UniSA’s sleep lab uncovering impacts of night work, poor quality ZZZs

Sleep – it’s as essential as breathing and as crucial as eating. But are we getting enough shut-eye?

“No,” says Professor Siobhan Banks from the University of South Australia’s Centre for Sleep Research.

“We’re seeing quite a significant number of the population getting less than six hours of sleep a night and this is leading to all sorts of issues with productivity at work, significant sleepiness leading to accidents on the road and costing businesses a lot of money.”

Prof Banks is Associate Professor in the Centre for Sleep Research at UniSA’s Magill campus, one of the premier sleep research facilities in Australia featuring a sleep laboratory led by experts in human sleep, biological rhythms, sleep disorders, cognitive neuroscience, shift work and patient safety.

Prof Banks has dedicated much of her research career to exploring the impacts of sleep deprivation and shift work on psychological and physiological functioning and what can be done to prevent the detrimental effects of disturbed sleep.

“It’s really about thinking how we can improve sleep for everybody. We can’t stop shift work and new parents can’t suddenly sleep walk,” she says. “So how can we help everybody within their lifestyle manage their fatigue and sleep better?”

Prof Siobhan Banks’s research examines the impact of sleep deprivation and shift work on psychological and physiological functioning. Photo: Defence Innovation Partnership.

Prof Banks is a board member of the Sleep Health Foundation which in 2017 released a report, prepared by Deloitte Access Economics, that investigated the economic consequences of poor sleep.

The report, Asleep on the Job: Counting the Cost of Poor Sleep, estimated that inadequate sleep was believed to cost the Australian economy $66.3 billion in 2016/17 including productivity losses of $17.9 billion.

It also estimated that almost 40% of Australian adults experience some form of inadequate sleep – something which can have fatal consequences while driving on the road or contribute to work-related accidents. Chronic inadequate sleep can also cause heart disease, obesity, depression and a range of other serious health issues.

With sleep being an integral part of our lives (the average human spends one third of their life sleeping) long periods of sleep enables us to survive, allowing our bodies to restore and rejuvenate, grow muscle, repair tissue and synthesise hormones.

Prof Banks says there two basic types of sleep – rapid eye movement (REM) sleep which is quite active and non-REM sleep which is non-active.

“The sleep that’s not (active) is the deep stage where it takes a lot for you to wake up. It’s that stage you’re very relaxed, your breathing slows, your temperature stays low, your body stops metabolising, stops producing urine, it’s where your brain really shuts down and enables a period of rest and recovery,” she says.

Prof Banks says the whole process of sleep is important meaning that if a person isn’t getting enough sleep or is disrupting the structure of sleep – they miss out on not entering these deep stages of sleep, as well as dreaming sleep.

“A lot of people only get by on 5-6 hours of sleep which isn’t really enough, and we know that that’s related to a whole bunch of other health-related conditions. Shift workers are trying to sleep at times when our body is really prime for wake.”

Poor sleep quality is something affecting shift workers or those working outside of the usual nine-to-five day. Prof Banks says much of our physiology and how we metabolise food is linked to daytime hours, when our bodies are used to getting food and can metabolise it properly.

Shift workers on the other hand are awake and eating through the night, even though their bodies aren’t prepared for receiving food. Prof Banks says the disruption of these internal body clocks is putting shift workers at increased risk of obesity and Type 2 Diabetes.

UniSA is currently working on a study, with funding from the University of Adelaide and the National Health and Medical Research Council, to investigate altering meals times to reverse metabolic consequences of shift work.

Preliminary research undertaken on rodents found that rats that fasted during a simulated night shift environment suffered fewer ill effects than the rats that ate during the night.

This study led to a small-scale pilot study on five human male volunteers at the Centre of Sleep Research before the much larger, both male and female study commenced. Data is currently being accumulated, in aim of the results helping form industry recommendations and policy guidance, leading to a reduction in metabolic disease in shift workers.

As for other sleep disrupters in 21st century life, the impact of smart phones on sleep is a cause of debate for sleep experts, Prof Banks says.

“There is quite a bit of debate in our field whether these items of technology are affecting our sleep because of the light emitted from the screen or whether it’s more to do with the psychological effect of having emails, playing games or texting late into the night,” she says.

“But I think the amount of technology that we have in our lives and the amount of technology that we rely on if definitely meaning that sleep is becoming less of a priority.”

So how much sleep does the average human actually need and can we survive on as little as four or five hours a night?

“You’re probably looking at 7-8 hours as the optimal amount of sleep … but some people are just naturally able to get away with a shorter amount, and some people need a much longer amount. Generally, people know themselves how much they need,” Prof Banks says.

“We know there are a lot more people living on 4-5 hours a night than there actually should be. While there are some people who can do it, the majority of adults need more like seven, but those numbers are different for children, teenagers and older people as well.”

Industry in focus: Health

Throughout the month of April, the state’s health industry will be explored as part of I Choose SA.

South Australia’s health sector is among the best in the world, renowned for developing new and advanced technologies and research outcomes. Our health industry infrastructure is world-class, providing new pathways and job opportunities, as well as a growing potential for health tourism.

Read more health stories here.

Visit I Choose SA to meet the people building business and industry in SA, and to find out how your choices make a difference to our state.

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Why a Dutch cardiologist calls Adelaide’s health research hub home

During the first week Dr Johan Verjans arrived in Adelaide to start a new job as a cardiologist he picked up the phone to search for more work opportunities.

“I had noticed one of the best computer vision groups in the world is actually based in Adelaide,” the cardiologist says.

He rang its chief to talk through opportunities in the health space and found the group receptive to his ideas – so receptive that he has now been named its deputy director Medical Machine Learning.

“Research is exploding in the artificial intelligence space, in Adelaide we have a clear advantage, with leading groups,” Dr Verjans says.

Dr Verjans believes the new job at the Australian Institute of Machine Learning complements his existing work list. This includes being a member of the heart research team at the South Australian Health and Medical Research Institute (SAHMRI) and a practising cardiologist at the Royal Adelaide Hospital.

The latest task is about building a bridge between clinicians and engineers in a bid to make groundbreaking discoveries to improve health. Dr Verjans believes this interest in using artificial intelligence to advance health care could have worldwide ramifications.

Cardiologist Dr Johan Verjans is also deputy director of the Australian Institute of Machine Learning, and is on the heart research team at SAHMRI. Photo by JKTP.

“I think my best achievement will be in staying optimistic and working hard to facilitate this for the whole research family,” he says with a laugh.

It has already been a busy morning when the Dutch doctor answers the phone to talk about his move to Adelaide. He has already met with a potential project collaborator for the Australian Institute of Machine Learning and held a clinic for heart patients in the morning.

Dr Verjans says the hospital’s cardiac department has a wealth of information that can be fed into projects where machine learning can then improve the care for heart patients.

He is already involved in one project to use existing data from ECG (electrocardiogram), biomarkers and artificial intelligence to see if computers can help give better feedback in deciding when a patient can be safely sent home.

The talented cardiologist says Adelaide has a lot to offer in the health research field and that he and his wife, Yvette van Eenennaam chose to move from The Netherlands for both job opportunities and the state’s lifestyle.

Yvette has also won a key role in promoting health research in the city after she was appointed as the first general manager of Adelaide BioMed City after it was launched last year.

BioMed City is a partnership between SAHMRI with its more than 600 medical researchers, the Royal Adelaide Hospital and the state’s three universities.

“It’s hard to find that whole package like it is in Adelaide in other places, with liveability, ambition and world-class research,” Dr Verjans says.

The Australian Institute of Machine Learning is one of six research units at Adelaide University and Dr Verjans is among more than 100 researchers involved.

It’s a highly specialised field, but in simple terms, machine learning is a form of artificial intelligence that enables computers and machines to autonomously learn how to do complex tasks without being overtly programmed.

Computers are fed examples of data and information so they can look for patterns and help make better future decisions.

Yvette Eenennaam and Johan Verjans chose to pursue their medical careers in Adelaide over other leading health research cities.

Adelaide’s research unit is already recognised as a frontrunner in defence, creating algorithms for driverless cars, robotics and has helped push a medical device from SA-based LBT technologies to FDA approval.

“I’m thinking it will be a job growth area in Adelaide,” Dr Verjans says. “We’re really looking for solutions and at the moment we are only scratching the surface.”

Having Dr Verjans’ input is a coup for the state. His varied career also includes being chairman of the Dutch medical students and being a member of the federal board of the Royal Dutch Medical Doctors Federation.

A few of his Dutch students have actually followed him to Adelaide to pursue new opportunities “one worked with me as a student in Utrecht and now is here in Adelaide working”, he says.

Before he left for Australia Johan was also Chairman of Young@Heart, representing Dutch Early and Mid-career Cardiovascular Researchers on behalf of the Netherlands Heart Institute and Dutch Heart Foundation.

Both Dr Verjans and Yvette believe they have made a sound decision moving to Adelaide in 2017 with their two daughters aged seven and five.

“There’s so much more potential in this city and it’s relatively unknown what the city has to offer,” he says.

“Some people choose cities and jobs for wrong reasons, when I had job offers in Amsterdam and Sydney, we chose the liveable city.”

Dr Johan Verjans is Brand South Australia’s latest I Choose SA ambassador.

Industry in focus: Health

Throughout the month of April, the state’s health industry will be explored as part of I Choose SA.

South Australia’s health sector is among the best in the world, renowned for developing new and advanced technologies and research outcomes. Our health industry infrastructure is world-class, providing new pathways and job opportunities, as well as a growing potential for health tourism.

Read more health stories here.

Visit I Choose SA to meet the people building business and industry in SA, and to find out how your choices make a difference to our state.

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Yorke Peninsula’s Fat Farmers tackle big issues

It is Friday morning and parked in the main street of Maitland, Yorke Peninsula, outside of what was once the local footy club, are half a dozen farm utes.

Stepping out of one is farmer Ben Wundersitz, but this morning he has swapped his dusty work boots for sneakers and gym clothes – not his normal get up.

Ben, along with a growing number of other South Australian farmers, is on a mission to look after his number one farm business asset – himself and his family.

He is a founding member of the Fat Farmers initiative, aimed at promoting physical and mental health in rural communities.

Fat Farmers founding member and Maitland farmer Ben Wundersitz running on his Yorke Peninsula property.

What started in 2012 as a network of just three local farmers has grown to include about 190 males and females across many parts of regional SA.

“Fat Farmers, it’s probably not the most politically correct name but at the time we thought that’s what we were,” Ben says.

Often working alone for long hours, farming is a tough gig, and Ben says taking on the family farm business often coincides with looking after a young, busy family, and also ‘retiring’ from team sports such as footy – which can mean a loss of a social connection.

“Blokes often start to wear the brunt of the family farming business in their 30s-40s,” he says. “What exercise does for the body alone, that’s well-documented, but just to get out and have a chat to mates about the weather, what’s happening with the kids or whatever is just so beneficial.

“You can go to the gym feeling crap and two hours later you just come away feeling like a different person. It’s not just about farmers, Fat Farmers is for everyone – male and female – it’s really about rural communities.”

Fat Farmers brings rural communities together to help promote a healthy lifestyle.

These days, Ben’s local Fat Farmer’s group in Maitland meets twice week, in addition to a local personal training session once a week. The local gym is in the old footy clubhouse, where most of these farmers were once meeting for a beer on a Saturday night.

“Thankfully for us, our town had a gym, and we’ve helped make it socially acceptable for blokes to go to the gym because that’s not always the way in a small town,” Ben says.

“Ironically, the gym is across the road from the local pub too, so slowly but surely we’ve changed sides and it’s become quite the norm going to the gym. We’ll now do a gym session and then be leaning on the bar of what was the old footy club, having a coffee and a chat afterwards.”

Fat Famers groups gather regularly in communities across the state, not just for gym sessions, but also cycling, walking, swimming, and running, often with families joining in.

Fat Farmers CEO Sally Fischer says the group is also involved in fun runs across the state.

The next generation – Edwina and Harriet Marshman from the Lower North Fat Farmers team at the City to Bay in Adelaide.

The group is now also involved in the Healthy Workers Across Industry Incentive – in collaboration with Grain Producers SA – showing the direct correlation between exercise, productivity and injury prevention.

For Ben, Fat Farmers has had a lasting impact.

“I’ve lost about 8kg or so, I couldn’t run before I started this. Now I’m running 12km in the City to Bay every year and most of us are maintaining a level of fitness year-round,” he says.

“But the social impact is the big thing – anything you can do to improve the health of local communities is a good thing, we’re losing far too many rural men particularly, to depression and suicide.”

Feature image: Some of the Fat Farmers crew Darren Stock, left, Pete Dutschke, Ben Wundersitz, Sam Johns, Bill Moloney and Nick McCauley at the Maitland gym.

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Chief scientist Caroline McMillen taking SA research to the world

Six months into her three-year tenure as South Australia’s Chief Scientist and Professor Caroline McMillen is working towards her aim of taking the state’s health and science capabilities to the world.

Lured back to SA in 2018 after spending seven years in NSW, biomedical expert Prof McMillen is confident SA’s health research outcomes and infrastructure are “well above world-class” and our transforming industries capable of attracting international interest.

“I know from the work I do and access to detailed analyses that exist, that SA’s research is well above world standard,” she says. “The translation of that research delivers value to the state, it’s what brings people into SA, it builds new opportunities for business and industry and it’s what builds a global footprint to put SA on the map.”

“World-class, high-quality research, when it includes collaboration and engagement with industry and government, drives and delivers real impact for our economy, our health and our environment.”

Prof McMillen draws attention to the work required to attract over $100 million in funding for a co-operative research centre focused on SA satellites, an example of how great research, collaboration and investment can build a new space industry sector right here in the state.

Succeeding former Chief Scientist Leanna Read, Prof McMillen gives independent advice to the State Government, education institutions and industry on matters of science, research, technology and innovation.

SA’s chief scientist Caroline McMillen returned to SA after seven years as vice chancellor at the University of Newcastle. She is pictured at SAHMRI. Photo by JKTP.

Prof McMillen’s own research is internationally recognised, in particular, her research into the impact of the nutritional environment in early development on cardiovascular health and metabolic disease later in life.

Born in Northern Ireland and growing up in England, Prof McMillen went on to attend Oxford University, where she completed a BA (Honours) and a Doctor of Philosophy. She also completed her medical training, graduating with a MB, BChir from the University of Cambridge.

Moving to Australia in the early 1990s, Prof McMillen launched a career at Victoria’s Monash University in academic leadership roles before a call came for her to head to SA to lead the University of Adelaide’s Department of Physiology.

Prof McMillen’s family has been based in SA ever since, with her three children raised here and her husband still working as a doctor in a busy general practice at Christie’s Beach.

In 2011, she left SA to become the University of Newcastle’s vice chancellor and was instrumental in driving collaboration between industry, researchers, start-ups and investors, leading the institution towards its ranking in the top 1% of universities worldwide.

During her time in Newcastle, Prof McMillen travelled regularly back to SA to be with family. However, it wasn’t until she made the move back permanently last year that she was able to appreciate the full extent of Adelaide’s rejuvenation, both from a lifestyle perspective – small bars, laneways, and affordable living – and from an industry and economic perspective.

“There is a literature on ‘magnet cities’, cities that have gone through a period of decline and then transition to blossom,” Prof McMillen says.

“At the heart of that transition are creative, young professionals. Whether it’s Pittsburg or Barcelona, across the world you can chart journeys of these cities from decline to success. I think the creative industries in Adelaide and the strong STEM (science, technology, engineering, mathematics) base provides the city with a real buzz and sets Adelaide on a clear upward trajectory.”

Settling into her role as Chief Scientist, Prof McMillen is engaging with businesses, government departments and key industry stakeholders in a range of STEM fields and is currently working on The State of Science Plan with government agencies to determine future priorities and strategies to build SA as ‘The State of Science’.

She also meets with start-ups, university students and faculty members, as well as school students to discuss pathways into STEM careers and engage with the next generation of researchers.

SA chief scientist Professor Caroline McMillen is a champion for science education and gender equality in STEM. Photo by JKTP.

Prof McMillen is a champion for gender equality in STEM and highlighting issues that are still prevalent in the sector, including the gender pay gap.

A study conducted by Australia’s Chief Scientist Dr Alan Finkel showed in 2011 that only 16% of people with a STEM qualification were female.

“When I became a scientist many years ago at Oxford I was pretty sure that we’d have any gender issues sorted in a few years, but it turns out I was wrong,” Prof McMillen says. “I’ll be more than 100 years old before 50% of our professors in science are women and frankly I don’t think we should have to wait that long!”

As part of her role, she continues to champion women at all stages of their careers in STEM and is determined that SA can lead the change towards gender equity in science careers.

“I’m keen to be able to do that and make sure we’re having the outcomes that will set the stage for success for girls and women in STEM,” Prof McMillen says.

“SA has reached many gender equality milestones, we were the first in the world to run for parliament, so if there’s any state that can do it, it’s us.”

Prof Caroline McMillen is Brand South Australia’s latest I Choose SA ambassador for the health industry.

Industry in focus: Health

Throughout the month of April, the state’s health industry will be explored as part of I Choose SA.

South Australia’s health sector is among the best in the world, renowned for developing new and advanced technologies and research outcomes. Our health industry infrastructure is world-class, providing new pathways and job opportunities, as well as a growing potential for health tourism.

Read more health stories here.

Visit I Choose SA to meet the people building business and industry in SA, and to find out how your choices make a difference to our state.

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Largest indigenous health program based in SA

Adelaide’s renowned health precinct is home to some of the nation’s best researchers fighting shocking statistics showing indigenous Australians have a 10 year lower life expectancy.

The precinct’s Aboriginal Health Research Unit is now the largest dedicated indigenous health program in Australia – and possibly the world.

“This is extremely unusual, all of our work is focused on the health of Aboriginal and Torres Straits Islander people and we focus our work on things most important to their communities,” says Professor Alex Brown.

When Prof Brown was appointed to lead the unit at the new world-class South Australian Health and Medical Research Institute (SAHMRI) in 2012 there was only one another staff member. Now it has 58 staff with half of the team indigenous.

“Identifying and supporting people to develop career opportunities in research is part of our core foundation,” Prof Brown says. “It makes us better, it makes it more real, more translatable in terms of policy and practice and keeps us accountable to what communities want us to deliver.”

When Prof Brown was first approached about the job seven years ago, he saw a rare opportunity to establish this unique Aboriginal response in the heart of the precinct near the River Torrens. Most research in this vital area was usually retrofitted at an existing institution.

Professor Alex Brown leads the Aboriginal Health Research Unit, one of the e largest programs of its kind in Australia.

“We went from one staff to 50 staff fairly quickly and all because people have realised how unique an opportunity this is to make a substantial difference in Aboriginal health,” he says. “We started with asking the community what their research priorities were.”

The Wardliparingga team in the unit, named after a Kaurna term meaning ‘house river place’, has particularly focused on finding ways to reduce the impact and incidence of chronic disease along with understanding psychosocial determinants of illness and health.

It has also focused on determining how disparities in access to quality treatments and services can be improved to drive better health outcomes.

The disparity in health between Aboriginal and non-Aboriginal people is still significant, not just in terms of life expectancy, but generally in rates of heart and kidney disease, diabetes, cancer and depression.

Prof Brown says the unit is currently running about 40 different research projects and “we would be in the top group of researchers in terms of Aboriginal health across the country in what we do, and the sheer size of us as a group, we’re one of the best”.

He has been at the forefront in tackling the issue since he first trained in medicine in New South Wales consistently working to engage governments and agencies in making change.

Professor Alex Brown addresses media.

Prof Brown completed a Masters of Public Health and worked in Alice Springs managing the local Centre for Disease Control before starting in research, earning a PhD exploring the links between psychosocial stress, depression and heart disease in indigenous men. He is now also a professor of Aboriginal Health at the University of Adelaide.

At SAHMRI, Prof Brown is proud of the work the unit has achieved in policy recommendations and “we’ve trained a whole generation of young Aboriginal people to pursue careers in research”.

He is likely to have further impact on national change after being named as co-chair of a new advisory board overseeing the allocation of $160 million in national funding for indigenous health research announced in February by the Federal Government.

As part of the funding, $35 million was earmarked to develop a vaccine to eliminate Rheumatic heart disease, a complication of bacterial infections of the throat and skin. Aboriginal and Torres Strait Islander people are 64 times more likely to develop the disease than non-indigenous people.

Prof Brown also sits on a range of national committees, including the Heart Foundation and the Cardiac Society Indigenous Cardiovascular Council and was previously a member of the National Aboriginal and Torres Strait Islander Health Equality Council. Yet his core work is still firmly in SA.

“This is exactly the right place for us to be, we’re in the middle of the country, we can commute anywhere, we can access metropolitan, regional and remote communities we want to work across,” he says.

“There’s a single health system, single administrative structure and we’re in the heart of the medical research precinct…. Aboriginal health is right in the heart of it, it couldn’t be in a better place.”

Industry in focus: Health

Throughout the month of April, the state’s health industry will be explored as part of I Choose SA.

South Australia’s health sector is among the best in the world, renowned for developing new and advanced technologies and research outcomes. Our health industry infrastructure is world-class, providing new pathways and job opportunities, as well as a growing potential for health tourism.

Read more health stories here.

Visit I Choose SA to meet the people building business and industry in SA, and to find out how your choices make a difference to our state.

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SA a testbed for modern ageing solutions

South Australia has a global role to play in developing innovative products and services for an ageing population, says Adelaide-based Global Centre for Modern Ageing (GCMA) CEO Julianne Parkinson.

SA has the oldest population of all mainland Australian states, with the GCMA aiming to take the state to the forefront of modern ageing in Australia and the world.

With the proportion of Australians aged over 65 continuing to increase, due in part to higher standards of health care, businesses have a greater need to ready themselves to better understand this growing but diverse group.

Globally, people are now living for longer at unprecedented rates. Across the Asia Pacific, the population aged over 60 is set to more than double from 547 million to 1.3 billion by 2050.

Launched in October 2018, the GCMA provides a living laboratory (dubbed LifeLab), paired with research, insights and advisory services to businesses, organisations and government to help bust ageing myths and assist clients to develop better products, services and solutions to meet the needs and wants of those over 60.

The centre, based in the Tonsley Innovation District, is home to the LifeLab, a demonstration, usability and co-design facility that allows businesses, researchers and over-60s to co-design and validate new and innovative products and services to improve the quality of life and experiences for older people.

The LifeLab at the Global Centre for Modern Ageing.

A first of its kind in Australia, the LifeLab hosts innovative initiatives including developing solutions that increase mobility, reduce isolation, address nutritional needs and allow people to enjoy a better quality of life.

“The LifeLab network provides services at the demonstration facility and in a myriad of real-life settings. Complementing this, the GCMA’s research and insights capability allows organisations to access the facts to make informed decisions about customer and market opportunities,” says Julianne.

“Together these allow companies and other stakeholders to engage with older people in order to co-create and co-design what products should look and feel like. We can mobilise and scale our offering to assist clients locally, nationally and internationally – a great benefit to SA businesses with export markets and partnerships.

“What we see through our work is that older people are really guiding and informing every step of the way, organisations and their R&D partners. By leveraging the GCMA’s expertise with end users central to the co-design and co-creation, businesses will have improved insights and hence confidence that their product will be better received in market.”

At the head of LifeLab is executive director Veera Mustonen, who joined the team from Helsinki, Finland, as a smart city living lab expert. Veera is currently leading several co-design initiatives that explore how people can age well and continue being active participants in their community.

Residents at the Lendlease-owned Elliot Gardens retirement village in Port Elliot have welcomed an autonomous vehicle trial.

Each project involves a co-operative approach with over 60s included in the design, creation and trial of the initiatives. One example is the engagement to co-design with residents and others in the redevelopment of an aged care precinct in the regional town of Strathalbyn.

But that’s not all, the GCMA is also undertaking an explorative study on the roll out of an autonomous vehicle trial at a retirement village in SA’s Fleurieu Peninsula. The trial, in collaboration with the SA Government’s Future Mobility Lab, Regional Development Australia and leading autonomous vehicle manufacturer Aurrigo, involves studying the experiences of residents at the Lendlease-owned Elliot Gardens retirement village at Port Elliot who chose to travel around the village in a small driverless vehicle.

The battery powered ‘podzero’, which has been named ‘Elliot’, will be operating at 10km/h with a capacity of four passengers. Embracing a new way of moving around and allowing for greater social interaction between village residents, the trial will provide user feedback which is expected to contribute to determining the adoption and acceptance of new mobility solutions.

Lendlease Retirement Living managing director Tony Randello says the company is always looking for ways to make its villages more liveable.

Autonomous vehicle ‘Elliot’ allows residents increased mobility, allowing for greater social interaction.

“This trial may show us how technology could extend mobility and help our residents age in place, among friends and provide them a sense of freedom and independence,” he says.

“We also expect the trial will show that no matter how old you are, you can always embrace new technology into your lifestyle.”

But greater mobility is just one of the needs of our ageing population, with seniors also calling for easier food and food packaging solutions, support for isolation, new learning and training opportunities, and more guidance on transitioning into later stages of life.

Julianne says Asia Pacific countries are taking a collaborative approach to the ageing sector, with other countries reaching out to the GCMA for advice on businesses already developing innovative products and services for older people.

The GCMA also recently hosted senior international delegations from Malaysia, Sweden and China to share insights, opportunities and challenges of modern ageing.

“We know SA has a leading role to play in a global sense in how people transition throughout all of their life’s course.  Many of the opportunities and challenges are universal,” Julianne says.

“It’s world class and pioneering work that is proudly being undertaken with the important support of many.”

Industry in focus: Health

Throughout the month of April, the state’s health industry will be explored as part of I Choose SA.

South Australia’s health sector is among the best in the world, renowned for developing new and advanced technologies and research outcomes. Our health industry infrastructure is world-class, providing new pathways and job opportunities, as well as a growing potential for health tourism.

Read more health stories here.

Visit I Choose SA to meet the people building business and industry in SA, and to find out how your choices make a difference to our state.

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3D skull library advances SA’s craniofacial unit

An important collection of 3D model skulls is growing in Adelaide as the state’s renowned craniofacial unit pursues world-leading technologies to transform lives.

Parents can now be shown skulls from the new library at the Women’s and Children’s Hospital to see common congenital problems first hand, making it easier to explain surgery on their babies, Australian Craniofacial Unit specialist Walter Flapper says.

“It’s obviously a stressful time and they can have a better understanding of what’s going on,” says Walter, one of the unit’s plastic and reconstructive surgeons.

“There are other advantages, it means we as surgeons can also hold the model and it helps us to visualise the problem we need to address, whether it’s a congenital problem or trauma.”

The 3D library gives the unit another important support tool as its surgeons operate on up to 45 babies a year to correct craniosynostosis that causes abnormal head shapes and can affect brain growth.

A 3D printed skull within the library at the Women’s and Children’s Hospital allowing parents to see common congenital problems first hand.

Whilst the unit has been using 3D printing to aid surgery for several years, it was only about a year ago that it began building the library with the skulls made using a 3D printer bought by the Royal Adelaide Hospital.

The process involves first taking a high tech scan of a patient’s skull. This incredibly accurate 3D imaging information is then used to program the printer that, in turn, uses a plastic compound rather than ink to print out a replica model.

Walter says it also means surgeons can study models of individual patient’s skulls to pre-plan surgery, can use the model to pre-bend titanium plates into the correct shape for an individual skull and even practice before surgery.

“It can be used as an educational tool for junior doctors and overall it means patients are not spending as long in surgery, it can help with more efficient operations and less anaesthetic use,” Walter says.

“This is of benefit as the longer the operation the higher the risk of complications.”

Surgeons are able to hold the model to help visualise the problem needed to address.

Models are also used in treating a wide range of other disorders across the unit’s two sites at the Women’s and Children’s Hospital in North Adelaide and Royal Adelaide Hospital in North Terrace where its patients are adults.

They include distortion of the skull and facial shape, cleft lip and palate deformities, facial growth anomalies, tumours requiring removal and reconstruction and trauma needing reconstruction of the head or jaw.

It is yet another tool for the unit that is well recognised internationally after being established in 1975 by craniofacial surgeon Professor David David. The unit is now a designated National Centre of Excellence and one of only two standalone craniofacial units in the world.

Founder Prof. David David was named 2018 South Australian of the Year, received the Companion of the Order of Australia in 1988 and in 1990 was named South Australian of the Decade in recognition of his work in the field.

“The unique thing about the unit is we are a standalone unit, others are linked to other surgery departments, and we work with children right through to older adults,” Walter says.

The Australian Craniofacial Unit team including specialist Walter Flapper, third from left.

He was drawn to the unit having finished medicine and surgical training in Auckland, New Zealand, then winning a fellowship post in Adelaide. After the placement he trained at the prestigious Oxford Craniofacial Unit in the United Kingdom for a year, before the return opportunity arose in the Adelaide unit in 2010.

“My initial plan was to come here for a year only to do the fellowship, then I was going to go back to New Zealand,” Walter says.

“The job came up here just as I finished up in the UK, we’d enjoyed our time here and the family liked it so we came back, and we’re still here. We have quite an international contingent of surgeons at the unit that came here and stayed.”

He lists the unit’s head Mark Moore as also being originally from New Zealand, specialist Peter Anderson is originally from the UK and visiting medical officer Vani Prasad Atluri from India.

The unit also operates on about 15 patients from overseas each year supported by charities and the State Government – and Walter travels regularly to Indonesia to help train local teams.

“I think we do pretty well considering the size of the city and the state, we punch above our weight, we have had strong overseas connections for quite some time and we train a number of people from overseas,” Walter adds.

Industry in focus: Health

Throughout the month of April, the state’s health industry will be explored as part of I Choose SA.

South Australia’s health sector is among the best in the world, renowned for developing new and advanced technologies and research outcomes. Our health industry infrastructure is world-class, providing new pathways and job opportunities, as well as a growing potential for health tourism.

Read more health stories here.

Visit I Choose SA to meet the people building business and industry in SA, and to find out how your choices make a difference to our state.

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Adelaide BioMed City’s double Dutch research

Adelaide’s impressive new hospital, the striking South Australian Health and Medical Research Institute (SAHMRI) and the legion of learning facilities nearby sealed the deal in attracting Dutch cardiologist Johan Verjans and Yvette van Eenennaam to the city.

It was two years ago when the talented couple was in the midst of exploring health research opportunities including in Sydney and Amsterdam, when Adelaide emerged the winner.

“Seeing the new hospital, it exemplified the ambition of a city to create change, and I think that is what helps attract people,” Johan says.

“Australia is a relatively well funded country but competitive and it’s hard to find that whole package like it is in Adelaide in other places, with liveability, ambition and world-class research.”

Both Johan and Yvette have stepped into leading health research roles for the city after arriving in Adelaide in 2017 with their two daughters aged seven and five.

Yvette Eenennaam and Johan Verjans chose SA over other states and cities to pursue their medical and health research careers.

Johan works as a cardiologist and heart health researcher at the Royal Adelaide Hospital (RAH) and SAHMRI. Last year he was appointed deputy director of Medical Machine Learning at the recently established Australian Institute of Machine Learning (AIML) to apply artificial intelligence to biomedical research.

Yvette was made the first general manager of Adelaide BioMed City, one of the largest health and life sciences clusters in the southern hemisphere, after it was officially launched last year. Before joining Adelaide BioMed City, Yvette worked for large multinationals in leading roles and had a focus on organisation development, change management and expansion through partnerships.

Located on North Terrace, BioMed City is a partnership between the state’s independent, flagship health and medical research institute SAHMRI with its more than 600 medical researchers, the Central Adelaide Local Health Network and the state’s three universities.

Its mission is to be a globally recognised partnership leading the world in research, education, clinical care and population health.

“Our goal is to build impact, leverage investment and inform evidence-based healthcare and innovation in ways that could not be achieved separately,” its statement says.

Yvette saw the group’s strategic plan signed off in February and is working to make plans to further strengthen the collaboration and to jointly bid for infrastructure and research funding.

“We’re a decent sized city, but compared to the east coast it’s very competitive, we need to work together in specific domains if we want to leverage the huge potential and make a global impact in any way,” she says.

Yvette is already hosting delegations of potential investors from Singapore, Taiwan and Sweden keen to see the opportunities.

“Particularly with plans for SAHMRI 2 there is a dedicated floor space for industry and additional clinical trial space,” she says.

Inside SAHMRI.

This new building will have lab and office space for biomedical companies and educational institutions. It will also house Australia’s first proton therapy unit to provide the most technologically advanced precision radiation therapy ever seen in the southern hemisphere, delivering cancer destroying protons to the tumor site of otherwise inoperable cancers, without affecting healthy tissues.

Gaining the expertise of Johan and Yvette has been a coup for the city. Johan is also a senior lecturer at the University of Adelaide and an associate investigator of the ARC Centre of Excellence in Nanoscale Biophotonics. He is associate editor of the Netherlands Heart Journal, and author of Springer/Nature’s first book on AI in medical imaging – and recently was awarded the Ahrens Researcher Award by the Australian Heart Foundation.

Johan believes there is great interest and opportunity in using artificial intelligence (AI) to advance health care, and his push to grow this has led to the job as deputy director of Medical Machine Learning at AIML.

“We see opportunities in reducing congestion in emergency departments of hospitals, since 12% of admissions in the emergency department are for chest pain of some sort,” Johan says.

By using existing data from ECG, biomarkers and AI, it could potentially provide better feedback on the risk of that pain to an individual patient, and to see whether it is safe for them to be sent home or be admitted, he says.

“Research is exploding in the AI space and in Adelaide we have a clear advantage, with leading groups in AI at AIML and world class biomedical research at SAHMRI,” he says.

“Adelaide BioMed City has so much potential. I don’t think people in SA realise with AIML we have one of the best machine learning groups in the world on North Terrace, together with three highly ranked universities, and SAHMRI which recently made the top 40 of the world’s best research institutions. We can make a difference in one of the world’s most liveable cities.”

Industry in focus: Health

Throughout the month of April, the state’s health industry will be explored as part of I Choose SA.

South Australia’s health sector is among the best in the world, renowned for developing new and advanced technologies and research outcomes. Our health industry infrastructure is world-class, providing new pathways and job opportunities, as well as a growing potential for health tourism.

Read more health stories here.

Visit I Choose SA to meet the people building business and industry in SA, and to find out how your choices make a difference to our state.

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Adelaide a hub of life-changing health research and investment

South Australia’s health research sector is among the best in the world, with its renowned infrastructure and applications of new and advanced technologies having a global impact.

The $3.8 billion Adelaide BioMed City in the heart of the CBD is one of the largest health and life science clusters in the southern hemisphere, combining significant infrastructure including the new Royal Adelaide Hospital, the SA Health and Medical Research Institute (SAHMRI), and facilities for all three of the state’s universities.

This multidisciplinary precinct located on North Terrace combines collaborative medical, research and education infrastructure that is establishing SA as a centre of excellence for healthcare research, services and products.

For the month of April, Brand South Australia is delving into the state’s health industry as part of the successful I Choose SA campaign. We’ll explore the world-leading research and technological revolutions being practiced here, as well as the life-changing achievements of our scientists and researchers.

Here at Brand SA News we’ll bring you a collection of stories outlining  leading health professionals, how Adelaide is positioning itself as an international research hub, and how the state’s health industry as a whole is impacting our economy, our future career pathways and the growing sector of health tourism.

First up, we’ll introduce you to Dutch couple Johan Verjans and Yvette van Eenennaam, two influential figures in the Adelaide BioMed City. The couple chose SA over other countries and states to raise their family, further their careers and share their expertise. Johan is a cardiologist with a key interest in the fascinating field of machine learning, while Yvette has taken up the position of Adelaide BioMed City’s inaugural general manager.

We’ll also bring you an article on I Choose SA ambassador and SA’s chief scientist Professor Caroline McMillen who will share her story on being lured back to the state after seven years in NSW and how she’s having a crucial say in matters of science, research, technology and innovation.

Professor McMillen has a distinguished career as a medical and health researcher and once stated that “SA is home to some of the world’s best scientists” whose passion for discovery and commitment to innovation is “creating new futures for communities across the globe”.

The second I Choose SA ambassador is Johan Verjans who will elaborate on why SA is the best place to pursue his career, and how Adelaide’s health research is growing in the artificial intelligence space.

Many of our highlighted professors, doctors and health professionals will carry out their daily lives in one of the most anticipated developments within the health sector is SAHMRI’s second instalment, SAHMRI 2, located within the Adelaide BioMed City and next to the original institute.

SAHMRI 2 will house the southern hemisphere’s first proton therapy unit, making a world of difference for hundreds of cancer patients and people with inoperable tumours every year.

The SAHMRI 2 design, right, next to the original SAHMRI building on North Terrace.

Housed over three floors, the cutting-edge treatment will deliver precise radiation to tumours with less risk of damaging surrounding tissue and organs. The unit will attract not only local patients, but those travelling from interstate and overseas.

Of course, our health industry developments will add to a long line of medical achievements throughout our state’s history. Over time, SA has developed world-first outcomes including the world’s first IVF triplets, born at Flinders Medical Centre in 1983.

The invention of penicillin also connects back to SA, with Adelaide born Howard Florey creating the first antibiotic that has since gone on to save an estimated 200 million lives. Florey started his medical journey at the University of Adelaide in 1916. In a small but ground-breaking achievement, Adelaide was also home to the world’s first plastic disposable hypodermic syringe, developed in 1949 by Charles Rothauser.

SA’s health industry no doubt has many more life-changing milestones on the way. Keen to learn more? Brand South Australia is hosting a health industry briefing on Tuesday, April 9, at the Royal Adelaide Hospital.

Guests will hear from Health and Wellbeing Minister Stephen Wade, SAHMRI executive director Steve Wesselingh and Adelaide BioMed City general manager Yvette van Eenennaam. For more information and to book tickets click here.

Industry in focus: Health

Throughout the month of April, the state’s health industry will be explored as part of I Choose SA.

South Australia’s health sector is among the best in the world, renowned for developing new and advanced technologies and research outcomes. Our health industry infrastructure is world-class, providing new pathways and job opportunities, as well as a growing potential for health tourism.

Read more health stories here.

Visit I Choose SA to meet the people building business and industry in SA, and to find out how your choices make a difference to our state.

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Newly polished Grevillea House has country carers at heart

A cuppa and a chat, a lunch with friends or a day trip exploring South Australia’s Clare Valley.

These are just some of the simple pleasures not-for-profit organisation SA Country Carers in the state’s Lower Mid North is helping unpaid carers take the time to enjoy.

Supporting unpaid carers of family and friends with disabilities or of frail age is at the heart of the Clare-based community organisation that mainly services the Mid North, but is also visited by clients across the state.

It is estimated that 245,000 people in SA provide unpaid care to family and friends who have a disability, mental illness, chronic condition, terminal illness, drug or alcohol abuse, or are frail.

Carers often provide physical and personal care and assistance including dressing, lifting out of bed and up from chairs, showering, feeding, providing transport to attend appointments, and managing medications.

On World Elder Abuse Awareness Day in June, SA Country Carers held free hand massages for carers. The services were provided local business Unique Beauty.

Almost half of carers provide up to 20 hours of care every week, while more than 30% provide over 40 hours a week – more than the equivalent of a full-time job.

SA Country Carers provides information, counselling and advocacy to carers who are often faced with physical and emotional fatigue from their caring role.

In 1996 the organisation was established by a group of locals who saw a need for greater carer support.

Now the community organisation supports more than 500 unpaid carers and has offices at Clare and Balaklava, as well as a short-term respite facility, Grevillea House, in Clare.

CEO Eve Rogers says support systems are crucial for regional areas.

“It’s important for carers to have a break and for them to know that there are others out there, that they’re not alone in the world,” she says.

“It’s important to have trusted services in regional communities.”

SA Country Carers volunteers are thanked at an annual luncheon in appreciation of their services.

The short-term residential respite facility, Grevillea House, allows unpaid carers to take a break, while knowing their loved ones are safe and being looked after.

Carer recipients stay at Grevillea House for a short period of time, while the carer takes time out for themselves, or attends day trips, retreats and activities put on by the organisation.

Sometimes the activities are attended by both the carer and care recipient to allow for bonding time.

This month Grevillea House will officially celebrate an overhaul of the facility, which Eve says needed a little TLC.

“In 2016 we renovated the kitchen using donations from loyal supporters and the local community, including the Rotary Club which was very generous with their funding,” she says.

“But once we did the kitchen we looked around and realised that everything else looked really old.”

The finished hallway at Grevillea House.

A refurbishment of the house began in August this year with a paint job, new floor coverings and window furnishings.

Grevillea House’s landlord, Helping Hand, also chipped in to the facility’s rejuvenation by replacing all light treatments and heaters at its own cost.

Eve says many care recipients, who can be as young as five or of frail age, end up calling Grevillea House their second home, with activities, facilities and support on hand to meet their needs.

SA Country Carers relies on the community for support, conducting a number of fundraising activities throughout the year.

Its group of volunteers are key to these fundraising efforts and boosting the organisation’s profile in the community.

SA Country Carers is one of five carer support organisations in the state.

Access to SA Country Carers services can be provided through the Commonwealth Home Support Program, NDIS, and My Aged Care.

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