Funding Awarded

Plasma-based therapies for bone infection

Orthopaedic infection is life-threatening and current treatments are only sparingly successful. Despite aggressive peri-operative antibiotic treatments, 1.5% of knee revisions, 0.7 to 11.9%, of spinal infections (depending on the complexity of the procedure) and up to 27% of open fractures become infected. Moreover, the complexity of...

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

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

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

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

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

iPASTAR-Improving Pathways for Acute STroke And Rehabilitation

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

Evidence for Policies to Prevent Chronic Conditions (EPICC)

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

Moreover, these chronic...

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

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

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

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

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

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

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

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

Study of queuosine salvage and function in eukaryotes; a forgotten micronutrient

Queuine is a largely forgotten bacterial-derived micronutrient that is obtained exclusively from the gut; a preeminent small-molecule of the gut-brain axis. Our contention is that queuine is important in metabolism and development—mammals are born sterile and queuine free—and induces long-lasting effects into adulthood, particularly in...

Food-based biomarkers, diet quality and cardiometabolic health

Accurate assessment of human diet is the cornerstone of nutritional epidemiology. Biomarkers that are sensitive and specific to food intake can provide objective information that improves the characterization of diet. Advances in metabolomic profiling techniques now permit the discovery of novel food biomarkers, although, thus far,...

Mapping Parkinson's Disease needs and services in Ireland to inform service planning

There is evidence that Parkinson's disease (PD) is on the rise. The number of people living with Parkinson's in the world is set to double between 2015 and 2040. Despite this, there has not been enough investment made in healthcare services to improve care for people with Parkinson's in Ireland. Also, under-staffing can be a problem in...

Health system foundations for effective Regional Integrated Care Organisations (RICOs) - co-producing evidence to inform the design of regional organisations to support integrated care in Ireland

Health systems all over the world are struggling to provide equitable access to integrated, patient centred services that better meets the needs of individuals and populations. In Ireland, the way our health system is funded and structured creates particular barriers for people trying to access effective, responsive, quality...

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

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

Examining the interplay of the immune system with brain cells in Parkinson's disease.

Parkinson's disease occurs when nerve cells that produce the chemical dopamine are lost from the brain. This causes a person to have many symptoms including a tremor of their hands and slowness of movement. There have been a lot of studies trying to determine why these dopamine nerve cells die.

There is growing evidence that the...

The Test of Complex Syntax: final development phase, standardization and diagnostic accuracy with respect to children with developmental language disorder (DLD) and those at risk of language disorder.

This project aims to develop an online interactive tool which will allow us to identify children who find it more difficult to understand language than their peers and to individually tailor support to help them to overcome these difficulties. Difficulties understanding spoken language are often hidden and children's problems may go...

Implementation of a Frailty Care Bundle for older adults in acute care

During hospital admission, older patients often reduce their walking activity and nutrition intake due to illness. However, research suggests that inflexible hospital routines, lack of patient awareness and limited nursing attention are also factors. Long periods of inactivity combined with suboptimal nutrition cause leg muscle...

Embedding collective leadership to foster collaborative inter-professional working in the care of older people (Eclectic)

Recent government policy in Ireland has emphasised the importance of supporting older people to live well in their homes and communities. This would mean fewer older people will have to go to hospitals to receive health care. In order to do this it is necessary for healthcare professionals to work as a team to manage the care of...

Collaboration Agreement to Establish a Research Collaborative for Quality and Patient Safety Phase III

The Research Collaborative in Quality and Patient Safety (RCQPS) is a collaborative initiative between the Health Research Board, the Health Service Executive, National Quality Improvement Team and the Royal College of Physicians of Ireland. It was established in 2013 to advance nationally relevant research in the area of quality and...

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

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

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

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

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

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

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

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

An investigation of the prevalence and molecular epidemiology of vancomycin-resistant Enterococcus faecium in Irish hospitals using whole-genome sequencing

Vancomycin-resistant Enterococcus faecium (VREfm) is an antibiotic-resistant bacterium that causes serious infections among patients in hospitals. Ireland has the highest level of VREfm causing life-threatening bloodstream infections (BSIs) in Europe but little is known about how it has emerged and spread here or the genetic...

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

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

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

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

To identify molecular signatures that can predict disease onset in 'at-risk ACPA+' individuals and disease progression in RA patients

Inflammation is a critical process in fighting infection. However, if uncontrolled, it can contribute to the development of autoimmune disease, including inflammatory forms of arthritis such as rheumatoid arthritis (RA), which causes joint destruction and disability. Targeted therapies have advanced the treatment of RA, however a...

Evaluation of the clinical, psychological and economic effects of the Cystic Fibrosis Newborn Screening Programme: the Irish Comparative Outcomes Study of CF (ICOS) Part 2

This is a national programme of research which addresses key outcomes in the recently established Cystic Fibrosis (CF) Newborn Screening programme (NBS). Ireland has the highest prevalence of CF worldwide. NBS for CF was introduced in 2011. The Irish Comparative Outcome Study (ICOS) Part I was conducted in 2013-2017 and studied...

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

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

Switching on the light: Reprogramming T cell metabolism for novel HIV Cure interventions

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...

Molecular evolution of metastatic HER2-positive breast cancer

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

Immunometabolic manipulation of pulmonary immunity - towards TB host directed therapy

Tuberculosis (TB) is a major global health emergency, with over one and a half million people dying per year, despite being a curable disease. Drug-resistant TB is a new aspect of the epidemic meaning this disease has now become more difficult to treat with antibiotics. Consequently there is urgent need to generate better treatments,...

Prediction of radiation toxicity in prostate cancer patients using Raman spectroscopy

There are no tests currently available to predict an individual patient's response to radiotherapy. Some patients experience severe long term side effects months and even years after their treatment has finished and these effects can be permanent. For example, some prostate cancer patients develop life-changing bowel and urinary...

FIREFLY: Followup of Inflammatory Responses and multiorgan outcomes FoLlowing neonatal brain injurY

Babies who have brain injury also frequently have involvement of their kideys, lung and heart. Although clinical care in the neonatal period is well defined there are few guidelines and evidence for developmental, heart and kidney followup in childhood. We aim to develop and implement guidelines for health care workers and families on...

Analysis of the oral metagenome for markers of malignant transformation of oral leukoplakia

Oral squamous cell carcinoma (OSCC) accounts for 90% of oral cancers. According to the National Cancer Registry, the rate of OSCC in Ireland is increasing annually by 3.3% and early diagnosis and treatment is crucial if patients are to survive beyond 5 years. OSCCs can arise de novo or from preneoplasis such as Oral Leukoplakia (OLK)....

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

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

Study of the impact of dedicated recurrent miscarriage clinics in the Republic of Ireland

Spontaneous miscarriage is the most common complication of pregnancy. While improvements in the quality of care provided during pregnancy have led to substantial reductions in many adverse pregnancy outcomes, there has been little effect on miscarriage which still occurs in between 20% to 30% of pregnancies, in the first trimester....

Bile Acids as a host trigger of Chronic infecting Pathogens in Respiratory Disease

This study will investigate the unexplained link between bile aspiration and the chronic infection/inflammation characteristic of severe respiratory disease in patients. Despite advances in the clinical management of respiratory disease, patients continue to develop lung damage even from an early age. We know that harmful bacteria...

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

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

Wound infections: biofilms and the search for novel antimicrobial agents

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

NK cell RESTORE - Can GLP-1 therapy restore tumour immunity in severely obese patients?

Obesity has recently over taken smoking as the number one cause of preventable deaths worldwide. This is because obesity causes many serious diseases such as heart disease and cancer. Recent reports suggest that up to 50% of all cancers are now due to obesity. Obesity is linked to cancer through many avenues from inflammation, hormonal...

Optimizing 40 Hz sensory stimulation protocols for Alzheimer's disease treatment

Clinical dementia, the majority of cases being caused by Alzheimer's disease, seriously impairs the lives of over 50 million people worldwide currently. There are approximately 55,000 people with dementia and as many dementia carers in Ireland. At present the lifetime risk of developing dementia is about 10% but this is increasing...

Transitions of Care in Advanced Chronic Kidney Disease

Patients who suffer from advanced chronic kidney disease (CKD) are at risk of progressing to kidney failure which is associated with a shortened life span and significant disability. The transition from advanced CKD to kidney failure requiring renal replacement therapy (RRT) [dialysis, kidney transplantation or conservative therapy] is...

Defining the consequences of innate immune training on protective versus pathogenic T cell responses in patients with tuberculosis.

Tuberculosis (TB) ranks alongside HIV as the world's most deadly infectious disease, killing 1.5 million people every year. It is caused by the bacteria Mycobacterium tuberculosis (Mtb), which primarily infects people's lungs. Treating this disease is becoming more difficult due to antibiotic-resistant Mtb, therefore, scientists are...

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

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

The impact of mutations in PI3K/AKT pathway gene loci on response to PI3K inhibitors

Despite advances in the treatment of breast cancer, the National Cancer Registry of Ireland reported in 2014 that it accounted for 30% of all diagnosed female cancers and 16% of all female cancer deaths. The application of modern technologies to the study of breast cancer has demonstrated that a group of cancer pathways acquire changes...

PRoviding Improved care for Self-harM: a mixed-methods study of intervention, economic and implementation outcomes from a national clinical programme

Suicide is a societal concern in Ireland and is associated with both personal and economic costs. People who self-harm are at particular risk of suicide, and so developing services and interventions for this population can help prevent deaths. Under Ireland's national strategy to reduce suicide, a programme to help people who present...

Engineering RNA-based therapeutics for treatment of sepsis and sepsis induced multiple organ dysfunction syndrome

Sepsis is a life-threatening organ dysfunction caused by a dysregulated host response to infection. Worldwide it affects over 30 million people of all ages and results in 5.3 million deaths annually. In Ireland sepsis contributes to 25% of in-hospital deaths and one in five patients diagnosed with sepsis will die from this disease. To...

Comparison of staphylococcal species from the oro-nasal cavity, periodontal pockets and foot ulcers of patients with type II diabetes: a potential microbial reservoir for diabetic foot ulcer infection

The Research Collaborative in Quality and Patient Safety (RCQPS) is a collaborative initiative between the Health Research Board, the Health Service Executive, National Quality Improvement Team and the Royal College of Physicians of Ireland. It was established in 2013 to advance nationally relevant research in the area of quality and...

Investigating breast cancer risk factors to understand breast cancer epidemiological outcomes

This proposal aims to expand cancer prevention research in Ireland through the assessment of breast cancer risk factors and their influence on clinically relevant characteristics of aggressive breast cancers.Prior research has identified factors associated with increased risk of breast cancer development. One such known factor includes...

Harnessing the power of the Gut-Lung Axis: How Dietary Short-Chain Fatty Acids Balance Inflammatory Outcomes in Chronic Obstructive Pulmonary Disease

Chronic obstructive pulmonary disease (COPD) is an incurable lung condition triggered by smoking, or other air pollutants, that leads to long-term lung damage and serious trouble breathing. While COPD is an illness of the lungs, maintaining a healthy gut and a balanced diet can prevent COPD and reduce COPD attacks or flare-ups. But how...

SCaRLeT: Sex differences in Cardiovascular Risk across Life course Transitions

Heart disease is still the leading cause of death around the world. Preventing heart disease, by focusing on risk factors like smoking is essential for improving population health. Females and males do not experience heart disease equally. In adults, research suggests risk factors that can be changed like smoking do not have the same...

Developing a new approach to stroke rehabilitation for the upper limb based on TMS neurofeedback

Today in Ireland, most people who experience a stroke survive, but more than half are left with long-term disabilities due to paralysis of one arm. In the proposed research, we aim to push the boundaries of standard stroke rehabilitation, by introducing a technique that promises to boost the brain's recovery mechanisms, stimulating...

IMPlementation of osteoArthritis Clinical guidelines Together

Osteoarthritis is a disease of the joints, affecting 1 in 8 Irish people as they get older. Due to the growth of our ageing population amongst other reasons, this figure is expected to double within one generation. Most people with the disease in their hips or knees are likely to experience some level of pain as well as difficulty...

Membrane Seeping for induction of labour: The Milo Study

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

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

Development and evaluation of an adaptive mobile health physical activity intervention post-stroke: a Sequential Multiple Assignment Randomised Trial

Despite recent advances in acute stroke intervention, strategies to prevent recurrent stroke are lacking. This is of urgent importance for people with stroke who are at risk of having another stroke. Physical activity (PA) is the second-largest predictor of stroke and the cornerstone of secondary prevention therapies. Interventions...

Rehabilitation Strategies following Oesophagogastric and Hepatopancreaticobiliary Cancer

In our bodies, the oesophagus, stomach, pancreas and liver help us digest food. Together, they form the “upper digestive system”. The treatment used to cure cancer in the upper digestive system is surgery to remove that part of the body. Some patients also receive chemotherapy (drug treatment) before and/or after...

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

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

COIchine for prevention of Vascular Inflammation in Non-CardioEmbolic stoke- a randomised clinical trial of low-dose colchicine for secondary prevention of Stroke. European and Canadian 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. One such clinical trial has shown that an anti-inflammatory drug used for...

A Physiotherapist led intervention to Promote Physical Activity in Rheumatoid Arthritis- a pilot study

As a long-term chronic condition, Rheumatoid arthritis (RA) can have a significant long-term impact. Typically presenting as a disease that causes joint pain and swelling, excessive tiredness and difficulty doing everyday activities RA occurs usually in people over 40 and is three times more likely in women than men. There has been...

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

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

Ketamine as an adjunctive therapy for major depression- a randomised controlled trial

According to the World Health Organisation, depression is now the leading cause of disability worldwide.  Depression can be a chronic disorder, with 5-9 episodes per lifetime, and 30% of sufferers don’t respond to adequate trials of antidepressant drugs and/or talking therapies.  This creates a great societal as well as...

Digital Fetal Scalp Stimulation (dFSS) versus Fetal Blood Sampling (FBS) to assess fetal wellbeing in labour- a multi-centre randomised controlled trial.

Despite recent advances in acute stroke intervention, strategies to prevent recurrent stroke are lacking. This is of urgent importance for people with stroke who are at risk of having another stroke. Physical activity (PA) is the second-largest predictor of stroke and the cornerstone of secondary prevention therapies. Interventions...

A prospective, multicentre, randomised, double-blind placebo-controlled, phase III trial of EPOetin alfa vs, placebo in critically ill TRAUMA patients

Trauma-a major public health problem

Trauma is a global health problem with estimates of more than five million deaths per year (WHO). Trauma includes road traffic accidents, falls, assaults and crush injuries. Patients who suffer major trauma are often critically ill and require breathing support. Despite...