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i n g h a m h e a lt h r e s e a r c h I n s t i t u t e Annual Research Report 2009 2009 INGHAM HEALTH RESEARCH INSTITUTE 2009 Research Annual Report Ingham Health Research Institute (IHRI) Sydney South West Area Health Service, Western Zone 2009 Research Annual Report ISBN 978 1 74079 130 4 Contents 4. 5. 6. 7. 9. FOREWORD - INTRODUCTION BY CHAIRPERSON INGHAM HEALTH RESEARCH INSTITUTE MEMBERSHIP SCientific Advisory Commitee RESEARCH DIRECTORS REPORT MAP OF SYDNEY SOUTH WEST AREA HEALTH SERVICE (SSWAHS) Ingham Institute Research Groups 11. Research Groups in South Western Sydney Aged Care Research Unit, Liverpool 64. Aged Care & Rehabilitation Unit, Bankstown 13. Brain Injury Rehabilitation, Liverpool 66. Anatomical Pathology, Liverpool 17. Centre for Applied Nursing Research (CANR) 66. Anxiety Clinic, Bankstown 21. Collaboration for Cancer Outcomes, Research & 67. Cancer Therapy Centre, Bankstown-Lidcombe Hospital 71. Evaluation (CCORE), Liverpool 30. Centre for Health Equity Training Research & Cancer Therapy Centre, Liverpool Hospital 73. Cardiology and Cardiovascular Research Unit, Liverpool Evaluation (CHETRE) 78. Community Health, Liverpool 35. Community Paediatrics , Liverpool 79. Emergency Medicine Research Unit, Liverpool 37. General Practice Unit, Fairfield 81. Gastroenterology & Hepatology Services, Bankstown 40. Microbiology & Infectious Diseases, Liverpool 42. Pancreatic Research Group, Liverpool 83. Health Promotion Service 45. Psychiatry Research & Teaching Unit (PRTU), Liverpool 84. Immunology & Allergy Research Unit, Campbelltown 49. Centre for Research Evidence Management & 86. Infant, Child & Adolescent Mental Health Services Surveillance (REMS) , Liverpool and Liverpool (ICAMHS), Liverpool 53. Rheumatology Unit, Liverpool 89. Intensive Care Unit, Liverpool 56. Schizophrenia Research Unit, Liverpool 94. Karitane 59. Simpson Centre for Health Service Research 96. Multicultural Health Specialist Service 97. Neuroimmunology, Stroke and Immune Tolerance Laboratories, Liverpool 100. Nuclear Medicine and PET, Liverpool 102. Occupational Therapy Department, Bankstown 103. Oral Health including the Sydney Dental Hospital 108. Orthopaedic Unit- WORC- WJRC, Liverpool 111. Physiotherapy Unit, Bankstown 113. Rehabilitation Research Group, Braeside/Fairfield/ Liverpool 115. Renal Clinical Research Centre, Liverpool 122. Respiratory Medicine, Liverpool 126. Sexual Health Service Specialist 129. Toxicology Services - RPAH 131. Trauma Department, Liverpool 135. Upper GI Surgery – Bankstown – Lidcombe 137. Youth Health Services Chair’s Report FOREWORD As Chairman of the Ingham Health Research Institute (IHRI) Board, it gives me great pleasure to provide you with the ‘Inaugural’ Ingham Health Research Institute, Research Annual Report. I am delighted to lead the Board, comprising of dedicated individuals who have kindly selected to sit on the Board and offer their time, to achieving the common goals set for IHRI, as we embark our research engagements on both national and international level. This report highlights the important work of all our health and medical researchers and the benefits and recognition it receives. The fundamental work of all our researchers and research groups is most important, as south west Sydney is an area of rapid population growth and a major disadvantage. I would like to thank our partners who include Sydney South West Area Health Service (SSWAHS), the University of New South Wales (UNSW) and the University of Western Sydney (UWS) who have contributed to the achievements mentioned in this report. As the report shows IHRI has four broad foci of activity consistent with its existing strengths and the needs of the local population. These are: • health services research, • population health research, • clinical trials and clinical research, and • biomedical research. The biggest credit needs to go out to all researchers and research groups who have made this report a success. IHRI is extremely fortunate to have such wonderful researchers and research groups who have dedicated their time to achieving some fine results as listed within this report. I thank them all for marking 2009 a successful research year and further look forward to working with all on our commitment to a great cause. IHRI continues work to reach its goals and is the set to become the first research centre of its kind in the south west of Sydney. The unique research facility will provide essential services that will link clinical and unique health services and universities to clinical practice. Mr Terry Goldacre Chairman Ingham Health Research Institute It is with immense pleasure that I can announce that IHRI will receive $46.9 million from the Health and Hospitals fund for the construction of a multifaceted research facility to be located at Liverpool Hospital. The building will consist of a four storey purpose built research facility and will be linked to the hospital as well as existing research facilities. The facility will also have a Research linear accelerator and a Clinical skills centre that will assist in the translation of research findings into clinical practice. Construction will commence mid 2010. Currently there are research groups that are widely dispersed throughout the south west of Sydney. The research facilities will provide first class amenities for them at Liverpool hospital INGHAM HEALTH RESEARCH INSTITUTE (IHRI) BOARD MEMBERSHIP Ms Amanda Larkin Bachelor Social Work (UNSW) Ass Dip Environmental Science (Town Planning) General Manager Camden / Campbelltown Hospitals & Queen Victoria Memorial Home Mr Terry Goldacre ( Chairperson) B App. Sci (Surv) BE Managing Director Harrington Estates (NSW) P/L Dr Teresa Anderson B.App.Sc (Speech Pathology) PhD. E.S.P.A.A Director Clinical Operations Sydney South West Area Health Service Mr Jim Marsden B of Law Senior Partner Marsden Law Group Mr Tim Bryan B.Com, CA Director BCP Group Mr Tony Perich Managing Director Leppington Pastoral Company Ms Glenda Cleaver B BUS Adm General Manager Liverpool Hospital Professor Peter Smith RFD, MD, FRACP, FRCPA, FAICD Dean Facility of Medicine University of New South Wales Mr David Hazlett Managing Director Cameron Brae Pty Ltd Mr Arnold Vitocco Licensed Builder Director Vaste Developments Pty Ltd Mr John Hexton FCA, FCIS, FAICD Director Group Services Inghams Enterprises Pty Ltd Mr Mike Wallace B.Sc. M.Sc.Soc Chief Executive Sydney South West Area Health Ms Debbie Killian BA in English, Dip Ed Masters of Public Health Professor Neville Yeomans MBBS, MRACP, FRACP, MD, FACG, AGAF Foundation Dean of Medicine University of Western Sydney IHRI SCIENTIFIC ADVISORY COMMITTEE Evaluation) Liverpool Health Service UNSW Research Centre for Primary Health Care & Equity Professor Neville Yeomans (Chairperson) MBBS, MRACP, FRACP, MD, FACG, AGAF Foundation Dean o edicine University of Western Sydney Professor C Soon Lee MDBS, FRCPA, FRCPath (UK), MIAC, MRACMA Professor and Chair of Pathology, University of Western Sydney. Senior Pathologist, Liverpool Hospital & Royal Prince Alfred Hospital Clinical Professor & Head Cancer Pathology, Bosch Institute, University of Sydney. Dr Teresa Anderson B.App.Sc (Speech Pathology), PhD, F.S.P.A.A Director Clinical Operations Sydney South West Area Health Service Professor Michael Barton MB, BS, FRANZCR, Research Director Collaboration for Cancer Outcomes, Research and Evaluation (CCORE) Liverpool Health Service Interim Research Director Sydney South West Area Health Service Conjoint Professor Faculty of Medicine, UNSW Professor Patrick McNeil MBBS PhD FRACP Professor of Rheumatology Department of Rheumatology Liverpool Health Service Professor of Rheumatology Faculty of Medicine, UNSW Ms Glenda Cleaver B. Bus Adm General Manager Liverpool Health Service Professor John W. Morley BSc, MSc, PhD Professor of Anatomy & Cell Biology School of Medicine, University of Western Sydney Professor Ken Hillman MBBS, FRCA, FRCA, FJFICM Area Clinical Director Critical Care Services Stream Director The Simpson Centre for Health Services Research Sydney South West Area Health Service Ms Glenda Rayment RN Research Manager Liverpool Renal Clinical Research Centre Chair, Clinical Trials Group Sydney South West Area Health Service Associate Professor Bin Jalaludin MBBS (Syd) MPH (Syd) PhD (Syd) MRCP (UK) FAFPHM Acting Director Centre for Research, Evidence Management and Surveillance (REMS) Sydney South West Area Health Service Professor Derrick Silove M.B.Ch.B (Hons I), M.D, FRANZCP Professor & Director Psychiatry Research and Teaching Unit Liverpool Health Service Professor Maree Johnson RN., PhD (Epidemiology & Population Health), Professor of Nursing, University of Western Sydney, Acting Director, Centre for Applied Nursing Research (Joint venture SSWAHS & University of Western Sydney) Dr Grahame Simpson BSocStud, MA (Counselling), PhD Research Officer Senior Social Worker Brain Injury Rehabilitation Unit Liverpool Health Service Dr Lynn Kemp PhD, BHSc, RN Deputy Director CHETRE (Centre for Health Equity Training Research & Professor Jeremy Wilson MD, FRCP, FRACP Executive Clinical Director Sydney South West Area Health Service RESEARCH DIRECTORS REPORT Welcome to the Ingham Health Research Institute Research Annual Report. This report highlights the activities and efforts of more than 45 research groups in South West Sydney during the calendar year of 2009. Health Research Institute Research Infrastructure Grants Program was very well received by our research groups. Seven submissions were received in total and $400,000 over a period of 2 years was awarded by the IHRI Board. Grant recipients include Professor John French, Cardiologist from Liverpool Hospital and Mr Karl Schurr from the Physiotherapy Unit, Bankstown Hospital. Their research studies are expected to be completed by 2011. A special mention to Professor John Morley from the University of Western Sydney (UWS), who greatly assisted with the organisation of application reviews. The research groups profiled within this report include the units based in Bankstown, Fairfield, Liverpool and Macarthur regions of the Sydney South West Area Health Service, Western Zone. The primary goal of the Ingham Health Research Institute (IHRI) is to improve health outcomes by generating evidence based solutions through integrated programs of health research. The fulfilment of this mission will not only lead to the improvements in health of the people in the area, but it will also contribute more broadly to the knowledge about health, medicine and health services in Australia and internationally. The Ingham Health Research Institute has continued to maintain positive links with local, national and international funding bodies as this report will highlight; achieving some brilliant results. We further look forward to collaborating and building relationships with our affiliated Universities, both UNSW and UWS and Sydney South West Area Health Service. I am pleased to confirm that our researchers have managed to further sustain excellent results building on last year achievements. We can all be very proud of these results, as we work together on a common cause. IHRI researchers had another successful year with 64 researchers achieving Higher Degrees and also numerous publications including, 310 articles in peer review journals, 12 books, 25 books chapters. There have also been a significant number of conference presentations both at national and at internationally renowned conferences with various awards being achieved by our research teams in total 406 Conference Presentations. This report will provide you with an insight into: • research projects being conducted at IHRI • clinical trials undertaken • research income (including from both research projects and clinical trials) • publications in the form of journal articles, refereed journals, books & book chapters • conference presentations both in oral and poster format • research awards received • higher degree students by research In November 2009 IHRI ran a very successful Research Showcase. The one day event was designed for all researchers and research groups to unite and celebrate their research achievements over the last 12 months. Key note speakers included IHRI grant recipients, who provided guests with an insight into their programs and the expected outcomes. Over 70 abstracts were presented on the day both in oral and poster format, covering disciplines of health services, bio-medical and nursing research findings. 2009 was another productive year for all our researchers and research groups. Approximately $11.5 million was received in research funding .Our researchers have earned an $500,000 thousand in clinical trial funding alone, continuing relationships with local, national and international funding pharmaceutical companies & sponsors. Efforts have continued on developing IHRI’s educational programs. During 2009 Ingham Health Research Institute offered the Grants Preparation Scheme (GPS) – a program to assist both novel researchers and research groups with their applications I am honoured to announce the Inaugural Ingham RESEARCH DIRECTORS REPORT CON’T to nominated Category 1 research schemes. The aim of this program is to further develop IHRI’s capacity to conduct high calibre research. In 2009 IHRI received several submissions for the GPS program, three groups were awarded support grants. Of these groups Phillip Vial, Medical Physics Unit, Cancer Therapy Centre, Liverpool Hospital was successful in receiving a full grant from The Cancer Council of NSW. We have continued with this program with success. Once again we would like to give a special mention and our appreciation to Dr Lynn Kemp, Professors William Sewell and Grahame Simpson on their tireless efforts in the review of applications and provide mentorship to new researchers. Please take the time to read this report and together acknowledge and celebrate the splendid work of the individual researchers and research groups of the Ingham Health Research Institute. On another positive note IHRI will receive $46.9 million from the Health and Hospitals fund for the construction of a multifaceted research facility to be located at Liverpool Hospital. The building will consist of a four storey purpose built research facility and will be linked to the hospital as well as existing research facilities. The facility will also have a Research linear accelerator and a Clinical skills centre that will assist in the translation of research findings into clinical practice. Construction will commence early 2011. I would like to extend my congratulations to all research groups and to those staff members who assisted in making 2009 another successful research year; and look forward to another vibrant and successful year during 2010. Professor Michael Barton OAM Research Director Sydney South West Area Health Service Map of Sydney South West Area Health Service INGHAM INSTITUTE RESEARCH GROUPS 10 Aged Care Research Unit (ACRU) Liverpool Hospital Dr David Conforti Highlights during 2009 included: • Commencement of an NHMRC-funded grant on dementia in CALD communities and employment of Dr Desiree Boughtwood as the Research Fellow coordinating this project • Funding from the Clinical Excellence Commission to support the ongoing data linkage project looking at patient outcomes following hospitalisation • Publication of several important papers establishing the validity of the Rowland Universal Dementia Assessment Scale (developed at the ACRU) • Hosting of an Area-wide project to promote a more systematic approach to advance care planning Members of the research team during 2009 were Dr David Basic, Dr Desiree Boughtwood, Dr David Conforti, Dr Angela Khoo, Dr Chris Shanley, Dr Tabitha Hartwell and Margaret Morris. Research Grants Funding Body: Clinical Excellence Commission Chief Investigator/s: Basic D, Khoo A, Conforti D, Shanley C Funding Body: NHMRC Project Title: Post-discharge outcomes of older patients hospitalised with acute illness Chief Investigator/s: Adams J, Rowland J, Shanley C Project Title: Family care-giving for culturally and linguistically diverse (CALD) people living with dementia: the perspectives of family carers and health service providers. Lay Description: Older persons discharged from acute hospitals may have a number of adverse outcomes, including death, re-presentation to the Emergency Department and readmission to hospital. Information on such outcomes is needed to determine whether and when discharged patients suffer these; and whether demographic, medical or functional status at the time of hospitalisation can predict these outcomes. This study will look at 6,000 older persons who were seen by Aged Care based at Liverpool between 2001 and 2005 and use the Centre for Health Record Linkage (CHeReL) to link their baseline data to outcomes such as readmission to hospital, presentation to ED, death and cause of death. Lay Description: There will be an increasing number of older people from culturally and linguistically diverse (CALD) communities who develop dementia and they face difficulties over and above the general population. This project will look at how dementia is understood and approached in four CALD communities in South Western Sydney – Arabic, Spanish, Chinese and Italian-speaking. It will involve focus groups with family carers and interviews with multicultural workers, general practitioners and geriatricians. It is hoped that findings from the study can contribute to improvements in policy and service provision for dementia in CALD communities Administering Institution: Liverpool Hospital Administering Institution: University of Queensland Research Groups 11 Aged Care con’t Journals Articles/Refereed Journals Basic D, Khoo A, Conforti DA, Rowland JT, Vrantsidis F, LoGiudice D, Hill K, Harry J, Lucero K, Prowse RJ. Rowland Universal Dementia Assessment Scale, Mini-Mental State Examination and General Practitioner Assessment of Cognition in a multicultural cohort of community-dwelling older persons with early dementia. Australian Psychologist. 2009. 44.40-53. Basic D, Khoo A. Admission variables predicting short lengths of stay of acutely unwell older patients: relevance to emergency and medical short-stay units. Australian Health Review. 2009. 33..502-512 Basic D, Rowland JT, Conforti DA, Vrantsidis F, Hill K, LoGiudice D, Harry J, Lucero K, Prowse RJ. The validity of the Rowland Universal Dementia Assessment Scale (RUDAS) in a multicultural cohort of community-dwelling older persons with early dementia. Alzheimer Disease & Associated Disorders. 2009. 23.124-129. Shanley C, Sutherland S, Tumeth R, Stott K and Whitmore, E. Caring for the older person in the Emergency Department: The ASET Program and the role of the ASET Clinical Nurse Consultant in South Western Sydney, Australia. Journal of Emergency Nursing. 2009. 35.2.129-133. Shanley C, Whitmore E, Khoo A, Cartwright C, Walker A, Cumming R.G. Understanding how advance care planning is approached in the residential aged care setting: A continuum model of practice as an explanatory device. Australasian Journal on Ageing. 2009. 28.4.211-215. 12 Research Groups Brain Injury Rehabilitation Unit Dr Adeline Hodgkinson Research Department Profile The Brain Injury Rehabilitation Unit (BIRU) runs a research program with the broad mission of alleviating the consequences of traumatic brain injury. BIRU staffs from all disciplines were actively involved in the unit’s research activities. The research team is made up of 7 staff members (2.8 FTE) comprising a 2 Research Fellows (one full-time, one part-time), a part-time Research Officer, a part-time Research Assistant and three part-time Project Officers. The research team has developed a number of key partnerships with both clinical and academic researchers and institutions, both nationally and internationally. The research team monitored 29 projects in which either staff from the research team and/or clinical staff were involved. These projects broke down into 20 internal (BIRU participants) projects, 4 external (non-BIRU participants) projects, 3 Brain Injury Directorate projects, and 2 quality improvement/ registrar/ pilot projects. Of the 20 internal projects, 12 were funded projects and 3 were multi-centre projects. The 20 internal projects could be broken down into the following six research areas: Health Services (6), Clinical (functional) (5), Clinical (Psychosocial) (5), Cognitive Sciences (Neuropsychological interventions) (3), and Population Health (1). Research Grants Funding Body: MAA Chief Investigator/s: Baguley I, Nott M, Simpson GK, Brown, Lane Funding Body: LTCSS Project Title: Long-term mortality trends following severe traumatic-brain in jury (TBI) Chief Investigator/s: Simpson G, Jones K. Lay Description: This multi-centre epidemiological study will investigate long-term mortality trends in patients with severe TBI who have been discharged from three inpatientrehabilitation programmes within the NSW BIRS. This proposed sample of approximately 2000 patients will be the largest collective sample in international literature from which life expectancy and mortality rates following TBI will be established. The final outcome will be a database, stratified by disability level, to explore the association between level of disability and differences in life expectancy, mortality rate and cause of death. Life expectancy tables may be constructed from this database providing evidence for service planning and medico legal decision-making. Project Title: Building resilience: Equipping families to support people with TBI / SCI’ Lay Description: To adapt a Resilience Skills program to assist families providing long-term support to people with traumatic brain injury and /or spinal cord injury. The intervention will be trailed across 8 acute and post-acute rehabilitation and community services in NSW. Administering Institution: Brain Injury Rehabilitation Unit, Liverpool Hospital Research Groups 13 Brain Injury con’t Administering Institution: Brain Injury Rehabilitation Service Research Team, Westmead Hospital relationship between physical activity and fitness, and the relationship between subjective (questionnaire) and objective (accelerometer) physical activity data. Funding Body: LTCSS Administering Institution: SSWAHS Chief Investigator/s: McDonald S, Bornhofen C. Book Chapters Project Title: Emotion perception after brain injury Simpson GK, Tate RL. Suicidality and suicide prevention among war veterans with Traumatic Brain Injury. Suicide and the Military.L Sher and A Vilens.1stNew York.Nova Science Pulbishers.2009.161-182 Lay Description: To provide an empirically validated treatment manual to clinicians to use in remediating emotion perception difficulties in people with traumatic brain injury. Administering Institution: School of Psychology - UNSW Journal Articles/Refereed Journals Funding Body: LTCSS Anderson MI, Simpson, GK, Morey PJ, Mok MMC, Gosling TJ, Gillett LE. Diferential pathways of psychological distress in spouses vs. Parents of people with severe traumatic brain injury (TBI): Multi-group analysis.Brain Injury200923.12.931-943. Chief Investigator/s: Leung J, Moseley A, Harvey L, Khatri B. Project Title: Multimodal treatment of ankle contracture Lay Description: To conduct a study to assess the effectiveness of an innovative approach of combining passive stretch with electrical stimulation for managing contractures of joints and limbs following a brain injury. Arguedas, D & Batchelor, J.18q Deletion syndrome: A neuropsychological case study. Neurocase200915.2.101-109. Hassett LM, Moseley AM, Tate RL, Harmer AR, Fairbairn TJ, Leung J. Efficacy of a fitness centre-based exercise programme compared with a home-based exercise programme in traumatic brain injury: A randomized controlled trial. Journal of Rehabilitation Medicine200941.247-255. Administering Institution: Royal Rehabilitation Centre, Sydney Funding Body: Réseau provincial de recherche en adaptation/ réadaptation (REPAR), Montreal, Quebec, ,Canada Hodgkinson, A. Gillett, L. Simpson, GK... Does Apolipoprotein E Play a Role in Outcome after Severe Traumatic Brain Injury? Brain Impairment200910.2.162-8. Chief Investigator/s: Godbout D, Gagnon J, Drolet J, Kelly G, Simpson G Project Title: Translation of the OBS to French Ke H, Koh E-S, Simpson GK, Whiting D... Screening for Cognitive Impairment in Primary Brain Tumour: is the Montreal Cognitive Assessment a more sensitive tool than the MiniMental State Examination? [Abstract].Journal of Clinical Oncology20095.Supp 2.A173 Lay Description: Translate the English version of the Overt Behaviour Scale to French and verify the translation by translating back to English. Administering Institution: Centre de Réadaptation LuceBruneau McDonald S, Bornhofen C, Hunt C. Addressing deficits in emotion recognition after severe traumatic brain injury: The role of focused attention and mimicry. Neuropsychological Rehabilitation: An International Journal200919.3.321-339. Funding Body: The Menzies Foundation Chief Investigator/s: Leanne Hassett Project Title: Cardio respiratory deconditioning and physical activity in people with traumatic brain injury Conference Presentations/Poster Baguley IJ, Nott MT, Howle A, Cotter R, Simpson G, Browne S, Hodgkinson A, King AC. Determining factors affecting mortality in those who have survived severe traumatic brain injury. Proceedings Understanding Mortality Data Workshop, AMDIG Scientific Meeting.Dec-09.Wellington, NZ. Lay Description: This prospective descriptive study aims to investigate fitness and physical activity in people with traumatic brain injury. Fifty ambulant community-dwelling people with severe traumatic brain injury will be invited to participate. They will be required to complete a peak fitness test with gas analysis, wear an accelerometer for 7 days, and complete two physical activity questionnaires 7 days apart. Correlations will be used to determine the Dall’Armi L, Simpson GK, Forstner D, Simpson T, Kwa B. Patterns of information needs and affective distress for people with head & neck cancer and their family members. Australian Research Groups 14 Brain Injury con’t and New Zealand Head and Neck Society 11th Annual Scientific Meeting.6-8 August 2009.Freemantle, WA. professionals? Australian and New Zealand Spinal Cord Society 16th Annual Scientific Meeting.25-27 November 2009.Perth, WA. Dall’Armi L, Simpson GK, Forstner D, Simpson T, Kwa B. Patterns of information needs and affective distress for people with head & neck cancer and their family members. Sydney South West Area Health Service Research Showcase.27-Nov09.Liverpool Hospital, Sydney. Simpson, GK & Simons M. Promoting positive sexual development among children and adolescents with acquired brain injury. 32nd Annual Brain Impairment Conference, Life changes after brain injury: Structure, function, participation.7-9 May 2009.Sydney, NSW. Hassett LM, Moseley AM, Khatri B, Barry SC, Jones TM. Does circuit class provide a fitness training stimulus for people with a traumatic brain injury?. Australian Physiotherapy National Conference: Neurological Conference; Sydney, Australia October 2009.1-5 October 2009.Sydney. Tate R, McDonald S, Simpson GK, Lane-Brown A, Schultz R, Dunne R, Wilson BA.. Efficacy of two therapeutic procedures to increase community participation after traumatic brain injury: a randomized controlled trial... 6th Satellite Symposium on Neuropsychological Rehabilitation.3-4 August 2009.Tallinn, Estonia, Ke H, Koh E-S, Simpson GK, Whiting D, Wright, KW, Simpson T... Screening for cognitive impairment in primary brain tumour: Is the Montreal Cognitive Assessment as more sensitive tool than the Mini-Mental State Examination? Sydney South West Area Health Service Research Showcase.27-Nov-09.Liverpool Hospital, Sydney. Tate RL, Lannin N, Taylor C, Pfaff A, Wakim D, David P Coward B, Whitty C.. The Functional Independence Measure for people with traumatic brain injury: how good is the Cognitive Scale for measuring neuropsychological impairments? International Neuropsychological Society, .July-August 2009. Helsinki, Finland. Kelly G, Simpson GK.. Inappropriate sexual behaviour: Using a sex corker to straighten things out.3rd Regional ABI Conference. Transitions in Life: Skills, initiatives, and optimism.26-27 November 2009.Warrnambool, Vic. Whiting DL, McLeod H, Ciarrochi J, Simpson GK. Can Acceptance and Commitment Therapy (ACT) facilitate psychological adjustment after traumatic brain injury? Sydney South West Area Health Service Research Showcase.27-Nov09.Liverpool Hospital, Sydney. Koh E-S, Whiting D, Agar M, Krishnasamy M.. Cognitive and Behavioural Impairment in Cancer: Reasons and Resources for Management... Clinical Oncology Society of Australia, 2009 36th Annual Scientific Meeting.17-19 November 2009.Gold Coast, Qld. Simpson GK (invited keynote speaker). Goal setting in working with people with ABI: Current research, new approaches and old challenges. 3rd Regional ABI Conference.Transitions in Life: Skills, initiatives, and optimism.26-27 November 2009. Warrnambool, Vic. Simpson GK, Hassett L (invited workshop). Goal setting for people with ABI in rehabilitation and community based practice. 3rd Regional ABI Conference.Transitions in Life: Skills, initiatives, and optimism.26-27 November 2009. Warrnambool, Vic. Simpson GK, Koh E-S, Simpson T, Wright K, Firth R, Whiting D, Younan K. The prevalence of behavioural sequelae in patients with primary brain tumour and the development of information resources. The 10th Quadrennial congress of the World Federation of Neuroscience Nurses.23-27 May 2009.Toronto, Canada. Simpson GK, Unger C, Jones K, Pfeiffer D, Oosthuizen H, Francis J, Young D.. Developing a ‘Building Family Resilience program’: What can we learn from family members and health Research Groups 15 Brain Injury con’t Higher Degrees By Research Commencement Date Name Degree & Institution Thesis Title Supervisor Deborah Arguedas D. Psych (Clinical Neuropsychology) Macquarie University Olfactory Hallucinations – a neuropsychological investigation A/Professor Robyn Langdon MACCS A/Professor Richard Stevenson 2006 Lauren Gillett D. Psych (Clinical Neuropsychology) Macquarie University The long-term effects of severe hypoglycaemia on the executive functioning of children with type 1 diabetes Dr Judith Homewood Dr Jennifer Batchelor A/Professor Pamela Joy July 2006 Diane Whiting PhD Wollongong University A trial of acceptance and commitment therapy to facilitate psychological adjustment following TBI Dr Hamish McLeod A/ProfessorJoseph Ciarrochi Dr Grahame Simpson March 2009 Kate Hopman Masters of Medical Science – University of Sydney Clinical outcomes following community-based TBI rehabilitation A/Professor Robyn Tate (Rehab studies unit Ryde) Dr Annie McCluskey (The University of Sydney) May 2005 Research Groups 16 Centre for Applied Nursing Research (CANR) Liverpool Hospital Professor Maree Johnson Photo left to right: Glen Pang-Network Manager, Home Enteral Nutrition and Nutrition in Hospitals NSW Agency for Clinical Innovation (ACI) Tanya Hazelwood-Dietitian Liverpool Hospital Dr Jenny Ravens-Area Director Nutrition and Dietetics EZ, Sydney South West Area Health Service Dr Diana Jefferies Dr Hunter Watt CE NSW Agency for Clinical Innovation Research Department Profile The CANR staff continues to work with key clinical staff and academics from the University of Western Sydney to support new initiatives relating to nursing and midwifery practice, education and research. Major research programs relating to midwifery initiated oral health and patient safety has been the major focus of staff at CANR. New collaborative relationships have been formed with midwives and dentists to provide appropriate expertise to progress this new initiative that expands the role of midwives under the direction of Dr. Ajesh George. Professor Johnson continues to work on developing an assessment tool to support registered nurses to enhance patient safety, with major insights into clinical management, falls prevention and management, and medication safety being analyzed and publications forthcoming. Dr. Diana Jefferies and other CANR and clinical staff have undertaken several systematic reviews resulting in policies relating to quality documentation in nursing and nursing support of adult patients’ oral nutrition. Dr. Diana Jefferies is a member of the Nutrition in Hospital working party that is developing a state wide approach to nutrition and food services in NSW. This is a collaborative project with the NSW Agency for Clinical Innovation (ACI). Research Groups 17 Centre for Applied Nursing con’t Research Grants mental health and drug and alcohol assessment Funding Body: NSW Oral Health Promotion - Demonstration Project Grants Scheme Funding Body: University of Western Sydney Internal Grant Chief Investigator/s: Dr. Ajesh George, Professor Maree Johnson, Dr. Sameer Bhole, Dr. Shilpi Ajwani, Prof Anthony Blinkhorn, & Sharon Ellis Chief Investigator/s: Dr Daniel Nicholls, Prof Maree Johnson, Project Title: Oral Health Program and Workbook for the Midwifery Initiated Oral Health (MIOH) Service for Pregnant Women in Sydney South West Lay Description: This project examines how oral and written communication in nursing impacts on the safety of the patient. Nursing is described as a culture that predominantly relies on oral forms of communication to transfer information about a patient’s condition and care. The literature demonstrates that patient safety improves when written structures are developed specifically for healthcare support oral communication. This project investigates how a balance between oral and written modes of communication can be achieved so that patient safety is improved Project Title: Moving across cultures: exploring written and oral cultures in nursing Lay Description: As part of the development of the MIOH service, this research will design an online education programme to educate and train midwives about the intervention. The education programme will contain guidelines for midwives pertaining to: oral health education during pregnancy; screening practices to assess the oral health status of pregnant women; and referral procedures for necessary dental treatment. Administering Institution: University of Western Sydney Internal Grant Administering Institution: NSW Centre for Oral health Strategy Funding Body: NSW Health Nursing & Midwifery Innovation Scholarship Funding Body: Australian Dental Association (NSW Branch) Chief Investigator/s: Dr. Ajesh George, Professor Maree Johnson, Dr. Sameer Bhole, Dr. Shilpi Ajwani, Prof Anthony Blinkhorn, & Sharon Ellis Shilpi Ajwani, Prof Anthony Blinkhorn, & Sharon Ellis Chief Investigator/s: Dr Diana Jefferies, Prof Maree Johnson, Dr Daniel Nicholls Project Title: Improving nursing documentation with a wardbased writing coach Project Title: Development of a midwifery-initiated oral health (MIOH) service for pregnant women in SSWAHS Lay Description: The aim of this project is to investigate whether an intensive writing workshop and one-to-one coaching of nursing and midwifery staff results in improved nursing documentation and positive experiences for nurses. Lay Description: This research is developing a midwiferyinitiated oral health service for pregnant women attending antenatal clinics in Sydney South West. This service will incorporate oral health guidelines into normal midwifery practice and provide appropriate pathways where pregnant women can be referred for prompt dental treatment Such a service will facilitate a change and expansion of practice for midwives to help improve health outcomes for pregnant women and their children. Administering Institution: NSW Health Nursing & Midwifery Innovation Scholarship Funding Body: National Council for the Professional Development Chief Investigator/s: Gerard Fealy, Michelle Butler, Pearl Treacy, Mary Casey, Jonathan Drennan, Catherine Griffin, Maree Johnson, Martin McNamara, Richard W. Nugent. Administering Institution: University of Western Sydney Funding Body: North Coast Area Health Services Project Title: National Nursing & Midwifery Clinical Leadership Needs Chief Investigator/s: Geraldine Antonio, Vince Carroll, Professor Maree Johnson, Rachel Langdon. Lay Description: This study used a mixed method of focus groups and a national survey of nurses and midwives to develop a clinical leadership framework and leadership training requirements for nurses and midwives within the Republic of Ireland. Project Title: Evaluation of the APAT/SSDA Adult Assessment Form Lay Description: This study evaluates the effectiveness of a comprehensive approach to nursing assessment inclusive of falls, cognitive assessment, pressure area care assessment, Research Groups 18 Centre for Applied Nursing con’t Funding Body: NHMRC grant legal issues affect their practice. Australian Family Physician. 2009. 38.1-Feb.66-70. Chief Investigator/s: Professor R. Griffiths, Dr. Ritin Fernandez, Dr. McClaws, & Dr. G. Sussman and Dr. J. Rowlands. Neubeck L Redfern J, Fernandez R, Briffa T, Bauman A, Friedman, B. Telehealth interventions for patients with coronary heart disease. European Journal of Cardiovascular Prevention. 2009. 16.3.281-289. Project Title: Randomised controlled trial comparing the effects of tap water vs normal saline on the infection rates and healing rates of wounds. O’Baugh J, Sneesby K, Wilkes L & George A. Investigation into the Communication that Takes Place Between Nurses and Patients During Chemotherapy. Journal of Psychosocial Oncology. 2009. 27.4.396-414. Lay Description: Randomised controlled trial comparing the effects of tap water vs normal saline on the infection rates and healing rates of wounds Administering Institution: Rolley J, Davidson P, Salamonson Y, Fernandez R, Dennison C. Nursing care for patients undergoing percutaneous coronary intervention: a patient journey approach. Journal of Clinical Nursing. 2009. 18.17.2394-405. Clinical Trials Funding Body: Chief Investigator/s: Tony Hecimovic, Professor Maree Johnson Dr. Ajesh George. Tran DT, Stone AM, Fernandez RS, Griffiths RD & Johnson M, 2009. Changes in general nurses’ knowledge of alcohol and substance use and misuse after education. Perspectives in psychiatric care. 2009. 45.2.128-139 Project Title: Clinical trial of 48-72hour recannulisation versus end of treatment approach to intravenous antibiotic administration in community client caseloads Tran DT, Stone AM, Fernandez RS, Griffiths RD & Johnson M, 2009. Does implementation of clinical practice guidelines change nurses’ screening for alcohol and other substance use? Contemporary Nurse. 2009. 33.1.13-19. Lay Description: This study uses a natural experiment design to example patient outcomes and cost effectiveness of replacement of peripheral cannulae at 48hours or until completion of treatment (usually 5- 7 days). Conference Presentations/Posters Books Jirojwong S, Schmied V, Cioffi J, Johnson M, Griffiths R, Dahlen H. Health literacy and self management of gestational diabetes: a study among Vietnamese, Cambodian, Thai and Laotian women in Sydney. UWS Research Forum. February 2009. Penrith. Feahy G, Butler M, Treacy P, Casey M, McNamara M, Drennan J, Johnson M. National Nursing and Midwifery Clinical Leadership Needs Analysis. Dublin.National Council for the Professional Development of Nursing and Midwifery.2009 George A, Johnson M, Ajwani S, Bhole S, Blinkhorn A, Dahlen H & Ellis S. The potential role of midwives in promoting oral health during pregnancy. Sydney South West Area Health Service Research Showcase. 27th November 2009.Thomas & Rachel Moore Conference Centre, Liverpool Hospital. Journals Articles/Refereed Journals Butler M, Meehan T.C, Kemple M, Drennan D, Johnson M & Treacy M, (pearl). Identifying research priorities for midwifery in Ireland. Journal of Midwifery. 2009. 25.275-587 Fernandez R, Davidson P, Griffiths R, Juergens C, Stafford B, Salamonson Y. A pilot randomised controlled trial comparing a health-related lifestyle self-management intervention with standard cardiac rehabilitation following an acute cardiac event: Implications for a larger clinical trial. Australian Critical Care. 2009. 22.1.17-27. Hudson P, Elkholm J, Johnson M, & Langdon R. Helping Emergency nurses to act sooner: Identifying the deteriorating adult and child. CENA National Conference. 7-10th October 2009. Gold Coast, Queensland. Jefferies D, Johnson M. Invited Speaker: Developing quality nursing documentation for the clinical setting and the courtroom. Vascular 2009- Nurses Scientific Seminar.Hotel, 2nd October 2009. Shangri-La Hotel. Fernandez, R & Tran, DT. The meta-analysis graph: clearing the haze... Clinical nurse specialist. 2009. 23.2.57-60. George A, Johnson M. Perinatal oral health care: Implications for midwives. Midwifery Matters. 2009. 27.4.22-23. Jefferies D, Johnson M. Improving the oral nutritional care of patients in SSWAHS, SSWAHS. SSWAHS Research Showcase. 27Nov-09. Thomas & Rachel Moore Conference Centre, Liverpool Hospital. Nash L, Johnson M, Willcock S, Walton M, Tennant C, Walters G, Van Ekert E. General Practitioners’ concerns about medico- Research Groups 19 Centre for Applied Nursing con’t HIGHER DEGREES BY RESEARCH Commencement Date Name Degree & Institution Thesis Title Supervisor Martha Mansah PhD, University of Western Sydney Safe Transfer of Elderly Patients (STEP) Across Health Care Settings Professor Rhonda Griffiths, Dr Ritin Fernandez 2006 Tanya O’Connell Masters by Research, University of Western Sydney Quantifying and Assessing the Impact of Palliative Care services on Quality of Life for Patients and Carers Professor Rhonda Griffiths, Dr Ritin Fernandez 2005 Danielle Tran PhD, University of Western Sydney An epidemiological study of diabetes related health outcomes among the Vietnam-born Australians. Professor Louisa Jorm, Dr Hilary Bambrick, Professor Maree Johnson 2009 Research Groups 20 Collaboration for Cancer Outcomes, Research and Evaluation (CCORE) Liverpool Hospital Professor Michael Barton Research Projects • Estimation of the Optimal Number of Radiotherapy Fractions for Cancer Patients. Dr Karen Wong, Radiation Oncologist, has been enrolled in the PhD program at the University of New South Wales since 2007 under the supervision of Prof Michael Barton and Prof Geoff Delaney. The aim of this research is to construct an evidence-based model to estimate the optimal number of radiotherapy fractions per cancer patient and per treatment course, building on the existing optimal radiotherapy utilisation model. These data can provide a benchmark for services delivery and for comparison with actual fractionation in practice. This model can also be applied to predict future radiotherapy workload and hence aid in future radiotherapy services planning in Australia. • An estimation of the optimal endocrine therapy utilization rate in breast cancer: CCORE has developed an optimal utilisation model for endocrine therapy in breast cancer, using current Australian epidemiological data. • A comparison of breast cancer treatment rates in British Columbia, Scotland, and Western Australia, and a comparison with models of “optimal” therapy: In an international collaborative project with the British Columbian Cancer Agency in Canada, NHS Tayside in Scotland, and the Royal Perth Hospital in Western Australia, CCORE is comparing breast cancer treatment rates in these jurisdictions, and is comparing the optimal treatment utilisation models for radiotherapy, chemotherapy, and hormone therapy with the original previously published theoretical models. • The use of wikis with clinical guidelines: a review: CCORE is collaborating with the University of Sydney in the pilot of clinical guideline wikis in oncology. This is a background literature review and analysis of the current published data. • Patterns of retreatment by radiotherapy project: CCORE is involved in a three year study aimed at describing patterns of radiotherapy retreatment by cancer type in order to develop methods of modelling retreatment for better service planning and benchmarking. • Cancer survivorship and late effects of cancer therapy: (e.g. lymphoma and brain tumour survivors) Hodgkin Lymphoma survivors: • Long-term follow up for Hodgkin Lymphoma survivors: Patterns of Care across Australia and New Zealand completed with plans to develop ANZ guidelines for management of long-term survivors. Brain tumour survivors: • • Assessing new Screening tools for Cognitive and behavioural impairment in Primary Brain Tumour • Developing novel psychosocial interventions for managing changes to cognitive, emotions and behaviour in Brain tumour survivors. Touchscreen ‘Quality of Life’ project: CCORE collaborated with the Psycho-oncology Cooperative Research Group (PoCoG) School of Psychology, University of Sydney in a Cancer Institute Research Groups 21 Cancer Outcomes con’t Appointments NSW funded project on development of an economic evaluation model for use in cancer clinical trials using Liverpool Hospital Cancer Therapy Centre Touchscreen QOL data. • A review of the evidence of management of skin toxicity during radiation therapy: A project aimed at development of a protocol for evidence-based management of skin toxicity during radiation therapy through systematic literature review including metaanalysis and a survey of radiotherapy departmental skin toxicity management practices in Australia and New Zealand. (Accepted for publication in 2010) • Radiotherapy planning study for Non-Small Cell Lung Cancer (NSCLC) using Positron Emission Tomography (PET) (accepted for publication in 2010) - A radiotherapy planning study assessing the Dosimetric implications of the addition of 18FDG-Positron Emission Tomography (PET) in CT-based radiotherapy planning for Non-Small Cell Lung Cancer (NSCLC) • Radiation Oncology Network: The Southern NSW Radiation Oncology Training Network was initiated with a pilot programme in 2008. The participating hospitals include Prince of Wales, St George, Liverpool, Campbelltown, Wollongong and Canberra. Initially five registrars were appointed to the network and these registrars are now in their 3rd year of specialist training. During 2010, the number of Network trainees is to be increased to 16. Successful rotation of registrars to most of the participating hospitals has taken place and the first Canberra rotation is to be arranged for the beginning of 2011. • • • Professor Michael Barton, CCORE Research Director was appointed: • Member, Radiation oncology implementation committee (RORIC) Workforce subcommittee • Chair, Independent Review Committee, Clinical Practice Guidelines for the Management of Locally Advanced and Metastatic Prostate Cancer Commissioned Reports A formal evaluation of the Network was performed in June 2009. This confirmed that the trainees and the participating hospitals were happy with the progress of the Network. It also raised issues which can now be addressed over the next 12 months. During the pilot programme, the NSW Cancer Institute provided a 12 month grant to support a 0.6 FTE Education Support Officer position. The evaluation highlighted the importance of this position. NSW Health has since agreed to support the continuation of this position as a 1.0 FTE for the next 3 years. 22 • Barton MB. Report on the Tanzania expert mission to assess future training capacity. E Rosenblatt, M Barton, M El Ghantiry for the Program for Action on Cancer Treatment. Vienna 2009. During February 2009, Professor Michael Barton, Research Director, CCORE, travelled to Dar es Salaam, Tanzania, at the invitation of The International Atomic Energy Agency (IAEA), and the Program for Action for Cancer Therapy (PACT), Vienna, to provide expert advice and assist in strengthening the national cancer control capacity in a comprehensive and sustainable manner in Tanzania and to assess the availability of the trained domestic faculty to become part of the desired degree programs. • Thompson S and Barton MB. Optimal utilization of permanent seed brachytherapy for the treatment of prostate cancer. CCORE. Sydney April 2009. On behalf of: Statewide Services Branch, NSW Health. • Barton MB. Improving Radiotherapy Where to from here? A roadmap for the NSW Government. NSW Cancer Council May 2009 • Simpson GK, Wright KM, Simpson T, Koh E-S, Firth R, Whiting D, Younan K. Cancer Institute NSW NSWOG Neuro-Oncology Project. Sep 2009. ‘Addressing the Behavioural and Cognitive Sequelae of Adults with Brain Tumour: Trialling a Behavioural Consultancy Model’ • Shafiq J, Barton M. Radiation therapy risks: prioritizing patient safety. Talking Point. On-line report - Medical Physics Web. 4 Aug 2009 Research Groups Cancer Outcomes con’t • http://medicalphysicsweb.org/cws/article/ opinion/39997 • Barton M, Shafiq J, Noble D, Lemer C. WHO Radiotherapy risk profile. The French Nuclear Safety Authority Review: Contrôle review n° 185: Safety in external radiotherapy treatments (November 2009). pp 88-89 • Adult Gliomas’. • Invited Expert: Professor Michael Barton, Research Director, CCORE: Barton M, Shafiq J, et al (ed). Radiotherapy risk profile: Technical manual. Geneva. Available at: World Health Organisation (WHO) | Risk reduction in radiotherapy. Accessed 02 February 2009. • Invited panel member. International Atomic Energy Agency, ICARO. International Conference on Advances in Radiation Oncology, Vienna 2729 April, 2009. Round table discussion: Training, Education and Staffing: Focus on Low and Medium Income Countries. The main objective of the meeting was to define the current role and potential of clinical, technological and molecular/biological innovations for incorporation into routine practice in radiation oncology. • Invited panel member. Consultant’s Meeting – Development of the Medical Physics and Radiation Oncology/Biology parts of the NAHU (Division of Human Health) Website - at the invitation of the International Atomic Energy Agency, Vienna, 15 – 19 June 2009. The purpose of this meeting was to develop a strategy to design a web site for the Division of Human Health (NAHU) i.e. the Medical Physics and Radiation Oncology/Biology Parts of the NAHU Website. • Cancer Council SA Research Advisory Group, 19 May 09. Re: Research Innovation: A partnership opportunity to strengthen cancer research in South Australia. Invited Speaker • Barton MB. Research Director, CCORE. At invitation of The French Nuclear Safety Authority (ASN). International conference: ‘Modern Radiotherapy: Challenges and advances in radiation protection of patients’. Presentations: ‘Radiotherapy risk profile’. ‘Safety in External Radiotherapy’. Versailles, France. 2 – 4 December, 2009. • Barton MB. At invitation of Cancer Action Team, Addenbrookes Hospital, Cambridge. Meeting – ‘Modelling of Radiotherapy Demand’. London, 7 December, 2009 - to consider the clinical/scientific evidence and the limitations of current modelling, especially around locality differences in cancer incidence, stage, co-morbidity and radiotherapy use. • Demand Modelling in Australia • Effectiveness and cost effectiveness of radiotherapy: what is the impact of missed radiotherapy. • Comparison worldwide actual radiotherapy utilisation rates • Simpson GK, Koh E-S, Wright K M, Simpson T, Firth R, Whiting D, Younan K. Cancer Institute NSW Journal Club - 28 October, 09. ‘Novel approaches to the assessment and management of behavioural and cognitive impairment in adults with primary brain tumour’. • Barton MB. Clinical Oncology Society of Australia Annual Scientific Meeting. Gold Coast Queensland. November 2009. ‘Guidelines for the Management of Barton MB. RANZCR Annual Scientific Meeting. Brisbane, Queensland. October 2009. ‘Guidelines for the Management of Adult Gliomas’. 23 Research Groups Cancer Outcomes con’t Research Grants implementing a national radiation oncology standards program Administering Institution: SSWAHS Funding Body: NHMRC Books Chief Investigator/s: Professor Phyllis Butow, University of Sydney NSW 2006 Assoc. Investigators: MB Barton CCORE, Diana Adams,Pavlakis, Josephine Clayton, Martin Tattersall,Ronald Epstein,Patricia Davidson,Jane Young Barton MB Hovey E. Clinical practice guidelines for the management of adult gliomas: astrocytomas and oligodendrogliomas. Australian National Cancer Network Adult Brain Tumour Guidelines Working Party. Clinical Practice Guidelines. Sydney. Cancer Council Australia. 2009 (August). Clinical Practice Guidelines ISBN: 978-0-9775060-8-8. Project Title: Improving QOL at the end of life: A randomised controlled trial of a doctor/nurse/patient intervention. Lay Description: To evaluate the effect of a combined cancer patient-oncologist-health service intervention for patients with advanced incurable cancer and a prognosis estimated by their doctor to be 2-12 months. The intervention aims to promote discussion and mutual understanding between patient/care giver and clinicians about prognosis, end of life issues and treatment goals in order to improve the quality of remaining life. Books Chapters Barton MB, Delaney G. Chapter 9: The optimal provision of cancer treatment services. Cancer Control. M Elwood and S Sutcliffe. 2009. Australia. Oxford University Press. 2009 Journals Articles/Refereed Journals Administering Institution: Sydney Uni Batumalai V, Koh E-S, Delaney G, Holloway L, Jameson, M. Variability In Clinical Target Volume Delineation For Tangential Breast Irradiation: Comparison Between Radiation Oncologists and Radiation Therapists Journal of Medical Imaging and Radiation Oncology. 2009. 530. A101. Funding Body: Cancer Institute Chief Investigator/s: M King, MB Barton, W Ng, R Viney, P Grimison Boxer M, Forstner D, Kneebone A, Delaney G, Koh E-S, Fuller M, Kaadan N. Impact of a real-time peer review audit on patient management in a radiation oncology department. Journal of Medical Imaging and Radiation Oncology. 2009. 530. 405411 Project Title: Development of cancer-specific multi-attribute health states from the QLQ-C30 for use in economic evaluation Lay Description: Development of cancer-specific multiattribute health states from the QLQ-C30 for use in economic evaluation. Chow E, Hird A, Velikova G, Johnson C, Dewolf L, Bezjak A, Wu J, Shafiq J, Sezer O, Kardamakis D, Linden YV, Ma B, Castro M, Arnalot PF, Ahmedzai S, Clemons M, Hoskin P, Yee A, Brundage M, Bottomley A;. On behalf of the EORTC Quality of Life Group. The European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire for patients with Bone Metastases: The EORTC QLQ-BM22. Eur J Cancer. 2009. 450.1146-1152. Administering Institution: SSWAHS Funding Body: Commonwealth of Australia Chief Investigator/s: MB Barton, IHRI Project Title: Ingham Health Research Facilities Lay Description: For the construction of the Ingham Health Research Facility, Liverpool Hospital Harris K, Chow E, Zhang L, Velikova G, Bezjak A, Wu J, Barton M, Eek R, Shafiq J, Sezer O, Yee A, Clemons M, Brundage M, Hoskin P, van der Linden Y, Nguyen J, Johnson C, Bottomley A. On behalf of the EORTC Quality of Life Group. Patients’ and Health Care Professionals’ evaluation of health-related quality of life issues in bone metastases Eur J Cancer. 2009. 450.2510-18 Administering Institution: SSWAHS Funding Body: Radiation Oncology Section, Department of Health and Ageing, Canberra/NATA Chief Investigator/s: MB Barton, P Vial , L Cassapi Jacob S, Ng W, Asgari R, Delaney G, Barton M. Estimation of an optimal chemotherapy utilisation rate for colon cancer: an evidence-based benchmark for cancer care. Eur J Cancer. 009. 450.2503-2509. Project Title: Implementation of National Radiation Oncology Standards Program Lay Description: Study of the feasibility and costs of 24 Research Groups Cancer Outcomes con’t Kang S, Koh E-S, Vinod SK Jalaludin, B. Cost Analysis of Lung Cancer Management in South-Western Sydney. Journal of Medical Imaging and Radiation Oncology. 2009. 530.A148. Esmaili N, Hensley M, Goldsbury D, Supramaniam R, Hui A, Armstrong B.. No improvement in lung cancer care: the management of lung cancer in 1996 and 2002 in New South Wales. International Medicine Journal. 2009. 390.453-458. Kao S, Shafiq J, Vardy J and Adams D. Use of chemotherapy at end of life in oncology patients. Ann Oncol. 2009. 200.15551559. Starmer DL, Barton MB. Advances in Cancer Management: At What Cost to Medical Student Education? Journal of Cancer Education.2009.240.233-237. Ke H, Koh E-S, Simpson GK, Whiting D. Screening for Cognitive Impairment in Primary Brain Tumour:Is the Montreal Cognitive Assessment a more sensitive tool than the Mini-Mental State Examination? Asia-Pacific Journal of Clinical Oncology. 2009. 50.A173. Vinod SK. Quantitative evaluations for the optimal utilization of radiotherapy in lung cancer. Asia Pac J Oncol Haem. 2009.10.37-44 Vinod SK, Goldsbury D, Simonella L, Delaney GP, O’Connell DL, Armstrong B. Underutilization of radiotherapy for lung cancer in NSW, Australia. Cancer. 2009.0.. Koh E-S. Patients Behaving Badly. Asia-Pacific Journal of Clinical Oncology. 2009. 50.A151 Vinod SK, Holloway L, Prasad S, Mckibbin C, Andrew K, Blakeney S, Koh E-S, Fuller M. Dosimetric implications of the addition of 18FDG- Positron Emission Tomography (PET) in CT-based radiotherapy planning for Non-Small Cell Lung Cancer (NSCLC). Journal of Medical Imaging and Radiation Oncology.2009.530.A109. Koh, E-S, Kang S, Vinod SK, Jalaludin, B.. Comparison of Direct Medical Costs in Managing Lung Cancer with Curative versus Palliative IntentAsia-Pacific. Journal of Clinical Oncology. 2009. 50.A167 Luxford, T, Vinod S K, Koh E-S, Tran T, Baker K. Use of validated assessment tool in lung cancer patients to Identify Symptom Burden: the value of a nursing -led care coordination model. AsiaPacific Journal of Clinical Oncology. 2009. 20.A168. Wright T, Simpson T, Koh E-S. Long Term Facilitation of a hospital-based brain tumour support program. Asia-Pacific Journal of Clinical Oncology.2009.50.A236. Miller J, Fuller M, Vinod S, Suchowerska N, Holloway L. The significance of the choice of Radiological (NTCP) models in treatment plan objective functions. Australasian Physical & Engineering Sciences in Medicine. 2009. 320.81-87. Conference Presentations/Posters Morgan G, Barton M, Crossing S, Bull C and Penman A. A “Catch-up” plan for radiotherapy in New South Wales to 2012. Journal of Medical Imaging and Radiation Oncology. 2009. 534.419- 430. Ball D, Fisher R, Burmeister B, Poulsen M, Graham P, Penniment M, Vinod SK, Krawitz H, Joseph D, Wheeler G, McClure B. (Presenter Dr David Ball).The complex relationship between lung tumour volume to survival in patients with nonsmall cell lung cancer (NSCLC) treated by definitive radiotherapy. (Trans-Tasman Radiation Oncology Group Study 9905).13th World Lung Cancer Conference.31 July – 4 August 2009.San Francisco. Ng W, Delaney G, Jacob S, Barton MB. Estimation of an optimal chemotherapy utilisation rate for breast cancer: Setting an evidence-based benchmark for the best-quality cancer care. European Journal of Cancer. 2009.0. Barton MB, Development of Australian Guidelines (Brain Tumours). Clinical Oncological Society of Australia (COSA) 36th ASM. 16-19 November, 2009.Gold Coast Ng W, S Jacob, G Delaney, M Barton. Estimation of an optimal chemotherapy utilisation rate for head and neck carcinoma: setting an evidence-based benchmark for the best-quality cancer care. Eur. J Cancer. 2009. 450.2150-2159 Batumalai V, Koh E-S, Delaney, G, Holloway L, Jameson M. Variability In Clinical Target Volume Delineation For Tangential Breast Irradiation: Comparison Between Radiation Oncologists And Radiation Therapists. RANZCR Combined Scientific Meeting.22-25 October 2009.Brisbane. Ng WL, Della-Fiorentina SA. The efficacy of oral ondansetron and dexamethasone for the prevention of acute chemotherapyinduced nausea and vomiting associated with moderately emetogenic chemotherapy – a retrospective audit. Eur J Cancer Care (Engl). 2009.0.. Forstner D, Koneru S, Shafiq J, Ng W, Fowler A. Implementation of an integrated electronic health related quality of life (HRQOL) assessment tool into routine clinical practice. 2009 Annual Scientific Meeting of the Australian and New Zealand Head and Neck Society. 6 – 8 August 2009. Fremantle, Western Australia. Shafiq J, Barton M, Noble D, Lemer C, Donaldson LJ. An international review of patient safety measures in radiotherapy practice. Radiother Oncol. 2009. 920.15-21. Simonella L, O’Connell DL, Vinod SK, Delaney GP, Boyer M, 25 Research Groups Cancer Outcomes con’t Fuller M, Fowler A, Vinod SK, Koh E-S, Holloway L. FDG-PET directed radiotherapy dose escalation in non-small cell lung cancer. ANZ Society of Nuclear Medicine ASM March 2009, Sydney. 39873. Sydney. Lemer, C, Noble D, Barton M, Shafiq J, Donaldson L. Radiotherapy Risk Profile (Theme: Quality into Healthcare Organisations). The International Society of Quality in Health Care (ISQUA) Conference.11-14 October, 2009. Dublin, Ireland Fuller M, Tattersall M, Fowler A, Vinod SK, and Koh E-S. FDGPET directed radiotherapy dose escalation in non-small cell lung cancer. Poster, Australia & New Zealand Society of Nuclear Medicine 39th Annual Scientific Meeting. 23–27 April, 2009. Sydney Lin P, Vinod SK, Lin M, Ho-Shon I, and Seu S. Incremental clinical value of a dedicated RT planning FDG PET-CT over staging PET-CT in non-small cell lung cancer. Oral presentation. Australia & New Zealand Society of Nuclear Medicine 39th Annual Scientific Meeting. 23-27 April, 2009. Sydney Houghton B, Shafiq J, Ng W. Does Palliative Chemotherapy improve the quality of life in elderly patients with advanced malignancy? Clinical Oncological Society of Australia (COSA) 36th ASM.16-19 November, 2009.Gold Coast Luxford, T, Vinod SK, Koh E-S, Tran T, Baker K. Use of validated assessment tool in lung cancer patients to Identify Symptom Burden: the value of a nursing -led care coordination model. Clinical Oncological Society of Australia (COSA) 36th ASM.16-19 November, 2009. Gold Coast. Kang S, Koh E-S, Vinod SK Jalaludin B. Cost Analysis of Lung Cancer Management in South-Western Sydney.. RANZCR Combined Scientific Meeting. 22-25 October 2009. Brisbane. Morarji K,Fowler A,Vinod SK, and Ho-Shon I. Impact of FDG-PET on delineation for radiotherapy in lung cancer. Oral presentation. Australia & New Zealand Society of Nuclear Medicine 39th Annual Scientific Meeting. 23–27 April, 2009. Sydney Kang S, Koh E-S, Vinod SK, Jalaludin B. Cost analysis of Lung Cancer Management in South-Western Sydney.. 13th World Lung Cancer Conference. 31 July – 4 August 2009. San Francisco Sidhom M, Vinod SK, Gabriel GS, Lee M, Delaney G. Guidelinebased recommended therapy in the management of lung cancer: why are patients not treated according to guidelines? 13th World Lung Cancer Conference. 31 July – 4 August 2009. San Francisco. Kang S, Koh E-S, Vinod SK, Jalaludin, B. Estimating the costs of managing lung cancer in Sydney, Australia. 13th World Conference on Lung Cancer. 31 July – 4 August 2009. San Francisco Ke H, Koh E-S, Simpson GK, Whiting D. Screening for Cognitive Impairment in Primary Brain Tumour: Is the Montreal Cognitive Assessment a more sensitive tool than the MiniMental State Examination?.Clinical Oncological Society of Australia (COSA) 36th ASM.16-19 November, 2009.Gold Coast Simpson GK, Koh E-S, Simpson T, Wright KM, Firth R, Whiting D, Younan K. The Prevalence of Behavioural Sequelae in Patients Diagnosed with Brain Tumours and the Development of Information Resources.. World Federation Neurosurgical Nursing. 23-27 May, 2009. Toronto, Canada. Simpson T, Wright K, Whiting D, Simpson G, Koh E-S, Firth R, and Younan K. Managing challenging behaviour after brain tumour: A resource for patients, carers and health providers.. 3rd Quadrennial Meeting of World Federation of NeuroOncology.11-14 May, 2009. Yokohama, Japan. Koh E-S. ‘Patients Behaving Badly’: Challenging Behaviour in Cancer Patients. Workshop on “Cognitive and Behavioural impairment in Cancer” at Clinical Oncological Society of Australia (COSA) 36th ASM. 16 –19 November, 2009. Gold Coast. Sithoeun S, Ho-Shon I, and Vinod SK. Investigating the incremental time difference and radiation exposure in setting up PET/CT scans in radiotherapy planning position. Oral presentation. Australia & New Zealand Society of Nuclear Medicine 39th Annual Scientific Meeting. 23-27 April, 2009. Sydney Koh E-S. Overview - Dealing with patients with cognitive and behavioural problems. Clinical Oncological Society of Australia (COSA) 36th ASM.16 -19 November, 2009. Gold Coast Koh E-S, Kang S, Vinod SK, Jalaludin, B. Comparison of Direct Medical Costs in Managing Lung Cancer with Curative versus Palliative Intent. Clinical Oncological Society of Australia (COSA) 36th ASM.16 -19 November, 2009. Gold Coast. Vinod S. Outcomes of Curative Radiotherapy for Lung Cancer in South Western Sydney. Poster.RANZCR / AIR / FRO / ACPSEM Combined Scientific Meeting. 22-25 October, 2009. Brisbane Convention and Exhibition Centre. Koh E-S, Simpson G, Whiting D, Wright K, Simpson T, Firth R, and Younan K. Patient functional status is strongest correlate of challenging behaviour after brain tumour.. 3rd Quadrennial Meeting of World Federation of Neuro-Oncology. 11–14 May, 2009. Yokohama, Japan. Vinod SK, Goldsbury D, Simonella L, Delaney GP, O’Connell DL, Armstrong B. Underutilisation of radiotherapy for Lung 26 Research Groups Cancer Outcomes con’t R, and Younan K. Multi-Tiered intervention study for patients, carers and health providers to address challenging behaviours after brain tumour.. 3rd Quadrennial Meeting of the World Federation of Neuro-Oncology.11–14 May, 2009. Yokohama, Japan. Cancer Radiotherapy in NSW, Australia. 13th World Lung Cancer Conference. 31 July – 4 August 2009. San Francisco. Vinod SK, Holloway L, Prasad S, Andrew K, Blakeney S, Franzji I, McKibbin C, Shafiq J, Koh E-S, Fuller M. Dosimetric implications of the addition of 18FDG-Positron Emission Tomography (PET) in CT-based radiotherapy planning for nonsmall cell lung cancer (NSCLS).. RANZCR Combined Scientific Meeting. 22-25 October 2009. Brisbane. Wright T, Simpson T, Koh E-S. Long Term Facilitation of a hospital-based brain tumour support program. Clinical Oncological Society of Australia (COSA) 36th ASM.16-19 November, 2009. Gold Coast. Vinod SK, Holloway L, Prasad S, Mckibbin C, Shafiq J, Andrew K, Blakeney S, Koh E-S, Fuller M. Dosimetric implications of the addition of 18FDG- Positron Emission Tomography (PET) in CT-based radiotherapy planning for Non-Small Cell Lung Cancer (NSCLC).. RANZCR Combined Scientific Meeting. 22-25 October 2009. Brisbane. Yap ML, Vinod SK, Ho-Shon I, Fowler A, Lin M, Gabriel GS. The registration of Diagnostic vs Planning FDG PET-CT in radiotherapy planning for Non-Small Cell Lung Cancer. 13th World Lung Cancer Conference. 31 July – 4 August 2009. San Francisco. Vinod SK, Sidhom M, Gabriel GS, Lee M, Delaney GP. Why do some Lung Cancer patients receive no Anti-Cancer Treatment? Poster.13th World Lung Cancer Conference. 31 July – 4 August 2009. San Francisco Yap ML, Vinod SK, Ho-Shon I, Fowler A, Lin M, Gabriel GS, and Holloway LC. The accuracy of registration of 18FDG PET-CT to radiotherapy planning CT for non-small cell lung cancer. Oral presentation. Australia & New Zealand Society of Nuclear Medicine 39th Annual Scientific Meeting. 23–27 April, 2009. Sydney Whiting D, Simpson G, Koh E-S, Simpson T, Wright K, Firth Awards Best of the best oral abstracts - Neuro-Oncology Award KE, Helen - UNSW ILP4 student. “Screening for Cognitive Impairment in Primary Brain Tumour: Is the Montreal Cognitive Assessment a more sensitive tool than the Mini-Mental State Examination?” Ke H, Koh E-S, Simpson GK, Whiting D. Helen gave an outstanding oral presentation followed by Q&A from an international panel of judges, and was judged the best of 17 abstracts - amongst them many senior clinicians working in the field of neuro-oncology. Helen is an exemplary example to supervise in every way and is also a credit to the Independent Learning Project (ILP) program and to University of NSW. Helen was energetically mentored and supervised by Dr Eng-Siew Koh from Liverpool Cancer Therapy Centre and Dr Graeme Simpson from the Brain Injury Unit who should also be congratulated on their efforts. Clinical Oncological Society of Australia (COSA) 36th Annual Scientific Meeting 17-19 November, 2009 27 Research Groups Cancer Outcomes con’t Awards Con’t Best Abstract SHAFIQ, Jesmin - Project Manager, CCORE. Development of a bone metastases module to accompany EORTC QLQ-C30. Ingham Health Research Institute (IHRI) - Research Showcase 2009 Friday 27 November, 2009 Best of the best oral lung abstract Koh E-S, Kang S, Vinod SK, Jalaludin, B. Comparison of Direct Medical Costs in Managing Lung Cancer with Curative versus Palliative Intent. Clinical Oncological Society of Australia (COSA) 36th ASM Gold Coast, November, 2009 Hospira Withers and Peters Fellowship Award FONG, Andrew - Clinical Research Fellow, CCORE/CTC. The best research project undertaken by a recently graduated fellow of the Royal Australian and New Zealand College of Radiologists, for: “A comparison of breast cancer treatment rates in British Columbia, Scotland, and Western Australia, and a comparison with models of “optimal” therapy.” The Radiation Oncology Annual General and Scientific Meeting, Brisbane, October 2009. Combined RANZCR/ AIR/FRO/ACPSEM Combined Scientific Meeting 22 – 25 October, 2009, Brisbane: Novartis prize for best clinical outcomes in breast cancer therapy BATUMULAI, Vicky Abstract: Variability in Clinical Target Volume Delineation for Tangential Breast Irradiation: Comparison Between Radiation Oncologists And Radiation Therapists. Batumalai V Koh ES, Delaney G, Holloway L, Jameson M Wiley-Blackwell Best Exhibit Award for best poster SIDHOM, Mark Abstract: Why are lung cancer patients not treated according to guideline recommended therapy? Sidhom M, Vinod S, Gabriel G, Lee M and Delaney G Hospira Withers and Peters Fellowship prize FONG, Andrew Project: A comparison of breast cancer treatment rates in British Columbia, Scotland, New Zealand and Western Australia, and a comparison with models of “optimal therapy”. Supervisors: Delaney G and Barton M 28 Research Groups Cancer Outcomes con’t HIGHER DEGREES BY RESEARCH Name Degree & Institution Thesis Title Supervisor Commencement Date Dr Susannah JACOB PhD in Public Health, UNSW Chemotherapy in Cancer Treatment: estimating the optimal utilisation of chemotherapy in cancer of the lung, brain, testes, prostate, lymphoma and leukaemia from a review of evidence-based clinical guidelines. Professor Michael Barton A/Professor Rosemary Knight 2007 – continuing Dr Weng NG PhD in Public Health, UNSW The Role of Chemotherapy in Cancer Treatment: Estimating the optimal utilisation of chemotherapy in cancers of the breast, upper gastrointestinal tract, gynaecological tract, head and neck, genitourinary system (excluding prostate and testicular), melanoma, thyroid and unknown primary from a review of evidencebased clinical guidelines’. Professor Michael Barton A/Professor Rosemary Knight PhD submitted UNSW February 2010 Dr Karen WONG PhD Optimal fractionation patterns for radiotherapy Professor Michael Barton Professor Geoff Delaney 2007 – continuing Dr Gabriel S GABRIEL PhD The effect of geographic variations on radiotherapy utilization rates in NSW. Professor Michael Barton Professor Geoff Delaney (from Oct 08) 2007 – continuing Dr Stephen Thompson PhD, UNSW Estimating the optimal utilization of brachytherapy for the treatment of cancer from a review of evidence-based clinical guidelines and comparison with patterns of care Professor Michael Barton Professor Philip J Crowe PhD submitted UNSW 2010 29 Research Groups CHETRE/Population Health Area Dr Elizabeth Harris Research Department Profile CHETRE’s work focuses on the description and measurement of health inequalities and health equity, development and evaluation of policies, programs and other actions that aim to achieve health equity, and developing the capacity of the health system to more effectively address health equity through policy and program development. Our work includes projects in the areas of community and primary health care service development, disadvantaged communities and populations, early childhood, Aboriginal health, unemployment, and Health Impact Assessment and healthy public policy. CHETRE works closely with the NSW Department of Health, Area Health Services and local government and non-government organizations. Research Grants Project Title: PHCRED Mid Career Research Fellowship Level A Lay Description: Dr L Kemp is a ‘mid-level’ primary health care researcher who is actively developing an early childhood PHC research agenda that seeks to identify the specific contributions that the range of PHC providers make to the development of a comprehensive and integrated early childhood PHC system. Lynn’s focus on early childhood research and health inequity has both immediate and long term implications for improving the health of the Australian population. Investing in the Early Years of Life is one of Australia’s four research priorities in recognition that early life experiences provide the trajectories for opportunities in later life Funding Body: ARC Discovery Chief Investigator/s: E. Harris, C McMahon, G Vimpani, T Anderson, S Matthey, VA Schmied, L: Kemp, SB Dockett, RW Perry Project Title: Early childhood sustained home visiting: outcomes at 4 years and the transition to school Lay Description: The investigators are currently conducting the first Australian randomised trial of sustained professional home visiting (SPHV) that commences antenatally and is provided to parents and children living in an area of known disadvantage. Preliminary analyses indicate that parents and children receiving SPHV show superior health and developmental outcomes compared to those receiving routine care at 15 months. This study proposes to follow-up these families to the first school year to determine longer-term impacts of this early intervention. Since such interventions are both costly and labour intensive, it is critical to provide Australian evidence of longer-term impacts as a basis for ongoing policy investment in early childhood intervention. Administering Institution: UNSW Funding Body: NHMRC Chief Investigator/s: E Comino, K Kong, E Harris, L Kemp, P Smith, M Harris, L Jackson Pulver Project Title: Health status and development among Aboriginal children in an urban community (Gudaga Project) Lay Description: The Gudaga project is a birth cohort of Aboriginal children that will be followed from 18 months to 5 years and describe their health, development and service (health and children’s) use. This is the first study of its kind in Eastern Australia. The research team are working closely with stakeholders in aboriginal health care including Administering Institution: UNSW Funding Body: Department of Health and Ageing Chief Investigator/s: L Kemp Research Groups 30 Chetre con’t Lay Description: First program of training for working with disadvantaged communities was conducted the Aboriginal community to implement the research. The research will contribute to services for Aboriginal children in the local and wider community Administering Institution: UNSW Administering Institution: UNSW Funding Body: DOH Funding Body: Queensland Health Tropical Population Health Service Chief Investigator/s: M. Harris, E Harris, G Powell-Davis Chief Investigator/s: P Harris, L Kemp Project Title: Capacity Building Infrastructure Grants Program (Round 3) Project Title: HIA Learning by doing/help desk support in Cairns Lay Description: The NSW Capacity Building and Infrastructure Grants aim to support research centres of excellence to further, develop their programs of work, and enhance the transfer of research to policy and practice. Lay Description: Support provided for the development of Health Impact Assessment capacity in Far North Queensland, including supporting the conduct of HIAs Administering Institution: SSW Administering Institution: UNSW Funding Body: HNEAHS Funding Body: Cabramatta Community Centre Chief Investigator/s: M Wise, B Harris, P Harris Chief Investigator/s: E. Harris, V Rose, J Silk Project Title: Addressing health equity in health service planning Project Title: Development of DVD for unemployed people Lay Description: Development of mental health training DVD for unemployed people Lay Description: Administering Institution: UNSW Administering Institution: SSW Funding Body: DOH Funding Body: SSWAHS/Health Promotion Chief Investigator/s: M Wise Chief Investigator/s: E. Harris, V Rose, J Silk Project Title: Review of 2004 NSW Health & Equity Statement: In all Fairness Project Title: Development of DVD for unemployed people Lay Description: Contribution to development of mental health DVD for unemployed people Administering Institution: SSW Lay Description: Undertake a rapid review of the 2004 NSW Health and Equity Statement: In all Fairness based on state, national and international experience since the statement was released as a basis for future action by the Department of health and area health Services. Funding Body: SSWAHS/Health Promotion Administering Institution: UNSW Chief Investigator/s: E Harris, D Killian Project Title: Development of business case Funding Body: National Heart Foundation of Australia Lay Description: Chief Investigator/s: M Wise Administering Institution: UNSW Project Title: Conduct case study “Healthy by Design” Funding Body: SSWAHS Population Health Lay Description: Victorian Heart Foundation’s Healthy By Design Resource by a NSW local council (Fairfield Council. Rovide written report that describes the anticipated pathways within council for the implementation of “Healthy by Design” Chief Investigator/s: E. Harris, D Killian Project Title: Implementation “Learning by doing” in disadvantaged communities Administering Institution: UNSW Research Groups 31 Chetre con’t Books Chapters Laws RA, Kemp LA, Harris MF, Powell Davies G, Williams AM, Eames-Brown R.. An exploration of how clinician attitudes and beliefs influence the implementation of lifestyle risk factor management in primary healthcare: a grounded theory study. Implementation Science. 2009. 4..66. Nutbeam D, Wise M Section12.9. Structures and strategies for public health intervention. Oxford Textbook of Public Health. Volume 3: The Practice of Public Health.Detels R, Beaglehole R, Lansang MA, Gulliford M.5th. Oxford. Oxford University Preee. 2009.1653-67 Aslam H, Kemp L, Harris E, Gilbert E. Socio-cultural perceptions of SIDS among migrant Indian mothers. Journal of Paediatrics and Child Health. 2009. 45.11.670-75. Journals Articles/Refereed Journals Harris E, Rose V, Ritchie J, Harris N. Labour market initiatives: potential settings for improving the health of people who are unemployed? Health Promotion Journal of Australia. 2009. 20.3.214-20. Lloyd J, Wise M, Weeramanthri T, Nugus P. The influence of professional values on the implementation of Aboriginal health policy. Journal of Health Services Research and Policy. 2009. 14.1.6 - Dec. Wise M. Towards equity as core business for policy makers and practitioners [editorial]. Health Promotion Journal of Australia. 2009. 20.3.164-65 Sainsbury H.. Personal reflections of a project officer: working with Gudaga. Aboriginal & Islander Health Worker Journal. 2009. 33.2.4-May. Wise M, Harris P, Harris-Roxas B, Harris E. The role of health impact assessment in promoting population health and health equity. Health Promotion Journal of Australia. 2009. 20.3.172-79. Mathias KR, Harris-Roxas B.. Process and impact evaluation of the Greater Christchurch Urban Development Strategy Health Impact Assessment. BMC Public Health. 2009. 9.97. Harris E, Harris MF, Madden L, Wise M, Sainsbury P, McDonald J, Gill B.. Working in disadvantaged communities: what additional competencies do we need? Australia and New Zealand Health Policy. 2009. 6..10. Knight J, Comino E, Harris E, Jackson Pulver L, Craig P, Gudaga Research Team.. Indigenous research: a commitment to walking the talk: The Gudaga Study: an Australian case study. Journal of Bioethical Inquiry. 2009. 6.4.467-76. Laws R, Jayasinghe UW, Harris MF, Williams AM, Powell Davies GP, Kemp LA, Lam P.. Explaining the variation in the management of lifestyle risk factors in primary health care: A multilevel cross sectional study. BMC Public Health. 2009. 9..165. Conference Presentations/Posters Harris-Roxas B. Evaluation of Health Impact Assessments [Conference Presentation (Invited)]. 2nd New Zealand Health Impact Assessment Practitioner Workshop. 23-Mar-09. Auckland, New Zealand Homer CSE, Henry K, Schmied V, Kemp L, Leap N, Briggs C.. ’It looks good on paper’: transitions of care between midwives and child and family health nurses in New South Wales. Women Birth. 2009. 22.2.64-72. Harris P. Equity and health impact assessment: lessons from practice [Conference Presentation (Invited)]. HIA2008: South East Asia and Oceania Regional Health Impact Assessment Conference. 22-24 April, 2009. Chiang Mai, Thailand. Tang GW, Dennis S, Comino E, Zwar N. Anxiety and depression in Chinese patients attending an Australian GP clinic. Australian Family Physician. 2009. 38.7.552-55. Harris E, Harris MF. Reducing the impact of unemployment on health: revisiting the agenda for primary health care. Medical Journal of Australia. 2009.191.2.119-22. Wise M, Harris-Roxas B, Kemp L. HIA at the Crossroads: An Australian Perspective. HIA2008: South East Asia and Oceania Regional Health Impact Assessment Conference. 22-24 April, 2009. Chiang Mai, Thailand. Kardamanidis K, Kemp L, Schmied V. Uncovering psychosocial needs: perspectives of Australian child and family health nurses in a sustained home visiting trial. Contemporary Nurse. 2009. 33.1.50-58. Bennett B, McDonald J, Comino E, Knight J, Henry R. Use of the Griffiths Mental Development Scales to assess development in urban Aboriginal infants. RACP Physicians Week 2009.17-20 May, 2009. Sydney Convention & Exhibition Centre. Harris P, Harris E, Thompson S, Harris-Roxas B, Kemp L.. Human health and wellbeing in environmental impact assessment in New South Wales, Australia: auditing health impacts within environmental assessments of major projects. Environmental Impact Assessment Review. 2009. 29.5.310-18. Ho YM, McDonald J, Comino E, Knight J, Gudaga Research Team.. Comparison of hospitalisation and Emergency Department presentation rates of urban Aboriginal and non-Aboriginal infants [Conference Poster]. RACP Physicians Week 2009.17-20 Research Groups 32 Chetre con’t May, 2009. Sydney Convention & Exhibition Centre. Kemp L. Who is providing preventive care for young children? 2009 General Practice and Primary Health Care Research Conference. 15-17 July, 2009. Melbourne McDonald J, Comino E, Knight J, Webster V. The Gudaga Study: predictive factors for developmental progress in urban Aboriginal infants. RACP Physicians Week 2009.17-20 May, 2009. Sydney Convention & Exhibition Centre. Krastev Y, Comino E, Christl B, Haas M, Furler J, Harris M.. Optimizing access to best practice primary health care [Conference Poster]. 2009 General Practice and Primary Health Care Research Conference. 15-17 July, 2009. Melbourne McDonald J, Knight J, Comino EJ, Webster V, Gudaga Research Team.. The Gudaga Project: developmental progress of Aboriginal infants at 12 months - predictive factors. Association for Research in Infant and Child Development, 11th International Scientific Meeting, “Developmental Disabilities: Partnerships in Practice”. 22-May-09. Sydney Children’s Hospital, Randwick, Australia. Laws RA, Harris M, Kemp L, Williams A, Powell Davies G. Should I, can I and is it worth it? A theoretical model of factors influencing the management of lifestyle risk factors in community health. Health in Transitions Researching for the Future - The 4th International Conference on Community Health Nursing Research. 16-20 August, 2009. Adelaide, South Australia Craig P, Knight J, Comino E, Jackson Pulver L, Gudaga Research Team.. Breastfeeding in an urban indigenous population: preliminary findings from the Gudaga Study. Dietitians Association of Australia 27th National Conference - “Dietetics & Nutrition: Exploring New Territory”. 28-30 May, 2009. Darwin Convention Centre, Northern Territory. Harris E. Prevention across the lifecycle: a focus on community intervention. Centre for Primary Health Care and Equity (CPHCE) Annual Forum. 18-Aug-09. UNSW Kensington Campus, Sydney. Harris E. Changing understandings of Australian Urban Aboriginal Infant Health. 5th International Conference of the International Society for Equity in Health - “Social and Societal Influences on Equity in Health”. 9-11 June, 2009. Crete. Harris P. HIA in the Asia Pacific Region. Centre for Primary Health Care and Equity (CPHCE) Annual Forum.18-Aug-09. UNSW Kensington Campus, Sydney Harris-Roxas B. HIA Globally. Centre for Primary Health Care and Equity (CPHCE) Annual Forum. 18-Aug-09. UNSW Kensington Campus, Sydney Harris E. Health Impact Assessment (HIA): A mechanism for the development of Healthy Public Policy [Conference Workshop Presentation]. 5th International Conference of the International Society for Equity in Health - “Social and Societal Influences on Equity in Health”. 9-11 June, 2009. Crete Kemp L. Prevention in early childhood. Centre for Primary Health Care and Equity (CPHCE) Annual Forum.18-Aug-09. UNSW Kensington Campus, Sydney Harris E, Harris M. Unemployment and health in primary health care. 5th International Conference of the International Society for Equity in Health - “Social and Societal Influences on Equity in Health”. 9-11 June, 2009. Crete Wise M, Harris-Roxas B, Harris P, Gunning C, Maxwell M. Health Impact Assessment: From the Global to the Local. Centre for Primary Health Care and Equity (CPHCE) Annual Forum. 18-Aug-09. UNSW Kensington Campus, Sydney. Harris P. Health Impact Assessment [Conference Presentation (Invited)]. Northern Territory Department of Health and Families (DHF) Health Promotion Forum - Promoting Equal Health Outcomes through Health Promotion. 11-Jun-09. Darwin, Northern Territory Comino E, Harris E, Jackson Pulver L, Harris M, Kong K, Smith P, Gudaga Research Team.. The Gudaga Study: the birth outcomes of Aboriginal infants in an urban community. 18th AEA Annual Scientific Meeting “Epidemiology for All”. 30 August-1 September, 2009. Dunedin, New Zealand. Comino E, Krastev Y, Christl B, Haas M, Furler J, Harris M. Access to best practice primary health care for older Australians with diabetes [Conference Poster]. 2009 General Practice and Primary Health Care Research Conference.15-17 July, 2009. Melbourne. Ho YM, Webster V, Comino E, McDonald J, Knight J. A case control study of hospital presentations by urban Aboriginal infants up to 12 months of age. 18th AEA Annual Scientific Meeting “Epidemiology for All”. 30 August-1 September, 2009. Dunedin, New Zealand. Comino EJ, Knight J, Anderson CJ, Jackson Pulver L, Harris E, Harris M. The Gudaga Project: describing health and development of Aboriginal infants at 12 months. 2009 General Practice and Primary Health Care Research Conference.15-17 July, 2009. Melbourne Robinson P, Forbes A, Webster V, Comino E. Risk factors for late antenatal care. 18th AEA Annual Scientific Meeting “Epidemiology for All”. 30 August-1 September, 2009. Dunedin, New Zealand. Research Groups 33 Chetre con’t Harris P, Harris-Roxas B, Harris E, Wise M. Equity-focused health impact assessment: lessons from practice. HIA ‘09: 10th International Health Impact Assessment Conference “On the Move”. 14-16 October, 2009. Rotterdam, The Netherlands. Wade V, Knight J, Comino E, Gudaga Research Team. The Gudaga Project: helping to build strong kids in south west Sydney. 2nd National Aboriginal & Torres Strait Islander Family and Community Strengths Conference: Strong Stories, Strong Mob, Strong Kids: Growing Up Together. 1-3 December, 2009. University of Newcastle, Callaghan, NSW. Harris-Roxas B, Bazeley P, Kemp L. Impact evaluation of three health equity impact assessments. HIA ‘09: 10th International Health Impact Assessment Conference “On the Move”. 14-16 October, 2009. Rotterdam, The Netherlands. Harris E. Making the most of what you have [Conference Presentation (Keynote Speaker)]. South Eastern Sydney and Illawarra Area Health Service Division of Population Health Annual Conference. 2-Dec-09. Kiama, NSW. Knight J. Minimising attrition: incentives & retention - The Gudaga experience [Conference Workshop Presentation]. Maximising the Value of Longitudinal Studies for Policy and Science: Methodological and Analysis Issues - Workshop and Networking Dinner [Panel Presentation]..12-13 November, 2009. The Pavilion on Northbourne, Dickson, ACT. Harris-Roxas B. Health Impact Assessment: The State of the Field or Are we ready for the unanticipated impacts of success?: An Australian Perspective [Conference Presentation (Invited)]. School of Public Health, University of California. 11 December, 2009. Berkeley, Calif. Knight J, Webster V, Comino E, Gudaga Research Team. The Gudaga Project [Conference Poster].. Maximising the Value of Longitudinal Studies for Policy and Science: Methodological and Analysis Issues - Workshop and Networking Dinner. 12-13 November, 2009. The Pavilion on Northbourne, Dickson, ACT. Harris-Roxas B. Evaluating Health Impact Assessments: Lessons and challenges [Conference Presentation (Invited)]. Robert Wood Johnson Foundation. 14-Dec-09. Princeton, NJ, USA. Harris-Roxas B. Health Impact Assessment and Web 2.0 [Conference Presentation (Invited)]. Robert Wood Johnson Foundation. 14-Dec-09. Princeton, NJ, USA Comino E, Christl B, Krastev Y, Powell Davies G, Harris M, Haas M, Furler J, Raymont A, Hall J.. Optimising access to ‘best practice’ primary health care. 6th Health Services and Policy Research Conference. 25-27 November, 2009.. Awards Comino E, Knight J, Anderson CJ, Webster V, Gudaga Research Team. The Gudaga Project: responding to the health service needs of Aboriginal infants. 6th Health Services and Policy Research Conference. 25-27 November, 2009. Brisbane. Premier’s Public Sector Awards - Category 3 Engaging with the community - Community 2168 Project, 2009. Higher Degrees By Research Name Degree & Institution Thesis Title Supervisor Commencement Date Ben Harris-Roxas PhD UNSW Effectiveness of HIA Lynn Kemp, Pat Bazeley March 2008 Karen Larsen MPH (Hons) A Conceptual Model of Social Cohesion for Community Renewal and Health E. Harris, L. Kemp 2008 Research Groups 34 Population Health Services Department of Community Paediatrics Community Health Associate Professor John Eastwood Research Department Profile The Departments of Community Paediatrics and Child Health have been active participants and leaders in state-wide, metropolitan, Area and local initiatives for children, young people and their families. Associate Professor John Eastwood and his team at Area Community Paediatrics have undertaken: a range of population needs assessment, research and evaluation projects as well as the training of the next batch of medical students and paediatrics trainees. Key areas of focus include work with local Aboriginal and refugee populations, child protection, social epidemiology, systematic reviews in community child health, mapping whole of government outcomes for children and their families, evidence based approaches to community child health and collaborative research projects with other agencies such as General Practice and the Department of Community Services. Dr Jenny McDonald and her team at Campbelltown are also involved in the Gudaga project in collaboration with CHETRE. This NHMRC funded project is a longitudinal birth cohort study of the development, health and health care services of Aboriginal infants born at Campbelltown Hospital. Dr Sue Woolfenden is a chief investigator on an NHMRC project to investigate ear health, hearing, speech and language development in a cohort of young urban Aboriginal children and a convenor of the Cochrane Prognosis Methods Group. Dr Shanti Raman is a member of the Health Research Advisory Group for the implementation of the Government’s Action Plan Keep them Safe, a shared approach to child wellbeing. Books Chapters Sheikh M, Pal A, Wang S, MacIntyre CR, Wood NJ, Isaacs D, Gunasekara H, Raman S, Hale K, Howell A. The epidemiology of health conditions of newly arrived refugee children: A review of patients attending a specialist health clinic in Sydney. Journal of Paediatrics and Child Health. 2009. 45.509-513. Raman S, Zwi K. Optimising the health and wellbeing of refugee children and young people: What will it take? Challenges in Adolescent Health: An Australian Perspective.David Bennett, Susan Towns, Elizabeth Elliott, Joav Merrick. Hauppauge, N.Y. Nova Publishers. 2009. 111-110 Conference Presentations/Posters Journals Articles/Refereed Journals Raman S. Health needs of Refugee Youth. European Society for Social Pediatrics (ESSOP). 28-30 Sept 2009. Slovenia. Ou, L Chen, J Hillman, K Eastwood, J. The comparison of health status and health services utilisations between Indigenous and non-Indigenous infants in Australia.Aust NZJ Public Health. 2010. 34.1.50-56. Raman S. Identifying Perinatal Psychosocial and Cultural Factors that can Improve Early Childhood Outcomes in India. European Society for Social Pediatrics (ESSOP). 28-30 Sept 2009. Slovenia. Raman S, Wood N, Webber M, Taylor K, Isaacs D. Matching health needs of refugee children with services: how big is the gap? Australian and New Zealand Journal of Public Health. 2009. 33.5.466-470 Raman S, Griffiths G, Maiese M, Hurley K. Estimating the clinical burden of child physical abuse and neglect presenting to hospitals and paediatric services in a large metropolitan region. APCANN.15-18 November 2009. Perth, Western Australia. Research Groups 35 Paediatrics con’t Raman S, Hodes D, Tzioumi D, Maiese M. Cultural Issues in Child Maltreatment: Working across Agencies and Disciplines. APCANN. 15-18 November 2009. Perth, Western Australia. Of-Home-Care” – From Practice to Policy. APCANN. 15-18 November 2009. Perth, Western Australia. Woolfenden S, Ridley G, Sarkozy V, Hayen A, Williams K.A. Systematic Review of the Prognosis of Autism Spectrum Disorder. Cochrane Colloquium. October 11th to 14th 2009. Singapore. Raman S, Torrens R, Holdgate A. Are our frontline clinical workers equipped with the knowledge and confidence to address child abuse and neglect. APCANN.15-18 November 2009. Perth, Western Australia. Raman S, Griffiths G, Woolfenden S, Williams K, Tzioumi D, Crawford M. Effectiveness of different models of comprehensive paediatric assessment for children in out of home care. APCANN. 15-18 November 2009. Perth, Western Australia. Tzioumi D, Raman S. Health Screening for Children in “out- Higher Degrees By Research Name Degree & Institution Thesis Title Supervisor Commencement Date Roger Blackmore Masters International Public Health UNSW Professor Anthony Zwi February 2010 John Eastwood PhD, UNSW Theory Building for Social Epidemiology Bin Jalaludin Lyn Kemp June 2006 Research Groups 36 General Practice Unit SSWAHS Professor Siaw-Teng Liaw Research Department Profile The General Practice Unit (GPU) is affiliated with the UNSW Research Centre for Primary Health Care and Equity (CPHCE) and the School of Public Health and Community Medicine; staff are UNSW or SSWAHS employees conjoint appointments with the UNSW. Research relationships are being formalised with the Ingham Health Research Institute. The GPU hosts the primary care research capacity building project which has established the Primary Health Research network (PHReNet). A network of general practices (PHReNet-GP) to support GPs’ involvement in high quality research conducted by the GPU has also been established. The electronic Practice-Based Research Network (ePBRN) project has started to build the PHReNet-GP into a network of computerised general practices and AHS Units, to underpin a primary/integrated care clinico-epidemiological research program for research, teaching, audit and clinical purposes. The ePBRN is led by Professor Liaw, who joined the GP Unit as Director in Feb 2009, with funding from the UNSW Faculty of Medicine, UNSW Major Research Equipment Initiative, Commonwealth DOHA, SSWAHS and the Ingham Health Research Institute. The ePBRN will spawn and support new research through extraction and linkage and monitoring of large data sets. The NHMRC-funded projects - “GP-nurse partnership for COPD” and “Diagnosis of obstructive sleep apnoea in primary care” - are completed, along with systematic reviews of “drivers to health literacy for lifestyle risk factors” and “chronic disease care”. Current ARC/NHMRC funded research projects include “The feasibility and impact of cardiovascular absolute risk assessment in Australian general practice”, “Chronic disease management for Indigenous patients in mainstream general practice” and “Practice nurse case finding for COPD”. Successful NHMRC projects to start in 2010 include: “A cluster randomised trial of early intervention for Chronic Obstructive Pulmonary Disease by practice nurse-GP teams” and “Safety of GP clinical systems”. Research Grants Chief Investigator/s: Sarah Dennis Project Title: Evaluation of the Brisbane South Division Partners in Health Program Funding Body: Commonwealth DOHA via Sydney South West Indigenous Community Health Brokerage Service Lay Description: This Brisbane South program provides health professionals with communication training to enable them to provide self management support to their patients. Chief Investigator/s: Zwar N, Wilson I. Dennis S, JacksonPulver L Project Title: Evaluation of ATSI brokerage service in SW Sydney Administering Institution: UNSW Lay Description: Funding Body: NHMRC Administering Institution: Chief Investigator/s: Harris MF, Zwar N, Campbell T, Patel A, Vagholkar S, Wan Q, McKenzie S, Walker C Funding Body: Brisbane South Division of General Practice Project Title: The feasibility and impact of cardiovascular Research Groups 37 General Practice con’t absolute risk assessment in general practice Zwar. Anxiety and depression in Chinese patients attending an Australian GP clinic. Australian Family Physician. 0. 2009. 38.7.552-555. Lay Description: This is a cluster randomised trial of a program to promote CVAR assessment in general practice in Sydney Liaw ST, Petersen G. Doctor and Pharmacist - back to the apothecary. Australian Health Review. 2009. 33.2.268-278 Administering Institution: UNSW Liaw ST. Close the Gap – ask the experts. MJA. 2009. 191.10.582-583. Funding Body: Aust Better Health Initiative Sydney SW Integration Project Mark F Harris, Bibiana C Chan, Sarah M Dennis. Coordination of care for patients with chronic disease. Medical Journal of Australia. 2009. 191.8.472 Chief Investigator/s: Liaw ST, Dennis S, Bunker J, Maneze D, Chen T, Jalaulddin B, Vagolkar S, Taggart J Mark F Harris, Bibiana C Chan, Sarah M Dennis. Coordination of care for patients with chronic disease. Medical Journal of Australia. 2009. 191.2.85-86 Project Title: Information-enhanced integrated care of chronic disease in SW Sydney Lay Description: This is a survey of GP readiness for integrated care, complemented by a qualitative study of a cohort of patients with diabetes who attended ED in Fairfield/ Liverpool Shadbolt N, Bunker J. Choosing general practice - a review of career choice determinants. Australian Family Physician. 2009. 38.1-Feb. 53-55. Administering Institution: UNSW Smith M & Vagholkar S. A polio intervention in East African refugees to NSW. NSW Public Health Bull. 2009. 20.5-Jun. 77-80 Books Chapters Sulaiman N, Barton C, Liaw ST, Harris C, Sawyer S, Abramson M, Dharmage S. Do small group workshops and locally adapted guidelines improve asthma patient’s health outcomes? A randomised controlled trial. Family Practice. 2009.... Powell Davies G, Dennis S, Walker C. Self-management with others: the role of partnerships in supporting self-management for people with long term conditions. International Health and Social Care: partnership working in action.Jon Glasby, Helen Dickinson. 2009. Oxford. Blackwell Publishing Limited... Wan Q, Harris MF, Zwar N, Campbell T, Patel A, Vagholkar S, McKenzie S, Walker C, Denney-Wilson E. ART study group. Study protocol for a randomized controlled trial: the feasibility and impact of cardiovascular absolute risk assessment in Australian general practice. American Heart Journal. 2009. 157.3.436-441 Liaw S-T. Prescribing patterns in Australia: determinants and implications for the Asia Pacific. Prescribing Cultures and Pharmaceutical Policy in the Asia-Pacific.K. Eggleston (Ed).2009. Walter H. Shorenstein Asia-Pacific Research Center, Stanford University. Brookings Press. 2009.281-310 Conference Presentations/Posters Journals Articles/Refereed Journals Mark Harris, Anna Williams, Jane Taggart, Sarah Dennis, Anthony Newall, Tim Shortus, Elizabeth Denney-Wilson, Nicholas Zwar.. Effective determinants for supporting lifestyle health literacy and self management skills in primary health care. 2009 Health Services and Policy Research Conference. 25-27 November 2009. Brisbane. Bunker J, Hermiz O, Zwar N, Dennis S, Vagholkar S, Crockett A, Marks G. Feasibility and efficacy of COPD case finding by practice nurses. Australian Family Physician. 2009. 38.10.826830. Bunker J, Shadbolt N. Choosing general practice as a career - the influences of education and training. Australian Family Physician. 2009. 38.5.341-344. Mark Harris, Nicholas Zwar, Sarah Dennis, Jane Taggart, Bibiana Chan. Driving Change in Chronic Disease Management: Teamworking in general practice. Symposium, GP&PHC Conference. 15-17 July 2009. Melbourne. Dennis S, May J, Perkins D, Zwar N, Sibbald B, Hasan I. What evidence is there to support skill mix changes between GPs, pharmacists and practice nurses in the care of elderly people living in the community? Australia and New Zealand Health Policy. 2009. 6.1.23. Philippa Burns, Suzan Mehmet, Sarah Dennis, Nicholas Zwar, Melanie Marshall. An Evaluation of Services Provided by a NSW Primary Health Care Research Network. GP&PHC Conference. 15-17 July 2009. Melbourne. George Tang, Sarah Dennis, Elizabeth Comino, Nicholas Research Groups 38 General Practice con’t Sarah Dennis, Anna Williams, Mark Harris. What are the linkages between self-management programs and primary care providers? GP&PHC Conference.15-17 July 2009. Melbourne. Sue Kirby, Sarah Dennis, Mark Harris. Supporting patients to manage chronic disease: are patient perceptions the key? GP&PHC Conference.15-17 July 2009. Melbourne. Suzan Mehmet, Sarah Dennis, Pippa Burns, Melanie Marshall, Nicholas Zwar. Evolution of Primary Care Researcher. GP&PHC Conference.15-17 July 2009. Melbourne. Vagholkar S, Zwar N, Harris MF. Cardiovascular absolute risk assessment and impact on prescribing. RACGP. 1-4th October 2009. Perth. Vagholkar S, Zwar N, Harris MF, Wan Q. Absolute risk assessment and impact on prescribing. Heart Foundation. 14th16th May. Brisbane. Higher Degrees By Research Name Degree & Institution Thesis Title Supervisor Dr Sanjyot Vagholkar PhD University of NSW Cardiovascular Absolute Risk Assessment in General Practice and impact on prescribing Professors Nicholas Zwar & Mark Harris Commencement Date 2008 Research Groups 39 Microbiology & Infectious Diseases Sydney South West Pathology Service– Liverpool Dr Michael Maley & Professor Iain Gosbell Research Department Profile This year saw major changes to the staff establishment of the Department. The SSWPS – Liverpool Microbiology Research Forum was set up to foster research within the Department. Successful collaboration with the Department of Hepatology and Gastroenterology, Liverpool Hospital continues. Professor Iain Gosbell was previously the Director of Microbiology & Infectious Disease at Sydney South West Pathology Service, Liverpool, and in October 2009 became the Foundation Professor of Microbiology & Infectious Diseases in the School of Medicine at the University of Western Sydney. In the past, he has researched the epidemiology of community MRSA in south western Sydney, then investigated the phenomenon of resistance to a pivotal drug, vancomycin, in strains of MRSA, and most recently had been involved in infection control particularly concerning issues with control of vancomycin-resistant enterococci. It is planned to recruit a Senior Lecturer and Scientific Officer to the Microbiology & Infectious Diseases Unit at the School of Medicine, UWS, in early 2010, and this will enable the formation of a research group collaborating with other entities such as Sydney South West Pathology Service – Liverpool. The group will study antibiotic resistance in important human bacteria from both laboratory and clinical perspectives. Journals Articles/Refereed Journals Conference Presentations/Posters Wiseman E, Fraser M, Holden S, Glass A, Kidson B, Heron L, Maley M, Ayers A, Locarnini S, Levy M. Perinatal transmission of Hepatitis B virus: an Australian experience. MJA. 2009. 190.9.489-92 Gosbell IB. Multiresistant Organisms (MROs) and the Operating Room. Operating Theatre Management Conference,1011/09/2009. Sydney Gosbell IB. Pertussis - NSW Infection Control Association Conference. 3-4/9/2009. Sydney Preda VA, Maley M, Sullivan JR. Public Health Issue – the tainted tattoo tincture- Mycobacterium chelonae. MJA. 2009. 190.5.278-9 Gosbell IB. VRE – The Most Difficult of the MROs? NSW Infection Control Association Conference 3-4/9/2009. Sydney Gosbell IB. VRE – The Most Difficult of the MROs? 4th Annual Infectious Diseases Control Conference. 23-4/2/2009. Sydney Research Groups 40 Microbiology & Infectious Diseases con’t Griezel N, Maley M Inno. -lia syphilis score test for resolution of EIA/TPPA discordant sera. 26th NRL workshop on serology 2528 August 2009. Christchurch, NZ Porritt R, Mercer J, Maley M. Evaluation of BD Geneohm CDiff assay in the clinical laboratory. Australian Society for Microbiology Annual Conference 6-10 July 2009. Perth, WA Tattersall SJN, Holden S, Maley M, Porritt R, Nguyen T, Locarnini S, Levy M. Virological heterogeneity in hepatitis B positive women; Quantitative HBeAg estimation distinguishes those with subpopulation of basal core promoter mutations. 44th Annual meeting of the European association form the study of the liver. 22-26 April 2009.Copenhagen, Denmark Higher Degrees By Research Name Degree & Institution Thesis Title Supervisor Commencement Date Nicholas Griezel Master of Applied Science (medical science) RMIT University Evaluation of the INNO-LIA syphilis score line immunoassay as a confirmatory test for syphilis Dr M. Maley 2009 Research Groups 41 Pancreatic Research Group South Western Sydney Clinical School Professor Minori Apte Research Department Profile The major research interests of the Pancreatic Research Group include alcohol-induced pancreatic injury, pancreatic fibrosis and tumour-stromal interactions in pancreatic cancer. The Pancreatic Research Group has received continuous research support from the NHMRC/DVA since 1987 and is internationally acknowledged as the leading research group in the field of alcoholic pancreatitis and pancreatic fibrogenesis. This group was the first in the world to develop a method to isolate and culture pancreatic stellate cells (PSCs), now established as key effector cells in pancreatic fibrosis. This technique provided a much needed in vitro model for research into the pathogenesis of pancreatic fibrosis, a topic that has lately become the focus of pancreatologists worldwide. The international recognition of the Group’s work is reflected in the over 2000 citations of its papers (as at Feb 2010) and in the invitations that the Group’s members have received to speak at national and international meetings. Key research findings in 2009: 1. Evidence that withdrawal of alcohol in alcohol-fed rats challenged with repeated doses of endotoxin can lead to complete reversal of established pancreatic injury 2. Evidence that pancreatic stellate cells play a key role in pancreatic cancer progression and accompany cancer cells to distant metastatic sites 3. Evidence that pancreatic stellate cells have the capacity to respond to the secretagogue cholecystokinin and to synthesise the neurotransmitter acetylcholine. 4. Evidence that pancreatic stellate cells express heat shock proteins which may play a role in PSC biology and activation Research Groups 42 Pancreatic con’t by acting as intermediary cells for the secretagogue cholecystokinin (CCK) Key research staff in 2009 Administering Institution: University of New South Wales Prof Minoti Apte, Director, Pancreatic Research Group Funding Body: NSW Cancer Council Prof Jeremy Wilson A/ Prof Ron Pirola Chief Investigator/s: A Biankin J Kench D Goldstein R Smith M Apte G Smith Dr Phoebe Phillips, Postdoctoral Fellow Project Title: NSW Pancreatic Cancer Network (NSWPCN)” Dr Alain Vonlaufen, PhD student (completed in 2009) Lay Description: The aim of this project is to establish the first ever network for tissue banking and clinical data accrual for pancreatic cancer in NSW Prof David Goldstein, Medical Oncologist Administering Institution: Garvan Research Institute A/Prof Andrew Biankin, Pancreatic Surgeon Mr Zhihong Xu, Research Assistant and PhD student Funding Body: NSW Cancer Council Ms Susan Yang, Research Assistant and MSc student Chief Investigator/s: M Apte D Goldstein A Biankin J Wilson R Pirola Mr John Zhang, Laboratory Technician Project Title: Desmoplastic reaction in pancreatic cancer: role of pancreatic stellate cells in cancer progression Ms Eva Fiala-Beer, Research Assistant Lay Description: The aim of this project is to determine the molecular mechanisms regulating the interaction between pancreatic stellate cells and pancreatic cancer cells Ms Janet Youkhana, Research Assistant Mr Narada Kiriella, Research Assistant Administering Institution: University of New South Wales Ms Jie Lu, Research Assistant Funding Body: Amgen Pharmaceuticals Research Grants Chief Investigator/s: MV Apte D Goldstein,A Vonlaufen,JS Wilson,R Pirola,ZH Xu,P Phillips Funding Body: NHMRC/Department of Veteran’s Affairs Project Grant Project Title: Growth factor receptor inhibitors: potential therapeutic agents in pancreatic cancer” Chief Investigator/s: MV Apte JS Wilson R Pirola Lay Description: This project aims to determine whether growth factor inhibitors interrupt tumour-stromal interactions to inhibit pancreatic cancer progression Project Title: Alcoholic pancreatitis: role of alcohol, endotoxin and pancreatic stellate cells” Lay Description: This project will assess whether endotoxin is a trigger factor for alcohol-induced acute pancreatitis and whether repeated exposure to endotoxin can lead to alcoholic chronic pancreatitis Administering Institution: University of New South Wales Administering Institution: University of New South Wales Chief Investigator/s: N Hawkins R Ward MV Apte P Russell W Sewell Funding Body: ARC Project Title: Aperio Scan Scope Virtual Slide Scanner for collaborative cancer histopathology” Chief Investigator/s: MV Apte AS Shulkes JS Wilson R Pirola Lay Description: N/A Project Title: Do pancreatic stellate cells play a role in exocrine pancreatic secretion?” Administering Institution: University of New South Wales Funding Body: Cancer Institute NSW Equipment Grant Lay Description: This project will examine whether pancreatic stellate cells may regulate pancreatic exocrine secretion 43 Research Groups Pancreatic con’t Funding Body: Alcohol Health and Research Grants Scheme heat shock proteins in stromal cell function and how this may affect the known interaction between the tumour cells and the stroma in pancreatic cancer Chief Investigator/s: MV Apte JS Wilson R Pirola Project Title: Alcoholic pancreatitis : induction, progression and reversion” Administering Institution: University of New South Wales Lay Description: This project aims to determine the molecular mechanisms of alcoholic pancreatitis and possible reversibility of pancreatic injury Funding Body: Clive and Vera Ramaciotti Foundation Chief Investigator/s: PA Phillips Administering Institution: University of New South Wales Project Title: Role of heat shock proteins in tumour-stromal interactions in pancreatic cancer Funding Body: NSW Cancer Council Innovator Grant Lay Description: This project aims to characterise the role of heat shock proteins in stromal cell function and how this may affect the known interaction between the tumour cells and the stroma in pancreatic cancer Chief Investigator/s: MV Apte D Goldstien JS Wilson R Pirola Project Title: Hitting the right target : use of growth factor inhibitors to inhibit stromal-epithelial interactions in pancreatic cancer Administering Institution: University of New South Wales Lay Description: This project aims to determine whether the role of hepatocyte growth factor in tumour-stromal interactions and pancreatic cancer progression Journal Articles/Refereed Journals Vonlaufen A, Phillips PS, Xu ZH, Yang S, Fiala-Beer E, Pirola R, Wilson J, Apte MV. Isolation of quiescent human pancreatic stellate cells; a useful in vitro tool to study hPSC biology. In Pancreatology.accepted September 2009. In press... Administering Institution: University of New South Wales Funding Body: Cancer Institute of NSW Postdoctoral Fellowship Apte M, Pirola R, Wilson J. Alcoholic pancreatitis: it’s the alcohol, stupid. Nature Reviews Gastroenterology and Hepatology. 2009.6.321-322. Chief Investigator/s: PA Phillips Project Title: Role of heat shock proteins in tumour stroma interactions in pancreatic cancer Apte M, Pirola R, Wilson J. New insights into alcoholic pancreatitis and pancreatic cancer. J Gastroenterol Hepatol. 2009.24.S51-56. Lay Description: This project aims to determine whether heat shock proteins play a role in the tumour-stromal interaction and contribute to pancreatic cancer progression Dudeja V, Mujumdar N, Phillips P, Chugh R, Borja-Cacho D, Dawra RK, Vickers SM, Saluja AK. Heat shock protein 70 inhibits apoptosis in cancer cells through simultaneous and independent mechanisms. Gastroenterology. 2009.135.1772-1782. Administering Institution: University of New South Wales Sharif R, Dawra RK, Wasiluk K, Phillips P, Dudeja V, KurtJones E, Finberg R, Saluja AK. Impact of toll-like receptor 4 on the severity of acute pancreatitis and pancreatitis-associated lung injury in mice. Gut. 2009.63.813-819 Funding Body: NSW Cancer Council Innovator Grant Chief Investigator/s: PA Phillips J McCarroll M Kavallaris Project Title: Targeting the microtubule cytoskeleton in the treatment of pancreatic cancer Conference Presentations/Posters Lay Description: This project aims to determine whether the microtubule proteins contribute to the known chemoresistance of pancreatic cancer Yang L, Phillips PA, Vonlaufen A, Kaplan W, Cowley M, Pirola R, Wilson J, and Apte MV. Gene expression profiling of rat pancreatic stellate cells. American Pancreatic Association Annual Meeting.Nov-09.Honolulu, USA Administering Institution: University of New South Wales Funding Body: Cure Cancer/ Cancer Australia Phillips PA , Yang L , Poljak A , Bustamante S , Shulkes A , Vonlaufen A , Xu Z , Guilhaus M , Pirola R , Apte M and Wilson J. Pancreatic stellate cells stimulate acinar enzyme secretion via the production of acetylcholine. American Pancreatic Association Annual Meeting. Nov-09. Honolulu, USA. Chief Investigator/s: PA Phillips Project Title: Role of heat shock proteins in the stromal reaction of pancreatic cancer Lay Description: This project aims to characterise the role of 44 Research Groups Pancreatic con’t Phillips PA, Chow E, Vonlaufen A, Xu Z, Yang L, Biankin A, Goldstein D, Pirola R, Wilson J, and Apte MV. Gene expression profiling of human pancreatic stellate cells and their roles in pancreatic cancer progression. Australian Gastroenterology Week. October, 2009. Sydney, Australia. Gastroenterology 136: A589-590, 2009. Poster presentation at the May 2009. Digestive Diseases Week, American Gastroenterological Association. May-09. Chicago, USA Xu Z, Phillips PA, Vonlaufen A, Fiala-Bee Er, Zhang X, Yang L, Biankin AV, Goldstein D, Pirola RC, Wilson JS, and Apte MV. Pancreatic stellate cells (stromal cells) migrate with pancreatic cancer cells to distant metastatic sites. Australian Gastroenterology Week. October, 2009. Sydney, Australia. Phillips PA, Yang L, Vonlaufen A, Xu Z, Biankin A, Goldstein D, Pirola R, Wilson JS and Apte MV. Heat shock proteins are induced during pancreatic stellate cell activation in pancreatic cancer. Digestive Diseases Week, American Gastroenterological Association. May-09. Chicago, USA. Xu Z, Phillips PA, Vonlaufen A, Fiala-Beer E, Yang L, Biankin A, Goldstein D, Pirola R, Wilson J, Apte M. Normal pancreatic stellate cells facilitate pancreatic cancer progression, exhibit transendotheliual migration and accompany cancer cells to distant metastatic sites. American Pancreatic Association Annual Meeting. Nov-09. Honolulu, USA. Phillips PA, Yang L, Vonlaufen A, Xu Z, Biankin A, Goldstein D, Pirola R, Wilson JS and Apte MV. Heat shock proteins are induced during pancreatic stellate cell activation in pancreatic cancer. Journal of Gastroenterology and Hepatology 24: A 334, 2009. Australian Gastroenterology Week. October, 2009. Sydney, Australia. Awards Phillips PA, Yang L, Vonlaufen A, Xu Z, Pirola R, Apte M* and Wilson J. Pancreatic stellate cells synthesise and secrete acetylcholine: a potential role in enzyme secretion. Australian Gastroenterology Week. October, 2009. Sydney, Australia. The following awards were received by Dr Phoebe Phillips: Vonlaufen A, Phillips P, Xu ZH, Zhang X, Yang L, Wilson JS, Apte MV. Alcohol withdrawal promotes regression of pancreatic fibrosis via induction of pancreatic stellate cell (PSC apoptosis). Australian Gastroenterology Week. October, 2009. Sydney, Australia. 1. Cancer Institute NSW Career Development Fellowship 2. Ramaciotti Research Establishment Award 3. Deans Rising Star Award from the Faculty of Medicine, UNSW Vonlaufen A, Phillips P, Xu ZH, Zhang X, Yang L, Wilson JS, Apte MV. Alcohol withdrawal promotes regression of pancreatic fibrosis via induction of pancreatic stellate cell (PSC) apoptosis. Higher Degrees By Research Name Degree & Institution Thesis Title Supervisor Commencement Date Alain Vonlaufen PhD, UNSW (completed) Alcohol, endotoxin and pancreas Professor Minoti Apte January, 2007 – May, 2009 Susan Yang Masters by Research, UNSW Alcohol, cytokines and pancreatic stellate cells Professor Minoti Apte January, 2007 Zhihong Xu PhD, UNSW Epithelial-stromal interactions in pancreatic cancer Professor Minoti Apte January, 2008 45 Research Groups Psychiatry Research & Teaching Unit Liverpool Hospital Professor Derrick Silove Research Department Profile The Psychiatry Research and Teaching Unit (PRTU) was established in 1991 following the appointment of the Foundation Chair in Psychiatry, UNSW and the SSWAHS, in 1990. The unit currently consists of 5.8 FTE staff with competitive funding supporting a number of additional positions. Since establishment the PRTU (and the Centre for Population Mental Health Research) has attracted over 50 collaborative research and project grants exceeding $20m and has published over 250 publications, many in high-ranking journals such as the Lancet and JAMA. The PRTU has been a partner on tow 5 year NHMRC Program Grants (2004-; 2010-2014) involving all the leading researchers in the country in the field of traumatic stress. The centre currently holds 3 NHMRC grants (2 for 5 years) and has recently been awarded a Prestigious QE-II Fellowship. And 1, 5 years ARC grant). The PRTU is regarded nationally and internationally as a leading research and training centre in the interrelated fields of transcultural, refugee, post-conflict, posttraumatic and disaster mental health and the mental health of developing countries. In addition the PRTU has been involved in supporting student and registrar teaching, clinical service development, information system management and international development work. Research Grants Permanent Staff Funding Body: ARC Discovery Project Grant Derrick Silove: Professor and Director Chief Investigator/s: D Silove, A Zwi, S Thorpe Project Title: Understanding anger and its consequences amongst women in conflict-effected Timor-Leste: Implications for enhancing sustainable development Ms Ana Ladesic - Secretary to Prof Silove Mr Zachary Steel: Deputy Director Lay Description: Ms Sebia Losurdo - Secretary Administering Institution: UNSW Dr Robert Brooks - Research Coordinator Funding Body: NHMRC Project grant Chief Investigator/s: D Silove, R Brooks, S Rees, Z Steel, A Zwi Qing Xia: Finance Officer Project Title: The role of trauma related anger and the cycles of violence in post conflict countries: A follow up study in Timor Leste Ms Tien Chey: Senior Statistician Research Groups 46 Psychiatry con’t Lay Description: adult separation anxiety disorder. Australian and New Zealand Journal of Psychiatry. 2009. 43.2.67-172. Administering Institution: UNSW McFarlane AC, Browne D, Bryant RA, O’Donnell M, Silove D, Creamer M, Horsley KA. Longitudinal analysis of alcohol consumption and the risk of posttraumatic symptoms. Journal of Affective Disorders. 2009. 118.1-Mar.1-244. Funding Body: NHMRC Chief Investigator/s: R Bryant, R Weston, N Whyman, J Files, D Silove, B Raphael, Z Steel, R Brooks, A Zwi, K Senior Nickerson A, Bryant RA, Brooks R, Steel Z, Silove D. Fear of cultural extinction and psychopathology among Mandaean refugees: an exploratory path analysis. CNS Neuroscience and Therapeutics. 2009. 15.3.227-236. Project Title: Enhancing mental Health in Aboriginal People: Reducing Violence and Developing Resilience Lay Description: O’Donnell ML, Holmes AC, Creamer MC, Ellen S, Judson R, McFarlane AC, Silove D, Bryant RA. The role of post-traumatic stress disorder and depression in predicting disability after injury. Medical Journal of Australia. 2009. 190.7 SUPPL.S71-S74. Administering Institution: UNSW Journals Articles/Refereed Journals Beltran RO, Silove D, Llewellyn GM. Comparison of ICD-10 diagnostic guidelines and research criteria for enduring personality change after catastrophic experience. Psychopathology. 2009. 42.2.113-118. O’Donnell ML, Creamer M, Elliott P, Bryant R A, McFarlane A, Silove D. Prior trauma and psychiatric history as risk factors for intentional and unintentional injury in Australia. Journal of Trauma, Injury, Infection & Critical Care. 2009. 66.2.470-6. Blignault I, Bunde-Birouste A, Ritchie J, Silove D, Zwi AB. Community perceptions of mental health needs: a qualitative study in the Solomon Islands. International Journal of Mental Health Systems. 2009. 3.1.6. Rees S, Silove D, Kareth M.Dua sakit (double sick). Trauma and the settlement experiences of West Papuan refugees living in North Queensland. Australasian Psychiatry. 2009. 17.S1.S128 - S132. Brooks R, Bryant RA, Silove D, Creamer M, O’Donnell ML, McFarlane AC, Marmar C. The latent structure of the peritraumatic dissociative experiences questionnaire. Journal of Traumatic Stress. 2009. 22.2.153-157. Ritchie J, Zwi A, Blignault I, Bunde-Birouste A, Silove D. Insider-outsider positions in a health development research: reflections for practice. Development and Change. 2009. 19.1.106-112. Broomhall LG, Clark CR, McFarlane AC, O’Donnell M, Bryant R, Creamer M, Silove D. Early stage assessment and course of acute stress disorder after mild traumatic brain injury. The Journal of Nervous and Mental Disease. 2009. 197.3.178-81. Silove D, Brooks R, Bateman Steel CR, Steel Z, Hewage K, Rodger J, Soosay I. Explosive anger as a response to human rights violations in post-conflict Timor-Leste. Social Science & Medicine. 2009. 69.5.670-7. Bryant R, Creamer M, O’Donnell M, Silove D, McFarlane A. A study of the protective function of acute morphine administration on subsequent posttraumatic stress disorder. Biological Psychiatry. 2009. 65.5.438-440. Steel Z, Bateman CR, Silove D, Brooks R, Amaral Z, Rodger J, Soosay I, Fox G, Patel V, Bauman A. Trauma, mental illness and anger in East Timor: the East Timor mental health epidemiological needs study - an assessment of mental illness incorporating indigenous indices of distress. Internal Medicine Journal. 2009. 39 Supplement.3.A98. Bryant RA, Creamer M, O’Donnell M, Silove D, Clark CR, McFarlane AC. Post-traumatic amnesia and the nature of posttraumatic stress disorder after mild traumatic brain injury. Journal of the International Neuropsychological Society. 2009. 15.6.862-7 Steel Z, Bateman Steel CR, Silove D. Human rights and the trauma model: genuine partners or uneasy allies? Journal of Traumatic Stress. 2009. 22.5.358-365. Steel Z, Chey T, Silove D, Marnane C, Bryant R A, van Ommeren M. Association of torture and other potentially traumatic events with mental health outcomes among populations exposed to mass conflict and displacement. Journal of the American Medical Association. 2009. 302.5.537-549. Kenny LM, Bryant RA, Silove D, Creamer M, O’Donnell M, McFarlane AC. Distant Memories: A prospective study of vantage point of trauma memories. Psychological Science. 2009. 20.9.1049-52. Manicavasagar V, Silove D, Marnane C, Wagner R. Adult attachment styles in panic disorder with and without comorbid Research Groups 47 Psychiatry con’t Steel Z, Silove D. The Composite international Diagnostic Interview in low- and middle-income countries. British Journal of Psychiatry. 2009. 95.2.178-179 Rees S, Silove D. Revealing Human Rights Violations: psychosocial research with the West Papuan Community in Australia. Research Show case Conference. 27th November 2009. Thomas and Rachael Moore Education Centre, Liverpool Hospital. Steel Z, Silove D, Giao Nguyen Mong, Phan Thuy Thi Bich, Chey T, Whelan A, Bauman A, Bryant RA. International and indigenous diagnoses of mental disorder amongst Vietnamese living in Vietnam and Australia. British Journal of Psychiatry. 2009. 194.4.326-333. Silove D. Fear of cultural extinction and psychopathology among Mandaean refugees: An exploratory path analysis. 2009 Research Showcase Conference. 27th November 2009. Thomas & Rachel Moore, Education Centre, Liverpool Hospital. Weston R, Brooks R, Gladman J, Senior K, Denley L, Silove D, Whyman N, Kickett M, Bryant R, Files J. Ethical research in partnership with an Indigenous community. Australasian Psychiatry. 2009. 17.S1.S51 - S53. Silove D. Psychosocial issues. Refugee health Course.17th February 2009. Centre for International Health, Burnet Institute, 85 Commercial Road, Melbourne 3004, Australia Conference Presentations/Posters Silove D. Student Teaching, UNSW Psychiatry Southwest. The Inaugural UNSW in the South West. 20th October 2009. Conference Room 2, T&R Moore Education Centre, Liverpool Hospital,. Silove D. The interaction of human rights and Mental Health: examples from post conflict mental health. Third H.D.HR Intensive Course. 7-11 December 09.UNSW (Kensington) Campus Robert Webster Building. The course is a joint venture of the UNSW Faculties of Arts and Social Sciences, Law, and Medicine. Silove D. Trauma, refuges and post traumatic stress disorder in general but also in refugee populations. Darlinghurst – CRUFAD,1-Dec-09. Darlinghurst – CRUFAD, Lecture Theatre. Higher Degrees By Research Name Degree & Institution Thesis Title Supervisor Commencement Date Atena Hafshejani PHD, School of Psychiatry, UNSW Perceived discrimination, acculturation, and coping: A study of Persian/Pari speakers in Australia Professor Derrick Silove, Mr Zachary Steel March 2003 Ramony Chi Yung Chan Doctor of Philosophy, School of Psychiatry, UNSW Model of Psychosocial Adaptation to End-Stage Renal Disease: An empirical examination Dr Robert Brooks, Erlich Jonathan Harry, Steel Zachary, Suranyi Michael Gabriel February 2006 Ina Susljik MSc UNSW Phenomenology of anger attacks and relationship to traumatic experience Dr Robert Brooks Semester 2 2005 Research Groups 48 Centre for Research, Evidence Management & Surveillance Population Health, SSWAHS Professor Bin Jalaudin Research Department Profile REMS is a member of a consortium that was the successful tenderer for the establishment of the “Healthy Built Environment Program”. This novel program is an initiative of NSW Health and has been funded for five years. The consortium is based in the Faculty of the Built Environment, UNSW. The Healthy Built Environment Program will have three core objectives: to develop a strategic research plan in relation to health and the built environment; to translate research into practice; and, to increase the capacity of the health workforce in relation to health and the built environment. Another highlight for 2009 was an important piece of applied epidemiological research, conducted by REMs in collaboration with the Woolcock Institute of Medical Research that investigated the effects of low emission gas heaters on children’s lung health. Low emission gas heaters are widely used in school classrooms in New South Wales. This epidemiological study was commissioned by the NSW Department of Education and Training. The results from this study will inform the policies of the Department of Education and Training on the future use of such heaters in schools in New South Wales. ways in which policy and preventive programs can contribute to improving health in mid to later life particularly among disadvantaged Australians. This will be the largest study of its kind ever undertaken in Australia. Research Grants Funding Body: NH&MRC Preventative Healthcare and Strengthening Australia’s Social and Economic Fabric Program Grant Administering Institution: University of Sydney Chief Investigator/s: Bauman A, Redman S, Banks E, Harris M, Schofield D, McMichael A, Bailey S, Bambrick H, Beard J, Broom D, Byles J, Clark J, Jalaludin B, Jorm L, Nutbeam D, Rodgers B, Woodruff R, Woodward M. Funding Body: Department of Education and Training Chief Investigator/s: Marks G, Smith W, Jalaludin B, Morgan G. Project Title: Schools and low emission gas heaters study. Project Title: Understanding the impact of social, economic and geographic disadvantage on the health of Australians in mid to later life: Where are the opportunities for prevention? Lay Description: Low emission gas heaters are widely used in school classrooms in New South Wales. This study is investigating the effects of low emission gas heaters on children’s lung health. Lay Description: This study will examine the ways in which social, economic and environmental factors contribute to the health of Australians in mid to later life. It will help identify Administering Institution: Woolcock Institute of Medical Research Research Groups 49 Evidence management & Surveillance con’t Funding Body: NSW Department of Environment, Climate Change and Water Funding Body: University of New South Wales Chief Investigator/s: Morgan G, Jalaludin B, Chief Investigator/s: Comino E, Harris M, Jorm L, Haas M, Jalaludin B, Flack, J. Project Title: Effects of heatwaves on mortality and morbidity in New South Wales Project Title: Investigating best practice primary care for older Australians with diabetes using data linkage. Lay Description: This study will investigate the impact of heatwaves on mortality and hospitalisations. The results from this study will inform the development of heatwave related health alerts. Lay Description: This pilot study is investigating whether people with diabetes are receiving best practice diabetes care. Linked data will be used in te analysis. Administering Institution: University of New South Wales Administering Institution: University of Sydney Journals Articles/Refereed Journals Duc H, Jalaludin B, Morgan G. Associations between air pollution and daily emergency department visits for cardiovascular diseases in the elderly (65+ years) in Sydney using Bayesian statistical methods. Australian and New Zealand Journal of Statistics. 2009. 51.3.289-303. Funding Body: NSW Health Chief Investigator/s: Khan R, Jalaludin B Project Title: Access to Community Resources Lay Description: This study is investigating access to community resources such as supermarkets, fast food outlets, recreational facilities and parks and beaches. The project will also examine whether there are differences in access by socio-economic status. Garden F, Jalaludin BB. Impact of urban sprawl on health in Sydney, Australia. Journal of Urban Health: Bulletin of the New York Academy of Medicine. 2009. 86.1.19-30. Gattellari G, Worthington J, Jalaludin B, Mohsin M. Stroke unit care in a real-life setting: can results from randomised controlled trials be translated into every-day clinical practice? An observational study of hospital data in a large, Australian population. Stroke. 2009. 40.1.Oct-17. Administering Institution: University of New South Wales Funding Body: University of New South Wales Chief Investigator/s: Gattelari M, Worthington J, Jalaludin B. Gattellari M, Worthington JM, Zwar N. Warfarin: an inconvenient truth (invited Editorial). Stroke. 2009. 40.5-Jul. Project Title: PRISM: a program of research informing stroke management using linked hospital and death data. Girgis S, Adily A, Velasco M-J, Garden F, Zwar N, Jalaludin B, Ward JE. Smoking patterns, readiness to quit and recall of cessation advice among Arabic-speakers in Australian general practice. Australian Family Physician. 2009. 38.3.154-161. Lay Description: This pilot study will utilise routinely collected data to determine outcomes in people admitted to NSW hospitals with stroke Administering Institution: University of New South Wales Hansen CA, Barnett AG, Jalaludin BB, Morgan G. Ambient air pollution and birth defects in Brisbane, Australia. PLoS ONE. 2009.4.4.e5408. Funding Body: NSW Department of Environment, Climate Change and Water, NSW Health Harris I, Dao ATT, Young J, Rae H, Jalaludin BB, Solomon M. Predictors of patient and surgeon satisfaction after orthopaedic trauma. Injury. 2009. 40.377-384. Chief Investigator/s: Jalaludin B, Morgan G, Salkeld G. Project Title: Cost benefit analysis of air pollution in NSW Jalaludin B. Ambient fine particles and cardiovascular disease: an overview. Clean Air and Climate Change. 2009. 43.2.17-22. Lay Description: This study will estimate the monetary benefits that would be accrued if outdoor air pollution were to be reduced in the metropolitan areas of Sydney, Wollongong and Newcastle. The results from this study will inform strategies for controlling air pollution. Wand H, Maher L, Kaldor J, Jalaludin B. Estimating population attributable risk for hepatitis C seroconversion in injecting drug users: Implications for prevention policy and planning. Addiction. 2009.104.2049-2056. Administering Institution: Southern Cross University Research Groups 50 Evidence management & Surveillance con’t Wendell Evans, Hsiau ACY, Dennison PJ, Paterson A, Jalaludin BB. Water fluoridation in the Blue Mountains reduced risk of tooth decay. Australian Dental Journal. 2009. 54.368-373. Worthington J, Gattellari M, Aitken R, Jalaludin B. Outcomes of percutaneous endoscopic gastrostomy tube insertion following ischaemic stroke. Combined Meeting of the 6th Asia Pacific Conference Against Stroke and 20th Stroke Society of Australasia. 6-9 September 2009. Cairns, Australia. Wong V, Garden F, Jalaludin B. Hyperglycaemia following Glucose Challenge Test during pregnancy: when can a screening test become a diagnostic test? Diabetes Research and Clinical Practice. 2009. 83.394-396. Worthington J, Gattellari M. 2009; 361:2671-2675 (letter to the Editor).Dabigatran versus warfarin [Letter]. New England Journal of Medicine. 2009. 361.671-2675 Conference Presentations/Posters Ali S, Kho P, Warusavitarne J, Jalaludin B, Wong SKC. Demographic and pathological variables in stage 4 colon cancer patients with resected primary tumour: analysis of the southwest Sydney colorectal tumour group (SSWCTG) database. Medical Oncology Group of Australia’s 30th Annual Scientific Meeting.12-14 August 2009. Canberra, Australia. Anupindi M, Sugrue M, Parr M, Jalaludin B, Bishop G. Predictive value of consensus risk factors in determining intraabdominal hypertension. 4th World Society of Abdominal Compartment Syndrome Meeting. 25-27 June 2009. Dublin, Ireland. Beer T, Campbell P, Jalaludin B. Methodology used to study the health impacts of the use of ethanol in Australian petrol. 19th International Clean Air Society of Australia and New Zealand Conference. 6-9 September 2009. Perth, Australia. Gattellari M, Worthington J, Aitken R, Jalaludin B. Ischaemic stroke outcomes in patients with atrial fibrillation: an analysis of linked health and mortality data from an Australian population. 1st International Congress on Clinical Neuroepidemiology. 27-30 August 2009. Munich, Germany. Kang S, Koh ES, Vinod SK, Jalaludin B. Cost analysis of lung cancer management in South-Western Sydney. Annual Conference of the Royal Australian and New Zealand College of Radiology. 22-25 October 2009. Brisbane, Australia. Koh, E-S, Kang S, Vinod SK, Jalaludin, B. Comparison of Direct Medical Costs in Managing Lung Cancer with Curative versus Palliative Intent. Clinical Oncological Society of Australia (COSA) 36th ASM.17-19 November 2009. Gold Coast, Australia. Worthington J, Gattellari M, Aitken R, Jalaludin B, Cordato D. One year outcomes after transient ischaemic attack (TIA): a prospective cohort study using administrative health data. 1st International Congress on Clinical Neuroepidemiology. 27-30 August 2009. Munich, Germany. Research Groups 51 Evidence management & Surveillance con’t Higher Degrees By Research Name Degree & Institution Thesis Title Supervisor John Eastwood PhD, UNSW Postnatal Depression in South West Sydney: A Case Study Professor Bin Jalaludin Faryal Khurram PhD, UNSW Long term sexual dysfunction ,quality of life and intestinal function after rectal cancer treatment Professor Bin Jalaludin Wafaa Nabil PhD, USyd Evaluation of the Effect of Point Source Emissions of Air Pollutants on Respiratory Health Professor Bin Jalaludin Aaron Cashmore DrPH, UNSW Exploring issues of social and emotional wellbeing among indigenous prisoners, workplace violence among health professionals working in the prison system, and the oral health of children from disadvantaged families: a report of three applied research studies. Professor Bin Jalaludin Commencement Date 2006 2009 2009 2009 Research Groups 52 Rheumatology Unit Liverpool Hospital Associate Professor Kathryn Gibson Research Department Profile The Arthritis Research Unit within the Rheumatology Department at Liverpool Hospital has three active research programs: - (a) inflammation basic science; (b) clinical and health services research relevant to rheumatic diseases, and (c) medical education and evaluation research. The Unit’s research focus is centred on common types of arthritis and related autoimmune diseases, including rheumatoid arthritis (RA), gout, and systemic lupus erythematosus (SLE). We seek to explore underlying mechanisms operating in these diseases, and how they are managed, with the aim of developing new or improved treatments. We have collaborations with basic science researchers in the Infection and Inflammation Research Centre (IIRC) at UNSW, and with health services researchers at University of Sydney. We currently undertake the following research activities: • Basic science programs studying the role of mast cell tryptases in inflammatory arthritis (McNeil, Bryant, Magarinos with collaborator Hunt); the role of S100 proteins in RA and SLE (McNeil, O’Neill with collaborator Geczy); the role of leukocyte immunoglogulin-like receptors (LILRs) in RA and SLE (McNeil, O’Neill with collaborator Tedla); and the significance of autoantibodies to lipoproteins in SLE (O’Neill, Koneru). • Health services research studying the impact of electronic medical records on rheumatology outpatient work practices (Gibson with collaborator Westbrook). • Clinical research, currently examining the in-hospital management of gout (McNeil, Gibson and Hassett); outcomes of vertebroplasty (a new treatment for osteoporotic crush fractures) (McNeil, Schlaphoff, Gibson and Hassett); and the evidence base underpinning clinical rheumatological practice (Gibson, Hassett, Thakkar with collaborators at Cabrini Hospital, Melbourne). • Members of the Unit are also involved in educational research stemming from design and evaluation of UNSW’s innovative new MBBS program (Gibson and McNeil). Our basic science research program is currently housed in the IIRC within the School of Medical Sciences at UNSW’s Kensington campus. Research Grants Lay Description: The project is studying inflammatory molecules called S100 proteins and their role in rheumatoid arthritis, cardiovascular disease and how statins affect their expression. Funding Body: NHMRC Project Grant Chief Investigator/s: Geczy CL, McNeil HP, Freedman B, Hsu K, Youssef P Administering Institution: UNSW Project Title: 455306 - Inflammation-associated S100 proteins – links between arthritis and atherosclerosis (2007-9) Funding Body: NHMRC Project Grant Chief Investigator/s: Tedla N, McNeil HP, Geczy CL, Raftery M, Bryant K. Research Groups 53 Rheumatology con’t Journals Articles/Refereed Journals Project Title: 510236 – Expression and functions of leukocyte immunoglobulin-like (LIR)-6 and LIR-4 in inflammatory arthritis (2008-2010). Lau H, Massasso D, Joshua F. Skin, muscle and joint disease from the 17th century: scurvy. International Journal of Rheumatic Diseases. 2009. 12.361-5. Lay Description: Investigates the relevance of a novel family of immune regulation receptors on white blood cells in patients with rheumatoid arthritis Massasso D, Cheruvu C, Joshua F, Yong J, Graham IG. Ovarian vasculitis in an adult with fatal systemic lupus erythematosus. Lupus. 2009. 18.364-7 Administering Institution: UNSW O’Neill SG, Pego-Reigosa JM, Hingorani AD, Bessant R, Isenberg DA, Rahman A. Use of a strategy based on calculated risk scores in managing cardiovascular risk factors in a large British cohort of patients with systemic lupus erythematosus. Rheumatology. 2009. 48.573-5. Funding Body: UNSW Goldstar Award Chief Investigator/s: McNeil HP, Project Title: Mast cell proteases in experimental inflammatory arthritis (2009) O’Neill SG, Woldman S, Bailliard F, Norman W, McEwan J, Isenberg DA, Taylor AM, Rahman A. Cardiac magnetic resonance imaging in patients with systemic lupus erythematosus. Ann Rheum Dis. 2009. 68.1478-81. Lay Description: Using genetically modified mice to determine the function of enzymes released by white blood cells called mast cells. Administering Institution: UNSW Shin K, Nigrovic PA, Crish J, Boilard E, McNeil HP, Larabee KS, Adachi R, Gurish MF, Gobezie R, Stevens RL, Lee DM. Mast cells contribute to autoimmune inflammatory arthritis via their tryptase/heparin complexes. J Immunol. 2009. 182.647-656. Funding Body: NHMRC Postgraduate Scholarship Chief Investigator/s: Perera C Westbrook J, Braithwaite J, Gibson K, et al. Use of information and communication technologies to support effective work practice innovation in the health sector: a multi-site study. BMC Health Services Research. 2009. 9.201 (1-9). Project Title: S100 Proteins in rheumatoid arthritis (20072009) Lay Description: Understand how a family of inflammation proteins cause cardiovascular disease in RA patients. Administering Institution: UNSW Funding Body: Arthritis Australia Practitioner Fellowship Chief Investigator/s: Gibson KA Project Title: Electronic medical records in rheumatology practice (2009). Lay Description: Investigate whether electronic medical records improve medical work practice Administering Institution: SSWAHS 54 Research Groups Rheumatology con’t Higher Degrees By Research Name Degree & Institution Thesis Title Supervisor Commencement Date Chandi Perera PhD, UNSW S100 proteins in rheumatoid arthritis and atherosclerosis. Professor Patrick McNeil and Professor Carolyn Geczy March 2007 Narain Kamalaraj ILP Effectiveness of a gout protocol Professor Patrick McNeil and A/Prof Kathryn Gibson May 2009 Natalia Magarinos BMedSc(Hons) Mast cell tryptase-mediated aggrecanolysis Professor Patrick McNeil and Dr Katherine Bryant February 2009 55 Research Groups Schizophrenia Research Unit Area Mental Health A/Professor Philip Ward Research Department Profile The Schizophrenia Research Unit is part of the Division of Mental Health, and conducts research into the causes of, and better treatments for patients suffering from schizophrenia and other major mental disorders. The Unit’s primary academic partner is the School of Psychiatry at UNSW, with major collaborative links with a range of other research groups, including the Macquarie Centre for Cognitive Science, (Macquarie University), the Priority Centre for Brain & Mental Health Research (University of Newcastle), and the Laboratory for Neuro Imaging (University of California, Los Angeles). This year saw the award of a major NHMRC project grant, in partnership with the University of Newcastle, and the inauguration of new research collaborations with the Professor Valsa Eapen on the metabolic side effects of anti-psychotic medications in early onset psychosis. A long standing member of the SRU, Dr Robyn Langdon, was promoted to Associate Professor at Macquarie University, and initial collaborative links with the whole head magnetoencephalography (MEG) system at Macquarie were established Research Grants Funding Body: NHMRC Chief Investigator/s: U Schall, P. T. Michie, H. Stain, P. B. Ward, R. Langdon, J. Todd, P. Rasser, V. Carr and T. Weickert Funding Body: Australian Rotary Health Research Foundation Project Title: Neurocognitive correlates of transition from ultra-high risk mental state to schizophrenia Chief Investigator/s: V. Eapen, P. Hazell, P. B. Ward, G. Barton, G Faure-Bac Lay Description: Brain imaging and brain function measures will be prospectively collected from young people at increased risk for the development of schizophrenia, and the participants followed up for twelve months. Measures that distinguish those made became psychotic from those who did not will be identified. Project Title: Evaluation of health promotion and preventative life style intervention program for young patients receiving antipsychotic medication: impact on weight gain and quality of life Lay Description: This study will evaluate a health promotion and preventive lifestyle intervention program for patients receiving antipsychotic medication in 3 adolescent inpatient units in SSWAHS, looking at weight gain and metabolic changes, as well as clinical outcomes, treatment adherence and quality of life. Administering Institution: University of Newcastle/UNS Funding Body: ARC (Australian Research Fellow) Chief Investigator/s: R. Langdon and P. B Ward Administering Institution: UNSW Project Title: Cognitive neuropsychiatry: understanding delusional belief and delusional hallucination from a cognitive neuropsychological perspective Research Groups 56 Schizophrenia con’t Conference Presentations/Posters Lay Description: Cognitive neuropsychiatry aims to explain psychiatric symptoms in terms of abnormalities in normal brain function. A major challenge is explaining delusions and Hal; hallucinations. This research program tests a two factor theory which proposes a distinction between factors that explain why an abnormal thought occurs in the first place, and factors that explain why a patient uncritically accepts the implausible content of their aberrant thought or experience. Ward PB. Neural plasticity and structural brain change in schizophrenia: Are we asking the right questions? 12th International Congress on Schizophrenia Research. March 28April 1 2009. San Diego, CA USA. Schall U, Rasser PE, Atkinson R, Fulham R, Helmbold K, Todd J, Halpin S, Johnston P, Michie PT, Ward PB, Thompson PM, and Carr V. Mismatch negativity in prodrome, first episode and established schizophrenia: Relationship with stimulus type, generator sources, grey matter loss, and functional outcome. 12th International Congress on Schizophrenia Research. March 28-April 1 2009. San Diego, CA USA. Administering Institution: Journals Articles/Refereed Journals Sly K, Lewin T, Carr V, Conrad A, Cohen M, Tirupati S, Wrad PB and Coombs T. Measuring observed mental state in acute psychiatric inpatients. Social Psychiatry and Psychiatric Epidemiology. 2009. 44.2.151-161. Langdon R. A cognitive neuropsychiatric approach to understanding delusions. Australasian Society for Psychiatric Research Annual Conference. 2-4 December, 2009. Canberra, ACT, Australia Hermens DF, Lubman DI, Wrad PB, Naismith SL and Hicks I.B. Amphetamine psychosis: A model for studying the onset and course of psychosis. Medical Journal of Australia (Supplement). 2009. 190.4.S22-S25. Schall U, Rasser PE, Fulham R, Todd J, Michie PT, Thompson PM, Ward PB, Johnston P, and Helmbold K. Brain pathology and mismatch negativity (MMN) in schizophrenia. Australasian Society for Psychiatric Research Annual Conference. 2-4 December, 2009. Canberra, ACT, Australia. Langdon R and Ward PB. Taking the perspective of others contributes to awareness of illness in schizophrenia. Schizophrenia Bulletin. 2009. 35.5.1003-1011. Langdon R Hughes L and Coltheart M. A cognitiveneuropsychiatric single case study of an unusual circumscribed somatic delusion. Australasian Society for Psychiatric Research Annual Conference. 2-4 December, 2009. Canberra, ACT, Australia. Langdon R. Pathological and non-pathological factors in delusional misbelieve. Behavioural and Brain Science. 2009. 32.6.527-528 Langdon R, Jones SR, Connaughton E, and Fernyhough C. The phenomenology of inner speech: comparison of schizophrenia patients with auditory verbal hallucinations and healthy controls. Psychological Medicine. 2009. 39.4.655-663. Rasser PE, Cohen M, Peck G, Thompson PM, Johnston P, Ward PB, Carr VJ, Baker A, and Schall U. Cerebellar grey matter deficits in first-episode schizophrenia and cannabis use mapped using cortical pattern averaging. Australasian Society for Psychiatric Research Annual Conference. 2-4 December, 2009. Canberra, ACT, Australia. Brüne M, Abdel-Hamid M, Sonntag C, Lehmkämper C, and Langdon R. Linking social cognition with social interaction: Non-verbal expressivity, social competence and “mentalising” in patients with schizophrenia spectrum disorders. Behavioural and Brain Functions. 2009. 5.6.1-Oct Watkins A, Henry C, Curtis J, Albert S, and Ward PB. Returning the blind eye: Addressing metabolic complications in young mental health consumers. Australian College of Mental Health Nurses International Congress. 29 September - 2 October, 2009. Sydney, NSW, Australia. Research Groups 57 Schizophrenia con’t Higher Degrees By Research Name Degree & Institution Thesis Title Supervisor Commencement Date K. Croaker D Psych, Macquarie University The impact of cannabis on psychopathological and neuropsychological functioning in schizophrenia R. Langdon/P.B. Ward 2006 F. Levy PhD, UNSW Brain circuits, modularity and childhood syndromes P.B. Ward 2004 F. Ziemen Diplom thesis, University of Saarland, Saarbrucken, Germany A twelve month follow-up of patients with schizophrenia after computerised cognitive remediation P.B. Ward 2009 Research Groups 58 The Simpson Centre for Health Services Research Liverpool Hospital Professor Ken Hillman Research Department Profile The focus of research in the Simpson Centre continues to be around the deteriorating patient, access block in the Emergency Department and the assessment of health status and health service utilisation among Australian Children. The research outcomes related to the deteriorating patient include many peer-reviewed publications, chapters in textbooks and international presentations. As a result, Liverpool Hospital remains at the forefront of research into systems to recognise and respond to at-risk hospitalised patients. The Centre is also working closely with the State Government through the Clinical Excellence Commission and the Federal Government through the Australian Commission on Safety and Quality in Health Care on the rollout of the MET system in all Australian hospitals. The work of the Centre has been enhanced by becoming part of the Australian Institute for Health Innovation at the UNSW. Together with the Centre for Clinical Governance Research in Health and the Centre for Health Informatics. The Simpson Centre is broadening its research horizons, collaborating in a unique way to examine health services from different perspectives and dimensions Research Grants Project Title: Prospective study of medical emergency team calls to define issues of end-of-life decision making, symptoms and transition in goals of care Chief Investigator/s: Dr. Jack Chen Lay Description: The study of hospital emergency teams aand how they interact with patient care adcare at the end-oflife. Project Title: The impact of introducing medical emergency team on the inpatient safety of care outcomes in NSW hospitals Administering Institution: University of New South Wales Funding Body: NH & MRC - 316001 Lay Description: A pilot study to explore the feasibility and methodology of a large population linkage study in evaluating the impct of introducing a Medical Emergency Team in NSW hospitals Chief Investigator/s: DKY Chan, C Levei, S. Middleton, J. Chen, D Ciordato, M Pollack Funding Body: University of New South Wales Goldstar Award – 630682 Project Title: A randomise controlled trial to evaluate a model of comprehensive stroke care Administering Institution: University of New South Wales Lay Description: A randomised controlled trial in assessing a new model of comprehensive stroke care Funding Body: NH & MRC – 210397 Administering Institution: University of New South Wales Chief Investigator/s: Dr. Meera Agar; Professor Ken Hillman; Dr. Louise Elliott Funding Body: AusAid: ChinaAustralia Health and HIV/AIDS Program Research Groups 59 Simpson Centre con’t Journals Articles/Refereed Journals Chief Investigator/s: Prof G Zhao, Dr J Chen Project Title: The assessment of the capacity and strategies of the infectious diseases surveillance and alert system in the rural areas of middle and western China Chen J, Bellomo R, Flabouris A, Hillman K, Finfer S & the MERIT Study Investigators for the Simpson Centre & the ANZCIS Clinical Trials Group. The relationship between early emergency team calls and serious adverse events. Critical care Medicine. 2009. 37.1.148-153. Lay Description: The study covers 3 provinces and 9 counties in middle and western China. It aims to develop reliable and valid tools in assessing the organisational and individuals capacity in providing the best services of infectious disease surveillance and early warning. It strives to enhance the preparedness of the health care system for the potential outbreaks of infectious dieases and public health emergencies. Chen J, Flabouris A, Bellomo R, Hillman K, Finfer S & the MERIT Study Investigators for the Simpson Centre & the ANZCIS Clinical Trials Group. Baseline hospital performance and the impact of medical emergency teams: Modelling vs conventional subgroup analysis. Trials. 2009. 10.117. Administering Institution: Fudan University PR China Chen J, Hillman K, Bellomo R, Flabouris A, Finfer S & the MERIT Study Investigators for the Simpson Centre & the ANZCIS Clinical Trials Group. The impact of introducing medical emergency team systemon the documentations of vital signs. Resuscitation. 2009. 80.35-43. Funding Body: NSW Health Capacity Building Infrastructure Grant Chief Investigator/s: Prof J Braithwaite, Prof E Coiera, Prof K Hillman Chiu A, Nguyen H, Reutens S, Grace D, Schmidtman R, Shen Q, Chen J, Chan DKY. Clinical outcomes and length of stay of a co-located psychogeriatric and geriatric unit. Archives of Gerontology and Geriatrics. 2009. 49.2.233-236. Project Title: CBIG Infrastructure Lay Description: To enhance the capacity of research centres Administering Institution: University of New South Wales Frost SA, Alexandrou E, Bogdanovski T, Salamonson Y, Davidson PM, Parr MJ, Hillman KM. Severity of illness and risk of readmission to intensive care. A meta- analysis. Resuscitation. 2009. 80.5.505-510 Books Ken Hillman. Vital Signs - Stories from Intensive care. 1st. Sydney. UNSW Press. 2009. 978 1 74223 095 5 Frost SA, Alexandrou E, Bogdanovski T, Salamonson Y, Parr MJ, Hillman KM. Unplanned admission to intensive care after emergency hospitalisation: Risk factors and development of a normogram for individualising risk. Resuscitation 2009. 2009. 80.224-230. Books Chapters Hillman K, Chen J, Braithwaite J, Coeira E. Moving from safe ICUs to safe systems of care. Hillman K, Chen J, May E. Complex intensive care unit interventions. Critical Care Medicine. 2009. 37.1 (Suppl). S102-S106. Chich J-D, Moreno R, Putensen C, Rhodes A. Patient Safety and Quality of Care in Intensive Care Medicine. Vienna. Medizinisch Wissenschaftlich Verlagsgessellschaft on behalf of the European Society of Intensive Care Medicine. 2009. 57-63. Ou L, Young L, Chen J, Santiano N, Baramy LS, Hillman K. Discharge delay in acute care: Reasons and determinants of delay in general ward patients. Australian Health Review. 2009. 33.3.512-521. Hillman K, Chen J. Managing conflict at the end-of-life. Vincent J-L.2009 Yearbook of Intensive care and Emergency Medicine. Berlin. Springer-Verlag. 2009. 969-978. Santiano N, Young L, Baramy L-S, McDonnell S, Page K, Cabrera R, Chapman A. How do CNCs construct their after hours support role in a major metropolitan hospital.Collegian: Journal of the Royal College of Nursing Australia. 2009. 16.2.85-97. Hillman K. Models of clinical emergency response systems. Jacques T, Fisher M, Hillman K, Fraser K. DETECT (Detecting Detioration, Evaluation, Treatment, Escalation and Communicating in Teams) Manual. 1st. Sydney. Clinical Excellence Commission & NSW Health. 2009.1 06-111. Santiano N, Young L, Hillmanh K, Parr M, Jayasinghe S, Baramy L-S, Stevenson J, Heath T, Chan C, Claire M, Hanger G. Analysis of medical emergency team calls comparing subjective to “objective” call criteria. Resuscitation. 2009. 80.44-49 Hillman K. Safe patient transfer: intrahospita; transfer. Jacques T, Fisher M, Hillman K, Fraser K. DETECT (Detecting Detioration, Evaluation, Treatment, Escalation and Communicating in Teams) Manual. 1st. Sydney. Clinical Excellence Commission & NSW Health. 2009. 112-116. Research Groups 60 Simpson Centre con’t Shehabi Y, Grant P, Wioklfenden H, Bass F, Hammon N, Nicholson L, Chen J. Prevalence of Delirium with Dexmedetomidine Compared with Morphine-based Therapy after Cardiac Surgery: A randomized controlled trial (DEXmedetomidine COMpared to Morphine – DEXCOM study). Anesthesiology. 2009. 111.5.1075-1084 Hillman K. Rapid response systems – where are we? Recognising and Responding to Clinical Deterioration: Solutions for Safe Care. Change Champions. 10th November 2009. Sydney. Hillman K. RRSs their rationale and does one size fit all. 5th International Conference on Rapid Response Systems and Medical Emergency Teams. 18-19th May 2009. Copenhagen, Denmark. Conference Presentations/Poster Hillman K. Should we be delivering intensive care outside of our units (pro speaker). 22nd Annual Congress, European Society of Intensive Care Society – Patient Safety and Quality of care in Intensive Care medicine. 11-14th October 2009. Vienna, Austria. Chen J. Baseline hospital performance and the impact of medical emergency teams: Modelling vs conventional subgroup analysis. 6th Health Services & Policy Research Conference. 25-27th November 2009. Brisbane, Sydney. Hillman K. Can I still justify my MET teams? 29th International Symposium on Intensive care and Emergency Medicine. 2427th March 2009. Brussels, Belgium. Hillman K. Subjective vs objective all criteria for MET systems. 5th International Conference on Rapid Response Systems and Medical Emergency Teams. 18-19th May 2009. Copenhagen, Denmark. Hillman K. Can we learn from each other? 9th International Symposium on Intensive care and Emergency Medicine. 2427th March 2009. Brussels, Belgium. Ou L. Linguistic differences of infants’ health status and health services utilisation. 6th Heath Services and Policy Research Conference. 25-27th November 2009. Brisbane, Sydney. Hillman K. CPR – have we really made progress. 29th International Symposium on Intensive care and Emergency Medicine. 24-27th March 2009. Brussels, Belgium. Ou L. The gaps in health outcomes and health services utilization between Indigenous and non-Indigenous Australian infants and its attributable causal effects – where to intervene and how big impact are they? The Second LSAC Research Conference. 3rd4th December 2009. Melbourne Hillman K. Death and dying in critical care. 18th Annual Symposium of the Sydney Institute of Palliative Medicine in association with the NSW Society of Palliative Medicine. 1st3rd April 2009. Sydney. Hillman K. Does the MET system save lives. 5th International Conference on Rapid Response Systems and Medical Emergency Teams. 18-19th May 2009. Copenhagen, Denmark. Hillman K. Effects of the MERIT Study in Australia. 22nd Annual Congress, European Society of Intensive Care Society – Patient Safety and Quality of care in Intensive Care medicine. 11-14th October 2009. Vienna, Austria. Hillman K. End of life issues – managing it outside the ICU. 29th International Symposium on Intensive care and Emergency Medicine. 24-27th March 2009. Brussels, Belgium. Hillman K. End of life practices around the world. 29th International Symposium on Intensive care and Emergency Medicine. 24-27th March 2009. Brussels, Belgium. Hillman K. MET – where are we heading? 5th International Conference on Rapid Response Systems and Medical Emergency Teams.18-19th May 2009. Copenhagen, Denmark. Hillman K. Physical examination. 29th International Symposium on Intensive care and Emergency Medicine. 2427th March 2009. Brussels, Belgium. Research Groups 61 Simpson Centre con’t Higher Degrees By Research Name Degree & Institution Thesis Title Supervisor Dr Frank Formby PhD, University of New South Wales Investigation of a novel method of evaluating palliative care services Professor Jeffrey Braithwaite and Professor Ken Hillman Commencement Date 2009 Research Groups 62 RESEARCH GROUPS IN SOUTH WESTERN SYDNEY 63 Aged Care & Rehabilitation Bankstown-Lidcombe Hospital Professor Daniel Chan Research Department Profile In 2009, our major research activities are in stroke care, healthy ageing and dementia. Our research team consists of a team leader – Professor Daniel Chan, Geriatrician and Director of Aged Care, and two full-time researchers. Some other staff (e.g., advanced trainees, specialists) and overseas visiting scholars have also been involved in a number of research projects within our department. All major findings of our research have been disseminated via conference presentations, reports and journal publications Research Grants Clinical Trials Funding Body: Eli Lily Chief Investigator/s: Prof Daniel Chan Dr Fintan O’Rourke Funding Body: NHMRC Project Title: Effect of LY2062430, an anti-Amyloid Beta Monoclonal antibody, on the progression of Alzheimer’s disease as compared with placebo Chief Investigator/s: Prof Daniel Chan Project Title: Health Services Research: A Randomised Controlled Trial to evaluate a Model of Comprehensive Stroke Care Lay Description: This is a multicentre randomised doubleblinded clinical trial on patients with mild to moderate Alzheimer’s disease Lay Description: It is a randomised controlled trial inveclinical trail investigating the benefitsbenefits of a comprehensive strstrstrstroke care model. Administering Institution: South Western Sydney 64 64 Aged Care con’t Books Conference Presentations/Posters Chan DKY. Chan’s Practical Geriatrics 2nd 2009 Whiting R et al... Predictors for 5 Year Survival in a Prospective Cohort of Elderly Stroke Patients. 2009 British Geriatric Society Spring Scientific Meeting. 1-3 April 2009. Bournemouth, UK. Books Chapters Mak J, et al. Improving the osteoporosis care gap in elderly patients following hip fractures for the ICHIBAN initiative. 2009 British Geriatric Society Spring Scientific Meeting. 1-3 April 2009. Bournemouth, UK. Liang Wannian, Daniel Kam Yin Chan.Community Care. Encyclopedia of Modern China – Volume 1...USA. Charles Scribner’s Sons. 2009. P.337-339. Journals Articles/Refereed Journals Mak J, et al. Relationship between hip fracture subtypes, surgical procedure and analgesia use. 2009 British Geriatric Society Spring Scientific Meeting. 1-3 April 2009. Bournemouth, UK Jenson CS Mak, Ihab Lattouf, Fintan O’Rourke, Qing Shen, Daniel KY Chan, Ian D Cameron. Relationship between hip fracture subtypes, surgical procedure, and analgesia use. JAGS 2009. 12.2378-80 Daniel Epstein, Eric Diu, Daniel KY Chan. Review of nonconvulsive status epilepticus and an aillustrative case history manifesting as delirium. Australasian Journal on Ageing 2009.110-5. Ji Hui Lv, Bin Ong, Qing Shen, Sharon Reuten, Anita Ko, Daniel Kan Yin Chan. Management and outcomes of delirium in a secured, co-located geriatric and psychogeriatric unit. JAGS 2009. .1725-26 Kay Double, Dominic B Rowe, Francine M Carew-Jones, Michael Hayes, Daniel K Chan, Jeff Blackie, Alaistair Corbett, Ron Joffe, Victor S Fung, John Morris, Peter Riederer, Manfred Gerlach, Glenda M Halliday. Anti-Melanin antibodies are increased in sera in Parkinson’s disease. Experimental Neurology 2009. .297-301 South Western Sydney 65 Anatomical Pathology Liverpool Hospital Professor Jim Yong Journals Articles/Refereed Journals significance of vascular endothelial growth factor in squamous cell carcinomas of the tonsil in relation to human papillomavirus status and epidermal growth factor receptor. Annals of Surgical Oncology. 2009.16.10.908-17 Shin J-S, Zhou J, Belov L, Zhang M, Hong A, Solomon MJ, Christopherson RI, Lee CS. Comparison of radiosensitivity and cell membrane proteome between microsatellite stable and unstable colorectal cancers – an in vitro study with a 122 antibody microarray.. Pathology. 2009. 41.54 Bennett N, Hooper JD, Lee CS, Gobe GC. Androgen receptor and caveolin-1 in prostate cancer. IUBMB Life. 2009. 61.10.61-70 Kurien A, Henderson C, Lee S. Recurrent keratoacanthoma with vascular invasion: a diagnostic and management dilemma. Australasian Journal of Dermatology. 2009. 50.3.194-7Lee C.S. The story so far. Pathology. 2009. 41.2.101-102 Suttor VP, Chow C, Turner I. Eosinophilic esophagitis with Crohn’s disease: A new association or overlapping immunemediated enteropathy? American Journal of Gastroenterology. 2009. 104.3.94-795 Karim RZ, Gerega SK, Yang YH, Horvath L, Spillane A, Carmalt H, Scolyer RA, Lee CS. Proteins from the Wnt pathway are involved in the pathogenesis and progression of mammary phyllodes tumours. Journal of Clinical Pathology. 2009. 62.11.1016-20 Massasso D, Cheruvu C, Joshua F, Yong J, Graham IG. Ovarian vasculitis in an adult with fatal systemic lupus erythematosus.. Lupus. 2009.18.4.4-Jul Yong JL, Killingsworth MC, Spicer ST, Wu XJ. Fibronectin nonamyloid glomerulopathy. International Journal of Clinical & Experimental Pathology. 2009. 3.2.210-6 Fei J, Hong A, Dobbins TA, Jones D, Lee CS, Loo C, AlGhamdi M, Harnett GB, Clark J, O’Brien CJ, Rose B. Prognostic Anxiety Clinic Bankstown Mental Health David Rouen Journals Articles/Refereed Journals Sigal Dudaee-Faass, Claire Marnane & Renate Wagner. Ambiguity in the manifestation of adult separation anxiety disorder occurring in complex anxiety presentations: Two clinic case reports.Clinical Psychologist. November 2009. Vol 13. No 3.111 - 115. South Western Sydney 66 Bankstown Cancer centre Bankstown-Lidcombe Hospital Dr Ray Asghari Research Department Profile The Oncology Unit at Bankstown-Lidcombe Hospital has been participating for more than 10 years in clinical trials that aim to advance the care of people with cancer. The Clinical Trials Unit composes Dr Fred Kirsten, Medical Oncologist; Dr Ray Asghari, Medical Oncologist; Mr Mafizul Hoque who has got 9 years experience as Clinical Trials Coordinator and Ms Shuet-Oi Wong, Research Nurse who is funded by a grant from NSW Cancer Institute. The Clinical Trials Unit is partly funded by a grant from the NSW Cancer Institute. Clinical Trials Lay Description: For ductal adenocarcinoma: This is a two arm trial comparing survival between patients randomised to 5FU/folinic acid and those randomised to gemcitabine. For ampullary and other cancer: This is a three arm trial comparing survival between patients randomised to 5FU/ folinic acid, those randomised to gemcitabine and a ‘surgery alone’ arm randomised to no adjuvant treatment. Funding Body: Australasian Gastro-Intestinal Trials Group and National Surgical Adjuvant Breast and Bowel Project Chief Investigator/s: F. Kirsten Project Title: CO7: A clinical trial comparing 5FU plus LV and Oxaliplatin with 5FU plus LV for treatment of patients with Stage II and III carcinoma of the colon. Funding Body: Australasian Gastro-Intestinal Trials Group Chief Investigator/s: F. Kirsten Lay Description: This study addressed two important areas in the development of adjuvant therapies in colon cancer. The first is to determine a more acceptable and active chemotherapy schedule, in particular to see if adding a new drug to an established chemotherapy schedule results in fewer disease recurrences and in longer survival. The other issue being investigated is the determination of new prognostic factors and their role in selecting patients for treatment on the basis of the risks of relapse and the chance of response to this category of cytotoxic treatment. Project Title: ATTAX 2: A Phase II study of Cetuximab (ErbituxTM) plus weekly docetaxel chemotherapy in docetaxel refractory patients with advanced oesophago-gastric cancer . Lay Description: The aim of this study is to evaluate the safety and effectiveness of a combination of docetaxel chemotherapy and cetuximab in patients with advanced oesophago-gastric cancer who have failed standard chemotherapy treatment. It is hoped that this study will provide an additional and perhaps more effective treatment option for this group of patients. Funding Body: Australasian Gastro-Intestinal Trials Group and European Study Group for Pancreatic Cancer Funding Body: Australasian Gastro-Intestinal Trials Group Chief Investigator/s: F. Kirsten Chief Investigator/s: Kirsten F Project Title: ESPAC 3: A phase III adjuvant trial in pancreatic cancer comparing (1) 5FU and D-L folinic acid vs (2) Gemcitabine. Project Title: The MAX Study: A randomized phase II/III study to evaluate the role of Mitomycin C, Avastin and Xeloda in patients with untreated metastatic colorectal cancer . South Western Sydney 67 Cancer Centre con’t Lay Description: This Phase II/III study will assess the effectiveness of 2 different novel chemotherapy regimes on side-effects, tumor growth, quality of life and survival time and compare them with the usual single therapy used in older patients. This study will help to decide which treatments offer better outcomes for older less fit patients and younger patients who wish to receive a chemotherapy treatment with a low risk of side effects. Treatments: 1)Capecitasbine as monotherapy 2) Capecitabine and bevacizumab Capecitabine , bevacizumab and mitomycin (Caelyx®) is a new active drug that has shown promising results and is approved for second line treatment of relapsed ovarian cancer. This trial aims to evaluate the role of CaelyxCarboplatin in comparison to Paclitaxel-Carboplatin in patients who are in late relapse (>6 months since completing prior platinum based chemotherapy). Funding Body: Sanofi-Aventis Australia Chief Investigator/s: F. Kirsten Project Title: Xenox B EFC5505: A multicentre, randomized double-blind placebo controlled Phase III study of the efficacy of xaliproden in preventing the neurotoxicity of oxaliplatin in first-line treatment of patients with metastatic colorectal cancer treated with oxaliplatin/5-FU/LV. Funding Body: Merck KGaA/Quintiles Pty Ltd Chief Investigator/s: F. Kirsten Project Title: FLEX Study:Open, randomised, controlled, multicentre phase III study comparing cisplatin/vinorelbine plus cetuximab versus cisplatin/vinorelbine as first-line treatment for patients witrh EGFR-expressing advanced NSCLC. Lay Description: Oxaliplatin has been associated with peripheral sensory neuropathy, which may cause functional impairments that potentially have an impact on activities of daily living, lead to treatment adjustments and treatment discontinuations. The objective of this multicenter, randomized placebo controlled, 2 arm Phase III study of xaliproden or matching placebo in combination with oxaliplatin/5-FU/LV in patients with metastatic colorectal cancer is to further confirm the result of XENOX study. In addition, the ability of xaliproden to reduce the duration of PSN events that are not prevented will be evaluated. Lay Description: This open, controlled, multicentre phase III study will randomise approximately 1100 patients with advanced NSCLC who had no previous chemotherapy for NSCLC to two groups as follows: Group A: Cisplatin/ vinorelbine + Cetuximab • Group B: Cisplatin/Vinorelbine The main objective of this is to determine survival time of patients receiving Cetuximab added to Cisplatin/Vinorelbine as first-line treatment compared to active control therapy with standard Cisplatin/Vinorevine alone. Funding Body: Australasian Gastro-Intestinal Trials Group Chief Investigator/s: F. Kirsten Project Title: QUASAR 2: Muticentre international study of Capecitabine +- Bevacizumab as adjuvant treatment of colon cancer Funding Body: Australian New Zeland Gynaecology Group (ANZGOG) Chief Investigator/s: F. Kirsten Lay Description: QUASAR 2 uses a new combination for adjuvant therapy: an oral chemotherapy drug (capecitabine) and a molecularly targeted therapy (bevacizumab), to define whether this is superior in efficacy and less in toxicity than capecitabine alone, which is a standard of care in this disease. Project Title: CALYPSO: A Multi-National Randomised, Phase III, GCIG Intergroup Study Comparing Pegylated Liposomal Doxorubicin (CAELYX®) and Carboplatin vs. Paclitaxel and Carboplatin in Patients with Epithelial Ovarian cancer in Late Relapse (>6 months). Funding Body: Sydney University Lay Description: Ovarian cancer remains the leading cause of gynaecologic cancer deaths. In the majority of patients, at the time of presentation of their disease, surgery as well as chemotherapy is usually required. Previous trials have shown that platinum containing regimens improve survival with combination Carboplatin and Paclitaxel accepted as the standard in first line treatment of advanced ovarian cancer in most countries. Pegylated liposomal doxorubicin Chief Investigator/s: Maurice Eisenbruch Project Title: Understanding Barriers to Effective Crosscultural communication about prognosis of metastatic Breast Cancer Lay Description: This research aims to increase the understanding of how culture affects understanding of the meaning of prognosis of metastatic cancer and increase the understanding of the ways in which cultural differences South Western Sydney 68 Cancer Centre con’t between study doctor and patient impact on effective communication about prognosis of metastatic cancer. Lay Description: A maintenance therapy for patients who have unresectable stage III NSCLC and have had either stable disease, partial or complete response to their primary chemoradiotherapy. Stimuvax has been used in previous studies with stage IIIb and IV NSCLC patients, with patients having better survival results on active study drug. Stimuvax is an immunotherapeutic drug which raises an immune response against the diseased tissue by targeting specific markers (MUC1 antigen). The study will take place in approximately 250 centres worldwide and will recruit an estimated 1322 subjects. Funding Body: Sydney University Chief Investigator/s: Janette Vardy Project Title: Cognitive function fatigue in cancer patients after chemotherapy: A longitudinal controlled study in patents with colorectal cancer Lay Description: This is a prospective, longitudinal, controlled study of cognitive function and fatigue in patients with localised colorectal cancer(CRC) treated with adjuvant or neoadjuvant chemotherapy. In addition to following each patient over time, a separate controlled group will consist of patients with early stage CRC (stage A or B) who have had surgical resection of their tumour, but who do not require adjuvant chemotherapy, or patients with stage C CRC who have declined chemotherapy. Also included is a smaller substudy of patients with limited metastatic CRC who are treated with more toxic chemotherapy. Funding Body: AbraxsBioscience/Novotech Chief Investigator/s: F Kirsten Project Title: CA031:A randomised, phase III trial of ABI007 and carboplatin with Taxol® Carboplatin as first-line therapy in patients with advanced Non-Small Cell Lung Cancer(NSCLC). Lay Description: This is a controlled, randomized, multicenter, Phase III study to evaluate the This is a controlled, randomized, multicenter, Phase III study to evaluate the safety/tolerability and anti-tumor effect of intravenously administered ABI-007/carboplatin combination therapy compared to that of Taxol/carboplatin combination therapy as first-line therapy in patients with NSCLC. The primary objective is to compare disease response (using RECIST guidelines) of ABI-007 plus carboplatin (AUC=6) vs Taxol and carboplatin (AUC=6) as first-line therapy in patients with advanced NSCLC Funding Body: Pharmaceutical Research Associates Chief Investigator/s: R. Asghari Project Title: EISAI Study: A phase III open label, randomized two-parallel-arm multicentre study of E7389 verse Capecitabine in patients with locally advanced or Metastatic breast cancer previously treated with Anthracyclines and Taxanes and Refractory of the most recent chemotherapy. Lay Description: The primary objective of this study is to compare the efficacy of E7389 versus Capecitabine monotherapy in terms of Overall survival and Progression-free survival (PFS), in patients with locally advanced or metastatic breast cancer. Patients must have been previously treated with Anthracyclines-based regimen, and failed on Anthracyclines /Taxanes and taxane therapy. In case where it is known that the tumor overexpresses HER2/neu, patients must have been treated with trastuzumab in centers where this treatment is available, and estrogen receptor-expressing tumors may have been treated with antiestrogen therapy Funding Body: Bristol-Myers Squibb Chief Investigator/s: F Kirsten Project Title: Randomised phase II study of ixabebilone plus carboplatin and paclitaxel plus carboplatin in subjects with non-small cell lung cancer. Lay Description: This study is a randomized Phase 2 study in subjects with NSCLC that have not received any systemic therapy for their cancer, aimed to evaluate the efficacy, safety and impact on subject symptoms of ixabepilone in combination with carboplatin compared to paclitaxel and carboplatin. Up to 260 subjects with NSCLC (see Section 8.1) will be randomized 1:1 and stratified by expression level of III tubulin in the subjects’ tumor (positive/negative), disease stage (Stage IIIB or IV), presence of brain metastasis (yes/no), and study site to one of the following treatment regimens:• Arm A: Ixabepilone in combination with carboplatin. • Arm B: Funding Body: Merck KGaA/PRA Chief Investigator/s: Fred Kirsten Project Title: START:A multi-center phase III randomized, double-blind placebo-controlled study of the cancer vaccine Stimuvax®® (L-BLP25 or BLP25 liposome vaccine) in nonsmall cell lung cancer (NSCLC) subjects with unresectable stage III disease South Western Sydney 69 Cancer Centre con’t Paclitaxel in combination with carboplatin.Primary Objective is to compare PFS in the ixabepilone plus carboplatin arm to that in the paclitaxel plus carboplatin arm for the subgroup of subjects with III tubulin positive tumors (III tubulin positive subgroup). Study of Modafinil to Improve fatigue and Quality of Life in Patients Treated with Docetaxel-Based chemotherapy for Metastatic breast or Prostate Cancer. Lay Description: Prospective, mulitcentre, randomised, double-blind, placebo-controlled, two-arm, parallel group study. Patients receiving docetaxel chemotherapy will be randomised using 2:1 ratio (Arm 1:Arm 2) to the following two treatments arm: Arm 1: best supportive care plus modafinil 200 mg mane daily. Arm 2: best supportive care plus placebo care mane daily. Primary objective is to determine the efficacy of modafinil in the reduction of fatigue in patients with metastatic breast or prostate cancer undergoing docetaxel-based chemotherapy. Funding Body: MERCK KGaA/PAREXEL Chief Investigator/s: F Kirsten Project Title: EXPAND:Open-Label, randomised, controlled, multicentre phase III study investigating cetuximab in combination with capecitabine (Xeloda, X) and cisplatin (P) versus XP alone as first-line treatment for subjects with advanced gastric adenocarcinoma including adenocarcinoma of the gastroesophageal junction. Funding Body: Royal Prince Alfred Hospital Lay Description: Main objective of this is to demonstrate superiority of XP chemotherapy regimen plus cetuximab versus XP alone as first-line treatment for advanced gastric cancer in terms of PFS. It is a multicenter open-label, randomized, controlled, phase III study. Subjects will be randomized on a 1:1 basis to Group A (Cetuximab q week + XP q 3 weeks) or Group B(XP q 3 weeks) The study will take place in approximately 150 centres worldwide and will recruit an estimated 870 subjects. Chief Investigator/s: R Asghari Project Title: BNP:Prediction of cardiotoxicity by measurement of serum N-terminal pro-B-type natriuretic peptic levels in breast cancer patients receiving adjuvant trastuzumab. Lay Description: The primary objective of this study is to determine if an elevated serum level of N-terminal pro-B-type natriuretic peptide after anthracycline-based chemotherapy is predictive of the development of left ventricular dysfunction due to trastuzumab therapy Funding Body: National Cancer Institute of Canada Clinical Trial Group Australian Gastro-Intestinal Trials Group Chief Investigator/s: R. Asghari Funding Body: National Cancer Institute of Canada Clinical Trial Group Australian Gastro-Intestinal Trials Group Project Title: CO.20: A phase III randomised study of Brivanib (BMS-582664) in combination with Cetuximab (Erbitux®) versus Placebo in combination with Cetuximab (Erbitux®) in patients previously treated with combination chemotherapy for metastatic colorectal carcinoma. Chief Investigator/s: R Asghari Project Title: CO.20: A phase III randomised study of Brivanib (BMS-582664) in combination with Cetuximab (Erbitux®) versus Placebo in combination with Cetuximab (Erbitux®) in patients previously treated with combination chemotherapy for metastatic colorectal carcinoma. Lay Description: This is a multicentre, prospective, doubleblind, randomized phase III trial of the VEGFR/FGFR tyrosine kinase inhibitor brivanib (BMS-582664) in combination with the EGFR-binding chimerized murine monoclonal antibody cetuximab (Erbitux®) versus matched placebo in combination with cetuximab in patients with previously treated advanced, metastatic, K-Ras wild type, colorectal carcinoma, conducted by the National Cancer Institute of Canada Clinical Trials Group supported by the Bristol-Myers Squibb Company. Lay Description: This is a multicentre, prospective, doubleblind, randomized phase III trial of the VEGFR/FGFR tyrosine kinase inhibitor brivanib (BMS-582664) in combination with the EGFR-binding chimerized murine monoclonal antibody cetuximab (Erbitux®) versus matched placebo in combination with cetuximab in patients with previously treated advanced, metastatic, K-Ras wild type, colorectal carcinoma, conducted by the National Cancer Institute of Canada Clinical Trials Group supported by the Bristol-Myers Squibb Company. Funding Body: Sanofi-Aventis Australia Chief Investigator/s: R. Asghari Project Title: MOTIF: A Prospective, Randomised Phase II South Western Sydney 70 Liverpool and Macarthur Cancer Therapy Centre Professor Geoff Delaney Dr Dion Forstner Research Grants response. Medical Physics, 2009. 36,125665-5674. Miller J, Fuller M, Vinod S, Suchowerska N and Holloway L. The significance of the choice of radiobiological (NTCP) models in treatment plan objective functions... Australas Phys Eng Sci Med., 2009; 32,081-7... Funding Body: NSW Cancer Institute: Chief Investigator/s: Della-Fiorentina Project Title: Clinical Trials Nurse at Southern Highlands Cancer Centre Vial P, Gustafsson H, Oliver L, Baldock C, Greer P.B. Directdetection EPID dosimetry: investigation of a potential clinical configuration for IMRT verification. Physics in Medicine and Biology, 2009, 54,7151-7169. Lay Description: Funding for a Clinical Trials Nurse at Southern Highlands Cancer Administering Institution: SSWAHS Ward A, Agar M, and Koczwara B. Collaborating or co-existing - Attitudes of Medical Oncologists toward Specialist Palliative Care. Palliative Medicine. 2009, (in press), Books Delaney GP, Stebbing J, Thompson AM. Breast Cancer (non-metastatic.In: BMJ Publishing Group. Clinical Evidence Handbook. BMJ Publishing Group June 09 Conference Presentations/ Posters Yap ML, Vinod SK, Ho Shon IA, Fowler AR, Lin M, Gabriel GS, Holloway L. The registration of Diagnostic versus Planning FDG PET-CT in radiotherapy planning for Non- Small Cell Lung Cancer. World Lung Conference. San Francisco, USA Delaney GP, Stebbing J, Thompson AM. Breast Cancer (non-metastatic.In: BMJ Publishing Group. Clinical Evidence Handbook. BMJ Publishing Group Dec 09 Journal Articles/Refereed Journals Currow D, Agar M, Smith J, and Abernethy A. Does home oxygen improve dyspnoea.A consecutive cohort study. 11th European Association for Palliative Care Congress. 2009. Vienna. Holloway, L. Of what use is radiobiological modelling. Physical and Engineering Sciences in Medicine, 2009; 32,0): xi-xiv... Agar M, Currow D, Seidel R, Plummer J, Carnahan R, Abernethy A.. Changes in anticholinergic load from regular prescribed medications in palliative care as death approaches. Palliative Medicine, 2009, 23,257-65 Agar M, Currow D, Seidel R, Plummer J, Carnahan R, and Abernethy A. Changes in anticholinergic load from regular prescribed medications in palliative care as death approaches. 11th European Association for Palliative Care Congress. 2009. Vienna. Boxer M, Forstner D, Kneebone A, Delaney G, Koh E-S, Fuller M, Kaadan N. Impact of a real-time peer review audit on patient management in a radiation oncology department. Journal of Medical Imaging and Radiation Oncology, 2009, 53,0405411. Agar M, Draper B, Philips P, Griffiths R, Harlum J, Sanderson C, and Currow D. Descriptive study of decision making care psychiatry, and oncology nurses caring for confused patients in an inpatient setting. .11th European Association for Palliative Care Congress. 2009. Vienna. Currow D, Agar M, Smith J, and Abernethy A. Does palliative home oxygen improve dyspnoea? Palliative Medicine, 2009, (in press). Arumugam S and Holloway L. Comparison of Dose from kilovoltage and Megavoltage Cone Beam Computed Tomography. EPSM.40118. Canberra, Australia. Gustafsson H, Vial P, Kuncic Z, Baldock C, Greer P.B. EPID dosimetry: Effect of different layers of materials on absorbed dose Arumugam S, Holloway L. The influence of penumbra modelling South Western Sydney 71 Cancer Centre con’t on IMRT dosimetry. Combined Scientific Meeting. 40087. Brisbane, Australia based on normal tissue tolerances. EPSM. 40118. Canberra, Australia. Begg J, Holloway L, Franich R, and Kron T. Comparison of Optical Density obtained from 2D projections and 3D reconstruction for an Optical CBCT scanner. Combined Scientific Meeting. 40087. Brisbane, Australia. Holloway L, Prasad S, Forstner, D. Possibility of altered fractionation for IMRT nasopharynx treatments; A modelling study. Combined Scientific Meeting. 40087. Brisbane, Australia Ceylan A, Vial P, and Holloway L. Characterisation of EPID response with and without additional build-up. Combined Scientific Meeting. 40087. Brisbane, Australia Holloway L, Miller J, Prasad S, Vinod, S. A Program to generate radiobiological and dosimetric values from Dose Volume Histogram files. Combined Scientific Meeting. 40087. Brisbane, Australia. Cho G, Kuncic Z, Holloway L, Baldock, C. Tumour response modelling based on radiobiological image data. EPSM. 40118. Canberra, Australia. Yakobi J, Jameson M. The effectiveness of head and neck contouring atlas in critical structure delineation. Combined Scientific Meeting. 40087. Brisbane, Australia. Currow D, Agar M, Plummer J, and Abernethy A. A random whole-of-population prevalence survey of adult rates of chronic pain.. Australian Pain Society Annual General Meeting. 2009. Sydney. Jameson M, Holloway L, Vial P, Vinod S, Metcalfe P. Contouring studies in radiotherapy: A review of methods used to compare contours. Combined Scientific Meeting. 40087. Brisbane, Australia. Moretti D, Cassapi L. Development of a Radiotherapy Wiki for comprehensive document management. Combined Scientific Meeting. 40087. Brisbane, Australia. Jameson M, Holloway L, Vial P, and Metcalfe P. Contouring variability and its effect on radiobiology. Combined Scientific Meeting. 40087. Brisbane, Australia Deshpande S, Vial P, Holloway L. An intercomparison of dose response for 3 Siemens amorphous silicon EPIDs. Combined Scientific Meeting. 40087. Brisbane, Australia. Caldwell K, Lau A, Vinod S, Fowler A, Sampson D, Ohanessian L. A DVH comparison study of organ at risk for cervix brachytherapy. Combined Scientific Meeting. 40087. Brisbane, Australia. Duggan K and Sharmin M. Advocating our cancer information resource: An Australian perspective. National Cancer Registrars Association 35th Educational Conference. 2009. New Orleans.. Luci Dall’Armi, Simpson GK, Forstner D, Simpson T, Kwa B. Patterns of Information Needs and Affective Distress for people with Head & Neck cancer and their family members. The Australia and New Zealand Head & Neck Society (ANZHNS) 11th Annual Scientific Meeting. 6-8 August, 2009. Fremantle, Western Australia. Duggan K and Sharmin M. Cancer systems Interoperability: Turning Australian Registrar Dreams into Reality. National Cancer Registrars Association 35th Educational Conference. 2009. New Orleans.. Miller J, Fuller M, Vinod S, Suchowerska N, and Holloway L. The significance of the choice of Radiobiological (NTCP) models in treatment plan objective functions. Combined Scientific Meeting. 40087. Brisbane, Australia. Forstner D, Koneru S, Shafiq J, Ng W, Fowler A. Implementation of an Integrated Electronic Health related Quality of Life Assessment Tool into Routine Clinical Practice. The Australia and New Zealand Head & Neck Society (ANZHNS) 11th Annual Scientific Meeting. 6-8 August, 2009. Fremantle, Western Australia. Nelson V, Mclean D, Holloway, L. Use of thermoluminescent dosimetry (TLD) for quality assurance of orthovoltage xray therapy machines. 7th International Conference on Luminescent Detectors and Transformers of Ionizing Radiation LUMDETR 2009. 2009. Krakow, Poland. Gustafsson H, Vial P, Kuncic Z, Baldock C, Denham J, Greer P.B. Intensity-modulation radiation therapy verification with a novel modified EPID design. CSM. 40087. Brisbane, Australia. Vial P, Deshpande S, Arumugam S, Goozee G, Holloway L. Simple and efficient pre-treatment IMRT verification using EPIDs. EPSM.40118.Canberra, Australia. Gustafsson H, Vial P, Kuncic Z, Baldock C, Greer PB. IMRT Dosimetry: Direct dose to water dosimetry for pre-treatment verification using a modified EPID.ESTRO.2009. Barcelona, Spain. Quinn A, Holloway L, Arumugam S, Delaney G, Batumalai V, Nelson V, Owen K, Goozee G, Vial P, Metcalfe P. Contralateral breast dose and secondary risk: A comparison between treatment, Holloway, L and P Vial. A software program to determine possible fractionation schedules tailored for individual patients South Western Sydney 72 Cancer Centre con’t Awards kV and MV cone-beam imaging. Combined Scientific Meeting. 40087. Brisbane, Australia. Vikneswary Batumalai Quinn, A Holloway L, Zealey W, and Metcalfe P. How to turn a good image into a bad one; an image simulation process to reduce patient exposure. Combined Scientific Meeting. 40087. Brisbane, Australia – Best Clinical outcomes in Breast Cancer Therapy (by Novartis Oncology) RANZCR/AIR/ACPSEM ASM Brisbane October 2009 Kumar S, Juresic E, Barton M, Shafiq J. Management of skin toxicity during radiation therapy: A review of the evidence. Combined Scientific Meeting. 40087. Brisbane, Australia. Palliative Care Team Inaugural NSW Palliative Care Gala Award Innovations in Practice.2009. Liverpool Hospital End of Life Care Pathway Project Kumar S, Franji I, Blakeney S, Ochoa C, Andrew K, McKibbin C, Vinod SK, Koh ES, Lonergan D, Fuller M, Sidhom M, Holloway L, Tawfik C, Rennie M, Young T, Arumugam S. Determining the setup accuracy for lung cancer patients undergoing curative radiotherapy at Liverpool & Macarthur Cancer Therapy Centres, NSW. Combined Scientific Meeting. 40087. Brisbane, Australia. Moretti D and Cassapi L. Siemens Ltd Medical Solutions Radiation Therapist Prize: Most applicable / beneficial radiation oncology presentation by a Radiation Therapist - RANZCR CSM 2009. Development of radiotherapy Wiki for comprehensive document management Tran T, Vial P, and Holloway L. Prostate Hypofractionation: A modelling study considering IMRT treatment plans. EPSM. 40118. Canberra, Australia. Dall’Armi L. Batumalai V, Koh ES, Delaney, G Holloway L, Jameson M, Papadatos G, Lonergan D. Variability in clinical target volume delineation for tangential breast irradiation: Comparison between RO and RT. Combined Scientific Meeting. 40087. Brisbane, Australia. SSWAHS Nurses & Midwives Achievements Award. 2009 Vial P, Deshpande S, Goozee G, Holloway L. Dosimetric Characteristics and Potential Applications of the ImRT MatriXX Operating in Movie Mode. EPSM. 40118. Canberra, Australia. Vial P, A Ceylan, S Deshpande, and Holloway L. Beam start-up characteristics: A comparison of four Siemens and one Elekta linac.Combined Scientific Meeting. 40087. Brisbane, Australia. Vinod S, Holloway L, Prasad S, McKibbin C, Andrew K, Blakeney S, Franji I, Shafiq J, Koh ES, Fuller M. Dosimetric implications of the addition of 18FDG- Positron Emission Tomography (PET) in CT-based radiotherapy planning for NonSmall Cell Lung Cancer (NSCLC). Combined Scientific Meeting. 40087. Brisbane, Australia. Yip PY, Goldrick A, Della-Fiorentina S, and Chantrill L. Retrospective Review of adjuvant Trastuzumab use in the Western Zone of Sydney South West Area Health Service. Medical Oncology Group of Australia ASM. 2009. Sydney. South Western Sydney 73 Cancer Centre con’t HIGHER DEGREES BY RESEARCH Name Degree & Institution Thesis Title Supervisor Commencement Date Alexandra Quinn PhD, University of Wollongong Investigations into cone beam imaging dose and risk Lois Holloway, Peter Metcalfe Jan 2009 Michael Jameson PhD, University of Wollongong Investigations into the impact of variation in contouring for radiotherapy Lois Holloway, Peter Metcalfe Jan 2008 Gwi-Ae CHo PhD, University of Sydney Radiobiological modelling for radiotherapy Lois Holloway, Zdenka Kuncic, Clive Baldock August 2007 Philip Vial PhD, University of Sydney Aspects of clinical dosimetry in intensitymodulated radiation therapy Peter Greer, Lyn Oliver, Clive Baldock July 2003 Tai Tran MSc, University of Sydney The possibility of hypofractionation for prostate cancer Lois Holloway Jan 2009 Muhammad Shafiq Hons, University of Sydney Monte Carlo modelling of an electronic portal imaging device Zdenka Kuncic, Philip Vial, Lois Holloway Jan 2009 Jarrad Begg MSc, RMIT Characterisation of an Optical CT scanner Tomas Kron, Rick Franch, Lois Holloway Tania Technovnic MSc, University of Wollongong Andrew Howie MSc, RMIT Peter Greer, Peter Metcalfe Verification of Prostate Brachytherapy Lois Holloway, Lisa Duggan, Rick Franch South Western Sydney 74 Cardiology Liverpool Hospital Professor John French Research Grants Journals Articles/Refereed Journals Leung DY, Boyd A, Ng CTA, Chi C, Thomas L. Echocardiographic Evaluation of Left Atrial Size and Function: Current Understanding, Pathophysiologic Correlates and Prognostic Implications. American Heart Journal. 2008.156.1056-64. Funding Body: NHMRC Project Grant 455207 Chief Investigator/s: Melina Gattellari, John Worthington, Dominic Leung, Nick Zwar Leung DY, Ng ACT. Emerging clinical role of strain imaging in echocardiograpy. Heart, Lung Circulation. 2009...doi:10.1016/ j.hlc.2009.11.006. Project Title: DESPATCH: Delivering stroke prevention for atrial fibrillation: assisting evidence-based choice in primary care Ng ACT, Delgado V, Bertini M, Van der Meer RW, Rijzewijk LJ, Smit JWA, Diamant M, Romijn JA, de Roos A, Leung DY, Lamb HJ, Bax JJ. Fingings from left ventricular strain and strain rate imaging in asymptomatic patients with type 2 diabetes mellitus. American Journal of Cardiology. 2009. 104.10.1398-1401. Lay Description: This study examines the impact of academic detailing and support on general practitioners’ uptake on evidence based prescribing of warfarin in patients with non valvular atrial fibrillation Administering Institution: UNSW Ng CTA, Allman CJ, Vidaic J, Tie H, Hopkins AP, Leung DY. Long-Term Impact of Right Ventricular Septal Versus Apical Pacing on Left Ventricular Synchrony and Function in Patients with Second or Third Degree Heart Block . American Journal of Cardiology. 2009. 103.8.1096-1101. Funding Body: NHMRC Project Grant 458814 Chief Investigator/s: Patricia Davidson, Henry Krum, Dominic Leung, Geof Tofler, David Currow Ng CTA, Delgado V, Bertini M, Nucifora G, Shanks M, Ajmone Marsan N, Holman E, Van de Veire NRL, Leung DY, Bax JJ. Advanced application of 3-dimensional echocardiography. Minerva cardioangiologica. 2009. 57.4.415 - 441. Project Title: Oxygen heart failure study Lay Description: This study examines the effect of oxygen therapy in patients with Class III and IV heart failure in decreasing hospitalisation and improving quality of life Ng CTA, Delgado V, van der Kley F, van Bommel RJ, Shanks M, de Weger A, Tavilla G, van de Veire NRL, Bertini M, Nucifora G, Leung DY, Schuijf J, Schalij MJ, Bax JJ. Comparison of Aortic Root Dimensions and Geometries Pre- and PostTranscatheter Aortic Valve Implantation by 2- and 3-Dimensional Transesophageal Echocardiography and Multislice Computed Tomography .Circulation Imaging. 2009...Nov 17th. Epub ahead Administering Institution: Curtin University Books Chapters Leung Dominic, Marwick Thomas . Quantification of non ischaemic mitral regurgitation. Dynamic Echocardiograpy. American Society of Echocardiography. 1st. Saunders, Elsevier Inc. 2009 - 10. Chapter 14. Ng CTA, Sitges M, Pham PN, Tran DT, Delgado V, Bertini M, Nucifora G, Vidaic J, Allman CJ, Holman E, Bax JJ, Leung DY. Incremental Value Of Two-Dimensional Speckle Tracking Strain Imaging To Wall Motion Analysis For Detection Of Coronary Artery Disease In Patients Undergoing Dobutamine Stress Echocardiography. American Heart Journal. 2009. 158.5.836844. Leung Dominic, Marwick Thomas. Exercise hemodynamics in non ischaemic mitral regurgitation. Dynamic Echocardiograpy. American Society of Echocardiography. 1st. Saunders, Elsevier Inc. 2008 - 10. Chapter 16. South Western Sydney 75 75 Cardiology con’t Ng CTA, Tran DT, Allman CJ, Vidaic J, Leung DY. Prognostic Implications Of Left Ventricular Dyssynchrony Early After NonST Elevation Myocardial Infarction Without Congestive Heart Failure .European Heart Journal.2009...Epub 18th November, 2009. Leung Dominic. Expert approach to chronic total occlusions: Strategies using innovative devices Complex Catheter Therapeutics 2008. 31st January – 2nd February, 2008. Kobe, Japan. Leung Dominic. Function is more important than anatomy – Stress Echo is the best Annual scientific sessions of the Cardiac Society of Australia and New Zealand. 6th August – 9th August, 2008. Adelaide, Australia. Ng CTA, Tran DT, Newman M, Allman CJ, Vidaic J, Leung DY. Comparison of left ventricular dyssynchrony by two-dimensional speckle tracking versus tissue Doppler imaging in patients with non-ST-elevation myocardial infarction and preserved left ventricular systolic function. American Journal of Cardiology. 2008. 102.9.1146-50 Leung Dominic. Heart failure: etiological and prognostic substrates-mitral regurgitationAnnual scientific sessions of the Cardiac Society of Australia and New Zealand. 6th August – 9th August, 2008. Adelaide, Australia. Ng CTA, Tran DT, Newman M, Allman CJ, Vidaic J, Leung DY. Comparison of myocardial tissue velocities measured with tissue Doppler imaging and two-dimensional speckle tracking. American Journal of Cardiology. 2008 .102.6.784-9 Leung Dominic. How to evaluate left ventricular function European Congress of Cardiology. 29th August – 2nd September 2009. Barcelona, Spain. Leung Dominic. The Atria: Size Matters, Does Function? Can Tissue Doppler and Strain Imaging Help? Echo Singapore 2009.14th – 16th October 2009. Singapore. Ng CTA, Tran DT, Newman M, Allman CJ, Vidaic J, Lo ST, Hopkins AP, Leung DY. Left Ventricular Longitudinal And Radial Synchrony And Their Determinants in Normal Subjects. Journal of The American Society of Echocardiography. 2008. 21.9.1042-8. Leung Dominic. Ventricular dyssynchrony: Look at the ECG, don’t bother with complex echo studies Echo Singapore 2009. 14th – 16th October 2009.Singapore. Conference Presentations/Posters Ng CTA, M Bertini, JW Borleffs, V Delgado, G Nucifora, G Boriani, Leung DY, MJ Schalij, JJ Bax. Prediction of life-threatening ventricular tachyarrhythmias and death in patients with previous myocardial infarction by left ventricular longitudinal strain analysis European Congress of Cardiology. 29th August – 2nd September 2009. Barcelona Spain Leung Dominic. Assessment of Filling Pressure in heart failure with preserved ejection fraction - What’s reliable, What’s not? Echo Singapore 2009.14th – 16th October 2009. Singapore. Leung Dominic. Decision making in valvular heart disease ASEANZ meeting. 20th June – 22rd June 2008. Melbourne, Australia Ng CTA, Tran DT, Allman CJ, Vidaic J, Leung DY. Prognostic implications of left ventricular dyssynchrony early after nonST elevation myocardial infarction without congestive heart failureEuropean Congress of Cardiology. 29th August – 2nd September 2009. Barcelona Spain. Leung Dominic. Echocardiographic assessment of left ventricular function with chemotherapy European Congress of Cardiology. 31st August – 3rd September 2008. Munich, Germany Leung Dominc. Echocardiography and mitral regurgitation debate: Evaluation of MR severity is enough to time surgery Asian Pacific Conference on Doppler Echocardiography. 17th – 19th May 2009. Brisbane Queensland. Ng CTA, V Delgado, RW Van Der Meer, M Bertini, G Nucifora, Leung DY, NR Van De Veire, HJ Lamb, MJ Schalij, JJ Bax. Differential effects of type 2 diabetes mellitus with intensive glucose control on left ventricular myocardial functions European Congress of Cardiology. 29th August – 2nd September 2009. Barcelona Spain. Leung Dominic. Evaluation of recurrent chest pain debate: CT will replace echocardiographyAsian Pacific Conference on Doppler Echocardiography. 17th – 19th May 2009. Brisbane Queensland. Ng CTA; Delgado V, Rutger W, Van Der Meer, Bertini M, Nucifora G, Leung DY, Van De Veire NR, Lamb HJ, Schalij MJ, Bax JJ. Myocardial steatosis and left ventricular function in asymptomatic patients with type 2 diabetes mellitus Annual scientific sessions of the Cardiac Society of Australia and New Zealand. 13th August – 16th August. Sydney, NSW. Leung Dominc. Exercise and Non-Exercise Stress Echo: Quantitative Approaches Are Useful (Really???) Echo Singapore 2009. 14th – 16th October 2009. Singapore. South Western Sydney 76 Cardiology con’t Higher Degrees By Research Name Degree & Institution Thesis Title Supervisor Commencement Date Dr Arnold Ng PhD, UNSW Left ventricular mechanics and synchrony Dominic Leung 2006 Ms Christine Allman M Sci, UNSW Role of tissue Doppler in evaluating patients undergoing chemotherapy with Doxorubicin Dominic Leung, Michael Harvey 2006 Dr EeMay Chia PhD, UNSW Right ventricular function and dynamics Liza Thomas, Dominic Leung 2007 Ms Anita Boyd M Sci, UNSW Left atrial function in health and disease Liza Thomas, Dominic Leung 2007 South Western Sydney 77 Community Nutrition Service Community Health (Specialist Services) Sue Amanatidis Research Department Profile The HACC Community Nutrition Service (Nutrition Links) completed research on the nutritional needs of High Needs clients receiving Home Care Service in the Bankstown LGA. The aim was to identify any barriers that HACC staff encountered in dealing with nutritional issues for their High Needs clients. The barriers identified were inadequate staff training of Home Care Workers on identifying nutritional risk among clients as well as lack of awareness of the importance of nutrition in clients well being. As a result a nutrition training manual is being developed for Home Care workers. Also completed research investigating how community services currently identify and manage nutrition risks in their adult clients with an intellectual disability and to identify any gaps or barriers which could prevent them from carrying this out. Adults with an intellectual disability are a nutritionally vulnerable group and there are currently no nutrition policy’s in place in NSW for this group. The results indicate that there appears to be a gap in most community services in South West Sydney when it comes to identifying and managing their adult clients with an intellectual disability’s nutritional risks. The main barriers identified were lack of awareness, knowledge or time; client/carer cooperation or interest; and influence over clients dietary intake. Journals Articles/Refereed Journals W, Barton D, Reakes K Sue Amanatidis. Common Nutrition Problems in the Elderly Geriatric Medicine in General Practice. 2009.4. Mar-1030-31 Project Title: The Straightpoz study, Men and Women living heterosexually with HIV in NSW Lay Description: Publication of Volume 2 of research study findings Community HIV Service Community Health (Specialist Services) Conference Presentations/Posters Pene Manolas-Manager Lovell R, Manolas P. The Sanctuary: Responding to Changing Consumer Needs In a Community Setting. Australasian HIV/AIDS Conference. 2009 Brisbane, Australia Working with HIV positive clients in a communitybased setting and from a statewide service Reakes K.www.who’s out there? Coming out as a straight person. 9th International Congress on AIDS in Asia and the Pacific. 2009 Bali, Indonesia Clinical Trials Reakes K, Persson AK, Manolas P. Unity in Diversity? Working with People living heterosexually with HIV. Australasian HIV/ AIDS Conference. 2009 Brisbane, Australia Funding Body: NSW Health Chief Investigator/s: Persson A (chief investigator), Richards South Western Sydney 78 Emergency Medicine Research Unit Liverpool Hospital Associate Professor Anna Holdgate Research Department Profile During 2009, the Liverpool Hospital Emergency Medicine Research Unit participated in a multi centred international study (ARiSE) investigating management of patients presenting to Emergency Departments with Sepsis, with a number of participants recruited. The Research Unit also received approval to participate in another multi centred study (RAVEII) investigating the safety and efficacy of intravenously administered Red Back spider anti venom. This project continues on from an earlier project (RAVE) this unit participated in. There have been numerous publications of peer reviewed journal articles and chapters in edited books and presentation of papers at scientific meetings. Finally, the position of Clinical Nurse Educator for the research unit was filled Research Grants Clinical Trials Funding Body: Funding Body: National Health and Medical Research Council (NHMRC) Chief Investigator/s: Geoff Isbister Chief Investigator/s: Professor Rinaldo Bellomo Intensive Care Unit Lay Description: An investigation into the safety and efficacy of Red back spider anti venom administered Intravenously,A controlled, randomised, double blinded investigation comparing the effects of intravenously administered red back spider anti venom versus placebo Project Title: Redback Anti Venom Evaluation (RAVE ) II Austin and Repatriation Medical Centre Austin Campus, Heidelberg Victoria 3084, Australia Project Title: Australasian Resuscitation In Sepsis Evaluation (ARISE) Randomised Controlled Trial Funding Body: National Health and Medical Research Council (NHMRC Lay Description: A multi-centre, randomised controlled trial of early goal-directed therapy in patients presenting to the Emergency Department with severe sepsis in Australasia Chief Investigator/s: Professor Rinaldo Bellomo Project Title: Australasian Resuscitation In Sepsis Evaluation (ARISE) Administering Institution: The Australian & New Zealand Intensive Care Research Centre Department of Epidemiology and Preventive Medicine School of Public Health and Preventive Medicine Monash University The Alfred Commercial Road, Melbourne Victoria 3004 Australia Lay Description: A multi-centre, randomised controlled trial of early goal-directed therapy in patients presenting to the Emergency Department with severe sepsis in Australasia South Western Sydney 79 Emergency Medicine con’t 6 Books Chapters Holdgate A, Arendts G. Endocrine Emergencies. Fulde GWO4th. Chatswood. Churchill-Livingstone. 2009 392 – 404 Holdgate A. Eptic Shock. Cameron et al3rd. Edinburgh. Churchill Livingstone Elsevier. 2009 57 – 60 Journals Articles/Refereed Journals Fernando S, Georgiou A, Holdgate A, Westbrook JI. Challenges associated with electronic ordering in the emergency department: a study of doctors’ experiences. Emergency Medicine Australasia. 2009. 21.373 – 378 Holdgate A, Shepherd SA, Huckson S. Patterns of analgesia for fractured neck of femur in Australian Emergency Departments. Emergency Medicine Australasia. 2009. 22.40393 Short A, Holdgate A, Ahern N, Morris J. Enhancing research interest and collaboration in the interdisciplinary context of emergency care. Journal of Interprofessional Care. 2009. 23.156 – 68 Stone SF, Cotterell C, Isbister GK, Holdgate A, Brown SA. Elevated serum cytokines during human anaphylaxis: Identification of potential mediators of acute allergic reactions. Journal of Allergy and Clinical Immunology. 2009. 124.786 Conference Presentations/Posters Shepherd SA, Holdgate A, Huckson S. Patterns of analgesia for fractured neck of femur in Australian Emergency Departments. ACEM Winter Symposium. June 24 – 26, 2009. Darwin Lo KM, Holdgate A, Cao A. The implementation of intranasal fentanyl for children in a mixed emergency department reduces time to analgesia. ACEM Winter Symposium. June 24 – 26, 2009. Darwin Naushaduddin M, Holdgate A, Ung S. The use of popular audio in CPR (TUPAC) – does music improve compliance with recommended chest compression rates? ACEM Winter Symposium. June 24 – 26, 2009. Darwin South Western Sydney 80 Department of Gastroenterology and Hepatology Liverpool Hospital Dr Mirrien Levy Research Department Profile Many members of our department have a strong research background, including 4 who have completed a PhD prior to taking on their clinical role. In combination with vast clinical opportunity for research, provide by the setting at Liverpool Hospital, our strong research experience is beginning to bear fruit particularly in the fields of viral hepatitis and inflammatory bowel disease. We are a high volume centre for the management of Hepatitis B in pregnancy, and have successful studied and reported Mother to Child Transmission of Hepatitis B infection in Australia. This information has changed practice across the country, as antiviral therapy is used sometimes to prevent transmission. Multicentre research, led by our unit is in progress to determine safety and efficacy of anti viral therapy in this setting. Furthermore, research into the natural history of women with HBV infection, which to date has not been separately examined, but might be quite different from the progression of HBV in men, follows naturally from research into this cohort. Our Group has also successfully produced a video on HCV education, and have examined the impact of this video on patient understanding. Further studies on the impact on compliance and treatment outcomes are in progress. SWSAHS is the epicentre of the epidemic of HCC in NSW and Australia. The predominant aetiology of underlying liver disease is HBV infection. We are active participants in the planning of a 1 million dollar “B-positive” project run by the NSW cancer council aimed at early management of HBV infection, prevention of cirrhosis and early detection of cancer. A large inflammatory bowel disease cohort has been developed by Drs Connor and Ng. This cohort has been the subject of clinical reports, and now our unit’s participation in multicentre, investigator and sponsor funded research has begun Funding Body: HCEP Hepatitis C education and Health promotion Research Grants Chief Investigator/s: Louise Smith and Dr Miriam Levy Project Title: HCV Is treatment right for you? An educational video for DVD and YouTube Funding Body: PILLAR Chief Investigator/s: Dr Miriam Levy Lay Description: This video aims to provide all the information to patients that are discussed in a specialist and nursing consultation, about HCV treatment. This will allow patients to think about the issues from home, at their own pace. Project Title: Perinatal transmission of HBV infection; phenotypic and genotypic analysis of vaccine failure Lay Description: Mother to child transmission of hepatitis B infection, what determines the failure of vaccination Administering Institution: Institution HARP unit Administering Institution: Liverpool Hospital Research Groups 81 Gastroentoerology & Hepatology con’t Funding Body: Australian Chronic Hepatitis C observational Study (ACHOS) 2008) Ryan R, Levy M, Crawford Darrell.. (chapter for the HBV monograph Viral Hepatitis B, a guide for primary care providers 2008) 2008... Chief Investigator/s: Tin Nguyen1,2, Alexander JV. Thompson1,2, Scott Bowden1, Catherine Croagh2, Sally Bell2, Paul V, Desmond2, Miriam Levy3, Stephen A. Locarnini 1. Hepatitis B Surface Antigen Levels during the Natural History of Chronic Hepatitis B. Journal of Hepatology 2009... Project Title: Multicentre, industry sponsored, independent steering committee we are one of the participating sites for this research incentive Lay Description: Administering Institution: Journals Articles/Refereed Journals Scott D, Levy MT. Liver Transient Elastography (Fibroscan) – A place in the management algorithms of chronic viral hepatitis. Antiviral Therapy 2009.15.1.11 Coupland H1, Day C2, Levy M3, Maher, L1. Promoting equitable access to hepatitis C treatment for Indo- Chinese injecting drug users. Health Promotion Journal of Australia; 2009. 20.3. E1, Fraser M1, Holden S1, Glass A1, Kidson B1, Heron L1, Maley M3, Ayres A2, Locarnini S2, Levy MT1. Perinatal transmission of Hepatitis B virus: An Australian experience Wiseman. Medical Journal of Australia 2009. 190.9.489-492 JH Koo, RWL Leong. Sex differences in the epidemiology, clinical and pathological characteristics of colorectal cancer. J Gastroenterol Hepatol 2010. 25.1.33-42 Levy M, Wiseman, E. Perinatal transmission of hepatitis B virus: an Australian experience. Medical Journal Of Australia 2009. Melanie Kansil,1 Monica C Robotin,1,2 Kirsten Howard,2 Jacob George,2,3 Steven Tipper,1 Gregory J Dore,4 Miriam Levy,5 Andrew G Penman. Antiviral therapy for hepatitis B-related liver cancer prevention: a cost-effective strategy compared to early detection. Journal of Hepatology 2009. 50..990-998 Ryan R, Levy M, Crawford Darrell. Treatment modalities and the management of patients on Therapy (chapter for the HBV monograph Viral Hepatitis B, a guide for primary care providers South Western Sydney 82 Health Promotion Service Area-Population Health Chris Rissel Research Grants Funding Body: National Smoke-free Pregnancy Project (NSFPP) Chief Investigator/s: Natasha Poder Project Title: Implementation of a tobacco cessation intervention for pregnant women and their partners in two maternity hospitals in SSWAHS Lay Description: The project aim is to implement an innovative and sustainable tobacco cessation intervention for pregnant women and their partners in Liverpool and Campbelltown hospitals Approximately 200 smokers attending routine antenatal clinics at during 2008/09 will be offered inclusion in the project. Smoking status will be determined and women will be offered assistance to quit smoking. Women aged 16 years or over who smoke at least 10 cigarettes per day will be offered free NRT in addition to cessation counselling. Eligibility for NRT use (intermittent products e.g. gum, lozenge) will be assessed by the midwife in consultation with the medical officer. If the partner of the pregnant woman is identified as a smoker, the Project Officer will contact the partner to conduct an assessment of smoking status and discuss options for NRT pick up. Administering Institution: The Cancer Council South Australia (TCCSA) South Western Sydney 83 Immunology and Allergy Professor CH Katelaris Research Department Profile The Immunology/Allergy Unit at Campbelltown Hospital has undertaken some exciting research directions encompassing the broad interests of the clinical team. Our interest in drug allergic reactions has resulted in an expansion of our projects this year including continuing investigation of patients presenting with peri-operative anaphylaxis and patients presenting with a history of sulfonamide allergy. We have continued our ongoing monitoring of adverse drug reactions within Campbelltown Hospital. Collaborative research projects are an integral part of our strategic plan. We have collaborations with infectious diseases physicians at Westmead Hospital and a general practitioner with an interest in allergy on the north coast of NSW. Our ongoing dust mite allergy study is a collaborative effort between ourselves and researchers in Colombia, South America. Our long standing interest in aerobiology has been furthered by completing a full twelve months monitoring of fungal spores in the atmosphere in the south western region. This data was be presented for the first time as an abstract at the Australasian Society of Clinical Immunology and Allergy meeting in 2009. We now have two years of data this will be presented as an abstract at the 9th International congress on Aerobiology in Argentina Aug 2010 • Quantiferon-TB gold assay for the detection and monitoring effects of treatment of, latent tuberculosis infection • Does a history of sulfonamide allergy preclude the use of Acetazolamide (Diamox) in cataract surgery? • Is Autumn Hayfever in the Macleay valley due to Ragweed Sensitization? Research projects • Prevalence of IgE antibodies to pholcodine, morphine and suxamethonium in atopic persons and patients with peri-operative anaphylaxis; correlation with cough suppressant consumption and reported anaphylaxis to neuromuscular blocking agents • Monitoring Adverse Drug Reactions in Campbelltown Hospital • The evaluation of cross-reactivity between Ascaris and mite allergens Ongoing Monitoring and analysis of pollen and fungal spore levels in the South Sydney Western Region South Western Sydney 84 Immunology & Allergy con’t Clinical Trials Conference Presentations/Posters Burton Pamela 1, Katelaris Constance H 1,2 Burton Pamela 1, Katelaris Constance H 1,2 Funding Body: CSL Shire/Nov atech Chief Investigator/s: Professor CH Katelaris Project Title: A multi-centre, open-label study to assess the efficacy, tolerability, safety and pharmacokinetics of subcutaneous infusions of Ig NextGen 16% in patients with Primary Immunodeficiency (PID) CSLCT-SCIG-05-23 An Open-label study of Ig NextGen 16% administered by subcutaneous infusions inpatient with Primary Immunodeficiency CSLCT-SCIG 07-42 • University of Western Sydney, Macarthur, NSW, Australia • SSWAHS, Campbelltown Hospital, Campbelltown, NSW, Australia A ONE YEAR SURVEY OF FUNGAL SPORE LEVELS IN SOUTH WESTERN SYDNEY REGION (2009). ASCIA Australasian Society of Clinical Immunology and Allergy. Sept 2009. Adelaide. A Phase III Randomized, Double-Blind, Placebo-Controlled, Multicentre Study of Icatibant for Subcutaneous Injection in Patients with Acute Attacks of Hereditary Angioedema (HAE) HGT-FIR-054) Lay Description: Patients with primary Immunodeficiency usually require monthly infusions of a product called Intragam P to prevent recurrent serious bacterial chest infections. The trial is for the administration of the same product in a more concentrated form given subcutaneously at home by the patient Ongoing study as above to ensure patients can continue to receive the study drug until registration with the TGA Patients with Hereditary Angioedema require infusions of C1INH esterase when they have an exacerbation of the disease. The study drug is a new subcutaneous product called ICATIBANT The study drug has many benefits one of which is when it becomes registered in Australia it will offer an alternative treatment that is easier to administer South Western Sydney 85 Infant, Child & Adolescent Mental Health Service Research Unit Area Mental Health Professor V Eapen Research Department Profile Research partner for the FaHCSIA funded KU Marcia Burgess Autism Specific Early Learning and Care Centre (ASELCC), one of the six centres in the country (one in each state), based at Liverpool, Sydney, and established by KU Children’s Service through a partnership with Sydney South West Area Health Service, the University of NSW and The Benevolent Society. Research Grants Journals Articles/Refereed Journals Al-Awadhi M, Al-Marzouqi O, Al-Bannai O, Al-Bloushi H, Abdul Raheim S, Nuwayhid I, Frampton C, Eapen V Knowledge. Attitude and Measures taken by Construction workers toward prevention of Heat related Illness in Al Ain, UAE. Eastern Mediterranean Health Journal. Accepted April 2008)..... Funding Body: Rotary grant Chief Investigator/s: Eapen V., Ward P., Hazell P, Faure-Brac G., Barton G Project Title: Evaluation of a health promotion and Lifestyle Intervention program for adolescents on antipsychotic medication Crncec R, Cooper E, Matthey S. Treating infant sleep disturbance: Does maternal mood impact upon effectiveness? Journal of Paediatrics and Child Health. 2009. 46.40210.2934 Lay Description: Administering Institution: UNSW Eapen V, Crncec R. Tourette syndrome in children and adolescents: special considerations. Journal of Psychosomatic Research. 2009. 67.6.525-532. Funding Body: ARC Discovery Project Grant.: Chief Investigator/s: Harris E, McMahon C, Vimpani G, Matthey S, Dockett S, Perry R, Kemp L, Anderson T, Schmied V. Eapen V, Mabrouk A, Yousef S. Metabolic Syndrome among the young obese in the United Arab Emirates. Journal of Tropical Pediatrics. 2009. 55.46-48. Project Title: Early childhood sustained home visiting: outcomes at 4 years and the transition to school Eapen V, Jairam R. Integration of Child Mental Health Services to Primary Care: Challenges and Opportunities.Mental Health in Family Medicine.2009.6.43-48. Lay Description: Administering Institution: UNSW Eapen V, Mabrouk AA, Zoubeidi T, Sabri S, Yousef S, Al-Ketbi J, Al-Kyomi T, Jakka ME. Epidemiological study of Attention Deficit Hyperactivity Disorder among school children in the United Arab Emirates.Journal of Medical Sciences.2009.2.119-127. South Western Sydney 86 86 Mental Health con’t Tourette Syndrome 20th Anniversary celebrations. 39942.Sydney Farah LG, Fayyad JA, Eapen V, Cassir Y, Salamoun M.M, Tabet CC, Mneimneh ZN, Karam EG. Attention Deficit Hyperactivity Disorder (ADHD) in the Arab World: A Review of Epidemiologic Studies. Journal of Attention Disorders. 2009. 13.3.211-222. Eapen V. Neurobiology of Autism.Neuropsychiatry seminars. 2829 July, 2009. Brisbane Matthey S, Crncec R, Galletta A. The Stability of Infant Social Behaviour When Screened Using the m-ADBB. Australian Association for Infant Mental Health Inc. and The Australasian Marcé Society. 40087. Melbourne. Ghubash R, Eapen V. Postpartum mental illness: perspectives from an Arabian Gulf Population. Psychological Reports. 2009. 105.127-136. Mabrouk AA, Eapen V. Challenges in the Identification and Treatment of PANDAS: A Case Series. Journal of Tropical Paediatrics. 2009. 55.1.46-48. Matthey S, Lee C, Trapolini T, Crncec R. Scoring The Edinburgh Depression Scale – How Often Do We Make Mistakes? Australian Association for Infant Mental Health Inc. 40087. Melbourne Matthey, S. Commentary on ‘Telephone based peer support can reduce postnatal depression in women at high risk’ (CL Dennis, 2009). Evidence Based Mental Health. 2009.12..82. Reay R, Matthey S, & Ellwood D. 2 years on: postnatal distress in the first 2 years: Impact of treatment, and women’s causal reasons. Australian Association for Infant Mental Health Inc. and The Australasian Marcé Society. 40087. Melbourne. Matthey, S. Women’s perceptions of the causes of their postnatal distress: development of the Reasons for Postnatal Distress Checklist. Depression and Anxiety. 2009. 26.938-948. Phillips J, Charles M, Sharpe L, & Matthey S. Validation of the subscales of the Edinburgh Postnatal Depression Scale in a sample of women with unsettled infants. Journal of Affective Disorders. 2009. 118.101-112. Phillips J, Sharpe L, Matthey S, & Charles M. Maternally focused worry. Archives of Women’s Mental Health. 2009. 12.409-418. Robertson M, Eapen V, Cavanna A.E. International prevalence, epidemiology and clinical phenomenology of Tourette Syndrome; a cross cultural perspective. Journal of psychosomatic Research. 2009. 67.475-83 Conference Presentations/Posters Eapen V. ADHD: An Overview. ADHD workshop. 13 January, 2009. Arabian Gulf University, Bahrain. Crncec R, Cooper E, Matthey S. Treating unsettled infant sleep – do maternal mood difficulties impact upon effectiveness? Australian Association for Infant Mental Health Inc. and The Australasian Marcé Society. 40087. Melbourne. Eapen V. Autism: What do we know, Where do we go? Australasian Autism Research Collaborative meeting. 6-7 April, 2009. Melbourne Eapen V. Clinical Characteristics, Aetiology and Medical perspectives of Tourette Syndrome. Tourette Syndrome Conference. 40110. Launceston Eapen V. Don’t Fret, Be Supportive: Transactional nature of mother infant interactions. 6th WPA International Mental Health and Cultural Psychiatry. 16-18 October, 2009. Gold Coast. Eapen V. Management of co-morbidities in Tourette Syndrome. South Western Sydney 87 Mental Health con’t Higher Degrees By Research Name Degree & Institution Thesis Title Supervisor Commencement Date Noni Jervis Master of Clinical Psychology. UWS. Examination of the optimal clinical cut-off score of the modified Alarm Distress Baby Scale Matthey S, Crncec R 01/03/2009 Dr Alex Apler Separation Anxiety Disorder in pregnancy Eapen V, Rees S June 2009 Jane Phillips PhD. University of Sydney Perinatal depression S. Matthey & L. Sharpe Clodagh Ross-Hamid Master of Clinical Psychology. UWS. Transient vs Endurng distress in pregnancy. S. Matthey & J. Malcolm Monda Joseph Master of Educational & Developmental Psychology. UWS Empathy development in new parents. S. Matthey & A. Hines South Western Sydney 88 Intensive Care Unit Liverpool Hospital Dr Michael Parr Research Department Profile Key achievements for 2009 include the publishing of two large ANZICS-CTG Trial Results: NICE-SUGAR Study and RENAL Study. The primary aim of the NICE-SUGAR study was to compare the effects of the two blood glucose targets on 90 day all-cause mortality in ICU patients. Study results demonstrated intensive glucose control (glucose target of 4.5-6.0mmol/L) increased mortality among adults in the ICU. These results likely changed glucose control practice in ICU’s worldwide. The RENAL Study sought to determine if increasing the dose of continuous renal replacement therapy (CRRT) reduces all cause, 90-day mortality in ICU patients with severe acute renal failure (ARF). RENAL was the largest multi-centre RCT of intensity of CRRT in ICU patients with ARF. The study showed no significant difference between the 2 doses. In adult ICU patients with ARF, treatment with higher intensity continuous renal replacement therapy does not improve survival. The trial also showed that by not adopting higher dose therapy, there are reduced costs relating to treatment. With the emergence of human swine influenza (H1N1 09), the ANZICS-CTG along with other ICUbased groups established a ‘real time’ registry of patients admitted to Australian ICU’s with influenza A, including H1N1 09. This enabled the tracking and documenting of the evolution of the H1N109 pandemic through Australia’s health care system and established key factors influencing mortality, the need for hospitalisation and mechanical ventilation. This data was essential in determining the effects of H1N1 09 on the Australian ICU system and also provided relevant information to countries in the Northern Hemisphere heading into their winter Research Grants Funding Body: NSW Health Capacity Building Infrastructure Grant Funding Body: NH & MRC – 210397 Chief Investigator/s: Prof J Braithwaite, Prof E Coiera, Prof K Hillman Chief Investigator/s: Dr. Meera Agar; Prof Ken Hillman; Dr. Louise Elliott Project Title: CBIG Infrastructure Project Title: Prospective study of medical emergency team calls to define issues of end-of-life decision making, symptoms and transition in goals of care Lay Description: To enhance the capacity of research centres Administering Institution: UNSW Lay Description: The study of hospital emergency teams aand how they interact with patient care adcare at the end-oflife. Clinical Trials Funding Body: NHMRC Chief Investigator/s: A/Prof Anna Holdgate and Dr Michael Parr Administering Institution: UNSW South Western Sydney 89 Intensive Care con’t Project Title: Australian Resuscitation in Sepsis Evaluation (ARISE) Unit Research Fund Lay Description: Collaborative project with Liverpool Emergency Department. The primary aim of this study is to determine if providing early goal-directed therapy (EGDT), compared to standard care, reduces all-cause 90-day mortality in patients presenting to the Emergency Department with severe sepsis. Project Title: Discharge and Readmission Evaluation (DARE) study Chief Investigator/s: Dr Michael Parr Lay Description: The DARE Study is an observational study which aims to identify the patient and system factors that increase preventable morbidity and mortality in patients who are discharged from ICU in Australia and New Zealand. Funding Body: N/A Funding Body: N/A Chief Investigator/s: Dr Michael Parr Chief Investigator/s: Dr Michael Parr Project Title: Central Line Associated Bacteraemia in Intensive Care (CLAB-ICU) Project Title: influenza Pandemic ICU Triage (iPIT) Study Lay Description: The Clinical Excellence Commission (CEC), Intensive Care Coordination and Monitoring Unit (ICCMU) and NSW Department of Health (Quality and Safety branch) implemented the CLAB-ICU project aiming to improve patient outcomes by reducing Central Line Associated Bacteraemia in all Intensive Care Units in NSW. Lay Description: To determine the number of patients that would qualify for ICU admission or discharge (in a prepandemic setting) using the NSW Health Guidelines for the Provision of Critical Care in Response to Influenza Pandemic triage protocol and the Ontario Health Plan for an Influenza Pandemic (OHPIP) triage protocol. Funding Body: NHMRC Funding Body: N/A Chief Investigator/s: Dr Michael Parr Chief Investigator/s: Dr Michael Parr, Dr Markus Skrifvars and Ms Sharon Micallef Project Title: Impact and risk factors associated with INFuenza H1N1 IN AustalIan HospiTal system, Epidemic 2009 (INFINITE 2009) Project Title: Barriers to Documenting Not-ForCardioPulmonary Resuscitation (NFCPR) Orders Lay Description: To evaluate if clinician practices documenting not-for-cardiopulmonary resuscitation orders have changed at Liverpool Hospital since our last audit in 1998 and to describe current barriers to clinicians documenting not-for- cardiopulmonary resuscitation orders for their patients. Lay Description: To establish a ‘real time’ registry of patients admitted to Australian Intensive Care Units (ICU) with influenza A, including H1N1 09. This will track and document the evolution of the H1N1 influenza 09 (H1N109) pandemic through Australia’s health care system and establish the key factors influencing mortality, as well as the need for hospitalisation and mechanical ventilation. Funding Body: Intensive Care Foundation Funding Body: Intensive Care Foundation Chief Investigator/s: Ms Sharon Micallef Chief Investigator/s: Dr Michael Parr Project Title: Time And Money Evaluation (TAME) Study Project Title: ANZICS-CTG Point Prevalence Program Lay Description: The primary aim of the TAME study is to compare, across sites with central (NZ and NSW) versus local (other Australian states) research approval systems, the overall time taken from initial protocol submission to final site approval for the scientific/ethics and governance review process of selected studies related to intensive care medicine. Lay Description: A coordinated systematic program of Point Prevalence studies to facilitate intensive care research in Australia and New Zealand, by providing the infrastructure and mechanisms to perform multiple observational point prevalence studies on a specified day. 2 point prevalence days took place in 2009: 6th May and 18th November. Funding Body: Department of epidemiology and preventative medicine, Monash University Funding Body: ANZ College Anaesthetists, Intensive Care Foundation, St Vincent’s Hospital, Melbourne – Intensive Care Chief Investigator/s: Dr Michael Parr South Western Sydney 90 Intensive Care con’t Project Title: Haemostasis Registry ANZCIS Clinical Trials Group. Baseline hospital performance and the impact of medical emergency teams: Modelling vs conventional subgroup analysis. Trials 2009. 10..117. Lay Description: A register of patients treated with rFVIIa was established at the department of Epidemiology and Preventative Medicine, Monash University, to gain information on the safety, efficacy, appropriateness of use and dosages of recombinant factor VII (rFVIIa, Novoseven Chen J, Hillman K, Bellomo R, Flabouris A, Finfer S & the MERIT Study Investigators for the Simpson Centre & the ANZCIS Clinical Trials Group. The impact of introducing medical emergency team system on the documentations of vital signs. Resuscitation 2009. 80..35-43 Books Dutton R, Hauser C, Boffard K, Dimsitts J, Bernard G, Holcomb J, Leppäniemi A, Tortella B, Bouillon B, and CONTROL Steering Committee. Scientific and logistical challenges in designing the CONTROL trial: recombinant factor VIIa in severe trauma patients with refractory bleeding. Clin Trials 2009. 6.467-479 Ken Hillman. Vital Signs.Stories from Intensive care1stSydney. UNSW Press.2009.978 1 74223 095 5 Books Chapters Hillman K, Chen J, Braithwaite J, Coeira E. Moving from safe ICUs to safe systems of care.Patient Safety and Quality of Care in Intensive Care Medicine. Chich J-D, Moreno R, Putensen C, Rhodes A.Vienna. Medizinisch Wissenschaftlich Verlagsgessellschaft on behalf of the European Society of Intensive Care Medicine. 2009. 57-63. Evan Alexandrou, Timothy R Spencer, Steve A Frost, Michael JA Parr, Patricia M Davidson and Kenneth M Hillman. A review of the nursing role in central venous cannulation: implications for practice policy and research. Journal of Clinical Nursing 2009. Sept 4.e-Publication. Frost S, Alexandrou E, Bogdanovski T, Salamonson Y, Davidson P, Parr M Hillman K. Severity of Illness and Risk of Readmission to Intensive Care: A Meta-analysis. Resuscitation 2009. 80.505-510. Hillman K, Chen J. Managing conflict at the end-of-life. 2009 Yearbook of Intensive care and Emergency Medicine. Vincent J-L. Berlin. Springer-Verlag. 2009. 969-978. Hillman K. Models of clinical emergency response systems. DETECT (Detecting Deterioration, Evaluation, Treatment, Escalation and Communicating in Teams) Manual.Jacques T, Fisher M, Hillman K, Fraser K.1stSydney. Clinical Excellence Commission & NSW Health. 2009.106-111. Frost SA, Alexandrou E, Bogdanoski T, Salamonson Y, Parr MJ, Hillman KM. Emergency Hospitalisation and Unplanned Admission to Intensive Care: Risk Factors and Development of a Nomogram for Individualising Risk. Resuscitation 2009. 80.224-230. Hillman K. Safety patient transfer: intrahospital transfer.DETECT (Detecting Deterioration, Evaluation, Treatment, Escalation and Communicating in Teams) Manual. Jacques T, Fisher M, Hillman K, Fraser K. 1st Sydney. Clinical Excellence Commission & NSW Health. 2009.112-116. Hillman K, Chen J, May E. Complex intensive care unit interventions. Critical Care Medicine 2009. 37.1Suppl).S102S106 Ou L, Young L, Chen J, Santiano N, Baramy LS, Hillman K. Discharge delay in acute care: Reasons and determinants of delay in general ward patients. Australian Health Review 2009. 33.3.512-521. Journals Articles/Refereed Journals Cheatham ML, De Waele JJ0, De Laet I, De Keulenaer B, Widder S, Kirkpatrick AW, Cresswell AB, Malbrain M, Bodnar Z, Mejia-Mantilla JH, Reis R, Parr M, Schulze R, Puig S, for the World Society of the Abdominal Compartment Syndrome (WSACS) Clinical Trials W. The impact of body position on intraabdominal pressure measurement. A multicenter analysis Crit Care Med 2009. 37.. 2187-2190. Peake SL, Bailey M, Bellomo R, Cameron PA, Cross A, Delaney A, Finfer S, Higgins A, Jones DA, Myburgh JA, Syres GA, Webb SAR, Williams P, the ARISE Investigators, for the Australian and New Zealand Intensive Care Society Clinical Trials Group. Australasian resuscitation of sepsis evaluation (ARISE): A multicentre, prospective, inception cohort study. Resuscitation 2009. 80.811-818 Chen J, Bellomo R, Flabouris A, Hillman K, Finfer S & the MERIT Study Investigators for the Simpson Centre & the ANZCIS Clinical Trials Group. The relationship between early emergency team calls and serious adverse events. Critical care Medicine 2009. 37.1.148-153. Santiano N, Young L, Baramy L-S, McDonnell S, Page K, Cabrera R, Chapman A. How do CNCs construct their after hours support role in a major metropolitan hospital Collegian. Journal of the Royal College of Nursing Australia 2009.16.2.85-97. Santiano N, Young L, Hillman K, Parr M, Jayasinghe S, Baramy L, Stevenson J, Chan C, Claire M, Hanger G. Analysis of medical Chen J, Flabouris A, Bellomo R, Hillman K, Finfer S & the MERIT Study Investigators for the Simpson Centre & the South Western Sydney 91 Intensive Care con’t emergency team calls comparing subjective to “objective” call criteria. Resuscitation 2009. 80.44-49 patients should never go to CT.SWAN XVII meeting. Jul-09. Sydney, Australia The ANZICS Influenza Investigators. Critical Care Services and 2009 H1N1 Influenza in Australia and New Zealand. N Engl J Med 2009. 361.1-Oct Dr Michael Parr. Treatment guidelines for rFVIIa to control bleeding: what should clinicians consider? RFVIIa: What is the evidence for control of major bleeding? 5th Asian Conference on Emergency Medicine. May-09. Busan, Korea The Australia and New Zealand Extracorporeal Membrane Oxygenation Influenza Investigators. Extra-corporeal Membrane Oxygenation for Novel Influenza A (H1N1) Acute Respiratory Distress Syndrome. JAMA 2009. 302.17.18881895 Hauser C, Boffard K, Dutton R, Bernard G, Croce M, Holcomb J, Leppaniemi A, Parr M, Vincent JL, Tortella B, Dimsits J, Bouillon B, for the CONTROL Study. Efficacy and safety of recombinant activated factor VII in the management of refractory haemorrhage due to trauma.International Symposium on Thrombosis and Haemostasis. July 2009.Boston, USA The NICE-SUGAR Study Investigators. Intensive versus Conventional Glucose Control in Critically Ill Patients. N Engl J Med 2009. 360.283-1297 Hillman K. Can I still justify my MET teams? 29th International Symposium on Intensive care and Emergency Medicine. 2427th March 2009. Brussels, Belgium The RENAL Replacement Therapy Study Investigators. Intensity of Continuous Renal-Replacement Therapy in Critically Ill Patients. NEJM 2009. 361.1627-1638 Hillman K. Can we learn from each other? 29th International Symposium on Intensive care and Emergency Medicine. 2427th March 2009. Brussels, Belgium Vincent JL, Rello J, Marshall J, Silva E, Anzueto A, Martin CD, Moreno R, Lipman J, Gomersall C, Sakr Y, Reinhart K, for the EPIC II Group of Investigators. International Study of the Prevalence and Outcomes of Infection in Intensive Care Units. JAMA 2009. 302.2323-2329 Hillman K. CPR – have we really made progress. 29th International Symposium on Intensive care and Emergency Medicine. 24-27th March 2009. Brussels, Belgium Dr Michael Parr. Cutting edge advances in trauma care. 7th Spark of Life Conference. May-09. Hobart, Australia Hillman K. Death and dying in critical care. 18th Annual Symposium of the Sydney Institute of Palliative Medicine in association with the NSW Society of Palliative Medicine. 1st3rd April 2009. Sydney Dr Michael Parr. Fibrinolysis during CPR.International Liaison Committee on Resuscitation (ILCOR). 15-17th March 2009. Osaka, Japan Hillman K. Does the MET system save lives. 5th International Conference on Rapid Response Systems and Medical Emergency Teams. 18-19th May 2009. Copenhagen, Denmark Dr Michael Parr. Guidelines for managing major haemorrhage. Asian Haemostasis Update 2009. Apr-09. Kuala Lumpur, Malaysia Hillman K. Effects of the MERIT Study in Australia. 22nd Annual Congress, European Society of Intensive Care Society – Patient Safety and Quality of care in Intensive Care medicine. 11-14th October 2009. Vienna, Austria Conference Presentations/Posters Dr Michael Parr. Lessons from the CONTROL trial.Haemostasis Registry Investigators Meeting. May-09. Melbourne, Australia Hillman K. End of life issues – managing it outside the ICU. 29th International Symposium on Intensive care and Emergency Medicine. 24-27th March 2009. Brussels, Belgium Dr Michael Parr. Ongoing bleeding in the surgical ICU: what works?International Surgical Week. 9th Sept 2009. Adelaide Hillman K. End of life practices around the world. 29th International Symposium on Intensive care and Emergency Medicine. 24-27th March 2009. Brussels, Belgium Dr Michael Parr. Procoagulant drugs in traumatic bleeding. Combined Australasian Trauma Society and Trauma Association of Canada annual scientific meeting. 5-7th March 2009. Auckland, New Zealand Hillman K. MET – where are we heading? 5th International Conference on Rapid Response Systems and Medical Emergency Teams. 18-19th May 2009. Copenhagen, Denmark Dr Michael Parr. RFVIIa: an update, Problem based learning: Major pelvic trauma, Mechanisms of coagulopathy associated with trauma. CTLS Instructor Course and ITACCS India Kolkata. Aug-09. Kolkata, India Hillman K. Physical examination. 29th International Symposium on Intensive care and Emergency Medicine. 2427th March 2009. Brussels, Belgium Dr Michael Parr. Surgery, ICU, ED and OT- pillars of excellence or silos. ICU innovations for trauma patients. Debate: unstable Hillman K. Rapid response systems – where are we. Recognising and Responding to Clinical Deterioration: Solutions for Safe South Western Sydney 92 Intensive Care con’t Awards Care. Change Champions.10th November 2009. Sydney Hillman K. RRSs their rationale and does one size fit all. 5th International Conference on Rapid Response Systems and Medical Emergency Teams.18-19th May 2009. Copenhagen, Denmark Mr. Rafic Hussein - The 2009 2/5 Australian General Hospital Association Prize in Health Services Management (Nursing) for general proficiency throughout the Master of Health Management, Master of Health Administration or Master of Health Services management program by a trained nurse registered in Australia (UNSW) Hillman K. Should we be delivering intensive care outside of our units (pro speaker). 22nd Annual Congress, European Society of Intensive Care Society – Patient Safety and Quality of care in Intensive Care medicine.11-14th October 2009. Vienna, Austria Hillman K. Subjective vs objective all criteria for MET systems. 5th International Conference on Rapid Response Systems and Medical Emergency Teams.18-19th May 2009. Copenhagen, Denmark Higher Degrees By Research Name Degree & Institution Thesis Title Supervisor Commencement Date Evan Alexandrou PhD, Curtin University of Technology Nurse-led central venous catheter insertion service Professor Ken Hillman & Professor Patricia Davidson March 2008 Dr Frank Formby PhD, University of New South Wales Investigation of a novel method of evaluating palliative care services Professor Jeffrey Braithwaite and Professor Ken Hillman 2009 South Western Sydney 93 Karitane Ms Jane Phillips Research Department Profile Major research highlights and achievements for 2009: • Three publications in peer reviewed journals • Six presentations at National and International conferences • Commencement of an ARC-Linkage funded study in collaboration with the University of Sydney to examine relationships between HPA-axis function, parenting practices, family environment and features of disruptive behaviour problems in toddlers. Commencement of an ARC-Linkage funded study in collaboration with the University of Western Sydney and Sydney South West Area Health Service to examine the process and impact of perinatal psychosocial assessment Research Grants Funding Body: Australian Research Council (ARC) Chief Investigator/s: V. Schmied L. Kemp T Covic B Barnett R Mills D Nemeth M Hughes Funding Body: Australian Research Council (ARC) Project Title: The Perinatal Journey; the process and impact of psychosocial assessment Chief Investigator/s: D. Hawes, B Barnett Project Title: The HPA-Axis as a marker for disruptive behaviour disorder subtypes in 2-4 year-old boys referred to a Parent-Child Interaction Clinic Lay Description: Social, emotional and mental health problems in women during pregnancy and after birth are a major public health issue associated with poor child outcomes. In response, Australian governments are recommending all pregnant women and new mothers be assessed for psychosocial risk factors such as mental health problems and domestic violence. Limited research has investigated the approach taken by midwives and nurses when conducting psychosocial risk assessment. This study will examine the process and impact of psychosocial assessment. It will capture for the first time the dynamics of the interaction and approach needed to engage women, particularly those distressed, in clinical and early intervention services. Lay Description: Conducted in collaboration with the University of Sydney (ARC linkage grant), the aim of this project is to examine characteristics of the hypothalamicpituitary-adrenal (HPA) axis, a brain region which has been implicated in the development of behavioural problems, and can be assessed by salivary measures of the hormone cortisol. The research will identify important links between HPAaxis function, parenting practices and family environment, and features of disruptive behaviour problems in toddlers. Participants in this research will be recruited primarily from the Karitane Toddler Clinic. Administering Institution: The University of Western Sydney Administering Institution: The University of Sydney South Western Sydney 94 Karitane con’t Journals Articles/Refereed Journals De-Belin A & Thompson L. Stay and play: A pilot strategy to strengthen healthy parent infant relationships. Marce/AAIMHI conference Oct-09 Melbourne. Phillips J, Charles M, Sharpe L & Matthey S. Validation of the subscales of the Edinburgh Postnatal Depression Scale in a sample of women with unsettled infants. Journal of Affective Disorders 2009 118101-112. Hughes M. Promoting Equity: Supporting Child & Family Health Nurses in rural and remote locations. Australian Association of Maternal, Child & Family Health Nurses 3rd biennial conference April 2009. Adelaide. Crncec R, Matthey S & Nemeth D. Infant sleep problems and emotional health: A review of two behavioural approaches. The Journal of Reproductive and Infant PsychologyIn press. Nemeth D & Mills R. Karitane – Australia. Guangzhou Maternal & Child Health Conference. Jul-09 Guangzhou, China Phillips J, Sharpe L, Matthey S & Charles M. Maternally focused worry. Archives of Women’s Mental Health 2009 2409-418. Phillips J & Morgan, S. Evaluation of an Australian Toddler Clinic. 9th Annual PCIT Conference Sep-09 Michigan, USA Phillips J, Willcocks K & Nemeth D. Adolescent mothers in custody – linking to a new future for families. Australasian Corrections Education Association (ACEA) conference Aug-09 Perth. Conference Presentations/Posters Barnett, B. Inaugural Australasian Marce Lecture: Women, anxiety and depression. Marce/AAIMHI conference Oct-09 Melbourne. Higher Degrees By Research Name Degree & Institution Thesis Title Supervisor Commencement Date Jane Phillips PhD, The University of Sydney Subtypes of Mood Disturbance in the Postnatal Period A/Professor L. Sharpe, Dr S. Matthey, Dr M. Charles 2005 South Western Sydney 95 Multicultural Health Service Community Health Specialist Service Angela Manson – Director Multicultural Health Service Clinical Trials Funding Body: Chief Investigator/s: Su Kyung K, Manson A Project Title: Identifying the health needs of the Korean community Lay Description: Interviewing of key informants including bilingual general practitioners and healthcare workers. Interviews completed in 2009. Report currently being prepared. Higher Degrees by Research Name Degree & Institution Thesis Title Supervisor Su Kyung Kim Doctor of Social Work University of Sydney Cultural Context and Child Protection: A comparative study of South Korea and NSW Dr Lesley Laing Dr Ruth Phillips Commencement Date July 2007 South Western Sydney 96 96 Neurology Liverpool Hospital Neuroimmunology, Stroke and Immune Tolerance Laboratories Dr Suzanne Hodgkinson/ Professor Bruce Hall Research Department Profile The Neurology department located at Liverpool Hospital has a strong interest in stroke, complex neurological conditions and demyelinating diseases such as Multiple Sclerosis. The department has an active clinical research interest in stroke and the management of TIA. Dr Hodgkinson is the principal investigator for several local and international Multiple Sclerosis clinical trials. In several of the projects being run highly specialised innovative medications have been accessed prior to PBS listing which is proving to be of great benefit to subjects who have chosen to participate The research laboratory is based at Eveleigh the Australian Technology Park, the co chief investigators Dr Suzanne Hodgkinson and Professor Bruce Hall. The work is focused upon the following areas. 1. Study of induction of antigen specific T regulatory cells in transplantation. 2. Study of induction of antigen specific T regulatory cells in autoimmunity. 3. Study of cytokines involved in tolerance. 4. Study of the role of Complement in Immune mediate Disease Clinical Trials and is part of the clinical program to obtain registration of fingolimod for use worldwide. If the subject from the core phase agrees to participate in this study, subject will be assigned to one of two treatment groups. If subject were assigned to receive 0.5 mg fingolimod per day during the Core Phase of the study then they will remain on this dose in the Extension Phase. If subject were assigned to receive 1.25 mg fingolimod per day during the Core Phase of the study then they will remain on this dose in the Extension Phase. If subject were assigned to receive interferon-beta-1a (Avonex®) during the Core Phase of the study then they will be randomly assigned to either 0.5 mg fingolimod or 1.25 mg fingolimod in the Extension Phase. Patients who satisfy the inclusion and exclusion criteria will be randomized in a 1:1:1 ratio to one of 3 treatment arms. Patients who complete the 12-month treatment and have not prematurely discontinued study drug, may enter an Extension Phase Funding Body: Novartis Pty Ltd Chief Investigator/s: Dr Suzanne Hodgkinson Project Title: A 12 month double blind randomized multicentre active controlled parallel group study comparing the efficacy and safety of 0.5mg and 1.25mg fingolimod (FTY720) administered orally once daily versus interferon B1a (Avonex) administered i.m. once weekly in patients with relapsing remitting multiple sclerosis (CFTY720D2302) Lay Description: CFTY720D2302 About 1275 patients with relapsing-remitting MS will join the Core Phase of the study. If these patients complete the 12 month Core Phase while taking study drug they may be eligible to enter the Extension Phase. The study will be conducted in about 180 hospitals/ clinics worldwide. This study will be conducted globally South Western Sydney 97 Neurology con’t Funding Body: Novartis Pty Ltd Funding Body: Bayer Schering Pty Ltd Chief Investigator/s: Dr Suzanne Hodgkinson Chief Investigator/s: Dr S. Hodgkinson Project Title: Project Title: A 12-month double-blind, randomized, Multicentre, active-controlled, parallel-group study comparing the efficacy and safety of 0.5 mg and 1.25 mg fingolimod (FTY720) administered orally once daily versus interferon β-1a (Avonex®) administered i.m. Once weekly in patients with relapsing-remitting multiple sclerosis with Optional Extension Phase Project Title: A Phase 3 Randomised, Rater- and DoseBlinded Study Comparing Two Annual Cycles of Intravenous Low- and High-Dose Alemtuzumab to Three-Times Weekly Subcutaneous Interferon Beta-1a (Rebif) in Patients with Relapsing-Remitting Multiple Sclerosis Who Have Relapsed On Therapy (CARE-MSSM II) Lay Description: The purpose of this study is to compare the effect of two different doses of alemtuzumab to Rebif on MS-related disability, relapses, and harmful effects on the brain that patients with MS may experience. This study also seeks to examine any side effects patients may experience when taking alemtuzumab or Rebif. Approximately 1200 patients from approximately 215 centres in North America, South America, Europe, and Australia will take part in this study. If the patient receives alemtuzumab treatment they will be followed for monthly blood tests for 3 years from their last dose of alemtuzumab. Randomisation will be based on a 2:2:1 ratio of: 2 annual cycles of IV Alemtuzumab high dose -24mg/day. 2 annual cycles of IV Alemtuzumab low dose- 12mg/day.or be randomized to receive 3-times weekly Rebif SC injections until the study ends. Participation in this study will last a little over least 2 years (screening period plus 2 years after starting study treatment). If Patient receive alemtuzumab, they will need to have blood tests and complete a brief safety questionnaire every month for at least 3 years after their last dose of alemtuzumab for a total study period of about 4 years. Lay Description: The treatment groups for the Extension Phase are as follows: a 1:1 ratio to one of 2 treatment arms. 1.25 mg fingolimod daily (1 capsule a day) 0.5 mg fingolimod daily (1 capsule a day) For the first part of the Extension Phase subject will not know which dose of fingolimod they have been assigned. This is done to allow a comparison of the study results from the first year of the study when patients were receiving interferon-beta-1a, 1.25 mg fingolimod or 0.5 mg fingolimod to the second year when all patients were receiving fingolimod (1.25 mg fingolimod or 0.5 mg fingolimod) During the Extension Phase the treatment assignments will be equally distributed among all participants, so that one half of the patients will be assigned to the higher dose (1.25 mg) and one half to the lower dose (0.5 mg) The dose group that a patient is assigned in the Extension Phase will be communicated to the doctor and the patient once the last patient that started the Extension Phase completes one year of the Extension Phase. The clinical trial includes a total of 8 visits for the first year and 4 visits for each year after the first year. It is anticipated that the extension will last from 3 to 4 years or until fingolimod is commercially available or Funding Body: Bayer Schering Pty Ltd Chief Investigator/s: Dr S. Hodgkinson Funding Body: Bayer Schering Pty Ltd Project Title: BEGIN” Betaferon treatment and Exercise data Gathering IN early MS Chief Investigator/s: Dr Suzanne Hodgkinson Project Title: Observational Study To Assess Cognition In Patients With Early Multiple Sclerosis Lay Description: The aim of this observational research study is to assess the physical activity of people with MS or at high risk of developing MS, treated with Betaferon®. The observational study will obtain information on factors potentially influencing the patients’ level of activity. Once patient understand what the study is about and agrees to take part in it, they will be asked to sign the Consent Form. This study will involve approximately 1000 men and women from around 30 countries. Your involvement in the study will run for 2 years. During this time, patient will come to the neurologist for five visits: a baseline visit where first assessment of the study takes place and then every six months over the next 24 months. Visits will involve neurological assessment, vital signs, MRI scans small booklet with several short questionnaires, International Physical Lay Description: Patients with relapsing remitting Multiple Sclerosis who have been diagnosed within the last two years and who have been taking Betaferon for no more than 6 months will be assessed. The objectives are to 1. Obtain observational data on cogntition in MS and elucidate if cognitive function can predict the course of the disease. 2. To further validate the Faces Symbol Test and Multiple Sclerosis Neuropsychological questionnaire in a multinational setting. 3. To study the ineraction between cognition, depression, fatigue and health related quality of life MS patients. 4. To gather observational data on adherence and safety of Betaferon South Western Sydney 98 Neurology con’t Conference Presentations/Posters Activity Questionnaire (IPAQ). Rating of Perceived Capacity Scale (RPC). Fatigue Scale for Motor and Cognitive function (FSMC) Modified Fatigue Impact Scale (MFIS) Center for Epidemiological Studies Depression Scale (CES-D) and the EuroQol (EQ-5D) questionnaires. Patients are free to withdraw from the study at any time without prejudice, penalty, or bias. An independent Data Safety Monitoring Board (Independent of the Sponsor Company) will review the safety data from the study on an ongoing basis. Hall BM, Verma ND, Robinson C, Plain K, Boyd R, Tran GT, Wang C, Bishop GA, Hodgkinson SJ. Alloantigen specific T regulatory cells. The Transplantation Society of Australian and New Zealand, 27th Annual Scientific Meeting. Jun09.Canberra, Australia. Verma ND, Robinson C, Boyd, R, Tran GT, Hodgkinon SJ, Hall BM. Examination of cytokine receptor expression on alloactivated human CD4+CD25+T regulatory cells. The Transplantation Society of Australian and New Zealand, 27th Annual Scientific Meeting. Jun-09. Canberra, Australia. Funding Body: Bayer Schering Pty Ltd Chief Investigator/s: Dr S. Hodgkinson Verma ND, Robinson C, Boyd R, Tran GT, Hodgkinson SJ, Hall BM. IL-12p70 combined with IL-2 induced highly suppressive alloactivated CD4+CD25+ T regulatory cells. The Transplantation Society of Australian and New Zealand, 27th Annual Scientific Meeting. Jun-09. Canberra, Australia Project Title: International, multicenter, Phase IIIb study of subcutaneous every-other-day treatment of patients with relapsing multiple sclerosis with Phase A) doubleblind Betaseron/Betaferon 250 µg or 500 µg or open-label Betaseron/Betaferon 250 µg and (Phase B) open-label Betaseron/Betaferon 500 µg Short name by which the project is known: Beyond-Follow up study Lay Description: Multiple sclerosis (MS) is one of the most common diseases affecting the central nervous system in young adults. Currently, a number of different drug treatments are approved for the treatment of MS. However, none of these treatments are a complete cure for MS. In this study, two different medications commonly used for the treatment of MS will be compared, interferon beta 1b and Copaxone®. Both have been shown to be safe and effective in treating MS. The interferon beta 1b treatment will be administered in two different dosages, the approved standard dose and a higher, experimental dose; Copaxone® will be administered in its approved dose Journals Articles/Refereed Journals Hall BM. The increasing complexity of understanding rejection. Current Opinion in Organ Transplantation. 2009 14.1.1-Mar. Hall BM, Tran G, Hodgkinson SJ. Alloantigen specific T regulatory cells in transplant tolerance. International Immunopharmacology. 2009 9.5.570-574 Verma ND, Plain KM, Nomura M, Tran GT, Robinson C, Boyd R, Hodgkinson SJ, Hall BM. CD4+CD25+ T cells alloactivated ex vivo by IL-2 or IL-4 become potent alloantigen-specific inhibitors of rejection with different phenotypes, suggesting separate pathways of activation by Th1 and Th2 responses. Blood.113.2.479-487. South Western Sydney 99 Department of Nuclear Medicine and PET Liverpool Hospital Dr Peter Lin Research Department Profile Integration of FDG-PET into Radiotherapy planning: The incorporation of FDG PET into radiotherapy planning provides superior staging information, leads to significant alterations in target volumes and improves inter-observer variability. Methods for optimising the incorporation of FDGPET into radiotherapy planning were also explored with particular reference to image registration, workflow and radiation safety. This area of research involved close collaboration with Radiation Oncology, Cancer Therapy Centre, Liverpool Hospital, and resulted in a combined invited presentation at the pre-conference at the symposium of the Annual Scientific Meeting of the Australian and New Zealand Society of Nuclear Medicine, Sydney 2009. Physics: There was investigation into radiation safety aspects for staff performing FDG PET, leading to optimisations in workflow and staff practice. FDG PET diagnostic performance: the significance of incidental thyroid uptake in patients with lymphoma was investigated and these findings led to a better understanding of the clinical significance of these findings and suggested clinical management approaches. Key personnel: Andrew Chicco, Ivan Ho Shon (Research Committee Chair), Michael Lin, Peter Lin, Marianne Rivet, Sithoeun Sam, Chithradevi Sathiakumar, Seu Som Clinical Trials Funding Body: AGITG Chief Investigator/s: Desmond Yip Project Title: The REGISTER Study A Multicentre Phase II study of Risk Evaluation in GIST with Selective Therapy Escalation for Response Funding Body: Algeta ASA, Oslo, Norway Chief Investigator/s: Martin Berry Project Title: A double-blind, randomised, multiple dose, Phase III, multicentre study of Alpharadin in the treatment of patients with hormone refractory prostate cancer with skeletal metastases. Lay Description: This study investigates the use of FDG PET/CT to guide therapy escalation in patients with Gastrointestinal Stromal Tumours and its impact on disease progression. Lay Description: This study compares the addition of radionuclide therapy with an alpha emitting radioisotope (radium-223) for patients with metastatic prostate cancer that has spread to the bone. Funding Body: Abraxis Bioscience Chief Investigator/s: Luke Coyle Project Title: A Phase II, Multicenter, Open-Label Trial Evaluating the Activity and Tolerability of Romidepsin (Depsipeptide, FK228) in Progressive or Relapsed Peripheral South Western Sydney 100 Nuclear Medicine con’t T-Cell Lymphoma Following Prior Systemic Therapy Scott AM, Gunawardana DH, Wong J, Kirkwood I, Hicks RJ, Ho Shon I, Ramshaw JE, Robins P. Positron emission tomography changes management, improves prognostic stratification and is superior to gallium scintigraphy in patients with low-grade lymphoma: results of a multicentre prospective study. Eur J Nucl Med Mol Imaging. 2009. 36.3.347-353 Lay Description: This study assesses a normal agent for T-cell lymphoma using FDG-PET/CT there is one of the means of assessing response. Funding Body: ALLG Conference Presentations/Posters Chief Investigator/s: M Hertzberg Lin M, Wong C, Lin P, Ho Shon I, Som S, Cuganesan R. The Prevalence and Clinical Significance of F18–2-fluoro-2-deoxyD-glucose (FDG) Uptake in the Thyroid Gland on PET or PET-CT in Lymphoma. Radiological Society of North America, Annual Scientific Meeting 2009 Chicago, USA Project Title: Early Treatment Intensification with RICE Chemotherapy Followed by Autologous Stem Cell Transplantation Using Z-BEAM for Patients with Poor Prognosis Diffuse Large B-Cell Lymphoma as Identified by Interim PET/CT Scan Performed After Four Cycles of R CHOP14 Chemotherapy Lin P, Vinod S, Lin M, Ho Shon I, Som S. Incremental clinical value of a dedicated RT planning FDG PET-CT over staging PETCT in non-small cell lung cancer. Australian and New Zealand Society of Nuclear Medicine, Annual Scientific Meeting 2009 Sydney Lay Description: This study investigates the impact of early treatment intensification in patients with diffuse large B-cell lymphoma based on the findings of an interim clinical FDG PET/CT scan. Morarji K, Fowler A, Vinod S, Ho Shon I. Impact of FDG-PET on delineation for radiotherapy in lung cancer. Australian and New Zealand Society of Nuclear Medicine, Annual Scientific Meeting 2009 Sydney Funding Body: Chief Investigator/s: L Chantrill Project Title: A Randomized Phase III Study of Weekly ABI007 plus Gemcitabine Sam S, Ho Shon I, Vinod S. Investigating the Incremental Time Difference and Radiation Exposure in Setting up PET/CT Scans in Radiotherapy Planning Position. Australian and New Zealand Society of Nuclear Medicine, Annual Scientific Meeting 2009 Sydney Lay Description: This study investigates the role of to chemotherapy regimes in patients with metastatic adenocarcinoma of the pancreas using FDG PET/CT is one of the methods of assessing treatment response. Yap ML, Vinod S, Ho Shon I, Fowler A, Lin M, Gabriel G. The Accuracy of registration of 18FDG PET-CT to radiotherapy planning CT for Non Small Cell Lung Cancer. Australian and New Zealand Society of Nuclear Medicine, Annual Scientific Meeting 2009 Sydney Funding Body: Chief Investigator/s: C Crombie Project Title: A Randomized, Phase II, Multi-center, Doubleblind, Placebo-controlled Study Evaluating the Safety and Activity of MetMAb, a Monovalent Antagonist Antibody to the Receptor Met, Administered to Patients with Advanced Non-Small Cell Lung Cancer, in Combination with Tarceva® (erlotinib) Lay Description: The study investigates the role of a novel chemotherapy agent in patients with advance to non-small cell lung cancer, using FDG PET/CT as one of the methods of assessing treatment response Journals Articles/Refereed Journals Chatterton BE, Ho Shon I, Baldey A, Lenzo N, Patrikeos A, Kelley B, Wong D, Ramshaw JE, Scott AM. Positron emission tomography changes management and prognostic stratification in patients with oesophageal cancer: results of a multicentre prospective study. Eur J Nucl Med Mol Imaging. 2009. 36.3.354-361 South Western Sydney 101 OCCUPATIONAL THERAPY DEPARTMENT BANKSTOWN-LIDCOME HOSPITAL Ms Daena Wilson Task-specific practice of dressing tasks improved dressing performance and scores on the Functional Independence Measure after stroke Lidcombe Hospital. Occupational therapy involvement in emergency departments is relatively new in Australia and overseas and little has been written about best practice in this area. This study is investigating how to streamline referral processes to occupational therapy and is developing OT practices in this clinical area by constructing an ‘intervention guideline’ for OT assessment, intervention and evaluation. The project will then examine the clinical effectiveness of the developed intervention guideline. There is evidence that practice of activities of daily living (ADL’s) by community-dwelling people with stroke improves outcomes. However, little research investigating ADL outcomes for people with stroke in an inpatient setting have been published. This retrospective study aimed to measure change in the dressing performance of inpatients with stroke who attended a twice-weekly occupational therapy dressing group. Data for 119 people with stroke who attended dressing group at Bankstown-Lidcombe hospital during 2007-2009 were analysed. The project findings will allow a comprehensive understanding of the patient group seen by occupational therapists, an understanding of the pre-ED functional abilities and whether they return to these functional levels after occupational therapy intervention in the ED. Scores on the Functional Independence Measure improved significantly. These findings suggest that task-specific practice of dressing tasks focused around measurable goals can make a clinically significant difference to dressing performance during inpatient rehabilitation. Publications Conference Presentations/ Posters Christie, L, Lochlin, R, & McCluskey A. Task-specific practice of dressing tasks improved dressing performance and scores on the Functional Independence Measure after stroke (oral presentation). SSWAHS Research Showcase, November 27th 2009, Liverpool, Sydney, NSW, Australia. Project Two: Improving Occupational Therapy Services in the Emergency Department Lochlin, R, Christie, L & McCluskey A. Task-specific practice of dressing tasks improved dressing performance and scores on the Functional Independence Measure after stroke (oral presentation). Inaugural OT-Australia NSW and ACT State Conference, 13 November 2009, Sydney, NSW, Australia Occupational therapists offer assessment to patients presenting to the Emergency Department at the request of treating doctors and nursing staff. This assessment can be completed individually but is usually as part of a multidisciplinary team, such as the Rapid Response Service utilised at Bankstown- South Western Sydney 102 102 Oral Health Associate Professor Sameer Bhole Research Department Profile In 2009 researchers in SSW Oral Health Services received 3 Demonstration grants from Centre for Oral Health Strategy, one from Australian Society of Orthodontists (ASO) and from Australian Dental Research Foundation. The Department of Orthodontics published eleven articles in well-known Orthodontic Journals; they also published three book chapters in Sleep Medicine for Dentists, Self-Ligation in Orthodontics; and Diagnosis and Management of Malocclusion and Dentofacial Deformities. The researchers from other departments have given presentations in numerous international conferences and presented posters. Three awards were received: “Best research award” from the European Orthodontic Society, “DClinDent Dentsply Prize” awarded during the University of Sydney Faculty Research Day; and all our recent graduates were awarded “Australasian Orthodontic Board Award – The 3M Unitek Postgraduate Clinical Research Award” for their outstanding achievements Administering Institution: SSWAHS Research Grants Funding Body: Centre for Oral Health Strategy Chief Investigator/s: George A, Johnson M, Ajwani S, Bhole S Project Title: Development of a midwifery−initiated oral health(MIOH)programme for pregnant women in Sydney South West Funding Body: Centre for Oral Health Strategy Chief Investigator/s: Helen C Project Title: Validation of 2 Self Administered Oral Health Referral Trigger Tools for People Living with HIV Lay Description: Administering Institution: SSWAHS Lay Description: Administering Institution: SSWAHS Funding Body: Australian Society of Orthodontists (ASO) Chief Investigator/s: Prof M Ali Darendeliler Funding Body: Centre for Oral Health Strategy Project Title: * Please see attached grant title Chief Investigator/s: Martinez G, Ajwani S, Bhole S, Sidhu B Lay Description: Project Title: Healthy Teeth for Everybody Administering Institution: University of Sydney Lay Description: South Western Sydney 103 Oral Health Con’t Funding Body: Australian Society of Orthodontists Special Research Grant children and the subsequent stress on parents. There are long waiting lists for children to have teeth removed under general anaesthetic at many public hospitals, placing an even greater burden of worry on families. The proposed program can deliver major improvements in oral health, but it requires the children to be recruited soon after birth in order to maximise the preventive potential of the intervention. Chief Investigator/s: Prof M Ali Darendeliler Project Title: Saliva Composition/Chemistry and pH associated with Physiological Root Resorption in unreputed third molar teeth Lay Description: Administering Institution: University of Sydney Funding Body: ASO Chief Investigator/s: Jimenez Montenegro Vanessa Funding Body: ARC/NHMRC Project Title: Volumetric Analysis of root resorption after the application of controlled extrusive and heavy orthodontic forces Chief Investigator/s: Prof M Ali Darendeliler Project Title: Modelling and Prediction of Orthodontics Root Resorption Lay Description: Orthodontically Induced Root Resorption after the application of extrusive forces was investigated Lay Description: Administering Institution: University of Sydney Funding Body: ASO Clinical Trials Chief Investigator/s: Riaan Foot Funding Body: SSWAHS Project Title: The effects of Sydney Intrusion Spring (SIS) during upper posterior segment intrusion Chief Investigator/s: Shilpi Ajwani, Sameer Bhole, Katrina Gibbs, Bernadette Plusch, Leanne Bray Lay Description: A pilot study on the effectiveness of a newly designed intrusion spring was conducted in 2009. This project is currently being conducted in a large sample of patients with open bite malocclusion. Project Title: Comparison of Resin Modified Glass Ionomer (RMGI) and Composite Resin (CR) fissure sealants in a high risk population: a two year clinical trial. Lay Description: NSW Health recommends children who are at high risk for tooth decay should have their permanent teeth protected / sealed. However, there is no universally accepted material or procedure for tooth protection treatment called ‘fissure sealing’. This study compares the retention rate and caries prevention of two routinely used materials placed under two different moisture control conditions over 2 years. Selected children aged 6-8 years who are at high risk will have all 4 permanent back teeth sealed by the two materials either under rubber dam or cotton roll isolation. They will be re-examined for decay or sealant loss six monthly and compared with the control group. Funding Body: ASO Chief Investigator/s: Angie Phelan Project Title: The use of magnetic attachments in conjunction with sequential aligners Lay Description: This clinical study is focused on the different applications and combined use of magnets and clear aligners Funding Body: Chief Investigator/s: Shahrzad Khayami Project Title: The effect of newly designed stepwise functional appliance on growth and development of Class II mandibular deficient patients Funding Body: SSWAHS, ADRF, NHMRC Chief Investigator/s: Arora A, Blinkhorn A, Ajwani S, Bhole S Lay Description: The effects of a novel functional appliance using magnets on mandibular and condylar growth will be evaluated. Project Title: A randomised controlled trial to measure the effectiveness of an intervention to prevent dental caries in young children living in metropolitan Sydney Lay Description: The main reason for this preventive oral health care program was the high levels of dental decay in preschool children within SSWAHS. Action needed to be taken in order to reduce the dental pain suffered by many South Western Sydney 104 Oral Health Con’t Books Chapters DeSilva K, Lam JMY, Wu N and Duckmanton PM. A Crosssectional study of endodontic treatment in an Australian population. AustEndoJournal. 2009. 35.40-146. Darendeliler MA, Cheng LL, Pirelli P, Cistulli P. Dentofacial Orthopedics.In: Sleep Medicine for Dentists, A Practical Overview. Lavigne GJ, Cistulli PA, Smith MT.2009. Hanover Park, IL. Quintessence Publishing Co Inc 2009.85-94. Field C, Ichim I, Swain MV, Chan E, Darendeliler MA, Li W, Li Q. Mechanical responses to orthodontic loading: a 3-dimensional finite element multi-tooth model. Am J Orthod Dentofacial Orthop. 2009. 2.135.174-81. Darendeliler MA, Cheng LL. Root Resorption in Orthodontics.In: Self-Ligation in Orthodontics. Eliades T, Pandis N. 2009. United Kingdom. Blackwell Publishing Ltd 2009. 85-107. Gonzales C, Hotokezaka H, Matsuo K, Shibazaki T, Yozgatian JH, Darendeliler MA, Yoshida N. Effects of steroidal and nonsteroidal drugs on tooth movement and root resorption in the rat molar. Angle Orthod. 2009. 4.79.715-26. Darendeliler MA, Kharbanda OP. Class III malocclusion in growing patients.Orthodontics: Diagnosis and Management of Malocclusion and Dentofacial Deformities. Ritu Sharma, Anand K Jha. 2009. India. Elsevier a division of Reed Elsevier India Pvt. Ltd 2009.403-414. Sriram D, Jones A, Alatli-Burt, Darendeliler MA. Effects of Mechanical Stimuli on Effects of Mechanical Stimuli on Adaptive Remodeling of Condylar Cartilage .J Dent Res. 2009. 5.88.466470. Journal Articles/Refereed Journals Yee JA, Türk T, Elekdag-Türk S, Cheng LL, Darendeliler MA. Rate of tooth movement under heavy and light continuous orthodontic forces. Am J Orthod Dentofacial Orthop. 2009. 2.136.150.e1-9. Paetyangkul A, Türk T, Elekdag-Türk S, Jones AS, Petocz P, Darendeliler MA. Physical properties of root cementum: part 14. The amount of root resorption after force application for 12 weeks on maxillary and mandibular premolars: a microcomputed-tomography study. Am J Orthod Dentofacial Orthop. 2009. 4.136.492.e1- 9. Conference Presentations/Posters 1st year Posgrad students. Temporary anchorage devices; is the life easier?. 3M-Unitek Postgraduate Meeting. Aug-09. Fraser Island, QLD. Athanasiou AE, Darendeliler MA, Eliades T, Hagg U, Larson BE, Pirttiniemi P, Richmond S, Soma K, Vardimon A, Wiltshire W. World Federation of Orthodontists (WFO) Guidelines for Postgraduate Orthodontic Education. World J Orthod. 2009. 2.10.153-66. 2nd year Posgrad students. “Surgically Assited Maxillary Expansion; indications, management and effects”. 3M-Unitek Postgraduate Meeting. Aug-09. Fraser Island, QLD Ballard DJ, Jones AS, Petocz P, Darendeliler MA. Physical properties of root cementum: part 11. Continuous vs intermittent controlled orthodontic forces on root resorption. A microcomputed-tomography study. Am J Orthod Dentofacial Orthop. 2009. 1.136.8.el-8 Ajwani S, Lain R, Bhole S. Complications in patients on bisphosphonates following dental extraction and/or MOS...FDI 2009 Annual World Dental Congress. 2-5 September 2009. Singapore. Cheng LL, Türk T, Elekdag-Türk S, Jones AS, Petocz P, Darendeliler MA. Physical properties of root cementum: Part 13. Repair of root resorption 4 and 8 weeks after the application of continuous light and heavy forces for 4 weeks: a microcomputed-tomography study. Am J Orthod Dentofacial Orthop. 2009. 3.136.320.e1-10. Aras B, Cheng LL, Türk T, Elekdag-Türk S, Darendeliler MA. Comparison of the Effects of Continuous Vs. Intermittent controlled Orthodontic Forces on Root Resorption.85th Congress of the European Orthodontic Society. June 10-14, 2009. Helsinki, Finland. Bhole S, Ajwani S, Gaskin C, Saddik B, Jalaludin B, Mohsin M. Risk factors associated with self reported tooth loss in adults in NSW, Australia. FDI 2009 Annual World Dental Congress. 2-5 September 2009. Singapore. Deane S, Jones AS, Petocz P, Darendeliler MA. Physical properties of root cementum: part 12. The incidence of physiologic root resorption on unerupted third molars and its comparison with orthodontically treated premolars: a microcomputed-tomography study. Am J Orthod Dentofacial Orthop. 2009. 2.136.148.e1-9. Darendeliler MA. “How can we simplify our mechanics: posterior intrusion with SIS?”. 8th Asian Implant Orthodontics Conference in conjunction with 8th Japanese Implant Orthodontic. Sep-09. Sendai Japan. Deane SA, Cistulli PA, Ng AT, Zeng B, Petocz P, Darendeliler MA. Comparison of mandibular advancement splint and tongue stabilizing device in obstructive sleep apnea: a randomized controlled trial. Sleep. 2009. 5.32.648-53. Darendeliler MA. “Intrusion using Minicrews”. Australian Begg Orthodontic Society. Sep-09. Clare Valley, SA. South Western Sydney 105 Oral Health Con’t Awards Darendeliler MA. “Management of Complex Orthodontic problems”. Thai Association of Orthodontists. Jun-09. Bangkok, Thailand Darendeliler MA. “Management of Obstructive Sleep Apnoea in Adults and in Children. 44th Indian Orthodontic Conference. Nov-09. New Delhi, India. • 2009 Huston Award Best Research Award from European Orthodontic Society Darendeliler MA. “New advances in sequential aligners, using magnets in conjunction with Invisalign”, “New advances in manufacturing sequential aligners to improve fit, stress distribution and efficacy of aligner treatment”. Invisalign Workshop. Aug-09. Hamilton Island, QLD. (This was a combined study between the University of Turkey and University of Sydney) Awarded to Discipline of Orthodontics • Darendeliler MA. “Obstructive Sleep Apnoea and Management?”. 3M-Unitek Postgraduate Meeting. Aug-09. Fraser Island, QLD 2009 DClinDent Dentsply Prize Awarded during the University of Sydney Faculty Research Day Darendeliler MA. “Orthodontic root resorption; Do we need to worry?” Taiwan Association of Orthodontists, 2009 Annual Meeting. Dec-09. Kaohsiung, Taiwan • Dr Sarah Neitzert 2009 Australasian Orthdontic Board Award – The 3M Unitek Postgraduate Clinical Research Award. Darendeliler MA. Hands-on Mini Screw Course Introduction to Mini Screw, Current Research Findings: Bone, Force & Mini Screws, Tooth Damage, Success Rates. Department of Orthodontics, The University of Queensland. Aug-09. Queensland. Awarded to all recent graduates (2009) during the ASO Foundation Meeting in Adelaide, September 2009 Duckmanton P. A Cross-sectional study of endodontic treatment in an Australian population.European Society of Endodontology Conference. Sep-09. Edinburgh Scotland. George A, Johnson M, Ellis S, Ajwani S, Bhole S, Blinkhorn A. Promoting oral health during pregnancy: a new role for midwives in Sydney South West..Charles Sturt University School of Nursing and Midwifery Conference 2009. 23rd and 24th Oct 2009. Albury, Gonzales C. “The effect of Fluoride on tooth movement and orthodontically induced root resorption”. 3M-Unitek Postgraduate Meeting. Aug-09. Fraser Island, QLD. Reid A. Local Anaesthesia: recent concepts in pharmacology and nerve block technique. The International Federation of Dental Anesthesiology Societies 12th International Congress on Modern Pain Control. Oct-09. Gold Coast, Queensland. Stephen S. Current Concepts in Paediatric Dentistry. Australasian Dental Association. Sep-09. Sydney Stephen S. Management of the Young Dental Patient – Current Concepts. Royal Australasian College of Dental Surgeons Clinical Meeting. Aug-09. Queensland Tarraf NE, Crowther L, Walsh WR, Jones A, Darendeliler MA. A Study of the Influence of Combined Glucosamine Sulfate and Chondroitin Sulfate Systemic Supplements on Root Resorption and Tooth Movement in Rats. 85th Congress of the European Orthodontic Society. June 10-14, 2009. Helsinki, Finland South Western Sydney 106 Oral Health Con’t Higher Degrees By Research Name Degree & Institution Thesis Title Jude Aarthi Joseph Antoniraj PhD, University of Sydney Immunohistochemical evaluation of key biomolecules implicated in root resorption following orthodontic force application-A rat model Supervisor: Professor M. Ali Darendeliler Associate supervisors : Drs. Qing Li, Carmen Gonzales and Öykü Dalcı March 2009 Navin Sequeira MPhil, University of Sydney “The relationship between hair and nail fluoride level and orthodontically induced root resorption.” Supervisor: Professor M. Ali Darendeliler Associate Supervisors : Prof. Tamer Türk, Drs. Carmen Gonzales and Öykü Dalcı March 2009 Shahrzad Khayami MPhil, University of Sydney The effects of a newly designed stepwise functional appliance on growth and development of Class II mandibular deficient patients Supervisor: Professor M. Ali Darendeliler Associate supervisor: Dr. Öykü Dalcı July 2009 Supervisor Commencement Date South Western Sydney 107 Orthopaedic Department Whitlam Orthopaedic Research Centre (WORC) and Whitlam Joint Replacement Centre (WJRC) Liverpool Hospital Professor Ian Harris Research Department Profile 2009 saw an expansion in staffing of the research unit based at Liverpool Hospital. There are now two full time researchers based at Liverpool: Sam Adie who commenced enrolment in a full time PhD, and Rajat Mittal who started in late 2009 as an Associate Lecturer. Dr Mittal is completing a Master of Surgery and hopes to commence a PhD in 2010. DR Adie is supported by scholarships from the Royal Australasian College of Surgeons and the NHMRC. Two other part time PhD students, Vicki Ko and Darnel Murgatroyd are continuing their studies. Vicki Ko is supported by scholarships from UNSW. Ongoing research activities are now supported by two part time academic secretaries. In 2009, the Department supervised 3 students from UNSW who were doing their one-year Independent Learning Projects. They were involved in research pertaining to metal allergy in orthopaedic surgery, a randomised trial of electromagnetic field stimulation in acute tibia fractures, and patient satisfaction after joint replacement surgery. The annual publication output of the department continues to increase, with 10 peer reviewed publications, and several invited reviews. Morphogenetic Protein-2 (rhBMP-2)/Calcium Phosphate Matrix (CPM) in Closed Diaphyseal Tibial Fractures Clinical Trials Lay Description: The main purpose of this study is to find out if subjects who receive an experimental drug containing recombinant human bone morphogenetic protein (rhBMP2) in their broken leg heal faster than subjects who do not received rhBMP-2 and to make sure it is safe and easy to inject BMP-2 into broken legs. Follow up is at week 2, 3, 4, 8, 12, 16, 20, 26, 39 and 52 weeks with review of X-rays and an assessment conducted by Prof Harris and a physiotherapist Funding Body: Nil Chief Investigator/s: Professor Ian Harris Project Title: Norian Drillable Lay Description: A trial of a new bone substitute consisting of fibre reinforced calcium phosphate cement. It is used to fill bone defects when treating bone fractures and is used in place of bone graft that is usually taken from the patient. Funding Body: Nil Funding Body: Nil Chief Investigator/s: IA Harris, R. Walker, S. Adie Chief Investigator/s: IA Harris, R. Walker, S. Adie Project Title: A Phase 2, multicenter, Single-Blind, Randomised, Stratified, Standard-of-Care Controlled, Feasibility and Safety study of rhBMP-2/CPM as an Adjuvant Therapy for Fractures of the Proximal Femur Project Title: A Phase 2/3, Multicenter, Double-Blind, Randomised, Controlled Study of Recombinant Human Bone South Western Sydney 108 Orthopaetic Con’t Lay Description: The main purpose of this study is to find out if it is safe to inject rhBMP-2/CPM in hip fractures treated with internal fixation and to find out if the injection can be easily placed in the hip and whether it helps to heal fractures. Follow up is at week 2,3,4,6,12,16,20, 26,52 and 64. Greenfield David, Pawsey Marjorie, Naylor Justine, Braithwaite Jeffrey. Are accredicatation surveys reliable? International Journal of Health Care Quality Assurance 2009 22.2.105-116 Harmer AR, Naylor JM, Crosbie J, Russell T. Land-based versus water-based rehabilitation following total knee replacement: a randomized, single blind trial. Arthritis Care and Research 2009 61.2.184-91 Funding Body: Nil Harris IA, Dao A. Trends in spinal fusion surgery in Australia 1997 to 2006. ANZ Journal of Surgery 2009 79.11.783-8 Chief Investigator/s: Dave J, Dave C, Naylor JM, Harris IA Project Title: Short versus long-duration tourniquet during TKR Harris IA, Yong S, Harris AM. Surgical Supervision. ANZ Journal of Surgery 2009 79.6.418-20 Lay Description: This RCT compares the clinical and patient centred outcomes in patients exposed to either a tourniquet of long duration (standard care ~ 60 mins), or tourniquet duration of short duration (~ 30 mins). Harris IA. Getting the most out of Internet searching. ANZ Journal of Surgery 2009 79.5.317-8 Harris IA, Dao AT, Young JM, Solomon MJ, Jalaludin BB. Predictors of patient and surgeon satisfaction after orthopaedic trauma. Injury 2009 40.4.377-84 Funding Body: Nil Chief Investigator/s: IA Harris, JM Naylor, S Adie Harris Ian A, Murgatroyd Darnel F, Cameron Ian D, Young Jane M, Solomon Michael J. The effect of compensation on health care utilisation in a trauma cohort. The Medical Journal of Australia 2009 190.11.619-22 Project Title: RCT: Pulsed electro magnetic field stimulation versus placebo in acute tibia fractures Lay Description: This trial looks at the effect on healing in fresh fractures of the tibia comparing electrical stimulation to a placebo device Harris Kishen TJ, Diwan IA AD. Primum non nocere and randomised placebo-controlled surgical trials: a dilemma? ANZ Journal of Surgery 2009 79.7-Aug.508-9 Naylor JM, Harmer AR, Heard RC, Harris IA. Patterns of recovery following knee and hip replacement in an Australian cohort. Australian Health Review 2009 33.1.124-135 Funding Body: WJRC Chief Investigator/s: Naylor, JM, Harris IA, Ko V, Crosbie J Project Title: RCT: physiotherapy rehabilitation vs no rehabilitation after TKR Sam Adie, Ian A Harris, Lyndall Thorn, Lynette McEvoy, Justine M Naylor. Non-emergency management of hip fractures in older patients. Journal of Orthopaedic Surgery 2009 17.3.301-4 Lay Description: This multi-centre RCT compares 3 modes of physiotherapy rehabilitation after knee replacement – groupbased; one-to-one; and a monitored home programme. The results will provide guidance for best rehabilitation practice in this area Adie Sam, Naylor Justine, Harris Ian A. Cryotherapy following total knee replacement. Cochrane Database of Systematic Reviews 2009. 3 Journal Articles/Refereed Journals Conference Presentations/Posters Nabavi A, Field J. The Utilization of Trabecular Metal in Combination With Autgraft Bone in Acetabular Reconstruction: A Preliminary Sheep Model. The Internet Journal of Orthopaedic Surgery 2009 13.2. Nabavi A, Morrizi R. Results of endoscopic lengthening of fascia lata and trochanteric bursectomy for the treatment of persistent trochanteric bursitis. AOA Anuual Scientific Meeting. 11-15 October 2009. Cairns Adie S, Harris IA. Critical evaluation: sliding hip screw or Gamma Nail for hip fractures? Appraisal of a Cochrane review. ANZ Journal of Surgery 2009 79.11.851-3 Nabavi A, Prasad V, Morizzi R. Short to medium term results of arthroscopic hip surgery for the treatment of femoroacetabular impingement. AOA Annual Scientific Meeting. 11-15 October 2009. Cairns Chung-Wei Christine Lin, March Lyn, Crosbie jack, Crawford Ross, Graves Stephen, Naylor Justine, Harmer Alison, Jan Stephen, Bennell Kim, Harris Ian, Parker David, Moffet Helene, Fransen Marlene. Maximum recovery after total knee replacement – the MARKER study rationale and protocol. BMC Musculoskeletal Disorders 2009 10.69. Adie S, Naylor JM, Harris I.Cryotherapy after TKR. A systematic review and meta-analysis. APA National Conference. Oct-09. Sydney South Western Sydney 109 Orthopaetic Con’t Kanawati Andrew, Harris Ian, Adie Sam. Non-operative treatment of patella fractures without splinting. AOA Annual Scientific Meeting. 11-15 October 2009. Cairns Harris Ian. Geriatricians are from Mars, Orthopaedics surgeons are from VenusAged Care Network Orthogeriatric Symposium. 18-Feb-09. Sydney Harris Ian. Predictors of outcome in orthopaedic trauma. Austrauma.12-14 February 2009. Darling Harbour Harris Ian, Murgatroyd Darnel, Young Jane, Solomon Michael. The effect of compensation on health care utilization in a trauma cohort. Annual Meeting of American Academy of Orthopaedic Surgeons. 24-28 February 2009. Las Vegas Isaacs Joe, Shidiak Louis, Harris Ian, Szomor Zoltan. Subtrochanteric insufficiency fractures associated with prolonged alendronate therapy. AOA Annual Scientific Meeting. 11-15 October 2009. Cairns Michael Millar, Rob Molnar, David Campbell, Ian Harris. The Australian Arthroplasty Thromboprophylaxis Survey. AOA Annual Scientific Meeting. 11-15 October 2009. Cairns Naylor JM, Greenfield D, Corbett A. Recipe for Clinical practice: organisational constraint, patient preference, and a pinch of clinician-bias. APA National Conference. Oct-09. Sydney Adie Sam, Harris Ian, Rae Hamish, Yong Sarah, Dao Alan. Pulsed electromagnetic field stimulation for acute tibia fractures: initial results from a multicentre double blind randomized controlled trial. AOA Anuual Scientific Meeting. 11-15 October 2009. Cairns Adie Sam, Harris Ian, Naylor Justine. Sliding hip screw or Gamma nail for extracapsular hip fractures? A re-analysis of a Cochrane review using individual patient data. AOA Annual Scientific Meeting. 21-Aug-09. Sydney Adie Sam, Harris Ian, McEvoy Lynette, Thorne Lyndall, Naylor Justine. Surgical management of hip fractures in older patients as non-emergent cases. Annual Meeting of American Academy of Orthopaedic Surgeons. 24-28 February 2009. Las Vegas Gnanenthiran Sonali, Adie Sam, Naylor Justine, Harris Ian. Operative versus non-operative treatment for thoracolumbar burst fractures without neurological deficit: individual patient data meta-analysis. AOA Annual Scientific Meeting.11-15 October 2009. Cairns Ansari Umair, Adie Sam, Harris Ian. Practice variation in common orthopaedic presentations: a survey of Australian orthopaedic surgeons. AOA Annual Scientific Meeting. 11-15 October 2009. Cairns South Western Sydney 110 Physiotherapy Unit Bankstown Health Service Ms Jenny Jacka Research Department Profile The physiotherapy department at Bankstown-Lidcombe has been actively involved in research projects for the last 17 years. Research interest has focused on optimising exercise interventions for the different populations of people seen by the physiotherapy department. These include frail elderly inpatients undertaking rehabilitation, patients undertaking rehabilitation post hip fracture, outpatients with movement difficulties, stroke patients undertaking interventions for their affected upper limb as well as walking interventions including treadmill walking and people with musculoskeletal conditions such as back pain and shoulder disorders. These research projects have been conducted in association with the Physiotherapy Department at the Faculty of Health Sciences at the University of Sydney, The Prince of Wales Medical Research Institute and the George Institute. The focus of current research projects is to seek interventions which optimise rehabilitation outcomes for people after stroke and after total knee and hip replacements. The physiotherapy department is made up of senior clinicians who have been actively involved in design, organisation and implementing randomised controlled trials (including Karl Schurr, Julie Nugent, Anne Barnett, Simone Dorsch, Jenny Jacka) part-time physiotherapists who are involved as research assistants in clinical trials (including Patricia Pamphlett, Jutta Jablonski) and clinicians involved as blinded measurers for randomised controlled trials. In addition there are physiotherapist staff members who are enrolled in either PhD (Simone Dorsch) or Masters by Research (Katharine Scrivener). Collaborative research projects are now under way with Occupational Therapy and Speech pathology funded by a research grant awarded by Ingham Health Research Institute. after stroke. However, the optimal way to deliver these interventions is less clear. There is also evidence (from a systematic review) that more intense therapy is associated with better functional outcomes after stroke. Unfortunately, resources available to fund rehabilitation programs are finite. The challenge for rehabilitation units is to deliver therapy programs which maximise outcomes, are acceptable to patients and their families and are cost effective (ie achieve the maximum outcome for a given cost). Research Grants Funding Body: Ingham Health Research Institute Chief Investigator/s: Schurr K, McCluskey A, Dorsch S, Sherrington C, Togher L Project Title: Optimising Rehabilitation Outcomes Lay Description: There is high quality evidence (from systematic reviews) that well-designed, multi-disciplinary rehabilitation is the most effective way to enhance outcomes Administering Institution: Ingham Health Research Institute South Western Sydney 111 111 Physiotherapy Con’t Publications Conference Presentations/ Posters Scrivener K, Sherrington C Schurr K. Mobility Outcomes in 100 Stroke Survivors. APA National Conference, October 2009, Sydney King A, McCluskey A, & Schurr K. An observational study of patient activity levels in a co-located acute and rehabilitation stroke unit. Inaugural OT-Australia NSW and ACT State Conference, 13th November 2009, Sydney King A, McCluskey A, & Schurr K. An observational study of patient activity levels in a co-located acute and rehabilitation stroke unit. SmartStrokes: Allied Health and Nursing Australian Conference. WINNER Best New Investigator, 7 August 2009, Sydney Higher degrees by research Name Degree & Institution Thesis Title Supervisor Commencement Date Katherine Scrivener Master of Philosophy, Public Health, The University of Sydney The relationship between amount of lower limb practice and outcomes after stroke Dr Catherine Sherrington, Mr Karl Schurr February 2008 Simone Dorsch Doctor of Philosophy, University of Sydney Weakness following Stroke A/Professor Louise Ada March 2005 South Western Sydney 112 Rehabilitation Research Group Braeside/Fairfield/Liverpool Dr Friedbert Kohler Research Department Profile The Braeside/Liverpool/Fairfield rehabilitation research group had a number of conference presentations at both national and international conferences in 2009, building on the achievements of previous years. A considerable amount of work has gone into developing an initial model addressing the costbenefit equation of inpatient rehabilitation and this work was presented at the annual scientific meeting of the Australasian Faculty of Rehabilitation medicine. The work on the interpreter reliability of the FIM was published during the year. Research is continuing into outcomes of rehabilitation, models of rehabilitation care, outcome instruments and their use in rehabilitation as well as scrutinizing some funding models which are being used in rehabilitation medicine in Australia. Journals Articles/Refereed Journals Research Showcase, Program and Abstract Book 27-Nov-09 Liverpool. Friedbert Kohler, Alarcos Cieza, Gerold Stucki, Jan Geertzen, Helena Burger, Michael P Dillon, Carolina Schiappacasse, Alberto Esquenazi, Robert Steven Kistenberg, Nenad Kostanjsek. Developing Core Sets for persons following amputation based on the International Classification of Functioning, Disability and Health as a way to specify functioning. Prosthetics and orthotics international. 2009. 33.117-129. Asif S, Kohler F. Use of ICF stroke brief core set in a day hospital situation. In: Conference Handbook: 200921-25 July 2009, Queenstown, New Zealand. Estell J, Cole AMD, Renton R, Kohler F, Connolly C. A decade of cancer rehabilitation in SW Sydney. AFRM/NIRR/NZRA Rehabilitation Conference, 21-25 July 2009 Queenstown, New Zealand Kohler F, Dickson H, Redmond H, Estell J, Connolly C. Agreement of functional independence measure item scores in patients transferred from one rehabilitation setting to another. European Journal of Physical and Rehabilitation Medicine. 2009. 45.4.479-485 Estell J, Kohler F, Walsh J. The cost-benefit equation for inpatient rehabilitation AFRM/NIRR/NZRA. Rehabilitation Conference 21-25 July 2009, Queenstown, New Zealand Kohler F. Developing ICF Core Sets for persons with an amputation. The Asian Prosthetic and orthotic Scientific 22Aug-09 Hong Kong. Conference Presentations/Posters Kohler F, Dickson H, Redmond H, Connolly C, Estell, J. Interrater agreement of functional status scores for patients Asif S, Kohler F. ICF Core Sets for stroke outcomes in a rehabilitation day hospital setting. Ingham Research Institute South Western Sydney 113 Rehabilitation Con’t transferred from one rehabilitation setting to another. Oral Paper 175, 5th ISPMR World Congress, 13-17 June 2009I stanbul, Turkey. Redmond H, Kohler F. Subacute orthopaedic Rehabilitation: Co-morbidities and outcomes. AFRM/NIRR/NZRA Rehabilitation Conference Jul-09 Queenstown, New Zealand. Kohler F, Redmond H. Accuracy of SNAP class allocation and funding consequences in the clinical setting AFRM/NIRR/NZRA. Rehabilitation Conference, 21-25 July 2009 Queenstown, New Zealand. Kohler F, Redmond H, Connolly C, Dickson H, Estell J, Renton R. Interrater agreement of functional status scores for patients transferred from one rehabilitation setting to another. AFRM/ NIRR/NZRA Rehabilitation Conference 21-25 July 2009, Queenstown, New Zealand. Kohler F, Redmond H, Dickson H, Estell J, Connolly C, Renton R. Subacute Casemix classification for stroke rehabilitation in an Australian setting. InInt J of Rehabil Res Aug-09. Kohler F, Redmond H, Dickson H, Estell J, Connolly C, Renton R. The financial and classification consequences of differences in FIM scores of patients transferred between two rehabilitation units. In: Int J of Rehabil Aug-09. Kohler F, Redmond H, Dickson H, Estell J, Connolly C, Renton R. Interrater agreement of functional independence measure aggregate scores in a clinical setting of patients transferred from one rehabilitation unit to another with raters advised of the study beforehand. In: Int J of Rehabil Aug-09. Kohler F, Redmond H, Dickson H, Renton R. Analysis of functional improvement in patients transferred to a rehabilitation unit following stroke, relative to time of transfer into the unit. Int J of Rehabil Res Aug-09. Kohler F, Renton R, Connolly C, Estell J, Dickson H. Subacute Casemix Classification for stroke rehabilitation. Does it help? 2009 AFRM/NIRR/NZRA. Rehabilitation Conference 21-25 July 2009, Queenstown, New Zealand Kohler F, Renton R, Dickson H, Redmond H. Analysis of functional improvement in patients transferred to a rehabilitation unit following stroke relative to time of transfer into the unit. AFRM/NIRR/NZRA Rehabilitation Conference 2125 July 2009 Queenstown, New Zealand. Professor G Stucki and M Baumberger. Implementation of the ICF in Rehabilitation Medicine. AFRM/NIRR/NZRA Rehabilitation Conference 21-25 July 2009 Queenstown, New Zealand. Radhakrishnan S, Kohler F. Evaluation of documentation of medication changes and patient consent by clinicians in an inpatient rehabilitation setting. Ingham Research Institute Research Showcase, Program and Abstract Book Nov-09 Liverpool South Western Sydney 114 Liverpool Renal Clinical Research Centre (LRCRC) Liverpool A/Professor Michael Suranyi Research Department Profile The LRCRC continues to be involved with an active clinical research program however 2009 has seen a plateau in the rate of growth. The focus continues to be international multi-centre randomised controlled trials for Phase II, III and IV studies. Several of the long running studies at the LRCRC are nearing completion and subsequent closeout such the IDEAL and CERA extension studies. The ‘Aurora’ study was completed during this period and the results published in the New England Journal of Medicine. The areas of research undertaken by the Centre include management of anaemia; renal transplantation; hypertension, pregnancy associated hypertensive disorder; and dialysis (both haemodialysis and peritoneal dialysis). The nurse initiated buttonhole cannulation study has been completed and analysis of the data underway. As this is the first randomised controlled trial comparing buttonhole cannulation with current hospital practice, the results will contribute to the evidence available for the Nursing profession. The model for single ethical review of multi-centre trials is now firmly entrenched in NSW. The model involves a single ethical review of clinical trials conducted at more than one site in NSW with one site acting as the lead. Over the past year, the LRCRC has been the lead site for three multicentre studies. This has involved the coordination of the ethics submission and all ongoing ethics correspondence for several sites across NSW. There are a total of 12 staff members working on a variety of research and quality projects on a part-time basis. This number includes a 0.5 FTE Registered Nurse for the coordination of the hypertension in pregnancy studies. The LRCR has a high staff retention rate with no resignations over the 2009 period. The Centre also offers flexibility in the workplace. LRCRC also has a highly skilled workforce with the majority of nursing staff having postgraduate qualifications in Renal Nursing Clinical Trials Transplant Recipients Lay Description: The study is designed to evaluate whether initiation of everolimus together with reduction or discontinuation of calcineurin inhibitors (CNI) will improve graft function in maintenance renal transplant recipients with renal impairment by reducing the progression of chronic allograft nephropathy. The development of atherosclerosis in the native arteries of the patients will also be explored. Recruitment is in progress. Funding Body: Novartis Chief Investigator/s: M. Suranyi, B. Cleland, K. Howlin, J. Chow, T. Spicer, J Wong, A Jefferys Project Title: ASCERTAIN Assessment ofEverolimus in adition to Calcineurin Inhibitors Reduction in Maintenance Renal South Western Sydney 115 Renal Research Con’t 22 Funding Body: Cleveland Clinic Foundation Funding Body: Baxter Chief Investigator/s: M. Suranyi, B. Cleland, T. Spicer, J Wong, A Jefferys K. Howlin, J. Chow, A Makris Chief Investigator/s: M. Suranyi, B. Cleland, T. Spicer, J Wong, A Jefferys K. Howlin, J. Chow, A Makris & A. Aravindan Project Title: Nocturnal Haemodialysis Study Project Title: IMPENDIA: Multi-center, Prospective, Randomized Trial to Demonstrate Improved Metabolic Control of PPEN vs DDDD in DIAbetic CAPD Patients PENDIA Lay Description: The primary objective of this study is to determine if nocturnal HD results in clinically significant improvements in physiological, health−related quality of life (HRQL) and functional outcomes, as compared with home conventional HD. Lay Description: This study is designed to show that metabolic control in diabetic (Type 1 and Type 2) CAPD patients can be improved with the use of a low glucose PPEN regimen compared with a DDDD regimen. Glucose load is an issue for diabetic peritoneal dialysis patients that can exacerbate poor metabolic control in these patients. HbA1c is a recognized and accepted measure (surrogate marker that correlates very well with hard clinical endpoints) of metabolic control in diabetic patients. PPEN offers a significant decrease in carbohydrate load (~40−50%) compared to DDDD. Funding Body: AstraZeneca Chief Investigator/s: Suranyi M., Cleland B., Hall B., Howlin K., Spicer T., Chow J. Project Title: A Double Blind, Randomised, Multicentre, Phase Iiib, Parallel-Group Study to Compare the Effects of Rosuvastatin (10mg Oral) with Placebo, on Assessment of Survival and Cardiovascular Events when Given to Subjects with End-Stage Renal Failure on Chronic Haemodialysis Treatment (AURORA) Funding Body: Abbott Chief Investigator/s: M. Suranyi, B. Cleland, T. Spicer, J. Wong, A. Jeffreys, K. Howlin, J. Chow, A. Makris & A. Aravindan Lay Description: A double blind, randomised, multicentre late phase study of an oral Rosuvastatin agent (10 mg) to people with en stage renal failure on chronic haemodialysis treatment. The study aims at determining the effect of Rosuvastatin compared to placebo for survival and cardiovascular events. Patients will be examined for general health and specific blood tests. The study will consist of a treatment phase lasting approximately 3 years and 11 months from the time the first patient starts. Fourteen patients enrolled in this study with 12 randomised. Nine patients remain on the study to date. Recruitment closed in October 2004. Five patients remain on study. Project Title: M10-221 Lay Description: The objective of this study is to evaluate the effects of paricalcitol injection on cardiac structure and function over 48 weeks in subjects with Stage 5 Chronic kidney disease on haemodialysis who have left ventricular hypertrophy. Approximately 220 subjects will be enrolled (110 per treatment arm) worldwide. This is a double blind, placebo−controlled, randomized study. Subjects will have a Funding Body: Nil Chief Investigator/s: J. Chow, M. Gilbert, G. Rayment, S. Sanmiguel Funding Body: Amgen Project Title: Buttonhole Technique: A technique to reduce arterio-venous fistula access complications in the Chief Investigator/s: M. Suranyi, B. Cleland, K. Howlin, J. Chow, T. Spicer, J Wong, A Jefferys Lay Description: Literature suggests that buttonhole method of cannulation prolongs the life of arterio-venous fistula (AVF) and saphenous vein graft access. By reducing complications in HD access, quality of life for this population could be greatly improved and the health service financial burden reduced considerably. This study is a randomised controlled trial comparing the buttonhole method of cannulation to the haemodialysis unit’s current protocol. The duration of the study will be six months. Project Title: Investigation into effects of Darbepoetin Alfa on the composite event comprising all-cause mortality and cardiovascular(CV) events in subjects with both Chronic Kidney Disease and TypeII Diabetes Mellitus (DM) TREAT Lay Description: The purpose of this research study is to evaluate what effect correction of anaemia associated with chronic kidney disease using darbepoetin alfa, will have on death and cardiovascular events. These events include cardiovascular death, heart attack, stroke, and congestive heart failure. Recruitment in progress. Funding Body: Roche Chief Investigator/s: M. Suranyi, B. Cleland, T. Spicer, J. Wong, South Western Sydney 116 Renal Research Con’t A. Jeffreys, K. Howlin, J. Chow, A. Makris & A. Aravindan Project Title: A multicentre, randomised, controlled trial to determine whether peritoneal dialysis treatment with a low GDP, neutral pH peritoneal dialysis (PD) solution (balance) compared to standard PD solution is associated with superior preservation of residual renal function – Balanz Project Title: PHOENIX Lay Description: This is an open label, prospective, randomised, parallel arm study to compare the cardiovascular biomarker NT−proBNP as an indicator of cardiac remodelling in dialysis patients with chronic renal anaemia on current standard of care anaemia treatment versus those on once monthly MIRCERA. Lay Description: The objective of this study is to investigate the influence of the CAPD balance solution on the progression of residual renal function over time compared to the conventional PD solution stay·safe. Both dialysis solutions are registered for use in Australia and New Zealand, they are not experimental drugs. This study is being conducted at approximately 12 – 14 dialysis treatment centres in Australia and New Zealand. Approximately 420 subjects who are undergoing peritoneal dialysis will participate in this study for a minimum of 12 months treatment up to a maximum of 24 months treatment. Recruitment in progress Funding Body: NHMRC & Baxter HealthCare Australia Pty Ltd Chief Investigator/s: Suranyi M., Cleland B., Hall B., Howlin K., Spicer T. , Wong J., Jefferys A. & Chow J Project Title: Optimal Time to Start Dialysis - The IDEAL Study Lay Description: This study is a multi-centre randomised comparison of outcome of patients commencing dialysis at a glomerular filtration rate of 10-14 ml/min/1.73m² vs 5-7 ml/min/1.73m². This study involves the recruitment of up to 800 patients aged 18 or above with end stage renal disease and will need to commence dialysis within the next two years. Recruitment commenced in September 2000. In Liverpool site, 50% of the patients randomised onto the “early start group” and 50 % onto the “late start group”. Liverpool site top recruiter for study. Funding Body: Roche Chief Investigator/s: M. Suranyi, B. Cleland, K. Howlin, J. Chow, T. Spicer, J Wong, A Jefferys Project Title: Lay Description: This study is an open-label, multi-center study to document the efficacy, safety and tolerability of long-term administration of RO0503821 in patients with chronic renal anemia. Four subjects continue participation in this trial. Funding Body: Merck Schering-Plough Chief Investigator/s: Suranyi M., Cleland B., Hall B., Howlin K., Spicer T., Chow J. Funding Body: Amgen Chief Investigator/s: M. Suranyi, B. Cleland, T. Spicer, J Wong, A Jefferys K. Howlin, J. Chow, Project Title: Study of Heart and Renal Protection (SHARP) Lay Description: The Study of Heart and Renal Protection (SHARP) aims to assess the effects of cholesterol-lowering therapy with a combination of simvastatin and the cholesterol-absorption inhibitor ezetimibe among around 9,000 patients with CKD (around 6,000 of whom will be predialysis and 3,000 on dialysis). Such large-scale recruitment will allow reliable assessment of the effects of lowering blood LDL-cholesterol on the risk of major vascular events and on the rate of loss of renal function in patients with various degrees of renal impairment. Around 6 Regional Coordinating Centres will conduct the trial in over 200 hospitals in 10 countries. Recruitment has closed, 37 subjects recruited for our site. Project Title: EVOLVE - Evaluation of Cinacalcet HCl Therapy to Lower Cardiovascular Events Funding Body: Fresenius Funding Body: Janssen-Cilag Lay Description: The purpose of this study is to evaluate the effects of cinacalcet (cinacalcet HCl or Sensipar®) on cardiovascular events and death in chronic kidney disease (CKD) patients with secondary hyperparathyroidism (HPT) who are receiving dialysis. These events include death from any reason, heart attack and episodes where the heart does not get enough oxygen, peripheral vascular disease and heart failure. Subjects will be randomised 1:1 ratio to receive cinacalcet HCl/ Sensipar or placebo. The duration of the study is 4 years. Recruitment in progress. Chief Investigator/s: M. Suranyi, B. Cleland, T. Spicer, J Wong, A Jefferys K. Howlin, J. Chow, Chief Investigator/s: Suranyi M., Cleland B., Howlin K., Spicer T., Jefferys A. & Wong J. & Chow J. Project Title: PRIMS - A Prospective, Immunogenicity South Western Sydney 117 Renal Research Con’t Surveillance Registry to Estimate the Incidence of Erythropoietin Antibody-Mediated Pure Red Cell Aplasia Among Subjects With Chronic Renal Failure and Subcutaneous Exposure to Recombinant Erythropoietin Products Project Title: M10-030 - Paricalcitol benefits in Renal Failure Induced cardiac morbidity (CKD Stage 3B/4) Lay Description: The overall objective of this study is to evaluate the effects of paricalcitol capsules on cardiac structure and function over 48 weeks in subjects with Stage 3B/4 Chronic kidney disease who have left ventricular hypertrophy. Approximately 220 subjects will be enrolled (110 per treatment arm) worldwide. This is a double blind, placebo−controlled, randomized study. available to the doctor in case of emergency. Subjects will have a 50% chance of receiving the paricalcitol capsule treatment and a 50% chance of receiving the placebo capsule treatment during the study. Lay Description: The study is a surveillance registry collecting prospective data of subjects that are exposed to the polysorbate 80 formulations of EPREX and other marketed erythropoietin products that are administered subcutaneously for the treatment of the anaemia of CRF. Funding Body: Bristol Myers Squibb Chief Investigator/s: M. Suranyi, B. Cleland, T. Spicer, J Wong, A Jefferys K. Howlin, J. Chow, A Makris Project Title: ABATACEPT - A Sequential Adaptive Phase II/III Multi-Center, Randomized, Double-Blind, Placebo-Controlled Study to Evaluate the Efficacy and Safety of Abatacept Versus Placebo on a Background of Mycophenolate Mofetil and Glucocorticosteroids in Subjects with Active Proliferative Glomerulonephritis Due to Systemic Lupus Erythematosus (SLE) Funding Body: Australasian Kidney Trials Network Chief Investigator/s: M. Suranyi, B. Cleland, T. Spicer, J. Wong, A. Jeffreys, K. Howlin, J. Chow, A. Makris & A. Aravindan Project Title: Medihoney - A randomised, controlled trial of exit site application of MedihoneyTM Antibacterial Wound Gel for the prevention of catheter-associated infections in peritoneal dialysis patients Lay Description: The primary objective of this adaptive design study is to compare a single abatacept regimen versus placebo on a background of MMF plus glucocorticosteroids using the posterior probability of superiority over placebo in the time to achieving protocol-defined complete renal response of lupus glomerulonephritis during this 12 month double-blind study. Lay Description: The main objective of the study is to determine whether daily exit site application of standardised antibacterial honey Funding Body: Australasian Kidney Trials Network Chief Investigator/s: M. Suranyi, B. Cleland, T. Spicer, J. Wong, A. Jeffreys, K. Howlin, J. Chow, A. Makris & A. Aravindan Funding Body: Amgen Chief Investigator/s: M. Suranyi, B. Cleland, T. Spicer, J. Wong, A. Jeffreys, K. Howlin, J. Chow & A. Makris Project Title: Favoured - To determine whether the use of the anti-platelet agents aspirin and fish oil, either alone or in combination (in a factorial design), will effectively reduce the risk of early thrombosis in de novo arterio-venous fistulae (AVF) Project Title: 2007/046 EXTEND - An observational cohort study of extended dosing (Q2W or QM) with Aranesp® s.c. in patients with Chronic Kidney Disease not on dialysis Lay Description: This is an observational study (no interventions) that aims to describe the clinical practice patient population and the haemoglobin (red blood cells) response over time in patients treated with Aranesp (darbepoetin alfa) once every two weeks (Q2W) or once every month (QM). Aranesp is indicated for the treatment of anaemia associated with chronic renal failure (CRF).Medical record data from approximately 3500-4000 consenting Chronic Kidney Disease patients worldwide who are not on dialysis will be collected. Lay Description: Platelets are cell fragments which are involved in blood clotting. This study aims to determine whether the use of the anti−platelet agents aspirin and fish oil, either alone or in combination will effectively reduce the risk of early thrombosis (clotting) in newly created arterio−venous fistulae (AVF, a surgical join of an artery and a vein). The study population is patients with stage IV or V chronic kidney disease (CKD) who require or will require haemodialysis are scheduled to undergo creation of an AVF and are not currently taking antiplatelet agents. The primary outcome is Funding Body: Abbott Funding Body: Australasian Kidney Trials Network Chief Investigator/s: M. Suranyi, B. Cleland, T. Spicer, J. Wong, A. Jeffreys, K. Howlin, J. Chow, A. Makris & A. Aravindan Chief Investigator/s: M. Suranyi, B. Cleland, T. Spicer, J. Wong, South Western Sydney 118 Renal Research Con’t A. Jeffreys, K. Howlin, J. Chow, A. Makris & A. Aravindan Funding Body: The George Institute For Project Title: HERO: A randomised, placebo-controlled trial of oxpentifylline on haemoglobin levels in patients with erythropoietin-resistant anaemia Chief Investigator/s: M. Suranyi, B. Cleland, T. Spicer, J. Wong, A. Jeffreys, K. Howlin, J. Chow, A. Makris & A. Aravindan Project Title: ACTIVE - A Multicentre, Unblinded, Randomised, Controlled Trial to assess Quality of Life, Clinical Outcomes and Cost Utility for Extended vs Standard Duration of Dialysis in Patients with End Stage Kidney Disease Lay Description: The project will investigate whether Oxpentifylline (Trental) will effectively treat erthropoietin− or darbepoietin−resistant anaemia in chronic kidney disease patients. Eligible patients will be randomised to receive daily placebo or 400mg oxpentifylline daily. Study participants will be observed for 4 months including monthly full blood counts. The primary Lay Description: The study seeks to determine whether a regimen of extended hours haemodialysis improves the quality of life of dialysis patients when compared to standard dialysis treatment. In addition, the study will explore the cost−effectiveness of providing such a dialysis regimen and assess the comparative effects upon hospital admissions, blood pressure, cardiac structure and function and safety. The study will be an open label randomized study with blinded endpoint assessment. The study will randomise participants to extended ( 24 hours per week) or standard hours ( 18 hours per week) of haemodialysis. Funding Body: Takeda Chief Investigator/s: M. Suranyi, B. Cleland, T. Spicer, J. Wong, A. Jeffreys, K. Howlin, J. Chow, A. Makris & A. Aravindan Project Title: AF X01-201 - A Phase 2 Study of the Safety and Efficacy of AF37702 Injection for the Maintenance Treatment of Anemia in Peritoneal Dialysis Subjects Previously Treated With Epoetin Funding Body: N/A Lay Description: This is a multicenter, open label, study evaluating the conversion of peritoneal dialysis subjects from subcutaneous epoetin (alfa or beta) to AF37702 Injection. Approximately eighty subjects with a stable Hgb will be recruited. The primary objective of this study is to demonstrate that AF37702 Injection can maintain Hgb levels in peritoneal dialysis subjects following conversion from epoetin (alfa or beta). Approximately 80 subjects will be treated at approximately 50 sites in North America, EU, and the rest of World. Chief Investigator/s: M. Suranyi Project Title: PINOT: Patient INformation about Options for Treatment Lay Description: This audit is designed to find out what treatment options new patients with chronic kidney disease learn about from their renal unit. Funding Body: N/A Chief Investigator/s: J Chow, S. Sanmiguel, G. Rayment Funding Body: Takeda Project Title: 5% Dextrose Study Chief Investigator/s: M. Suranyi, B. Cleland, T. Spicer, J. Wong, A. Jeffreys, K. Howlin, J. Chow, A. Makris & A. Aravindan Lay Description: This cohort study compares the use of 5% Dextrose vs. 0.9% Normal Saline for priming dialysis lines and treating hypotensive episodes during routine haemodialysis session. Project Title: AF X01-202 - A Phase 2 Study of the Safety and Efficacy of AF37702 Injection for the Maintenance Treatment of Anemia in Subjects with Chronic Renal Failure Who Are on Hemodialysis or Do Not Require Dialysis and Previously Treated With Darbepoetin Alfa Funding Body: N/A Chief Investigator/s: T.Spicer, H. Sidrak Lay Description: The purpose of this study is to test the safety and effectiveness of AF37702 Injection after conversion from darbepoetin alfa as a treatment to maintain Haemoglobin (Hgb) levels in chronic renal failure patients with anaemia who are currently going through haemodialysis or are not yet on haemodialysis. AF37702 Injection will be administered in the same manner as darbepoetin was previously administered given intravenously (into the vein) or subcutaneously (under the skin) once every 4 weeks. Approximately 100 patients will be treated at approximately 50 sites all over the world Project Title: Quantifying the haemodynamically significant stenosis in the autogenous arteriovenous fistula circuit Lay Description: The aim of the project is to identify at what diameter of the fistula the patient will not be able to effectively dialyse. To determine the cutoff diameter, we are measuring the diameters in those patients that have no difficulty dialysing. Those patients will be invited to come to the hospital and the measurements will be done using an South Western Sydney 119 Renal Research Con’t Journals Articles/Refereed Journals ultrasound probe. This is non−invasive, painless, quick and completely safe Xu, B, Thornton C, Tooher J, Ogle, R, Lim, S. Effects of anti-hypertensive drugs on production of soluble fms-like tryosine kinase 1 and soluble endoglin from human normal and pre-eclamptic placentas in vitro. Clinical and Experimental Pharmacology and Physiology 2009. 368839-842. Funding Body: N/A Chief Investigator/s: A. Makris Project Title: The Predictive Utility of sFLT- for the Diagnosis of Pre-eclampsia Chan R, Brooks R, Erlich J, Chow J, & Suranyi, M. The Effects of Kidney-Disease-Related Loss on Long-Term Dialysis Patients’ Depression and Quality of Life: Positive Affect as a Mediator. Clinical Journal of the American Society of Nephrology 2009. 41160-167. Lay Description: Preeclampsia is a disorder of pregnancy which is characterised by high blood pressure and other organ damage. There are significant maternal and fetal consequences as a result of the development of this disease in pregnancy. It has been found that sFLT-1 is elevated prior to the clinical development of the disease. This study plans to investigate whether the measurement of this protein will help in the correct diagnosis of women with elevated blood pressure in pregnancy, more specifically in differentiating the women who will go on to develop preeclampsia. Chow J & Suranyi M. G.A survey of Australian patient preferences regarding subcutaneous erythropoiesis-stimulating agents. Renal Society of Australasia Journal 2009. 5116 Chow J, Rayment G, Wong J, Jefferys A & Suranyi M. Needlestick injury: A novel intevention to reduce the occupational health and safety risk in the haemodialysis setting. Journal of Renal Care 2009. 353120-126. Funding Body: N/A Fellstrom, Bengt C Jardine, Alan G Schmieder, Roland E Holdaas, Hallvard Bannister, Kym Beutler, Jaap Chae, DongWan Chevaile, Alejandro Cobbe, Stuart M, Gronhagen-Riska, Carola De Lima, Jose J Lins, Robert Mayer, Gert McMahon, Alan W. Parving, Hans-HRosuvastatin and Cardiovascular Events in Patients Undergoing Hemodialysis. New England Journal of Medicine 2009. 360141395-1407. Chief Investigator/s: A. Makris Project Title: The Effects of Anti-hypertensive Medication on the Vascular and Inflammatory Makers in Women with Preeclampsia Lay Description: The placenta doesn’t get adequate oxygen in hypertensive disorders of pregnancy resulting in the release of proteins that cause problems for mother and baby. Currently the definitive treatment is timely delivery of the baby and placenta. Little is known about the effects of antihypertensive medications on the proteins. This study plans to investigator the effects of different antihypertensives on these proteins. San Miguel S & Chow J. Vascular dialysis access flow measurement: early intervention through early detection. Journal of Renal Care 2009. 354185-191. San Miguel S, Curtale, Knagge D, Nhan C & Chow, J. Improving patient understanding of phosphate binders: a bony challenge. Renal Society of Australasia Journal 2009. 53119-125. Thornton CE, von Dadelszen P, Makris A. Acute Pulmonary Oedema as a Complication of Hypertension During Pregnancy. Hypertension in Pregnancy 2009. Published online 10 November 2009 Funding Body: N/A Chief Investigator/s: A. Makris Project Title: Post Partum Changes in Vascular Markers in Women with Pre-eclampsia Conference Presentations/Posters Lay Description: It has been proposed that soluble endoglin, a protein, is important in developing preeclampsia. Data suggests this protein is not significantly reduced in women who are over 6 months post partum. This is in contrast to the current thinking that this protein is produced by the placenta and thus at 6 months post partum the protein should be almost undetectable. This study plans to check the levels of this protein in women immediately after delivery and at 6 weeks after delivery Tran, G.T, Hodgkinson S J, Carter N.M, Killingsworth M, Nomura M, Verma N.D, Plain, K.M, Boyd R, Robinson C.M. IL-5 promotes induction of antigen specific CD4+ CD5 Tregs that suppress autoimmune mediated demyelination1st International Conference on Immune Tolerance. 25-27 October 2009. Boston, Massachusetts, USA. Ali A, Kaithal-Shahir A, Aravindan A, Cleland B, Hall B, Suranyi M, Spicer T, Wong J & Howlin, K.Sero. - Negative Pauci-Immune Crescentic Glomerulonephritis, CNS Vasculitis and occlusive Retinal Vasculitis. 45th Annual Scientific Meeting of South Western Sydney 120 Renal Research Con’t the Australian and New Zealand Society of Nephrology 7-9 September 2009. Hobart, Tasmania. Spicer T, Howlin K, Suranyi M, Hall B, Wong J & Cleland B. Use of Tunneled Vascaths Rewired Over Simple Vascaths: A Single Center. 45th Annual Scientific Meeting of the Australian and New Zealand Society of Nephrology 7-9 September 2009. Hobart, Tasmania. Aravindan A, Suryanarayanan G, Howlin K, Jefferys A, Spicer T, Cleland B, Wong J, Hall B, Yong J & Suranyi M. An Unusual Renal Manifestation of HBV Infection45th Annual Scientific Meeting of the Australian and New Zealand Society of Nephrology. 7-9 September 2009. Hobart, Tasmania. Hall B, Verma N.D, Robinson C.M, Plain K.M. Alloantigen specific T regulatory cells induced in vitro, are double positive CD4=CD8+CD25+ T cells4. 2nd Annual Meeting & Scientific Exposition 27 October to 1 November 2009. San Diego Convention Center, San Diego, CA. Lopez-Vargas P, Gallagher M, Craig J, Walker R, Snelling P, Pedagogos E, Gray N, Divi M, Gillies A, Suranyi M, Thein H & Polkinghorne K. on behalf of The CARI Implementation Sub-CommitteeArteriovenous Fistula Creation (AVF) Perceived and Actual Barriers in Australian and New Zealand Units. 45th Annual Scientific Meeting of the Australian and New Zealand Society of Nephrology 7-9 September 2009. Hobart, Tasmania. Makris A, Lee G, Hollis B & Hennessy A. Optimising Blood Pressure Assessment in The Obstetric Day Assessment Unit. High Blood Pressure Research Council of Australia’s 31st Annual Scientific Meeting 1-3 December 2009. Milsons Point, Australia. Pussell B & Watson N on behalf of the Luminex Study Group. Correlation between HLA-Antibody Detection by SolidPhase Luminex Assay, CDC and Flos Cytometery in Living Donor Kidney Transplantation. 45th Annual Scientific Meeting of the Australian and New Zealand Society of Nephrology 7-9 September 2009. Hobart, Tasmania. Pussell B & Watson N on behalf of the Luminex Study Group. HLA-Antibody Detection by Solid-Phase Luminex Assay Predicts Outcomes following Renal Transplantation. 45th Annual Scientific Meeting of the Australian and New Zealand Society of Nephrology 7-9 September 2009. Hobart, Tasmania. Rutherford D, Jefferys A & Wong J. A Dramatic Presentation of Membranous Lupus Nephritis in a Patient with Negative Lupus Serology. 45th Annual Scientific Meeting of the Australian and New Zealand Society of Nephrology 7-9 September 2009. Hobart, Tasmania Suranyi M & Tolman C on behalf of The EXTEND Steering Committee. EXTEND: An Observational Cohort Study of Extended Dosing with Aranesp® (Darbepoetin Alfa) in Chronic Kidney Disease Patients not on Dialysis - Interim Analysis. 45th Annual Scientific Meeting of the Australian and New Zealand Society of Nephrology 7-9 September 2009. Hobart, Tasmania. Suryanarayanan G, Aravindan A, Gonzalez N, Jefferys A, South Western Sydney 121 Respiratory Medicine Liverpool Hospital Dr Peter Collett Research Department Profile Researchers within the Department of Respiratory Medicine at Liverpool Hospital are engaged in research on obstructive lung disease (asthma and COPD), tuberculosis, sleep medicine, occupational lung disease, imaging methods and bronchoscopy. Researchers also investigated aspects of the H1N1 influenza pandemic at the hospital Research Grants various regions of Australia Administering Institution: University of Sydney Funding Body: NHMRC Funding Body: NHMRC Chief Investigator/s: R Grunstein, G Maryk, P Gibson and others Chief Investigator/s: S. Bell, P Bye, B Rose, C Harbour, G marks, P Robinson Project Title: Centre for Clinical Research Excellence in Respiratory and Sleep Medicine Project Title: Clinical impact of clonal Pseudomonas aeruginosa in cystic fibrosis Lay Description: Promoting clinical research, research training and research translation in respiratory and sleep medicine Lay Description: Describing the prevalence, incidence and consequences of infection with clonal strains of P aeruginosa in patients with cystic fibrosis Administering Institution: University of Sydney Administering Institution: University of Queensland Funding Body: NHMRC Chief Investigator/s: G. Marks, M Abramson, A James, G Maguire, B Toelle, R Wood-baker Funding Body: NHMRC Project Title: Burden of obstructive lung disease in Australia Chief Investigator/s: R Grunstein, D McEvoy, L Palmer, G marks, R Pierce, N Rodgeers Lay Description: Describing the prevalence, burden and management of COPD in people aged 40 years and over in Project Title: Australian Sleep Health Clinical Trials Network South Western Sydney 122 122 Respiratory Con’t Lay Description: Enabling grant to facilitate clinical trials in sleep research in Australia Funding Body: NHMRC Chief Investigator/s: R Grunstein, C Anderson, P Lui, P Cistulli, N Glozier, P Robinson, C Armour, G Marks Administering Institution: University of Sydney Project Title: CCRE in Interdisciplinary sleep health Funding Body: CRC for Asthma Lay Description: Promoting clinical research, research training and research translation in sleep medicine Chief Investigator/s: G Marks, C Cowie Project Title: Lane Cove Tunnel Health Impact Assessment Administering Institution: University of Sydney Lay Description: An investigation of the health and air pollution effects of Lane Cove tunnel on the surrounding residents Funding Body: ARC (Linkage) Chief Investigator/s: L Morawska, G Ayoko, Z Ristovki, S Low Choy, M Moore, G Williams, G marks, Probinson, J Woodlands Administering Institution: Woolcock Institute of Medical Research Project Title: The effect of nano and ultrafine particles from traffic emissions on children’s health Funding Body: NHMRC Lay Description: Investigation of the health effects of exposure to traffic-related particulate emissions among Brisbane school children Chief Investigator/s: G Marks Administering Institution: Queensland University of Technology Project Title: Practitioner Fellowship (L2, 50%) Lay Description: Books Administering Institution: University of Sydney Australian Centre for Asthma Monitoring. Refining national asthma indicators: Delphi survey and correlation analysis. 6 Report. Canberra.AIHW2009. Report No.: ACM 15.AIHW 2009. Funding Body: NHMRC Chief Investigator/s: R Grunstein, K Wong, P Cistulli, G Marks, N Zwar Australian Centre for Asthma Monitoring. Burden of disease due to asthma in Australia. 6. Report.Canberra.AIHW2009. Report No.: ACM 16.AIHW2009 Project Title: The diagnosis of obstructive sleep apnoea in primary care Lay Description: Investigation of a diagnostic algorithm for obstructive sleep apnoea in general practice Australian Centre for Asthma Monitoring. Asthma in Australian children: findings from Growing up in Australia, the Longitudinal Study of Australian Children. Canberra.AIHW2009. Report No.: ACM 17.AIHW2009. Administering Institution: University of Sydney Funding Body: NHMRC Journals Articles/Refereed Journals Chief Investigator/s: G Marks, B Toelle, S Leeder, C Cowell, E Tovey, C Almqvist Ampon RD, Reddel HK, Correll PK, Poulos LM, Marks GB. Cost is a major barrier to the use of inhaled corticosteroids for obstructive airways disease. Med J Aust2009.191.6319-23. Project Title: Sex-related changes in asthma during the transition through puberty in the CAPS birth cohort Ayer JG, Harmer JA, Xuan W, Toelle B, Webb K, Almqvist C, Marks GB.Celermajer DS. Dietary supplementation with n-3 polyunsaturated fatty acids in early childhood; effects on blood pressure and arterial structure and function at age 8 years. Am J Clin Nutr.2009.90.2438-46. Lay Description: Follow-up of the CAPS birth cohort through puberty to track changes in lung function, respiratory symptoms and asthma, and their relation to pubertal stage, sex and age Administering Institution: University of Sydney South Western Sydney 123 Respiratory Con’t Borger P, Miglino N, Baraket M, Black JL, Tamm M, Roth M. Impaired translation of CCAAT/enhancer binding protein alpha mRNA in bronchial smooth muscle cells of asthmatic patients. J Allergy Clin Immunol, Epub, PubMed PMID: 19121862.2009.34.3639-45. King M, Kenny P, Marks G. Asthma control and healthrelated quality of life: related constructs with implications for measurement. Qual Life Res 2009.18.301-12. Klagas I, Goulet S, Karakiulakis G, Zhong J, Baraket M, Black JL, Papakonstantinou E, Roth M. Decreased hyaluronan in airway smooth muscle cells from patients with asthma and COPD. Eur Respir J, Epub, PubMed PMID: 19282346.2009.34.361628. Chang Y-S, van Hal SJ, Spencer PM, Gosbell IB and Collett PW. Comparison of adult patients hospitalised with pandemic (H1N1) 2009 influenza and seasonal influenza during the “PROTECT” phase of the pandemic response, eMJA rapid online publication 30 November 2009. Now in print:.Med J Aust 2010.192.290-93. Makarie Rofail L, Wong KK, Unger G, Marks GB, Grunstein RR. Comparison between a single channel nasal airflow device and oximetry for the diagnosis of obstructive sleep apnea. Sleep.2009... Dennis SM, Zwar NA, Marks GB. Diagnosing asthma in adults in primary care: a qualitative study of Australian GPs’ experiences. Primary Care Respir.J.2009; 18:online 2009... Makarie Rofail L, Wong KK, Unger G, Marks GB, Grunstein RR. The utility of single channel nasal airflow pressure transducer in the diagnosis of OSA at home. Sleep.2009... Dobler CC, Crawford ABH. Bronchoscopic diagnosis of endoscopically visible lung malignancies: should cytologic examinations be performed routinely? Intern Med J2009.39.806-11. Marks GB, Poulos LM, Jenkins CR, Gibson PG. Asthma in older adults: a holistic, person-centred, problem-oriented approach. Med J Aust.2009.191.4197-99. Dobler CC, Crawford ABH, Jelfs PJ, Gilbert GL, Marks GB. Recurrence of tuberculosis in a low incidence setting. Eur Respir J2009.33.1160-67 Rose N, Cowie C, Gillett R, Marks G. Weighted road density: A simple way of assigning traffic-related air pollution exposure. Atmos Environ. 2009.43.5009-14 Dobler CC, Wong KK, Marks GB. Associations between statins and COPD.a systematic review. BMC Pulmonary Medicine 2009.9.33 Conference Presentations/Posters Asif S, Kohler F. ICF Core Sets for stroke outcomes in a rehabilitation day hospital setting.Ingham Research Institute Research Showcase, Program and Abstract Book. 27-Nov-09. Liverpool. Jenkins CR, Chang AB, Poulos LM, Marks GB. Asthma in Indigenous Australians: so much yet to do for Indigenous lung health. Med J Aust. 2009.190.10230-31. JG, Harmer JA, Nakhla S, Xuan W, Ng MK, Raitakari OT, Marks GB.DS. HDL-Cholesterol, Blood Pressure and Asymmetric Dimethylarginine are Significantly Associated with Arterial Wall Thickness in Children. Arteriosclerosis,Thrombosis and Vascular Biology 2009.29.943-49. Asif S, Kohler F. Use of ICF stroke brief core set in a day hospital situation. In: Conference Handbook: 2009. 21-25 July 2009. Queenstown, New Zealand. Estell J, Cole AMD, Renton R, Kohler F, Connolly C. A decade of cancer rehabilitation in SW Sydney. AFRM/NIRR/NZRA Rehabilitation Conference, 21-25 July 2009. Queenstown, New Zealand Kidd TJ, Marks GB, Bye PT, Wainwright CE, Robinson PJ, Rose BR, Harbour C, Bell SC.and the ACPinCF Investigators. Multicentre Research in Australia - Analysis of a recent National Health and Medical Research Council funded Project. Respirology 2009.14.1051-55. Estell J, Kohler F, Walsh J. The cost-benefit equation for inpatient rehabilitation. AFRM/NIRR/NZRA Rehabilitation Conference. 21-25 July 2009, Queenstown, New Zealand Kidd TJ, Ramsay KA, Hu H, Bye PT, Elkins MR, Grimwood K, Harbour C, Marks GB, Nissen MD, Robinson PJ, Rose BR, Sloots TP, Wainwright CE, Bell SC.and The ACPinCF Investigators. Low rates of Pseudomonas aeruginosa misidentification in cystic fibrosis patients. J Clin Microbiol 2009.47.51503-09. Kohler F. Developing ICF Core Sets for persons with an amputation. The Asian Prosthetic and orthotic Scientific. 22Aug-09. Hong Kong. Kohler F, Dickson H, Redmond H, Connolly C, , Estell J. Interrater agreement of functional status scores for patients South Western Sydney 124 Respiratory Con’t transferred from one rehabilitation setting to another. Oral Paper 175, 5th ISPMR World Congress, 13-17 June 2009. Istanbul, Turkey. Radhakrishnan S, Kohler F. Evaluation of documentation of medication changes and patient consent by clinicians in an inpatient rehabilitation setting. Ingham Research Institute Research Showcase, Program and Abstract Book. Nov-09. Liverpool Kohler F, Redmond H. Accuracy of SNAP class allocation and funding consequences in the clinical setting. AFRM/NIRR/NZRA Rehabilitation Conference, 21-25 July 2009. Queenstown, New Zealand. Redmond H, Kohler F. Subacute orthopaedic Rehabilitation: Co-morbidities and outcomes. AFRM/NIRR/NZRA Rehabilitation Conference. Jul-09. Queenstown, New Zealand. Kohler F, Redmond H, Connolly C, Dickson H, Estell J, Renton R;. Interrater agreement of functional status scores for patients transferred from one rehabilitation setting to another.. AFRM/ NIRR/NZRA Rehabilitation Conference. 21-25 July 2009, Queenstown, New Zealand Kohler F, Redmond H, Dickson H, Estell J, Connolly C, Renton R. Subacute Casemix classification for stroke rehabilitation in an Australian setting In. Int J of Rehabil Res. Aug-09.. Kohler F, Redmond H, Dickson H, Estell J, Connolly C, Renton R. The financial and classification consequences of differences in FIM scores of patients transferred between two rehabilitation units.In: Int J of Rehabil. Aug-09. Kohler F, Redmond H, Dickson H, Estell J, Connolly C, Renton R;. Interrater agreement of functional independence measure aggregate scores in a clinical setting of patients transferred from one rehabilitation unit to another with raters advised of the study beforehand. In: Int J of Rehabil. Aug-09.. Kohler F, Redmond H, Dickson H, Renton R. Analysis of functional improvement in patients transferred to a rehabilitation unit following stroke, relative to time of transfer into the unit. Int J of Rehabil Res. Aug-09. Kohler F, Renton R, Connolly C, Estell J, Dickson H. Subacute Casemix Classification for stroke rehabilitatio Does it help. 2009 AFRM/NIRR/NZRA Rehabilitation Conference. 21-25 July 2009. Queenstown, New Zealand Kohler F, Renton R, Dickson H, Redmond H. Analysis of functional improvement in patients transferred to a rehabilitation unit following stroke relative to time of transfer into the unit. AFRM/NIRR/NZRA Rehabilitation Conference. 21-25 July 2009. Queenstown, New Zealand. Professor G Stucki and M Baumberger:. Implementation of the ICF in Rehabilitation Medicine. AFRM/NIRR/NZRA Rehabilitation Conference. 21-25 July 2009. Queenstown, New Zealand. South Western Sydney 125 Sexual Health Service Community Health (Specialist Services) A/Professor Catherine O’Connor, Director Sexual Health Service Research Department Profile Research priorities for the Sexual Health Service in 2009 included: HIV positive men (STI risk, antiretroviral treatments, smoking cessation, men who have sex with men, piloting delivery of HIV test results by telephone, the sexual health of Vietnamese men in inner western Sydney, male circumcision and risk of STI transmission, supporting general practice, Aboriginal people living with hepatitis C, male sexual assault and continued participation in various national HIV and STI surveillance projects. Staff engaged in research in 2009 included: Catherine O’Connor (Director), David Templeton (Staff Specialist), Loretta Healey (Senior Social Worker), Miranda Shaw (former Manager Health Promotion Team), Martin Silveira (HPO), Priyadi Prihaswan (former HPO), Anna McGowan (AHEO), Yoges Paramsothy (Staff Specialist), Timothy Duck (HPO), Robert Ball (HPO), Pat Walker (NUM), Rachel Chute (former HIV Registrar). Clinical Trials Lay Description: Funding Body: Funding Body: Internal funding Chief Investigator/s: Templeton DJ, O’Connor CC, Healey L Chief Investigator/s: Healey L Project Title: HIV Results: Practice at Public Sexual Health Clinics NSW. Project Title: A pilot study looking at the acceptability of combining smoking cessation counselling and Nicotine Replacement in HIV positive patients who have Healthcare cards Lay Description: Giving HIV results by telephone 2009 Funding Body: Lay Description: HIV positive patients who smoke cigarettes who attend sexual health and RPAH HIV outpatient services will be offered the opportunity to have a behavioural intervention to assist with smoking cessation. As part of that intervention NRT is recommended. The study population will comprise those on healthcare cards who will be offered free NRT. NRT will be distributed in an individually tailored way who will be also offering the behavioural intervention. Patients will be asked about levels of smoking at baseline, Chief Investigator/s: O’Connor CC (in Community HealthRPAH study) Project Title: A multicentre, randomised, double- blind, double-dummy Phase 3 Study of the Safety and Efficacy of Ritonavir – Boosted Elvitegravir Verses Raltegravir Each Administered With a Backround Regimen in HIV-1 Infected, Antiretroviral Treatment – Experienced Adults. 2009-present RPAH. South Western Sydney 126 Sexual Health Con’t 6 months and 12 months. At these times a Smokerlyzer to measure carbon monoxide will also be administered as an independent measure of smoke exposure. Lay Description: Funding Body: Chief Investigator/s: O’Connor CC Funding Body: Project Title: Australian Collaborative Group on Sentinel HIV Surveillance in Sexual Health Clinics 1999 - present (NCHECR) Chief Investigator/s: Healey L Project Title: A study of the provision of HIV results by telephone to low-risk patients: Does it increase the number of patients having post-test discussion? Lay Description: Lay Description: Patients attending the Sexual Health Clinic for HIV testing will be offered the opportunity to receive their HIV results by telephone if they are considered low risk for HIV. The study will be limited to English speaking patients 18 years and over. Patients excluded from the study will continue to receive usual care related to giving of HIV results. Patients will be asked their level of satisfaction with the method of providing HIV results and a question as to how they would like to receive their results in the future. People who test positive to HIV or receive an indeterminate result will be recalled as per the current procedure for patients with these results. Funding Body: Chief Investigator/s: O’Connor CC, Templeton D Project Title: Australian HIV Observational Database 19992010 (NCHECR) Lay Description: Books O’Connor CC. Sexual Health of Vietnamese Men in inner western Sydney. University of Sydney. Sydney, NSW. University of Sydney. 2009 Journals Articles/Refereed Journals Funding Body: Chief Investigator/s: O’Connor CC (in Community HealthRPAH study) Anderson J, Wilson D, Templeton DJ, Grulich AE, Carter R, Kaldor JM. Cost-effectiveness of adult circumcision for HIV prevention in men who have sex with men. Journal of Infectious Diseases 2009. 200.121803-12 Project Title: Randomised double- blind placebo controlled study to measure the effect of antiretroviral therapy (ART) intensification with Raltegravir and/or hyper-immune bovine colostrum on CD4+ cell count in ART treated, HIV-1 infected individuals with suboptimal CD4+ T cell responses despite prolonged virologic suppression: The Coral Study. 2009 present. Chute RS, Templeton DJ. Management of abnormal vaginal discharge. Medicine Today 2009. 10.439-62 Jin F, Prestage GP, Zablotska I, Rawstorne P, Imrie J, Kippax SC, Donovan B, Templeton DJ, Kaldor JM, Grulich AE. High incidence of syphilis in HIV positive homosexual men: Data from two community-based cohort studies. Sexual Health 2009. 6.4281-4 Lay Description: Funding Body: National Centre in HIV Epidemiology & Clinical Research (NCHECR) O’Connor CC, Shaw M, Wen LM, Quine S. Acculturation, Sexual Behaviour, Risk and Knowledge in Vietnamese Men Living in Metropolitan Sydney. Health Promotion Journal of Australia 2009. 9.13-19 Chief Investigator/s: O’Connor CC Project Title: Australian Genital Wart Surveillance Network 2009 – present (NCHECR) Templeton DJ. Post-exposure prophylaxis following sexual exposures. 2009. 10.1067-71 Lay Description: Templeton DJ, Jin F, Mao L, Prestage GP, Donovan B, Imerie J, Kippax SC, Kaldor JM, Grulich AE. Circumcision and Risk of HIV Infection in Australian Homosexual Men. AIDS 2009. 23.172347-51 Funding Body: Chief Investigator/s: O’Connor CC Project Title: ACCESS-Australian Chlamydia Surveillance in Sexual Health Clinics 2008 - present (NCHECR) South Western Sydney 127 Sexual Health Con’t Templeton DJ, Jin F, Prestage GP, Donovan B, Imrie J, Kippax SC, Kaldor JM, Mindel A, Cunningham A, Grulich AE. Circumcision and risk of sexually transmissible infections in a community-based cohort of HIV –negative homosexual men in Sydney, Australia. 2009. 200.121813-9 Templeton DJ. Circumcision and risk of STIs and HIV in men who have sex with men. HIV & Infectious Disease Research Seminar 2009. New York, USA Templeton DJ Male sexual assault. Australasian Sexual Assault Conference. 2009. Sydney, Australia Conference Presentations/Posters Templeton DJ. Post-exposure prophylaxis and sexual abuse. Paediatric Grand Rounds 2009. New York, USA Jin F, Prestage GP, Templeton DJ, Donovan B, Imrie J, Kippax S, Mindel A, Cunningham A, Cunningham P, Kaldor JM, Grulich AE. The impact of HIV risk-reduction behaviours on sexually transmissible infection among men who have sex with men. 31st Annual Conference of the New Zealand Sexual Health Society 2009. Bay of Islands, New Zealand Templeton DJ. Post-exposure prophylaxis following sexual assault. Australasian Sexual Assault Conference 2009.Sydney, Australia Templeton DJ. Sexual assault of men. 31st Annual Conference of the New Zealand Sexual Health Society 2009. Bay of Islands, New Zealand McGowan AC, Prince R, Shaw MJ. Retreat for Aboriginal People Living with Hepatitis C. Australasian HIV/AIDS Conference (ASHM 2009. Brisbane, Australia Templeton DJ. Sexually transmitted infections in men who have sex with men. 31st Annual Conference of the New Zealand Sexual Health Society 2009. Bay of Islands, New Zealand Prihaswan P, Shaw M, O’Connor C Templeton DJ. Supporting General Practitioners in Providing STI Testing and Treatment to the Community Male sexual assault. 9th International Conference on AIDS in the Asia-Pacific 2009. Bali, Indonesia Templeton DJ, Grulich AE, Yew J, Jin F, Prestage GP, Donovan B, Tabrizi SN. Lymphongranuloma venereum is rare in community-based samples of men who have sex with men. 50th Interscience Conference on Antimicrobial Agents and Chemotherapy 2009. San Francisco, USA Silveira MAN, Moreton R, Dabbhadatta J, Spark M, Wong S, You A, Williamson A. The Implantation and Evaluation Of Sexo Latino. Sexo Caliente. Sexo Seguro Campaign. Australian Sexual Health Conference 2009. Brisbane, Australia Walker P, Duck T, Doughty S, Ball R, Paramsothy Y. Increasing Access for Gay Me/Men who have Sex with Men to Sexual Health Clinics in an Outer Metropolitan Area. A Clinical Perspective. Australian Sexual Health Conference 2009. Brisbane, Australia Silveira MAN, Shaw MJ, Prihaswan P‘Looking Local?’ HIV Negative and Positive Gay Men’s Local Health and Other Resource. Australasian HIV/AIDS Conference (ASHM2009. Brisbane, Australia Higher Degrees by Research Name Degree & Institution Thesis Title Supervisor Commencement Date O’Connor CC Dr Public Health Sexual Health of Vietnamese Men in Inner Western Sydney A/Professor Sue Quine Commenced 2002 and completed 2009. South Western Sydney 128 Toxicology Services RPAH Robert Batey Research Department Profile This study is nearing completion. It has been based at RPAH, John Hunter and Westmead Hospitals and has been running for 5 years. The outcome has been that an antioxidant product including silymarin has been shown to lower ALT levels significantly in treated patients and this has been associated with an improved quality of life while treatment continues. The data are being presented at the American Association of the Liver meeting in New Orleans in May this year. The other aspect of our work examines mechanisms for increasing access to HCV assessment and treatment for people attending Drug dependence treatment services. This work is in the process of gathering data now. Research Grants Lay Description: This study has provided input to HCV and Drug treatment services in several sites across NSW and follow up will determine if this has led to improvement in testing, treatment and management of HCV in methadone patients Funding Body: Bushell Foundation Chief Investigator/s: R Batey, Ses Salmond Project Title: Study of Alternative Medicines in the treatment of HCV Administering Institution: UNSW Lay Description: This study compared placebo to silymarin and to a combination of silymarin and antioxidants in a six month treatment trial. Outcomes in the antioxidant group were positive. No serious side effects in any group occurred. Book Chapters Haber PS, Batey RG. Alcohol and other drug-related Liver disorders....Principles of Addiction Medicine 2. Fourth Edition. New York. American Society for Addiction Medicine. 2009 Administering Institution: Hunter New England Journals Articles/Refereed Journals Funding Body: Bushell Foundation Bell JR, Butler B, Lawrance A, Batey R, Salmelainen P. Comparing overdose mortality associated with methadone and buprenorphine treatment. Drug Alcohol Depend. 2009. 104.0.73-77 Chief Investigator/s: R Batey, E Digiusto Project Title: HCV treatment in Drug Treatment services South Western Sydney 129 Toxicology Con’t Conference Presentations/Posters Alan Fisher, Innes Clarke, Lisa Ferguson, Robert Batey. An audit of the use of Health Care Resources by patients with Alcohol Related Brain Injury. APSAD Annual Meeting. Nov 2009. Darwin. Lisa Ferguson, Innes Clarke, Alan Fisher, Robert Batey. Defining the Role of Consultation Liaison Nurses in three Hospitals in the Greater Southern Area Health Service. APSAD Annual Meeting. 40118. Darwin. HIGHER DEGREES BY RESEARCH Name Degree & Institution Thesis Title Supervisor Commencement Date S Salmond PhD Newcastle University The Hep 573 study of silymarin and antioxidants in the treatment of HCV R Batey Jan 2005 South Western Sydney 130 Trauma Department Liverpool Hospital Dr Scott D’Amours Research Department Profile Liverpool Hospital Trauma Department, as a clinical entity provides a high level of care to trauma patients from the five local government areas of South Western Sydney in collaboration with Campbelltown, Camden, Fairfield, Bowral and Bankstown Hospitals,. Current staffs of the department include the Director, Trauma Fellow, Nurse Coordinator, Area Coordinator, Case Manager, Data Manager and the secretarial staff. The Trauma Department hosts the Institute of Trauma Education and Clinical Standards (ITECS), a research and education unit which develops practical and useful injury related clinical practice guidelines for use across NSW and Australia. The department also hosts students from UNSW, Sydney University as well as students from around the world and Australia for both clinical electives and research terms. The Trauma Department was actively involved in several research projects in 2009. Abdominal compartment syndrome (ACS), intra-abdominal pressure (IAP) and intra-abdominal hypertension (IAH) were the main areas of research focus during 2009, as were clinical practice guideline development. A programme of education for ICU nurses on IAP, ACS and IAH was developed which included an assessment of understanding of pre and post programme. Students supervised by the Trauma Director produced research work on the role of CT in scanning, management of blunt liver trauma and results following implementation of massive transfusion protocols. ITECS produced clinical practice guidelines on initial management of closed head injury as well as pain management in closed head injury. The SWAN XVII trauma conference was hosted successfully in July 2009 with renowned Australian and international speakers participating. This conference is the longest standing and most successful trauma conference in the Asia-Pacific region. Topics of focus for the conference included damage control, haemorrhage control, massive transfusion, scene care/retrieval, patient safety and the role of the trauma nurse practitioner. The conference was well attended by over 250 delegates from around Australia and overseas South Western Sydney 131 131 Trauma Con’t Research Grants and post abdominal wall closure IAPs in patients undergoing abdominal surgery. Funding Body: Motor Accidents Authority of NSW; NSW Institute of Trauma and Injury Management Funding Body: N/A Chief Investigator/s: Scott D’Amours, Leanne Hunt Chief Investigator/s: N/A Project Title: A comparison of methods to measure intraabdominal pressure: Krohn’s method with and without fluid installation prior to measurement. Project Title: Development of clinical practice guidelines Lay Description: Development of clinical practice guidelines on initial management and pain management of closed head injury Lay Description: Volumes of 0ml, 10ml and 25ml were used to compare Intra-Abdominal Pressures (IAP’s), with the patient in a supine position and at 45ْ angle. The results showed that the use of 0ml of fluid provided an inaccurate IAP when compared to the current standard of 25ml of fluid instillation into the bladder, whilst using 10ml of fluid instillation provided accurate IAP’s results when compared to the use of 25ml. Conclusion: - The use of 10ml of fluid instillation into the bladder provides an accurate IAP Administering Institution: Liverpool Hospital Trauma Department Funding Body: University of New South Wales Chief Investigator/s: N/A Project Title: Independent Learning Project (ILP) Programme for medical students Journal Articles/Refereed Journals Lay Description: ILP program provides UNSW medical students an opportunity to undertake research projects in the Trauma Department Chua WC, D’Amours SK, Sugrue M, Caldwell E, Brown K. Performance and consistency of care in admitted trauma patients: Our next great opportunity in trauma care? ANZ J Surg 2009. 79.6.443-8 Administering Institution: Liverpool Hospital Trauma Department Anupindi M, Sugrue M, Parr M, Coppin K. Do patients with an Intra-abdominal pressure (IAP) greater than 20 mmhg get ACS? (Abstract – 4th World Society of Abdominal Compartment Syndrome Meeting, Dublin, Ireland, 25-27 June 2009). Acta Clinica Belgica 2009. 64.3.264 Clinical Trials Funding Body: Trauma SWAN Trust Fund Chief Investigator/s: Michael Sugrue, Lee Kristofferson Project Title: Abdominal Wall Closure and Intra Abdominal Pressure Anupindi M, Sugrue M, Parr M, Jalaludin B, Bishop G. Predictive value of consensus risk factors in determining intraabdominal hypertension. (Abstract – 4th World Society of Abdominal Compartment Syndrome Meeting, Dublin, Ireland, 25-27 June 2009). Acta Clinica Belgica 009. 64.3.265 Lay Description: Intra−abdominal hypertension and abdominal compartment syndrome are well recognised in the abdominal wall injury closure, massive transfusion and other critical aspects of surgery, in particular emergency surgery. Intra−operative pressures have been utilised in many aspects of surgery ranging from oesophageal to bladder surgery. Continuous intra−abdominal pressure is recognised as an important dynamic component in patient care. Increasingly the concept of temporary abdominal closure, laparostomy and dynamic closure systems for the abdominal wall are being discussed. Most patients arriving in ICU who develop abdominal compartment syndrome have raised intra−abdominal pressure and abdominal hypertension upon arrival. This prospective study aimed to determine pre Anupindi M, Sugrue M, Parr M, Shunker S. Monitoring Intraabdominal pressure – Are we compliant? (Abstract – 4th World Society of Abdominal Compartment Syndrome Meeting, Dublin, Ireland, 25-27 June 2009). Acta Clinica Belgica 2009. 64.3.265 Anupindi M, Sugrue M, Shunker S, Parr M. Abdominal Compartment Syndrome in intensive care: It’s common. (Abstract – 4th World Society of Abdominal Compartment Syndrome Meeting, Dublin, Ireland, 25-27 June 2009). Acta Clinica Belgica 2009. 64.3.265 South Western Sydney 132 Trauma Con’t Conference Presentations/Posters Cheatham ML, De Waele J, Kirkpatrick A, Sugrue M, Malbrain ML, Ivatury RR, Balogh Z, D’Amours S. Criteria for a diagnosis of abdominal compartment syndrome. Can J Surg 2009. 52.4.315-6 Anupindi M. Do patients with an Intra-Abdominal Pressure (IAP) greater than 20mmhg get ACS? 4th World Congress - Abdominal Compartment Syndrome. 25-27 June 2009. Dublin, Ireland D’Amours SK. Haemorrhage control-preventing ACS . (Abstract – 4th World Society of Abdominal Compartment Syndrome Meeting, Dublin, Ireland, 25-27 June 2009). Acta Clinica Belgica 2009. 64.3.244 Anupindi M. Predictive value of consensus risk factors in determining intra-abdominal hypertension. 4th World Congress - Abdominal Compartment Syndrome. 25-27 June 2009. Dublin, Ireland Hunt L. Nursing challenges – When the patients come back. (Abstract – 4th World Society of Abdominal Compartment Syndrome Meeting, Dublin, Ireland, 25-27 June 2009). Acta Clinica Belgica 2009. 64.3.246 Caldwell E. Resus Room Nursing SWAN XVII Trauma Conference. 24-25 July 2009. Liverpool Cooper TD, D’Amours SK, Jalaludin B, Truong MX. The role of follow-up CT in the management of blunt liver trauma. The Combined Australasian Trauma Society and Trauma Association of Canada – Annual Scientific Meeting. 5-7 March 2009. Auckland, New Zealand Hunt L. Nursing complications in ACS. (Abstract – 4th World Society of Abdominal Compartment Syndrome Meeting, Dublin, Ireland, 25-27 June 2009). Acta Clinica Belgica 2009. 64.3.246 Hunt L, Leunen HV, Alexandrou E, Frost S. A comparison of methods to measure intra-abdominal pressure: Krohns method with and without fluid instillation prior to measurement. (Abstract – 4th World Society of Abdominal Compartment Syndrome Meeting, Dublin, Ireland, 25-27 June 2009). Acta Clinica Belgica 2009. 64.3.268 Cox M, Forrest-Horder S. Nurse initiated FAST scansWIFOCUS 5th World Congress on Ultrasound in Emergency and Critical Care Medicine. 4 – 6 September 2009. Sydney D’Amours S. Haemorrhage control-preventing ACS. 4th World Congress - Abdominal Compartment Syndrome. 25-27 June 2009. Dublin, Ireland Kirkpatrick AW, Ball CG, Nickerson D, D’Amours SK. Intraabdominal hypertension and the abdominal compartment syndrome in burn patients. World J Surg 2009. 33.6.1142-9 D’Amours S. Top 10 mistakes you can make at 02.00 am (Workshop). 4th World Congress - Abdominal Compartment Syndrome. 25-27 June 2009. Dublin, Ireland Kristofferson L, Andrews K, Muratidi J, Hunt L, D’Amours S, Sugrue M. Are we coding correctly: or at all for the abdominal compartment syndrome? (Abstract – 4th World Society of Abdominal Compartment Syndrome Meeting, Dublin, Ireland, 25-27 June 2009). Acta Clinica Belgica 2009. 64.3.268 D’Amours S. When to open/close the abdomen? (Panel member) 4th World Congress - Abdominal Compartment Syndrome. 25-27 June 2009. Dublin, Ireland D’Amours S. In House vs Remote Call. Austrauma 2009.13-14 February 2009. Sydney Kristofferson L, Hunt L, D’Amours S, Sugrue M. Unblock your brain – Check the urinary catheter is not blocked before decompressing for raised intra-abdominal pressure! (Abstract – 4th World Society of Abdominal Compartment Syndrome Meeting, Dublin, Ireland, 25-27 June 2009). Acta Clinica Belgica 2009. 64.3.268 D’Amours SK. Abdominal Compartment Syndrome – open, closed… and complicated! Association of Surgeons of South Africa Scientific Congress. 20-22 August 2009. Cape Town, South Africa D’Amours SK. Trauma in 2020. Association of Surgeons of South Africa Scientific Congress. 20-22 August 2009. Cape Town, South Africa Waldron R, Ryan L, Sugrue M, Kristofferson L. Intra-abdominal hypertension – does it exist outside ICU? (Abstract – 4th World Society of Abdominal Compartment Syndrome Meeting, Dublin, Ireland, 25-27 June 2009). Acta Clinica Belgica 2009. 64.3.268 D’Amours SK. Trauma management in a GP run emergency unit. General Practitioners of South Africa Update (as part of Association of Surgeons of South Africa Scientific Congress). 20-22 August 2009. Cape Town, South Africa South Western Sydney 133 Trauma Con’t Devaud M. Chilean earthquake – Disaster management. SWAN XVII Trauma Conference. 24-25 July 2009. Liverpool Forrest-Horder S. Nurse initiated FAST scans. Trauma Down The Coast. 30 April – 1 May 2009. Wollongong. Francis N. Trauma hotline and transfers (Panel member). Trauma Down The Coast. 30 April -1 May 2009. Wollongong Gina M. Military/civilian Strategic Alliances. SWAN XVII Trauma Conference. 24-25 July 2009. Liverpool Hunt L. A comparison of methods to measure intra-abdominal pressure: Krohns method with and without fluid instillation prior to measurement. 4th World Congress - Abdominal Compartment Syndrome. 25-27 June 2009. Dublin, Ireland Hunt L. Nursing challenges –When a patient comes back (Workshop). 4th World Congress - Abdominal Compartment Syndrome. 25-27 June 2009. Dublin, Ireland Hunt L. Nursing complications seen in ACS. 4th World Congress - Abdominal Compartment Syndrome. 25-27 June 2009. Dublin, Ireland Kristofferson L. Are we coding correctly: or at all for the Abdominal Compartment Syndrome? 4th World Congress - Abdominal Compartment Syndrome. 25-27 June 2009. Dublin, Ireland Kristofferson L. Measuring IAP (Workshop). 4th World Congress - Abdominal Compartment Syndrome. 25-27 June 2009. Dublin, Ireland South Western Sydney 134 Upper GI Surgery Bankstown-Lidcombe Hospital Professor Neil Merrett Research Grants Merrett N, Sandler G, Buchan C, Biankin A. Abdominal shotgun wound with pellet Embolisation. Trauma Injury Infection and Critical Care. 2009. 67.6.202-208 Funding Body: NSW Cancer Institute 2009 Chief Investigator/s: Neil Merrett and Andrew Biankin Merrett N, Wilson R, Biankin A. SMA syndrome – diagnosis and treatment strategies.Gastrointestinal Surgery. 2009. 13.2.287292 Project Title: Cancer Institute Research Fellow Lay Description: Post Fellowship Training Upper GI Oncology Research Nguyen N, Biankin A, Leong R, Chang D, Cosman P, Delaney P, Kench J, Merrett N. Real time intraoperative confocal microsoopy guided surgery.Annals of Surgery. 2009. 249.5.735737 Administering Institution: Bankstown-Lidcombe Hospital Journals Articles/Refereed Journals Conference Presentations/Posters Merrett N, Chang D, Nguyen N, Dixson H, Rupert W, Leong R, Biankin A. Role of endoscopic ultrasound in Pancreatic Cancer. Gastroenterol Hepatol. 2009. 3.3.293-303 Chang Dk, Colvin EK, Scarlett CJ, Pinese M, Goldstein D, Merrett ND, Musgrove EA, Henshall SM, Sutherland RL, Kench JG, Biankin AV. Biomarkers of Gemcitabine response in Pancreatic Cancer. 40th Anniversary combined meeting Japan Pancreatic Society and APA.4 – 7 November 2009. Honolulu, Hawaii Merrett N, Das A, Biankin A, Chang D. Surgical Treatment of Gastrointestinal Stromal Tumours of the upper gastrointestinal tract. Gastrointestinal Surgery. 2009. 13.7.1220-1225 Chang DK, Colvin EK, Scarlett CJ, Pinese M, Goldstein D, Merrett ND, Musgrove EA, Henshall SM, Sutherland RL, Kench JG, Biankin AV. Biomarkers of Gemcitabine Response in Pancreatic Cancer. ASM – Australasian Pancreatic Club. 7 – 8 August 2009. University of New South Wales, Sydney Merrett N,Chang D, Johns A, Gill A, Colvin E, Scarlett C, Nguyen N, Leong R, Kelly M, Sutherland R, Henshall S, Kench J, Biankin A. Margin Clearance and Outcome in Resected Pancreatic Cancer. Clinical Oncology. 2009. 27.17.2855-2861 Merrett N, Biankin A. Repair of giant right inguinal hernia using prolene mesh System. ANZ Journal of Surgery. 2009. 79.40210.92-93 Chang DK, Johns Al, Merrett ND, Gill AJ, Colvin EK, Scarlett CJ, Sutehrland RL, Henshaw SM, Kench JG, Biankin AV. Margin Clearance and Outcome in resected Pancreatic Cancer. 40th Anniversary combined meeting Japan Pancreatic Society and APA. 4 – 7 November 2009. Honolulu, Hawaii Merrett N, Biankin A, Kench J, Colvin E, Segara D, Scarlett C, Nguyen N, Chang D, Skalicky D, Morey A, Lee C-s, O’Toole S,+ 9. Expression of S100A2 Calcium-binding protein response t pancreatectomy for Pancreatic Cancer. Gastroenterology. 2009. 137.2.558-468e11 Colvin EK, Chang DK, Johns AL, Newland LG, Gill AJ, Cosman PH, Merrett ND, Biankin AV, Kench JG. The Association between Histological Subtypes of IPMN and Patient Outcome. ASM – Australasian Pancreatic Club. 7 – 8 August 2009. University of New South Wales, Sydney Merrett N, Gill A, Johns A, Eckstein A, Samra J, Kaufman A, Chang D, Cosman P, Smith R, Biankin A, Kench J. Synoptic reporting improves histopathological assessment of pancreatic resection specimens. Pathology. 2009. 41.2.161-167 Gill A, Johns A, Samra J, Chang DK, Merrett ND, Smith R, Biankin AV, Kench JG. Synoptic Reporting Improves Histopathological Assessment of Pancreatic Resection Specimens. ISW - International Surgical Week 2009. 6 – 10 September 2009. Adelaide Convention Centre Merrett N, Leong R, Chang D, Biankin A. Taking optical biopsies with confocal endomicroscopy. Gastroenterol Hepatol. 2009. 24.11.1701-1703 South Western Sydney 135 Upper GI Con’t Merrett N, Biankin A, Chang D. Pattern of Care Analysis of Gastro-Oesophageal Cancer. ISW - International Surgical Week 2009. 6 – 10 September 2009. Adelaide Convention Centre Nguyen N, Biankin AV, Merrett ND, Binmoeller K. Outcomes of Endoscopic Ampullectomy in the Elderly with Ampullary Tumours. International Surgical Week 2009. 6 – 10 September 2009. Adelaide Convention Centre Merrett N, Eviston T, Warrior S, Dixon H. Haemobilia Following Percutaneous Radiofrequency Ablation of Hepatocellular Carcinoma: A Case Report and Literature Review. AGW Australian Gastroenterology Week 2009.19 – 24 October 2009. Sydney Convention and Exhibition Centre, Sydney Australia Nguyen NQ, Binmoeller KF, Shah JN, Leong RW, Merrett ND, Biankin AV. The Impact of On-Site Cytology on the Clinical Evaluation and Management of Patients who Undergo EUSGuided Fine Needle Aspiration For Suspected Pancreatic Cancer. DDW – Digestive Disease Week 2009. 30 May – 4 June 2009. Chicago Merrett N, Nguyen N, Biankin A, Leong R, Delaney P. Real Time Intra-Operative Confocal Microsopy Guided Surgery. ISW - International Surgical Week 2009. 6 – 10 September 2009. Adelaide Convention Centre Nguyen NQ, Johns AL, Chang DK, Merrett ND, Biankin AV. Utilization and Benefit of Adjuvant Chemotherapy for Patients with Resected Pancreatic Cancer. DDW – Digestive Disease Week 2009. 30 May – 4 June 2009. Chicago Higher Degrees by Research Name Degree & Institution Thesis Title Supervisor Commencement Date Amithaba Das Enrolled MS University of Sydney Clinicopathological results of GIST Tumours Neil Merrett 2008 David Chang PhD University of New South Wales Molecular Pathology of Pancreatic Cancers Neil Merrett and Andrew Biankin 2008 South Western Sydney 136 Youth Health Services Community Health (Specialist Service) Vanessa Clift – Director Clinical Trials Funding Body: Cancer Council of NSW Chief Investigator/s: Voula Kougelos, Vanessa Clift, Miranda Shaw, Regina Nagy Project Title: Pilot smoking cessation program with marginalised young people accessing SSWAHS Youth Health Service. Lay Description: Assess the effectiveness of the provision of three months of nicotine replacement therapy (NRT) for marginalised young people attending SSWAHS Youth Health Service sites. Increase the participation of Youth Health Service clients who smoke and who want to quit, in smoking cessation programs. Increase the awareness of effective smoking cessation strategies for young people who smoke and who want to quit.Clinical Trials South Western Sydney 137 137 Ingham Health Research Institute i n g h a m h e a lt h r e s e a r c h I n s t i t u t e 139