Dr Ristan Greer

PhD MVSc BVSc BA MANZCVS(epidemiology)

Senior Biostatistician


Congenital Hyperinsulinism of Infancy

About me

Dr Greer is an epidemiologist, medical researcher and veterinarian who has been involved in clinical research, academic teaching and practice for over 25 years. She completed her Bachelor of Arts majoring in Pure Mathematics in 1972, Bachelor of Veterinary Science in 1979, Master of Veterinary Science in 1995, PhD in the School of Medicine, The University of Queensland in 2004, and membership of the Epidemiology Chapter of the Australia and New Zealand College of Veterinary Scientists in 2005. Her areas of research interest include Congenital Hyperinsulinism of Infancy, bone metabolism in Cystic Fibrosis, Vitamin D in Type 1 Diabetes, as well as study design and data analysis. These latter interests have led to collaborations with clinicians and scientists in a wide variety of fields of research, for example human viral respiratory infection, paediatric liver disease, Pseudomonas spp infection in humans and horses, and many others. Since 1990, Dr Greer has been variously a lecturer and researcher with The University of Queensland School of Medicine, Queensland Children’s Medical Research Institute and affiliated institutions, and taught epidemiology in the School of Veterinary Science where she inaugurated the first course in research methodology for postgraduate students.


Publications in refereed journals

  1. Khor KH, Shiels IA, Campbell FE, Greer RM, Rose A, Mills PC. Evaluation of a technique to measure heart rate variability in anaesthetised cats.Vet J. 2014 Feb;199(2):229-35
  2. Greer RM, Portelli SL, Hung BS, Cleghorn GJ, McMahon SK, Batch JA, Conwell LS. Serum vitamin D levels are lower in Australian children and adolescents with type1 diabetes than in children without diabetes. Pediatr Diabetes. 2013 Feb;14(1):31-41.
  3. Walker J, Greer RM, Kannegieter N. A prospective study evaluating grading of yearling pre-sale radiographs and subsequent sale price and racing performance. Australian Equine Veterinarian 2013; 32:46.
  4. Mackay IM, Arden KE, Speicher DJ, O'Neil NT, McErlean PK, Greer RM, Nissen MD,Sloots TP. Co-circulation of four human coronaviruses (HCoVs) in Queensland children with acute respiratory tract illnesses in 2004. Viruses. 2012Apr;4(4):637-53.
  1. Wang CY, Arden KE, Greer R, Sloots TP, Mackay IM. A novel duplex real-time PCRfor HPIV-4 detects co-circulation of both viral subtypes among ill children during 2008. J Clin Virol. 2012 May;54(1):83-5.
  2. Khor KH, Campbell F, Rathbone MJ, Greer RM, Mills PC. Acceptability and compliance of atenolol tablet, compounded paste and compounded suspension prescribed to healthy cats*. J Feline Med Surg. 2012 Feb;14(2):99-106.
  3. Moore P, Smith H, Greer RM, McElrea M, Masters IB. Pulmonary function and long-term follow-up of children with tracheobronchomalacia. Pediatr Pulmonol. 2012 Jul;47(7):700-5.
  4. Pereira TN, Lewindon PJ, Greer RM, Hoskins AC, Williamson RM, Shepherd RW, Ramm GA. Transcriptional basis for hepatic fibrosis in cystic fibrosis-associated liver disease. J Pediatr Gastroenterol Nutr. 2012 Mar;54(3):328-35.
  5. Khor KH, Campbell FE, Charles BG, Norris RL, Greer RM, Rathbone MJ, Mills PC. Comparative pharmacokinetics and pharmacodynamics of tablet, suspension and paste formulations of atenolol in cats. J Vet Pharmacol Ther. 2012;35(5):437-45.
  6. Camuglia JE, Greer RM, Welch L and Gole GA. Use of the electroretinogram in a paediatric hospital. Clin Exp Ophthalmol. 2011;39(6):506-12.
  7. Peter J. Lewindon, Ross W. Shepherd, Meagan Walsh, Ristan M Greer, Richard Williamson, Tamara N. Pereira, Kieran Frawley, Scott Bell, Jeffery L. Smith & Grant A Ramm. Importance of hepatic fibrosis in cystic fibrosis and predictive value of liver biopsy. Hepatology. 2011;53(1):193-201.
  8. Kidd TJ, Gibson JS, Moss S, Greer RM, Cobbold RN, Wright JD, Ramsay KA, Grimwood K, Bell SC. Clonal complex Pseudomonas aeruginosa in horses. Vet Microbiol. 2011;149(3-4):508-12.
  9. Schaaf K, Greer RM, Kannegieter N. The long term performance of previously unraced Thoroughbred horses following arthroscopic surgery of the intercarpal, radiocarpal and fetlock joints. Australian Equine Veterinarian 2009;28(4):38-43.
  10. Miller K, Rodger S, Bucolo S, Greer R, Kimble RM. Multi-modal distraction. Using technology to combat pain in young children with burn injuries. Burns. 2010 Aug;36(5):647-58.
  11. Micke GC, Sullivan TM, Rolls PJ, Hasell B, Greer RM, Norman ST, Perry VE. Dystocia in 3-year-old beef heifers; relationship to maternal nutrient intake during early- and mid-gestation, pelvic area and hormonal indicators of placental function. Anim Reprod Sci. 2010;118(2-4):163-70.
  12. Sullivan TM, Micke GC, Greer RM, Perry VE. Dietary manipulation of Bos indicusxheifers during gestation affects the prepubertal reproductive development of their bull calves. Anim Reprod Sci. 2010;118(2-4):131-9.
  13. Wang XQ, Phillips GE, Wilkie I, Greer R, Kimble RM. Microscopic inflammatory foci in burn scars: data from a porcine burn model. J Cutan Pathol. 2010 May;37(5):530-4.
  14. Sullivan TM, Micke GC, Greer RM, Irving-Rodgers HF, Rodgers RJ, Perry VE. Dietary manipulation of Bos indicus x heifers during gestation affects the reproductive development of their heifer calves. Reprod Fertil Dev. 2009;21(6):773-84.
  15. Greer RM, McErlean P, Arden KE, Faux CE, Nitsche A, Lambert SB, Nissen MD, Sloots TP, Mackay IM. Do rhinoviruses reduce the probability of viral co-detection during acute respiratory tract infections? J Clin Virol. 2009 May;45(1):10-5.
  16. Huynh T, Greer RM, Nyunt O, Bowling F, Cowley D, Leong GM, Cotterill AM, Harris M. The association between ketoacidosis and 25(OH)-vitamin D levels at presentation in children with type 1 diabetes mellitus.Pediatr Diabetes. 2009 Feb;10(1):38-43.
  17. Mueller-Abt P, Lewindon P, Greer RM, Frawley K. Comparison of ultrasound and biopsy findings in children with cystic fibrosis related liver disease. J Cyst Fibr 2008;7(3):215-21.
  18. Greer RM, Rogers MA, Bowling FG, Buntain HM, Harris M, Leong GM, Cotterill AM. Australian children and adolescents with type 1 diabetes have low vitamin D levels. (Letter). Med J Aust 2007;187(1):59-60.
  19. Vuckovic S, Withers G, Harris M, Khalil D, Gardiner D, Flesch I, Tepes S, Greer RM, Cowley D, Cotterill AM, Hart DN. Decreased blood dendritic cell counts in type 1 diabetic children. Clin Immunol 2007;123(3):281-8.
  20. Greer RM, Jeske Y, Walker R, Cowley D, Bowling FC, Bell J, Shah J, Liaskou D, Choong C, Harris M, Thomsett M, Jack MM, Cotterill A. Genotype - phenotype associations in patients with Hyperinsulinism of Infancy. Pediatr Dev Pathol. 2007;10(1):25-34.
  21. Buntain HM, Schluter PJ, Greer RM, Wong JC, Batch JA, Lewindon P, Bell SC, Wainwright CE. Controlled longitudinal study of bone mass accrual in Australian children and adolescents with cystic fibrosis. Thorax 2006;61(2):146-154.
  22. Buntain HM, Greer RM, Wong JC, Schluter PJ, Batch JA, Lewindon P, Bell SC, Wainwright CE. Pubertal development and its influences on bone mineral density in Australian children and adolescents with cystic fibrosis. J Paediatr Child Health, 2005; 41(7):213-22.
  23. Greer, RM, H.M. Buntain, P.J. Lewindon, C.E. Wainwright, J.M. Potter, J.C. Wong, P.W. Francis, J.A. Batch, and S.C. Bell, Vitamin A levels in patients with CF are influenced by the inflammatory response. Journal of Cystic Fibrosis, 2004. 3(3):143-149.
  24. Buntain, H.M., R.M. Greer, P.J. Schluter, J.C. Wong, J.A. Batch, J.M. Potter, P.J. Lewindon, E. Powell, C.E. Wainwright, and S.C. Bell, Bone mineral density in Australian children, adolescents and adults with cystic fibrosis: a controlled cross sectional study. Thorax, 2004. 59(2): p. 149-55.
  25. McComiskie, JE, Greer RM, Gole GA. Panoptic vs conventional ophthalmoscope. Clinical and Experimental Ophthalmology 2004;32:238-242.
  26. Murphy, A.J., H.M. Buntain, J.C. Wong, R.M. Greer, C.E. Wainwright, and P.S. Davies, The use of air displacement plethysmography in children and adolescents with cystic fibrosis. Eur J Clin Nutr, 2004. 58(7): p. 985-9.
  27. O'Carroll, M.R., M.W. Syrmis, C.E. Wainwright, R.M. Greer, P. Mitchell, C. Coulter, T.P. Sloots, M.D. Nissen, and S.C. Bell, Clonal strains of Pseudomonas aeruginosa in paediatric and adult cystic fibrosis units. Eur Respir J, 2004. 24(1):101-6.
  28. Wells, J.C., A.J. Murphy, H.M. Buntain, R.M. Greer, G.J. Cleghorn, and P.S. Davies, Adjusting body cell mass for size in women of differing nutritional status. Am J Clin Nutr, 2004;80(2):333-6.
  29. Greer, R.M., H.M. Buntain, J.M. Potter, C.E. Wainwright, J.C. Wong, P.K. O'Rourke, P.W. Francis, S.C. Bell, and J.A. Batch, Abnormalities of the PTH-vitamin D axis and bone turnover markers in children, adolescents and adults with cystic fibrosis: comparison with healthy controls. Osteoporos Int, 2003;14(5):404-11.
  30. Jack, M.M., R.M. Greer, M.J. Thomsett, R.M. Walker, J.R. Bell, C. Choong, D.M. Cowley, A.C. Herington, and A.M. Cotterill, The outcome in Australian children with hyperinsulinism of infancy: early extensive surgery in severe cases lowers risk of diabetes. Clin Endocrinol (Oxf), 2003;58(3):355-64.
  31. Greer, R.M.., M. Lehnert, P. Lewindon, G.J. Cleghorn, and R.W. Shepherd, Body composition and components of energy expenditure in children with end-stage liver disease. J Pediatr Gastroenterol Nutr, 2003;36(3):358-63.
  32. Briars, G.L., R.M. Greer, G.J. Cleghorn, and R.W. Shepherd, Fate of swallowed interleukin 8 and TNFa, and effect on the Wistar rat gut. Journal of Cystic Fibrosis, 2002;1(2):94-98.
  33. Shepherd, R.W., R.M. Greer, S.A. McNaughton, M. Wotton, and G.J. Cleghorn, Energy expenditure and the body cell mass in cystic fibrosis. Nutrition, 2001;17(1):22-5.
  34. McNaughton, S.A., R.W. Shepherd, R.M. Greer, G.J. Cleghorn, and B.J. Thomas, Nutritional status of children with cystic fibrosis measured by total body potassium as a marker of body cell mass: lack of sensitivity of anthropometric measures. J Pediatr, 2000;136(2):188-94.
  35. Greer, R.M., P. Quirk, G.J. Cleghorn, and R.W. Shepherd, Growth hormone resistance and somatomedins in children with end-stage liver disease awaiting transplantation. J Pediatr Gastroenterol Nutr, 1998;27(2):148-54.
  36. Thomson, M.A., P. Storey, R.M. Greer, and G.J. Cleghorn, Canine-human transmission of Gastrospirillum hominis. Lancet, 1994;343(8913):1605-7.
  37. Quirk, P., R.M. Greer, R. Shepherd, and G. Cleghorn, Serum immunoglobulin G directed against porcine trypsin in the serum of cystic fibrosis children receiving porcine pancreatic enzyme supplements. J Paediatr Child Health, 1993;29(3):196-200.
  38. Cleghorn, G.J., J. Erlich, F.G. Bowling, Y. Forrest, R.M. Greer, T.L. Holt, and R.W. Shepherd, Exocrine pancreatic dysfunction in malnourished Australian aboriginal children. Med J Aust, 1991;154(1): p. 45-8.
  39. Greer, R.M., R. Shepherd, G. Cleghorn, F.G. Bowling, and T. Holt, Evaluation of growth and changes in body composition following neonatal diagnosis of cystic fibrosis. J Pediatr Gastroenterol Nutr, 1991;13(1): p. 52-8.
  40. Thomas, B.J., R.W. Shepherd, T.L. Holt, K. Shepherd, R.M. Greer, and G.J. Cleghorn, Body composition studies in cystic fibrosis and myelomeningocele. Basic Life Sci, 1990;55:23-9.
  41. Shepherd, R.W., T.L. Holt, R.M. Greer, G.J. Cleghorn, and B.J. Thomas, Total body potassium in cystic fibrosis. J Pediatr Gastroenterol Nutr, 1989;9(2):200-5.

Book Chapters

  1. Andrew M Cotterill, David Cowley, Ristan M Greer. Investigation of hypoglycaemia. In the ‘Oxford Textbook of Endocrinology and Diabetes’. Eds John Wass and Paul Stewart. Oxford University Press.
  2. Andrew M Cotterill, David Cowley, Ristan M Greer. ‘Hypoglycaemia; assessment and management’. In ‘Brook’s Clinical Pediatric Endocrinology’. Ed Charles GD Brook, Peter E Clayton, Rosalind S Brown. Wiley-Blackwell publishing, 2009 Chichester UK.
  3. Jennifer A Batch and Ristan M Greer ‘Chronic paediatric disorders and management of the associated growth disturbance. Respiratory disorders.’ In Growth Disorders, 2nd Ed, Hodder and Arnold, London, 2007. Eds CJH Kelnar, MO Savage, P Sanger, CT Cowell.

PhD Thesis

Greer, R.M. Calcium, vitamin D and vitamin A metabolism in cystic fibrosis: implications of gender differences and disease severity.  School of Medicine., 2004, University of Queensland: Brisbane. Mentor Associate Professor Scott Bell. Supervisors: Professor Jennifer Batch, Associate Professor Paul Francis, Associate Professor Peter O’Rourke.

Master of Veterinary Science Thesis

Greer, R.M. Effect of misoprostol, a prostaglandin E2 analogue, on pancreatic secretion in the rabbit. School of Veterinary Science. 1995, University of Queensland: Brisbane.  Supervisors: Dr John Thornton, Dr Geoffrey Cleghorn.

Research fields

Epidemiology, Congenital Hyperinsulinism of Infancy, Cystic Fibrosis, Bone metabolism