Risk Factors, Early Diagnosis, And Effective Interventions For Neurocognitive Disorders
Funder
National Health and Medical Research Council
Funding Amount
$7,013,299.00
Summary
This program will focus on early detection of dementia, identification of novel risk factors, and development of new treatments, to help the burden of dementia in our community. It will build on three longitudinal studies – Memory and Ageing Study, Older Australian Twins Study and Sydney Centenarian Study, and three international consortia – COSMIC, STROKOG and ICC-Dementia, that the investigators have developed to achieve these aims. A prevention trial for post-stroke dementia is planned
An Extended Follow-up Of Stroke Patients For Cognitive Impairment And Neuropsychiatric Disorders: Sydney Stroke Study
Funder
National Health and Medical Research Council
Funding Amount
$321,800.00
Summary
Vascular Dementia (VaD) is the second most common cause of dementia after Alzheimer's disease. In fact, it may be a preventable cause of dementia. Yet it has been relatively neglected by researchers until the last decade, which has seen an upsurge of interest in this disorder. There is no consensus on the criteria for dementia. The profile of early cognitive impairment due to vascular factors is still poorly understood, and the longitudinal course of VaD as defined by modern criteria has not bee ....Vascular Dementia (VaD) is the second most common cause of dementia after Alzheimer's disease. In fact, it may be a preventable cause of dementia. Yet it has been relatively neglected by researchers until the last decade, which has seen an upsurge of interest in this disorder. There is no consensus on the criteria for dementia. The profile of early cognitive impairment due to vascular factors is still poorly understood, and the longitudinal course of VaD as defined by modern criteria has not been studied. There have been few studies of the progressive changes in MRI in patients with cerebrovascular disease. The overlap of VaD and Alzheimer's disease (AD) remains a problem for taxonomists and clinicians. One approach to the study of VaD is to examine a high risk group of subjects longitudinally to determine the early features, the risk factors and progressive changes. With this in mind, we began studying a cohort of stroke patients who are at high risk of VaD, in 1997-1999, and are following them longitudinally. The follow-up is now in its third year, and three neuropsychological assessments and two MRI-MRS scans have been performed. We propose to extend the follow-up to 5 years, with repeat neuropsychiatric, neuropsychological and MRI-MRS investigations, and wherever possible to necropsy, to determine the nature of vascular pathology that underlies cognitive impairment. Our cohort of stroke patients is arguably the most comprehensively assessed such cohorts internationally, and presents an excellent opportunity for a long-term follow-up study.Read moreRead less
The Functional Significance of Motor Laterality. Just as humans are left- or right-handed, dogs are left-and right-pawed and, most importantly, left-pawed individuals tend towards innate fearfulness. Using dogs as a model, this project will explore lateralisation in general.
Guide dogs and police dogs are required to work only on one side of their handlers. This convention is likely to affect the work of individual dogs. This project will examine the extent to which pawedness predicts success ....The Functional Significance of Motor Laterality. Just as humans are left- or right-handed, dogs are left-and right-pawed and, most importantly, left-pawed individuals tend towards innate fearfulness. Using dogs as a model, this project will explore lateralisation in general.
Guide dogs and police dogs are required to work only on one side of their handlers. This convention is likely to affect the work of individual dogs. This project will examine the extent to which pawedness predicts success in working dog training. It has the potential to reduce wastage that comes from recruitment of unsuitable dogs and will also improve our understanding of family pets.
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Does word similarity across languages help or hinder bilingual speakers? This project aims to understand in more detail how bilinguals can accurately speak in both their languages. Speaking is a complex skill, particularly if you have two languages to choose from, which will be true for over half of Australia’s population by 2025. This project aims to investigate the factors that influence speech production in both monolinguals and bilinguals including those with language impairment, and develop ....Does word similarity across languages help or hinder bilingual speakers? This project aims to understand in more detail how bilinguals can accurately speak in both their languages. Speaking is a complex skill, particularly if you have two languages to choose from, which will be true for over half of Australia’s population by 2025. This project aims to investigate the factors that influence speech production in both monolinguals and bilinguals including those with language impairment, and develop a better bilingual theory. The benefit of this new theory will be to provide a clear basis for diagnosis and treatment for children in bilingual households who have problems learning to speak, and for bilingual people with language problems after a stroke or dementia.Read moreRead less
Identifying Neuroimaging Based Biomarkers For Predicting Clinical Progression Along The Lewy Body Disease Spectrum
Funder
National Health and Medical Research Council
Funding Amount
$128,224.00
Summary
Lewy body dementias (LBD) comprise similar but heterogenous group of poorly understood disabling neurodegenerative conditions. This project aims to apply advanced neuroimaging techniques and novel psychological testing to patients at risk of Lewy body disorders as well individuals with established disease to identify novel biomarkers that may explain symptoms of these disorders as well as help predict development of LBD at its early stages when it may be amenable to neuroprotective treatments.
Modifiable Risks And Interventions For Cognitive Decline, Depression And Dementia In Older People
Funder
National Health and Medical Research Council
Funding Amount
$430,055.00
Summary
This research proposal will explore the modifiable risk factors for cognitive decline (ie. changes in memory and thinking functions) in older people. It will examine the pertinence of critical contributors to glial-neuronal networks including depression, cardiovascular disease, sleep-wake systems, mental and physical exercise, inflammatory processes and diet, as well as test interventions that target these risk factors. It will use sophisticated brain scanning methods to examine which factors pr ....This research proposal will explore the modifiable risk factors for cognitive decline (ie. changes in memory and thinking functions) in older people. It will examine the pertinence of critical contributors to glial-neuronal networks including depression, cardiovascular disease, sleep-wake systems, mental and physical exercise, inflammatory processes and diet, as well as test interventions that target these risk factors. It will use sophisticated brain scanning methods to examine which factors promote neuroplasticity.Read moreRead less
Danger Ideation Reduction Therapy For Obsessive-Compulsive Checkers: A Randomised Controlled Trial
Funder
National Health and Medical Research Council
Funding Amount
$156,447.00
Summary
Obsessive-compulsive disorder (OCD) is a psychiatric disorder that affects up to 3% of the general population. People with the disorder experience unpleasant intrusive thoughts that they find distressing and have a strong urge to perform particular behaviours. Fears about fire and burglary are common and excessive checking of electrical appliances and locks can take many hours a day. Checkers represent one of the largest OCD sub-groups. Because of the time-consuming nature of the condition, soci ....Obsessive-compulsive disorder (OCD) is a psychiatric disorder that affects up to 3% of the general population. People with the disorder experience unpleasant intrusive thoughts that they find distressing and have a strong urge to perform particular behaviours. Fears about fire and burglary are common and excessive checking of electrical appliances and locks can take many hours a day. Checkers represent one of the largest OCD sub-groups. Because of the time-consuming nature of the condition, social and occupational functioning is often severely restricted. Many sufferers will also experience extreme social isolation and depression. The World Health Organisation ranks this disorder as 20th among all causes of burden of disease. The development of effective interventions could substantially reduce the economic and social burden of this disabling anxiety disorder. The aim of this project is: (1) to compare the therapeutic efficacy of a new treatment approach (Danger Ideation Reduction Therapy) with that of Exposure and Response Prevention (ERP); It is hypothesised that: (1) subjects who receive 12 sessions of DIRT will show greater post-treatment and follow-up reductions in symptomatology than subjects who receive ERP.Read moreRead less
Beyond Speech: Towards better communication for children with hearing loss. Despite the benefits of early newborn hearing screening and early intervention programs for children with hearing loss, most still experience academic and social challenges at school. This is partly due to ongoing listening effort, leading to communicative breakdown. This project aims to identify the locus of the communicative challenges these children face during daily discourse interactions. The outcomes will identify ....Beyond Speech: Towards better communication for children with hearing loss. Despite the benefits of early newborn hearing screening and early intervention programs for children with hearing loss, most still experience academic and social challenges at school. This is partly due to ongoing listening effort, leading to communicative breakdown. This project aims to identify the locus of the communicative challenges these children face during daily discourse interactions. The outcomes will identify which levels of language are most compromised and will inform future interventions to reduce children’s listening effort. This will be undertaken by bringing together researchers in basic science with hearing service providers, parents and industry, providing an innovative model for solving multidisciplinary challenges.Read moreRead less
THE NATURAL HISTORY OF COGNITIVE IMPAIRMENT AND DEMENTIA IN A STROKE COHORT
Funder
National Health and Medical Research Council
Funding Amount
$290,747.00
Summary
In a current NHMRC-funded study, we have examined 200 stroke patients (and 100 control subjects) at 3 months after a stroke and one year later, and identified those who have impairment in memory and other cognitive functions. We have also studied these subjects in detail from a psychiatric perspective and performed brain scans on them using magentic resonance imaging. We find that many stroke patients have problems with their cognitive functioning which has a major impact on their lives. A large ....In a current NHMRC-funded study, we have examined 200 stroke patients (and 100 control subjects) at 3 months after a stroke and one year later, and identified those who have impairment in memory and other cognitive functions. We have also studied these subjects in detail from a psychiatric perspective and performed brain scans on them using magentic resonance imaging. We find that many stroke patients have problems with their cognitive functioning which has a major impact on their lives. A large number also become depressed. These consequences of stroke are not given sufficient importance by clinicians. The fact that stroke is a common problem in the elderly, and our society is aging, makes this a problem of major public health significance. In the new proposal, we plan to study these subjects up to 3 years with repeat neuropsychiatric assessments and brain scans to investigate the natural history of stroke-related cognitive impairment. We will determine whether further new cases of dementia develop in the period 1-3 years, what happens to the brain lesions picked up on brain scans, and how these deficiencies affect the patients' living status and their longevity. We will be able to determine the factors that lead to a good outcome, and suggest strategies that may be applicable to improve the functioning of these individuals.Read moreRead less
Linkage Infrastructure, Equipment And Facilities - Grant ID: LE0989703
Funder
Australian Research Council
Funding Amount
$500,000.00
Summary
Multiphoton microscope for cellular imaging in live animals. The proposed facility will for the first time allow scientists across Sydney to monitor cell function in intact brain and muscle tissues. The novel optical approach combines fluorescent markers with sophisticated microscopy. The presence of this facility will allow Australian scientists to design new approaches to fundamental biological questions concerning cellular function within the normal environment. In addition this facility wi ....Multiphoton microscope for cellular imaging in live animals. The proposed facility will for the first time allow scientists across Sydney to monitor cell function in intact brain and muscle tissues. The novel optical approach combines fluorescent markers with sophisticated microscopy. The presence of this facility will allow Australian scientists to design new approaches to fundamental biological questions concerning cellular function within the normal environment. In addition this facility will allow PhD and post-doctoral scientists to train and have access to a rapidly developing and cutting edge approach to biological problems.Read moreRead less