Funding Awarded

Pathways to Improving Transition to Adult Services & Enhancing Self-Management in Adolescents with Cystic Fibrosis: A New Era of Treatments

The teenage years are a time of change. Being an adolescent with Cystic Fibrosis (CF) can bring additional challenges due to complex and demanding treatments. A key task for teenagers with CF is to learn the skills to manage their health, as they prepare to transition into adult-based care. In Ireland, many adolescents transition to...

The Next Generation' Diabetes Self-Management Alliance Conference

The Diabetes-Self-Management Alliance (DSMA) conference aims to share the most up-to date research evidence on how best to support people with diabetes to manage their condition on a day to day basis and to explore ways to improve diabetes self-management education and support in the future in partnership with people living with...

Irish Clinical Academic Training: An All-Ireland Integrated Training Programme for Clinical Academics

The Irish Clinical Academic Training Programme (ICAT-1) was established with the vision of changing the training landscape for clinician scientists on the island of Ireland. The proposed ICAT-2 will advance the achievements of ICAT-1 and is the next step in developing clinical academics of the future across the spectrums of...

HRB Trials Methodology Research Network (HRB-TMRN) 2021 - 2026

No summary available

HRB Clinical Research Facility Galway

No summary available

Emerge-2: placebo-controlled RCT of the Effectiveness of MEtformin in addition to usual care in the Reduction of Gestational diabetes mellitus Effects

Diabetes (high blood sugars) developing during pregnancy is called Gestational Diabetes Mellitus (GDM). GDM is increasing, affecting one-in-eight pregnant women in Ireland. Women with GDM have an increased risk of complications including delivery by Caesarean section and more blood pressure problems. Women with GDM have a 7-fold...

Maximising medication adherence and minimising physician interia: Lowering to target the blood pressure of older patients with hypertension-A cluster randomised feasibility study in general practice

High blood pressure can lead to strokes and heart disease. Despite treatment, many patients continue to have uncontrolled blood pressure. In Ireland, we do very badly in this area - the worst of sixteen high income countries worldwide. For example, the proportion of Irish male patients with controlled blood pressure is 17% - in Canada,...

Blood-based biomarkers for early detection of preclinical neurocognitive disorders

With more people now living longer lives, dementia is becoming an increasingly important problem in society. One of the biggest challenges in designing studies of potential new treatments for dementia, is accurately predicting which people are most likely to develop dementia in the future, prior to them showing signs of the disease....

Using knowledge translation to enhance the use of evidence in public health decision-making by policymakers and healthcare managers in Ireland

Health policy refers to decisions, plans, and actions that are undertaken to achieve specific health care goals within a society. Using high-quality evidence to inform how health policies are made is crucial to ensure safe and effective healthcare and to optimise patient and public health outcomes. Despite this, international research...

Development of a rapid, highly sensitive, handheld Raman-based device for detection of SARS-CoV-2 and serological responses against SARS-CoV-2

Serological assays to detect antibody responses to SARS-CoV-2 are critical to study immune responses to the virus, determine precise rates of infection, track progression of infections, and identify immune individuals in order to limit exposure of susceptible groups or as potential sources of convalescent serum therapeutics. The...

Treating Primary aldosteronism-induced hypertension via microwave thermal therapy

In this tripartite US-Ireland R&D partnership program R01 research plan, we propose the development, optimization, and evaluation of a minimally-invasive microwave thermal therapy (MWT) system for definitive treatment of primary aldosteronism. Primary aldosteronism (PA) accounts for 5 - 12% of all hypertension and confers a higher...

Improving psychosocial supports for youth mental health

This research program will focus on improving the mental health of young people with serious mental health disorders. Serious mental health disorders (including schizophrenia and other psychotic disorders) are ranked among the top causes of years lived with disability.

My research will build on what is currently known about...

Collaboration to reduce antimicrobial use and resistance and identify opportunities for improvement and awareness

Infections are often treated with antibiotics, even though antibiotics are not always the best option. Only infections that are caused by bacteria can be treated with antibiotics, infections caused by viruses do not respond to antibiotic treatment. An additional problem is that bacteria are becoming more and more resistant to...

Collaborative Doctoral Programme in Chronic Disease Prevention (CDP-CDP)

According to the WHO, chronic disease prevention is one of the major health challenges of the 21st century. Prevention programmes are urgently needed to reduce burden on patients and health services.

In Ireland, there is a national deficit in skills, leadership and capacity in the development, implementation and evaluation of...

Diabetic Foot Disease: from PRevention to treatment to IMproved patient Outcomes (DFD PRIMO)

Diabetic foot disease (DFD), is associated with devastating outcomes including foot ulceration, sepsis, amputation and premature death. The risk of premature death in people with DFD is reportedly nine fold the risk of amputation. Early interventions to prevent the first ulcer are a key priority of national and international clinical...

Implementation of Making Every Contact Count (MECC): developing a collaborative strategy to optimise and scale-up MECC.

Importance of the study:
Many chronic illnesses can be prevented if people adopt healthier behaviours. The Making Every Contact Count (MECC) programme, developed by the Irish Health Service Executive (HSE), aims to train all healthcare professionals to support patients to make healthier lifestyle choices during...

Using guanine to re-sensitise MRSA to methicillin: Is purine nucleotide homeostasis the Achilles' heel of MRSA antibiotic resistance?

The threat of antibiotic-resistant bacterial infections to hospital patients and the wider society continues to escalate. The discovery of antibiotics in the 1940's and 1950's represented one of the most important scientific breakthroughs in history. However since then the spread of antibiotic-resistant pathogens has gradually erooded...

Membrane Seeping for induction of labour: The Milo Study

Post-term pregnancy refers to a pregnancy that continues past 42 weeks’ gestation. It occurs in approximately 10% of pregnancies and is the most common reason for induction of labour. Post-term pregnancy is associated with higher risk of trauma to mother and baby.

Membrane sweeping is a simple procedure potentially promoting the...

A Cognitive Occupation-Based programme for people with Multiple Sclerosis- a cluster randomised pilot trial to improve cognition and daily functioning for people with multiple sclerosis

The aim of this research is to test the feasibility of running a large-scale trial of an occupational therapy intervention called a Cognitive Occupation-Based programme for people with Multiple Sclerosis. The study will focus on how acceptable the intervention is and how well the trial runs. Sixteen occupational therapists will run the...

Feasibility and preliminary efficacy study of an online pain management programme for children undergoing major orthopedic surgery: iCanCope Post-Op Surgery

After major surgery,  one in four children experience chronic post-surgical pain (i.e., pain that lasts longer than 3 months). Children and adolescents report that chronic pain makes them feel insecure, affects school attendance and affacts their relationships with friends and family. It is important that children and adolescents...

Citizen Science: The People's Trial

Randomised trials are instrumental in providing reliable and robust evidence on the benefits, harms and costs of health care, so that people can make informed choices. However, the general public?s understanding of randomised trials can be limited and ensuring public support for and participation in trials remains challenging. The...

Piloting the Community Engaged Scholars Program in Ireland

Public and patient involvement in health research is not embedded in Irish Universities. As part of the PPI Ignite Awards scheme the HRB have funded 5 Irish Universities to demonstrate the value of PPI and champion this approach in Ireland. PPI involves public/patients working in partnership with researchers in setting research...

Disseminating, Engaging, and Sharing Knowledge (DESK):patient informed resource for understanding our research

Based on the findings of the research conducted during our HRB Research Leader's Award, the aim of the proposed KEDS project is to effectively disseminate the finding of our research to chronic pain patients and the general public. Sharing research findings with the general public is very important but can be difficult to get right; we...

The patient is part of the answer - don't leave us out in the cold!

This application aims to produce a documentary that explains public and patient involvement in health research to the general public and encourages more people to become involved with researchers. Known as PPI, public and patient involvement means that people who are likely to be affected by research results are directly involved in...

"Let's Talk About" Series

Researchers in dementia at NUI Galway are producing important research insights into many aspects of dementia care in Ireland, specifically: resource allocation decision-making; support structures for family carers; and how people with dementia are treated within the care system. The focus is now turning to sharing the results...

Using visual media to communicate complex information

Services in Ireland for people with dementia are poorly developed. The main partnership award aims to (i) describe current dementia services across all sectors and (ii) ask people with dementia, carers, health workers and managers about the ideal level and type of service provision for people with dementia who have different needs and...

Evidence Synthesis Ireland

Health care decisions should be based on the combination of the full amount of information that is available rather than relying on the convenient selection of one or more individual pieces of information, or studies. Evidence synthesis methods seek to establish the overall balance of information on a given topic, and are based on...

Unlocking the potential of healthcare complaints to improve hospital care (UP-CIC)

Most assessments of quality of care in Irish healthcare services are focused on healthcare workers’ opinions, statistics (e.g., how many patients got infections), or investigating large errors. However, these assessments fail to consider patients’ unique insights into quality of care and support improvement in services. For example,...

Doctoral program in youth mental health leadership (The YouLead Program)

This doctoral training program focuses on youth mental health research. Mental health difficulties (including depression, bipolar disorder, and schizophrenia) account for approximately half of all causes of disability in individuals under the age of 35. Despite the fact that access to treatment is strongly associated with reduced risk...

Interact for Health: Increasing integrated knowledge translation capacity for impact

Although the Health Behaviour Change Research Group (HBCRG) has engaged with the HSE Health and Wellbeing (H&W) Division as health partners on a number of activities to date, we believe there is significant potential for enhanced knowledge exchange between these two groups. Additionally, integrated Knowledge Translation (iKT)...

The biology of mood: What brain imaging and genetic studies tell us about Bipolar Disorder

This project aims to translate the known biology of bipolar disorder, enhance the accessibility of the latest discoveries and interpret the meaning and relevance to individuals with bipolar disorder, their families, carers and health professionals that are not research active. To complement the current emphasis on clinical aspects of...

Learning about trials - for children, by children

This project will consist of the development of new resources for teaching primary school children (aged 10-12) about why we need trials and how trials work, with a view to being more widely used throughout the trial community. These resources will align with the START (Schools Teaching Awareness of Randomised Trials) Competition,...

Development of an online cancer genetics educational resource for undergraduate and postgraduate healthcare learners

Genetic testing is becoming cheaper and easier to perform. As such, it is being performed more and more frequently; to help explain why people have developed cancer, or to try to identify genetic changes in their tumours to which novel drugs can be targeted. Genetic testing may also help identify individuals at risk of cancer,...

Let's talk - and act - about adherence in multimorbidity - a teaching and learning resource for general practice

More than half of those over the age of 65 live with more than one chronic condition. This is known as multimorbidity (MM). The prevalence of MM increases with age and is more common in less well off patients. Using muliple medications i.e. polypharmacy, is the norm in MM and many do not take their medications as prescribed i.e....

Using Bayesian network models to predict the impact of public health interventions on disease-prevalence in population health research

Population Health Research studies determinants of health and disease with the goal of identifying interventions that promote health and reduce the burden of disease. Deciding on an appropriate intervention mandates a prior forecast of the intervention's effect on disease. For example, for an intervention targeting smoking, we might...

HRB Trials Methodology Research Network (HRB-TMRN) 2017 -2021

No summary available

HRB Trials Methodology Research Network (HRB-TMRN) 2017 - 2021 - Pilot: Education and training for recruiters to randomised trials

No summary available

HRB Clinical Research Facility Galway 2018-2021

No summary available

Development of a nebulised cell based therapy for acute respiratory distress syndrome

Acute lung injury and acute respiratory distress syndrome (ARDS) constitute a spectrum of severe acute respiratory failure. Mortality rates over 60% have been reported and ARDS is the leading cause of death in the critically ill. ARDS develops most commonly in the context of severe sepsis, particularly infection with gram-negative...

PPI Ignite Award - National University of Ireland Galway

The Public and Patient Involvement (PPI) Ignite Awards aim to promote PPI in health research in Ireland. Our NUI Galway Primary Care PPI group of patients and members of the public were asked to describe what a successful PPI Ignite project would look like (Figure 3). They responded by saying that success would be creating an...

Lending an ear: "iPeer2Peer" plus "Teens Taking Charge" online self-management to empower children with arthritis

Childhood arthritis is common and makes everyday activities diffciult for young people. It is a chronic illness that can cause children to experience pain, fatigue and emotional upset. This makes it more difficult for children to see friends and do enjoyable activities.

When children become teenagers they start making more...

Improving outcomes for young adults with type 1 diabetes in Ireland: the D1 now feasibility and cluster randomised pilot study

Many young adults with type 1 diabetes find it hard to control their blood glucose levels. With many changes going on in their lives their diabetes is often not a priority. They also find it hard to engage with hospital diabetes services because of an inflexible clinic appointment system and seeing a different member of staff at each...

Out of hospital cardiac arrest and community first response: International best practice, national consultation and prospective evaluation

Cardiac arrest occurs when the heart suddenly ceases to pump blood around the body. The term 'Out-of-Hospital Cardiac Arrest' (OHCA) is used to describe incidents where cardiac arrest occurs unexpectedly and is responded to by statutory emergency medical services (EMS). OHCA causes approximately 1,900 unexpected deaths in Ireland every...

Community Risk-based monitoring for Atrial Fibrillation Trial (CRAFT)

Atrial fibrillation, an irregular heart-beat, is common, affecting ~7% of people over 65 years of age. It is a major cause of stroke, increasing the risk of stroke 5-fold, and about one-third of patients with acute stroke have atrial fibrillation. Once detected, there are very effective treatments to prevent stroke - oral anticoagulant...

Resource allocation, priority-setting and consensus in dementia care in Ireland

A key action under the National Dementia Strategy (2014) is the delivery of appropriate supports and services for people with dementia that can be accessed in people's own homes and local communities. There is also an emphasis in the Strategy to address the individual needs of people with dementia and their carers in a manner that is...

Targeting autophagy in nephropathic cystinosis

Cystinosis is a genetic disorder due to a gene defect called cystinosin, where a toxic metabolite called cysteine collects in the cells due to a defect in lysosomes. This results in the kidneys become leaky to protein, water and salts, which results in growth failure, severe dehydration and developmental delay in children. A subtype of...

MRCG support award

The Medical Research Charities Group (MRCG) is the national organization of 35 patient groups and foundations which promote an improved environment for medical research in general and for charities in particular, obtain funding for research projects, bring together organizations working in the field and disseminate the outcomes. Its...

Building research capacity in the maternal health and maternal morbidity in Ireland study: Second baby follow-up, intervention development and testing, and measurement of costs (MAMMI-SIM)

The MAMMI study (Maternal health And Maternal Morbidity in Ireland), Phase 1, is in progress at present. It will identify how often physical/emotional problems occur in women having their first baby in Ireland, what factors cause problems and what treatments might help. Some conditions affect one-third of women just after having a...

Patients'satisfaction in a nurse-led oral chemotherapy clinic

No summary available

Novel immune targets in Multiple Sclerosis

In Multiple Sclerosis Interferonb has been used as a first line treatment regimen for the past 15 years and many patients have shown therapeutic benefit and continue to do so from this 'natural' immune modulator. However, for others interferonb shows no clear therapeutic benefit and we are looking into how to change these patients into...

Hedgehog control of resident vascular stem cell niches

Cardiovascular disease (CVD) is a major cause of death for Irish people killing 1 in 3 every year. Most of the problems associated with CVD are due to changes in the structural integrity of the blood vessel wall resulting in obstruction of blood flow that can lead to a heart attack or stroke. Key cells involved in this blockage are...

An investigation of the role of Staphylococcus aureus colonisation of healthcare workers in nosocomial transmission of S. aureus to patients in an MRSA-endemic setting using whole-genome sequencing

Staphylococcus aureus is a bacterium that frequently causes serious infections among hospitalised patients. This includes methicillin-susceptible S. aureus (MSSA) that are readily treatable with antibiotics and the so-called antibiotic resistant "superbug"MRSA (methicillin-resistant S. aureus). MRSA have been widespread in Irish...

Symptom management through self-management: Improving the outcomes of patients with relapsed multiple myeloma

The main aim of this project is to develop a symptom management self care tool for patient with relapsed MM. MM is incurable and as a result of all novel treatments available patients live longer but not always with a exceptional QOL due to symptom burden. It is hoped that this project will result in the formation of a tool which...

Methadone substitution treatment: mortality and progression pathways

People who inject heroin have a risk of death six times higher than the general population. The most effective treatment for heroin injectors is the prescription of legal, substitution drugs, most commonly methadone. This is called opiate or methadone substitution treatment (MST). The majority (60%) of patients on MST in Ireland attend...

Development of a mult-faceted approach to reducing and mitigating the risk of foreign object retention (FOR)

Over 1,000 Irish FOR incidents between 2011 and 2015 represent unnecessary suffering patients, reputational cost/damage to the healthcare service, institution and clinician and financial cost in claims and rework.
FOR is an intractable human factors problem because removing materials after a task is not integrated into the natural...

Application of state of the art raman chemical imaging and chemometrics to accelerate and improve patient prostate biopsy assessment for cancer.

A pathologists' task in assessing a prostate biopsy for cancerous tissue is of prime importance since failure to correctly identify tissue can lead to a failure to accurately diagnose the patient and predict their likely prognosis. Histological staining assists in the assessment of prostate biopsies by making important features of the...

Reducing resistance to beta-lactam antibiotics: A new treatment strategy for MRSA infections

Approximately 5-10% of hospitalised patients acquire an infection in hospital. Serious infections are more likely in intensive care unit (ICU) or high dependency unit (HDU) patients, in whom implanted medical devices are required for life maintaining therapy. Unfortunately such devices also represent an opportunity for pathogens such...

Developing the oncology practice context for pain assessment and pain registration in Ireland: an action research project

Pain is one of the most prevalent symptoms of patients with cancer, which hampers daily activities and quality of life. Systematic pain assessment and documentation using a validated pain assessment tool at each visit in patients with cancer are key recommendations in the most recent clinical practice guidelines on cancer pain...

Supporting prescribing in Irish primary care: a non-randomised pilot study of a GP practice-based pharmacist medicines optimisation programme

Medication prescribing is one of the commonest medical interventions and there have been marked increases in patients taking multiple medicines with related adverse effects. We have developed an intervention involving practice based pharmacists working with GPs to optimise prescribing in Irish general practice settings.
Study...

To determine how the National Comprehensive Cancer Network (NCCN) guidelines for tamoxifen and aromatase inhibitors (AIs) can be adapted to address the symptom burden for women with breast cancer in the follow up phase of treatment, who are receiving care in the North East of Ireland

No summary available

A comparison of emotion-focused therapy and cognitive-behavioural therapy in the treatment of generalised anxiety disorder.

Generalised anxiety disorder (GAD) is a chronic and debilitating anxiety disorder characterised by excessive worry, anxiety, and somatic symptoms such as tiredness. It is often found alongside other disorders such as depression. Its main features are also important for our understanding of the other anxiety disorders. Alongside...

Building a risk calculator to inform prostate cancer diagnosis

Patients and clinicians are faced with the dilemmas associated with the detection and treatment of Prostate cancer. One such dilemma is in the early stages of diagnosis when men are referred by their GP for suspicion of prostate cancer but it is not clear if they need a biopsy or not. This is because PSA in not specific for prostate...

Irish clinical academic training (ICAT) Programme

WT Scheme: PhD Programme for Clinicians

Ireland's ongoing economic recovery represents a unique opportunity to effect fundamental change in academic medicine that can have lasting societal benefits. We have designed a comprehensive National Programme for Clinician Scientists based at six major Irish universities. Our...

Institutional Strategic Support Fund (ISSF)

These funds will be used to grow and enhance a connected programme of health-related Research, Teaching and Public Engagement in Trinity College. Specific activities will include: (a) seed research support to early stage academics; (b) a programme to stimulate strategic international collaboration and: (c) the creation of a truly...

Institutional Strategic Support Fund (ISSF)

The Wellcome Trust ISSF scheme will help UCD's researchers to overcome systemic barriers to career and network development that will unlock future research potential within the University and beyond. The fund will support outstanding research in biomedical sciences, clinical sciences and the medical humanities that will enable UCD to...

SAFE: Systematic Approach to improving care for Frail Elderly patients

Much recent attention has focused on the problem of older people being treated in overcrowded emergency departments. Studies have clearly demonstrated an association between hospitalisation in older people and poorer outcomes, including loss of independence, admission to long-term care and mortality. Frailty, a state of increased...

Anti-inflammatory therapy for preventing stroke and other vascular events after ischaemic stroke or transient ischaemic attack

To systematically review the randomised clinical trials evaluating anti-inflammatory medications plus standard medical therapy for the prevention of recurrent vascular events after ischaemic stroke / transient ischaemic attack compared with standard medical therapy.

Hybrid repair versus conventional open repair for thoracic aortic arch aneurysms

To evaluate the effectiveness and safety of hybrid technique versus open arch repair in the management of thoracic aortic arch aneurysms.

Membrane sweeping for induction of labour

The objective of this review is to evaluate the effectiveness of amniotic membrane sweep for induction of labour in women at term gestation.

Neoadjuvant treatments for malignant and metastatic melanoma

The objective of this review is to assess the effects of neoadjuvant treatments for stage III and IV melanoma in adults. Historically stage III and IV melanoma have been associated with a very poor prognosis, and available treatments have had very little impact on the disease course.Various clinical options have been explored,...

Hospital design for supporting people with dementia and their carers

The relationship between health and wellbeing and the design of the built environment is becoming an important area of research that is bringing together the medical/clinical community with design professionals such as architects and urban planners. Evidence based medicine already underpins good healthcare, however, evidence based...

The Irish Longitudinal Study of Ageing Wave 5 and 6 (TILDA)

One of the greatest demographic and social transformations facing Ireland is aging of its population, increased life expectancy and related challenges. Whereas Ireland has one of the youngest populations in the European Union, by 2046 a quarter of our population will be over 65 and the greatest increase will be in those 85 and above...

Interventions for promoting participation in shared decision-making for children and adolescents with cystic fibrosis

To determine the effectiveness of interventions that promote shared-decision making (SDM) for children and adolescents with cystic fibrosis aged 4 to 18 years of age.Shared decision-making (SDM) is defined as a patient centered, collaborative process that enables individuals and their healthcare providers to make decisions together...

Risk prediction models for familial breast cancer: a systematic review

The majority of breast-cancers are sporadic, however, 20-30% are considered familial (occur in the context of a significant family-history of the disease). Women suspected of being at higher risk of breast-cancer than the general-population based on their family-history are frequently referred to a "family-risk" clinic for...

Interventions for improving medication adherence in solid organ transplant recipients

Organ transplantation is the removal of an organ from one individual and placement within another individual. Solid organ transplantation refers to transplantation of the heart, lungs, kidney, pancreas or liver, and successful transplantation involves collaboration across surgical, medical, legal, political and bioethical disciplines....

Interventions for supporting pregnant women's decisions about first caesarean delivery

This cochrane review will collate the best available evidence about interventions for supporting pregnant women's decision-making for first caesarean delivery thereby influencing current clinical practice, local and national guidelines. More evidence is needed to support the promotion of informed choice, involving the woman as a...

HRB Collaboration in Ireland for Clinical Effectiveness Reviews (HRB-CICER)

Through the National Clinical Effectiveness Committee (NCEC), the Minister for Health mandates clinical guidelines as National Clinical Guidelines for use in public healthcare in Ireland. The goal of the guidelines is to promote healthcare that is current, effective and consistent, ensuring best outcomes for patients and service users....

Oral hygiene programmes for people with intellectual disabilities

A systematic review will be undertaken of oral hygiene programmes aimed at training and supporting individuals with an intellectual disability and/or their carers about oral hygiene practices which are likely to improve the oral health of people with an intellectual disability in primary and secondary care settings. These programmes...

Uncovering the role of ER-shaping proteins in neurodegenerative disease

WT Scheme: Seed Award in Science

Hereditary spastic paraplegias (HSPs) are a group of neurodegenerative disorders characterised by degeneration of the longest motor neurons which leads to muscle weakness and spasticity in the lower limbs. There are currently no treatments to cure or even to slow the course ofthese diseases. In...

Identifying Interventions to prevent and manage chronic kidney disease

WT Scheme: Postdoctoral Training Fellowships for Clinicians

Chronic kidney disease (CKD) affects almost 500million people worldwide is increasingly prevalent,associated with morbidity and mortality, and interventions (dialysis or transplant) are expensive and unavailable in some regions. Developing programs to reduce CKD...

Role of TWEAK/Fn14 pathway in mediating muscle pathology in SMA

Spinal muscular atrophy (SMA) is a devastating disease caused by loss of both nerve cells and muscle function. While the nerve is the major affected cell type, therapies specifically aimed at improving muscle function ameliorate survival and/or symptoms in SMA models. Thus,developing muscle-

Application of next generation sequencing for the genetic characterisation of Irish retinal degeneration patients

A key objective of the current study is to clinically and genetically characterise an extended group of 700-800 Irish patients with inherited retinal degenerations (IRD). The team have significant prior experience in the clinical and genetic evaluation of patients with inherited retinal degenerations. They believe it is timely to...

Resolution of inflammation by metabolic reprogramming in the inflamed joint

Arthritis is a leading cause of disability that affects up to 15% of the population and is the most common cause of pain in Irish society, including children. 2% suffer from inflammatory arthritis (IA) such as rheumatoid arthritis (RA) and psoriatic arthritis (PsA). IA causes joint damage and disability and is associated with...

MicroRNAs in the mechanism of ketogenic diet therapies and as biomarkers in paediatric epilepsy

Epilepsy is a disease caused by imbalances in electrical activity in the brain. Anyone can have epilepsy but it is particular common in children. Patients experience seizures (fits), which disrupt their lives and can be directly harmful to the developing brain. Although we have a number of drugs to stop seizures, they fail to work in...

Peer-to-peer motivational interview intervention for smoking, alcohol and physical activity among at-risk adolescents in low SES communities: A feasibility trial

Unhealthy behaviours established during adolescence often persist into adulthood; we will examine the effects of training adolescents (13-18 years) in a proven method for behaviour change (motivational interviewing) for smoking cessation, alcohol consumption and exercise promotion among adolescents in low SES communities. Peer-led...

Towards host-directed therapies to overcome immune impairment in cigarette smokers during mycobacterial infection

Tuberculosis (TB) is a bacterial infection which causes approximately 1.5 million deaths worldwide each year and it is estimated that one third of the worlds'population is latently infected with TB. In this proposal we aim to investigate the role of alveolar acrophages in the immune response to TB infection. Alveolar macrophages are...

Unravelling the mechanisms of azoospermia and potential future treatments in male cystinosis patients

Cystinosis is a rare inheritable disorder in which cystine, a small protein, accumulates in all cells throughout the body. Patients suffer from progressive renal failure due to extensive proximal tubular and glomerular dysfunction, but also various endocrine organs become affected later in life. Patients can be treated with cysteamine,...

AVERT: Autoimmunity relapse prediction using multiple parallel data sources

In most causes of autoimmune disease, where the body's immune system attacks an individual's own body, the condition relapses and remits. This means that strong medications to suppress the immune system bring the patient into remission, but they remain at risk of suffering a flare of their disease. In the autoimmune kidney condition...

Pioneering advances for control of myopia in children - the SHIELD initiative

Short-sightedness (or myopia) is the commonest eye problem in Ireland and is growing all over the world. It now affects up to 90% of young adults in Asia and up to 50% in Western countries. As well as the costs and frustrations of not being able to see well without glasses, myopia is also bad for the health of our eyes. As we get older...

Ketamine for relapse prevention in recurrent depressive disorder: a randomised controlled pilot trial (The KINDRED Trial)

Depression is projected to become the second greatest cause of disability worldwide by 2020. It can be a chronic disorder, with 5-9 episodes of depression per lifetime. The first six months following successful antidepressant treatment represents the highest risk period for relapse, with 40-60% relapse rates in persons with...

Identifying the aetiology of diabetic progenitor cell dysfunction in osteoporosis

Diabetes changes how a person's body gets energy from the food they eat. When we digest food, sugar is released into the blood and is used by the body's cells for energy. People with type 1 diabetes (T1DM) do not produce insulin and are therefore not able to use the sugar in the blood for energy. Patients with T1DM have to inject...

Comparative mass spectrometric profiling of the dystrophin complexome in normal versus pathological muscles with differing degrees of fibre degeneration

Duchenne muscular dystrophy is the most commonly inherited neuromuscular disease of early childhood. The disorder affects almost exclusively boys due to the fact that the defective gene is located on the X-chromosome. The skeletal musculature, the respiratory system,the heart and the central nervous system are majorly affected in...

Bacteria in human tumours

It is becoming apparent that the relationship between humans and bacteria can influence various diseases. Deeper understanding of the bacteria that live in our body is enabling identification of i) potential causes of and ii) potential treatments for disease. The Tangney lab at the Cork Cancer Research Centre has recently discovered...

MRCG interim support award

The Medical Research Charities Group (MRCG) is the national organization of 35 medical research patient-led charities formed to promote dynamic medical research in Ireland. The MRCG works in partnership with key stakeholders, such as the Health Research Board (HRB), to bring added value to the health research landscape. The MRCG is...

An investigation of the mechanisms lining C5orf30 with tissue damage in RA

Around 40,000 Irish people have rheumatoid arthritis (RA), around half being adults of working age. Advances in our understanding of the how joint inflammation develops in RA have resulted in greatly improved treatments with improved outcomes for most patients, particular those with severe disease. Despite these remarkable achievements...

Evaluation of the 'pilot implementation of the framework for safe nurse staffing and skill-mix'

Earlier this year, the Department of Health published a document entitled Framework for Safe Nurse Staffing and Skill Mix in General and Specialist Medical and Surgical Care Settings in Adult Hospitals in Ireland. In this report the Department made a number of recommendations to ensure that the staffing of hospital wards was safe and...

Determining the mechanism of action of a novel histone deacetylase 6 specific inhibitor that kills chemoresistant breast cancer

WT Scheme: Seed Award in Science

The majority of cytotoxic agents used to treat patients kill tumour cells via the mitochondrial pathway of cell death. Previously, the applicant found that primary tumours that are chemoresistant in vivo usually contain mitochondria that are resistant to apoptotic signalling. Therefore, we...

Modelling of pharmacokinetics into ischemic heart tissue from an implantable, replenishable therapy reservoir

WT Scheme: Seed Award in Science

Precisely controlled delivery of drugs, bioagents and cells directly to the heart has the potential to dramatically improve regenerative cardiac therapy for ischemic heart failure. Likewise, localized therapy delivery to ischemic tissue can increase retention at the target site and reduce...

Perspectives of partners of women who experience mental health issues in the postnatal period

For most families having a baby is a happy occasion. A small number of women, however, suffer from mental health issues following the birth of their baby. Often the womans partner can play an important role in seeking help and supporting the woman and the baby. However, we have very little information on how the partners of women who...

The ExACT Trial

Exercise therapy is a well established, effective treatment for individuals with chronic pain and Acceptance and Commitment Therapy (ACT) is a promising new approach in the management of chronic pain. ACT helps people with chronic pain to focus on awareness of personal values and promotes activity that will enhance their quality of...

SDHB and its role in epigenetic alteration in malignant phaeochromocytoma

A phaeochromocytoma (PC) refers to a tumour located on the adrenal gland, which releases adrenaline and similar hormones and causes high blood pressure (in severe cases this may be fatal). When a similar tumour occurs outside of the adrenal gland it is called a paraganglioma (PGL) and can be located anywhere from skull to pelvis....

The Irish kidney gene project - identification and characterisation of novel genetic causes of familial kidney disease

Certain kidney diseases tend to run in families, suggesting that particular genes are inherited from one generation to the next, causing kidney disease. By undertaking a joint training programme between with Trinity College Dublin and Harvard Medical School Boston, I plan to study these families and seek to identify specific genes that...

Use of software and computer technology in aphasia rehabilitation; investigating issues of efficacy, usability and cost effectiveness

Technology can provide an answer for over-stretched health care provision but will service users, particular older adults, actively engage with it? This research will investigate the benefits of a computer programme on language comprehension abilities (i.e. ability to understand spoken sentences) and explore the user experience of...

Development and validation of metric-based training to proficiency for dental implant placement

Common dental diseases such as dental decay (caries) and gum (periodontal) disease can lead to the loss of teeth, which has detrimental effects on patients chewing ability, speech and smile. While retaining teeth for patients is a primary goal for the dental profession, the replacement of teeth when they are lost is an important role...

Characterisation of polyclonal IgG and paraprotein glycosylation in multiple myeloma to investigate structural and functional insights into stage-specific pathologies

Multiple myeloma is a type of blood cancer characterized by abnormal antibody called paraprotein, produced by the cancerous plasma cells in the bone marrow. Patients develop anaemia (due to bone marrow infiltration by cancerous cells), high calcium, bone destruction, kidney failure and death. Survival has improved since the approval of...

Irish Platform for Patients Organisations Science and Industry

The Irish Platform for Patients' Organisations, Science and Industry (IPPOSI) is a unique organisation in Ireland and abroad. The platform brings together patient groups, scientists, clinicians, industry and other key decision makers to discuss and build consensus on issues relevant to all involved in delivering treatments to people...

Unwrapping the layers of complexity of clinical performance assessment of physiotherapy students and identifying key stakeholders' preferences towards enhancing the process

Clinical performance assessment of health professional students is imperative as it provides a measure of a students readiness to practice within their profession. However, it is widely acknowledged as being inherently problematic. Difficulties reported by clinicians in medicine, nursing, psychology and social work include the...

Caesarean section in nulliparous women: factors influencing decision-making process and outcomes for women- The MAMMI study caesarean section strand

This study will find out the factors, or combination of several factors, that influence the decision to perform a caesarean section (CS) in first-time mothers in Ireland, the health problems women experience in the first year after the birth and what women, midwives and obstetricians believe are the reasons behind the decision to...

Towards personalised therapy in stricturing crohn's disease- exploring and exploiting the role of NADPH oxidase in intestinal fibrosis

Crohn's disease, a member of the family of inflammatory bowel diseases, causes inflammation throughout the digestive tract and frequently results in fibrosis (scarring) of the intestine, which will cause narrowing and ultimately bowel obstruction. Available treatments can dampen the inflammation, but do not prevent fibrosis. It is...

Translational analyses of ingestive behavior after gastric bypass

Roux-en-Y gastric bypass (RYGB) decreases appetite, caloric intake, glycemia, and body weight, all of which are maintained long-term. It is controversial whether, after RYGB, patients choose to eat less highfat and sugary foods in favor of lower energy dense alternatives. If true, this could conceivably contribute to improved glycemia...

An investigation into early adverse life events and psychotic-like experiences in Irish youth

At some time in their life, up to one in six adolescents is likely to have experienced some form of hallucinations or delusions, also known as psychotic-like experiences. These experiences include things like hearing voices, seeing things that are not there and having fixed false beliefs about yourself or the world around you. Most...

Attenuation of exaggerated post-prandial gut hormone response: A novel therapeutic strategy for the treatment of excessive weight loss among disease-free post-oesophagectomy patients

There is increasing incidence of cancer of the oesophagus (the gullet or swallowing tube). Improvements to treatment strategies for oesophageal cancer have produced an increasing population of patients who remain free from the disease recurrence in the long-term. Optimising long-term outcomes for these patients after treatment...

The clinical application of immunometabolism to the TB Patient

Recent studies have shown that cells of the immune system change the way that they break down sugars (their metabolism) after they are stimulated, and that this change in metabolism is needed in order to produce specific chemicals (cytokines) that fight infection.
We will study what metabolism changes happen in immune cells from...

Investigating the impact of body composition and nutritional intervention strategies in pancreatic cancer

Pancreatic cancer is the 9th most common cancer in Ireland, and the 5th most common cause of cancer related death. Because of its location deep within the abdomen, patients often present with advanced cancer at the time of diagnosis. The options for treatment are limited as surgery is only suitable for patients who don't have spread of...

Overcoming survival signalling in Multiple Myeloma

Multiple Myeloma (MM) is a blood cancer affecting plasma cells, a type of white blood cell located in the bone marrow. It affects the bones, kidneys and causes patients to have frequent infections. There are approximately 250 new cases diagnosed in Ireland annually. MM is not curable and although the treatment for this condition...

Living with Motor Neurone Disease (MND) and Dysphagia -the personal experiences of individuals with MND and their caregivers

Motor Neurone Disease (MND) is one of the most progressive diseases of the nervous system, for which there is no cure. It often leads to weakness in the arms, hands and legs, posing difficulties with daily life activities. Throat muscles can also be affected leading to speech and swallowing problems (dysphagia). Dysphagia can be life...

Development of a core set of clinical care provision indicators for non-specialist palliative care in the acute care hospital setting

Palliative care encompasses the support structure around people facing problems associated with life-limiting illness and includes the support of their families, but this is more than end-of-life care, and is viewed as central component of care for people living with limiting illnesses. Palliative care policies in Ireland draw on these...

The OPTIMAL study: A randomized controlled trial and process evaluation of an OccuPaTIonal therapy led self MAnagement support programme for patients with muLtimorbidity in primary care

Many people with chronic disease tend to have more than one chronic condition, referred to as multimorbidity. It is predicted that the number of individuals with multimorbidity is set to increase substantially in the future due to the growing elderly population. Those with multimorbidity experience poor physical function and find it...

Artificial neural networks, genomic data and case-control classification

WT Scheme: Seed Award in Science

Genome wide association studies have now reached the scale where one can hope to extract information relevant to clinical applications and public health. The large and complex nature of current datasets will benefit from new and more powerful methods of analysis. We propose to investigate the...

Sound-based observation of neonatal brain growth and status

WT Scheme: Seed Award in Science

Neurological problems are more likely to happen in the early neonatal period than at any other time of life. 85% of neonatal deaths worldwide occurred in developing countries with neonatal encephalopathy due to the birth asphyxia being one of the major causes of high child mortality. The lack...

Malnutrition in the elderly joint action call

Joint Programming Initiative: Health Diet of a Health Life

The Joint Action "Malnutrition in the Elderly Knowledge Hub" is part of the Strategic Research Agenda of the Joint Programming Initiative "A Healthy Diet for a Healthy Life". The general objectives of the Malnutrition in the Elderly Knowledge Hub (MaNuEL) are to extend...

Metabolic reprogramming in innate immunity

WT Scheme: Investigator Award in Science.

Immune cells undergo metabolic reprogramming during activation which directly impacts on their phenotype (1,2). Glycolysis is a key feature of M1 macrophages and Th17 cells, whilst oxidative phosphorylation is more apparent in M2 macrophages and Treg cells. Signals regulated by the...

Integrative genomic, epigenetic and functional studies in diabetic kidney disease

Kidney disease is a common and devastating complication of diabetes, and represents a major public health problem worldwide. The inherited, genetic factors that play a role in determining who will get this complication are beginning to be discovered, creating opportunities to understand the underlying biological basis of diabetic...

Cancer Prevention Fellowship 2016

Research Programme for mid-career researchers working in Republic of Ireland (RoI) to become NCI Cancer Prevention Fellows at the prestigious National Cancer Institute (NCI) in the USA.

This programme provides training at post-doctorate level from the health professions, biomedical, and behavioural sciences to become...

ICORG Renewal 2016-2018

In Ireland there are 20,000 new cases of cancer and more than 7,500 cancer deaths each year. A quarter of our annual death toll is cancer related. The number of new cases in the system by 2020 will be 107% of the number in 2000. Since 2005, the HRB has invested in the development of a network of cancer clinical trials in 17 hospitals...

Priority setting in uncertainties in trial methodology

Challenges in how clinical trials are designed and conducted are commonly experienced by researchers at different stages of the research process. For example, difficulty in recruiting people to a trial often results in a delay in completing the trial, or difficulty in using the trial results to make informed decisions about clinical...

Thinking outside the box: towards a novel approach to care delivery for young adults with type 1 diabetes

Many young people living with type 1 diabetes struggle with the burden of day-to-day self-management. As a result they often have poor outcomes including the development of life-changing complications. We have formed a partnership between existing diabetes service providers (in Galway University Hospitals), academics in National...

High quality pre-pregnancy care is essential for women with diabetes

Women with diabetes have an increased risk of pregnancy complications. Many of these complications are due to high glucose levels in the first ten weeks of pregnancy. This means that pregnancy planning and tight glucose control is essential. Pre-pregnancy care is additional clinical care offered to women planning pregnancy. As part of...

EMERGE: A randomised placebo controlled trial of the Effectiveness of MEtformin in addition to usual care in the Reduction of GEstational diabetes mellitus effects

Diabetes (high blood sugars) that develops during pregnancy is called Gestational Diabetes Mellitus (GDM). GDM is increasing, affecting one-in-eight pregnant women in Ireland. Women with GDM have an increased risk of complications at the time of delivery, including Caesarean section. Women with GDM have a 7-fold increased risk of...

Understand my pain: Educational tools for chronic pain

Based on the findings of the research during our HRB ICE award, we will develop two educational tools.
Activity A will involve the creation of a free video that explains how chronic pain impacts on children and their families. This activity is vital based on our new understanding of the numbers of primary school children who live...

What is Alpha-1?

Alpha-1 antitrypsin deficiency (Alpha-1) is a genetic disorder that affects the lungs. Typically people with Alpha-1 present with chronic obstructive pulmonary disease (COPD) or severe asthma. Ireland has one of the highest rates of AATD in the world. 1 in 25 Irish people are carriers for the condition and are at risk of lung disease,...

A moment for hand hygiene in the Intensive Care Unit: How Can Compliance be Improved?

Healthcare Associated Infections (HCAIs) such as Methicillin-resistant Staphylococcus Aureus (MRSA) represent the most frequent complications experienced by hospital patients. Effective hand hygiene practices are considered to be the most important strategy for preventing HCAIs. However, compliance with good hand hygiene practices has...

Medically licensed mesenchymal stem cells for the treatment of systemic sepsis

Systemic sepsis is a severe condition arising from a bacterial or fungal infection of the blood or lymph. It commonly leads to overwhelming inflammation and multiple organ failure and can kill up to 50% of sufferers. Toxins produced by bacteria are the major trigger for these responses in the patient. There are currently no specific...

Cancer Prevention Fellowship 2015

Research Programme for mid-career researchers working in Republic of Ireland (RoI) to become NCI Cancer Prevention Fellows at the prestigious National Cancer Institute (NCI) in the USA.

This programme provides training at post-doctorate level from the health professions, biomedical, and behavioural sciences to become...

Methods to influence the completeness of response to self administered questionnaires

Questionnaires are one of the most widely used means of collecting data. Self-administered questionnaires are used widely in research as they offer an efficient and cost effective means of collecting data in large target groups. Problems with rates of questionnaire return can pose serious problems for researchers. The issue of overall...

Provision of statistics and data management services to Irish Clinical Oncology Research Group Limited by National University of Ireland, Galway

In order to fulfil the regulatory and quality control requirements for high-quality statistics and data management for cancer clinical trials activities ICROG and the HRB have contracted National University of Ireland, Galway to provide this service. Initial data management activities including protocol input, development of a Case...

National Centre for Social Research on Dementia (NCSRD)

The research programme at the National Centre for Social Research on Dementia (NCSRD) is concerned with strengthening social research on dementia in Ireland. It will focus on identifying the most appropriate mix of biopsychosocial services for people with dementia, from diagnosis to end of life, taken from the patients point of view or...

A comprehensive resilience-building psychosocial intervention (CREST) to improve the quality of life of people with dementia and their carers

In Ireland almost 48,000 people have dementia; of these, more than 26,000 live in the community being cared for by family and friends. Current health care strategies are insufficient to cope with this. The Irish dementia strategy identifies better understanding of dementia in society, reducing the stigma associated with dementia as...

The genomic architecture of human nucleolar organizer regions and its role in nucleolar biology

WT Scheme: Investigator Award in Science.

The nucleolus is the largest functional domain in the nucleus of all human cells. Its primary role is the biogenesis of ribosomes, the complex machines that translate the language of nucleic acids (DNA and RNA) in to proteins. Nucleoli form around arrays of genes that encode the...

The CHARMS Intervention to improve sexual assessment and counselling in hospital cardiac rehabilitation: A pilot study

Sexual problems are particularly common among people with cardiovascular disease, and have been shown to negatively impact quality of life, psychological wellbeing (anxiety and depression) and relationship satisfaction.

Resistant hypertension in general practice: prevalence, prognosis, description and development of platform cohort for future research

High blood pressure causes, or helps to cause, almost two-thirds of all strokes and half of all heart attacks. Most people with high blood pressure can be treated by changing what they eat, doing more exercise or taking medications. However, among people with high blood pressure are some whose blood pressure remains too high despite...

Altered lipid raft cholesterol content contributes to the dysregulated activity of neutrophils in alpha-1 antitrypsin deficiency

Alpha-1-antitrypsin (AAT) deficiency (AATD) is largely unrecognized and under diagnosed. This hereditary disorder results in the rapid progression of lung disease, especially in smokers. Specific treatment for this disorder is available in the form of weekly intravenous injections of AAT. This is referred to as augmentation therapy...

Alpha-1 antitrypsin deficiency: Which is important phenotype, level, activity or all three?

Alpha-1 antitrypsin (AAT) deficiency (AATD) is generally regarded as a rare condition but more recently, evidence points towards it being a condition that is relatively common but rarely diagnosed. The most severe form of this genetic disorder, where people carry two bad AAT genes (Z) is known as ZZ-AATD and this affects around 2000...

Sodium inTake In Chronic Kidney disease (STICK): A randomised controlled trial

Chronic kidney disease, which affects an estimated 300,000 people in Ireland and over 50 million people in the developed world, is responsible for a considerable burden of premature mortality and morbidity. All patients with chronic kidney disease are recommended low salt diets, i.e. less than a teaspoon of salt per day (which is 5-6g...

Inhibiting XBP1s production as a novel therapeutic strategy in sepsis

Sepsis accounts for over 18 million deaths annually and is characterised by a severe/hyper activation of the immune system, also referred to as a cytokine storm, which is triggered by infection. In its most severe form sepsis manifests as septic shock and can lead to hypotension and multi-organ failure leading to death. The incidence...

HRB Trials Methodology Research Network

These are exciting and challenging times for clinical trials. The number and variety of treatments continues to grow, increasing pressures on researchers to determine how these compare to current treatments, while rising costs and regulation can make trials expensive and complex. However, as pressure on resources grows, there is more...

An analysis of genetic and environmental modifiers of breast cancers risk

Breast Cancer Susceptibility Genes (BRCA) 1 and 2 are tumour suppressor genes that maintain genomic stability by repairing damaged DNA. Pathogenic mutations in these genes disrupt their role as tumour suppressors and can predispose to various malignancies, in particular those of the breast or ovary. Single gene mutations in BRCA 1 or...

Aspirin and anti-inflammatory drugs for the prevention of dementia

Review objective: To evaluate the effects of aspirin and other non-steroidal anti-inflammatory drugs in the prevention of dementia. In view of the perceived association between inflammation and Alzheimer's disease and stroke or multiple strokes arising from multiple infarcts in vascular dementia, research has focused on assessing...

Interventions to improve end-of-life care in dementia

Review objective: To determine the effectiveness of interventions to improve end-of-life care for people with dementia. For the purposes of this review, end-of-life care is defined as the care required when death is imminent for those with advanced dementia and for those with dementia of any severity who are in the terminal phase of an...

The ability of urinary albumin excretion and estimated kidney function to predict short term all cause and cardiovascular mortality in community dwelling individuals

Cardiovascular (CV) events such as stroke, heart attack and heart failure are the most common causes of death and adult disability. A priority in population-health is to accurately identify patients who are at increased risk of CV events, so that we can introduce effective preventative therapies in appropriate populations. Kidney...

Role of extra-oesophageal reflux in the development and severity of non-cystic fibrosis bronchiectasis

Bronchiectasis is a chronic debilitating respiratory disease characterised by severe, recurrent chest infections with resultant high rates of morbidity and mortality, escalating public health costs and profound reductions in productivity and quality of life. In approximately 50% of cases, the cause of bronchiectasis is unknown...

Designing and implementing effective behaviour change interventions to improve population health and health services in Ireland

Priority issue: To improve population health by developing, using and advocating use of scientific methods for studying behaviour change.

Key objectives of the proposal:

1. To establish the Health Behaviour Change Research Cluster/Centre (HBCRC) at NUI Galway. 
2. To establish expert working groups in 3...

3. Psychological therapies for chronic pain and adjustment difficulties in multimorbid health conditions

   A significant number of people have chronic (long-term) health problems and some of these have so-called 'multimorbidities' this means a number of physical symptoms or diseases occurring at the same time, for example arthritis and depression or high blood pressure, diabetes and chronic pain. In the first part of this study, we will...

4. Health Economics: the development and analysis of the health technology assessment infrastructure in Ireland and an analysis of the quality

   The overall vision is to create conditions that will allow for a sea change in the quantity and quality of health services research in Ireland, addressing specific needs articulated in the policy documents of various stakeholder and; secure NUI Galway's role as a national resource supporting the application of economic methods to...