelling is an essential component of the design process. We shall provide techniques for analysing a class of mathematical models, called operator-analytic models, which can be used to study many of the above-mentioned systems, such as the Internet. This project will deliver efficient numerical algorithms that will make possible practical analysis of operator-analytic models.Read moreRead less
The Risks And Benefits Of Contemporary Total Hip Replacement
Funder
National Health and Medical Research Council
Funding Amount
$493,530.00
Summary
The number of hip replacements undertaken in Australia is steadily increasing. The most common complications of hip replacements are dislocation and loosening due to bone loss around the implant, requiring complex and expensive revision surgery. This study will investigate the incidence of dislocation and, using a new diagnostic imaging technique, the incidence and amount of bone loss around a relatively new prosthetic material, the outcomes of which are not known despite its increasing use.
Data Fusion Techniques for Electro-Mechanical Braking Systems. The main focus of this project is to develop data fusion techniques for clamp force estimation and optimum utilisation of redundant information in a brake-by-wire system. Efficient integration of redundant information in an EMB system is expected to significantly improve the reliability and fault tolerance of such systems. The need for costly and complicated clamp force measurement sensors in electric callipers will also be eliminate ....Data Fusion Techniques for Electro-Mechanical Braking Systems. The main focus of this project is to develop data fusion techniques for clamp force estimation and optimum utilisation of redundant information in a brake-by-wire system. Efficient integration of redundant information in an EMB system is expected to significantly improve the reliability and fault tolerance of such systems. The need for costly and complicated clamp force measurement sensors in electric callipers will also be eliminated by accurate estimation of the clamp force signal, through fusion of more readily available measurements. Development of the proposed data fusion techniques influences the design of future EMBs and enhances the functionality of existing brake-by-wire systems.Read moreRead less
Strategic integration of renewable energy systems into the electricity grid. The Intergovernmental Panel on Climate Change states that 'warming of the climate system is unequivocal' and there is high probability it is anthropogenic. In response to the growing awareness of climate change, there is an expansion in Australia in the use of renewable energy resources in electricity generation, albeit from a low base. The various renewable energy systems have differing patterns of availability and vol ....Strategic integration of renewable energy systems into the electricity grid. The Intergovernmental Panel on Climate Change states that 'warming of the climate system is unequivocal' and there is high probability it is anthropogenic. In response to the growing awareness of climate change, there is an expansion in Australia in the use of renewable energy resources in electricity generation, albeit from a low base. The various renewable energy systems have differing patterns of availability and volatility, and it is difficult to determine the right mixture to best match the demand. It is imperative that future growth be structured so that both maximum grid penetration, and required greenhouse gas reductions be attained. Read moreRead less
Doubly Stochastic Matrices & The Hamiltonian Cycle Problem. The classical hard problem of determining whether a given graph possesses a Hamiltonian cycle contains the essential difficulty of the famous 'Travelling Salesman Problem'. A characterisation of this difficulty in terms of variability of returns (to the initial state) in a controlled stochastic process will be a significant conceptual advance with repercussions in a number of fields including optimisation and theoretical computer scien ....Doubly Stochastic Matrices & The Hamiltonian Cycle Problem. The classical hard problem of determining whether a given graph possesses a Hamiltonian cycle contains the essential difficulty of the famous 'Travelling Salesman Problem'. A characterisation of this difficulty in terms of variability of returns (to the initial state) in a controlled stochastic process will be a significant conceptual advance with repercussions in a number of fields including optimisation and theoretical computer science. Algorithmic advances exploiting such a characterisation will significantly contribute to existing technologies for solving problems in applications ranging from logistics to cryptography. Since TSP describes certain efficient ways of routing its applicability to information networks is clear.Read moreRead less
Advanced matrix-analytic methods with applications. Over the last twenty-five years, matrix-analytic methods have proved to be very successful in formulating and analysing certain classes of stochastic models. Motivated by applications, this project will investigate more advanced matrix-analytic methods than have hitherto been studied.
Normalizing XML Documents. Our work will be of great benefit, both to the research community and to the ICT industry. The project addresses one of the most important problems in XML usage and we expect our results to be published in important international forums, as has our preliminary research on the topic. This will significantly improve Australia's reputation in research in the ICT area. In the longer term, we intend to build commercial software tools based on the results of our research ....Normalizing XML Documents. Our work will be of great benefit, both to the research community and to the ICT industry. The project addresses one of the most important problems in XML usage and we expect our results to be published in important international forums, as has our preliminary research on the topic. This will significantly improve Australia's reputation in research in the ICT area. In the longer term, we intend to build commercial software tools based on the results of our research and this will be of direct benefit to the Australian economy and the Australian ICT industry.Read moreRead less
Characterisation of Internet Traffic Matrices. The benefits to the community of characterisation of Internet traffic matrices arise because this information is used in the design of efficient and reliable networks. This is a genuine example of using the data we have more cleverly, rather than throwing money at a problem. Better information will result in the Internet becoming more efficient, and therefore cheaper, and at the same time more reliable.