Potential MBBS Research Projects: Honours, MPhil, PhD Students with a ‘genuine interest’ in any of the following projects or areas of research are encouraged to enquire by email to the contact person listed and discuss possible project opportunities NEW Projects for 2012 Student Wellbeing Intervention Project School of Medicine The aim of this project is to produce a resource for educators and support staff both nationally and internationally, that details the evidence for interventions that aim to prevent and treat mental health problems in tertiary students. There is scope for up 8-10 students to work on this project. Skills developed will include: Carrying out systematic literature reviews Applying NHMRC criteria in evaluating levels of evidence of studies Presenting information in creative and user-friendly formats Working in a highly motivated multidisciplinary team environment There is also scope for students with skills in website design and development to be involved in the project. Contact: Dr Helen Stallman, Senior Lecturer h.stallman@uq.edu.au Geriatric Medicine Audit: Long line insertion and complications Compliance with guidelines for the management of delirium Retrospective: Dementia and case note documentation, Case review of patients with delirium, Prospective: The natural history of delirium behaviour, evaluation of cognitive testing in delirium, relationship between behaviour and intervention, Gait and delirium, Delirium and poor outcome Literature review Models of care in delirium: what should a delirium service look like? Contact: Dr Eamonn Eeles Eamonn_Eeles@health.qld.gov.au The Prince Charles Hospital and Northside Clinical School 1 Document1 Primary Health Care Project: Patient engagement: A literature review Patient engagement is regarded as a fundamental strategy for improving the management of disease in Australia, especially chronic disease, and reducing health care costs. However, there is a need to examine the concept more fully in order to facilitate its implementation in primary health care. The project involves conducting a review of the international literature on patient engagement, and identifying critical factors to facilitate its use in Australian primary health care policy. It is anticipated that the research would lead to the publication of an academic journal article. Suitable: Honours or MPhil Skill development: (1) Familiarisation with several types of literature reviewing, (2) Analysis and synthesis of key concepts, and (3) Writing for publication. Start date: Immediate. Contact: Associate Professor Julie Hepworth j.hepworth@uq.edu.au Australian Red Cross Blood Service Research and Development The Australian Red Cross Blood Service (Blood Service) has a proud history of innovative and exciting research and development. Such ingenuity is essential for ensuring the Blood Service provides a safe and high quality service to the community. The aim of the Research and Development (R&D) division is to conduct world class research that will inform the Blood Service's core activities. R&D at the Blood Service is underpinned by a robust business plan and focuses on building relationships with current and future donors; maintaining the safety and quality of blood products; enhancing knowledge of transfusion; and improving practice. A strong emphasis is placed on translational research that could ultimately lead to improved operational procedures or changes in clinical practice. We have a number of research projects available based on the analysis of existing databases for donor vigilance and component usage patterns. In addition, we have tools for on-line surveys to examine attitudes to blood component usage. Projects are available for Honours, MPhil or PhD students Contact Professor Robert Flower (rflower@redcrossblood.org.au) or Dr Helen Faddy (hfaddy@redcrossblood.org.au) 2 Document1 Medication Use in University Students Schools of Medicine and Pharmacy There is a growing body of research investigating the utilisation of medications by university students, however the focus has been on the illicit drugs or the abuse of prescribed medications rather than the general use of medicines. This population, which accounts for approximately 5% of the total Australian population, has significantly higher levels of psychological distress compared to patients at community general practices, with one in two students attending university health services and 83% of the general student population having elevated levels of distress. Despite these differences with the general population regarding mental health, very little is known about the types of medication prescribed to students, their consultation expectations, their beliefs about medications and the way that they use their medications and how these factors are affected by their general wellbeing. It is unknown how this population is similar to or different from the general population in regards to these factors. It is also unknown whether University Health Services may be more attuned to the physical and psychological problems of university students and respond to them in different ways than community general practices. The aim of these project is to explore these issues. Contact: Dr Helen Stallman | Senior Lecturer h.stallman@uq.edu.au 3 Document1 Research in Community Health: School of Population Health The self-management approach is generally implemented to those diagnosed with one or more chronic conditions e.g. arthritis, diabetes, asthma to support day-to-day management of symptoms. This Honours project will explore the potential for developing self-management as a tool for prevention, and for delaying onset of chronic conditions. It will also involve qualitative interviews in an effort to understand lay beliefs that support and/or hinder scientific knowledge transfer regarding the onset of chronic conditions at the community level. Contact: Dr Robyn Mobbs r.mobbs@sph.uq.edu.au Respiratory Medicine: Lung & Allergy Research Centre Princess Alexandra Hospital Two very interesting clinical projects are available and suitable for Honours. 1. Outcomes in patients admitted to a Respiratory High Dependency Unit with hypoxic respiratory failure. 2. Outcomes of patients with lung cancer complicated by pericardial effusion. Contact Prof John Upham MB BS FRACP PhD j.upham@uq.edu.au or Dr Michelle Murphy Michelle_A_Murphy@health.qld.gov.au Research in Obstetric Medicine Royal Brisbane Clinical School, UQCCR This research group consists of both clinician scientists and scientists in obstetric medicine. We study complications of pregnancy. We have projects covering a wide area of complications from gestational diabetes and preeclampsia to thromboembolisms and sleep disorders. The methods we employ vary from medical chart audits to wet lab based projects with a focus on DNA methylation, gene expression and glucose and lipid metabolism. We have projects that are suitable to all levels of study. Contact: Marloes Dekker Nitert PhD m.dekker@uq.edu.au 4 Document1 The Rural Clinical School Two new projects suitable for Honours or MPhil students 1) NHMRC funded Aus ICUROS study: Involves interviewing patients with fracture to obtain health economics data 2) ZiPP study, funded by the Medical Research Council, UK: Identifying and interviewing patients with Paget's Disease of Bone (PDB), getting blood to determine whether they have a gene mutation commonly associated with PDB, constructing a family tree, then investigating the members for presence of the gene mutation and/or clinical PDB Other projects: 1) Osteoclast Biology: Role of M-CSF and other Receptor Tyrosine Kinases in the regulation of differentiated human osteoclast function. The research team has recently shown that M-CSF is a potent regulator of human osteoclast resorbing activity and survival. This project will exploit a unique mature human osteoclast model, which uses CFU-GM cells derived from human umbilical cord blood, to characterise the molecular mechanism of the M-CSF effect and to study possible similar effects mediated by other agonists of c-fms kinase and other receptor tyrosine kinases. 2) Co-morbidities in Indigenous and non-Indigenous Australians with mental health disorders – a Case-Control Study. Conditions such as cardiovascular disease, diabetes, obesity, hypertension, hyperlipidaemia and cancer, and risk factors for these conditions, are increased in persons with mental health disease. This study will characterise the burden of disease and risk factors in a population-based study set in South Western Queensland. The study will involve collaboration with Queensland Mental Health Services. 3) Randomly-selected, Population-based, Cohort study - The Australian Regional, Rural, and Remote Area Health Study, “The A3R Health Study”). A major strategy of this population health research set in the Darling Downs, South West and South Burnet regions of Queensland will be the establishment of a large (n=1600 females and 1600 males), representative, cohort study, which will provide both cross-sectional (prevalence) and prospective longitudinal (incidence) health-related data. An additional 400 persons of Indigenous origin will be included in the sample. This will be a unique study for Australia because of oversampling of the remote population, random selection and high participation. Thus, it will provide unique insight into the health and health risk factors of the 40% of Queenslanders who do not live in major cities. Of these 21.8%, 15%, 2.0% and 1.2% reside in Inner Regional, Outer Regional, Remote and Very Remote areas, respectively. Contact: Professor Geoff Nicholson MBBS PhD FRACP FRCP Head of School & Director of Research, Rural Clinical School, geoff.nicholson@uq.edu.au 5 Document1 Research in General Practice and Pharmacy Project title: What do consumers and HPs want to know about paracetamol? Supervisors: Prof. Mieke van Driel (Discipline of General Practice) and Assoc. Prof. Treasure McGuire (UQ School of Pharmacy) Background: There are currently three national pharmacist-operated telephone call centres where consumers and health professionals can seek information and advice about medicines for the cost of a local call: NPS Medicines Line (ML) - a service for consumers with questions about medication Therapeutic Advisory Information Service (TAIS) - a companion national telephone information service for community based health professionals. Adverse Medicines Events (AME) line - a service where consumers can report where “something has gone wrong with their medicine(s). The service triages calls about possible adverse medicine events or medication errors and filters information through to the Adverse Drug Advisory Committee (ADRAC) of the Therapeutic Goods Administration. All contacts over the past 8-10 years (2000/02-2010) with consumers and health professionals are recorded in an electronic database. It is a valuable source of information that will help us to understand the health information needs of both consumers and health professionals. Aims of the Project To explore the health and medicines information needs of consumers and health professionals; and relate these identified needs to prescription data and contextual information (such as publication of evidence, media coverage etc). Methods We will analyse data collected in ML, AME, TAIS and contextualise the findings. We will explore the nature of the questions using the “background versus foreground model”. Outcome The written report will be an article to be submitted to a biomedical journal for publication. List of suggested topics 1 Paracetamol 2. Antidepressants 3. Drugs in lactation 4. “Steroids” 5. Lifestyle drugs 6. NSAIDs Contact: Professor Mieke van Driel Head of General Practice, m.vandriel@uq.edu.au or Assoc Prof Treasure McGuire, School of Pharmacy, t.mcguire@uq.edu.au 6 Document1 Southside Clinical School and Princess Alexandra Hospital Patterns of care between Indigenous and non-indigenous cancer patients: health care professionals’ perspectives about cancer treatment for Indigenous & non-Indigenous patients Despite a similar incidence of cancers, Indigenous Australians have higher mortality rates and poorer survival compared to other Australians. The reasons for this are multi-faceted and may be due to later cancer stage at diagnosis, reduced uptake of or access to treatment, increased comorbidities, and higher rates of more aggressive cancers, however, little is known about these. This proposed study is part of a larger study which aims to explore the patterns of care received by both Indigenous and nonIndigenous cancer patients and whether any differences may be identified to explain the current gaps in health outcomes. This study will involve interviewing health care professionals at the Princess Alexandra Hospital and the Royal Brisbane Hospital. Specific aims are: explore health care professionals’ perspectives about Indigenous & non-Indigenous patients who commenced treatment to examine their clinical decision-making, particularly in the context of comorbidity, Indigeneity and geographical isolation from cancer care services explore health care professionals’ perspectives about patients who did not commence treatment to examine their reasons for non-uptake or non-completion Please contact: Dr Jennifer Martin, Head Southside Clinical School, PAH j.martin4@uq.edu.au 7 Document1 Queensland Brain Institute (QBI) Richards Lab Student Projects for Honours, Masters, PhD Project 1: Finding a possible treatment for glioblastoma multiforme. Glioblastoma multiforme (GBM) is the most aggressive form of brain cancer, where patients have little chance of survival beyond one year after first diagnosis. We recently discovered that a specific transcription factor can halt the progression of brain tumours and presents an exciting possibility for therapeutic treatments. This projects aims to identify the molecular mechanism by which this transcription factor can prevent the progression of GBM. Project 2: Developing a diagnostic test for patients with agenesis of the corpus callosum. Agenesis of the corpus callosum (ACC) occurs in 1:4000 live births and can result in a spectrum of symptoms ranging from severe mental retardation and sensory and motor deficits to more mild cognitive disorders. Babies affected by ACC can be diagnosed in utero by ultrasound or fetal MRI but there is little information that can be given to parents as to the prognosis for each child. A good diagnostic test is required. This project aims to begin to develop such a test. Project 3: Understanding the molecular mechanisms of corpus callosum formation. The corpus callosum is the largest fibre tract in the brain and connects neurons in the left and right cerebral hemispheres. Our lab is interested in the mechanisms that underlie how the axons that make up the corpus callosum are guided at the midline and how they find their targets in the contralateral hemisphere. These mechanisms underlie the fundamental basis for how the brain becomes wired up during development and defects in these mechanisms may be associated with mental retardation, autism spectrum disorder and mental illnesses such as schizophrenia and bipolar disorder. A number of smaller specific projects are available in this area of research. Contact: Professor Linda J. Richards, richards@uq.edu.au 8 Document1 Queensland Brain Institute (QBI) Mathematical and computer modelling research to understand spatial navigation circuits in the mammalian brain. Suitable for Honours, MPhil or PhD Spatial navigation is one of the most important, ancient and ubiquitous functions of animal brains. A number of eminent scientists believe spatial navigation will be the first non-sensory brain function to be understood at the microcircuit computation level. A number of neurons have already been identified in the hippocampus and surrounding brain regions of mammals which show spatially-selective firing patterns. Their ensemble activity is believed to represent a neural code for position and direction during navigation. Despite this, models are lacking which can simultaneously explain the functional requirements of efficient navigation, as well as the neurophysiology of observed spike patterns and/or brain dynamics. Recent theoretical work has shown that uncertainty in position and direction place unexpected constraints on the computations needed for effective navigation. These results provide important guidance for the development of models of brain circuits which can successfully carrying out spatial navigation under realistic conditions. Students (Honours to PhD) with a strong theoretical background (mathematics, physics, programming) will have the opportunity to develop an in-depth understanding of the neurobiology of mammalian spatial navigation, of optimal spatial navigation theory, plus develop, simulate and analyze neural models of mammalian spatial navigation. For longer projects (e.g., PhD) students can implement and test models on a mobile robot (the iRat), and some model predictions could be tested in real rats (in collaboration with another lab). Contact with a current CV: Allen Cheung a.cheung@uq.edu.au Research Fellow Queensland Brain Institute The Qld Centre for Mothers and Babies The Qld Centre for Mothers and Babies are currently funding evaluation. www.uqhealthcare.org.au/possums An example of a project available could be looking at our preliminary data and determining numbers of patients already diagnosed with GORD, and whether dealing other problems (eg breastfeeding difficulties) in these patients decreases the problematic symptoms. Contact: Dr Pamela Douglas MBBS FRACGP Discipline of General Practice School of Medicine pameladouglas@uq.edu.au 9 Document1 Ipswich Clinical School Melatonin for initial insomnia in stimulant-treated pediatric ADHD Synopsis Attention-deficit/hyperactivity disorder (ADHD) is a common neurological disorder affecting 5-12% of children. A highly prevalent problem for children with ADHD is initial insomnia. The standard management for ADHD symptoms is the use of stimulant medications, which can exacerbate the severity of existing initial insomnia or cause its development. Children with ADHD who are prescribed stimulant medications, represent one of the most vulnerable populations to experience chronic initial insomnia. Sleep problems in children negatively impact their social, physical, and mental well-being, aggravate the severity of their ADHD symptoms, and cause parental exhaustion and stress. To combat the problem of initial insomnia, ADHD children are prescribed sleeping pills which may have serious side effects, are expensive, and may interfere with their stimulant medications. At present, there is no gold standard option available for these children and their families. Melatonin, a popular natural health product (NHP), is commonly used by parents and recommended by health care providers, but high quality pediatric evidence is lacking. Although randomized controlled trials (RCTs) are the gold standard for evaluating treatment efficacy, they may fail to recruit for studies of NHPs as these may be obtained without prescription (& often, potential participants do not consent to be randomized to placebo). We will offer N-of-1 trials which are multiple crossover, randomized, triple-blind controlled trials in a single individual. These will maintain methodological rigor while allowing each participant the opportunity to learn if melatonin is effective for them. Results from the N-of-1 trials will be pooled for meta-analyses. These aggregated results will be compared with data from the first period, which will effectively form a parallel group RCT, and a detailed comparison of the two methodological approaches will be conducted. Contact: Jane Nikles, Ipswich Clinical School 0408 599 033 Can death in a community-based population be predicted by their GP? Most patients who die of a predictable disease are not under the care of a specialist palliative care team. However, most are patients of a general practitioner. If it is possible to predict who may die within a defined time, for example the next twelve months, then appropriate planning can be put in place to ensure their needs are met. This project has two parts. 1. Retrospective audit of medical records of patients who have died within the last five years, in a large general practice, to identify evidence of involvement in a palliative care service, and record clinical features present within the last twelve months of life, that may have predicted their death. 2. Compare these features with a matched cohort to estimate the positive predictive value and negative predictive value of the selected features that may predict death. Contact: Professor Geoff Mitchell g.mitchell@uq.edu.au Projects on women’s health and related to pregnancy such as; Satisfaction with use of MIRENA for menorrhagia and need for further surgery Maternal an perinatal morbidity associated with failed attempt at vaginal birth after 1 previous c/section - a case controlled study pregnancy outcome in women with hyperemesis gravidarum experience with the use of foetal fibronection at Ipswich hospital GP survey re training in insertion of MIRENA - facilitators and barriers Contact: Kassam MAHOMED Kassam_Mahomed@health.qld.gov.au 10 Document1 The Queensland Heart and Lung Transplant Unit, Prince Charles Hospital The Prince Charles Hospital campus and is a world recognised leader in research in the areas of lung transplantation and pulmonary hypertension medicine. The research program aims to improve patient outcomes post-transplant by better understanding the cell biology of the allograft. Due to the unique nature of our research program which is embedded within the clinical program, we have unprecedented access to patient samples. Contact: Dr Stephanie Yerkovich 3130 4050 Stephanie_Yerkovich@health.qld.gov.au Centre for Clinical Research, Queensland Centre for Advanced Imaging One exciting area of research currently underway at the QCPRRC is the use of advanced neuroimaging technology to measure brain injury and neuroplasticity in newborn babies at high risk of abnormal neurodevelopment and in children with cerebral palsy. Within the next 12 months there will be a new state-of-the-art imaging facility located within the UQCCR dedicated to clinical imaging research. Contact: A/Professor Stephen Rose stephen.rose@cai.uq.edu.au Queensland Cerebral Palsy and Rehabilitation Research Centre Muscle mechanics and function in Cerebral Palsy. In the past it has been assumed that the main limitation for normal movement in children with cerebral palsy (CP) is muscle spasticity. We have been developing highly innovative ultrasound imaging and force measuring techniques to characterise how the structural and mechanical properties of affected CP muscles differ from typically developed muscle. Opportunities exist to use these techniques to assess the effectiveness of interventions such as Botulinum toxin A, strength training or serial casting. Contact: Dr Glen Lichtwark g.lichtwark@uq.edu.au Psychiatry: The Prince Charles Hospital A project is available in this area; The Prince Charles Hospital has a strong shared care model between the Geriatric Physicians and Geriatric Psychiatrists, in particular with regards to patients with dementia who suffer from severe BPSD(Behavioural and Psychological Symptoms of Dementia), i.e. patient with dementia who are severely agitated, pose a risk to themselves and others, and whose cares cannot be safely managed in the community. While this arrangement may exist in other hospitals, TPCH is rather unique (nationally and internationally), because of our use of Electroconvulsive Therapy (ECT) as a treatment for severe BPSD. Contact: Peter DEVADASON Geriatric Psychiatrist Peter_Devadason@health.qld.gov.au 11 Document1 Department of Renal Medicine, RBWH: Two Clinical Research Projects 1. POEMSLUN Study (Pharmacokinetics of Enteric Coated Mycophenolate Sodium in Lupus Nephritis) Mycophenolate Sodium (MPS) is an immunosuppressive drug used in managing patients with Lupus Nephritis (LN)). The active metabolite is Mycophenolic acid. (MPA).The amount of MPA in the blood varies from patient to patient. The factors causing these differences were well studied in transplant patients but not well documented in LN patients. Aim of the study is to define the relationship between MPA exposure and clinical efficacy and toxicity. Design: Thirty two participants with clinically defined signs and symptoms of LN who are more than 18 years and on MPS for more than two weeks will be recruited in to this study.MPA drug levels will be measured in all participants. Patients will be block randomised to one of the treatment groups, with 16 patients entering each group. Exposure controlled group: Oral MPS dosage will be modified according to area under curve (AUC); Fixed dose Group: Sixteen participants will receive a fixed dose regimen in line with current practice. Primary endpoint: To assess the effect of MPS on clinical improvement in patients with LN as measured by complete or partial remission Secondary endpoint(s): 1) To determine the effect of MPS in improvement in SLE Disease; 2) To study the relationship between disease activity of LN and MPA blood concentration; 3) To develop a pharmacokinetic model that can be used to develop MPS dosing recommendations in LN patients treated with MPS; 4) Cost effectiveness of Therapeutic drug monitoring analysis. Investigators: Dr Dwarakanathan Ranganathan, Dr. George John , Dr.Jason Roberts, Prof. Jeffrey Lipman, Prof. Robert Fassett, Dr. Helen Healy, Dr. Paul Kubler, Dr. Jacobus Ungerer Contact: Dr Dwarakanathan Ranganathan , Ph: 07-36368576; d.ranganathan@uq.edu.au Department of Renal Medicine, RBWH, Brisbane 2. Epidemiology of Biopsy proven Glomerulonephritis 1999- 2011 There is limited data on spectrum of glomerulonephritis in Australia. An insight into this can be obtained from renal biopsy diagnoses. This study aims to recognize any changes in the prevalence, gender ratios and mean age (at time of diagnosis) of glomerular disease from 1999 to 2010. Investigators: Dr Dwarakanathan Ranganathan, Dr. George John, Dr Leo Francis Contact: Dr Dwarakanathan Ranganathan , Ph: 07-36368576; d.ranganathan@uq.edu.au Department of Renal Medicine, RBWH, Brisbane 12 Document1 Head of Research Director Chief Scientist Daniel Chambers MBBS MRCP FRACP MD Thoracic and Transplant Physician Peter Hopkins MBBS FRACP Thoracic and Transplant Physician Stephanie Yerkovich PhD The Queensland Heart and Lung Transplant Unit was formed in June 1996 with the addition of lung transplantation to the established Heart Transplant Unit. The first lung transplant was performed in Queensland in September 1996. The Queensland Lung Transplant Unit was established as a separate entity in April 2000 maintaining close professional links with the Heart Transplant Program. Over 200 lung transplant operations have been performed and approximately 135 outpatients are cared for the by the Queensland Lung Transplant Program, with approximately 18-24 lung transplants performed each year. In March 2009 the Queensland Lung Transplant Unit was renamed the Queensland Centre for Pulmonary Transplantation and Vascular Disease (QCPTVD). This was to recognise the additional medical services undertaken by the Transplant Program inclusive of pulmonary hypertension, interstitial lung disease, airway interventional techniques, lung volume reduction surgery, pulmonary thromboendarterectomy and the care of other patients with advanced lung disease. Our Unit has a fully equipped laboratory on site at The Prince Charles Hospital campus and is a world recognised leader in research in the areas of lung transplantation and pulmonary hypertension medicine. The research program aims to improve patient outcomes post-transplant by better understanding the cell biology of the allograft. Due to the unique nature of our research program which is embedded within the clinical program, we have unprecedented access to patient samples. A number of projects are available to students wishing to obtain a research higher degree, including: Adult lung stem cells o Investigating the engraftment and role of recipient derived progenitor/stem cells in the allograft. Lung fibrosis o Better understanding the role of airway epithelial injury and repair in obliterative bronchiolitis. Overcoming lung transplant rejection o Phenotyping and understating the biology of immune cell subsets that influx into the allograft. What is lung ‘normal flora’? o The human lung microbiome project – metagenomics of the lung in health and disease Human papillomavirus and non-melanotic skin cancer o Identifying if human papillomavirus has a role in the development of squamous cell carcinomas (SCC) of the skin. Transplant patients have an increased risk of SCC development and these are a major cause of morbidity and mortality. Contact: Stephanie Yerkovich PhD 3130 4050 Stephanie_Yerkovich@health.qld.gov.au 13 Document1 Mater Mothers' Hospital Neonatology Timing of elective caesarean section delivery and short term Neonatal outcomes In USA the rate of prematurity is 12.7% with the dramatic growth over the last 2 decades in late preterm births [34-36+6 weeks]. Australia is following an identical course with consistent state-wide data available from NSW and QLD. The Australian rate of prematurity is currently 8.7% and constantly growing, almost exclusively in the late preterm sub-group. Data are now available for relationship between birth and individual weeks of gestation and rates of ADHD, child protection problems, learning difficulties, Aspergers, Autistic Spectrum Disorders etc .Rates are lowest at 40 and 41 weeks gestation and progressively increase week by week down to 35 weeks. Of course there is a major inflection point at 32 weeks gestation. MMH now has a unique data-set of 5000 public and 5000 private births per annum in 2009 2011 having increased from 7627 in 1998. The 13 year data-set 1998-2010 [about 110,000 births] would provide the opportunity to analyse various peri-natal risk factors against short term neonatal outcomes. Perinatal Variables Gestational age Public/Private Mode of delivery CS [repeat or initial] Outcomes Admission to Nurseries Length of stay [days] Respiratory distress [RDS or TTN] requirement for CPAP or mechanical ventilation CS [no labour] pulmonary air leak CS [labour surfactant therapy SVD Breast feeding at discharge Instrumental Delivery [forceps/vacuum] Duration of breast feeding Anaesthetic for CS GA, regional The large sample size would allow for trend analysis over 4 triennia and would lend itself to an economic evaluation. The study has major implications for practice improvement and provide adequate evidence based data for informed decision making by mothers about optimal time and mode of delivery . Mater Medical Research Institute would be able to offer some infrastructure to facilitate the research. Of course candidate would need to perform a literature review and further develop the research project before developing submission to Mater Health Services HREC for Ethical Approval. I would anticipate this phase of the research taking about 2-3 months. Arrangements regarding supervision of Research between MMRI and UQ would need to be developed. Contact: Prof David Tudehope, Director Neonatology Medical, Mater Mothers' Hospital David.Tudehope@mater.org.au 14 Document1 AREAS OF RESEARCH WITH POTENTIAL PROJECTS Clinical School Southside, Princess Alexandra Hospital Jennifer MARTIN j.martin4@uq.edu.au Drug induced liver injury project Drug doses in morbidly obese people Drug dosing in renal failure Patterns of Care (chart review/data analysis) focusing on a particular research question or a specific cancer group Qualitative research, interviewing health professionals and/or patients: o Explore health care professionals’ perspectives around Indigenous & non-Indigenous patients who commenced treatment to examine their clinical decision-making, in the context of co morbidity, culture and geographical isolation from cancer care services; o Explore those who did not commence treatment and reasons for non-uptake or noncompletion o Explore the patients’ perspective about their treatment: their experiences and understanding of cancer and treatment choices Patricia VALERY patricia.valery@qimr.edu.au Use of cancer medications in indigenous people Paul KUBLER paul.kubler@healthg.qld.gov.au looking at quality use of medicines in tertiary hospital setting Oncology - Princess Alexandra Hospital Sandro V PORCEDDU - Senior Radiation Oncologist, head and neck cancer research Sandro_Porceddu@health.qld.gov.au The following projects are suitable for Honours Projects. Students will be offered either first of 2nd authorship on publications depending on the amount of work. 1) "The Utility of the 12 week PET scan in the detection of metastatic disease in head and neck cancer" Ethics approved. Data will be extracted from an existing data base - will require updating of some patients. Aim to write a paper to be published in a peer-reviewed journal. Student will be offered authorship on the manuscript. 2) "Is tumour spill an indication for post-operative radiotherapy" This project will be a review of the published literature of the problem of operative tumour spill of head and neck cancers and whether there is evidence that post-operative radiotherapy is required. Controversial topic and this report is likely to be published in a peer-reviewed journal. Student will be offered second or possibly first authorship depending on the amount of work performed. 3) "The impact of PET in the management of the neck in node positive head and neck cancer treated with radiotherapy with or without chemotherapy: An international survey of clinical practice in major cancer centres" Exciting project. The student will produce an e-survey and approach major head and neck cancer centres to determine the current practice and variation in the management of the neck in head and neck cancer. This study will have a high level of interest throughout the international head and neck community. It will compliment other publications from this unit which has looked at the utility of PET in head and neck cancer and cost-effectiveness of PET. 15 Document1 Medicine - Greenslopes Clinical School A/Prof Darrell CRAWFORD d.crawford@uq.edu.au Investigating the mechanisms of hepatic co-toxicity of iron, fat and alcohol Pathogenesis and Therapy of hepatic fibrosis The extent of liver disease in community patients with chronic viral hepatitis Non invasive measures of liver fibrosis Psychiatry: A/Prof Gerard BYRNE gerard.byrne@uq.edu.au Do certain personality traits mitigate the impact of stressful life events on depression and anxiety (using a population-based cohort of older women)? Does the disability associated with mental disorders vary by age (using national survey data)? Do older people with mental disorders have access to appropriate health services (using national survey data)? Prof Graham MARTIN g.martin@uq.edu.au Self-injury in students – what are the links to academic performance Self-injury in young people – dietetic, fMRI, cognitive correlates, or management and therapy Self-injury in young people – what works to help them give self-injury up Self-injury and suicidality in young people A/Prof Jane Turner jane.turner@uq.edu.au Communication in oncology-communication skills training, barriers, implementation Delivery of brief tailored psychosocial therapies to reduce depression in patients with cancer (RCT recruiting from Jan 2011) Supporting couples coping with cancer Impact of parental cancer on children Dr Helen Stallman h.stallman@uq.edu.au The role of student expectations on the working alliance with their FP Predictors of uptake of low intensity interventions in a university health service A comparison of the mental health of tertiary students compared with age-matched peers (using national survey data Has the prevalence of mental health problems in university students increased over time? Dr Mark Daglish m.daglish@uq.edu.au Use of an inpatient self-help handbook and relationship to early relapse to alcohol use Mood change profile during inpatient detoxification Medical and allied health perceptions of medication as a treatment for mental health disorders 16 Document1 Perinatal Research Centre, RBWH and UQCCR. Professor Paul COLDITZ, Director p.colditz@uq.edu.au Early brain development in infants at risk of cerebral palsy. New Opportunities exist for medical and allied health researchers for would be scholars in the area of very early brain development in infants born preterm and/or at high risk of CP the RBWH and UQCCR work closely with the QCPPRC. Research methods include (i) natural history models to study for example the effects of brain blood flow on white matter injury and (ii) RCT interventional models to study the effect/s of physical or nutritional interventions on brain development, injury and plasticity. UQ Thoracic Research Centre, The Prince Charles Hospital, Northside Clinical School A/Prof Ian YANG, Prof Kwun FONG, A/Prof Rayleen BOWMAN Ian_Yang@health.qld.gov.au Projects in lung health, investigating lung cancer, mesothelioma, chronic obstructive pulmonary disease and other respiratory conditions UQ Centre for Clinical Research (CCR) Prof Murray MITCHELL murray.mitchel@uq.edu.au Foetal/placental growth/development, implantation of the embryo and pregnancy and parturition Epigenetic regulation of implantation of the embryo Epigenetic regulation of parturition The role of myostatin on placental glucose transport Adverse effects of endocrine disruptors in human reproductive health Transfer/actions of endocrine disruptors in human placenta using placental perfusion methods Role of endocannabinoids in implantation and preterm labour Role of arachidonic acid metabolism in pregnancy and parturition The UQ Diamantina Institute (UQDI) Professor Ian FRAZER i.frazer@uq.edu.au Investigations in cancer immunology and immunotherapy. Professor Ranjeny THOMAS ranjeny.thomas@uq.edu.au Suppression of autoimmune disease using nanoparticles Does atherosclerotic risk precede onset of rheumatoid arthritis? Analysis of a regional population-based data collection in Norway. Dr Gethin THOMAS g.thomas1@uq.edu.au Functional studies in ankylosing spondylitis to elucidate the roles of candidate genes identified through genomewide association studies. A/Professor Melissa BROWN Melissa.brown@uq.edu.au Identification of biomarkers of breast cancer predisposition and progression 17 Document1 NHMRC National Centre of Research Excellence for Peripheral Artery Disease Jonathon GOLLEDGE jonathan.golledge@jcu.edu.au and Philip WALKER p.walker@uq.edu.au An NHMRC Centre of Research Excellence for Peripheral Arterial Disease (PAD) has recently been established by group of leading clinicians and scientists from throughout Australia, led by Prof Jonathon Golledge and A/Prof Philip Walker. The centre facilitates research studies designed to improve the management of PAD through a variety of research initiatives including: pre-clinical studies in rodent models and human samples, clinical trials and guideline development and implementation. Examples of studies readily available for student projects include; Biomarkers in PAD: Currently diagnostic or prognostic information which enables individualisation of management of PAD is limited. Using human samples and rodent models the group is carrying out a range of studies to identify novel markers of disease presence and progression which identify new disease mechanisms and potential diagnostic aids. Development of novel therapies for PAD: Using human samples and rodent models the group is carrying out a range of studies to identify novel therapies for PAD. By contrast to heart disease there is a current lack of specific medication designed for PAD patients. For example there is currently no medical management for patients with small aortic aneurysms. Clinical prospective studies: The group is carrying out a range of studies in patients with PAD to identify better markers of outcome to help rationalise risk stratification and outcome prediction. Examples include: clinical, imaging and circulating markers of cardiovascular events and prognostic markers for durable outcomes after surgery. Clinical Trials: The group is currently carrying out a range of clinical trials such as medication trials in patients with small aortic aneurysms and exercise trials in patients with intermittent claudication designed to identify better therapeutic options. Guideline development and implementation: Currently there are no national guidelines for many of the conditions suffered by PAD patients. Such guidelines need development by carrying out appropriate systematic reviewers and appropriate consultation. Furthermore we urgently need methods to assist patients to adopt better health behaviours. A motivational interviewing method to encourage exercise for example may provide a means to improve secondary prevention. Top up scholarships to high class applicants attached to university scholarships also possible Dermatology Research Centre Prof H. Peter SOYER p.soyer@uq.edu.au Phenotypic characterisation of naevi in high risk melanoma patients and controls In-vivo imaging of SCC precursor lesions and surrounding normal skin (“field effect”) using reflectance confocal microscopy Non-invasive assessment of solar elastosis using multi-photon microscopy Teledermoscopy of naevi using cutting edge mobile imaging devices An integrated teledermatology service for A&E departments as well as rural and remote locations Prof Helmut SCHAIDER h.schaider@uq.edu.au Epithelial-mesenchymal transition in early melanomagenesis Lineage specific expression of target genes in melanocytic cells Epigenetic changes in atypical melanocytic lesions Genetic profiles of atypical melanocytic lesions 18 Document1 Queensland Cerebral Palsy Research and Rehabilitation Centre Roslyn BOYD r.boyd@uq.edu.au Website: www.som.uq.edu.au/cerebralpalsy The QCPRRC is a multidisciplinary Research centre in the SOM with six NHMRC funded clinical trials (3 current) and 1 NIH funded study. The QCPRRC has nine key research themes reflecting the key areas of need for investigation in infants and children with cerebral palsy. The key research themes include: 1) Early brain development and the impact of early interventions. 2) Novel therapies – including the potential of Stem cells and Neuroprotection strategies. 3) Neuroscience – brain structure and the link to outcomes. 4) Neuro-rehabilitation & the impact on gross, fine motor abilities & musculoskeletal outcomes. 5) Genetic factors and the relationship to severity of CP. 6) Growth, Nutrition, Physical Activity and Physical Fitness. 7) Parenting interventions to assist environmental enrichment. 8) Translational research: the implementation of science applications to clinical practice. 9) Evidence and Education; training the next generation of clinical researchers. The QCPPRC has close collaborations with Orthopaedics, Neurology, and research groups such as the UQ Perinatal Research Centre, Children’s Nutrition Research Centre, Centre for Magnetic Resonance Imaging in the UQCCRE, the School of Rehabilitation science (Schools of Occupational and Physiotherapy) Genetics group at QBI among other national and international collaborations. All honours students can be involved in our annual training course on systematic reviews and meta analysis (8 sessions), which will assist them in developing skills for their literature search and systematic review of the literature or the psychometric properties of measures that they will use. The following topics are some of those available for Honours or MPhil Students commencing in 2011. (1) Longitudinal Cerebral Palsy Child Study- NHMRC 465128 Early Longitudinal Hip development status and relationship to Motor status in young children with cerebral palsy: (ii) Relationship between Brain Structure and early Gait Patterns in young children with cerebral palsy (iii) Relationship between Brain Structure and Community Performance in young children with cerebral palsy (iv) Relationship between Gross and Fine Motor functional abilities and community performance in young children with cerebral palsy (v) Cost and Consequences of management of children with cerebral palsy related to functional severity (2) Longitudinal Growth, Nutrition and Physical Activity (NHMRC funded, 569605) This study is in collaboration with the UQ Children’s Nutrition Research Centre (Prof Peter Davies). (i) Relationship between Levels of Physical Activity, community Motor Performance and Brain Structure in young children with Cerebral Palsy (ii) Relationship between brain metrics and longitudinal growth (i) In addition to the above specific topics the following researchers and collaborators with QCPRRC can be contacted about Honours/MPhil projects. The Senior Investigators and topics for study include: Queensland Cerebral Palsy Research and Rehabilitation Centre A/Professor Roslyn BOYD, Director r.boyd@uq.edu.au New intervention studies for infants at risk of and children with Cerebral Palsy. Opportunities exist for students (Medical, PT, OT and Psychology) to be involved in two RCT’s of intervention. A very early rehabilitation trial for your children/ infants at high risk of cerebral palsy (AVERT CP) (MiiTii Australia, Move it to improve it). 19 Document1 Discipline of General Practice Professor Claire Jackson c.jackson@uq.edu.au APHCRI Centre of Excellence in Research in Primary Health Care Research - Quality, Governance, Performance and Sustainability: A Clinical Microsystems Approach NHMRC Centre of Research Excellence in improving quality and safety at the interface between primary and secondary level care Reform initiatives- health professionals and community engagement in healthcare reforms, facilitating reform process Innovative primary health care models of care Dr Margaret KAY m.kay1@uq.edu.au Doctor’s health Refugee health Dr David KING d.king@uq.edu.au Cochrane Reviews Structured problem solving in general practice using physician directed patient workbook Predictors of recurrence of major depression: A thematic systematic review Audit of prophylactic anticoagulation prior to lower limb surgery, and measurement of DVT incidence in the following 3 months Health intervention/program development, implementation, and evaluation Health service provision- improving interface between primary and secondary care Complementary and alternative medicine (CAM) education and research in primary care Does Post-coital voiding prevent UTI in high risk young women Predictors of Recurrence of Major Depression: A thematic systematic review Brief structured problem solving in general practice using physician directed patient workbook approach Dr Tina JANAMIAN t.janamian1@uq.edu.au Health service provision- improving interface between primary and secondary care (SOPD project) Primary health intervention/program development, implementation, and evaluation Research and evaluation of medical education- improving quality of medical education through assessment and evaluation Prof Geoff MITCHELL g.mitchell@uq.edu.au What happens to people with Traumatic Brain Injury on stimulants when they become adult Exploring the Relationship Between Quality of Life and Clinical Outcomes A/Prof Jared DART j.dart@uq.edu.au Complex care needs of general practice patients and the potential role of GP Super Clinics eHealth as a means of enhancing primary care Health literacy, eHealth and health information strategies for primary care Dr Jane NIKLES uqjnikle@uq.edu.au Research into the use of melatonin in children and adults - qualitative research, a randomised controlled trial and safety study Thanks Jane Dr Pamela DOUGLAS pameladouglas@uq.edu.au Qualitative research concerning unsettled babies and their mothers 20 Document1 Discipline of General Practice Lisa CROSSLAND l.crossland1@uq.edu.au Diabetic retinopathy screening and monitoring of early stage disease in general practice Diabetic retinopathy (DR) is the leading cause of preventable blindness in Australians younger than 60 years, mainly from the development of diabetic macular oedema (DME) and the sequelae of advanced proliferative DR. This study aims to test the accuracy, acceptability and cost-effectiveness of general practice based DR screening integrated into the diabetes annual cycle of care compared to conventional methods of DR screening. Secondly, this project aims to test the accuracy, acceptability and cost-effectiveness of routine monitoring by the GP of mild to moderate DR levels with ophthalmic support and education through videoconferencing. Discipline of General Practice Nancy STURMAN n.sturman1@uq.edu.au A project tracking use of and referrals within, health care services by homeless men living in inner city Brisbane. This mapping will be used to inform the development of a primary care homelessness service, through the application of a ‘Lean Thinking’ approach to health care. Centre for Medical Education Research and Scholarship (CMEDRS) A/Prof Diann ELEY d.eley@uq.edu.au Student well being, internationalisation of medical education, interprofessional learning in medical education and early career choice, for example; ways to monitor and support student well being learning objectives for international electives personal traits in medical students intentions and the decision making process around career choice in medical students interprofessional learning models for medical and health science curricula e-learning Dr Jenny ZHANG jenny.zhang@uq.edu.au Student selection, progression and professionalism Patterns of student performance from year 1 to year 4 Differences in student characteristics and performance Personal professional development (PPD) assessment Work based assessment Interns confidence and competence, Mini-CEX evaluation and methods Methodology and data analysis Research design and statistical data analysis methods, instrument validation Health care and the underserved population Medical Students’ Knowledge and Attitudes Towards Providing Care For The Underserved Socioeconomic position and health services utilisation Medical Ethics A/Prof Malcolm PARKER m.parker@uq.edu.au; Dr Sarah Winch sarah.winch@uq.edu.au Medical ethics, clinical ethics, medical law, futile treatment, medical professionalism 21 Document1 Centre of National Research on Disability and Rehabilitation Medicine (CONROD) Prof Justin KENARDY j.kenardy@uq.edu.au Impact of PICU admission on child and parent psychological health Preventing postconcussion syndrome in children with mild traumatic brain injury e-Health intervention for child traumatic stress Burn injuries in pre-school children: psychological impact Long-term outcomes of traumatic brain injury in children Cochrane reviews A/Prof Michele STERLING: m.sterling@uq.edu.au Prevention of chronic pain and disability following musculoskeletal injury Exploration of nociceptive processing using psychophysical methods and fMRI in musculoskeletal conditions Immune and stress responses following whiplash injury Predicting outcome following whiplash injury Development of clinical methods for the assessment and management of musculoskeletal pain Developmental Paediatrics - Mater Children's Hospital Dr Honey HEUSSLER h.heussler@mater.org.au Projects available in Developmental Paediatrics Paediatric sleep medicine Hypersomnolence Retts syndrome A number of projects relating to sleep and specific syndromes Medicine – Mater Health Services and Mater Medical Research Institute Prof Timothy FLORIN t.florin@uq.edu.au Personalised medicine Better use of thiopurines in Inflammatory Bowel Diseases through therapeutic drug monitoring Preventing off-target effects Drug therapy for Endoplasmic Reticulum Stress Disorder in Inflammatory Bowel Diseases Intestinal epithelial cell communication with the gut immune system 22 Document1 Lung & Allergy Research Centre, Respiratory Medicine – Princess Alexandra Hospital Prof John UPHAM j.upham@uq.edu.au, Michelle MURPHY: Michelle_A_Murphy@health.qld.gov.au Virus infections in patients with lung disease Lung cancer – improving the patient journey through diagnosis and treatment Janet DAVIES j.davies2@uq.edu.au Grass pollen allergy in asthma & allergic rhinitis Paediatrics & Child Health A/Prof Mark COULTHARD m.coulthard@uq.edu.au Telemedicine in PICU, Pharmacological approaches to vascular leak Queensland Centre for Intellectual and Developmental Disability Prof Nick LENNOX n.lennox@uq.edu.au Investigating the effects of health screening tools and hand held health records in adolescents with intellectual disability A qualitative assessment of the acceptability of health screening tools to adults with intellectual disability, their carer and their GP The health status of prisoners with intellectual disability Factors associated with non-adherence to examination for people with intellectual disability visiting their GP 23 Document1