Tamara is a trained respiratory scientist and has 7 years' experience in measuring the lung function of children aged 3-18 years. She has recently completed her PhD whereby she validated the use of normal healthy reference values for two lung function tests (spirometry and fractional exhaled nitric oxide) for children who identify as Aboriginal and/or Torres Strait Islander. She has a particular interest in childhood respiratory illnesses such as cystic fibrosis and asthma, emerging clinical measurement techniques, as well as Australian First Nations respiratory health. Her current research aims to better understand the mechanisms of early CF lung disease and to improve current clinical outcome measures to aid in appropriate CF management.
Journal Article: Exposure to endocrine-disrupting plasticisers and lung function in children and adolescents: a systematic review and meta-analysis
Boissiere-O’Neill, Thomas, Lee, Wen R., Blake, Tamara L., Sly, Peter D. and Vilcins, Dwan (2024). Exposure to endocrine-disrupting plasticisers and lung function in children and adolescents: a systematic review and meta-analysis. Environmental Research, 243 117751, 117751. doi: 10.1016/j.envres.2023.117751
Journal Article: Effects of prenatal alcohol exposure on infant lung function, wheeze, and respiratory infections in Australian children
Vilcins, Dwan, Blake, Tamara L., Sly, Peter D., Saffery, Richard, Ponsonby, Anne‐Louise, Burgner, David, Tang, Mimi L. K., Reid, Natasha and Barwon Infant Study Investigator Group (2023). Effects of prenatal alcohol exposure on infant lung function, wheeze, and respiratory infections in Australian children. Alcohol: Clinical and Experimental Research, 47 (12), 2278-2287. doi: 10.1111/acer.15205
Journal Article: Developing fractional exhaled nitric oxide (FeNO) predicted and upper limit of normal values for a disadvantaged population
Collaro, Andrew J., Chang, Anne B., Marchant, Julie M., Vicendese, Don, Chatfield, Mark D., Cole, Johanna F., Blake, Tamara L. and McElrea, Margaret S. (2023). Developing fractional exhaled nitric oxide (FeNO) predicted and upper limit of normal values for a disadvantaged population. Chest, 163 (3), 624-633. doi: 10.1016/j.chest.2022.10.014
MBW Training and LCI Overread Services in Support of VX21-121-105
(2023–2026) Vertex Pharmaceuticals Inc
(2023–2026) NHMRC MRFF EMCR - Early to Mid-Career Researchers
Improving detection and assessment of lung disease in young children with Cystic Fibrosis
(2022–2024) Australian Cystic Fibrosis Research Trust Innovation Grant
Role of airway obstruction in the development of asthma
Doctor Philosophy
Understanding the impact of air pollution on Cystic Fibrosis lung disease
This project will explore potential indoor and ambient air pollutant factors that are present at the homes of children with Cystic Fibrosis. Emerging research suggests that environmental factors may play a role in the progression of CF lung disease, however these are poorly documented.
We will measure the air quality and environmental chemicals present in the home, and associations between lung function, inflammatory biomarkers and clinical status will be determined. This project would suit an Honours/Masters student. The student will assist with data collection at participants homes, cleaning and analysis of data. A valid Blue Card will be required.
Development of normative intra-breath oscillometry data
IB-OSC is a new lung function modality that is easier for patients to use, quicker to achieve data in busy clinical settings, and has greater sensitivity to early lung disease progression. Normative data is needed to aid in the interpretation of this technique. This project would suit a PhD candidate and would involve the recruitment of children (3-18 years), collecting basic demographic, medical history and lung function measurements, data cleaning and statistical analysis.
A valid Blue Card is required. The successful candidate ideally will have knowledge of respiratory system anatomy and physiology, experience in lung function testing, and excellent written and oral communication skills. A basic understanding of statistical methods is desirable.
Assessing lung structure with MRI in patients with Cystic Fibrosis
Despite great advances in clinical care and survival rates in cystic fibrosis (CF), patients continue to suffer a decline in lung function that starts in mid-childhood and progresses throughout life. This study will explore the mechanisms of early CF lung disease in an attempt to improve clinical outcome measures that are sensitive to early lung disease and disease progression across the CF life-stage. We are seeking a PhD student to work with our collaborators at CSIRO to aid in the development, optimisation, and validation of automated diagnostic tools for CF lung disease assessment based on CT imaging or magnetic resonance imaging (MRI). The successful candidate will assist it identifying and labelling key anatomical features and help to link image findings to CF disease characteristics and mechanisms i.e., bronchiectasis, mucus plugging. The candidate will collaborate with imaging scientists working on Artificial Intelligence systems for automated lung imaging analysis.
Our ideal candidate will have knowledge of respiratory system anatomy and physiology, excellent written and oral communications skills, a willingness to work as part of a multi-disciplinary collaborative team and maintain active collaborations with other labs and universities.
Boissiere-O’Neill, Thomas, Lee, Wen R., Blake, Tamara L., Sly, Peter D. and Vilcins, Dwan (2024). Exposure to endocrine-disrupting plasticisers and lung function in children and adolescents: a systematic review and meta-analysis. Environmental Research, 243 117751, 117751. doi: 10.1016/j.envres.2023.117751
Vilcins, Dwan, Blake, Tamara L., Sly, Peter D., Saffery, Richard, Ponsonby, Anne‐Louise, Burgner, David, Tang, Mimi L. K., Reid, Natasha and Barwon Infant Study Investigator Group (2023). Effects of prenatal alcohol exposure on infant lung function, wheeze, and respiratory infections in Australian children. Alcohol: Clinical and Experimental Research, 47 (12), 2278-2287. doi: 10.1111/acer.15205
Collaro, Andrew J., Chang, Anne B., Marchant, Julie M., Vicendese, Don, Chatfield, Mark D., Cole, Johanna F., Blake, Tamara L. and McElrea, Margaret S. (2023). Developing fractional exhaled nitric oxide (FeNO) predicted and upper limit of normal values for a disadvantaged population. Chest, 163 (3), 624-633. doi: 10.1016/j.chest.2022.10.014
Collaro, Andrew J., Chang, Anne B., Marchant, Julie M., Chatfield, Mark D., Vicendese, Don, Blake, Tamara L., McElrea, Margaret S. and Dharmage, Shyamali C. (2021). Early childhood pneumonia is associated with reduced lung function and asthma in first nations Australian children and young adults. Journal of Clinical Medicine, 10 (24) 5727. doi: 10.3390/jcm10245727
Collaro, Andrew J., Chang, Anne B., Marchant, Julie M., Chatfield, Mark D., Blake, Tamara L. and McElrea, Margaret S. (2021). How do Cormic Index profiles contribute to differences in spirometry values between White and First Nations Australian children?. Pediatric Pulmonology, 56 (12), 3966-3974. doi: 10.1002/ppul.25692
Collaro, Andrew J., Chang, Anne B., Marchant, Julie M., Chatfield, Mark D., Dent, Annette, Blake, Tamara, Mawn, Patsi, Fong, Kwun and McElrea, Margaret S (2021). Associations between lung function and future cardiovascular morbidity and overall mortality in a predominantly First Nations population: a cohort study. The Lancet Regional Health - Western Pacific, 13 100188, 1-8. doi: 10.1016/j.lanwpc.2021.100188
Collaro, Andrew J., Chang, Anne B., Marchant, Julie M., Chatfield, Mark D., Dent, Annette, Blake, Tamara, Mawn, Patsi, Fong, Kwun and McElrea, Margaret S. (2021). Determinants and Follow-up of Lung Function Data from a Predominantly First Nations Cohort of Adults Referred to Specialist Respiratory Outreach Clinics in Regional and Remote Queensland. Lung, 199 (4), 417-425. doi: 10.1007/s00408-021-00453-7
Impact of prenatal and early life environmental exposures on normal human development
Sly, Peter, Blake, Tamara and Islam, Zahir (2021). Impact of prenatal and early life environmental exposures on normal human development. Paediatric Respiratory Reviews, 40, 10-14. doi: 10.1016/j.prrv.2021.05.007
Respiratory health profile of Indigenous Australian children and young adults
Blake, Tamara L., Chang, Anne B., Marchant, Julie M. and McElrea, Margaret S. (2020). Respiratory health profile of Indigenous Australian children and young adults. Journal of Paediatrics and Child Health, 56 (7), 1066-1071. doi: 10.1111/jpc.14817
Blake, Tamara L., Chang, Anne B., Chatfield, Mark D., Marchant, Julie M., Petsky, Helen L. and McElrea, Margaret S. (2020). How does parent/self-reporting of common respiratory conditions compare with medical records among Aboriginal and Torres Strait Islander (Indigenous) children and young adults?. Journal of Paediatrics and Child Health, 56 (1), 55-60. doi: 10.1111/jpc.14490
Fractional exhaled nitric oxide values in Indigenous Australians 3 to 16 years of age
Blake, Tamara L., Chang, Anne B., Chatfield, Mark D., Marchant, Julie M., Petsky, Helen L. and McElrea, Margaret S. (2019). Fractional exhaled nitric oxide values in Indigenous Australians 3 to 16 years of age. Chest, 156 (2), 239-246. doi: 10.1016/j.chest.2019.02.401
Blake, Tamara L., Chang, Anne B., Chatfield, Mark D., Marchant, Julie M. and McElrea, Margaret S. (2019). Global Lung Function Initiative‐2012 ‘other/mixed’ spirometry reference equation provides the best overall fit for Australian Aboriginal and/or Torres Strait Islander children and young adults. Respirology, 25 (3) resp.13649, 281-288. doi: 10.1111/resp.13649
Blake, Tamara L., Chang, Anne B., Chatfield, Mark D., Petsky, Helen L., Rodwell, Leanne T., Brown, Michael G., Hill, Deb C. and McElrea, Margaret S. (2017). Does ethnicity influence fractional exhaled nitric oxide in healthy individuals?: a systematic review. Chest, 152 (1), 40-50. doi: 10.1016/j.chest.2017.02.007
Spirometry reference values in Indigenous Australians: a systematic review
Blake, Tamara L., Chang, Anne B., Petsky, Helen L., Rodwell, Leanne T., Brown, Michael G., Hill, Debra C., Thompson, Bruce and McElrea, Margaret S. (2016). Spirometry reference values in Indigenous Australians: a systematic review. Medical Journal of Australia, 205 (1), 35-40. doi: 10.5694/mja16.00226
Blake, Tamara, Chatfield, Mark, Chang, Anne, Petsky, Helen and Mcelrea, Margaret (2018). Self-reported and medical chart histories of Australian Aboriginal and Torres Strait Islander (Indigenous) children and young adults. 28th International Congress of the European-Respiratory-Society (ERS), Paris France, 15-19 September 2018. Lausanne, Switzerland: European Respiratory Society. doi: 10.1183/13993003.congress-2018.PA4682
Blake, Tamara, Chatfield, Mark, Chang, Anne, Petsky, Helen and Mcelrea, Margaret (2018). Spirometry reference values for Australian Aboriginal and Torres Strait Islander (Indigenous) children and young adults. 28th International Congress of the European-Respiratory-Society (ERS), Paris France, 15-19 September 2018. Lausanne, Switzerland: European Respiratory Society. doi: 10.1183/13993003.congress-2018.OA3777
MBW Training and LCI Overread Services in Support of VX21-121-105
(2023–2026) Vertex Pharmaceuticals Inc
(2023–2026) NHMRC MRFF EMCR - Early to Mid-Career Researchers
Improving detection and assessment of lung disease in young children with Cystic Fibrosis
(2022–2024) Australian Cystic Fibrosis Research Trust Innovation Grant
Predicting and preventing acute pulmonary exacerbation in young children with cystic fibrosis
(2022–2024) Preclinical and Clinical Early Career Research
Identifying preschool children with wheeze at risk of developing asthma using temporal oscillometry
(2021–2023) Thrasher Research Fund
Role of airway obstruction in the development of asthma
Doctor Philosophy — Associate Advisor
Other advisors:
Note for students: The possible research projects listed on this page may not be comprehensive or up to date. Always feel free to contact the staff for more information, and also with your own research ideas.
Understanding the impact of air pollution on Cystic Fibrosis lung disease
This project will explore potential indoor and ambient air pollutant factors that are present at the homes of children with Cystic Fibrosis. Emerging research suggests that environmental factors may play a role in the progression of CF lung disease, however these are poorly documented.
We will measure the air quality and environmental chemicals present in the home, and associations between lung function, inflammatory biomarkers and clinical status will be determined. This project would suit an Honours/Masters student. The student will assist with data collection at participants homes, cleaning and analysis of data. A valid Blue Card will be required.
Development of normative intra-breath oscillometry data
IB-OSC is a new lung function modality that is easier for patients to use, quicker to achieve data in busy clinical settings, and has greater sensitivity to early lung disease progression. Normative data is needed to aid in the interpretation of this technique. This project would suit a PhD candidate and would involve the recruitment of children (3-18 years), collecting basic demographic, medical history and lung function measurements, data cleaning and statistical analysis.
A valid Blue Card is required. The successful candidate ideally will have knowledge of respiratory system anatomy and physiology, experience in lung function testing, and excellent written and oral communication skills. A basic understanding of statistical methods is desirable.
Assessing lung structure with MRI in patients with Cystic Fibrosis
Despite great advances in clinical care and survival rates in cystic fibrosis (CF), patients continue to suffer a decline in lung function that starts in mid-childhood and progresses throughout life. This study will explore the mechanisms of early CF lung disease in an attempt to improve clinical outcome measures that are sensitive to early lung disease and disease progression across the CF life-stage. We are seeking a PhD student to work with our collaborators at CSIRO to aid in the development, optimisation, and validation of automated diagnostic tools for CF lung disease assessment based on CT imaging or magnetic resonance imaging (MRI). The successful candidate will assist it identifying and labelling key anatomical features and help to link image findings to CF disease characteristics and mechanisms i.e., bronchiectasis, mucus plugging. The candidate will collaborate with imaging scientists working on Artificial Intelligence systems for automated lung imaging analysis.
Our ideal candidate will have knowledge of respiratory system anatomy and physiology, excellent written and oral communications skills, a willingness to work as part of a multi-disciplinary collaborative team and maintain active collaborations with other labs and universities.
Improving the detection of early Cystic Fibrosis lung disease development
Increasing evidence suggests that irreversible, progressive lung disease begins in the very early years of life for patients with cystic fibrosis (CF) however; the exact mechanism(s) that drive this damage are still largely unknown. Risk factors for progressive lung disease are detectable in patients as early as three months of age. A significant limitation to early disease detection is the lack of feasible and sensitive measures available for use in very young patients. This project aims to define the role of new novel lung function techniques in monitoring Cystic Fibrosis lung disease in very young children (>3 months of age).
This project will involve participant recruitment and performing of lung function measurements on young children. A valid Blue Card is required. The successful candidate will have knowledge of respiratory system anatomy and physiology, experience in lung function testing, and excellent written and oral communication skills. A basic understanding of statistical methods is desirable. This project would suit a PhD candidate.