Strengthening Health Workforce Migration to Australia and Canada. The project aims to define skilled migration trends in relation to the key fields (medicine, nursing and dentistry). Australia is one of very few countries with an explicit policy to import migrant health professionals. The project plans to assess if the goal of domestic self-sufficiency is likely to be met by 2025 and examine the risk of a ‘two tier’ health workforce developing (with conditionally registered migrants servicing pa ....Strengthening Health Workforce Migration to Australia and Canada. The project aims to define skilled migration trends in relation to the key fields (medicine, nursing and dentistry). Australia is one of very few countries with an explicit policy to import migrant health professionals. The project plans to assess if the goal of domestic self-sufficiency is likely to be met by 2025 and examine the risk of a ‘two tier’ health workforce developing (with conditionally registered migrants servicing patients in undersupplied sectors and sites). It then aims to propose changes to make the migration and health policy systems more effective and ethical in future compared to Canada (Australia’s key global competitor for skilled migrants), through evidence-based policy reform.Read moreRead less
New Synthetic Routes to the Immobilisation of Mixed Valence Transition Metal Complexes on Conducting Metal Oxides. Highly coloured, electrochemically active transition metal dyes may find application electrochromic devices, where they may switch between contrasting coloured forms through a simple redox reaction. A prerequisite is that the dye be immobilised onto a solid conducting support whilst preserving the electrochemical and optical properties of the dye found in solution. This project tack ....New Synthetic Routes to the Immobilisation of Mixed Valence Transition Metal Complexes on Conducting Metal Oxides. Highly coloured, electrochemically active transition metal dyes may find application electrochromic devices, where they may switch between contrasting coloured forms through a simple redox reaction. A prerequisite is that the dye be immobilised onto a solid conducting support whilst preserving the electrochemical and optical properties of the dye found in solution. This project tackles this problem through a combination of organic and inorganic synthesis to develop new electrochromic dyes that may be attached to mesoporous titania.Read moreRead less
Dinuclear Ruthenium Complexes as Sequence- and Structure-Selective Binding Agents for DNA. Studies of the interaction of mononuclear metal complexes with DNA have greatly increased our understanding of the ways that small molecules recognise particular sites on DNA. However, in order to design drugs that target specific genes, and hence be potentially capable of controlling gene expression, it is necessary to study the binding of metal complexes that can associate with larger segments of DNA. ....Dinuclear Ruthenium Complexes as Sequence- and Structure-Selective Binding Agents for DNA. Studies of the interaction of mononuclear metal complexes with DNA have greatly increased our understanding of the ways that small molecules recognise particular sites on DNA. However, in order to design drugs that target specific genes, and hence be potentially capable of controlling gene expression, it is necessary to study the binding of metal complexes that can associate with larger segments of DNA. Using the combined expertise of the applicants, it is proposed to stereospecifically synthesise dinuclear complexes and study their DNA binding. This will greatly assist in the development of drugs that can selectively target genes and altered DNA.Read moreRead less
Mechanistic Studies on Biologically Active Iron Chelators. The need for orally effective drugs as alternatives to invasive treatment regimens such as subcutaneous infusion is an ongoing concern in health care. This is particularly true in people suffering iron overload. In many cases this condition is present at birth and thus the administration of vital iron chelation therapy via the oral route is a much preferred option. We have unearthed a novel series of candidates for iron chelation therapy ....Mechanistic Studies on Biologically Active Iron Chelators. The need for orally effective drugs as alternatives to invasive treatment regimens such as subcutaneous infusion is an ongoing concern in health care. This is particularly true in people suffering iron overload. In many cases this condition is present at birth and thus the administration of vital iron chelation therapy via the oral route is a much preferred option. We have unearthed a novel series of candidates for iron chelation therapy (the pyridine-2-carboxaldehyde isonicotinoyl hydrazone [PCIH] analogues) which show oral activity. These chelators undergo some interesting iron catalysed oxidation chemistry and it is vital that the mechanism of this reaction be elucidated to determine whether it will be of biological significance upon administration of these compounds as iron chelators.Read moreRead less
Organizational Change And Treatment Of Depression And Dementia In Aged Care Facilities
Funder
National Health and Medical Research Council
Funding Amount
$567,052.00
Summary
Mental health disorders are common in aged care settings. However, these problems are not well managed. This situation results in distress for residents and family members, as well as high levels of burnout and turnover among staff. This project will address the organizational barriers with the aim of better managing and treating depression and behavioural problems associated with dementia.
Telehealth In Residential Aged Care Facilities: Improving Access To Specialist Care
Funder
National Health and Medical Research Council
Funding Amount
$972,606.00
Summary
People in long term residential care have complex and chronic care issues. The staff may be able to provide more focused care if they have the support of specialists for advice on the care of residents. This project considers the value of a geriatric specialist assessment for all new residents via video conferencing, directly to the residential care facility. This will be supplemented by access to a wide range of other specialists coordinated through a telehealth service model on an "as needs" b ....People in long term residential care have complex and chronic care issues. The staff may be able to provide more focused care if they have the support of specialists for advice on the care of residents. This project considers the value of a geriatric specialist assessment for all new residents via video conferencing, directly to the residential care facility. This will be supplemented by access to a wide range of other specialists coordinated through a telehealth service model on an "as needs" basis.Read moreRead less
Partnership Centre: Dealing With Cognitive And Related Functional Decline In Older People
Funder
National Health and Medical Research Council
Funding Amount
$12,500,000.00
Summary
The focus of this Partnership Centre is how to better apply our existing knowledge and how to create new knowledge that will directly improve support to those elderly suffering from cognitive decline, their carer’s (formal and informal) and the various agencies delivering services for them. This Partnership Centre’s Investigator Team will engage in a range of activities to improve aged care service planning (including continuity of care and risk assessments of community care); develop and implem ....The focus of this Partnership Centre is how to better apply our existing knowledge and how to create new knowledge that will directly improve support to those elderly suffering from cognitive decline, their carer’s (formal and informal) and the various agencies delivering services for them. This Partnership Centre’s Investigator Team will engage in a range of activities to improve aged care service planning (including continuity of care and risk assessments of community care); develop and implement new approaches to support informal carer’s; reduce stigma around cognitive decline in both the health care and community context; improve the size and quality of the aged care workforce; assist with decision making, rights, citizenship and related ethics through education; improve aged care regulation; promote responsible medication management; develop and disseminate up-to-date clinical guidelines; and implement proven models of care.Read moreRead less
Creating sustainable employment for disadvantaged and vulnerable groups . This project aims to address long-term unemployment and labour market exclusion of disadvantaged and vulnerable groups by generating new employer-led solutions. The project expects to create, with employers, successful strategies for recruiting disadvantaged workers into better quality jobs, and to co-produce best practice employer engagement toolkits and minimum job quality standards. Anticipated outcomes include increasi ....Creating sustainable employment for disadvantaged and vulnerable groups . This project aims to address long-term unemployment and labour market exclusion of disadvantaged and vulnerable groups by generating new employer-led solutions. The project expects to create, with employers, successful strategies for recruiting disadvantaged workers into better quality jobs, and to co-produce best practice employer engagement toolkits and minimum job quality standards. Anticipated outcomes include increasing the success of government-funded employment programs by improving employment opportunities and reducing cycling between work and welfare. Significant benefits for disadvantaged groups, businesses and society will result in increased employee wellbeing, organisational performance and economic competitiveness.Read moreRead less
Keeping my place in the community: achieving successful ageing-in-place for people with intellectual and developmental disabilities. This project, in partnership with aged care and disability agencies across two states, aims to examine ways the aged care, social and health needs of people with intellectual and developmental disabilities may be met in rural and urban settings. It will explore mechanisms that will lead to a better integration of the aged care and disability sectors.
Re-EValuating The Inhibition Of Stress Erosions (REVISE): Gastrointestinal Bleeding Prophylaxis In ICU
Funder
National Health and Medical Research Council
Funding Amount
$2,955,164.00
Summary
Around 50,000 patients in Australian Intensive Care Units receive a drug called pantoprazole each year with the aim of preventing bleeding from the gut. Recent research suggests this practice is ineffective and may harm patients by increasing their risk of serious infections. We will perform a definitive study to determine whether the widespread use of pantoprazole is beneficial or harmful.