Leading Research HMRI Annual Report 2013 1 Contents

About the new HMRI Annual Report From 2013, the HMRI Annual Report will be published in This .pdf version represents a stable summary of the digital formats only, rather than providing large volumes year, accurate as of 31 December 2013 (and 30 June of the traditional printed copy. for the financial snapshot). Of course, this document can still be printed by readers if required. Along with the significant cost and environmental benefits of only publishing digitally, HMRI has also At the end of each year, HMRI will still continue to refocused the concept of our Annual Report to provide produce a static document of the Annual Report to the most accurate, relevant and timely information represent the period but we also encourage you to read possible. the new, online version for the most up-to-date HMRI information and research summaries. The 2013 HMRI Annual Report is now available as a “dynamic” online information portal on the HMRI website. Here, changes in HMRI’s research programs, major You can access this dynamic version of the announcements, key developments and research HMRI Annual Report at: highlights, and recognition of new community and www.hmri.com.au/annual-report philanthropic relationships can now be reflected and published in good time, so that stakeholders have access to the most up-to-date information in one place.

HMRI acknowledges the following funding support in 2013:

NSW Ministry of Health, through the Office of Health Commonwealth Department of Health for capital and Medical Research, for providing infrastructure funding for the HMRI Building through the Health and funding through the NSW Medical Research Support Hospitals Fund. Program (MRSP). NSW Ministry of Health and NSW Office of Health NSW Ministry of Health for providing infrastructure and Medical Research for capital funding for the funding through the NSW Population Health and Health HMRI Building. Services Research Support (PHHSRS) program.

NSW Ministry of Health for providing infrastructure funding through the Capacity Building Infrastructure Grants (CBIG) program.

2 Contents

Message from the Director 4 Message from the Chair 5 HMRI Research Programs 6 Brain and Mental Health 7 Cancer 8 Cardiovascular Health 9 Information Based Medicine 10 Pregnancy and Reproduction 11 Public Health 12 Viruses, Infections/Immunity, Vaccines and Asthma (VIVA) 13 HMRI Awards and Prizes 14 HMRI Award for Research Excellence 14 HMRI Award for Early Career Research 15 Research Project Grants 18 HMRI 2012-13 Supporter Listing 34 Governance 37 HMRI Board 38 HMRI Research Council 39 HMRI Foundation 39 Financial Snapshot 40 Publications Listing 42

Leading Research 3 Messages from the director & chair

From the Director Professor Michael Nilsson, MD PhD

In early 2013, while Australia basked in summer In the clinical sphere a holiday mode, HMRI embarked upon a new strategic HMRI trial of a new clot- journey towards the implementation of translational busting therapy, which research excellence in a global environment. previously yielded rapid and remarkable treatment Following on the heels of major strategic reviews by benefits for stroke victims, has now been expanded both the Federal and NSW Governments, our plan internationally at an estimated cost of $5 million. outlined a five-year agenda to accelerate the delivery of targeted health outcomes into clinical care. A lab-based study looking at the body’s inflammatory response to injury found four independent predictors Leading Research for Life-Changing Results is both of Multiple Organ Failure, a leading cause of death the core theme and a goal we have embraced with among trauma patients. Researchers identified notable success these past 12 months. naturally occurring mitochondrial DNA that act as a ‘Leading’ has two connotations. It reflects the fact Trojan horse when cells die, with vital implications for HMRI researchers regularly show the way through hospital treatment. ground-breaking findings across a raft of illnesses. A community-based asthma management study that HMRI as an organisation, meanwhile, is also ‘leading’ halved asthma attacks in pregnant women was also research in the sense of providing guidance, logistical found to have a significant flow-on effect, yielding a structure and seed funding. 90 per cent postnatal reduction in bronchiolitis and We’re helping to initiate conversations and foster croup episodes among their children. collaborations between basic scientists, clinicians and At the same time, two HMRI-aligned public health public health professionals, back and forth along the programs were honoured in the inaugural National translational cycle of research. We do this, of course, Preventive Health Awards – the Workplace POWER with the clear objective of delivering ‘life-changing (Preventing Obesity Without Eating like Rabbits) results’ for the people of our region and nation, as program and the childhood program Good for Kids well as communities throughout the world. Good for Life. The 2013 Awards for Research Excellence saw a These are just a few of many examples where record $1.4 million in grant funding being awarded HMRI researchers have found global solutions for and acknowledged while two of our rising research local problems. Today’s good news, hopefully, is stars – Researcher of the Year Professor Phil Hansbro tomorrow’s better news. and Early Career Researcher of the Year Associate Professor Vanessa McDonald – came to the fore after flourishing within the HMRI framework. Michael Nilsson Advancements were seen across the translational Director, HMRI spectrum.

4 From the Chair Mr Glenn Turner

The logistics of running a medical research institute HMRI’s researcher today can be almost as complex as the disease numbers swelled from processes that inspire it. In HMRI’s case, we have 1200 to over the 1300 for a substantial workforce operating in a multitude of the first time, and we have disciplines across multiple sites managed by different simultaneously ‘grown’ stakeholders. our facilities with the development of a new Magnetic Resonance Imaging centre adjacent to the HMRI It requires a solid foundation to maintain stability and Building. This is a $6 million investment, one that was strong direction to facilitate growth on an international urgently needed for researchers and the community. scale. The five-year strategic plan is delivering on both fronts, enabling HMRI to compete and As a gauge of the growth and activity generated, collaborate with other top-tier institutions. our communications team issued no fewer than 123 media releases during the year – triple that of Themes like translation, internationalisation and 2010. That is one every three days, along with blogs, commercialisation are now increasingly articulated videos, social media posts, newsletters and more. in conversations on community care and health outcomes … and rightly so. HMRI excels in The inaugural HMRI Open Day in September, a pulling together multiple stakeholders to maximise marvellous community event, drew more than 600 efficiencies and opportunities, allowing research people to HMRI, doubling the original estimates. findings to rapidly evolve into targeted treatments. In February, sadly, the gravity of our research work Our research strengths are, and always will be, became tragically evident when Development Officer closely aligned to health needs. This will become Karen Brown passed away after a battle with breast increasingly important over coming years with an cancer. Karen had joined HMRI in 2004, bringing ageing population, where diseases such as cancer, with her an understanding of the donor perspective diabetes, dementia, stroke, cardiovascular disease coupled with a deep respect for medical research. and respiratory ailments will create an increasing Her legacy manifests in HMRI’s standing as a burden on Australian society. professional, donor- and community-focused The community, for one, appreciates that fact. This organisation with global outreach. year they were unwavering in their generosity towards HMRI and I can confidently say that every donated dollar was invested wisely and expediently to deliver Glenn Turner better health outcomes. Chair, HMRI

Leading Research 5 Research programs & networks

HMRI Research Programs and Networks

The HMRI Research Programs draw together In 2013, the HMRI Research Programs received biomedical, clinical and public health researchers from infrastructure funding from the NSW Office for Medical Hunter New England Local Health District, the University Research through the Medical Research Support of Newcastle and Calvary Mater Newcastle. Program, and the NSW Ministry of Health through both the NSW Population Health and Health Services More than 1,200 researchers and support staff are Research Support (PHHSRS) Program, and the undertaking novel translational research across HMRI’s Capacity Building Infrastructure Grant Program. seven key programs areas: This funding supports essential research infrastructure • Brain and Mental Health including research salaries, equipment, technology and • Cancer research support services. • Cardiovascular Health HMRI Research Programs also received community and corporate philanthropic funding for research projects, • Information Based Medicine equipment, scholarships, fellowships and travel grants. • Pregnancy and Reproduction HMRI supports formal research networks to forge inter- • Public Health Program collaborations in shared research areas. • Viruses, Infections/Immunity, Vaccines and Asthma The ABC (Adolescents, Babies and Children) Research Network brings together researchers from many HMRI Programs to address the health needs of young people. HMRI Research Programs facilitate collaborations between all levels of research to translate scientific The PANIC Network facilitates research into Physical advances and new health knowledge into better clinical Activity and Nutrition in Inflammatory Chronic diseases. care, products and improved health care guidelines. The BRICs Nurses and Midwives Research Network As a result, HMRI researchers deliver health and medical was developed to Build Research and Interdisciplinary research and technology closely aligned to community Collaborations among nurses and midwives. health needs.

6 Brain and Mental Health

Program leader: • Pain and Sensory Dysfunction Professor Chris Levi • Clinical Psychology Hunter New England Local Health District • Neuroscience • Cognition, Development and Ageing Researchers within the Brain and Mental Health Program • Implementation and Models of Care Research are working to understand the intricacies of some of the most complicated structures within the human body. In • Mental Health Nursing understanding the molecular mechanisms which dictate The Program maintains a strong translational research the functionality of the brain and nervous system, we ethic, and works closely with local area health systems, can begin to explain its dysfunctions and associated such as the Hunter New England Mental Health Service health conditions. and the NSW Centre for Rural and Remote Mental Members within the Program focus on mental health Health. service delivery strategies, as well as the biological Importantly, the Program hosts a number of clinical mechanisms of specific mental health conditions. PhD students, a key strategy for the translation of This way, novel solutions can be imparted in order to basic science into medical applications. In addition, optimise diagnosis, intervention and treatments. researchers host regular public forums and foster In recent years, the Program has benefitted from national and international collaborations. the establishment of an optogenetics platform. Researchers in the HMRI Brain and Mental Health Optogenetics is a specialised technique for Program are affiliated with the University’s Priority neuromodulation, which can be used to study individual Research Centre for Translational Neuroscience and brain cells in living tissue. These facilities will lead the Mental Health. The translational research focus has way for Australian research into this burgeoning research positioned the PRC strongly within HMRI, and facilitated method. strong engagement with the health care sector. Researchers focus on the disease areas of: The Program also includes the HMRI Stroke Research • Schizophrenia Group, and incorporates the NSW Centre for Rural and Remote Mental Health at Orange. • Stroke • Affective and Addictive Disorders

Leading Research 7 Research programs & networks

Cancer

Program leader: This includes the facilitation of research discoveries into health service implementation, and the stimulation of Professor Stephen Ackland relevant laboratory research based on priority questions Calvary Mater Newcastle generated from the cancer clinics. A key example of this bi-directional strategy is the Researchers and clinicians in the HMRI Cancer Program HCRA’s commitment to enabling relevant breast cancer are helping to reduce the incidence and risk of cancer research by making breast cancer tissue available for by developing effective therapies and detection methods biomedical study via the Hunter Biobank. This ongoing based on individual molecular profiles of this complex collection of tissue has led to the establishment of a disease. number of formal international collaborations with key cancer research institutions, including Cancer Research In 2012 the Hunter Cancer Research Alliance (HCRA) UK and the International Breast Cancer Intervention was established as an umbrella organisation of the four Group. Cancer Research programs in the Hunter: In addition, researchers have facilitated the delivery of • HMRI Cancer Program faster and more extensive breast cancer risk testing to • Hunter Translational Cancer Research Unit patients within the Hunter region, as Next Generation • Clinical Cancer Research Network (Next-Gen) DNA sequencing technologies which enable such improvements are now in use by the Hunter Area • Priority Research Centre for Cancer Pathology Service (A Division of Pathology North). This The Alliance also incorporates two national clinical trials is the first laboratory in Australia to gain approval for the groups based in the Hunter: use of Next-Gen sequencing in diagnostic services. • Australian New Zealand Breast Cancer Trials Group The vision of the HTCRA is to establish the Hunter and New England regions as a competitive global hub of • Trans-Tasman Radiation Oncology Group excellence in collaborative translational cancer research. The Alliance provides capacity building, funding and The Clinical Cancer Research Network facilitates efficient strategic support to cancer research across the full conduct of clinical trials, and optimises collaboration research practice continuum. between 13 cancer clinical trials units throughout Many of the Hunter’s cancer researchers are affiliated Hunter New England Health to increase participation, with the University of Newcastle’s Priority Research and ensure equity of opportunity exists to participate Centre for Cancer; the Priority Research Centre for in research trials for all patients in rural, regional, Bioinformatics, Biomarker Discovery & Information- metropolitan and private practices. Based Medicine; and the Priority Research Centre for The Hunter Translational Cancer Research Unit provides Health Behaviour. enhanced infrastructure for bi-directional improvements in basic science and clinical care.

8 Cardiovascular Health

Program leaders: Professor Dirk van Helden and Professor Ron Plotnikoff University of Newcastle

Despite the fact that cardiovascular disease remains Australia’s biggest killer, associated death rates have dropped significantly since the 1960s1. This is mainly due to the development of effective prevention, detection and management methods. The HMRI Cardiovascular Health Program works across holistic, systemic, cellular and molecular levels so as to contribute to ongoing improvements in these strategies.

The Program is focussed on cardiopulmonary control Research within the Cardiovascular Health Program mechanisms and the modification of physical activity includes biomedical, clinical, public health and education and nutrition behaviours. This research aims to reduce research, and is providing novel treatments and of the incidence of cardiovascular disease, and interventions in the key areas of: also to improve quality of life for cardiovascular and cardiopulmonary disease patients. • Cardiophysiology (control of heart-lung interaction and lymphatic systems) In recent years, researchers have developed a number of early intervention strategies, wherein members of the • Clinical Cardiology community have been recruited to trial cardiovascular health improvement programmes. These include SHED- • Nutraceuticals and Nutrition IT (Self-Help, Exercise, Diet and Information Technology), ATLAS (Active Teen Leaders Avoiding Screen Time) and • Physical Activity NEAT Girls (Nutrition and Enjoyable Activity for Teen Girls). • Obesity and Diabetes

These studies have not only benefitted the local Many of the researchers in the Program are affiliated participants, but they also demonstrate the with the University of Newcastle’s Priority Research significant role of preventative medicine techniques in Centre for Physical Activity and Nutrition. cardiovascular health improvement.

Leading Research 9 Research programs & networks

Information Based Medicine

Program leaders: Studies such as these, and others, currently being conducted by the Information Based Medicine Program, Professor Rodney Scott and Professor Pablo Moscato include: University of Newcastle • Improvements in image analysis software for use in pathological practise With major research interests spanning multiple health • Identification of genetic risk factors contributing to conditions, from autoimmune diseases to breast individual susceptibility to brain, breast, colon and cancer, the Program draws together the disciplines of prostate cancer pathology, genetics, epidemiology, computer science and mathematics. By embracing the interdisciplinary • Identification of biological markers that can predict nature of the challenge that is personalised medicine, clinical symptoms of Alzheimer’s disease this diverse team of researchers are paving the way for • Investigations into the biology of breast cancer an increasingly patient-tailored approach to healthcare. development, subtypes and drug susceptibility In this modern era of “big data”, enormous amounts • Identification of subtypes of brain cancer of data can be generated over a relatively short space and potential molecular targets for network of time. In the context of healthcare, these massive pharmacology interventions advances in technology can facilitate improvements in the development of personalised treatments and • Research into the genetic, epigenetic and outcomes. However, it is only with appropriate analytical environmental contributions to the development of methods that the relevant information can be identified MS and put to good use. • Identification of genetic susceptibility to infection Researchers within this Program work together, in within indigenous populations and also elite athletes order to extract information from complex datasets and • Investigations into the role of DNA repair in improve analytical techniques. This information can then chemoresistance seen within ovarian cancer and be used predict disease risk and improve therapies melanoma patients at the patient specific level, and also investigate mechanisms of disease development at the biological The Information Based Medicine Program has many level. members who are affiliated with the University’s Priority Research Centre in Bioinformatics, Biomarker Discovery The development of mathematical models based on and Information-Based Medicine. information theory, optimization and statistics has the potential to inform a huge variety of studies, as such models can assist with the identification of markers for health and disease.

10 Pregnancy and Reproduction

Program leader: The Pregnancy and Reproduction Program is also working to improve existing treatments of infertility, by Professor Roger Smith AM investigating the mechanisms behind the decline in University of Newcastle female fertility with age, and the processes of egg and sperm development and function. The HMRI Pregnancy and Reproduction Research Finally, the Pregnancy and Reproduction Program is Program brings together researchers focussed on one of the few groups in Australia who are working to understanding the environmental and biological elucidate the cause of still birth. processes that control reproduction and birth. Researchers in the Pregnancy and Reproduction Health at birth is a major indicator of health outcomes Program are affiliated with the University’s Priority in later life; a low birth weight can increase the risk for Research Centre for Reproductive Science, and the development of diabetes, heart disease, obesity and incorporates: kidney failure. • Mothers and Babies Research Centre Advancements in the understanding of preterm births • Australian Research Council Centre of Biotechnology can facilitate the improved health of pregnant women, and Development and therefore the future health of all Australians. In particular, Indigenous Australians are a major risk group for poor maternal health, and this is reflected in the Program’s research interests. Researchers within the Program have not only investigated the mechanisms which lead to premature birth, but they have used these findings to develop trials of novel therapies which can help prevent it from happening. The Pregnancy and Reproduction Program also studies the causes of infertility. Unfortunately, this condition will affect 1 in 6 Australian couples, and is a growing problem in modern society. By working to improve the diagnoses of male and female infertility, researchers are ensuring that therapies can be introduced as early as possible.

Leading Research 11 Research programs & networks

Public Health

Program leaders: • Discipline of Health Behaviour Sciences Professor Julie Byles and • Hunter New England Population Health Laureate Professor Rob Sanson-Fisher AO • Clinical Research Design, Information Technology University of Newcastle and Statistical Support (CReDITSS)

The HMRI Public Health Program is committed to The HMRI PHP also houses: conducting and enhancing practice-based population • The Hunter Community Study, providing data on the health and health service research that benefits the health of people in the Hunter aged 55 years and Hunter and New England area, New South Wales, and over. communities more broadly. • The Australian Longitudinal Study on Women’s This Program brings together researchers from a variety Health. This is a major national resource which of fields including; public health, epidemiology, health provides data assets to inform government promotion, psychology, statistics, economics, medicine, policy, and enables a broad range of collaborative nutrition and dietetics, pharmacology, physiotherapy, research. occupational therapy and nursing. Members of the HMRI Public Health Program supervise These researchers work collaboratively to address a over 80 research higher degree students undertaking variety of topics, such as: ageing, reproductive health, projects across a wide range of topics. mental health, nutrition, obesity, smoking, alcohol, and prevention of chronic illness including cancer and The Capacity Building Group (CBG) is a key component cardiovascular disease. of the Public Health Program. This group is funded by NSW Ministry of Health Population Health and Health Members of the Program are drawn from health service Services Research Support Program (PHHSRS) to and University research groups: undertake defined activities to promote better health and • Priority Research Centre for Gender, Health and improved health service delivery in NSW. Ageing The Group supports and conducts collaborative • Priority Research Centre for Health Behaviour research with health service staff, and also supports public health researchers via the provision of workshops, • Centre for Clinical Epidemiology and Biostatistics training and mentorship.

12 VIVA Viruses, Infections/Immunity, Vaccines and Asthma

Program leaders: Laureate Professor Paul Foster, University of Newcastle and Professor Peter Gibson, Hunter New England Health

The HMRI Viruses, Infections/Immunity, Vaccines and Asthma (VIVA) Program brings together clinical, applied, epidemiological and basic science research to investigate clinical health problems in infectious diseases, asthma and other airway conditions, and the development of vaccines for prevention, management and treatment of disease. The program is focussed on five key areas: • Viral infections and viral oncolysis • Infections and immunity • Vaccine development The Program also specialises on improving management • Asthma and airway diseases strategies for airway diseases. Researchers have • Nutrition and airway disease developed a gene signature panel which can be used to select appropriate treatment for asthma patients. They have also set about re-evaluating laryngeal disorder Researchers within the VIVA Program collaborate closely classifications according to specific symptom burden, with other HMRI programs. Working with the Pregnancy in order to ensure suitable management techniques for and Reproduction Program, researchers are looking into these wide ranging syndromes. the effects of asthma and infection during pregnancy. Researchers working in respiratory diseases are affiliated Similarly, working in partnership with Information Based with the University of Newcastle Priority Research Medicine Program, VIVA researchers are investigating Centre for Asthma and Respiratory Diseases, and the the role of genetics in infectious diseases and SIDS. national Cooperative Research Centre for Asthma and They also work with two biotechnology companies Airways. based in the Hunter, Viralytics and Hunter Immunology.

Leading Research 13 HMRI awards & prizes

Award for Research Excellence Sponsored by the Sparke Helmore / NBN Television Triathlon Festival

Professor Phil Hansbro Professor Phil Hansbro is leading the way in the race to develop urgently needed treatments for airway inflammation disorders such as asthma and Chronic Obstructive Pulmonary Disease (COPD). Where previously it took six months to evaluate the effects of tobacco smoke – a major cause of COPD – Professor Hansbro’s lab team has reduced the period to just eight weeks. This international breakthrough, published earlier this year, fostered a paradigm-shifting collaboration with Harvard Medical School. It comes as the prevalence of COPD, the fourth leading cause of death worldwide, continues to rise. Current treatments for chronic lung illnesses are ineffective at preventing or reversing the disease process but the Hansbro model brings new hope to testing therapies in a realistic timeframe. • Discovering new lineages of avian influenza unique The primary aim of his research is to use laboratory to Australia, influencing Government decision- modelling and cell biology to identify new therapeutic making as part of the National Avian Influenza targets. By modelling key pathogenic events, his key surveillance program. achievements include: Professor Hansbro has been working in the Hunter since • Determining that early-life exposure to chlamydia 1999, making outstanding contributions to medical infection induces severe asthma-like disease; research at a local, national and international level. • Showing that Streptococcus pneumoniae exposure Professor Hansbro’s outstanding publications record is protective against phenotypic expression of includes 49 journal articles in the past five years. asthma … he is proceeding towards clinical trials for His work has been cited more than 200 times this a potential therapy; year. He also presents regularly at leading international • Discovering a novel role for mast cells in smoke- respiratory meetings, while convening the annual induced COPD that opens new therapeutic Newcastle Asthma Meeting that he founded in 2005. possibilities; Professor Hansbro holds the chair of Microbiology in • Identifying novel immune factors involved in the School of Biomedical Sciences & Pharmacy at the protection against influenza; University of Newcastle and is leader of the Asthma and Airways Research Group in HMRI’s VIVA Program. • Exploring a novel factor involved in protection against Chlamydia STDs that could be used as He is also the Associate Director of the Priority Research preventions/treatments; Centre for Asthma and Respiratory Disease at the University of Newcastle.

14 Award for Early Career Research Sponsored by PULSE

A/Professor Vanessa McDonald Associate Professor Vanessa McDonald has established, and leads, a new group within the HMRI VIVA program that has directly advanced a project area of vast importance to patients and clinicians – personalised, phenotypic management of airways disease. Associate Professor McDonald has an impressive publication record, both in terms of quantity and quality – her research has been featured in leading international journals The Lancet, American Journal of Respiratory and Critical Care Medicine and Thorax among others. She has published four book chapters and a number of national reports, serving as a key contributor to clinical practice guidelines for asthma and COPD. Grant funding tallying over $1.5 million has flowed from Her research performance was recognised by the different sources, including the NHMRC. Most recently, University of Newcastle in 2013 with her promotion to Associate Professor McDonald was awarded the Associate Professor. She has also received national Japanese Respiratory Society Early Career Development recognition by peers from all health disciplines, with Award, the Lung Foundation of Australia’s COPD many invitations to present at national meetings. Research Fellowship, and an esteemed Ramaciotti Early Along with being a research leader in the Priority Career establishment grant. Research Centre for Asthma and Respiratory Disease, The latter is supporting a trial testing an individualised Associate Professor McDonald is the Convenor of the pharmacotherapy approach to COPD management, and TSANZ COPD group, Chair of the National Steering will also examine the role of a blood test to assess and Committee of the Lung Foundation of Australia and co- manage the condition. chair of the HMRI BRICs research network for nursing and midwifery. She is the past recipient of a PULSE Early Career Education Prize (2010) and HMRI PhD support grant, Attesting to her potential to be a major international during which Associate Professor McDonald developed leader in respiratory research, Associate Professor a multidimensional assessment that comprehensively McDonald has developed a collaboration with Professor describes the symptoms, pathology, psychological Paul Jones from St George’s University of London, an status, educational and self-management needs of older international expert in COPD quality of life. people with asthma, COPD and asthma-COPD overlap.

Leading Research 15 HMRI awards & prizes The Greaves Family Early Career Support Grants provide vital bridging funding to help retain the best young researchers in the Hunter, at a time in their career where funding is traditionally hard to come by. The grants support one exceptional early career researcher from each of HMRI’s seven Research Programs.

Greaves Family Early Career Support Grants

Heidi Janssen Hsin-Yi Tseng HMRI Brain and Mental Health Program HMRI Cancer Program

Heidi has a strong translational focus in Hsin-Yi currently has a postdoctoral her work and was the first to translate position at the Melanoma Research the use of environmental enrichment Laboratory of the Cancer Program from the laboratory into the clinical at HMRI. Hsin-Yi’s has a strong setting for use with patients undergoing background in melanoma biology and inpatient stroke rehabilitation. is also experienced in immunology research. In her PhD work she conducted a meta- analysis of environmental enrichment in animal models of She is currently focusing on her research project is stroke, and then designed and conducted a pilot clinical “targeting survival signalling pathways to sensitize study, and showed that enriching the environment of melanoma to immunotherapy”. Her research has drawn stroke patients in rehabilitation resulted in significantly extensive attention from researchers in the melanoma increased activity. She already has 5 published first field nationally and internationally. authorship papers, one further under review, and 3 more manuscripts as middle author very close to submission.

Melinda Phang Michelle Wong-Brown HMRI Cardiovascular Program HMRI Information Based Medicine Program

Dr Phang recently completed her PhD Michelle’s PhD project is entitled The in Medical Biochemistry. Whilst funded Contribution of Genetic Susceptibility to by an NHMRC Dora Lush Postgraduate Breast Cancer. The area of Michelle’s Scholarship, Melinda published 11 research involves identifying potential manuscripts in peer-reviewed journals biomarkers that may well have been and monographs, 9 of which she is the overlooked as a result of technology first author. Six of these publications are ceilings that have not been breached. in nutrition A-star journals. This will include using new high-throughput techniques Melinda’s rare research expertise in clinical trials that may be possibly implemented in a clinical setting, combined with laboratory analytical techniques makes allowing for better identification of genetic factors her a valued member of the Priority Research Centre involved in the risk of developing breast cancer as well in Physical Activity & Nutrition at The University of as predicting disease features. Newcastle.

16 Kate Redgrove Lisa McKenzie HMRI Pregnancy & Reproduction Program HMRI Public Health Program

Dr Redgrove’s successful PhD project focused Lisa has made substantial contributions to a number of on developing an understanding of the molecular competitive research grant applications, research projects mechanisms that underpin the functional maturation and position papers in public health and health behaviour of human spermatozoa. In addition, Kate was actively epidemiology. She has worked across a range of areas, involved in establishing a collaboration with IVF Australia including cancer, autism, alcohol, smoking, depression, (Hunter clinic) to study the implications of this research obesity and diabetes. for male infertility. Lisa’s proposed research plan to explore advance care This pioneering work has encouraged a complete planning amongst haematological cancer patients in reappraisal of the way in which we view the process Japan will build on her PhD research and our recent work of sperm maturation and has helped to define the at Kyoto University Hospital. This research will provide aetiology of one of the most common causes of human important information to guide psychosocial care for male infertility. cancer patients who have a preference for family centred decision making. It will also strengthen academically important links between psycho-oncology researchers in Australia and Japan.

Hayley Scott HMRI VIVA Program

The first paper from Hayley’s PhD was published in the highly prestigious journal, European Respiratory Journal. The data established, for the first time, a mechanism linking obesity and asthma. The findings of this paper have the potential to assist in improving asthma symptoms and quality of life in obese individuals, as well as reduce the associated health costs. The impact of this work has already been demonstrated, as the paper has been cited 48 times. Her research output to date is excellent for her stage of career, having published nine papers, four as first author.

Leading Research 17 Named supporter grants Community donors and organisations who have contributed more than $20,000 in a financial year are invited to sponsor a named project grant.

Pink Frangipani Breast Cancer Dalara Foundation Project Grants Project Grant Nicole Verrills, Kathryn Skelding Ashley Kable, Amanda Baker

Testing a new treatment strategy for breast cancer – Evaluating transitional care - When a stoke patient goes turning proteins “on’ that improve patient survival home Over 2,800 women died of breast cancer in Australia When a stroke patient is sent home from hospital, in 2010. Despite advances in targeted drugs, failure their carers become de facto health care managers. of cancer cells to respond to treatment, metastasis of Transitional care following discharge from acute care tumour cells and drug resistance are the major cause settings can be poorly planned, fragmented and of cancer related deaths. confusing for stroke patients, their carer’s and the health professionals involved. If planned continuity of care fails, Over the past 2 decades the majority of research it places the patient at risk for complications, medication in breast cancer has focussed on developing drugs related problems, delayed service delivery and potential that ‘turn off’ proteins that are in high abundance, or readmission. are overactivated, in breast cancer cells, resulting in a significant improvements for some breast cancer This study will evaluate the transitional care planned patients. However, many patients develop resistance and delivered to stroke patients discharged from an to these ‘targeted’ therapies. Thus a novel approach acute care facility, against recommended practices for is required in order to improve the survival for these transitional care and trial an alternate model of care that patients. can be translated into practice and improve transitional care for stroke patients and their carers. Rather than targeting a protein that is abundant or over-active, the researchers will take the complete opposite approach, by turning on a protein that is inactive. Successful results from this study could lead directly to clinical trials of these exciting new drugs in breast cancer patients, with the ultimate goal of improving the survival of breast cancer patients.

18 Renate Thienel, Frini Karayanidis, Juanita Todd, Elizabeth Holliday, Rodney Scott, Christopher Peter Stanwell, Mark Parsons, Chris Levi Levi, John Attia

Mapping networks in the brain Genetic risk factors, gene expression and ischaemic stroke This project will use Magnetic Resonance Spectroscopy About 85% of acute strokes are ischaemic involving lmaging (MRSI) technology to measure concentrations of blockage of blood vessels supplying oxygen to the brain. neurotransmitters - chemicals crucial for communication Recently several robust genetic risk factors for ischaemic in the brain and evaluate the relationship between brain stroke have been identified. function and brain structure normal and stroke patients This project will determine how these genetic risk to improve the early detection of the disease. This factors change gene expression in human carotid project has implications for translation to clinical samples atherosclerotic plaque. This project will provide important such as stroke, Alzheimer’s disease, schizophrenia, insights into the biology of ischaemic stroke. multiple sclerosis, dyslexia, as well as cognitive remediation and brain-stimulation approaches to functional recovery.

“This project has implications for translation to stroke, Alzheimer’s disease, schizophrenia, multiple sclerosis and dyslexia...”

Leading Research 19 Named supporter grants

Estate of the Late James Scott Lawrie Project Grants Matthew Dun, Nicole Verrills Matthew Dun, Nicole Verrills

Finding the ‘disease-causing’ mutations and proteins A new treatment for acute myeloid leukaemia in Acute Myeloid Leukaemia to develop new treatment Acute myeloid leukaemia (AML) is the most common strategies. and deadly type of adult leukaemia, with a survival rate Acute Myeloid Leukaemia accounts for over 30% of 15% for patients diagnosed over the age of 60. AML of all leukaemia diagnoses in Australia and has the is a disease of the blood system arising from genetic worst survival rate. Current treatment involves high alterations that lead to the accumulation of immature dose chemotherapy regimens and often bone marrow white blood cells in the bone marrow. These mutant cells transplantation, however more than half of all adult AML suppress the normal function of the blood system and patients will die of their disease. infiltrate other organs and tissues. The disease is characterised by hundreds of different Most patients die due to leukaemia recurrence (or genetic mutations that leads to changes in the relapse), which is normally difficult to treat as the immature white blood cells –they grow rapidly, fail to recurrent cells are resistant to commonly used drugs. develop into mature white blood cells and accumulate The researchers have a number of new pharmacological in bone marrow. This study will identify new proteins compounds that can kill AML cells and have discovered that are involved in causing AML which could lead to a protein which may be a target for these new drugs. new drug targets for this cancer. Understanding how this protein works to kill leukaemia cells may lead to new treatments for acute myeloid leukaemia.

20

Kathryn Skelding, Nicole Verrills Jennette Sakoff, Jayne Gilbert, Adam McCluskey

Improving survival from Acute myeloid leukaemia (AML) with A new compound to improve the outcomes of brain cancer new therapies in children Despite advancements in treatments, the five year Annually there are 200,000 new cases of brain cancer. survival rate of Acute myeloid leukaemia (AML) remains Prognosis is dire: brain cancer in Australia is the second at a dismal 24%, and the development of drug largest cause of death in the 0-14 age group, surpassed resistance is common. Therefore, new anti-cancer only by accidental drowning. It is the highest cause of targets need to be identified to improve the outcomes for death in 0-39 age group with a 5-year survival rate of AML patients. One new target is a molecule involved in 19%. Of the 120 types of brain cancer, glioblastoma the growth and survival of leukaemia cells. The goal of multiforme is the most common primary brain tumour, this project is to develop a new therapy for acute myeloid the most lethal and difficult to treat. leukaemia that improves survival, without increasing side This study will examine the ability of a new compound effects and toxicity associated with treatment. to make glioblastoma cells more sensitive to radiation therapy. This data will provide a strong foundation for the pre-clinical evaluation of our new compound for the treatment of glioblastoma which traditionally carries a dire prognosis. “The goal of this project is to develop a new therapy for acute myeloid leukaemia that improves survival, without increasing side effects and toxicity associated with treatment.”

Leading Research 21 Named supporter grants

Lions District 201N3 Diabetes Foundation Project Grants

Robin Callister, Philip Morgan, Clare Collins, Robin Callister, Lisa Wood, Clare Collins Ron Plotnikoff

Long-term follow up of the PULSE Type 2 Diabetes Comparing the body’s response to diet and exercise in prevention program for men overweight men and women Type 2 Diabetes is the fastest growing chronic disease Diet and exercise are the most common combination in Australia. Australian men are at particularly high risk of recommended healthy lifestyle behaviours, but we due to their high rates of obesity and lack of awareness have limited understanding of their interactions on many of their risk. We have developed the PULSE (Prevention aspects of physiological function. Whether males and Using LifeStyle Education) program for type 2 diabetes females respond in the same way to combinations and have been trialling this program in 102 at risk men. of diet and exercise is not known. This project will This comprehensive T2D prevention program consists investigate the effects of two different diet strategies on of a diet and exercise resource package that includes a the physiological response to exercise and compare the home-based exercise program. responses in overweight males and females. This study will provide important preliminary information to further Our preliminary results suggest that the program has our understanding of the interaction of diet and exercise been effective in helping these men lose weight, lose on physiological function. abdominal fat, and decrease their blood insulin levels. The current project was designed to follow these men for 6 months. Longer term evaluation is particularly important in programs designed to prevent the development of disease as only over these longer time frames can we determine whether prevention programs are truly successful.

Ron Plotnikoff T2D remain either sedentary or insufficiently active to achieve health benefits. This study examines the health

effects of practical strategies for inactive adults with T2D Finding the right approach to help patients with type 2 to get physically active. Diabetes become active The strategies are made specific to individual’s readiness People with type 2 diabetes (T2D) comprise a to get physically active including the preferred way of significant proportion of the Australian population and receiving the messages such as through print materials the prevalence of this health issue is increasing at a in the post, internet or web, mobile phone/App, or from very significant rate. Physical activity plays a key role in telephone counselling. We also plan to evaluate the T2D management and glycaemic control. Despite the cost-effectiveness of these approaches. benefits of physical activity, the majority of adults with

22 HMRI Singleton Foundation Project Grant Lisa Wood

Dietary fat and asthma Obese asthmatics are difficult to manage, as they have worse symptoms and are not responsive to asthma medications. The consumption of high fat diets may contribute to this phenomenon. “Diet and exercise are the This study will identify which drugs are optimal for obese most common combination asthmatics, particularly during exercise, even if they have consumed a high fat meal. Results will be directly of recommended healthy incorporated into disease management guidelines for patients and health professionals. lifestyle behaviours, but we have limited understanding of their interactions on many aspects of physiological function. Whether males and females respond in the same way to combinations of diet and exercise is not known...”

Leading Research 23 HMRI project grants

HMRI Project Grants are funded by the many small donations made by the community, while donors or sponsors who have contributed more than $6,000 are acknowledged as project supporters.

HMRI Events Project Grant HMRI Workplace Giving Project Grant Rob Sanson-Fisher Eugenie Lumbers, Kirsty Pringle, Kym Rae, Roger Smith

What do cancer patients think about the quality of their Predicting future renal and cardiovascular health in care? pregnant Indigenous Australian women Cancer care is complex, and may involve treatment Indigenous Australians suffer from an extremely high from different health professionals from different incidence of chronic kidney disease compared with settings. It is acknowledged that cancer not only non-Indigenous people. Low birth weight, prematurity, affects physical wellbeing, but psychosocial wellbeing, and repeated infections all contribute to this high level and may have a profound effect on family members. of kidney disease. This project will test whether the For these reasons, patient centred care is viewed levels of a protein called angiotensinogen in the urine as crucial to delivery of high quality cancer care. during pregnancy predicts long term maternal renal and This project will produce new information about the cardiovascular health. differences in cancer patients’ experiences of and This project has widespread application for all women perceptions of patient centred care. Results will and would be a significant long term contribution to identify key gaps in quality of care and provide insights women’s health. into how to address these.

Supported by HIC Services and Ord Minnett Limited

24 HMRI In Memoriam Project Grant HMRI Male Depression Clare Collins, Robin Callister, Tracy Burrows, Project Grant Lisa Wood, Tracy Schumacher Frances Kay-Lambkin, Peter Walla, Keith Nesbitt

Diet and Cardiovascular disease risk Making use of gaming technologies to help young people suffering from depression and binge drinking This project aims to develop and validate a cardiac specific Food Frequency Questionnaire (FFQ) with a Depression and binge drinking represent significant corresponding diet quality index that is aligned with community problems, particularly for young people. foods and eating patterns identified as being compatible Despite the high prevalence of these problems and with cardiovascular health. This will be achieved by the consequent need for treatment, rates of treatment comparing the responses to this cardiac-specific FFQ, access among young people remain the lowest of any completed by people with cardiovascular disease, to age group. Internet-based treatments have the potential biomarkers found in a fasting blood sample. to meet this challenge. By combining startle reflex modulation with behavioural assessment, we will, for the This questionnaire will be developed for use in both first time, have a better understanding of the cognitive paper-based and online formats so it can be used in and affective response of young people to web-based eHealth interventions and allow practitioners to pinpoint psychological treatment for depression and binge specific components of a patients adherence to dietary drinking problems. advice that require further interventional work. The results of this study can facilitate the development Supported by Ken McLaren Memorial Fund of more engaging, and thus effective interventions for young people, and provide a useful methodological approach to evaluating these domains in future treatment studies. “it will allow practitioners to Supported by Lions Club of Toronto, Lioness Club of Toronto and pinpoint specific components The Estate of the Late Reginald Leslie Radford of patients’ adherence to dietary advice that require further intervention.”

Leading Research 25 HMRI project grants

HMRI Bowel Cancer Project Grant HMRI Cancer Project Grant Stephan Ackland Lei Jin, Xu Dong Zhang

Blood pressure and blood vessel proteins as predictive A new target for melanoma treatment biomarkers to determine which patients will benefit from a There is currently no curative treatment for melanoma new chemotherapy drug for colorectal cancer once the disease spreads beyond the original site. A Standard treatment for patients with advanced new protein is emerging as an important sensor of (metastatic) colorectal cancer is now with the expensive cellular stress that can mediate both the survival and chemotherapy drug bevacizumab (Bev). Bev is thought death of cells. The role of this protein in the survival of to work by inhibiting blood vessel growth; it enhances melanoma cells and its potential as a therapeutic target the effectiveness of chemotherapy but also can cause will be investigated in this study. some side-effects such as thrombosis, bleeding, kidney disorders and heart failure. Supported by Keith Tulloch Wine and There are currently no markers for determining which Rotary Club of Newcastle patients might benefit. This project will establish whether we can identify groups of patients who do or do not benefit from the addition of Bev, so that those who do not benefit can be spared the risk of side-effects and the community can be spared the “A new protein is emerging unnecessary expense. In addition the researchers will measure several blood proteins associated with blood as an important sensor vessel function to determine their predictive capacity for treatment success. of cellular stress that can Supported by mediate both the survival Rotary District 9670 Bowelscan Committee and Hunter Area Pathology Services and death of cells.”

26 HMRI Children’s Cancer Project Grant Kathryn Skelding, Nicole Verrills

Improving survival and reducing treatment side effects in whilst leaving normal peripheral blood mononuclear childhood leukaemia and bone marrow cells untouched. Cancer is the most common cause of childhood The ultimate goal of this project is to develop a new disease-related deaths, and acute lymphoblastic therapy for childhood leukaemia that improves survival, leukaemia (A.L.L) is the most common childhood without increasing side effects and toxicity associated cancer. Whilst remission is achievable in 95% of cases, with treatment. approximately 1/3 of patients will relapse (re-develop cancer), and 20-30% of children with leukaemia will not Supported by Hunter District Hunting Club be long-term survivors. and Ablosix The major cause of relapse is drug resistance. We have developed a new drug that can kill A.L.L cells

Leading Research 27 HMRI project grants

HMRI Chronic Fatigue Project Grant HMRI Youth Health Project Grant Neil Spratt, Robin Callister Ulrich Schall

Improving Fitness, Function, Fatigue and Feelings through Young People and the Early Signs of Mental Illness physical Fun: a pilot trial for stroke survivors IFFFFF Emerging mental illness and the impact of substance Stroke is common in Australia and the number of abuse are the most significant factors affecting the health people experiencing stroke will increase with the of young people under 30. Currently, young people ageing population. Around 1 in 5 people will die in receive help once their mental illness is established. the first month after a stroke, but disability occurs in However the signs and symptoms of mental illness often more than half of the remainder. There is an urgent appear long before mental illness is diagnosed. In this need to address recovery after stroke. Additionally, proposal, stroke survivors are at much greater risk of a second Ulrich Schall will develop a model of care to assist GPs stroke. Currently, rehabilitation therapy after stroke to identify young people seeking help for their early focusses on restoring functions such as walking, symptoms of mental illness so that these young people swallowing and speech, with a primary goal of enabling can access the best specialist services and care. people to return home. Improving physical fitness, particularly cardiorespiratory fitness, receives very little Professor Scott is co-director of the Priority Research or no attention even though improving fitness has the Centre for Bioinformatics, Biomarker Discovery and potential to enhance recovery of function, prevent Information-Based Medicine, and leads the HMRI future stroke or other cardiovascular events such as Information Based Medicine Research Program. heart attacks, and improve the quality of life of stroke Supported by Lions Club of Adamstown and survivors. This study will improve our understanding of the type and extent of fitness training needed for stroke Rotary Club of Newcastle Enterprise survivors, and will inform the further develop of the fitness-training program.

Supported by The Estate of the Late Stephen James Fairfax

28 HMRI VIVA Project Grants Peter Wark Simon Keely, Jay Horvat

Immunological aging in chronic obstructive pulmonary The role of the microbiome (gut bacteria) in the disease (COPD) development of food allergy Chronic obstructive pulmonary disease (COPD) affects Food allergy affects 1 in 10 infants and 1 in 100 adults 10% of Australians over 65 years. The disease is in Australia. It is an immune driven response ranging associated with chronic airway inflammation, and from mild rashes, to gastrointestinal inflammation to life- heightened oxidative stress. In addition the disease is threatening systemic responses (anaphylaxis). punctuated by recurring chest infections, often triggered Recent evidence suggests that disruption of the by viral infections such as human rhinovirus (HRV). intestinal microbiome may influence the development of These acute episodes lead to increased symptoms, the food allergy. This study will examine the role of antibiotic need for medications and often result in hospitalisation disruption of the intestinal microbiome in the progression and disease progression. It remains unclear as to why and pathogenesis of food allergy. subjects with COPD are so susceptible to the effects of Early life antibiotic exposure is important in later RV infection. food allergy reactions and can replenishing specific This project will determine if immunosenescence (an age populations of the microbiome reduce food allergy dependent decrease in the immune system) is evident in severity. bronchial epithelial cells from COPD patients and does this affect the ability of these cells to respond to infection Supported by Hunter District Hunting Club and repair. and Ablosix

Supported by Stroud Rodeo Association and The Good Guys Foundation

Leading Research 29 Allocated Throughout the year HMRI receives community funding through research applications to trusts and foundations, as well as donor-specified projects. This funding is in addition to that distributed through the project grants annual grants round. The list below acknowledges the many generous individuals, community groups and companies who contributed significant grants and funding to HMRI research throughout 2013.

The Gastronomic Lunch of the Year, supporting: Quota International District 28, supporting: Rodney Scott, Frank Alvaro, Tiffany-Jane Chris Levi Evans, Elizabeth Milne, Bruce Armstrong, John Ongoing support for current study in stroke research Attia and Elizabeth Holliday

Happy Healthy Children: A genome wide association study Oxford Hockey Club, and Bob & Paula on childhood brain tumours Cameron, supporting: Nikola Bowden MM Sawyer Estate, supporting: Development of a chemotherapy response/resistance test Brianna Morten, Kelly Avery-Kiejda and for ovarian cancer Rodney Scott The function of the delta-40p53 isoform in breast cancer The Marian & E H Flack Trust, supporting: Nikola Bowden Development of a genetic test for diagnosis of childhood Novo Nordisk Pharmaceuticals, supporting: skin cancer and neurological disorders Bruce King, Prudence Lopez and Carmel Smart

What is the impact of meals of varying fat and protein Tour Des Femmes, supporting: content on postprandial blood glucose level in children and young people with type 1 diabetes mellitus? Carmel Loughland Here’s looking at you kid: Face processing, emotional availability and reflective functioning in mothers with post Telethon Institute for Child Health Research, natal depression supporting: Bruce King The AdDIT Study

30 Asthma Australia, supporting: beyondblue, supporting: Hashim Periyalil, Peter Gibson and Lisa Wood Robin Callister and Brian Kelly Immunometabolism In Obese Asthmatics Healthy Body, Healthy Mind: An exercise intervention for the treatment of youth depression

Australian Institute of Sport, supporting: Brian Kelly, John Attia, Frances Kay-Lambkin, Lisa Wood, David Pyne, Maree Gleeson and Terry Lewin, Amanda Baker and Trevor Hazell Robin Callister Men, Depression and social networks in rural communities: Dietary antioxidant intervention for reversal of airway linking epidemiologic evidence to effective interventions inflammation and respiratory illness in athletes

Thyne Reid Foundation, supporting: Kiriwina Investment Company, supporting: Roger Smith and Kym Rae Heidi Janssen, Neil Spratt and Michael Nilsson Reduction of teenage pregnancy in Aboriginal Communities Enriched environment in rehabilitation- A phase 2 trial Project

Pablo Moscato The Greater Charitable Foundation, supporting: Towards an early detection of clinical symptoms of Neil Spratt, Mark Parsons and Chris Levi Alzheimer’s disease Greater Charitable Foundation Fellows in Stroke Research

Bob and Terry Kennedy, supporting: Roger Smith Protecting pregnant women from death during influenza epidemics

Leading Research 31 Allocated research project grants

nib Foundation, supporting: The Bloomfield Group Foundation, supporting: John Wiggers, Elizabeth Campbell, Kelly Avery-Kiejda and Rodney Scott Luke Wolfenden, Jennifer Bowman and Small p53 isoforms, BIG implications for treatment Megan Freund response in breast cancer Healthy schools, healthy futures Coal & Allied Community Development Fund, Michael and Felicity Thomson, supporting: supporting: Kristine Pezdirc, Clare Collins and Melinda Neve Phil Morgan, David Lubans, Clare Collins, Robin Callister and Ron Plotnikoff The development and evaluation of an eHealth weight loss intervention for young overweight women Translation of the healthy dads healthy kids program in local communities: Transitioning for sustainability

Tracy Schumacher, Clare Collins and Tracy Burrows The investigation of factors affecting the success of family based dietary interventions for parents experiencing CVD events

Mark Smith, supporting: Karen Ribbons and Jeannette Lechner-Scott Mark Smith Multiple Sclerosis Research Project Grant: The cytokine gene expression profile in multiple sclerosis patients with chronic fatigue

32 Leading Research 33 HMRI 2012-13 supporters

Life Governor DFK Crosbie Cutcher & Neale Jennie Thomas AM Dalara Foundation Diabetes Australia Research Trust (DART) Major Supporters Kath Elliott Farrow Wyatt Chartered Accountants nib foundation The Marian & E H Flack Trust Thyne Reid Foundation Forsythes Recruitment Greater Building Society Ltd “Gastronomic Lunch of the Year Jennie Thomas AM (Neil Slater)” Gibson Nominees Pty Limited Supporters Jodie Gillespie Memorial Ablosix Pty Ltd The Good Guys Foundation AHA Charity & Social Club Greater Charitable Foundation AmpControl Pty Ltd Greaves Family Richard & Paula Anicich R Hall & Son Pty Ltd Asthma Australia Hudson Global Resources Australasian Paediatric Endocrine Group Hunter Breast Cancer Foundation Australian Financial Risk Management Hunter District Hunting Club Australian Institute of Sport Hunter Irrigation & Water Solutions Australian Unity - Retirement Living Hunter Land beyondblue Hunter Laser Vision Pty Ltd The Bloomfield Group Foundation Hunter Motor Group Ann Bone J & J Lidbury Pty Ltd Bowel of the Ball Bob & Terry Kennedy Alistair S Bowman Kiah Lodge Residents Association Nona Broadbent Kiriwina Investment Company Graham Brown Leonard Investment Group Karen Brown Memorial Lions Club of Adamstown Robert & Paula Cameron Lions Club of Toronto Cancer Information & Support Society (Hunter Valley Lioness Club of Toronto Branch) Lions District 201N3 Diabetes Foundation Capability Resources Pty Ltd Macquarie Generation Colour Works Maitland Cancer Appeal Committee Inc

34 Markey Group Pty Ltd “Mark Smith Peter & Lisa McKinnon (Stephen & Moira Graves)” Ken McLaren Memorial Alexander & Alma Sneddon Gillian McDonald Sparke Helmore / NBN Triathlon McDonald Jones Charitable Foundation Anthony P Stokes Chris McNally Memorial Stronach Property Pty Limited Ian S Miller Stroud Rodeo Association “MM Sawyer Estate Katie Jane Sutter Memorial (Craig Sawyer & Kellie Melrose)” Anthony Sweetman Memorial Fund nabhealth Tainn Hunter Classic Newcastle Radiology Telethon Institute for Child Health Research nib foundation The Junction Hotel Novo Nordisk Pharmaceuticals The Mutual Building Society Limited Octobrick Pty Ltd Thyne Reid Foundation One to One from Us to You Michael & Felicity Thomson Oxfords Hockey Club Tomago Aluminium Christopher & Shirley Piggott Tour des Femmes Pitcher Partners Newcastle & Hunter Tri Nature Lifestyle Port Waratah Coal Services Keith Tulloch Wine Quota International District 28 Peter & Karen Vaughan Quota International of Glen Innes Inc. VBD Chartered Accountants Ranjenko Pty Ltd “A View for a Cause Rio Tinto Australia (Glenda Arnell)” Roadhound Electronics Pty Ltd Wanderers Rugby Union Club Robert Crawford Real Estate Wangi Lions Club Inc Robinson Property Warren Ellis Plumbing Rotary Club of Newcastle Brad Webb & Paul Craven Rotary Club of Newcastle Enterprise Mark Wells Rotary Club of Newcastle Sunrise West Wallsend High School Rotary District 9670 Bowelscan Committee Wests Group Australia RPS Australia East Pty Ltd Whiteley Corporation Ken Russell Memorial Tammy Wilson Valerie & John Ryan Legacy Ski for Kids

Leading Research 35 HMRI 2012-13 supporters

Sponsors peoplefusion Peter Herd’s Floral Design Studio 1233 ABC Newcastle & School of Floral Design AHL Port Waratah Coal Services APP Corporation Pty Limited Prestige Party Hire Rodney Bathgate PricewaterhouseCoopers Blue Star Catering Robert Crawford Real Estate BT Financial Group Scion Audio Class Power Systems Scratchleys On The Wharf Crowne Plaza Newcastle Signed Editions De Iuliis Wines Silo Restaurant & Lounge DFK Crosbie SNP Security Domayne Kotara Sparke Helmore Lawyers James Drinkwater Sprout Catering FlexiTherm Australia Pty Ltd Street Real Estate Jaye Ford Tamburlaine Wines FordComm VBD Chartered Accountants Gallerie Fine Jewellery Walkom Real Estate Greater Building Society Ltd Susan Weaver Greg Tapp Printing Wilson Mining Services Pty Ltd Harbourview Function Centre Vicki & Bruce Woods Hexham Bowling Club Visionista HIC Services James Estate Wines The Landing Bar & Kitchen HMRI Bequestors Maitland Painting Solutions Pty Ltd Joyce Bogner Markey Group Pty Ltd Ruth Dixon McCarroll Automotive Group Stephen James Fairfax Sophie Mill George Maurice Healey The Mobile Shredding Company Elaine Heyworth Moet-hennessey James Scott Lawrie Moray & Agnew Leslie Kenneth MacFarlane MRA Electrical & Automation Engineering Margaret McGuire MYER Ferma Armstrong McLean Neon Zoo Reginald Leslie Radford Newcastle Innovation Limited Rolf Heinz Sonntag Newcastle Permanent Building Society David John Williams nib Health Funds Janet Helen Winn Ord Minnett Limited Ernest Crescik Wright Paymaster’s Café

36 Governance HMRI Board, Research Council and Foundation Financial Snapshot Scientific Publications

37 HMRI board, foundation & research council

HMRI Board

The HMRI Board oversees the management and strategic direction of HMRI, comprising three independent Directors from each of HMRI’s principal partners – Hunter New England Local Health District, the University of Newcastle and the community. The Chair of the Board is also a community appointment. The Chair of the HMRI Foundation and the Director of HMRI are also offered a position on the HMRI Board.

Community The University of Newcastle

Mr Glenn Turner - Chair (appointed Chair March 2013) Professor Caroline McMillen Vice-Chancellor and President, UoN Mr Robert (Bob) Kennedy (resigned March 2013) HMRI Corporate Governance Committee Director, Beyond Broke Vineyard, Hunter Valley HMRI Board Development Committee Professor Michael Calford (resigned October 2013) HMRI Building Committee Deputy Vice-Chancellor (Research), UoN HMRI Director Recruitment Committee HMRI Board Development Committee Mr Hilton Grugeon AM HMRI Building Committee HMRI Director Recruitment Committee Director, Hunter Land Pty Ltd HMRI Building Committee Professional Nicholas Talley Pro-Vice Chancellor, Faculty of Health, UoN Mr Neville Sawyer AM

Company Director HMRI Audit and Risk Management Committee HMRI Board Development Committee Professor Michael Nilsson HMRI Director (appointed March 2012) Hunter New England Local Health District Jann Gardner Mr Michael DiRienzo Chair, Foundation Chief Executive, HNE Health HMRI Board Development Committee Mr Bradley Webb Ms Tracey McCosker Company Secretary Director of Clinical Operations, HNE Health HMRI Chief Operating Officer HMRI Building Committee HMRI Corporate Governance Committee HMRI Director Recruitment Committee Dr Nigel Lyons Acting Deputy Director-General Strategic Development, NSW Health HMRI Board Development Committee

38 HMRI Foundation Research Council

The HMRI Foundation is a group of highly qualified The HMRI Research Council includes the Program community leaders, who volunteer their time and Leaders from each of HMRI’s seven Research Programs, expertise to oversee the direction of HMRI’s marketing, as well as representatives from the Hunter Children’s communications and fundraising activities. The Research Executive, Hunter New England Local Health Foundation reports to the HMRI Board, and the Chair of District, the University of Newcastle and the HMRI Clinical the Foundation is invited to be a member of the HMRI Trials Support Unit. The Research Council reports to the Board. HMRI Board.

Mrs Jann Gardner – Chair Laureate Professor Paul Foster – Chair Mr Mark Alexander Professor Steven Ackland Professor John Aitken Mr Richard Anicich (resigned September 2013) Dr Dinesh Arya (resigned February 2013) Ms Kristie Atkins Professor John Attia Mrs Jan Bynon Professor Julie Byles Mr Stephen Connell Associate Professor Christopher Dayas Mr Geoffrey Crews Professor Catherine D’Este Mrs Carol Duncan (resigned March 2013) Professor Chris Doran Mrs Christine Gregson (resigned September 2013) Professor Peter Gibson Mr Mark Gusse (resigned September 2013) Professor Chris Levi

Mr Anthony Hall (resigned September 2013) Professor Joerg Mattes

Mr Mark Heanly (appointed September 2013) Professor Pablo Moscato Professor Caroline Mountford Mr John Henderson (Chair, Singleton Foundation) Professor Ronald Plotnikoff Mr Brett Lewis Professor John Rostas Mrs Lynn Mangovski Laureate Professor Rob Sanson-Fisher AO Mrs Simmone Markey Professor Rodney Scott Mr Stephen Mount Associate Professor Andrew Searles Ms Kellie O’Sullivan (Chair, PULSE) Professor Roger Smith AM Ms Heidi Pollard Associate Professor Dirk van Helden Mr Glenn Turner Professor John Wiggers Ms Sonia Walkom Associate Professor Ian Wright Mrs Vicki Woods Professor Xu Dong Zhang

39 2012-13 financial snapshot

Financial Snapshot

Income Statement For the year ended 30 June 2013 2013 2012 ($’000) ($’000) Revenue Fundraising and philanthropic funding 2,900 3,082 Research funding 57 38 Infrastructure funding 10,043 4,620 Capital funding including Capital Campaign 248 26,749 Investment income 188 245

Total Revenue 13,438 34,734 Expenditure Research expenditure 10,022 7,624 Fundraising event expenditure 114 150 Fundraising administration expenditure 563 599 Depreciation and amortisation expense 2,711 85 Other expenditure 295 49

Total Expenditure 13,706 8,507 Retained Surplus - 268 26,227

40 Balance Sheet For the year ended 30 June 2013 2013 2012 ($’000) ($’000)

Current Assets 13,531 18,745 Held to maturity investments 2,372 867 Property, plant and equipment 90,103 88,573 Intangible assets - 13

Total Assets 106,006 108,198

Trade and other payables 2,068 4,255 Provisions 1,431 1,168

Total Liabilities 3,499 5,423 Net Assets 102,507 102,775

Represented by:

Accumulated Surplus 102,507 102,775

A full copy of the audited annual financial statements are available online at www.hmri.com.au or can be requested by phoning (02) 4042 0000.

41 Publications The 2013 Research Publications listing is provided by Research Services at the University of Newcastle, and is listing accurate as of July 2014.

with anastrazole or tamoxifen: a TransATAC Stroke Outcome Measures Reflect Quality of study’, BREAST CANCER RESEARCH AND Life?: A Retrospective Analysis of Clinical Trial TREATMENT, 140 253-262 (2013) [C1] Data’, Stroke, 44 3161-3165 (2013) [C1] Aitken RJ, ‘Can spermatozoa respond Al-jadani H, Patterson A, Sibbritt D, Collins to changes in their redox status with the C, ‘The Association Between Diet Quality selective activation of gene transcription?’, and Weight Change in Adults Over Time: A Aberg ND, Olsson S, Aberg D, Jood K, Antioxidants and Redox Signaling, 18 184- Systematic Review of Prospective Cohort Stanne TM, Nilsson M, et al., ‘Genetic 185 (2013) [C3] Studies’, Diet Quality: An Evidence Based variation at the IGF1 locus shows association Aitken RJ, ‘Falling sperm counts twenty years Approach Volume 2, Humana Press, New with post-stroke outcome and to circulating on: where are we now?’, ASIAN JOURNAL York 3-27 (2013) [B1] IGF1’, EUROPEAN JOURNAL OF OF ANDROLOGY, 15 204-207 (2013) [C3] Al-jadani H, Patterson AJ, Sibbritt A, Collins ENDOCRINOLOGY, 169 759-765 (2013) [C1] Aitken RJ, ‘Human spermatozoa: Revelations CE, ‘The Association Between Dietary Absalom NL, Quek G, Lewis TM, Qudah T, on the road to conception’, F1000Prime Patterns and Weight Change in Adults Over von Arenstorff I, Ambrus JI, et al., ‘Covalent Reports, 5 (2013) [C2] Time: A Systematic Review of Studies with Trapping of Methyllycaconitine at the Follow up’, JBI Library of Systematic Reviews, Aitken RJ, Baker MA, ‘Causes and 11 272-316 (2013) [C1] alpha 4-alpha 4 Interface of the alpha 4 consequences of apoptosis in spermatozoa; beta 2 Nicotinic Acetylcholine Receptor contributions to infertility and impacts on Aljadani HM, Patterson A, Hutchesson MJ, ANTAGONIST BINDING SITE AND MODE development’, International Journal of Jensen ME, Collins CE, Sibbritt D, ‘Diet OF RECEPTOR INHIBITION REVEALED’, Developmental Biology, 57 265-272 (2013) quality, measured by fruit and vegetable JOURNAL OF BIOLOGICAL CHEMISTRY, [C1] intake, predicts weight change in young 288 26521-26532 (2013) women’, Journal of Obesity, 2013 (2013) [C1] Aitken RJ, Baker MA, ‘Oxidative stress, “Acikyol B, Graham RM, Trinder D, House MJ, spermatozoa and leukocytic infiltration: Aljadani HMA, Sibbritt D, Patterson A, Olynyk JK, Scott RJ, et al., ‘ Relationships forged by the opposing Collins C, ‘The Australian Recommended Brain transcriptome perturbations in the forces of microbial invasion and the search Food Score did not predict weight gain in transferrin receptor 2 mutant mouse support for perfection’, Journal of Reproductive middle-aged Australian women during six the case for brain changes in iron loading Immunology, 100 11-19 (2013) [C1] years of follow-up’, AUSTRALIAN AND NEW disorders, including effects relating to long- ZEALAND JOURNAL OF PUBLIC HEALTH, Aitken RJ, Bronson R, Smith TB, De Iuliis GN, 37 322-328 (2013) [C1] term depression and long-term potentiation’, ‘The source and significance of DNA damage Neuroscience, 235 119-128 (2013) [C1]” in human spermatozoa; a commentary on Alkhatatbeh MJ, Enjeti AK, Acharya S, Thorne “Ackland S, Fukuda Y, ‘ diagnostic strategies and straw man fallacies’, RF, Lincz LF, ‘The origin of circulating CD36 Molecular Human Reproduction, 19 475-485 in type 2 diabetes’, NUTRITION & DIABETES, 2012: Year in Review - from dragons to 3 (2013) [C1] snakes’, Asia-Pacific Journal of Clinical (2013) [C1] Oncology, 9 1-1 (2013) [C3]” Aitken RJ, Nixon B, ‘Sperm capacitation: a Allcroft P, Margitanovic V, Greene A, Agar distant landscape glimpsed but unexplored’, MR, Clark K, Abernethy AP, Currow DC, ‘The Ackland S, Goldstein D, McJannett M, ‘Forty Role of Benzodiazepines in Breathlessness: years of COSA - Contributions to oncology Molecular Human Reproduction, 19 785-793 (2013) [C1] A Single Site, Open Label Pilot of teaching and research’, Cancer Forum, 37 Sustained Release Morphine Together with 238-242 (2013) [C2] Aitken RJ, Smith TB, Lord T, Kuczera L, Clonazepam’, Journal of Palliative Medicine, Adams J, Primary Health Care and Koppers AJ, Naumovski N, et al., ‘On 16 741-744 (2013) [C1] Complementary and Integrative Medicine, methods for the detection of reactive oxygen species generation by human spermatozoa: Allen GE, Wilson SK, Isbister GK, Imperial College Press, New Jersey, NY, 256 ‘Paroplocephalus envenoming: a previously (2013)[A2] analysis of the cellular responses to catechol oestrogen, lipid aldehyde, menadione and unrecognised highly venomous snake Adams J, Magin PJ, Broom A, ‘Introduction’, arachidonic acid’, Andrology, 1 192-205 in Australia’, MEDICAL JOURNAL OF Primary Health Care and Complementary and (2013) [C1] AUSTRALIA, 199 792-793 (2013) [C3] Integrative Medicine, Imperial College Press, Allen J, Inder KJ, Harris ML, Lewin TJ, London 1-7 (2013) [B2] Alhazmi A, Stojanovski E, McEvoy M, Garg ML, ‘Association between whole blood Attia JR, Kelly BJ, ‘Quality of life impact Adams J, Sibbritt D, Broom A, Loxton D, omega-3 fatty acids and type 2 diabetes’, of cardiovascular and affective conditions Wardle J, Pirotta M, Lui C, ‘Complementary Proceedings of the Australasian Section of among older residents from urban and rural and Alternative Medicine Consultations in the American Oil Chemists’ Society Biannual communities’, HEALTH AND QUALITY OF Urban and Nonurban Areas: A National meeting, Newcastle, NSW (2013)[E3] LIFE OUTCOMES, 11 (2013) [C1] Survey of 1427 Australian Women’, Journal of Alhazmi A, Stojanovski E, McEvoy M, Garg Allen J, Inder KJ, Lewin TJ, Attia JR, Kay- Manipulative and Physiological Therapeutics, Lambkin FJ, Baker AL, et al., ‘Integrating 36 12-19 (2013) [C1] ML, ‘Evaluation of macronutrient intake in relation to type 2 diabetes risk’, Proceedings and extending cohort studies: lessons from Adams V, Mathisen B, Baines S, Lazarus of the 7th International DIP Symposium on the eXtending Treatments, Education and C, Callister R, ‘A Systematic Review and Diabetes, Hypertension, Metabolic Syndrome, Networks in Depression (xTEND) study’, BMC Meta-analysis of Measurements of Tongue and Pregnancy, Florence, Italy (2013)[E3] Medical Research Methodology, 13 (2013) and Hand Strength and Endurance Using the [C1] Alhazmi A, Stojanovski E, McEvoy M, Garg Iowa Oral Performance Instrument (IOPI)’, Allen J, Inder KJ, Lewin TJ, Attia JR, Kelly DYSPHAGIA, 28 350-369 (2013) [C1] ML, ‘High quality diet associated with a lower risk of type 2 diabetes’, Proceedings BJ, ‘Construct validity of the Assessment of Adib-Samii P, Rost N, Traylor M, Devan W, of The Australian Diabetes Society (ADS) and Quality of Life - 6D (AQoL-6D) in community Biffi A, Lanfranconi S, et al., ‘17q25 Locus is Australian Diabetes Educators Association samples’, HEALTH AND QUALITY OF LIFE associated with white matter hyperintensity (ADEA) annual scientific meeting, Sydney, OUTCOMES, 11 (2013) [C1] volume in ischemic stroke, but not with NSW (2013)[E3] Allman-Farinelli M, Byron A, Collins C, Gifford lacunar stroke status’, Stroke, 44 1609-1615 J, Williams P, ‘Challenges and lessons from (2013) [C1] Alhazmi A, Stojanovski E, McEvoy M, Garg ML, ‘Total carbohydrate intake does not systematic literature reviews for the Australian Adili F, Higgins I, Koch T, ‘Older women and predict type 2 diabetes risk in mid-age dietary guidelines’, Australian Journal of chronic illness: Transitioning and learning to women’, Proceedings of the The Australian Primary Health, - (2013) [C1] live with diabetes’, Action Research, 11 142- Diabetes Society (ADS) and Australian Anderson AE, Hure AJ, Forder P, Powers 156 (2013) [C1] Diabetes Educators Association (ADEA) JR, Loxton DJ, Kay-Lambkin FJ, ‘Predictors Afentakis M, Dowsett M, Sestak I, annual scientific meeting, Sydney, NSW of antenatal alcohol use among Australian Salter J, Howell T, Buzdar A, et al., (2013)[E3] women: A prospective cohort study’, BJOG: ‘Immunohistochemical BAG1 expression Ali M, Fulton R, Quinn T, Brady M, Lees KR, An International Journal of Obstetrics and improves the estimation of residual risk by Alexandrov A, et al., ‘How Well Do Standard Gynaecology, 120 1366-1374 (2013) [C1] IHC4 in postmenopausal patients treated

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57 and Functioning Reflected by Variations in targeting physical activity to increase activity Reporting Doctor-Diagnosed Osteoarthritis’, and improve glucose control in adults with Publications ARTHRITIS CARE & RESEARCH, 65 945-953 type 2 diabetes’, Evidence-Based Medicine, (2013) [C1] (2013) [C3] listing Periyalil HA, Gibson PG, Wood LG, Plotnikoff RC, Costigan SA, Karunamuni ‘Immunometabolism in obese asthmatics: N, Lubans DR, ‘Social cognitive theories Are we there yet?’, Nutrients, 5 3506-3530 used to explain physical activity behavior in (2013) [C1] adolescents: A systematic review and meta- Perkins D, Fuller J, Kelly BJ, Lewin TJ, analysis’, PREVENTIVE MEDICINE, 56 245- Fitzgerald M, Coleman C, et al., ‘Factors 253 (2013) [C1] associated with reported service use for Plotnikoff RC, Costigan SA, Karunamuni ND, mental health problems by residents of rural Lubans DR, ‘Community-based physical and remote communities: cross-sectional activity interventions for treatment of type findings from a baseline survey’, BMC 2 diabetes: a systematic review with meta- HEALTH SERVICES RESEARCH, 13 (2013) analysis.’, Frontiers in Endocrinology, 4 (2013) [C1] [C1] modern methods reveal insights in measles epidemiology: a retrospective closed cohort Phang M, Lincz LF, Garg ML, Plotnikoff RC, Karunamuni N, Courneya KS, study’, BMJ OPEN, 3 (2013) [C1] ‘Eicosapentaenoic and Docosahexaenoic Sigal RJ, Johnson JA, Johnson ST, ‘The Acid Supplementations Reduce Platelet Alberta Diabetes and Physical Activity Trial Paul C, Sanson-Fisher R, Carey M, Aggregation and Hemostatic Markers (ADAPT): A Randomized Trial Evaluating ‘Measuring psychosocial outcomes: is Differentially in Men and Women’, JOURNAL Theory-Based Interventions to Increase the consumer or the professional the best OF NUTRITION, 143 457-463 (2013) [C1] Physical Activity in Adults with Type 2 judge?’, European Journal of Cancer Care, 22 Diabetes’, ANNALS OF BEHAVIORAL 281-288 (2013) [C1] Phillips RL, Olds T, Boshoff K, Lane AE, ‘Measuring activity and participation in MEDICINE, 45 45-56 (2013) [C1] Paul CL, Carey M, Yoong SL, D’Este C, children and adolescents with disabilities: Plotnikoff RC, Lubans DR, Costigan SA, Henskens F, Makeham M, ‘Access to A literature review of available instruments’, McCargar L, ‘A Test of the Theory of Planned chronic disease care in general practice: The AUSTRALIAN OCCUPATIONAL THERAPY Behavior to Predict Physical Activity in an acceptability of implementing systematic JOURNAL, 60 288-300 (2013) Overweight/Obese Population Sample of waiting-room screening using computer- Adolescents From Alberta, Canada’, HEALTH based patient-reported risk status’, British Phongsavan P, Grunseit AC, Bauman A, EDUCATION & BEHAVIOR, 40 415-425 Journal of General Practice, 63 (2013) [C1] Broom D, Byles J, Clarke J, et al., ‘Age, Gender, Social Contacts, and Psychological (2013) [C1] Paul CL, Carey ML, Sanson-Fisher RW, Distress: Findings From the 45 and Up Plotnikoff RC, Lubans DR, Penfold CM, Houlcroft LE, Turon HE, ‘The impact of Study’, Journal of Aging and Health, 25 921- Courneya KS, ‘A test of three social cognitive web-based approaches on psychosocial 943 (2013) [C1] models in predicting physical activity over health in chronic physical and mental health 18-months.’, ( pp.-): - (2013) conditions’, Health Education Research, 28 Picelli S, Lorenzo Bermejo J, Chang-Claude 450-471 (2013) [C1] J, Hoffmeister M, Fernandez-Rozadilla Polkinghorne BG, MacIntyre CR, Massey C, Carracedo A, et al., ‘Meta-Analysis of PD, Durrheim DN, Byrnes T, ‘Prevention Paul CL, Hall AE, Carey ML, Cameron EC, Mismatch Repair Polymorphisms within the and surveillance of public health risks during Clinton-Mcharg T, ‘Access to care and Cogent Consortium for Colorectal Cancer extended mass gatherings in rural areas: The impacts of cancer on daily life: Do they differ Susceptibility’, PLOS ONE, 8 (2013) [C1] experience of the Tamworth Country Music for metropolitan versus regional hematological Festival, Australia’, Public Health, 127 32-38 cancer survivors?’, Journal of Rural Health, 29 Pich J, Hazelton M, Kable A, ‘Violent (2013) [C1] (2013) [C1] behaviour from young adults and the parents of paediatric patients in the emergency Pomeroy VM, Walker AA, Kennedy N, Ward Paul CL, McLennan J, Baxendale A, department’, International Emergency NS, Lemon RN, Rothwell J, et al., ‘FAST Schnelle B, Rawson J, Turon HE, Tzelepis F, Nursing, 21 157-162 (2013) [C1] INdiCATE Trial protocol. Clinical efficacy of ‘Implementation of a personalized workplace functional strength training for upper limb smoking cessation programme.’, Occup Med Pigford AE, Fehderau DD, Ball GDC, Holt motor recovery early after stroke: Neural (Lond), 63 568-574 (2013) [C1] NL, Plotnikoff RC, Veugelers PJ, et al., ‘Community-based Participatory Research correlates and prognostic indicators’, Paul CL, Piterman L, Shaw J, Kirby C, to Address Childhood Obesity: Experiences International Journal of Stroke, (2013) [C3] Sanson-Fisher RW, Carey ML, et al., from Alexander First Nation in Canada.’, Pond CD, Mate KE, Phillips J, Stocks ‘Diabetes in rural towns: effectiveness of Pimatisiwin, 11 171-185 (2013) [C1] NP, Magin PJ, Weaver N, Brodaty H, continuing education and feedback for ‘Predictors of agreement between general healthcare providers in altering diabetes Pitt V, Levett-Jones T, Hunter S, Powis practitioner detection of dementia and the outcomes at a population level: protocol D, ‘The influence of personal qualities on revised Cambridge Cognitive Assessment for a cluster randomised controlled trial’, performance and progression in a pre- (CAMCOG-R)’, INTERNATIONAL IMPLEMENTATION SCIENCE, 8 (2013) [C3] registration nursing programme’, Nurse Education Today, (2013) PSYCHOGERIATRICS, 25 1639-1647 (2013) Paul CL, Turon H, Bonevski B, Bryant [C1] J, McElduff P, ‘A cross-sectional survey Pitt V, Powis D, Levett-Jones T, Hunter S, Porsbjerg CM, Gibson PG, Pretto JJ, of experts’ opinions about the relative ‘Can an existing personal qualities measure Salome CM, Brown NJ, Berend N, King GG, effectiveness of tobacco control strategies for be used to examine nursing students ‘Relationship between airway pathophysiology the general population versus disadvantaged professional and personal attributes?’, Focus and airway inflammation in older asthmatics’, groups: What do we choose in the absence on Health Professional Education: A Multi- RESPIROLOGY, 18 1128-1134 (2013) [C1] of evidence?’, BMC Public Health, 13 (2013) disciplinary Journal, 15 41-54 (2013) [C1] [C1] Plangpongpan S, Rossiter RC, Hazelton Poulsen EE, Sibbritt D, McLaughlin D, Adams J, Pachana NA, ‘Predictors of Peacock A, Bruno R, Martin FH, ‘Valid M, ‘Crises in Care-giving - An Enduring Complementary and Alternative Medicine Points, But the Trends Remain: A Response State: Implications for Service Development (CAM) use in two cohorts of Australian to Rossheim, Suzuki, and Thombs (In in Thailand’, Journal of the Psychiatric women’, International Psychogeriatrics, 25 Press)’, ALCOHOLISM-CLINICAL AND Association of Thailand, 58 333-344 (2013) 168-170 (2013) [C3] EXPERIMENTAL RESEARCH, 37 2171-2174 [C1] (2013) [C3] Plank M, Maltby S, Foster PS, Mattes J, Powell H, McCaffery K, Murphy VE, Hensley MJ, Clifton VL, Giles W, Gibson PG, Peacock A, Bruno R, Martin FH, Carr A, ‘Targeting translational control as a novel way ‘Psychosocial Variables Are Related to Future ‘The Impact of Alcohol and Energy Drink to treat inflammatory disease: The emerging Exacerbation Risk and Perinatal Outcomes in Consumption on Intoxication and Risk-Taking role of MicroRNAs’, Clinical and Experimental Pregnant Women with Asthma’, JOURNAL Behavior’, ALCOHOLISM-CLINICAL AND Allergy, 43 981-999 (2013) [C1] OF ASTHMA, 50 383-389 (2013) [C1] EXPERIMENTAL RESEARCH, 37 1234-1242 Plank M, Maltby S, Mattes J, Foster PS, (2013) [C1] ‘Targeting translational control as a novel way Powers JR, Loxton DJ, O’Mara AT, Chojenta CL, Ebert L, ‘Regardless of where they give Peacock A, Martin FH, Carr A, ‘Energy drink to treat inflammatory disease: the emerging birth, women living in non-metropolitan areas ingredients. 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