Cognition In Cerebellar Degeneration: Correlations With Lateral Neocerebellar Dysfunction And Atrophy
Funder
National Health and Medical Research Council
Funding Amount
$205,500.00
Summary
Diseases of the main brain coordination centre (the cerebellum) were once thought to impair only movement skills. However, effects on thinking, and especially on mental flexibility and rational planning, are increasingly being reported. These cognitive difficulties may hinder rehabilitation. They also often cause tension within the sufferers' families if other family members are not aware that such difficulties are part of the disease and beyond the sufferers' control. We will test how common su ....Diseases of the main brain coordination centre (the cerebellum) were once thought to impair only movement skills. However, effects on thinking, and especially on mental flexibility and rational planning, are increasingly being reported. These cognitive difficulties may hinder rehabilitation. They also often cause tension within the sufferers' families if other family members are not aware that such difficulties are part of the disease and beyond the sufferers' control. We will test how common such thinking difficulties are in patients with different inherited forms of incoordination, and determine what aspects of thinking are particularly affected. We will see whether the severity of movement incoordination predicts the extent of thinking disruption, as different but neighbouring parts of the cerebellum seem to be involved in each. We will also use magnetic brain scans (MRI's) to check that the thinking problems are not caused by shrinkage of other parts of the brain in these diseases.Read moreRead less
New Methods Of Pain Assessment In Demented Older Persons
Funder
National Health and Medical Research Council
Funding Amount
$306,000.00
Summary
There are substantial risks of inadequate pain assessment and management in persons with cognitive impairment and particularly in those with communication problems. Undetected or under-treated pain can have serious adverse effects on frail older adults including poorer cognitive performance, increased levels of depression, anxiety and disruptive behaviours, a reduced quality of life and higher levels of functional disability. These adverse effects contribute to greater demands for daily nursing ....There are substantial risks of inadequate pain assessment and management in persons with cognitive impairment and particularly in those with communication problems. Undetected or under-treated pain can have serious adverse effects on frail older adults including poorer cognitive performance, increased levels of depression, anxiety and disruptive behaviours, a reduced quality of life and higher levels of functional disability. These adverse effects contribute to greater demands for daily nursing care and a corresponding increase in health care costs. The present proposal aims to develop more sensitive, reliable and valid questionnaire and non-verbal measures of pain in older adults with cognitive impairment and particularly in those with verbal communication problems. By completion, the present studies should provide much needed information on the reliability and validity of several different types of verbal and non-verbal indicators of possible pain. This research should lead to improved pain assessment and management for the growing segment of the population who suffer from pain and impaired cognitive function.Read moreRead less
Sleep Disordered Breathing And Neurocognitive Function In Children Post-adenotonsillectomy: Three Year Follow-up
Funder
National Health and Medical Research Council
Funding Amount
$266,536.00
Summary
Snoring is very common and affects at least 10% of children, or an estimated 0.25 million children in Australia. It is associated with deficits in a wide range of neurocognitive areas including intelligence, memory, reasoning, learning and behaviour. We have recently studied a group of 53 snoring children both before and six months after removal of their tonsils and adenoids, to treat suspected upper airway obstruction associated with their snoring. We found that prior to surgery, intelligence, ....Snoring is very common and affects at least 10% of children, or an estimated 0.25 million children in Australia. It is associated with deficits in a wide range of neurocognitive areas including intelligence, memory, reasoning, learning and behaviour. We have recently studied a group of 53 snoring children both before and six months after removal of their tonsils and adenoids, to treat suspected upper airway obstruction associated with their snoring. We found that prior to surgery, intelligence, memory, reasoning, language and behaviour were significantly reduced, by up to 10% compared to 53 non-snoring control children matched by age, gender, social class and area of residence. To our great surprise, at six months after surgery we found that although sleep and behaviour improves, intelligence, memory, reasoning and language development do not. We now wish to study these same children at 3 years after tonsils and adenoids removal, as we believe that if the deficits that we described at 6 months are still present, they are likely now to be permanent. Given the degree of deficit that we have found in snoring compared to non-snoring children, even 6 months after the snoring group of children have been treated, if still present at 3 years post-surgery then it is likely that these deficits will affect the children's future learning potential and academic success. In turn, this would suggest that early identification and treatment of sleep-related upper airway obstruction is critical in preventing long-term deficits in children's daytime functioning and behaviour.Read moreRead less
Developing A Standard Dyspnea Challenge To Explore Mechanisms And Therapies In Clinical Populations
Funder
National Health and Medical Research Council
Funding Amount
$454,383.00
Summary
COPD is Australia's most burdensome respiratory disease with over 200,000 new cases diagnosed each year. Shortness of breath is a cardinal feature of this disease.This project will examine the mechanisms of this symptom in patients with chronic lung disease. Four studies will be completed in total, each exploring different factors that may contribute to shortness of breath observed in patients. This research is likely to lead to improved management of this distressing condition into the future.
Postviral Wheezing In Childhood: Disregulation Of Airway Tone?
Funder
National Health and Medical Research Council
Funding Amount
$577,040.00
Summary
Asthma is a very common childhood condition that is becoming increasingly more common. Wheezing is common in infants and young children following viral infections and is often thought of as the first manifestation of asthma. However, many children and infants who wheeze with viral infections appear to grow out of asthma in their teenage years. Asthma that persists into adult life is usually associated with allergies to common environmental allergens, such as house dust mite and grass pollens. Ho ....Asthma is a very common childhood condition that is becoming increasingly more common. Wheezing is common in infants and young children following viral infections and is often thought of as the first manifestation of asthma. However, many children and infants who wheeze with viral infections appear to grow out of asthma in their teenage years. Asthma that persists into adult life is usually associated with allergies to common environmental allergens, such as house dust mite and grass pollens. However, many infants who wheeze with viral infections, especially in the first year of life, do not develop allergies in later life, raising the possibility that they did not have the same type of asthma as those whose symptoms persist. This project will study the effects of viral infections on lung function to determine whether particular types of virus can have detrimental effects of lung function lasting for years. We will also examine whether the age at which the infection occurs and the severity of the infection influence the long-term outcome. The project involves studying infants during the recovery phase of respiratory viral infections, older children years after documented infections and experimental animal models that have been infected under controlled conditions. By determining whether respiratory viral infections can have long-term effects on lung function that can mimic asthma, we will advance our understanding of how asthma develops. In addition, specific treatment and preventative strategies could then be developed to prevent these long-term abnormalities, instead of relying on asthma medication (especially inhaled corticosteroids) as is the current practice. Preventative strategies could include encouraging the development of specific vaccines.Read moreRead less
Anaphylaxis To Australian Native Ant Venoms; Major Allergens, Cross-reactivity, Diagnosis And Risk Assessment.
Funder
National Health and Medical Research Council
Funding Amount
$345,813.00
Summary
Insect venom allergy is a major cause of life-threatening allergy (anaphylaxis) in this country, and native ants are the most frequent cause in some regions. For introduced insects (bees and wasps), venom extracts are widely available for diagnostic and therapeutic use, but this is not yet the case for native ants. As many as 50,000 Australians may be affected by allergy to stings from ants in the native genus Myrmecia. This project will provide an in-depth understanding of the ant species respo ....Insect venom allergy is a major cause of life-threatening allergy (anaphylaxis) in this country, and native ants are the most frequent cause in some regions. For introduced insects (bees and wasps), venom extracts are widely available for diagnostic and therapeutic use, but this is not yet the case for native ants. As many as 50,000 Australians may be affected by allergy to stings from ants in the native genus Myrmecia. This project will provide an in-depth understanding of the ant species responsible for anaphylaxis in Australia. We will develop a range of diagnostic test modules, a detailed national map of causative species, and a panel of reference venoms and allergic sera, so that accurate diagnostic tests can be assured, and so that high quality venom extracts can be provided for human use (immunotherapy). We will also study allergic volunteers for up to five years, so as to determine which people are at the highest risk of repeated stings and reactions and thus most likely to benefit from desensitisation. Current evidence suggests that the commonest cause of native insect venom allergy may be the jack jumper ant Myrmecia pilosula, for which a desensitising venom extract has been developed and shown to be highly effective in preventing life threatening reactions. The research described in this application will enable doctors to ensure an accurate diagnosis, which is an essential step before desensitising treatment can be offered for jack jumper allergy. Another large group of people are probably allergic to larger Myrmecia known as bull dog ants or inch ants. Our results with regard to cross-reactivity patterns and venom similarities will enable us to determine an optimum therapeutic mixture of bull dog ant venoms and thus enable us to provide treatment for people allergic to these ants as well.Read moreRead less