Funding Awarded

Intervention of antimicrobial resistance transfer into the food chain (INART)

Joint Programming Initiative on Antimicrobial Resistance (JPIAMR)

Soil and water have been identified as reservoirs of antimicrobial resistance (AMR) and the food chain as the most likely mode of AMR transfer into human and animal pathogens. Manure is reused as soil fertiliser in which food plants grow and is a source of AMR....

Preventing transmission of MRSA from livestock to humans through competitive exclusion (EXCLUDE MRSA)

Joint Programming Initiative on Antimicrobial Resistance (JPIAMR)

Pig farms act as reservoir of Livestock-Associated Methicillin-resistant Staphylococcus aureus (LA-MRSA). Through occupational exposure to farm dust and contact with pigs, farm workers are at risk for acquiring LA-MRSA. Although health care institutions can cope...

Preventing transmission of MRSA from livestock to humans through competitive exclusion (EXCLUDE MRSA)

Joint Programming Initiative on Antimicrobial Resistance (JPIAMR)

Pig farms act as reservoir of Livestock-Associated Methicillin-resistant Staphylococcus aureus (LA-MRSA). Through occupational exposure to farm dust and contact with pigs, farm workers are at risk for acquiring LA-MRSA. Although health care institutions can cope...

Intervention of antimicrobial resistance transfer into the food chain (INART)

Joint Programming Initiative on Antimicrobial Resistance (JPIAMR)

Soil and water have been identified as reservoirs of antimicrobial resistance (AMR) and the food chain as the most likely mode of AMR transfer into human and animal pathogens. Manure is reused as soil fertiliser in which food plants grow and is a source of AMR....

Implementing evidence based guidance for dementia palliative care through participatory action research

Dementia is a progressive illness and as the condition progresses into the later stages, the person will have difficulty communicating their needs particularly in relation to thirst, hunger, pain or discomfort.  In Ireland persons with dementia are often cared for in Long Term Care (LTC) settings. Carers of persons with dementia...

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...

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...

Implementing evidence based guidance for dementia palliative care through participatory action research

Dementia is a progressive illness and as the condition progresses into the later stages, the person will have difficulty communicating their needs particularly in relation to thirst, hunger, pain or discomfort. In Ireland persons with dementia are often cared for in Long Term Care (LTC) settings. Carers of persons with dementia can...

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...

How can mental health services and primary care best collaborate to enhance physical health outcomes among patients presenting with first episode of psychosis? A mixed methods study

For people who experience a first episode psychosis, this is a critical event in their life. If they do not receive the appropriate treatment at an early stage of the illness, they will experience potentially serious health consequences - both physical and mental. Good collaboration between specialist mental health services and primary...

Brain superheroes and villains

We are a group of neuroscientists, funded by the HRB, who aim to test and develop novel drugs for brain related illnesses. We are excited about disseminating the value of work like ours and, in 2012, were delighted to be awarded our first HRB Knowledge Exchange and Dissemination Scheme (KEDS), which consisted of three activities...

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,...

Family carer knowledge exchange project

We are interested in how family carers of people with dementia develop and maintain resilience in the care giving role and we are designing a project to help family carers to be more resilient and to better cope with the demands of care giving. As a team of researchers, we have reviewed studies of family carers'experiences in other...

OPTI-MEND: Optimising early assessment and intervention by health and social care professionals in the emergency department (ED)

Emergency Departments (ED) face significant challenges in delivering high quality and timely patient care against a background of increasing patient numbers and limited hospital resources. A mismatch between patient demand and the hospital's capacity often leads to poor patient flow and ED crowding, resulting in a reduction in the...

Community exercise

It is recognised that exercise benefits people living with chronic disease. The CRF at St James's Hospital exercise physiology suite is used by research studies examining the role of exercise training for patients with chronic disease. These exercise trials support patients to exercise during structured supervised exercise classes and...

Biological Resource Analysis to Identify New Mechanisms and phenotypes in Neurodegenerative Diseases "BRAINMEND"

Joint Programme on Neurodegenerative Disease (JPND)

No summary available.

Driving policy with data: A longterm sustainable specialist service for amyotrophic lateral sclerosis

The JPND-funded project ALS-CarE is coordinated by the Irish partner, and has collected detailed information across 5 different countries about the Amyotrophic Lateral Sclerosis (ALS) patient and caregiver journey from ALS diagnosis through to end of life. In Ireland, we have collected extensive quantitiative and qualitative...

The implementation of National Clinical Effectiveness Committee clinical guidelines relating to health care associated infections in Irish healthcare organisations: multiple perspectives

Background: Healthcare associated infections (HCAI) create a major burden on individuals, their families, and the health services. They lead to longer stays in hospital, higher risk of death, and increased frequency of other health problems such as heart failure, and pneumonia. All of this also contributes to greatly increased...

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...

Non-motor symptoms in dystonia and musician's dystonia

Our multidisciplinary Irish Dystonia Research Group, combining the expertise of Bioengineers in Trinity College Dublin and a network of Clinical Neurologists, has been working to determine the cause of a disabling movement disorder, adult onset dystonia, characterised by abnormal postures and excessive muscle activity. The causes of...

Evidence to Support Prevention Implementation and Translation - Knowledge Translation (ESPRIT-KT)

This application adds to a larger HRB Research Leader Award about improving care for people with diabetes in Ireland. The goal of the KEDS project is to connect people who do research with people who make decisions about our national health policy so they can learn from each other and work together to improve the health of the...

Developing a website for public awareness about computer use in aphasia rehabilitation

Aphasia is a language disorder which occurs in 1 in 3 people after stroke. It can impact on a person's ability to produce and understand spoken and written language. People with aphasia have had limited opportunities to have their voices heard within Irish stroke research.



This research project has already engaged...

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...

Speaking Up About Safety (SUAS)

Speaking up about safety concerns is an important aspect of a healthcare professional's role. Our research has shown that in comparison to nurses, junior doctors are particularly poor at speaking up and tend not to report incidents and adverse events, in many cases because they believe it is not their responsibility to do so. Yet, a...

Our voices, our impact

Wave 3 KEDS will build on previous success by recruiting actors with ID to develop DVD and on-line resources comprising scenes that illustrate key IDS-TILDA wave 3 findings. Feedback from wave 3 indicates that participants would like to receive the findings in DVD format and IDS-TILDA wishes to respond to the specific dissemination...

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 LinKT (Linking into Knowledge Translation) project: connecting, integrating and translating evidence to make a difference for families

Increasing evidence highlights the effectiveness of early intervention and prevention parenting interventions for improving the mental health and wellbeing of parents and children in the earliest years. However, these are often complex, difficult to implement effectively and fail to reach the most vulnerable families. Accessible,...

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,...

Pathfinder: Parental information on therapeutic hypothermia followIng neonatal encephalopathy

Neonatal brain injury can have devastating outcomes for the baby and their family and may result in longterm disability. The only treatment available is whole body cooling started within a few hours of birth. Babies also require intensive care to support their lungs, heart and kidneys. We will develop an educational toolkit including...

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....

Cracking the mysteries of cancer immunotherapies - e.courses for oncology healthcare professionals

The new therapies for cancer that target the immune system have revolutionised cancer care in recent times. The treatment of melanoma, leukaemia and other malignancies has been transformed by these immune modulating drugs. However, few oncology clinicians or oncology specialist nurses have backgrounds in immunology or immune...

The stressed brain & depression

Understanding depression is challenging both for professionals and for the public. It is complex and poorly conceptualized. Clinical depression involves biological, psychological and social causes that all contribute to the expression of depression in each individual sufferer. Trauma, especially early in life when body systems are...

CERVIVA: The HPV educate project

The goal of this CERVIVA HPV Educate Project is to provide accurate and reliable information relating to HPV and HPV associated diseases, to create awareness and educate the public, health care professionals and healthcare providers on public health issues related to HPV associated diseases and on the specific research programmes...

Overweight & obesity in Ireland: Translating policy into action

The launch in 2016 of "A healthy weight for Ireland", the Government's National Obesity Policy and Action Plan, 2016-2025 represents an important milestone in Ireland's response to ongoing epidemic of overweight and obesity in children and adults. Researchers in the HRB Centre for Health & Diet (CHDR) generated key evidence which...

Listening to the newborn brain

This outreach programme will provide dedicated public information and education resources on the neonatal brain stethoscope device, which aims to facilitate interrogation of the neonatal brain and improve the quality and accuracy of the diagnosis brain injuries, reduce the stress of parents with babies in the NICU and establish the...

Expert forum to advance the potential of IL-1 family members as novel therapeutics in IBD

Current treatment strategies for Inflammatory bowel disease (IBD), such as Crohn's disease and ulcerative colitis, are ineffective in a large number of patients. Although the reasons for this are not fully understood, it seems likely to reflect the complex nature of chronic intestinal inflammation. Recent advances in our understanding...

Supporting individuals and organisations involved in implementation of community water fluoridation

The Fluoride And Caring for Children's Teeth (FACCT) study was initiated to determine the effect of the change in water fluoridation policy (2007) on dental caries (tooth decay) and enamel fluorosis (marks on tooth enamel which are associated with fluoride) in Irish children, while also considering the change in policy on the use of...

Development and validation of diagnostic biomarkers for neurodegenerative conditions based on MRI measures of pathognomonic brain regions

Amyotrophic Lateral Sclerosis (ALS) is a devastating, relentlessly progressive neurodegenerative condition with no effective disease-modifying therapies and no validated biomarkers. Three main themes exist in ALS biomarker research; (1) development of diagnostic indicators, (2) identification of accurate prognostic markers and (3)...

Biomarker discovery and validation in autism spectrum disorder: A study of neonatal cord blood in international birth cohorts

What is Autism? Autism spectrum disorder (ASD) is a complex disorder of brain development. ASD is characterized by difficulties in social interaction, verbal and nonverbal communication and repetitive behaviours. ASD begins in infancy and persists into adolescence and adulthood. ASD imposes significant emotional and economic burdens on...

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...

The Hospital Doctor Retention and Motivation (HDRM) project

Ireland is losing almost as many doctors to emigration as it trains each year. This rate of doctor emigration is a threat to the future of the health system, which may run short of doctors to staff its hospitals.

So far, Ireland's solution has been to recruit doctors from other countries. One in three doctors in Ireland is...

Targeting metabolism for individualised rectal cancer treatment: Development of an omics-led predictive signature of chemoradiation therapy response and novel neoadjuvant therapeutic strategy

Cancer of the rectum is one of the most common cancers in Ireland and worldwide. Patients with rectal cancer are commonly treated with chemoradiation therapy (CRT), which is a combination of chemotherapy and radiation therapy, to shrink the tumour before undergoing surgery to remove the tumour. CRT has been shown to improve survival...

Investigating mitochondrial dysfunction and meta-inflammation as a shared pathogenic network in pre-eclampsia and gestational diabetes mellitus

Pre-eclampsia (PE) and gestational diabetes (GDM) are two common complications of pregnancy. PE is characterised by high blood pressure and increased protein in the urine. GDM develops because the mother's body is not able to produce the extra insulin needed for pregnancy. Together, these pregnancy complications affect 15% of first...

An allostatic load framework for understanding social differences in health and mortality

A consistent finding in the epidemiological literature is that health is socially patterned. On average, individuals from more disadvantaged social backgrounds will develop diseases earlier and will die earlier compared with their more advantaged peers. So ubiquitous is the association between health and wealth that it has been...

Enhancing the evidence base for cost-effectiveness analysis in Ireland: Building improvements from the intervention-specific to system-wide levels

The objective of this research is to increase the relevance and reliability of health economic evidence in Ireland. The aim is to improve the methods for prioritising scarce health funding to the most beneficial uses.



This research will translate valuable lessons learnt from cervical cancer prevention to screening...

The liver neighbourhood watch: regulatory tissue-resident natural killer (NK) cells protect against liver decompensation in patients with chronic liver disease

Liver cirrhosis occurs when normal liver tissue is replaced by scar tissue, leading to the eventual failure of normal liver functions. Cirrhosis develops as a result of chronic liver disease, and it accounts for 170,000 deaths annually in Europe and more than 3,000 deaths annually in Ireland. Presently the only treatment is liver...

Targeting adipose tissue inflammation by intermittent hypoxia: towards personalised medicine in obstructive sleep apnoea

Obstructive sleep apnoea (OSA) is a very frequent condition, which is strongly linked with obesity and associated with the development of various heart conditions, such as high blood pressure, heart attack or stroke. It also leads to diseases which are associated with abnormalities in blood glucose levels, such as type 2 diabetes...

Using genetics and CRISPR to personalise new targeted treatments for patients with familial breast cancer

This research project is focused on the genetics of breast cancer. We know that cancer can be caused by errors in certain genes, called mutations. We also know that these mutations run in some families, and therefore some women unfortunately inherit a risk of developing breast cancer. Landmark studies on these families led to the...

Exercising control over runaway kynurenine pathway metabolism: Towards improved treatment outcomes in major depression

We all know someone who suffers from depression, the difficulties they experience before being diagnosed and the hardship endured before an effective medication that improves their symptoms is finally found. Often, despite multiple trials of different medications, the symptoms of depression persist. In addition to the personal and...

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...

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

The impact of stress on maternal gastrointestinal permeability during pregnancy: Implications for maternal immunology and infant neurodevelopment

Pregnancy can be a stressful time during which many expectant mothers experience understandable worries and concerns. Unusually high levels of prenatal maternal stress are associated with a number of behavioural and cognitive problems for the child in later life. Normal development of the central nervous system is also at risk during...

Alpha melanocyte stimulatory hormone and improvements in glucose tolerance in humans: Role of enhanced skeletal muscle glucose uptake and utilisation

Patients with diabetes show significant impairements in the control of blood levels of nutrients such as sugars and fats after eating. This causes excessive levels of nutrient to circulate (e.g. high blood sugar-hyperglycaemia) and over time this phenomenon can injure cells and tissues of the body resulting in complications such as...

The heme oxygenase system as a therapeutic intervention for inflammatory bowel disease

Ulcerative colitis (UC) and Crohn disease (CD) are major chronic inflammatory bowel diseases affecting approximately 20,000 people in Ireland and an estimated 2.2 million individuals in Europe. Treatment with infliximab, corticosteroids and aminosalicylate-based compounds has been shown to suppress the generation of pathogenic immune...

Assessment of the predictive value of immune and histological parameters in oesophageal adenocarcinoma using digital pathology

Cancer of the oesophagus, or food pipe, is an aggressive type of cancer, with poor survival rates. The number of people affected is increasing and is set to double in Ireland within the next 20 years. Chemotherapy and radiotherapy are used to treat patients with oesophageal cancer, but these therapies only work for a small number of...

HRB Clinical Research Facility University College Cork 2018-2021

No summary available

Phenotypic and functional characterisation of immune cell populations in ACPA+ vs ACPA- RA patients: Implications for treatment strategies

Rheumatoid arthritis (RA) is the most common inflammatory arthritis affecting 1-2% of the population, with potentially debilitating effects impacting on quality of life and function. Targeted therapies inhibiting TNF have advanced RA treatment, however these treatments are expensive, placing further strain on an already overstretched...

Targeting HIV persistent reservoirs: Evaluation of new classes of latency reversing agent as part of novel strategies for HIV cure approaches

With 37 millions people currently living with HIV and 2.6 million people newly infected worldwide, the AIDS pandemic is a global health crisis. In Ireland, the HSE and the HSPC have made HIV/AIDS "a notifiable disease and a major public health importance". 30 years of intense HIV/AIDS research have provided efficient antiretroviral...

IRISH-1: A retrospective cohort study of PD-L1 by RNA ISH (RISH) as a potentially superior companion biomarker for immune checkpoint inhibitors in NSCLC

The role of the immune system to fight illness is well known, but it can in fact also fight cancer. Indeed, most potential cancer causing cells are detected and removed from our bodies by our immune system in process called "immune surveillance". However, at some point, tumors manage to evade our immune system by producing molecules...

Wellcome-HRB Clinical Research Facility at St James'Hospital 2018-2021

No summary available

Gastric cancer risk: The influence of selenium status and selenoprotein genetic variation

Dietary and lifestyle factors and infection with the bacterium Helicobacter pylori play important roles in the development of different types of stomach (gastric) cancer (GC), one of the top ten most serious cancers in Europe. Selenium is a micronutrient needed in small amounts for important proteins, called selenoproteins, countering...

Do we die as we live? Age, socioeconomic status, healthcare utilisation and pathways to death in Ireland

It has long been understood that illness and healthcare needs increase as a person approaches the end of life, and that much of what appears to be higher costs with ageing is mainly the costs of dying. Age at death is closely linked to socioeconomic status, but little is known about how patterns of illness and use of services vary...

Prospective validation of the complement system as a novel treatment stratification tool in oesophageal adenocarcinoma patients

Cancer of the oesophagus (food-pipe) is rapidly increasing in incidence in Ireland and worldwide and has one of the worst survival rates of all cancers. In Ireland, oesophageal cancer patients are currently treated with chemoradiation therapy (CRT), which is a combination of drugs (chemotherapy) and radiation (radiation therapy),...

Skin in Parkinson's disease - a potential biomarker?

Parkinsonism is characterized by slowness, stiffness, tremor and poor balance. Parkinson's disease (PD) is a progressive, incurable neurological disease and the most common cause of Parkinsonism. PD is caused by a reduced level of a chemical (dopamine) in an area of the brain responsible for automatic movement control. Current...

Elucidating the pathological role of obesity, inflammation and immunity in cancer related sarcopenia in upper gastrointestinal cancers

Cancer is a devastating disease affecting the majority of us at some point in our lives. Cachexia is a common debilitating consequence of cancer, which is responsible for the deaths of nearly 20% of all cancer patients. It is thought to be driven by inflammation and leads to an involuntary loss of muscle (sarcopenia) and fat. This has...

CERVIVA-Vax: Monitoring the impact of HPV vaccination in Ireland

Infection with Human Papillomavirus (HPV) can lead to development of cervical cancer. For this reason HPV now plays an important role in cervical cancer prevention. For example, HPV vaccination programmes are established in several countries worldwide, including Ireland, where a national school based HPV vaccination programme began in...

A population-based, longitudinal investigation of changes in multisensory integration with ageing and its causal role in the incidence of falls and cognitive decline in older adults

Our sensory systems are constantly bombarded by information, yet we are able to maintain a coherent perception that allows us to efficiently interact with our world. Recent research in neuroscience has led to important breakthroughs in our understanding of how multisensory interactions occur in the brain. However, the ageing process...

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...

HRB Clinical Research Facility Galway 2018-2021

No summary available

Sex matters! Identification of novel therapeutic targets to mitigate the increased prevalence of depression in women versus men.

Stress, particularly early life, is a major risk factor for several psychiatric disorders including depression. The prevalence of depression is twice as high in women compared with men. Thus in addition to stress, biological sex is an important contributor of depression susceptibility. The neurobiology underlying increased...

Monoclonal xIL-6R antibodies as a treatment for memory dysfunction in the mdx mouse model of Duchenne muscular dystrophy

Duchenne Muscular Dystrophy (DMD) is a genetic disorder that affects ~ 1 in every 3,600 live male births. This disease is characterised by progressive muscle weakness, disability, immobility and premature death, often due to respiratory failure. Symptom manifestation is due to a genetic mutation in the dystrophin gene, which protects...

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...

The microbiome as a risk factor and biomarker of oesophageal cancer

Oesophageal cancer is the eighth most common cancer worldwide (19th most common in Europe) with nearly 456,000 new cases diagnosed in 2012. It is well established that microbes can cause cancer. For example, H. pylori infection can lead to stomach cancer. For other cancers, such as colon cancer, there is a change in the population of...

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...

Multimodal cardiovascular modelling for predicting and preventing disability in TILDA

Increasing proportions of older adults will lead to an increased prevalence of age-related health problems, and long-term care systems. The issues are numerous and complex. In response to these challenges, 'ageing' has become a research priority both nationally and internationally. TILDA aims to improve population health by providing...

A mixed methods research study to develop an acceptable, evidence and practice based model for palliative care for people with dementia in the community

People are living longer, which means that more of us will get age-related illnesses such as dementia. Palliative Care aims to improve the quality of life of patients and their families who are facing an incurable, life-limiting illness, such as dementia. Palliative care involves actively looking for symptoms of any kind- physical,...

Epigenetics in the pathogenesis of pseudoexfoliation glaucoma

Glaucoma is a common cause of blindness, which affects approximately 60 million people worldwide. There are many causes and risk factors for developing this disease but pseudoexfoliation (PXF) syndrome is currently the single most important identifiable risk factor for developing glaucoma (PXFG). A build up of certain proteins...

Alternative approaches to achieving universal healthcare -potential costs, outcomes and challenges

For the first time in Ireland there is cross-party political interest in achieving universal healthcare (UHC); however there is little clarity about the meaning of universality or how best to transition from the current Irish system to one of universality. In Ireland, most people currently pay relatively high fees to visit general...

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...

PPI Ignite Award - University College Dublin

UCD in collaboration with 10 partner organisations will develop a PPI network and resource platform called UCD PPI Ignite Connect that will seek to firmly embed patient and public involvement in UCD's research,learning and teaching activities and in its academic processes. The partner organisations include the Ireland East Hospital...

PPI Ignite Award - Dublin City University

Patient and public involvement means carrying out research with or by members of the public rather than to, about or for them. This PPI Ignite award plans to improve patient and public involvement in health and social care research. We will do this by bringing people who use health services (patients, carers, and/or their...

PPI Ignite Award - University of Limerick

PPI Ignite at the University of Limerick will serve as a rallying point within the university and the wider community it serves, to build capacity for research conducted  "with" or "by" patients and members of the public rather than "to", "about" or "for" them. PPI Ignite UL will accomplish this among a coalition of academic,...

PPI Ignite Award - Trinity College Dublin

Research is considered "engaged" when it is developed in collaboration with patients, community members and partnering organisations rather than for or about them. Such public and patient involvement improves the relevancy of the research question, the quality of the approach, and the likelihood that what is discovered through the...

Research Programme - Taskforce on staffing and skill-mix for nursing

The Department of Health recently published a document entitled a Framework for Safe Nurse Staffing and Skill Mix in Ireland. In this report a number of recommendations were made to ensure that the staffing of hospitals was safe and effective; that is to ensure the right number of nurses are in the right place at the right time and...

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...

Cancer Prevention Fellowship 2017

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...

Children's unscheduled primary and emergency care in Ireland: decision making, trends, outcomes and parental perspectives (CUPID)

The Irish healthcare system is partly publicly funded by government spending and partly privately funded by out-of-pocket payments and private health insurance. Universal healthcare coverage is a situation where all people who need health services receive them, without undue financial hardship, based on need, not income. In 2011 the...

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...

Ancient genomics and the Atlantic burden

WT Scheme: Investigator Award in Science.

Massive human genome resequencing projects are in train to further the understanding of the genetic contributions to disease. However these offer a limited view of genome genealogies, variant history and past selection, all of which are instrument to the models underpinning genomic...

Project manager and knowledge exchange manager

No summary available

Reducing caesarean section rates in Ireland: a feasibility study and pilot randomised trial of an evidence-based intervention designed to reduce unnecessary caesarean section

Concern has been expressed globally at the rising caesarean section (CS) rate with a lack of evidence of any associated decrease in health problems for mothers and babies, indicating that many CSs are unnecessary. Maternal death and severe maternal health problems are trebled following CS compared with vaginal birth, and newborn babies...

Enhancing doctors' engagement with regulation of professional competence

In the field of medicine, information about how best to care for patients is constantly changing. Since 2011, medical doctors in Ireland are required by law to demonstrate that they are taking part in educational activities to keep them up to date. The aim of this requirement is to reassure the public that their doctors are competent...

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....

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...

The SEA-CHANGE study: a pilot randomised controlled trial of the SElf-management After Cancer of the Head And Neck Group intErvention

Head and neck cancer (HNC) and its treatment are associated with specific challenges such as facial disfigurement and impairments in speech, breathing and swallowing, which can have a negative impact on wellbeing. Despite these burdens, there is a lack of psychosocial interventions to help HNC survivors live well with and beyond...

We Can Quit2: A cluster randomised pilot trial of a community-based smoking cessation intervention for women in disadvantaged areas of Ireland

Smoking rates remain high in Ireland despite considerable progress being made to reduce them in recent years. Ireland ranks second highest for smoking-related causes of death in the EU. Lung cancer, which is strongly linked to smoking, is now the most common cause of death for women in Ireland particularly those living in more...

EOLAS: Building capacity for collaborative education between service users, family members and practitioners within mental health services

Background: Service users and families need information so they can take charge of their own recovery and relationship with the mental health system. To support this, we developed and delivered 2 mental health information programmes (the EOLAS Programmes), to over 800 service users and family members. The programmes were on recovery...

Colchine for prevention of vascular inflammation in non-cardioembolic stroke (CONVINCE) - a randomised clinical trial of low-dose colchicine for secondary prevention of stroke. Northern Europe extension

Inflammation of the lining of arteries is an important factor contributing to clots, leading to heart attacks and strokes. Current studies are testing medicines traditionally used for inflammation of joints (arthritis) to prevent strokes and heart attacks. CONVINCE is a clinical trial, testing colchicine in low doses, a medicine used...

Promoting Assisted Decision Making in Acute Care Settings (PADMACS) for care planning purposes

This project aims to produce an educational interactive game which will support health and social care professionals working in acute hospitals to include their patients in decisions about treatment and care plans. Decision-making capacity is the ability to make decisions for one-self. In some cases an older person may experience...

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...

Feasibility of an intervention to improve attendance for diabetic retinopathy screening

Retinopathy is a serious and common condition affecting the sight of people with diabetes and it can cause blindness. It is preventable through screening and can be treated if found in time. However, the success of screening is dependent on people attending when invited. Studies show that a number of people with diabetes do not attend...

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...

Targeted therapeutic mild hypercapnia after resuscitated cardiac arrest: A phase III multi-centre randomised controlled trial

A cardiac arrest occurs when the heart stops pumping blood to the brain and other major organs. Approximately 10,000 people die from cardiovascular disease every year in Ireland. It is estimated that 5,000 of these deaths are from a sudden cardiac arrest. Early resuscitation (CPR) can get the heart pumping again but in many cases the...

Lifetime exposure to community water fluoridation and associations with key indicators of health in community-dwelling adults aged 50 years and over in Ireland

The main aim of this project is to provide evidence that informs future policy about water fluoridation in Ireland. Community water fluoridation has existed in Ireland since 1964, so it is important to examine any association between long term exposure to water fluoridation and general health status. Such an assessment is a requirement...

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...

What influences cervical screening uptake in older women and how can screening programmes translate this knowledge into behaviour changing strategies? A CERVIVA-CervicalCheck co-production project

Most cervical cancers can be prevented by detecting early changes in the cervix which, if not found, could progress to cancer. This is done by testing cells from the cervix in a smear test. CervicalCheck, the Irish National Cervical Screening programme, started in 2008 and offers free tests to women aged 25-60. For the programme to be...

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...

Traumatic brain injury: epidemiology and rehabilitation in Ireland

Traumatic brain injury (TBI, informally known as head injury) is a leading cause of death and disability worldwide1. Neither the number of people affected by TBI, nor the severity of the disability caused, in Ireland, is known. This makes it hard to plan the specialised neuro-rehabilitation services, which are under-developed and...

The utility of high-tech drug analysis to the decision maker

The Health (Pricing and Supply) Act 2013 stipulates that the payer must consider the cost-effectiveness (the likelihood that the drug will offer value for money) and the likely cost impact of a new drug prior to deciding if it should be reimbursed. It also states that, after a 3-5 year period, continued reimbursement must be reviewed....

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...

Staphylococcus aureus induced immunosuppressive memory: Consequences for bug and for host

WT Scheme: Investigator Award in Science.

Antimicrobial resistance by Staphylococcus aureus is a global epidemic. New approaches based on induction of immune responses that control/prevent S. aureus infection, are required. This necessitates a thorough understanding of the unique relationship cultivated by S. aureus with the...

Patient preferences for health

In Ireland we ask society or the general public to state their preferences for descriptions of health. We then use these valuations or preferences to calculate the impact of technologies on quality of life and this informs how decision makers decide what to fund. This is known as the QALY framework and is used in most jurisdictions to...

Psychosocial, psychiatric and work-related risk factors associated with suicide in Ireland: Enhancing dissemination and impact of research

The SSIS-ACE study examines how psychosocial, psychiatric and work-related factors relate to suicide. The study involves liaising with family members bereaved by suicide, family members of those who survived a high-risk self-harm act, general practitioners (GPs), emergency department staff, mental health staff and coroners. During the...

Taking the stress out of dementia caregiving

The existing award examines how the caring experience can impact the health of dementia spouse carers. Using this emerging research evidence we will develop two animated films and a dedicated online resource providing easy-to-understand practical advice to carers to improve their quality of life and reduce stress.
FreeDem Films are...

Synthesising and disseminating key lessons from the AIIHPC Palliative Care Research Network

This application for KEDS funding proposes to further enhance knowledge transfer and exchange activities across the SRN/PCRN by conducting a higher level analysis of the dissemination products arising from each individual work project during the final year of the active grant. It is expected that dissemination products will include...

Capnography monitoring for conscious sedation in oral surgery

Capnography has the potential to enhance patients safety in the dental setting. Procedural sedation techniques are specific to each area of medicine where sedation is practiced. Conscious sedation in an out of hospital setting by a non anaesthetist requires robust monitoring. The most important negative side effect of sedation is...

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...

Blood brain barrier dysfunction in Schizophrenia; A molecular genetics based approach to prognosis

Schizophrenia has been estimated to affect up to 1 in 100 people in Ireland. Given its prevalence, the underlying causes of the condition are still far from clear. Intriguingly, there exists a chromosomal abnormality termed 22q11 deletion syndrome (22q11DS), where schizophrenia can manifest 20 times more frequently than in the general...

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...

Creating awareness of research in caregiving (CARING)

An increasing number of people in Ireland are providing care for a relative with dementia. This important unpaid work comes with an underappreciated cost to the health of the caregiver. Evidence suggests that dementia caregiving is associated with heightened psychological stress, as well as problems such as depression.
Our...

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...

Brain superheros return

Making new drugs is long, costly and complex, and is often a mystery to many people. Our laboratory is involved in the development of new drugs for brain related illnesses, including illnesses such as Alzheimer's disease (AD) and Multiple Sclerosis. Alongside our research, we conduct a number of outreach projects in the hope of...

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...

Evaluating the role of TLR3 L412F in disease progression in idiopathic pulmonary fibrosis

Idiopathic pulmonary fibrosis (IPF) is a lung disease of unknown cause which leads to excessive scarring of the lungs, resulting in loss of lung function, respiratory failure and ultimately, death. IPF is believed to be caused by abnormal repair of the lung after a chronic injury by an unknown agent to the lining of the lung (the...

Immunotherapy for the treatment of AMD: a preclinical evaluation

Age-related Macular Degeneration (AMD) is the leading cause of central retinal vision loss worldwide. Estimated prevalence of AMD in Ireland is 7% with an annual cost

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...

Development of prognostic screening tools to predict patient response to neoadjuvant chemoradiotherapy treatment for oesophageal adenocarcinoma

Cancer of the oesophagus, or food pipe, is an aggressive type of cancer with poor outlook and is affecting a growing number of people. The main types of treatments are surgery, chemotherapy and radiotherapy, which may be given alone or in combination. Although chemoradiotherapy treatments work well for some, the majority of patients...

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...

Disease gene independent generic suppression-based therapies for retinal disorders

Multiple mutations in over 200 genes can cause retinal degeneration, a group of diseases that result in the death of light detecting photoreceptor cells in the retina. Mutations in more than 30 genes can also cause optic neuropathies, a group of disorders that affect retinal ganglion cells, causing the optic nerve to be less capable of...

PAPRICA: Protein biomarker assays for psoriatic arthritis - Clinical evaluation and validation of multiplexed panels for diagnosis and prognosis

During the treatment and management of disease important clinical decisions are made, including deciding whether a patient has a particular illness and whether they may benefit from a specific treatment. These decisions are often made with the assistance of information from different measurements including patient details, scans,...

Targeting dysregulated bioenergetics in the inflamed RA joint

Rheumatoid arthritis (RA) is a form of inflammatory arthritis that affects approximately 45,000 people in Ireland and bears a high personal, social and economic cost. It is estimated that the cost of treating patients with RA in Ireland is approximately

Building a self-management programme for living well with and beyond head and neck cancer

We propose to develop a new programme that empowers survivors of head and neck cancer (HNC) to better manage problems associated with their illness and live well with and beyond HNC. This is important because HNC survivors have many documented unmet care needs and can face significant challenges associated with their condition and its...

Targeting NK cells to improve HCV vaccine immunogenicity

Hepatitis C virus (HCV) infects over 170 million people in the world. Most individuals go on to develop a chronic lifetime infection that is associated with progressive liver disease. While new drugs have recently been developed, they are very expensive and are not a treatment option for developing countries. In addition, there are...

Behavioural changes in ALS : What families and healthcare professionals need to know

Amyotrophic Lateral Sclerosis (ALS ) (or Motor Neuron Disease (MND)) is a rapidly progressive neurodegeneration associated with loss of muscle power. Until recently, thinking and behaviour were considered unaffected, but we have shown that up to 50% of people with ALS/MND experience changes in their ability to plan complex tasks, and...

Evidence based oral healthcare for older adults

The World Health Organisation has highlighted the paucity of research into the oral health needs of older adults. The Health Research Board has recognised this and have funded a number of studies in recent years addressing this topic. Unfortunately there is a delay between the completion of studies and the publication of results in...

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...

SOLAS.net: Development and pilot implementation of an e-learning physiotherapist training programme for self-management of chronic musculoskeletal pain in primary care

As part of the original award, an evidence-supported group treatment approach for clients with persistent musculoskeletal pain termed SOLAS: Self-management of Osteoarthritis and Low back pain through Activity and Skills was developed. Also, a two day face-to-face physiotherapist training programme was developed and delivered to HSE...

Applying health: Using healthcare technology to enhance the delivery of rehabilitation programmes in cancer survivors

Recovery following oesophageal cancer (cancer of the food pipe) can be challenging. Cancer rehabilitation, which may involve exercise, advice from a dietitian, education or other therapeutic interventions, can help patients make an optimal recovery. The research team is currently investigating the effect of a 12 week rehabilitation...

Irish Dystonia Research Group: Innovation through collaboration

Our research group of Irish consultant neurologists (with an interest in movement disorders) and laboratory based scientists (engineers in the Department of Neural Engineering in Trinity College Dublin) have been involved in finding the cause(s) of a movement disorder which affects about 600-800 individuals in Ireland. This...

Defining host and microbe-derived immune targets for development of improved host-directed therapies and vaccines for TB

Almost one third of the world's population is infected with Mycobacterium tuberculosis (Mtb) with almost 2 million deaths to tuberculosis (TB) annually. Over 400 patients are treated for active TB annually in Ireland, with an increasing number of drug-resistant cases emerging. Currently treatment involves a multi-drug course for 6...

Enhancing awareness of the socio-economic impact of inherited blindness

In Ireland, many devastating diseases have an inherited cause and are passed onto further generations. Blindness due to inherited degeneration of the retina at the back of the eye is an excellent case-study with which to explain the basis of inherited disease, the socio-economic impact and the research required to generate new...

Enhancing awareness of blindness resulting from diabetes. Understanding treatments & preventative interventions

In Ireland, Diabetic Retinopathy is a leading cause of blindness. The number of people becoming blind due to diabetes is set to rapidly increase as the "diabetes epidemic" unfolds. In general, there is a lack of awareness as to the social, economic and health impact of diabetic blindness.
Here, we generate short 3D-animations that...

Baby steps towards STRIDER: support, website, information, dissemination, exchange

This outreach programme will provide a dedicated public information and education resources on intrauterine growth restriction (IUGR) and the STRIDER clinical trial, which aims to improve outcomes of pregnancies affected by IUGR with sildenafil citrate (Viagra). It will provide support to women and their partners experiencing IUGR by...

Dysfunctional mItochondria proVokes Inflammation iN prEeclampsia; a novel medical interventional target to improve maternal and foetal diagnosis in preeclampsia. Short title: DIVINE

Pre-eclampsia, a serious condition of late pregnancy, characterised by high blood pressure and proteinuria in the second-half of pregnancy, affects 5% of first time mothers and is associated with significant maternal and neonatal morbidity and mortality. A quarter of babies born to women with pre-eclampsia do not grow properly, and a...

Promoting positive mental health messages for the older population: The Irish Longitudinal Study on Ageing (TILDA) films

The Irish Longitudinal Study on Ageing (TILDA) offers unique data on the challenges associated with ageing and how these can affect mood as we age: grief, retirement, poorer physical health. We have demonstrated that mood may be affected by loss of support networks such as adult children moving abroad. Over 10% of the older Irish...

The Irish Longitudinal Study on Ageing (TILDA) hypertension seminars for health professionals in primary and community care practice

In April 2015 the Irish Longitudinal Study on Ageing (TILDA) published research, funded through the active award, which indicates that approximately two thirds of older Irish adults have high blood pressure and close to half of them are unaware of their condition. High blood pressure is an important risk factor for heart disease and...

A web-based resource and community of practice (CoP) to transform practices around 'talking about epilepsy'

This knowledge exchange and dissemination (KED) initiative proposes to develop a variety of educational and informative resources using different technological media (audio, video and e-authoring tools) which will be delivered online in a designated website to support the translation of research evidence on childhood epilepsy...

Parent-adolescent communication and negotiation of self-management responsibilities for adolescents' with Type 1 Diabetes

Poor Type 1 Diabetes (T1D) self-care results in poor metabolic control and is particularly challenging during adolescent years. Good metabolic control of T1D is important to prevent long-term negative outcomes. With parents holding a central role in creating a safe learning environment and motivating adolescents to monitor food intake,...

Profiling receptive and expressive prosodic skills in children with spina bifida and hydrocephalus

This project will advance current knowledge about communication difficulties in children with spina bifida and hydrocephalus (SBH). This condition affects the normal development of the spinal cord and brain and is particularly relevant to the Irish context because of the high incidence in the country - currently at least 500 children...

Urine soluble CD163 as a biomarker of crescentic glomerulonephritis

Crescentic glomerulonephritis (CGN) is a severe form of kidney failure that leaves about one third of sufferers dependent on dialysis or needing a kidney transplant. It is currently difficult to assess the condition without performing a kidney biopsy, which is uncomfortable, expensive and occasionally dangerous to the patient. We have...

Ethnic Minority Health in Ireland - Building the evidence base to address health inequities

International evidence shows that minority ethnic groups have poorer health and more difficulties accessing healthcare than majority ethnic groups. Analysis of existing health datasets and the use of ethnic identifiers in health care systems are promoted internationally as valuable ways to address these differences. It is not possible...

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...

Innovative dissemination of IDS-TILDA Wave 2 - Advancing years, different challenges

The IDS-TILDA study is designed to better understand experiences and challenges for adults with an intellectual disability (ID) as they age. 753 persons aged 40+ started in the study. There have been two waves of data collection, with waves three years apart and 94% of people who answered at Wave one participated again at Wave two. We...

Development of The STOP-HF network for community based prevention of Heart Failure

STOPHFnet will create a virtual community of practice which will utilize the results of research from our HRB funded Natural History of Diabetic Cardiomyopathy grant to allow rapid dissemination to general practitioners in the community. This is particularly timely as diabetes will for the first time be nationally managed by GPs under...

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...

Development and launch of Irish guidelines on the management of Helicobacter pylori Infection

Helicobacter pylori infection is a public health issue. It remains one of the most common infections in adults in Ireland and is the primary cause of stomach ulcers and stomach cancers. Our recent findings have indicated that the eradication rate for standard first-line triple therapy for H. pylorihas fallen to unacceptable levels....

Spectroscopic imaging for prognostic applications in breast and oesophageal cancer treatment (SPECPREDICT)

Each cancer patient has a unique response to cancer treatments such as chemotherapy and radiotherapy. An individual patients response to cancer treatment is to a significant degree determined by their own biology (genetic profile) and other environmental factors such as diet and lifestyle. With the evolution of technologies such as...

Towards a survivorship care plan for breast cancer for post-menopausal women in rural settings

There are increasing numbers of breast cancer survivors in Ireland and worldwide due to improvements in screening and advances in adjuvant treatment. There is a growing recognition of cancer survivorship as a distinct phase in the cancer trajectory. The development of a comprehensive approach to survivorship care that meets the needs...

NIMBUS group: Neonatal Inflammation and Multiorgan dysfunction and Brain injUry reSearch group

Neonatal brain injury has a many causes and may result in cerebral palsy. Cooling therapy is the only established treatment but 50% of babies treated will die or have disability and so new therapies to reduce brain injury are urgently needed. New-borns who are severely affected also have problems with their heart, liver, lung and...

ICORG communications manager

2016 will mark the 20th anniversary of ICORG's formation. There are a range of public engagement activities on the agenda but in order to co-ordinate them ICORG will need an in-house communications function.
Activities will include;
1. Short documentary-style videos on patient experience, innovative research activities and new...

Development of an online training and accreditation resource for a novel outcome assessment tool in high risk infants: the Babyscreen app

The HRB funded BiHiVE2 study has focused on predicting long term learning disability in children following birth related brain injury. Unfortunately there are, currently, no reliable methods of assessing learning ability in children at a young age. Current developmental assessments focus on developmental milestones. They are not true...

Thrombosis risk in pregnancy: what you need to know

Venous thromboembolism (VTE; deep vein thrombosis and pulmonary embolism) remains a leading cause of death in pregnant and recently delivered women. Surviving mothers may have long-term disability. If VTE risk factors are identified, then preventative measures may be put in place . These interventions can be potentially life-saving....

Translating critical care research into clinical practice

We are currently funded by the HRB to conduct clinical trials to determine which treatments may help patients who are critically ill. We have recently completed important research and the results will be published in a highly regarded medical journal in October. However it can take a long time between publication and improvements in...

INCA: interaction analytics for automatic assessment of communication quality in primary care

Communication between physician and patient is crucial to the overall quality of primary care. An important element of this interaction is the physician-patient interview. While there are various opinions on what constitutes effective communication in a medical interview, sometimes supported by formal (qualitative and quantitative)...

Towards increased awareness and understanding of the risk of thrombosis in gynaecological cancers

All cancers are associated with an increased risk of clots to the legs and lungs however gynaecological cancers have a particularly high risk. Clots can occur after surgery or during chemotherapy and can be life threatening if they are not treated in time. A recent survey of patients who suffered a clot during their cancer journey...

Viral hepatitis C associated neurocognitive dysfunction in Ireland in the DAA era

Approximately 30,000-50,000 people in Ireland have hepatitis C. Although the virus mainly affects the liver, in up to 30% of infected people the virus also affects the brain causing poor concentration, difficulties in concentrating, poor memory. Patients often describe this as a "brain fog". These symptoms may lead to forgetting...

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...

Cancer immunology research saves lives: Find Out

The treatment of cancer is being revolutionised by cancer immunology. However cancer immunology is poorly understood by healthcare workers, patients and the general public. Here, in collaboration with the Irish Cancer Society (ICS), we aim to use the expertise and discoveries generated by HRB and ICS funded research projects to...

DEDIPAC Ireland: National one day symposium on determinants of diet and physical activity

DEDIPAC (Determinants of Diet and Physical Activity; Knowledge Hub to integrate and develop infrastructure for research across Europe) is a collaborative European project, where Irish researchers play a major role in defining and understanding dietary and activity factors that influence health.
The aim of this application is to...

Happy mothers...happy babies

Pregnancy is the highest risk period in a woman's life for developing clinical depression. Depression and anxiety during pregnancy are common experiences. Women are usually anxious about the pregnancy and the delivery, about how they will cope with motherhood and the impact of the changes that having a baby will make on their lives. We...

Research in depression: endocrinology, epigenetics and neuroiMaging: the REDEEM study

Depression is the most common psychiatric disorder in the world, accounting for approximately 90% of deaths by suicide. Rates of depression are rising alarmingly in the OECD countries. Although depression is considered to be a single clinical disorder, it has many underlying causes ranging from childhood abuse through to purely genetic...

CERVIVA: Making connections and creating impact

The goal of CERVIVA's education and outreach programme is to create awareness, inform and effectively engage the public, health care professionals and healthcare providers on public health issues related to HPV associated diseases and on the specific research programmes underway within CERVIVA, which are addressing some of these...

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...

Diet, health and sustainability - narrowing the gap between what we know and what we do

Knowledge translation in the area of diet and health is challenging due to the range of vested interests in the food sector and the contested discourse on food, diet and health among policy makers, practitioners, media and the general public. There is considerable agreement on key food policy measures open to government with potential...

Prevention of postoperative persistent bowel symptoms in patients with Hirschsprung's Disease

Hirschsprung's disease (HD) is a relatively common cause of intestinal obstruction in the new-born, occurring in 1 in 4,000 live births. It is characterised by abnormal development of the nerve supply to varying lengths of the large bowel prior to birth. The gold standard treatment for HD is an operation to remove the diseased bowel...

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...

Evaluating metabotropic glutamate 5 receptor-selective drugs as a novel therapeutic strategy for Alzheimer's disease

Clinical dementia, the majority of cases being caused by Alzheimer's disease, seriously impairs the lives of over 50 million people worldwide currently (costing ~1% of the aggregated global gross domestic product). There are approximately 48,000 people with dementia and 50,000 dementia carers in Ireland. At present the lifetime...

A user-friendly database of genetic dependencies in cancer

A major challenge in cancer therapeutics is to kill tumour cells without harming other cells in the body. One means to achieve this is to exploit the genetic changes that distinguish cancer cells from normal cells and that may leave them vulnerable to targeted treatments.
A promising approach to developing such targeted treatments...

Traumatic spinal cord injury in Ireland: service planning for changing epidemiology

This project will examine several aspects of traumatic spinal cord injury in the Irish population. The project will look backwards (retrospective) and forwards (prospective). For the years 2010 - 2014 inclusive, the medical records of all patients with traumatic spinal cord injury discharged from the National Rehabilitation Hospital...

Together against HIV: raising awareness and knowledge through documented real-life experiences and research discovery

There were approximately 2 million new HIV infections and 1.5 million HIV-related deaths worldwide in 2013, demonstrating the need for educational campaigns that raise awareness and prevent its spread. Current treatments suppress HIV, but do not totally clear it; however, a significant proportion of society believe these drugs cure...

Progressing universal health care: informing citizens by pooling and disseminating research and generating debate

There is little informed public discussion and debate around Universal Healthcare (UHC) in Ireland. There is also much confusion in political discourse between UHC and universal health insurance notwithstanding a recent policy shift towards UHC. This KEDS project aims to build on the Pathways to UHC research by educating the public...

Preclinical characterization of fingolimod as a potential therapeutic agent for stroke

Stroke is usually caused by the occlusion of a brain artery with a clot. It is the third most common cause of death and the most common cause of acquired physical disability in Ireland. The only available drug is only used in ~5% of patients (because most patients are either too far, or arrive too late to a specialized treatment...

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...

Preclinical evaluation of a novel therapeutic strategy for Ulcerative Colitis

Inflammatory Bowel Disease (IBD) is a chronic relapsing intestinal inflammatory condition comprising of separate disease manifestations known as ulcerative colitis (UC) and crohns disease (CD). Despite significant advances in our understanding of the basic mechanisms which promote these diseases, current treatment strategies usually...

Development of a health promotion programme for breast cancer awareness for women with mild cognitive impairment

Recent studies of the population suggest trends that the number of people with an intellectual disability (ID) is increasing with a corresponding increase in the elderly demographic. Consequently this minority of society have been found to be naive to personal health care management and are at risk of failing to detect problems early....

Towards treatment stratification for successful smoking cessation: Harnessing predictive neurocognitive models

Smoking is the single biggest preventable cause of death in Ireland. There are many reasons why someone might remain addicted to nicotine and many factors affecting each individual's response to withdrawal. For example, socioeconomic status, gender or life stress can all play a role. Ultimately, nicotine has its effects by altering...

Telephone interventions, delivered by healthcare professionals, for informal caregivers of adults with diagnosed medical illnesses

Many people with diagnosed medical conditions are dependent upon family members and informal/lay caregivers to provide support and care. The care provided varies according to the individual's care needs, however, in many instances, people unexpectedly find themselves in a caring role for which they are ill prepared (Corry, 2015)....

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...

Interventions for preventing falls in Multiple Sclerosis

Multiple Sclerosis (MS) is one of the most prevalent diseases of the central nervous system (CNS) and directly affects an estimated 2.5 million people worldwide (MS International Federation 2013) including approximately 8,000 people in Ireland (MS Ireland 2014). It is the most common disabling neurological disorder among young people...

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...

Left atrial appendage closure for the prevention of stroke in patients with atrial fibrillation

The review will assess the effectiveness of left atrial appendage closure (LAAC) for the prevention of stroke in patients with atrial fibrillation (AFib) compared to oral anticoagulation. The review question was chosen because AFib is a common and serious condition. It is the most common arrhythmia seen in clinical practice and is...

Interventions targeted outside of workplace settings for reducing sedentary behaviour in adults under 60 years

Research into sedentary behaviour (SB) in adults is growing rapidly, both in volume and sophistication. SB is defined as waking activity characterised by an energy expenditure ? 1.5 metabolic equivalents and a sitting or reclining posture. A recent overview of systematic reviews concluded that there is strong evidence for a positive...

Professional interventions to improve the detection of depression among adolescents in primary care

Depression is common in adolescence - studies show that 3% - 8% of adolescents suffer from depression at any one time, and that there is a lifetime prevalence of approximately 20% by the end of adolescence, which is similar to that of adulthood. Adolescent depression is associated with considerable impairment in social, academic and...

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...

Electrophysiological investigations on the molecular mechanisms underlying gut-to-brain signalling evoked by colonic microbiota

WT Scheme: Seed Award in Science.

The concept of the 'microbiota-gut-brain' signalling axis has been proposed recently, with headline-grabbing studies demonstrating how altering the intestinal microbiome with commensal probiotics has beneficial effects both on gut function but more intriguingly, on central nervous system (CNS)...

Individual and Area Level Determinants of Self-Harm and Suicide in Ireland: Enhancing Prediction, Risk Assessment and Management of Self-Harm by Health Services

In Ireland, the National Registry of Deliberate Self-Harm (Registry) has identified significant variation across hospitals in the assessment and management of patients presenting to hospital for self-harm with a significant number of patients leaving without a care plan. Prof Arensman intends to improve the care provided in Irish...

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...

Designing, evaluating and implementing a pilot complex intervention in childhood obesity

Childhood obesity is a serious problem in Ireland as well as internationally. Early infant feeding practices (aged 0-2 years), including when and how parents introduce solid foods to infants, can impact overweight and obesity in childhood and later life. 
In this project, a team of researchers from UCC, National University of...

Collective leadership and safety cultures (CO-LEAD)

There is a growing body of evidence of how poor leadership has contributed to system failures that have resulted in a range of errors from misdiagnoses to failure to recognise and respond to patient deterioration. A key challenge for healthcare organisations is to develop and support cultures that ensure the delivery of continuously...

The Intellectual disability supplement to the Irish Longitudinal Study on Ageing (TILDA) Waves 3 and 4

Similar to the general population, marked changes in the life expectancy of persons with intellectual disability (ID) have occurred among all age cohorts but in particular, among those aged 55 years and over. Almost half of people with a moderate, severe, or profound intellectual disability are aged 35 years or over. However, their...

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...

From episodic care to disease prevention and management: Developing analytical skills and interdisciplinary learning from the case of HPV related cancers

This study will develop analysis techniques and interdisciplinary learning from cases of Human Papilloma Virus [HPV]-related cancers, specifically cervical pre-cancer/cancer and head and neck cancer. During this proposal the team of research fellows will be able to further develop and help to build the future research leaders in this...

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...

Connected HEalth Supporting home Stay with dementia (CHESS)

Dementia is an umbrella term for a condition in older people where memory loss, deterioration in mental function and ability to make decisions or carry out activities of daily life independently and safely occurs. When dementia progresses, care in a nursing home may be necessary, but most people with dementia and their caregivers want...

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...

Towards resilience in family caregiving for people with dementia

Dementia affects almost 47,000 adults in Ireland. Dementia affects a person's mental and social abilities, including the ability to think clearly, remember, form lasting relationships and has a subsequent decline in physical health. Most people with dementia are cared for at home by a family member. Caring for someone with dementia can...

The Irish Network for Research in Dementia and Neurodegeneration (INRDND) and the Structured Population and Health-Services

The Irish Network for Research in Dementia and Neurodegeneration (INRDND) and the Structured Population and Health Services Research Education (SPHeRE) propose a partnership approach to enhancing research cooperation and coordination across the island of Ireland in the area of dementia and neurodegeneration (ND) research. With enhanced...

Dementia friendly Irish hospitals: Opportunities, barriers, costs and solutions

Hospitals can be very complex and confusing environments for people with dementia, and may add to their distress, disorientation and suffering. To date, academic and pragmatic discourse on dementia-friendly design of Irish hospitals has been lacking in expertise from the perspective of design and architecture, and in particular the...

Validation of the Profile for Communication Abilities in Dementia (P-CAD)

Communication difficulties are associated with dementia. These communication difficulties cause frustration, anger and anxiety not only for the person with dementia, but also for caregivers, friends and family. Communication difficulties increase as dementia progresses. The person with dementia can lose confidence, withdraw from social...

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...

HRB Clinical Research Coordination Ireland

Clinical Research Facilities and Centres (CRF/Cs) have been developed in each of the five applicant universities, providing the infrastructure and specialist staff to facilitate collaborative research but they lack an overarching support structure with which to coordinate multicentre clinical trial activities. One key exception is...

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...

What are the clinical effectiveness and cost effectiveness of different models of community specialist palliative care (CSPC) provision in Ireland?

Changing demographic trends including an ageing population, increased life expectancy for individuals with life limiting conditions, and the impact of illness on an individual's physical, psychological and social wellbeing means that the demand for high quality palliative care services is increasing. Palliative care is defined by WHO...

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...