Annual Review 2016 | Page 17

FAMILY BIOMARKERS STUDY Evidence from early work in the Monash South East Asia Community Observatory (SEACO), in Segamat, Johor, demonstrated that children that had one or more obese parents, had a two-fold greater risk of being obese. However, it is not clear how much of this risk is associated with environmental exposures (diet and physical activity) within the family, and how much of it may have some hereditary or biological components. SEACO's research infrastructure has supported the collection of data within families that includes not only the physical health status of parents and children, but also some data to assess their eating habits and physical activity, and biological data to determine possible genetic and other biomarkers that might explain obesity risks. COST EFFECTIVENESS OF EDOXABAN IN PATIENTS WITH NON-VALVULAR ATRIAL FIBRILLATION IN HONG KONG Atrial fibrillation (AF) is a common abnormal beating of the heart associated with many damaging and debilitating consequences. Recently the new non-vitamin K antagonist oral anticoagulants (NOACs) including edoxaban have been suggested as alternatives to warfarin in patients with AF. Although they are welcomed by clinicians and patients, the rapid increased use may create a financial challenge to the healthcare system. The need to understand their health economic value compared with existing therapies is therefore of paramount importance. We use a Markov projection model to evaluate the long term health and economic benefits of NOACs in the public sector of Hong Kong. The results will help in both clinical decision-making and resource allocation, thus maximising benefits for patients. PROJECT FRESH This project examines the impact of a recently developed fatigue detection device, wrist-worn capable of capturing the heart-rate variability, as well as on driver behaviour. Professional drivers from two Trading and Supply (T&S) hauliers based in Malaysia volunteered to participate in the study. Incidents of harsh brake, fatigue and sleep diary of the drivers were gathered for three months. Data will be analysed to determine if the device is reliable and accurate in alerting a tired driver 1 to 7 minutes prior to the likelihood of a fatigue event occurring, thus reducing the likelihood of road accidents. RESEARCHERS Prof Daniel Reidpath Prof Pascale Allotey Uttara Partap (University of Cambridge, UK) Dr Manj Sandhu (Wellcome Trust Sanger Institute, UK) Dr Liz Young (University of Cambridge, UK) COLLABORATING INSTITUTION University of Cambridge, UK RESEARCHERS Prof Kenneth Lee Kwing Chin Dr June Choon Wai Yee Dr David Wu Bin Chia FUNDING AGENCY Daiichi Sankyo Hong Kong LTD RESEARCHERS Prof Shantha Rajaratnam, (Monash University Australia) A/Prof Shamsul Haque A/Prof Alexandre Schaefer Dexter Shee Dr Mark Howard (Institute for Breathing & Sleep, Australia) Dr Alexander Powell Wolkow (Monash University Australia) INDUSTRY PARTNER Shell Global Solutions International B V 15