Developmental Core- Pilot Projects, Full Projects, Biostat Core and Outreach Prog

发展核心 - 试点项目、完整项目、Biostat 核心和外展计划

• 批准号: 7896560
• 负责人: RAYMOND N. DUBOIS
• 金额: $ 82.68万
• 依托单位: UNIVERSITY OF TX MD ANDERSON CAN CTR
• 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/7896560
• 关键词: 21 year old; Accounting; Address; Adult; Advertising; Affinity; Alcohol consumption; Area; Award; Basic Science; Behavior; Behavioral Sciences; Binding; Bioinformatics; Biological Assay; Biological Markers; Biometry; Biostatistics Core; Blood specimen; Body mass index; Body of uterus; Breast; Bromides; CD44 gene; Cancer Center; Cancer Control; Cancer Etiology; Carbohydrates; Case-Control Studies; Cause of Death; Cell Line; Cervical Cancer Screening; Cessation of life; Clinic; Clinical; Clinical Research; Clinical Trials; Collaborations; Collection; Colorectal Cancer; Combined Modality Therapy; Commit; Communication; Communities; Community Health; Complex; Comprehensive Cancer Center; Confidence Intervals; Consultations; Contraceptive methods; Contrast Media; Coupled; Cyclodextrins; Data; Data Analyses; Data Files; Databases; Development; Development Plans; Diabetes Mellitus; Diagnosis; Discipline of obstetrics; Doctor of Philosophy; Dose; Drug Formulations; Education and Outreach; Educational workshop; Electronic Mail; Endometrial Carcinoma; Ensure; Enzymes; Epidemiologist; Excipients; Faculty; Family history of; Family member; Feedback; Foundations; Funding; Future; Genetic Polymorphism; Glucosamine; Goals; Growth; Gynecologic; Gynecologic Oncology; Gynecology; Habits; Health; Health Care Costs; Health Personnel; Health behavior; Healthcare; Hispanics; Histologic; Hormone replacement therapy; Hospitals; Human; Human Papillomavirus; Human Resources; Immunoassay; In Vitro; Individual; Infertility; Institution; Insulin; Insulin Resistance; Insulin-Like Growth Factor Binding Protein 3; Insulin-Like Growth Factor I; Insulin-Like Growth Factor II; Interview; Iron; Laboratories; Lead; Length; Life; Linear Models; Link; Logistic Regressions; Logistics; Magnetic Resonance Imaging; Malignant Epithelial Cell; Malignant Neoplasms; Malignant neoplasm of cervix uteri; Marketing; Measurement; Measures; Mediating; Medical; Medical Students; Medicine; Mentors; Methodology; Modeling; Modification; Needs Assessment; Neoplasms; Newly Diagnosed; Newsletter; Nonsense-Mediated Decay; Odds Ratio; Outcome; Ovarian Carcinoma; Participant; Pathway interactions; Patients; Phosphorylation; Phosphorylation Site; Physical activity; Physicians; Pilot Projects; Population Sciences; Population Study; Prevention; Process; Public Health; Published Comment; Puerto Rican; Puerto Rico; Quality Control; RNA; RNA Splicing; Recording of previous events; Reporting; Reproductive History; Research; Research Design; Research Infrastructure; Research Personnel; Research Project Grants; Research Proposals; Research Training; Resources; Retrieval; Risk; Risk Factors; Risk Reduction; Role; Rotation; Sample Size; Sampling; Science; Scientist; Screening for Ovarian Cancer; Screening procedure; Series; Serum; Site; Smoke; Smoker; Smoking; Societies; Solubility; Somatomedins; Staging; Statistical Methods; Students; Survival Analysis; System; Tissue Sample; Tobacco; Tobacco use; Toxic effect; Training; Training Programs; Translational Research; Treatment Protocols; Underrepresented Minority; United States; Universities; University of Texas M D Anderson Cancer Center; Update; Uterine Cancer; Vaccination; Variant; Water; Weight; Woman; Xenograft Model; Xenograft procedure; Yeasts; abstracting; adiponectin; anticancer research; aptamer; aqueous; base; cancer health disparity; cancer prevention; cancer risk; career; career development; cervical cancer prevention; community based participatory research; community organizations; cost effectiveness; data management; data modeling; design; dissemination research; drinking; experience; genetic epidemiology; health disparity; health organization; high risk drinking; improved; indexing; insulin sensitivity; interest; investigator training; malignant breast neoplasm; mortality; neoplasm registry; next generation; novel; outreach; outreach program; pre-clinical; programs; reduce tobacco use; reproductive; research clinical testing; research study; smoking cessation; smoking prevalence; stoichiometry; success; theories; tobacco control; treatment effect; virtual

[For the resubmission, research projects that received high (non-competitive) scores on the summary statement were eliminated as suggested by the PSC (Table 47).] Four research projects, which include career development plans (following References in each individual proposal [and in Appendix D]), are included in this application. Three projects are continuations from the previous U54 award. [These projects have been presented to the PSC Committee on an annual basis for feedback. All comments for revision have been incorporated into the projects.] In addition to the projects included on this application, funding is available for 2 pre-pilots during the 1st year and 1 pre-pilot during the 2nd year. During the 3rd year, funding is available for 1 pilot project. During the 4th year, funding is available for 3 full projects, 7 pilot projects or a combination of full, pilot and pre-pilot projects for up to 2 years. All projects will undergo a thorough IAC review process to be evaluated on their potential to expand into a larger project under the U54 mechanism and to compete for external funding (See Section 7). A description of each full and pilot project is included following this introduction. In addition to the research projects, this application includes a Cancer Training Program, a Cancer Outreach Program, and support cores as described in the RFA. The Outreach Program is the continuation of a 2-year Pilot Program that started late in the previous funding cycle.] 8.4 Solicitation of New Projects and Programs One of the main objectives of this Partnership is to facilitate the growth of independently-funded research at the MSI. To achieve this goal, aggressive advertising'and marketing strategies are needed to solicit the best proposals with an emphasis on building the foundation and infrastructure of the UPRCCC. A number of mechanisms will be used to solicit faculty from both institutions to begin collaborating including: 1) Partnership and UPR Websites; 2) Campus Presentations; 3) MSI Office of Sponsored Research; 4)"email; 5) Email Newsletters; and 6) Virtual Community. Title: Pilot Project A: Pilot Case-Comparison Study of Insulin Resistance, Adiponectin and Endometrial Cancer in Puerto Rico ABSTRACT Cancer of the uterine corpus is the most common gynecologic malignancy in the United States, with 40,100 new cases and 7,470 cancer-related deaths estimated for 2008. Similarly, in Puerto Rico endometrial cancer is the most common gynecologic malignancy, and the third leading cause of cancer in women behind breast and colorectal cancer. In the year 2003, there were 321 new cases of endometrial cancer reported to the Puerto Rico Cancer Registry, accounting for 6% of all cancers in women. Recent observations suggest that new pathways need to be considered, including evidence for a possible role of insulin and the insulin-like growth factor system. We will conduct a case-comparison hospital-based pilot study to assess the role of insulin resistance and adiponectin, a biomarker of insulin resistance, as risk factors for endometrial cancer among Puerto Rican women. One hundred women (21 years and older) with a newly diagnosed, histologically confirmed primary endometrial cancer will be selected at the Gynecologic Oncology clinic of the Department of Obstetrics and Gynecology at the University of Puerto Rico Medical Science Campus (UPR-MSC) and compared to 100 women selected among attendees to two Obstetrics and Gynecology clinics at the UPRMSC. Participants will undergo a face-to-face interview in which the following is collected: demographic information, smoking and drinking habits, weight history, personal and family medical history, reproductive and menstrual history, history of contraception and hormone replacement therapy, history of infertility, and levels of physical activity. In addition, women will undergo anthropometric measurements and collection of blood samples for measurements of insulin resistance. Insulin resistance (IR) will be measured using the quantitative insulin sensitivity check index (QUICKI). In addition, serum adiponectin levels, which correlate with insulin resistance, will be measured using a commercially available quantitative sandwich enzyme-linked immunoassay (ELISA). Univariate and multivariate unconditional logistic regression models will be used to assess the association of endometrial cancer with insulin resistance and serum adiponectin. The odds ratio (OR) and its 95% confidence intervals will be used to estimate the strength of the association between IR and other factors of interest and endometrial cancer. TITLE: Training the Next Generation of Hispanic Cancer Researchers ABSTRACT Early recruitment of underrepresented minorities to biomedical and health research training is essential to ensure that society's diversity is reflected in those professions. The objective of this proposal is to strengthen its partners' capabilities to contribute to significant increases in the participation of underrepresented minorities in nationally competitive cancer clinical and basic research. The University of Puerto Rico (UPR) and the University of Texas M. D. Anderson Cancer Center (MDACC) will continue to develop a comprehensive pipeline program from undergraduates to postgraduates that will increase the number of Hispanic students knowledgeable and committed to careers in cancer research and cancer medicine. The overall goal of this project is to encourage Hispanic science and medical students to pursue careers in cancer research and medicine and populate the faculty ranks at the UPR so as to strengthen cancer research at the University of Puerto Rico. The University of Puerto Rico (UPR) is conducting the training program with MDACC in several areas - biomedical and clinical research, didactics, enrichment experiences, M.D./PhD. training, postgraduate clinical training, training in cancer prevention and health disparities, and career development. The desired outcome will be achieved through a coordinated series of didactic and research experiences and enrichment activities that include on-campus cancer research at University of Puerto Rico Comprehensive Cancer Center (UPRCCC) during the academic year and summer research and year-round rotations to MDACC. The program draws upon the strengths of both institutions and brings benefits to both. TITLE: Puerto Rico Community Cancer Control Outreach Program ABSTRACT Cancer is the second leading cause of death among Hispanics in the US.(1) Despite the overall decline in cancer mortality over the last decade, Hispanics continue to experience disparities for certain cancers.<2) Breast and cervical cancer and tobacco-related cancers are among these.'113|4) Although smoking prevalence is lower in Puerto Rico (PR) compared to the US, tobacco exerts a tremendous public health burden, with 11.5% of all deaths and 10% of all health care costs in PR are attributable to smoking.(4> Among Puerto Rican women living in PR, breast cancer is the most commonly diagnosed neoplasm (35% of all cancers) and the leading cause of cancer deaths (15% of total).(9) Cervical cancer is the 4th most commonly diagnosed neoplasm in PR women, accounting for 4% of all newly diagnosed cancers, and 2.4% of all cancer-related deaths.(9) The purpose of the Puerto Rico Community Cancer Control Outreach Program (CCCOP) is to modify and sustain health behavior through the development of comprehensive, sustainable partnerships for cancer control outreach, education, research, and training in Puerto Rico (PR). Specifically, the purpose of the CCCOP is to decrease tobacco use, increase vaccination against Human Papilloma Virus (HPV), and increase breast and cervical cancer screening. Program components of the CCCOP will build upon collaborations, infrastructure, network development, and outreach successes achieved in the Outreach Pilot Project. The specific aims of the CCCOP are to: 1. Maintain, strengthen, and further develop a cancer control outreach network that will build upon existing relationships and develop new collaborations among the University of Puerto Rico Comprehensive Cancer Center (UPRCCC), The University of Texas M. D. Anderson Cancer Center (MDACC), and key Puerto Rican community and health organizations; 2. Conduct a community assessment of needs and resources for breast and cervical cancer (BCCS) prevention and screening, tobacco control, and the elimination of disparities related to these cancers and behaviors; 3. Develop health care provider and community organization capacity to implement and sustain culturally competent cancer control outreach and education programs to address disparities in breast and cervical cancers and tobacco control; 4. Provide active mentoring and career development opportunities to U54 researchers and community partners to build capacity in cancer control and community-based participatory research; and, 5. Evaluate the impact of the CCCOP on increasing breast and cervical cancer screening, increasing HPV vaccination, and reducing tobacco use in PR. The proposed project provides benefits to both UPRCCC and MDACC as each partner brings unique expertise to the partnership. The CCCOP also includes major career development components to prepare cancer disparities researcher at both UPRCCC and MDACC. TITLE: Biostatistics and Bioinformatics Core ABSTRACT Rigorous application .of statistical methods and theory ensures that research will be conducted efficiently and increases the likelihood that useful data will be collected and correctly interpreted. The purpose of the Biostatistics and Bioinformatics Core (BBC) is to provide professional expertise in Biostatistics and Bioinformatics for all research studies within the Partnership. The investigators will have a close communication with the BBC at different stages of the projects, such as: study design, sampling design, sample size, random assignment, determination of statistical power, data description, data modeling, data management, quality control, database creation, keeping track of the database, merging files, updating files, data editing and filing, and retrieval of missing data. In addition, to improve our communication with the investigators, the BBC is planning to organize different workshops related with the statistical needs for every research studies, particularly with regression modeling (linear, logistic, multilevel), survival analysis, clinical trials, sample size, and power determination. Also, the BBC personnel will be involved in the assessment of new statistical methodologies in cancer research, particularly in microarray data analysis (McLachlan, et al, 2003) and genetic epidemiology (Suarez et al, 2007).

[对于重新提交，在摘要中获得了高（非竞争）分数的研究项目 如PSC所建议（表47）所建议的。]四个研究项目，其中包括职业 开发计划（每个单独建议中的参考文献[和附录D]）包括在此中 应用。三个项目是以前的U54奖。 [这些项目已经 每年向PSC委员会提交反馈。所有修订的评论都有 被整合到项目中。] 除了本申请中包括的项目外，第一年还可以为2个前巡回演出提供资金 和1个在第二年的前小腿。在第三年内，可以为1个试点项目提供资金。在第四 一年，可用于3个完整项目，7个试点项目或完整的飞行员和前驾驶项目的组合资金 最多2年。所有项目都将经历彻底的IAC审查过程，以评估其潜力 在U54机制下扩展到一个较大的项目，并争夺外部资金（请参阅第7节）。 此介绍之后，包括每个完整和试点项目的描述。除了研究 项目，该应用程序包括癌症培训计划，癌症外展计划和支持核心 如RFA中所述。外展计划是一项为期两年的试点计划的延续，该计划迟到了 在上一个资金周期中。] 8.4征求新项目和计划 该伙伴关系的主要目标之一是促进独立资助的研究的增长 MSI。为了实现这一目标，需要积极的广告和营销策略来征求最佳 强调UPRCCC的基础和基础设施的建议。许多 机制将用于从两个机构开始合作的教师，包括：1）合作 和UPR网站； 2）校园演讲； 3）MSI赞助研究办公室； 4）“电子邮件； 5）电子邮件 新闻通讯；和6）虚拟社区。 标题：试点项目A：胰岛素抵抗，脂联素和 波多黎各的子宫内膜癌 抽象的 子宫癌是美国最常见的妇科恶性肿瘤，有40,100 新病例和2008年估计的7,470例与癌症相关的死亡。同样，在波多黎各子宫内膜癌中 是最常见的妇科恶性肿瘤，也是女性癌症的第三主要原因 和结直肠癌。在2003年，有321例子宫内膜癌病例向 波多黎各癌症登记处，占女性所有癌症的6％。最近的观察表明 需要考虑新的途径，包括胰岛素和类似胰岛素的可能作用的证据 生长因子系统。我们将进行一项病例比较医院的试点研究，以评估 胰岛素抵抗和脂联素是胰岛素抵抗的生物标志物，作为子宫内膜癌的危险因素 在波多黎各妇女中。一百名妇女（21岁及以上）有一个新诊断，组织学上 确认的原发子宫内膜癌将在该系的妇科肿瘤学诊所中选择 波多黎各大学医学校园（UPR-MSC）和 相比之下，在UPRMSC，在参与者中被选为两个妇产科诊所的100名妇女。 参与者将接受面对面的面试，其中收集以下内容：人口统计 信息，吸烟和饮酒习惯，体重历史，个人和家族病史，生殖和 月经病史，避孕史和激素替代疗法，不育症史和水平 体育锻炼。此外，女性将接受人体测量和血液的收集 用于测量胰岛素抵抗的样品。胰岛素抵抗（IR）将使用定量测量 胰岛素灵敏度检查指数（QUICKI）。此外，血清脂联素水平与胰岛素相关 电阻将使用商业可用的定量三明治酶连接来测量 免疫测定法（ELISA）。单变量和多元无条件逻辑回归模型将用于 评估子宫内膜癌与胰岛素抵抗和血清脂联素的关联。优势比 （OR）及其95％的置信区间将用于估计IR和IR之间关联的强度 感兴趣的其他因素和子宫内膜癌。 标题：培训下一代西班牙癌症研究人员 抽象的 早期招募代表性不足的少数群体接受生物医学和健康研究培训对于 确保社会的多样性反映在这些职业中。该提议的目的是加强 其合作伙伴的能力有助于大幅度增加代表性不足的少数群体的参与 在全国竞争性癌症临床和基础研究中。波多黎各大学（UPR）和 德克萨斯大学M. D.安德森癌症中心（MDACC）将继续发展全面 从本科生到研究生的管道计划将增加西班牙裔学生的数量 知识渊博，并致力于癌症研究和癌症医学的职业。总体目标 项目是为了鼓励西班牙裔科学和医学生从事癌症研究的职业和 医学和教师在UPR中排名，以加强大学的癌症研究 波多黎各。波多黎各大学（UPR）正在与MDACC进行培训计划 领域 - 生物医学和临床研究，教学，富集经验，医学博士/phd。培训，研究生 临床培训，预防癌症和健康差异的培训以及职业发展。想要的 结局将通过协调的一系列教学和研究经验和丰富来实现 包括波多黎各大学综合癌症中心的校园癌症研究的活动 （UPRCCC）在学年和夏季研究以及向MDACC的全年轮换中。该程序 借鉴了这两个机构的优势，并带来了两者的利益。 标题：波多黎各社区癌症控制外展计划 抽象的 癌症是美国西班牙裔人中第二大死亡原因。（1）尽管总体下降了 癌症死亡率在过去十年中，西班牙裔继续存在某些癌症的差异。<2）乳房 其中包括宫颈癌和与烟草有关的癌症。 与美国相比，在波多黎各（PR）中，烟草施加了巨大的公共卫生负担，其中11.5％ PR中的死亡和所有医疗保健费用的10％归因于吸烟。（4>在波多黎各人居住 在PR中，乳腺癌是最常见的肿瘤（占所有癌症的35％），也是主要原因 癌症死亡（占总数的15％）。（9）宫颈癌是PR妇女中最常见的肿瘤中第四位最常见的 占所有新诊断的癌症的4％，占所有与癌症相关的死亡的2.4％。（9） 波多黎各社区癌症控制外展计划（CCCOP）的目的是修改和 通过建立癌症的全面，可持续的伙伴关系来维持健康行为 波多黎各（PR）的控制外展，教育，研究和培训。具体而言， CCCOP将减少烟草使用，增加针对人乳头瘤病毒（HPV）的疫苗接种，并增加 乳腺癌和宫颈癌筛查。 CCCOP的程序组件将基于协作， 外展试点项目中取得的基础设施，网络开发和推广成功。这 CCCOP的具体目标是：1。维护，增强和进一步发展癌症控制外展 网络将建立现有关系并在大学之间发展新的合作 德克萨斯大学M. D. Anderson癌症的波多黎各综合癌症中心（UPRCCC） 中心（MDACC）和主要的波多黎各社区和卫生组织； 2。进行社区 评估乳房和宫颈癌（BCC）预防和筛查的需求和资源，烟草 控制，消除与这些癌症和行为有关的差异； 3。发展医疗保健 提供者和社区组织实施和维持具有文化胜任癌症控制的能力 宣传和教育计划，以解决乳房和宫颈癌和烟草控制的差异； 4。 为U54研究人员和社区合作伙伴提供积极的指导和职业发展机会 在癌症控制和基于社区的参与性研究中建立能力； 5。评估 CCCOP在增加乳腺癌和宫颈癌筛查，增加HPV疫苗接种并减少 PR中的烟草使用。 拟议的项目为UPRCCC和MDACC提供了好处，因为每个合作伙伴都带来了独特的专业知识 与伙伴关系。 CCCOP还包括准备癌症的主要职业发展组成部分 UPRCCC和MDACC的差异研究人员。 标题：生物统计学和生物信息学核心 抽象的 严格应用统计方法和理论可确保将有效进行研究 增加了收集和正确解释有用数据的可能性。目的 生物统计学和生物信息学核心（BBC）是提供生物统计学和 伙伴关系中所有研究的生物信息学。调查人员将进行密切的沟通 BBC处于项目的不同阶段，例如：研究设计，抽样设计，样本量，随机 分配，确定统计能力，数据描述，数据建模，数据管理，质量 控制，数据库创建，跟踪数据库，合并文件，更新文件，数据编辑和归档， 并检索丢失的数据。此外，为了改善我们与调查人员的沟通，英国广播公司是 计划组织与每项研究的统计需求有关的不同研讨会， 特别是通过回归建模（线性，逻辑，多级），生存分析，临床试验，样本量， 和电力决定。此外，BBC人员将参与新统计的评估 癌症研究的方法论，特别是微阵列数据分析（McLachlan等，2003）和遗传学 流行病学（Suarez等，2007）。