15.12.2012 Views

Honours Project Book - Faculty of Health Sciences - University of ...

Honours Project Book - Faculty of Health Sciences - University of ...

Honours Project Book - Faculty of Health Sciences - University of ...

SHOW MORE
SHOW LESS

You also want an ePaper? Increase the reach of your titles

YUMPU automatically turns print PDFs into web optimized ePapers that Google loves.

Philippa Middleton<br />

Contact Person<br />

Pr<strong>of</strong>essor Caroline Crowther<br />

Phone: 8161 7619<br />

caroline.crowther@adelaide.edu.au<br />

<strong>Project</strong> Background<br />

Clinical research results showing treatments to be<br />

effective are worthless if this information is not then<br />

used by health care workers to benefit their patients.<br />

Several projects will by audit techniques identify<br />

evidence-practice gaps in maternity care and<br />

Breast Biology and Cancer<br />

Supervisors<br />

A/Pr<strong>of</strong> Wendy Ingman<br />

Dr Danielle Glynn<br />

explore reasons for these. Audits will be conducted <strong>of</strong><br />

care practices:<br />

• preconception<br />

• antenatal period<br />

Expected outcomes<br />

Identification <strong>of</strong> care practices where there is an<br />

evidence-practice gap, and exploring the reasons<br />

why. This will lead on to planning intervention studies<br />

to improve patient care.<br />

Keywords<br />

Evidence-practice gap, audit, barrier analysis.<br />

Location: Medical School and The Queen Elizabeth Hospital (TQEH)<br />

Contact Person<br />

A/Pr<strong>of</strong> Wendy Ingman<br />

Phone: 8313 4100 (Medical School) or 8222 6141 (TQEH)<br />

wendy.ingman@adelaide.edu.au<br />

Breast cancer is the most prevalent type <strong>of</strong> cancer among women, with approximately 13,000 new cases<br />

diagnosed each year in Australia. The aim <strong>of</strong> our research is to understand the cellular and molecular mechanisms<br />

that underpin this high incidence <strong>of</strong> breast cancer. We study how key risk factors, including menstrual cycling and<br />

breast density, lead to increased susceptibility <strong>of</strong> the mammary gland to cancer, with specific focus on how these<br />

risk factors affect the ability <strong>of</strong> the immune system to protect this unique tissue against carcinogens and other<br />

cancer initiating factors. The overarching objective <strong>of</strong> this research is to provide therapies that reduce a woman's<br />

lifetime risk <strong>of</strong> developing breast cancer.<br />

In addition to studies on breast cancer susceptibility, we also conduct mastitis research. Mastitis is a common<br />

inflammatory disease in lactating women that causes pain, fever, low milk supply and leads many to cease<br />

breastfeeding. This research explores the cellular mechanisms that lead to inflammation, and investigates potential<br />

therapies to quickly and effectively stop the symptoms <strong>of</strong> mastitis.<br />

PROJECT: (Basic) Cytokine expression in breast<br />

epithelial cells.<br />

R. O&G.<br />

<strong>Project</strong> Background<br />

Previous research in our laboratory has shown that<br />

macrophage phenotype and function in the<br />

mammary gland fluctuate in response to the<br />

changing hormone environment during the estrous<br />

cycle (which is the mouse equivalent to the human<br />

menstrual cycle). This is significant because the<br />

number <strong>of</strong> menstrual cycles a woman experiences in<br />

her lifetime is an important determinant <strong>of</strong> breast<br />

cancer risk. Macrophage function is dependent on<br />

the types <strong>of</strong> cytokines the cell is exposed to. This<br />

project will investigate cytokine production by<br />

human breast epithelial cells in vitro, in response to<br />

ovarian hormone stimulation.<br />

PROJECT: (Basic) Inflammation and mastitis.<br />

R. O&G.<br />

<strong>Project</strong> Background<br />

Mastitis is a common inflammatory condition that<br />

affects 15-20% <strong>of</strong> lactating women in the first 6<br />

months postpartum. It causes fever, pain, reduced<br />

milk production and leads many women to cease<br />

breastfeeding. Although bacterial infection is highly<br />

associated with mastitis in dairy cows, the link<br />

between infection and mastitis in women is less clear.<br />

A family <strong>of</strong> inflammatory signalling pathways have<br />

been identified as playing a crucial role in generating<br />

the symptoms <strong>of</strong> mastitis. These pathways are known<br />

to be stimulated by not only bacteria and their by-<br />

16 |

Hooray! Your file is uploaded and ready to be published.

Saved successfully!

Ooh no, something went wrong!