Stroke rates decline but many still preventable

The rate of strokes suffered by Australians has dropped over the past 20 years, while strokes caused by an irregular heartbeat now account for one third of all strokes, according to new research led by the University of Adelaide.

The results of a major stroke incidence study are published in this month’s issue of the international journal Stroke. The study looked at the number and causes of strokes among 148,000 people living in the western suburbs of Adelaide.

The study, conducted in 2009-2010, found that the incidence of first stroke was 161 per 100,000 people per annum. That’s down by almost 10% on a similar population study in Perth in 1989-1990, which found the incidence of first stroke was 178 per 100,000 people.

“With an increasingly aging population, we might have expected to see the number of strokes in the community rising. However, what we’re seeing is that the rate of strokes is actually decreasing, which is good news for Australians,” says a chief investigator of the study, Professor Jonathan Newbury from the University of Adelaide’s School of Population Health.

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Congratulations to our Aboriginal and Torres Strait Islander Graduates!

Jessica Manuela, Bachelor of Dental Surgery

The Yaitya Purruna Indigenous Health Unit would like to congratulate all of our  graduates on their amazing achievements in the University of Adelaide’s recent Graduations Ceremony held on the 17th of April 2013. View more photos on our Unit’s Facebook page!

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Partnership project highlights child development

A major study into children’s health and development led by University of Adelaide researchers has been announced today by the Minister for Health, the Hon. Tanya Plibersek.

Ms Plibersek made the announcement at the University of Adelaide, where she met with grant recipient Professor John Lynch (School of Population Health), and singled out this study as being an exemplar of good translational research.

Child health and development: a South Australian data linkage study

The study – which is one of 11 Partnerships for Better Health – Partnership Projects announced today – is supported by the Australian Government and project partners from the Women’s and Children’s Health Network and the South Australian Department for Education and Child Development.

This study fills a gap in evidence related to the epidemiology of child health and development in South Australia and uses local population data to answer research priority questions that are relevant for local organisations, whilst strengthening local partnerships between government, health service sectors and researchers to provide evidence for improving policy and practice. Providing every child with the best start in life so that they are healthy and ready to learn when they start school requires population-level interventions, such as universal maternal and infant services provided by nurse home visiting programs, and more intensive programs that target some families with greater need because their children are at higher risk of poor health and development.

This study will provide evidence for more accurate identification of these families that will be combined with expert knowledge by our clinical partners to ensure the evidence is relevant for practice. Data linkage means that we can examine child health and development defined broadly across physical, social, emotional, cultural, cognitive and learning dimensions from before birth to age eight by combining data usually separated in different collections. The study will make use of a wide variety of population data sources to examine the predictors and consequences of child health and development more comprehensively than ever before in South Australia or Australia.

Funding: $546,262 cash and in-kind partner contributions from NHMRC, SA Health and DECD.
Investigators on this project are Prof John Lynch, Dr Catherine Chittleborough, Dr Lisa Smithers, Prof Michael Sawyer, Assoc Prof Sally Brinkman, Dr Murthy Mittinty, Dr Alyssa Sawyer and Ms Kerrie Bowering.

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Free Public Lecture – Genetics and Epigenetics: Understanding Their Relevance for Population Health

In April, two distinguished international speakers, George Davey Smith and Caroline Relton, will be presenting at the University of Adelaide on Genetics and Epigenetics.  Given the growing implications of these areas for Public Health, this lecture has been included as part of the SPH Research Conversations Program.  Professor John Lynch has said that both these speakers are not to be missed, so please add this date to your calendar.

When: Tuesday 16 April
Time: 5.10pm – 6.30pm
Where:
 The University of Adelaide, Robson Lecture Theatre, Eleanor Harrald Building (Entry via Frome Road)

George Davey Smith is Professor of Clinical Epidemiology at the University of Bristol, honorary professor of public health at the University of Glasgow and visiting professor at the London School of Hygiene and Tropical Medicine. He is Scientific Director of the Avon Longitudinal Study of Parents and Children (ALSPAC) and Director of the MRC Centre for Causal Analyses in Translational Epidemiology. His major research interest relates to the use of genetic epidemiology for informing understanding of the causal influence of environmentally modifiable risk factors and how social inequalities in health are generated by exposures acting over the entire lifecourse.  Professor Davey Smith has also worked on HIV\AIDS prevention in Nicaragua and India and on issues around the history of epidemiology, meta-analysis, lay epidemiology and epidemiological methodology. His H index is 100, and he is an associate of the US Institute of Medicine and US National Academy of Sciences. He is co-editor of the International Journal of Epidemiology. For an introduction to Mendelian randomization see: George Davey Smith and Shah Ebrahim. ‘Mendelian randomization’: can genetic epidemiology contribute to understanding environmental determinants of disease? International Journal of Epidemiology 2003;32:1–22.

Caroline Relton is Professor of Genetic and Epigenetic Epidemiology at the Institute of Genetic Medicine, Newcastle University with joint appointment at the MRC Centre for Causal Analyses in Translational Epidemiology, University of Bristol, UK. Her research focuses on the determinants and consequences of epigenetic variation in human populations. The primary aim of her programme of research in is to identify novel epigenetic biomarkers, explore their causal relationship with common complex disease and pursue the translation and application of these biomarkers to clinically relevant scenarios. Her work includes investigation of the role of epigenetic mechanisms in a range of health outcomes including type 2 diabetes, obesity, cardiovascular health and dementia as well as methodological development in epigenetic epidemiology.  For an introduction to epigenetics see: A Groom, HR Elliott, ND Embleton, CL Relton. Epigenetics and child health: basic principles. Archives Disease in Childhood 2011 96:863–869.

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Congratulations to Annette Edmondson

University of Adelaide students, graduates and staff dominated the 2013 Channel 9 Young Achiever Awards.

Annette Edmondson, Health Sciences student, is winner of the Worldwide Online Printing Sports Award.

Annette, 21 of Stirling, has represented Australia in cycling for many years with major achievements including a Gold Medal in 2007 at the Australian Youth Olympic Festival. She was crowned Champion of Champions at the 2008 and 2009 Australian Track Titles and two silver medals at the 2012 World Championships in the Team Pursuits. Annette also won a bronze medal in the Women’s Omnium at the 2012 Olympic Games in London. Annette is studying Health Sciences at the University of Adelaide and assists with a bicycle education training program for young children and is a Youth Ambassador for Reconciliation SA. Learn more

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The impossible challenge? Public Event on 9th April, 2013

A sustainable publicly funded health care system in 2045

Governments the world over are struggling to reign in rapidly rising health care costs.

In the five years to 2007-08, public hospital expenditure has grown at an average of close to ten per cent per year … if current spending and revenue trends continue, the Treasury projects that health spending alone would absorb more than the entire revenue collected by all states by 2045-46 – and earlier in some states.

(A National Health and Hospitals Network for Australia’s future. NHHN report, Commonwealth of Australia, 2010.)

Three world-leading professors from different backgrounds will discuss possible solutions to this challenge.

When:
Tuesday, 9 April 2013

5.30pm: Networking, including refreshments
6.00-7.30pm: Presentations and discussion

Where:
National Wine Centre
Hackney Road
The University of Adelaide
SA 5000 Australia

There is no cost to attend this event. However, places are limited so a ticket will be required for entry.
Register your attendance

Guest Speakers

Mark Sculpher
Professor of Health Economics, Centre for Health Economics, University of York, UK.

Professor Sculpher is closely associated with the National Institute for Health and Clinical Excellence, which guides health care funding decisions in the United Kingdom. He is a past president of the International Society for Pharmacoeconomics and Outcomes Research and has published widely on the subject of sustainable health care systems.

Gert Jan van der Wilt
Professor of Health Technology Assessment, Nijmegen Centre for Evidence-Based Practice, Radboud University, Nijmegen, The Netherlands.

An expert in the evaluation of complex medical interventions, Professor van der Wilt advises government health funding decision-makers in The Netherlands. He has published widely on conceptual and ethical issues in the evaluation and public funding of medical interventions, including on the question of how to allocate health care resources most fairly.

Wendy Rogers
Professor of Clinical Ethics, The Australian School of Advanced Medicine and Department of Philosophy, Macquarie University, NSW.

As a medical ethicist Professor Rogers has served on the Australian Health Ethics Committee and the Medical Board of South Australia. She is an expert in the ethics of evidence-based medicine, conflicts of interest, and the ethical and regulatory issues related to surgical innovation, which is potentially one driver of rising health care costs.

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Congratulations Geordie Beath, Semi Finalist Channel 9 Young Achiever Awards

We congratulate Geordie for reaching the Semi Finalist stage in the Channel 9 Young Achiever Awards under the Awards category of the Rural Doctors Workforce Agency Rural Health Award.

Geordie and the other semi finalists will receive a special on stage presentation tribute at the Prestigious Awards Gala Presentation Dinner on the 16th of March at the Hilton Adelaide. She will receive a framed certificate from the Premier, Hon Jay Weatherill MP.

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Risk-based Decision-making for Skin Decontamination for CBR Incidents – Research Grant

Congratulations to Dino Pisaniello, Sharyn Gaskin and the OEH Laboratory at Thebarton on being awarded $840,000 over 3 years for research on “Risk-based Decision-making for Skin Decontamination for CBR Incidents”.

This research will build capacity for the management of toxic chemicals following accidental or intentional release in a community setting.

This is a follow on of a Category 1 grant from the Department of Prime Minister and Cabinet under a bilateral US and Australian government agreement on research support for counter terrorism.

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Vitamin deficiency screening needed for refugees

New research from the University of Adelaide has discovered a high prevalence of vitamin B12 deficiency among refugees, prompting calls for refugees to be routinely screened for the problem soon after they arrive in the country.

Vitamin B12 deficiency is a sign of severe malnourishment and can result in permanent damage to the nervous system. For women of child-bearing age, vitamin B12 deficiency can lead to developmental defects in their unborn children. If left untreated, the deficiency could be fatal.

In the first study of its kind in the world, researchers from the University of Adelaide’s School of Population Health studied more than 900 newly arrived refugees and found that 16.5% had vitamin B12 deficiency.

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Congratulations Richard Fuller, Recipient of SIA National OHS Education Award

We congratulate Richard Fuller, winner of the Postgraduate category of the SIA OHS Education Awards.  This award brings with it a commemorative medal (and certificate), Professional Development Fund to the value of $2000 and membership of the SIA for one year.

Richard will be presented with his award at the Dr Eric Wigglesworth Memorial
Lecture at Storey Hall, RMIT University on the 18th March.

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