CORE--DIAGNOSTIC EVALUATION

核心——诊断评估

• 批准号: 3768343
• 负责人: NEIL M RESNICK
• 金额: --
• 依托单位: HARVARD MEDICAL SCHOOL
• 依托单位国家: 美国
• 资助国家: 美国
• 起止时间: 至
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/3768343
• 关键词: accidental falls; autonomic disorder; biomechanics; biomedical facility; blood pressure; electrocardiography; gait; heart rate; human subject; musculoskeletal disorder diagnosis; nervous system disorder diagnosis; patient /disease registry; personal computers; posture; urinary incontinence; urinary tract disorder diagnosis; urinary tract imaging /visualization; video recording system

Research Core B, the Evaluation Core, would target the goals set by the Institute of Medicine: to "focus resources from a variety of disciplines on the important problems of urinary incontinence, autonomic dysfunction, and falls "where" specialized diagnostic/pathophysiologic units that encourage collaboration between clinical researchers and basic scientists are especially encouraged". The Evaluation Core would establish three such units -- a Urodynamic Diagnostic Center, an Autonomic Diagnostic Center, and a Gait Diagnostic Center. The key word in each is "center" since although extensive multidisciplinary investigations are ongoing in each area presently, these efforts are dispersed throughout the city. This often precludes meaningful interactions between investigative groups and results in multiple missed opportunities for training and research. Thus, the overall goal of the Evaluation Core is to centralize resources. This would reduce duplicated effort, standardize evaluations, increase the number and types of patients that can be evaluated (thereby increasing research productivity), foster further collaborations among multiple disciplines from basic science to epidemiology, permit leveraging of considerable resources to capitalize on currently missed research opportunities, and greatly enhance the training of future leaders in geriatrics. Moreover, it would stimulate interest in geriatric incontinence and falls, two areas that have long been neglected and in which research and clinical training is critically needed. Finally, centralization and the establishment of a chargeback mechanism will allow all of these goals to be accomplished in a cost-effective manner.

研究核心B（评估核心）将针对目标集 医学研究所：“集中资源 关于尿失禁的重要问题的学科， 自主功能障碍，跌倒在“哪里”专业 诊断/病理生理单元，鼓励协作 尤其是临床研究人员和基础科学家之间 鼓励”。评估核心将建立三个这样的单元 - 一个尿动力诊断中心，一个自主诊断中心， 和步态诊断中心。 每个关键词是“中心” 尽管大量的多学科调查是 目前每个领域正在进行中，这些努力是分散的 整个城市。 这通常排除有意义的互动 调查组之间和结果遗漏的结果 培训和研究的机会。 因此，总体目标 评估核心是集中资源。 这会 减少重复的努力，标准化评估，增加 可以评估的患者数量和类型（从而 提高研究生产率），促进进一步的合作 在从基础科学到流行病学的多个学科中， 允许利用大量资源来利用 目前错过了研究机会，并大大提高了 培训老年医学领导者的未来领导者。 而且，会 刺激对老年尿失禁和跌倒的兴趣，两个区域 长期以来一直被忽视的研究和临床 迫切需要训练。 最后，集中化和 建立退款机制将允许所有这些 目标要以具有成本效益的方式实现。