Funding Awarded

Medication without harm: Building a network and knowledge exchange programme.

The World Health Organisation (WHO) has a Global Patient Safety Challenge: ‘Medication Without Harm’ which aims to reduce worldwide harm associated with medications by half over 5 years. Medication-related harm includes medication incidents, errors, adverse drug reactions (ADRs; harmful responses to medicine) and adverse drug events...

Psychosis in the Theatre

This project is about enhancing our public patient involvement (PPI) activities within our Clinical Doctoral Award (CDA) programme by using the Arts to give voice to and tell the story of the collective of people who are affected by psychosis. Our CDA, PSI-STAR (Psychosis Ireland Structured Training and Research Programme) includes...

Taking a World Cafe approach to improving understanding of psychosis and establishing a psychosis research PPI network

The primary aim of this project is to establish a psychosis research PPI network in Ireland. This will be done via a process of meaningful engagement and dialogue with people with lived experience of psychosis and other individuals and organisations with an interest in psychosis.

Specifically, we propose to host a series of...

Better Osteoarthritis Care: Delivering education and training for primary care health professionals in Ireland.

Osteoarthritis is the most common form of arthritis in Ireland. It is a condition of the joints that can cause pain, reduce mobility and result in poorer quality of life. It is more common in people over the age of 50 and often affects the knee and hip joints. To ensure that people with osteoarthritis receive ideal care, it is...

Tip of the iceberg: highlighting the long term health consequences of polycystic ovary syndrome.

Polycystic ovary syndrome (PCOS) is a chronic health condition that affects up to 15% of all women. It is characterised by increased blood levels of hormones called androgens (such as testosterone), alongside irregular periods and multiple follicles on the ovaries on ultrasound. PCOS has traditionally been perceived as a purely...

The Ignition study: Sharing stories to improve the experience of transition for young people with cerebral palsy

Cerebral palsy (CP) is a common cause of disability among children. All people with CP have a physical impairment. About 30% use a wheelchair and some children also have difficulties hearing, seeing and speaking. Children with CP are transferred from children’s health services to adult services at age 18. This can be challenging as...

Surgery, radiotherapy, chemotherapy, but now what? Exploring the rehabilitation needs of people with brain tumours in Ireland

In Ireland, about 480 people are diagnosed with primary brain tumours every year. Many more people develop secondary brain tumours arising from other cancers. Brain tumours can shorten life span and cause many problems including muscle weakness, speech difficulties, loss of mobility and independence, difficulties thinking and...

Interrogation of novel Glioblastoma Subtypes towards an improved Precision Medicine Approach for Brain Tumour Patients

Glioblastoma (GBM) is the most frequent and aggressive adult brain tumour. Sadly, 85% of patients die within two years, despite surgery and chemo/radiotherapy. Treatment resistance is related to cell types that make up the tumour (“tumour microenvironment” or “TME”). Specifically, the behaviour of TME cells such as blood vessel and...

Exploring the risk factors and consequences of cannabis use in adolescence using population-based data: the "CANNARISK" study

Over the past decade there has been an increase in the number of adolescents using cannabis worldwide. This is concerning because cannabis is increasing in strength with more serious long term effects on health such as psychosis and depression. The adverse effects of using cannabis are particularly pronounced in those who start to use...

‘Investigating the relationship between the Complement Pathway and outcomes in Psychosis; from Clinical High Risk to First Episode Psychosis’

Schizophrenia is amongst the most expensive disorders in terms of quality of life and societal cost. Based on current treatments more than 30% of schizophrenia subjects do not respond to treatments, including antipsychotic medications. While early intervention is known to be associated with improved outcome, we cannot tell in advance...

Study of rolE of PlateletS In Sepsis (SEPSIS)

Sepsis is a severe illness caused by a bloodstream infection and is the primary cause of death in-hospital. While antibiotics are the primary treatment for sepsis the emergence of antibiotic-resistant strains of bacteria along with the inability to culture bacteria from blood in many cases makes treating sepsis challenging. The...

ExamIning the diagnostic and functional role of a novel DNA meThylation signaturE in predicting ColoRectAl Cancer meTastasis - “INTERACT”

Ongoing scientific/clinical efforts have drastically improved survival rates (60-80%) of patients with early stage bowel (Colorectal) cancer. However, only 14% of advanced (stage 4) bowel cancer patients survive post-5 years of diagnosis. Currently, there are no effective approaches that can predict if a patient’s bowel cancer will...

Predicting and monitoring outcomes in Autoimmune Encephalitis (POTA)

Epilepsy is a disorder of the brain in which people have repeated seizures. 

Autoimmune encephalitis (AE) is a rare cause of epilepsy. It is an inflammatory disease of the brain. This means that the body’s own immune system attacks healthy brain tissue, just like it would if it were infected by a virus or a bacteria, by...

Development of a gene activated construct targeting proinflammatory signalling to promote zonal regeneration of osteoarthritic cartilage

Cartilage is a specialised, layered tissue that coats the end of bones, facilitating low friction movement of the joints and providing cushioning from impacts. When cartilage is injured or degenerates, due to diseases such as osteoarthritis, these functions are impaired, causing inflammation, pain and significantly impacting quality of...

Participation in physical activity: what really matters to adolescents with physical disability?

Being physically active is hugely important for health. It improves physical and mental wellbeing and reduces the risk of health problems in adulthood. Young people with physical disability, especially adolescents, do less physical activity than their peers. We want to learn more about how we can support adolescents with physical...

Sustaining activity with arthritis (SAWA) following an Arthritis Ireland Be active with arthritis (BAWA) exercise programme

Best practice guidelines across the world always recommend those living with arthritis to be physically active. Research shows that being active can help people living with arthritis to do the things that they want to do for longer, reduce pain, improve quality of life and protect against getting other health conditions such as heart...

Interrogating the role of miRNA in predicting responses to novel modulator therapies in children with Cystic Fibrosis

Cystic Fibrosis (CF) is a hereditary condition effecting over 80.000 people worldwide with the highest incidence occurring amongst the Irish population. There is no cure for CF however the arrival of a new era of medication that can correct Cystic Fibrosis Transmembrane Conductance Regulator gene (CFTR) mutations, the basic defect that...

Increased Thrombotic Risk in Patients with Myeloproliferative Neoplasms: Linking Inflammation, Metabolism and Hypercoagulability - the CLIMB study

Blood clotting is an important defence mechanism that prevents blood loss after injury, but when this process is not controlled, it can block blood vessels and cause life-threatening thrombosis. Individuals with myeloproliferative neoplasms (MPNs) generate excessive numbers of all blood cells, including white cells, which predisposes...

An investigation into the prevalence and experience of psychopathology and mental disorders among children and adolescents with cerebral palsy

Cerebral palsy (CP) is the most common cause of physical disability in childhood. Most people with CP live well into adulthood. Although CP primarily affects a person’s ability to sit or move, many people with CP report experiencing mental health problems. Children and adolescents with CP who experience mental health problems are more...

Enhancing existing formal home support to improve and maintain functional status in older adults.

Ireland has an increasing ageing population and this has created the need for better and more integrated health and social care services. The benefits of physical activity for all ages are widely known. Physical activity programmes have been shown to improve older adults’ health and well-being and reduce falls, enabling the older adult...

Early Pregnancy Information Day 2022

The first trimester of pregnancy is a particularly important time not only for baby’s development, but also for the family that is adjusting to this big change. The woman is usually first seen by her GP to confirm the pregnancy, and discuss the options available to her for antenatal or maternity care. Often the mum-to-be will engage...

Structured Population Health, Policy and Health Services Research Education

The SPHeRE programme is the leading doctoral programme in Ireland for training the next generation of research leaders in Population Health and Health Services Research. Since 2007, the programme has provided a comprehensive integrated training model that produces graduates with a common understanding of population health and health...

Clinical Trial Feasibility Award - Royal College of Surgeons in Ireland

No summary available

Children's Health Ireland

No summary available

An Education and eXercise intervention (EDX-Ireland) for gluteal tendinopathy in an Irish setting: a feasibility randomised controlled trial (LEAP-Ireland trial)

Gluteal tendinopathy is a chronic condition which affects tendons of the gluteal (buttock) muscles of the hip. This condition is also known as Greater Trochanteric Pain Syndrome (GTPS). It can result in significant pain that can last for months or years. It can disturb sleep and affect everyday activities such as...

The StrokeCog-R study: a randomised pilot study of a novel cognitive rehabilitation intervention in stroke

Stroke is a leading cause of death and disability in Ireland and worldwide. Many people are aware of the physical disabilities that occur following stroke, but are less aware of the cognitive problems that people experience. Cognitive problems, or cognitive impairment, include difficulties with thinking, memory, and concentration. They...

Expanding the lung donor pool: interventions to improve donor management, expand ex vivo lung perfusion and repair injured donor lungs

When people sustain injury to the brain after a fall, road traffic accident, or major brain bleed, they require care in an Intensive Care Unit. After major brain injury, a patient’s lungs also often fail – this is termed "Acute Respiratory Distress Syndrome" (ARDS).

ARDS after brain injury is common and contributes significantly...

Precision diagnosis and care for families with pulmonary fibrosis in Ireland

diopathic-Pulmonary-Fibrosis (IPF) is a devastating fatal lung disease leading to death at an average of 3 years after diagnosis and while new drugs offer hope of slowing the disease, lung transplant is the only effective cure. Genetic factors contribute significantly to the risk of developing IPF. In Ireland our results from the IPF...

Linking 11-oxygenated androgens, skeletal muscle glucose metabolism and diabetes risk in polycystic ovary syndrome

Polycystic ovary syndrome (PCOS) affects up to 10% of all women. It is characterised by increased blood levels of hormones called androgens, as well as irregular menstrual cycles and multiple small cysts on the ovaries. Traditionally PCOS has been predominantly perceived as a reproductive disorder impacting on fertility. However...

Characterising problematic polypharmacy in older community-dwelling people attending general practice

As people grow older they are more likely to live with multiple chronic conditions such as diabetes, heart disease and arthritis. As a result these people are prescribed multiple medications by their doctors. In Ireland, for example, 6 in 10 people aged over 65 years are prescribed five or more medications and 2 in 10 are prescribed 10...

iPASTAR-Improving Pathways for Acute STroke And Rehabilitation

Stroke is a disease of enormous global significance. It is a major cause of death and the commonest form of acquired physical disability in adults. Fragmentation of care results in inadequate coordination of the fundamental components of acute stroke care and fails to provide an effective integrated system for acute and rehabilitative...

Evidence for Policies to Prevent Chronic Conditions (EPICC)

Chronic diseases like heart disease and diabetes are the most common causes of death in Ireland and Europe. These diseases are becoming more common and they are extremely costly for governments. The costs will continue to increase unless governments can find better way to prevent and treat these diseases.

Moreover, these chronic...

TeenPath: Social Environment, Health and Well-Being Among Adolescents in Ireland

A person's physical growth, psychological development and personal behaviours in adolescence are the foundation upon which the life course is built. Health behaviours established in adolescence will likely continue into adulthood with long-term implications for health and life-expectancy. For example, 80% of teenagers measured as obese...

Development and validation of a risk stratification tool for assessment of maternal and neonatal morbidity and mortality using data from the National Maternal and Newborn Clinical Management System

Many women and their unborn babies experience problems during pregnancy. Occasionally mothers or babies die. These outcomes vary across hospitals. Currently, there is no accepted method of comparing outcomes between hospitals. Therefore, we do not know if all hospitals are performing to standard, or whether there are worse or better...

Using lessons learned from statutory notifications to improve quality and safety in social care settings

In Ireland, providers of designated centres for older people and people with disabilities are required to inform the Chief Inspector of Social Services in the Health Information and Quality Authority (HIQA) about certain events that occur. For example: serious injuries to residents and allegations of abuse. These are known as statutory...

Disparities in Heath Outcomes of Chronic Kidney Disease between Men and Women in the Irish Health System

It is increasingly recognised that there are differences between men and women in regard to chronic kidney disease (CKD). It appears to be more common in women and they have a shorter survival compared to women in the general population. It is unclear 1) whether these differences are due to biological factors like hormones or due to...

Improving transition from child to adult health services for young people with cerebral palsy living in Ireland.

In Ireland, people with cerebral palsy (CP) receive healthcare from children's services up to the age of 18, after which they transfer to adult services. Poor management of the transition from child to adult health services can lead to poor health and increased hospital admissions. While there are practices that health professionals...

Evidence-based guidance in general practice: exploring general practitioner preferences, content prioritisation and dissemination

General practitioners (GPs) need resources to support their use of the most up to date information in their clinical practice. This is to make sure that patients are receiving the best care possible from their GP.Th e Irish College of General Practitioners (ICGP) produces research update guides for GPs to support their management of...

A new cell free DNA liquid biopsy assay to predict bevacizumab outcome in metastatic colorectal cancer patients

Colorectal cancer (CRC) is the third most common cancer in Europe with an estimated 420,000 new cases diagnosed and 230,000 related deaths anticipated in 2018. CRC is the 2nd most common and 2nd most fatal cancer in Ireland. Currently standard chemotherapy (FOLFOX) and bevacizumab [(BVZ); avastin] a drug which inhibits tumour blood...

Tracking Trajectories of Psychopathology from Infancy to Young Adulthood: an Irish national longitudinal cohort study

Approximately 30-50% of people will experience a mental disorder over the course of their life and the majority of mental disorders begin in adolescence. Despite a shift toward 'early intervention' strategies in many medical specialities, psychiatry lags behind in this regard. There is a pressing need to identify the early life...

The identification of plasma protein markers of antipsychotic drug treatment response in first episode psychosis; a proteomic analysis of baseline plasma samples from the OPTiMiSE and PSYSCAN studies.

Schizophrenia is amongst the most expensive disorders in terms of quality of life and societal cost. While early intervention is known to be associated with improved outcome there is little information on predictors of patient outcome following antipsychotic drug (APD) treatment. We seek to identify, for the first time, discriminative...

3D collagen-based scaffolds as gene delivery platforms for the treatment of human breast cancer

Gene therapy has recently become a potential method for the targeted treatment of cancer but successful delivery remains a real problem that hinders its use in the clinic. The aim of this study is to create and define three-dimensional (3D) lab-based models of breast cancer to mimic primary and secondary tumours, and to assess the...

Development of a Model of Care for Osteoarthritis in Primary Care in Ireland- A mixed methods study

Osteoarthritis is the most common form of arthritis in Ireland. It is a condition of the joints that can cause pain and reduced mobility. It is more common in people over the age of 50 and often affects the knee and hip joints. This project aims to improve the care of people with osteoarthritis who attend their general practitioner...

Molecular evolution of metastatic HER2-positive breast cancer

Approximately 20% of all breast cancers (BCs) are HER2-positive and this type of BC is particularly aggressive. Drugs that target HER2, such as trastuzumab (Herceptin), have improved our ability to treat HER2-positive BC. However, many women with HER2-positive BC are not cured following treatment, and more than 25% of women go on to...

Sláintemedicines - a roadmap to essential medicines entitlement for universal health coverage

According to the World Health Organisation, universal health coverage is an important goal for health systems. Ireland does not currently have universal coverage as some individual have to pay for services such as visiting their GP. Sláintecare is a plan to implement universal coverage in Ireland over a 10 year period. However, this...

Wound infections: biofilms and the search for novel antimicrobial agents

Wound infections are one of the most common bacterial infections that are seen both in the community and in the healthcare setting. Wounds may occur acutely or if they fail to heal within a timely reparative process of three months are considered to be chronic wounds. The most common bacteria that cause wound infections is...

Evidence synthesis and translation of findings for national clinical guideline development: addressing the needs and preferences of guideline development groups

National clinical guidelines aim to help healthcare providers and patients' make decisions about appropriate healthcare. These guidelines use the best available evidence, gathered from national and international research, to develop recommendations on a wide range of topics. These include preventing and managing specific conditions to...

Investigating breast cancer risk factors to understand breast cancer epidemiological outcomes

This proposal aims to expand cancer prevention research in Ireland through the assessment of breast cancer risk factors and their influence on clinically relevant characteristics of aggressive breast cancers.

Prior research has identified factors associated with increased risk of breast cancer development. One such known factor...

The Breakfast Club

The Breakfast Club is the story of diabetes in pregnancy in Ireland. In a weekly, serialized, online graphic novel, we will follow the lives of women attending a Breakfast Club for women who have received a diagnosis of diabetes during their pregnancy. We will explore their experiences, from having a Glucose Tolerance Test, to meeting...

Medtrack KEDS

"Health professionals are the lifeblood of the health system"(President M Robinson), yet our junior doctors (NCHD-trainees) continue to report that responses for improving their working conditions have had "little tangible change or impact on their day-to-day working lives and training experience?. The RCSI research team has...

Development of a Teaching Programme for the Junior Cycle Mental health and Mental Ill-Health Module

Great progress has been made nationally on destigmatising mental health but it has not yet become a topic that people are universally comfortable with. A major change in the Junior Cycle in 2018 is the introduction of Wellbeing which directly addresses youth mental health through Strand 4 in the new Social Personal and Health Education...

Development of Book About Mental Health Problems For Children and Adolescents

There has been steady improvements in the quality of information available to people about mental health issues but a challenge remains to communicate this fully to children and adolescents. Much of the existing information is text heavy and can be off-putting for this age group. Presenting this information so that it is accessible...

Real Talk with Real Mums

?Real Talk with Real Mums? is a 10-episode podcast series looking at the issues of everyday pregnancy with medical professionals and the real women who have gone through the pregnancy journey. Each episode of c.30 minutes will tackle a different topic, from exercise in pregnancy (with a Physiotherapist), to mental health issues in...

Promoting National Awareness of Thrombosis in Pregnancy.

Women who are pregnant have a higher chance of developing blood clots (thrombosis) that can cause serious ill-health and can be fatal. Therefore, it is incredibly important that women who are pregnant, women of childbearing age and their families are aware of their risk factors for thrombosis in pregnancy. In the HRB-funded "HIGHLOW"...

LoVIC-Kids: Improving public awareness of abnormal bleeding symptoms

Congenital bleeding disorders (CBD) may result in increased bleeding at times of injury, surgery, childbirth or with periods (menstrual bleeding). Although an estimated 1-2% of the population are affected by CBD, most people are unaware that their bleeding symptoms are abnormal. In addition, there is limited awareness amongst many...

Control of neuronal proteostasis by stress-induced transfer RNA fragments (?tiRNA?) as a common stress pathway across neurodegenerative disorders.

This application is for supplemental funding through PA-18-591 for the recently funded grant (1R01AG058476-01), entitled ?Dysfunction of the autophagy-lysosomal pathway as a common mechanism of neurodegeneration,? and the JPND project to support collaborative studies between Dr. Finkbeiner?s lab (Gladstone) and the JPND RNA NEURO...

The microbiome as an environmental trigger for autoimmune epilepsy (MICA)

Autoimmune epilepsy is a rare form of drug-resistant epilepsy characterised by frequent seizures in later life. Patients may respond to immune therapy, but causation of disease is poorly understood, and more targeted treatments are required. This gap in knowledge is the major priority for epilepsy specialists, and the area of greatest...

Towards novel anti-infective with enhanced wound-healing for diabetic foot infections : Co2 releasing star shaped micro biocidal polymers

It is estimated that 422 million people worldwide are living with diabetes and among them, a common and serious problem is the development of diabetic foot infection. One in five patients with diabetes are hospitalised with a diabetic foot wound (DFW) at least once in their lives. Infected DFWs are treated by removal of infected tissue...

The role of sialylated-alpha-1 antitrypsin in resolution of acute and chronic inflammation

Alpha-1-antitrypsin (AAT) deficiency (AATD) is a hereditary disorder that 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 and studies have shown that augmentation...

Good vigilance practice in pregnancy: A multistakeholder approach to optimising the effectiveness of risk minimisation measures to prevent harms from teratogenic medicines

When new medicines are approved for use in the general population the drug company responsible for the medicine has to make sure that certain measures are in place to avoid unnecessary harm. These are known as risk minimisation measures (RMMs). This is particularly important when the medicine may cause harmful effects to an unborn...

Co-producing health and well-being in partnership with patients, families and communities: the role of the epilepsy patient portal

Claire a 35 year old teacher with a 10 year history of epilepsy attends the Galway University Hospital (GUH) where an electronic patient record (EPR) is used by the epilepsy service. Recently on a weekend trip to Waterford, Claire had a seizure resulting in a fall in the street and a minor injury. She was taken to the emergency...

Enhancing existing formal home support to improve and maintain functional status in older adults: A feasibility study on the implementation of the Care to Move (CTM) programme

Ireland has an increasing ageing population and this has created the need for better and more integrated health and social care services. The benefits of physical activity for all ages are widely known. Physical activity programmes have been shown to improve older adults’ health and well-being and reduce falls, enabling the older adult...

"Right Care": a programme of research to enhance safe and appropriate care for older patients in Ireland

We propose a structured PhD training programme for multi-disciplinary health researchers on the topic of “Right Care” for older people. This research programme will examine how right care can be given at the right time and in the right setting, so that older people get the greatest benefit and the lowest harm from health interventions....

Managing complex multimorbidity in primary care: a multidisciplnary doctoral training programme

This application outlines a Structured Doctoral Training Programme for four PhD students with clinical and research backgrounds. The focus is on primary care delivery for patients who are referred to as having complex multimorbidity, which means that they have multiple long term conditions and are often on ten or more regular...

Communicating and promoting SAFE medicines use in Ireland

The likelihood of side effects of medicines, drug interactions and potentially inappropriate prescribing increase with the increasing number of medicines people take. Taking multiple medicines at the same time is common in people age 65 year olds or older with six in every ten in this age group. Also, around one in ten of those aged 65...

The youth mental health animation creation project

This KEDS award will be used to create animations about young people's mental health that will be embedded into the youth mental health website, ReachOut.com.



This project will involve crafting key messages from this study into short narratives using direct quotes from the research interviews conducted for this...

The StrokeCog partnership: effective intervention through collaboration

Stroke is a leading cause of death and disability worldwide and will increase considerably in coming decades as people live for longer. Many people are aware of physical disabilities after stroke, but are less aware of cognitive problems. These include difficulties with memory, concentration and abstract thinking, often experienced as...

The Art of Pregnancy

The Art of Pregnancy is an exciting and ambitious public outreach exhibition and programme supported by the HRB Mother and Baby CTN togther with the Science Gallery Dublin as a key partner.

For this project we want to commission (via an open call process) a group of artists to create works inspired by the wide ranging areas of...

Brain, mind and psychosis: Engaging young people in learning about research

Great progress has been made over the past few years in "destigmatising" mental illness and this has been particularly successful for conditions such as depression and anxiety. However there still remains a great lack of knowledge about psychosis. This lack of knowledge can lead to stigma and fear and can prevent young people coming...

The relationship of medication adherence and environmental factors to exacerbations in patients with severe asthma

Some patients with asthma suffer attacks, termed exacerbations, these periods of loss of control and heightened symptoms both significantly reduce quality of life and increase healthcare costs, as they are a cause of disability, hospitalisation and death. Predicting when an exacerbation may occur involves knowledge of the person's...

Biomarker discovery in ultra high risk for psychosis: Towards prediction of psychotic disorder, non-psychotic mental disorders and recovery

Mental disorders such as schizophrenia and major depression are among the most expensive disorders in terms of quality of life and societal cost. Early identification and intervention is associated with improved outcome and is facilitated by targeting those at ultra-high-risk-for-psychosis (UHR) as up to 25-30% subsequently develop...

Advanced scaffold-based therapeutics for regeneration of large volume, vascularised bone defects

Although bone has a natural capacity to repair itself following fracture, problems arise when large critical-size bone defects do not spontaneously heal and therefore require surgical intervention to repair completely. As many drawbacks exist with traditional repair approaches, the field of bone tissue engineering - which combines...

The Low Von Willebrand factor Ireland Cohort of Kids (LoVIC-K) study

Von Willebrand factor (VWF) is a large plasma protein essential for maintaining normal blood coagulation. Approximately 1% of the children and adults inherit low levels of his blood clotting protein, and consequently have a lifelong bleeding disorder known as von Willebrand disease (or VWD). Children with VWD often demonstrate easy...

Systems modelling of tumor heterogeneity & therapy response in colorectal cancer

Colorectal cancer (CRC) has one of the highest worldwide incidences (>1.3 million new cases) and mortality rates (~610,000 deaths per year). Genotoxic chemotherapy in stage II and III confers minimal treatment benefit (improved survival in 3-4% stage II and 15-20% of stage III patients), and predictive markers to select...

Longitudinal assessment of cardiac function in infants with Downs Syndrome using novel echocardiography techniques

Down syndrome is a condition where there is an extra chromosome 21. Babies with Down syndrome have well recognised features. Some babies with Down syndrome have an abnormal heart and need surgery to correct the defect. For this study we are interested in the proportion of babies who have a normal heart structure. Those babies can have...

A randomised placebo-controlled trial of low-dose aspirin initiated in the first trimester for optimising pregnancy outcome in pregestational diabetes

Pre-existing diabetes confers a high risk for adverse pregnancy outcome. High blood pressure disorders in pregnancy, including preeclampsia, are particularly common in this population and the combination of pre-existing diabetes and preeclampsia represents a notable high risk for poor pregnancy outcome, including stillbirth....

Low molecular weight heparin to prevent recurrent venous thromboembolism in pregnancy: a randomised trial of two doses: the HIGHLOW study

Women who are pregnant have an increased chance of developing blood clots. These clots can cause serious ill-health and can even be fatal. The death of a young mother is a tragic event with wide-reaching effects on the woman's family.

Women with a previous blood clot have a higher recurrence risk in pregnancy. In fact, the...

Longitudinal profiling of adverse events in Irish hospitals and provision of a standardised assessment tool to the Irish healthcare system: the INAES-2 study

Adverse events (AEs) are unintended injuries or complications that are caused by healthcare management, rather than a patient's underlying disease, which lead to death, disability at the time of hospital discharge, prolonged hospital stay or subsequent hospitalisation. The first Irish National Adverse Events Study (INAES) determined...

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...

Doctor Emigration Knowledge Exchange Project (DEP-KEDS)

The Doctor Emigration Project (DEP) aims to analyse doctor emigration from Ireland and to inform national health workforce policy about the factors influencing their emigration. The ultimate aim of the project is to assist national workforce planners to develop evidence-informed policies to promote the retention of doctors in, and the...

Irish medical career tracking study (The MedTrack Study)

Hardly a week goes by without a national media report on the medical staffing crisis in the Irish health services, which is perhaps the biggest current threat to the delivery of quality health services to the population of Ireland. With 6- and 12-monthly staff turnovers, employers are forced to recruit staff from abroad to fill posts...

Early life stress and the etiopathogenesis of auditory hallucinations in young people

This research project aims to look at the relationship between experiencing stressful life events during childhood and experiencing psychotic-like symptoms (like hearing voices that other people can't hear, for example) in adolescence. Researchers have already shown that there is a relationship between these two experiences but, up...

The effects of maternal and foetal stress during pregnancy on adult mental health

The causes of both common mental illnesses like anxiety and depression and more severe mental illnesses like schizophrenia and bipolar disorder are still unclear. We know that these illnesses are most likely a complex mix of environmental factors working in conjunction with underlying genetic vulnerability. The genetic input to these...

Development of a national severe asthma registry and comprehensive care program

There has been a drive to deliver new asthma treatments through new biological agents. However, age old issues including poor adherence and poor inhaler use still apply and mean that it is difficult to tell if a patient has difficult to manage asthma or therapy refractory asthma. The proposal is to build a registry for patients with...

Creation of a young adult colouring book illustrating biological research on mental illness

We plan to create an innovative educational activity to promote our research on biological investigations in mental illness. Our idea is to publish a young adult colouring book that will introduce young people to the complex world of the human brain, how scientists perform neuroscience research and how the findings relate to...

Development and upgrading of the HMDB Schizophrenia Metabocard

The Human Metabolome Database (HMDB) is a freely available database that contains detailed information about small molecules found in the human body. It is the first and foremost reference site for metabolite data worldwide. It provides scientists, clinicians, educators and the public with the most current and comprehensive coverage of...

An inflammatory biomarker study of psychosis: a longitudinal study in an at risk population

Schizophrenia is among the most expensive disorders in terms of quality of life and societal cost. While treatments are inadequate, early intervention has been shown to be clinically effective. Consequently, there is an urgent need to improve our understanding of the pathophysiology of this disorder so that we can identify and treat...

Blood adenosine levels as a novel diagnostic of seizures in humans

Epilepsy is the most common life-long brain disease and its diagnosis remains challenging needing the application of multiple criteria including patient history, seizure type and electroencephalography (EEG) recordings. The most reliable method is long periods under video surveillance during continuous EEG monitoring which is costly...

Cracking cancer with science; an educational outreach campaign for primary schoolchildren

Breast cancer remains a significant disease in Ireland. Our laboratory is investigating novel therapies to target a sub-group of aggressive breast tumours. This work feeds into two larger efforts. The first is to help personalize cancer therapies for patients. The second is to provide new insight into how specific tumours develop, in...

Breast cancer risk: The influence of blood selenium status and interactions between selenium supply biomarkers and genetic variations in the selenoprotein gene pathway

Hormonal, reproductive, and dietary factors play an important role in the aetiology of breast cancer (BC). Selenium (Se) is an essential micronutrient thought to aid cancer prevention via its incorporation into selenoproteins which help counter oxidative damage to DNA, proteins, and lipids. Such DNA damage also appears to play a...

Cold air plasma to enhance hospital hygiene leading to reduced surface bacterial counts and patient acquisition of vancomycin-resistant enterococci and Clostridium difficile infection

Healthcare-associated infections (HCAI) affect 5-10% of patients admitted to an acute hospital but it is about three times higher in intensive care units (ICUs). Prevention involves many strategies but environmental hygiene is important as many bacterial causes persist on horizontal surfaces, e.g. methicillin-resistant Staphylococcus...

Healthy pregnancy in Ireland

The HRB Ireland Perinatal CTN is an all-island of Ireland clinical trial network for mothers and babies representing a new and exciting collaboration between two established research groups; the Irish centre for Foetal and Neonatal Translational Research (INFANT) and Perinatal Ireland. The 'Healthy Pregnancy in Ireland' initiative is a...

A translational systems biological study to identify molecular predictors for responsiveness to TRAIL-receptor agonists in colorectal cancer

Many patients that suffer from cancer of the colon require chemotherapy. Chemotherapy is supposed to induce the death of cancer cells by a molecularly controlled death process called apoptosis. Apoptosis in response to chemotherapy requires the activation of cell death genes, but colon cancer cells often can prevent these genes from...

Oral flucloxacillin alone versus flucloxacillin and phenoxymethylpenicillin for the emergency department outpatient treatment of cellulitis: a non-inferiority randomised controlled trial

Acute bacterial skin and skin structure infections (ABSSSIs) are commonly encountered in Emergency Departments (EDs). In Ireland, the most common ABSSSI is cellulitis, which is a spreading bacterial infection of the skin and tissues beneath the skin. Approximately 12 in every 1,000 ED patient attendances in Ireland is due to...

Validation of FcgRlla as a potential drug target in sepsis

WT Scheme: Seed Award in Science.

Sepsis is characterised by a severe coagulopathy which is responsible for the high mortality in this disease. This coagulopathy is due to extensive platelet activation and consumption which leads to bleeding due to the subsequent thrombocytopenia and thrombosis due to the platelet...

Statistical epidemiology in population health and health services research: Quality and patient safety in medicines

The Irish population is getting older and this is leading to an increase in the use of medications. The number of elderly people on 5 or more regular medicines increased greatly from 1997 to 2012. It is known that an increase in the number of prescription medications leads to potential problems of drug interactions, problems taking...

The StrokeCog study: modelling and modifying the consequences of stroke-related cognitive impairment through intervention

Stroke is one of the leading causes of death and disability in Ireland. Many people are aware of the physical disabilities caused by stroke, but are far less aware of the cognitive and mood problems that people experience following an attack. Cognitive problems include difficulties with memory, concentration and abstract thinking. Mood...

Making the patient a member of the healthcare team in chronic disease management: An ethnographic and participant action research analysis of living with epilepsy in Ireland (E-PIC: Epilepsy Partnership in Care)

Patient-centeredness is a core value of current and emerging health service reforms.  Patient-centred care (PCC) recognises people within the full context of their lives, not just their health condition. Its principles include: informing and involving patients, encouraging self-management and informed decision making, eliciting...

INCA SUn: A prospective randomised multicentre study to optimise the management of symptomatically uncontrolled asthma.

Inhalers are used in the treatment of patients with severe asthma. About 10% of people with asthma fail to achieve control of their asthma symptoms with inhalers. These patients with severe asthma, are often treated with extra medications or have severe attacks. One reason why these patients may not achieve control of their asthma is...

HRB Centre for Primary Care Research

The HRB Centre for Primary Care Research (CPCR- www.hrbcentreprimarycare.ie) is focussing on improving the quality and safety of medicines to vulnerable patient groups in Ireland, building upon observational epidemiology completed and published during the first phase of funding. Information and Communication Technology (ICT)...

A multi-pronged translational approach towards testing a novel JAM-A inhibitor to reduce aggressive HER2-dependent breast cancer progression

Although breast cancer surgery and treatment have greatly improved in recent years, certain types of tumours are much more aggressive than others and therefore represent a greater risk to the patient. One such type of breast tumour is identified by the fact that it has high levels of a specific tumour marker called HER2. Therapies...

Development of bioactive therapeutics harnessing stem cell mechanobiology

Tissue engineering is an emerging field of medicine that aims to treat diseased or damaged tissue through regeneration, rather than replacement. In order to achieve this, implantable scaffolds, that act as templates for tissue formation, are designed so that they not only provide structural support but also provide signals to cells...

A systems-based patient stratification tool of Bcl-2 family protein interactions to evaluate acute treatment responses in rectal cancer patients

Cancers of the rectum (the lower part of the large intestine where the body stores stool) are a common cause of cancer-related death in Ireland and cause a significant burden to the quality of life of affected patients. Surgery is the mainstay for the treatment of rectal cancer, but surgeons often prefer to 'downstage' or 'shrink' the...

Antiviral agents for infectious mononucleosis

Review objective: To assess the effectiveness of antiviral therapy in improving outcomes for patients with Infectious Mononucleosis (IM). IM is a clinical syndrome that is usually associated with EBV infection. Although generally not considered a serious illness, IM can lead to significant loss of time from school or work due to...

Wound cleansing for treating venous leg ulcers

Review objective: To explore the impact of wound cleansing on the healing rate of venous leg ulcers. Leg ulcers are a major health care problem, in terms of treatment, cost, recurrence and chronicity (Posnett and Franks, 2008). Indeed, for venous leg ulcers, with a prevalence of 49,000-1.3 million in the EU 27, the annual associated...

Patient Education for the prevention of venous leg ulceration

Review objective: To determine the impact of patient educational interventions on the prevention of venous leg ulceration. The population for this review will include people over 18 years with a history of venous leg ulceration in any healthcare setting. Venous leg ulceration occurs as a result of impaired return of venous blood from...

Structured Population and Health-services Research Education (SPHERE) Programme I

The SPHeRE Programme was established to respond to an identified need to strengthen population health and health services research (PHHSR) capacity in Ireland in order to lessen the gap between research findings, health policy and health outcomes. The HRB-funded SPHeRE Programme is driven by three core institutions (RCSI, TCD and UCC)...