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$$XID NIHGUIDE 19950303 V24N08 P1O1 ************************************
X-comment: RFAs described: AI-95-012

NIH GUIDE - Vol. 24, No. 8 - March 3, 1995

$$INDEX BEGIN *******************************************************

                               NOTICES

$$INDEX N1 **********************************************************

FINDINGS OF SCIENTIFIC MISCONDUCT
Department of Health and Human Services
INDEX:  DEPARTMENT OF HEALTH AND HUMAN SERVICE

$$INDEX N2 **********************************************************

NATIONAL SURVEY OF LABORATORY ANIMAL USE, FACILITIES, AND RESOURCES
CONDUCTED BY THE NCRR IN 1995
National Center for Research Resources
INDEX:  RESEARCH RESOURCES

$$INDEX N3 **********************************************************

SMALL BUSINESS INNOVATION RESEARCH
National Institute of Child Health and Human Development
INDEX:  CHILD HEALTH, HUMAN DEVELOPMENT

$$INDEX N4 **********************************************************

NATIONAL HUMAN SUBJECT PROTECTIONS WORKSHOPS
National Institutes of Health
Food and Drug Administration
INDEX:  NATIONAL INSTITUTES OF HEALTH; FOOD AND DRUG ADMINISTRATION

$$INDEX N5 **********************************************************

NATIONAL ANIMAL WELFARE EDUCATION WORKSHOPS
National Institutes of Health
INDEX:  NATIONAL INSTITUTES OF HEALTH

               NOTICES OF AVAILABILITY (RFPs/RFAs/PAs)

$$INDEX R1 **********************************************************

DYNAMICS OF HEALTH, AGING AND BODY COMPOSITION - COORDINATING UNIT
(RFP NIH-AG-95-03)
National Institute on Aging
INDEX:  AGING

$$INDEX R2 **********************************************************

LABORATORY TESTS OF BLOOD AND URINE SAMPLES FROM THE CPEP CLINICAL
TRIAL (RFP NICHD-DESPR-95-14)
National Institute of Child Health and Human Development
INDEX:  CHILD HEALTH, HUMAN DEVELOPMENT

$$INDEX R3 07/18/95 *************************************************

HEPATITIS C COOPERATIVE RESEARCH CENTERS (RFA AI-95-012)
National Institute of Allergy and Infectious Diseases
INDEX:  ALLERGY, INFECTIOUS DISEASES

This publication is available electronically via BITNET or INTERNET,
by subscription, and is also on the NIH GOPHER (gopher.nih.gov).
Alternative access is through the NIH Grant Line using a personal
computer (data line 301/402-2221); contact Dr. John James at 301/594-
7270 for details.

THE PUBLIC HEALTH SERVICE (PHS) STRONGLY ENCOURAGES ALL GRANT
RECIPIENTS TO PROVIDE A SMOKE-FREE WORKPLACE AND PROMOTE THE NON-USE
OF ALL TOBACCO PRODUCTS.  THIS IS CONSISTENT WITH THE PHS MISSION TO
PROTECT AND ADVANCE THE PHYSICAL AND MENTAL HEALTH OF THE AMERICAN
PEOPLE.

$$INDEX END *********************************************************

                               NOTICES

$$N1 BEGIN **********************************************************

FINDINGS OF SCIENTIFIC MISCONDUCT

NIH GUIDE, Volume 24, Number 8, March 3, 1995

P.T. 34; K.W. 1014004, 1014006

Department of Health and Human Services

Notice is hereby given that the Office of Research Integrity (ORI)
has made final findings of scientific misconduct in the following
case:

Aaron Apte, Stanford University:  The Division of Research
Investigations of the Office of Research Integrity (ORI), reviewed an
investigation conducted by Stanford University into possible
scientific misconduct on the part of Mr. Aaron Apte, a former
technician in the Department of Cardiovascular Surgery.  Mr. Apte and
his research were supported by U.S. Public Health Service grants.
ORI concluded that Mr. Apte fabricated data for research, by cutting
>From a former coworker's notebook a scintillation counter printout,
pasting it into his own notebook, and representing it as his own
results from a different experiment on the binding of angiotensin to
transfected cells.  Mr. Apte has been debarred from eligibility for
and involvement in grants as well as other assistance awards and
contracts from the Federal Government for a period of three years.
The fabricated research did not appear in any publications.

INQUIRIES

For further information, contact:

Director
Division of Research Investigations
Office of Research Integrity
5515 Security Lane, Suite 700
Rockville, MD  20852
Telephone:  (301) 443-5330

$$N1 END ************************************************************

$$N2 BEGIN **********************************************************

NATIONAL SURVEY OF LABORATORY ANIMAL USE, FACILITIES, AND RESOURCES
CONDUCTED BY THE NCRR IN 1995

NIH GUIDE, Volume 24, Number 8, March 3, 1995

P.T. 34; K.W. 0404021, 0780000

National Center for Research Resources

The National Center for Research Resources of the National Institutes
of Health is conducting the "National Survey of Laboratory Animal
Use, Facilities, and Resources" of all Public Health Service (PHS)
awardee institutions.  This survey was mailed to the Institutional
Officials of all OPRR-assured institutions, at the address indicated
on the assurance, in January 1995.  Data requested includes
information on the characteristics of the organization, the species
and numbers of animals in the program, the facilities and personnel
supporting the laboratories, and the costs of animal care.  In order
to maintain the confidentiality of the responses, the survey will be
anonymous.  The final report, which will be sent to each institution
in late 1996, will contain aggregated data gathered from the
responding institutions.

The survey is being performed by Advanced Resource Technologies, Inc.
During the survey response period, February 1 to March 17, staff of
Advanced Resource Technologies, Inc. will maintain a toll free number
-- 1-800-NIH-2494 -- to offer assistance to respondents with any
questions about the survey.

The survey information will be of great importance to the NIH in
determining the impact of animal resource needs on biomedical
research and the future funding of laboratory animal research,
facility construction, and renovation programs.  Each institution is
strongly urged to participate in the survey process, since the value
of aggregated information rests on a significant response from the
PHS awardee institutions.

INQUIRIES

For toll free assistance with questions about the survey or guidance
in filling out the form:

Dr. Elizabeth Gard or Dr. Paul DiTullio
Advanced Resource Technologies, Inc.
Telephone:  (800) NIH-2494

Ms. Carol Brown
National Center for Research Resources
Building 12A, Room 4047
Bethesda, MD  20892-5666
Email:  carolb@od12A.ncrr.nih.gov

$$N2 END ************************************************************

$$N3 BEGIN **********************************************************

SMALL BUSINESS INNOVATION RESEARCH

NIH GUIDE, Volume 24, Number 8, March 3, 1995

P.T. 34; K.W. 0750020, 1003006, 0740022, 0710070

National Institute of Child Health and Human Development

One program description for the Omnibus Solicitation of the Public
Health Service for Small Business Innovation Research (SBIR) Grant
and Cooperative Agreement Applications (PHS 95-3) was inadvertently
omitted.  The text, as it appears under the heading "B.
Contraceptive Development" pertains to "C. Contraceptive and
Reproductive Evaluation".  Thus, on page 63, under "Contraceptive
Development", the text should read as follows:

B.  Contraceptive Development

Research focussed on new and improved methods of fertility
regulation, for men and for women, that are safe, effective,
inexpensive, reversible, and acceptable.  The objective of the
research is to develop an array of methods that couples in various
population groups can use successfully and safely.

(1) Synthesis and testing of drugs that can influence male and female
fertility and that have the potential of becoming useful
contraceptives.

(2) Development of methods of contraceptive drug administration that
can improve the bioavailability from different routes of
administration.

(3) Isolation of antigens specific to the reproductive system that
could be utilized for antifertility vaccine development.

(4) Development of improved barrier contraceptives for men and women,
including new spermicidal agents or new formulations that may reduce
vaginal irritation and provide better protection against sexually
transmitted diseases.

(5) Development of simplified methods to quantify sperm counts,
particularly for men with low sperm counts.

(6) Developing leads to non-peptide GnRH analogs (agonists and
antagonists), as potential contraceptive agents, via screening of
libraries of compounds against the GnRH receptor.

C.  Contraceptive and Reproductive Evaluation

INQUIRIES

For further information regarding this program, contact:

Ms. Hildegard Topper
National Institute of Child Health and Human Development
Building 31, Room 2A03
Bethesda, MD  20892-2425
Telephone:  (301) 496-0104
FAX:  (301) 402-1104
Email:  ht20t@nih.gov

$$N3 END ************************************************************

$$N4 BEGIN **********************************************************

NATIONAL ANIMAL WELFARE EDUCATION WORKSHOPS

NIH GUIDE, Volume 24, Number 8, March 3, 1995

P.T. 42; K.W. 0201011, 1014003

National Institutes of Health

The National Institutes of Health, Office for Protection from
Research Risks is continuing to sponsor workshops on implementing the
Public Health Service Policy on Humane Care and Use of Laboratory
Animals.  Each of the workshops scheduled for Fiscal Year 1995 will
focus on a specific theme.  The workshops are open to institutional
administrators, members of Institutional Animal Care and Use
Committees, laboratory animal veterinarians, investigators and other
institutional staff who have responsibility for high-quality
management of sound institutional animal care and use programs.
Ample opportunities will be provided to exchange ideas and interests
through question and answer sessions and informal discussions.

DATES:  March 12-14, 1995

TOPIC:  Animal Care and Research: Challenges and Changes for the
Institutional Animal Care and Use Committee

LOCATION
San Diego Princess
1404 West Vacation Road
San Diego, CA  92109-7994
Telephone:  (619) 274-4630 or (1-800) 344-2626
FAX:  (619) 581-5929

SPONSORS
Tufts University School of Veterinary Medicine
Public Responsibility in Medicine and Research

REGISTRATION
Ms. Danielle Demko
Public Responsibility in Medicine and Research
132 Boylston Street
Boston, MA  02116
Telephone:  (617) 423-4112
FAX:  (617) 423-1185

FEE:  $300

DESCRIPTION:  The Workshop will focus on revisions to the
Institutional Animal Care and Use Committee Guidebook; assessment and
reduction of pain and distress in animal research; occupational
health risks ad biohazards; and a host of other regulatory and
administrative issues that are central to the successful operation of
laboratory animal care and research programs.

Immediately preceding the Tufts University School of Veterinary
Medicine/NIH/OPRR Workshop, Applied Research Ethics National
Association (ARENA) will sponsor its annual animal issues meeting on
Sunday, March 12, also at the San Diego Princess.

INQUIRIES

For further information concerning these workshops and future
NIH/OPRR Animal Welfare Education Workshops, contact:

Mrs. Roberta Sonneborn
Office of Protection from Research Risks
National Institutes of Health
6100 Executive Boulevard, MSC 7507
Bethesda, MD  20892-7507
Telephone:  (301) 496-7163
FAX:  (301) 402-2071

$$N4 END ************************************************************

$$N5 BEGIN **********************************************************

NATIONAL HUMAN SUBJECT PROTECTIONS WORKSHOPS

NIH GUIDE, Volume 24, Number 8, March 3, 1995

P.T. 42; K.W. 0783005

National Institutes of Health
Food and Drug Administration

The National Institutes of Health (NIH) and the Food and Drug
Administration (FDA) are continuing to sponsor a series of workshops
on responsibilities of researchers, Institutional Review Boards
(IRBs), and institutional officials for the protection of human
subjects in research.  The workshops are open to everyone with an
interest in research involving human subjects, and will be of special
interest to those persons currently serving or about to begin serving
as a member of an IRB.  Issues discussed at these workshops are
relevant to all Public Health Service agencies.  The current schedule
includes the following:

DATES:  May 4-5, 1995

TITLE:  Contemporary Issues in Human Research Subject Protection in
Vulnerable and Minority Populations:  Sharing the Benefits and
Burdens of Research

LOCATION:  Regal Riverfront Hotel, St. Louis, MO

SPONSORS
Washington University School of Medicine
Jewish Hospital of St. Louis at Washington University
Meharry Medical College

REGISTRATION
Barb Woodson
Secretary, Research Administration
Jewish Hospital of Saint Louis
216 South Kingshiway, Room 1768-69
Saint Louis, MO  63110
Telephone:  (314) 454-8322
FAX:  (314) 454-4241

REGISTRATION FEE:  $150

DESCRIPTION:  The HHS and FDA mandate to Institutional Review Boards
is to protect the rights and welfare of human subjects while
supporting scientific advancement.  This protection is extended to
all human subjects, but additional safeguards are provided by both
the HHS/FDA regulations and basic ethical principles to protect the
rights and welfare of vulnerable subjects who, by reason of their
disability or illness, exhibit diminished personal autonomy.  Neither
the Federal regulations, nor ethical codes, including The Belmont
Report, proscribe inclusion of vulnerable persons as research
subjects, although special justification of any plan to involve
vulnerable persons as research subjects is required.  Women and
members of certain racial groups -- particularly Afro-Americans and
Hispanics -- have been excluded from research.  Inasmuch as these
groups have not been involved, they also are vulnerable -- vulnerable
to exclusion and to the possibility of being deprived of proven new
advances from research.

This Conference will focus particularly on evolving concerns for the
protection of vulnerable subjects from research risks, inappropriate
or inadvertent exploitation, or discrimination by exclusion.
Presentations will highlight FDA regulatory updates; explore the new
guidelines for the inclusion of women and people of color and diverse
racial and ethnic backgrounds in clinical research; examine the
claims that women have been systematically excluded from research and
potentially deprived thereby of proven diagnostic and therapeutic
strategies; review current issues in research in vulnerable
populations including unconscious patients in emergency rooms, AIDS
patients, children, the elderly, and the cognitively-impaired.  IRB
challenges in research in psychiatry will be discussed, including the
validity of initial and continuing informed consent for research in
schizophrenic patients, justification for the use of a placebo, the
social and medical implications of genetic screening for
vulnerability to psychiatric disease, the ethical difficulties
involved in research in child psychiatry, and the influence of
cultural patterns on psychiatric research in minority populations.
The Conference will include keynote addresses, panel presentations,
facilitated forums, information exchanges, and active audience
participation.  An outstanding faculty of experts in each area of
discussion has been selected on the basis of expertise and ability to
communicate authoritatively and comprehensively.

INQUIRIES

For further information regarding these workshops and future NIH/FDA
National Human Subject Protections Workshops, contact:

Ms. Darlene Marie Ross
Office for Protection from Research Risks
National Institutes of Health
6100 Executive Boulevard, Suite 3B01
Rockville, MD  20892-7507
Telephone:  (301) 496-8101
FAX:  (301) 402-0527

$$N5 END ************************************************************

               NOTICES OF AVAILABILITY (RFPs/RFAs/PAs)

$$R1 BEGIN NIH-AG-95-03 *********************************************

DYNAMICS OF HEALTH, AGING AND BODY COMPOSITION - COORDINATING UNIT

NIH GUIDE, Volume 24, Number 8, March 3, 1995

RFP AVAILABLE:  NIH-AG-95-03

P.T. 34; K.W. 0710010, 0755018, 0404021, 0413000

National Institute on Aging

The National Institute on Aging (NIA) has a contract requirement to
operate the coordinating unit for an eight-year population-based
observational study, the Dynamics of Health, Aging and Body
Composition (HEALTH ABC).  The coordinating unit will interact with
two field centers that will recruit a total of 3,000 non-
institutionalized White and African-American men and women aged
70-79.  Change in physical function and incident disability are the
major study outcomes.  Assessment of participants will include
baseline and follow-up interviews and examinations that include
measurement of body composition using dual energy x-ray
absorptiometry (DEXA); measures of anthropometry, strength, fitness
and physical function; objective measures of weight-related health
conditions, i.e., osteoarthritis, cardiovascular disease,
osteoporosis, pulmonary disease, and diabetes, and collection of
blood and other biologic samples.  The coordinating unit will have
the primary responsibility for:  (1) providing reading centers for
body composition studies and electrocardiograms; (2) establishing and
maintaining a central storage facility for biologic specimens; (3)
identifying and assessing candidate facilities for analysis of
biologic specimens; and (4) managing the central storage facilities
and analytic laboratories for biologic specimens, including
coordinating the shipping, tracking, and analysis of samples.
Responsibilities for data management and study administration
include:  (1) participating with the field centers in preparing the
study protocols, reporting forms, and manuals of operations; (2)
assisting in the preparation of materials for OMB clearance; (3)
developing a distributed data entry system; (4) standardizing,
printing and distributing reporting forms, the study protocol, and
manuals of operations; (5) conducting training sessions for field
center personnel on all aspects of data collection; (6) receiving,
collecting, processing, editing, storing, providing quality control
of, and analyzing data collected by the field centers; (7)
coordinating, arranging, participating in, providing information for,
and preparing minutes from committee meetings; (8) preparing and
distributing periodic technical and statistical reports; (9)
developing recruitment plans, informed consent materials, and
educational materials for diverse study populations; (10)
collaborating with the other study investigators and project officers
in producing manuscripts for publication.

Applicants should have previous experience in research projects
involving the following:  collection of data on body composition or
bone mineral density and from electrocardiograms, establishing and
maintaining a central storage facility for biologic specimens, and
evaluating laboratories for analysis of these specimens.  The
solicitation is scheduled to be issued on or about March 3, 1995.
Proposals will be due 60 days after the date of issuance of the
solicitation.  All responsible sources may submit a proposal that
will be considered by the Government.

INQUIRIES

Copies of the solicitation may be obtained by sending a written
request to:

John P. DeCenzo
Research Contracts Branch, DCG/OD
National Institutes of Health
6100 Executive Boulevard, Room 6E01 - MSC 7540
Bethesda, MD  20892-7540
Telephone:  (301) 496-4487

$$R1 END ************************************************************

$$R2 BEGIN NICHD-DESPR-95-14 ****************************************

LABORATORY TESTS OF BLOOD AND URINE SAMPLES FROM THE CPEP CLINICAL
TRIAL

NIH GUIDE, Volume 24, Number 8, March 3, 1995

RFP AVAILABLE:  NICHD-DESPR-95-14

P.T. 34; K.W. 0755015, 0780005

National Institute of Child Health and Human Development

As a part of the Trial of Calcium for Preeclampsia Prevention (CPEP),
the National Institute of Child Health and Human Development (NICHD)
is planning to (1) compare urinary excretion of calcium and related
nutrients in preeclamptic women before and after the diagnosis of
preeclampsia to that in normal pregnant women at comparable
gestational ages, and determine the effect of oral calcium
supplementation on the excretion of these substances; (2) determine
the presence or absence of proteinuria not previously ascertained in
up to 125 urine specimens obtained from normal women and from women
with gestational hypertension within seven days of documented
hypertension; and (3) measure the quantity of elemental calcium in
each of up to 100 study medication tablets for purposes of quality
control.  The comparison of urinary excretion of calcium and related
nutrients will be a nested case control study using stored urine
specimens collected at specified times during pregnancy and at the
diagnosis of preeclampsia from pregnant women participating in CPEP.
CPEP is a randomized clinical trial designed to determine whether
oral calcium supplementation will prevent preeclampsia.  The
Contractor will be expected to measure calcium, sodium, potassium,
chloride, magnesium, zinc, phosphorus, urea nitrogen, and creatinine
in approximately 5912 urine specimens selected by the Project Officer
over the course of one year.  Measurements of protein and creatinine
in up to 125 additional urine specimens and calcium content of up to
100 study medication tablets must also be completed within the same
year.

INQUIRIES

This announcement is a new solicitation.  The issuance of this
Request for Proposals (RFP) will be on or about March 6, 1995, and
proposals are due by 4:00 p.m. (local time), May 2, 1995.  The
short-form version of the RFP will be provided first, which includes
only the Statement of Work, Technical Reporting Requirements,
Background Information, and the Evaluation Criteria to be used for
selection of the awardee.  After examining this, a full-text version
of the RFP must be requested, in writing, for those organizations
interested in responding.  FAX requests are acceptable.  All requests
must cite the RFP number and include two self-addressed mailing
labels.  All sources who consider themselves qualified are encouraged
to submit a proposal.  This advertisement does not commit the
Government to make an award.  Organizations desiring a copy of the
short-form RFP may send a written request to:

Mrs. Lynn Salo
Office of Grants and Contracts
National Institute of Child Health and Human Development
Executive Building, Room 7A07
6100 Executive Boulevard MSC 7510
Bethesda, MD  20892-7510
Telephone:  (301) 496-4611
FAX:  (301) 402-3676

$$R2 END ************************************************************

$$R3 BEGIN AI-95-012 FULL-TEXT **************************************

HEPATITIS C COOPERATIVE RESEARCH CENTERS

NIH GUIDE, Volume 24, Number 8, March 3, 1995

RFA AVAILABLE:  AI-95-012

P.T. 34; K.W. 0715125, 1002045, 0765033, 0710030

National Institute of Allergy and Infectious Diseases

Letter of Intent Receipt Date:  April 7, 1995
Application Receipt Date:  July 18, 1995

PURPOSE

Applications are invited for Hepatitis C Cooperative Research Centers
(HC CRCs) to perform innovative, systematic, collaborative basic and
clinical research on hepatitis C virus (HCV).  Using integrated
approaches from multiple disciplines, the HC CRCs will serve as foci
for generating the knowledge needed to further understanding of HCV
infection, recovery, and pathogenesis.  Building on this knowledge,
HC CRCs will devise original preventive and therapeutic
interventions.

HEALTHY PEOPLE 2000

The Public Health Service (PHS) is committed to achieving the health
promotion and disease prevention objectives of "Healthy People 2000,"
a PHS-led national activity for setting priority areas.  This Request
For Applications (RFA), Hepatitis C Cooperative Research Centers (HC
CRCs), is related to the priority area of immunization and infectious
diseases.  Potential applicants may obtain a copy of "Healthy People
2000" (Full Report:  Stock No. 017-001-00474-0 or Summary Report:
Stock No. 017-001-00473-1) through the Superintendent of Documents,
Government Printing Office, Washington, DC 20402-9325 (telephone
202-783-3238).

INQUIRIES

This RFA, which describes the research objectives, application
procedures, review considerations, and award criteria for this
program, may be obtained electronically through the NIH Grant Line
(data line 301-402-2221) and the NIH GOPHER (gopher.nih.gov), and by
mail and email from the program contact listed below.

Dr. Leslye Johnson
Division of Microbiology and Infectious Diseases
National Institute of Allergy and Infectious Diseases
6003 Executive Boulevard - MSC 7630
Solar Building, Room 3A-22
Bethesda, MD  20892-7630
Telephone:  (301) 496-7051
Email:  lj7m@nih.gov

$$R3 END ************************************************************

From owner-sci-resources@net.bio.net Fri Mar 03 22:00:00 1995
Path: biosci!biosci!not-for-mail
From: BIOSCI Administrator <biosci-help@net.bio.net>
Newsgroups: bionet.sci-resources
Subject: NIH GUIDE - RFA AI-95-012 - V24(08) 03/03/95
Date: 3 Mar 1995 16:47:29 -0800
Organization: BIOSCI International Newsgroups for Molecular Biology
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$$XID RFA AI95012 AI-95-012 P1O1 ***************************************

HEPATITIS C COOPERATIVE RESEARCH CENTERS

NIH GUIDE, Volume 24, Number 8, March 3, 1995

RFA:  AI-95-012

P.T. 34; K.W. 0715125, 1002045, 0765033, 0710030

National Institute of Allergy and Infectious Diseases

Letter of Intent Receipt Date:  April 7, 1995
Application Receipt Date:  July 18, 1995

PURPOSE

The Enteric Diseases Branch of the Division of Microbiology and
Infectious Diseases (DMID) of the National Institute of Allergy and
Infectious Diseases (NIAID) invites applications for the
establishment of high-quality Hepatitis C Cooperative Research
Centers (HC CRCs).  The purpose of this Request for Applications
(RFA) is to stimulate multidisciplinary, multi-project, collaborative
research on hepatitis C virus (HCV).  Such clinical and basic
research will further the understanding of early and mid, rather than
late (liver failure or liver cancer), stages and manifestations of
hepatitis C infection, disease, and recovery.  The HC CRCs will build
on new findings to develop vaccine and therapy strategies.

HEALTHY PEOPLE 2000

The Public Health Service (PHS) is committed to achieving the health
promotion and disease prevention objectives of "Healthy People 2000,"
a PHS-led national activity for setting priority areas.  This RFA,
Hepatitis C Cooperative Research Centers (HC CRCs), is related to the
priority area of immunization and infectious diseases.  Potential
applicants may obtain a copy of "Healthy People 2000" (Full Report:
Stock No. 017-001-00474-0 or Summary Report:  Stock No.
017-001-00473-1) through the Superintendent of Documents, Government
Printing Office, Washington, DC 20402-9325 (telephone 202-783-3238).

ELIGIBILITY REQUIREMENTS

Research grant applications may be submitted by domestic non-profit
and for-profit organizations, public and private institutions, such
as universities, colleges, hospitals, laboratories, units of State
and local governments, and eligible agencies of the Federal
government.  Foreign organizations are not eligible to apply but may
be part of a collaborative arrangement as described under STUDY
POPULATIONS.  Racial/ethnic minority individuals, women, and persons
with disabilities are encouraged to apply as Principal Investigators.

MECHANISM OF SUPPORT

The administrative and funding mechanism to be used to undertake this
program will be the Multi-component Cooperative Agreement (U19), an
"assistance" mechanism, rather than an "acquisition" mechanism.  The
U19 must have a minimum of three inter-related research projects
around a common theme as well as collaborative efforts and
interactions among component investigator-initiated projects and
their investigators to achieve a common goal.  Further information
can be found in NIAID's "Application Guidelines for Multiproject
Research Awards, November 1994," which are available from the
individuals listed under INQUIRIES.

The Multi-component Cooperative Agreement differs from the Program
Project in that the U19 anticipates substantial NIH scientific and/or
programmatic involvement with the awardee during performance of the
activity.  Under the cooperative agreement, the NIH's purpose is to
support and/or stimulate the recipient's activity by involvement in
and otherwise working jointly with the award recipient in a partner
role.  However, NIH is not to assume direction, prime responsibility,
or a dominant role in the activity.  Details of the responsibilities,
relationships, and governance of the study funded under  agreement(s)
are discussed later in this document under the section Terms and
Conditions of Award.

HC CRCs may involve collaboration among investigators at several
institutions.  These consortium arrangements should follow the NIH
"Guidelines for Establishing and Operating Consortium Grants, January
1989."   These are available from the individuals listed under
INQUIRIES.

The total requested period for applications submitted in response to
this RFA may not exceed five years.  At present, the NIAID is
administratively limiting the duration of U19 agreements to four
years; this administrative limitation may change in the future.  At
this time, the NIAID has not determined whether and how this
solicitation will be continued beyond the present RFA.  The earliest
anticipated award date is May 1, 1996.

FUNDS AVAILABLE

The estimated total funds (direct and indirect costs) available for
the first year of support for awards under this RFA will be $1.5
million.  In Fiscal Year 1996, the NIAID plans to fund two or three
HC CRCs.  The final number of awards to be made is dependent upon the
availability of funds.  The initial year's total costs, including
direct and indirect costs, should not exceed $750,000 for each award.
The usual PHS policies governing grants administration and management
will apply.  This level of support is dependent on the receipt of a
sufficient number of applications of high scientific merit.  Although
this program is provided for in the financial plans of the NIAID,
awards pursuant to this RFA are contingent upon the availability of
funds for this purpose.  Funding beyond the first and subsequent
years of the  agreement upon satisfactory progress during the
preceding years and availability of funds.

RESEARCH OBJECTIVES

Background

Hepatitis due to hepatitis C virus (HCV) is classified as an emerging
infectious disease (IOM Report, 1992).  Just six years ago,
investigators identified HCV as an important etiological agent of
non-A, non-B hepatitis and chronic liver disease through cloning and
sequencing efforts.  HCV infects close to 200,000 individuals each
year in the U.S., affecting Hispanics and Afro-Americans
disproportionately.  The modes of transmission remain unidentified
for an alarming 43 percent of cases.  Recovery from infection is rare
and at least 70 percent and quite possibly 90 percent of those
infected become chronic carriers.  Thus, 140,000 - 180,000 U.S.
citizens become new chronic carriers each year.  Even when the
initial infection is asymptomatic, as it is in a high percentage of
people, severe chronic liver disease with its concomitant high
morbidity and mortality occurs.  The CDC estimates that one to two
percent of the people in the U.S., i.e., 2.5-5.0 million individuals,
are chronically infected with HCV.  The same one to two percent
carrier rate is true around the world with the exception of a few
high endemicity areas such as some inner city areas in the U.S.,
Egypt, the Sudan, and isolated villages in Asia.  In the U.S. the
total cost for HCV infection and chronic sequelae is estimated at
$1.5 billion per year.

Since identification of HCV considerable progress has been made.
Molecular biological techniques have enabled investigators to:  (1)
clone and sequence many genotypes; (2) map the HCV genome and
identify some of its functions; and (3) analyze structural and
nonstructural proteins and the processes by which they are made. New
diagnostics have been instrumental in:  (1) verifying the agent
causing liver disease in symptomatic patients as well as identifying
asymptomatic patients; (2) preventing transmission in transfusion,
transplantation and hemodialysis patients; and (3) identifying
cofactors for infection and chronic disease.  There have been efforts
to define modes of transmission as well as affected and at risk
population groups.  Studies of (immuno)pathogenesis and viral
replication are beginning.

Despite these advances, infection and disease caused by HCV remain
enigmatic, and prevention and treatment problematic.  Mechanisms of
liver disease and the host's role in viral persistence are largely
unexplored.  Significant gaps exist in the knowledge base regarding
HCV's natural history and progression of disease.  An obstacle to
vaccine development stems from the inadequate immune response to
natural infection -- viral clearance is exceedingly rare even though
neutralizing antibodies have recently been detected.  The large
number of HCV genotypes and their high rate of mutation as well as
the existence of genetic variants, i.e., "quasispecies," pose
obstacles both to prevention and treatment.  Alpha interferon, the
only available therapy, is less than adequate and has associated
toxicity.  Additionally, sample sizes in human studies have often
been inadequate to draw statistically significant conclusions.  HCV
indeed poses tough challenges for scientists and clinicians.

Prevention of infection, e.g., through vaccination, and cure or
amelioration of disease have the greatest promise for those at risk
and affected respectively.  For diseases like hepatitis B they have
been shown to be highly cost-effective.  Thus in this RFA, the NIAID
is interested in research focused on acute and chronic disease rather
than on liver failure or cancer.

Objectives and Scope

This RFA seeks to support state-of-the-art, innovative research on
hepatitis C virus.  Using integrated approaches from multiple
disciplines, the HC CRCs will serve as foci for generating the
knowledge needed to further understanding of HCV infection, recovery,
and pathogenesis.  And building on this knowledge, to devise original
preventive and therapeutic interventions.  The NIAID expects clinical
issues and needs to be the driving forces for research performed by
the HC CRCs.

Relevant topics for research may include but are not limited to:

o  identify host responses to infection, e.g., correlates of immunity
associated with prevention of infection and disease as well as
recovery from acute and chronic infection;

o  explore host mechanisms involved in fostering and maintaining
viral persistence;

o  identify mechanisms of pathogenesis which lead to and exacerbate
liver disease;

o  develop small animal model and in vitro systems which are relevant
for HCV vaccine, antiviral, and pathogenesis research;

o  develop infectious cDNA clones and utilize them in ways directly
relevant to disease research; and

o  assess the impact of viral heterogeneity, e.g., genotypes and
"quasispecies", on disease initiation and progression, the
development of protective immunity, treatment outcome, etc.;

o  utilize findings to bridge the gaps between basic, applied, and
clinical research by developing and evaluating intervention
strategies, e.g., broaden or enhance protective immunity, subvert
avoidance mechanisms.

SPECIAL REQUIREMENTS

Relevant Disciplines

To foster multidisciplinary research, each HC CRC should include
approaches from at least four disciplines such as virology,
immunology, pathogenesis, the liver (cells, tissue, and organ) and
changes (biology, biochemistry, etc.) in response to infection,
clinical infection and disease, model system development, and applied
research.

HC CRC Collaborative Studies

During the award period collaborative studies among HC CRCs may
enhance research progress and increase the significance of HC CRC
contributions.  Examples include, but are not limited to, rapid
accrual of patients or augmented access to samples.  Hence,
applicants should be willing to share samples as well as to
participate in multicenter activities and common protocols.  These
will be encouraged and stimulated by the Scientific Coordinator
through discussions with the Program Directors and at meetings and
workshops scheduled as part of these awards.

Steering Committee Meetings and Workshops

To coordinate activities, facilitate interchanges, and develop
collaborative opportunities, HC CRC Program Directors and the NIAID
Scientific Coordinator will meet twice a year as a Steering
committee.  To enhance information exchange, Project Leaders will be
expected to attend workshops in Years 1 and 3 of the award period.

Clinical Capability

To move forward with basic and clinical approaches, HC CRCs must have
access to, and clinical experience with, well-characterized and
diverse patient samples and populations representing different
disease stages.  The value of research and studies performed will be
directly related to the care exercised in selection and
characterization of cases and controls.  Programs should include
participation of human subjects to address research questions.  NIAID
encourages:  (1) collaborative arrangements with ongoing studies or
clinical care capable of providing patient populations, specimens and
information; (2) applicants from institutions that have a General
Clinical Research Centers (GCRC) funded by the NIH National Center
for Research Resources to identify the GCRC as a resource for
conducting the proposed research.  In both cases letters of
collaboration or agreement from the study's principal investigator
and/or GCRC program director should be included in the application
material.

Access to and experience with patient populations also will be
helpful should progress warrant studies with promising new vaccine
and therapy candidates.

In describing the clinical and laboratory facilities, the applicant
should include specific information on present patient load,
projections for patient involvement in future clinical
investigations, history of recruitment and study of subjects, and
disease category and prevalence as well as the availability of
appropriate biohazard facilities and safety procedures.

Budget and Related Issues

Applications should budget appropriate funds to allow the Program
Director of each HC CRC (also known as the HC CRC Director) to attend
meetings in Bethesda, MD with the NIAID Scientific Coordinator twice
each year and for all HC CRC Project Leaders to attend HC CRC
workshops twice during the program period.  Applicants should be
aware that no additional travel monies will be awarded.  Funds for
travel to HC CRC meetings must be included in applicant's budget.
(See below:  SPECIAL REQUIREMENTS, Terms and Conditions of Award, 3.
Collaborative Responsibilities.).

Optional Developmental Fund for Pilot Studies

Applicants may include a request for a Developmental Fund of up to
$60,000 in direct costs to provide support for pilot projects.  Such
pilot projects might develop methods or resources capable of
enhancing basic and clinical research progress, follow-up on new
observations and hypotheses, or perform short term high risk - high
benefit research.  They should fit within the relevant disciplines
listed above.  It is envisioned that availability of funds for pilot
studies will increase flexibility and responsiveness to important new
scientific observations and medical reports and encourage the
development of research investigators interested in hepatitis C.

Pilot studies need not be restricted to the awardee institution. IT
IS EMPHASIZED THAT PILOT STUDIES AWARDED FROM THE DEVELOPMENTAL FUND
ARE DISTINCT FROM INDIVIDUAL HC CRC RESEARCH PROJECTS.

Direct costs may not exceed $20,000 for any single pilot study and
supplies and equipment expenditures may not exceed $7,000 annually
per study.  The duration of support for each study typically would be
one year, but may be up to two years.  In the event the study is
independently funded through a traditional research project grant
(R01) or a FIRST (R29) award prior to the end of the award period,
the support of the pilot study from the Developmental Fund must be
terminated, and unexpended funds must be returned to the
Developmental Fund.  Funds reserved for pilot projects may not be
rebudgeted into other budget categories except in unusual
circumstances and following approval from the Awarding Unit and the
Scientific Coordinator.  The HC CRC must maintain detailed records of
disbursements and expenditures of the Developmental Fund.

Potential awardees and specific research projects to be pursued need
not be identified in the application.  However, the application
should include a one page description of the kind of project that
might be funded under this mechanism and how it interdigitates with
other CRC projects.  Approval of the developmental funds portion of
the application does not in any way commit the program directors to
the execution of the sample project.  It is anticipated that prior to
the HC CRC Program Director proposing pilot studies to the NIAID
Scientific Coordinator, these studies and their budgets will be
reviewed and recommended by a local review committee.  The
application must provide a description of the review process and
selection criterion for proposed projects.  Examples of criteria are
scientific merit of the proposal, medical relevance and need for data
to advance the research objectives of the HC CRC.  It is recommended
that no one applying for a development pilot project be on the review
committee.  Studies involving Human Subjects will require prior
approval by the Institutional Review Board like all other NIH
supported projects.

The $30,000 annual direct costs should be entered in the OTHER
category in the Consolidated Budget (see pages 12 and 19 in the
accompanying brochure).

Terms and Conditions of Award

The following terms and conditions will be incorporated into the
award notice.

These special Terms of Award are in addition to, and not in lieu of,
otherwise applicable OMB administrative guidelines, HHS Grant
Administration Regulations at 45 CFR Parts 74 and 92, and other HHS,
PHS, and NIH Grant Administration policy statements.

The administrative and funding instrument used for this program is
the agreement (U19), an "assistance" mechanism (rather than an
"acquisition" mechanism), in which substantial NIH scientific and/or
programmatic involvement with the awardee is anticipated during the
performance of the activity.  Under the agreement, the NIH's purpose
is to support and/or stimulate the recipient's activity by
involvement in and otherwise working jointly with the award recipient
in a partner role, but it is not to assume direction, prime
responsibility, or a dominant role in the activity.

Awards will be made to an institution on behalf of a Program Director
who will be responsible for the coordination of HC CRC scientific and
administrative activities.  Support of all HC CRC activities will be
coordinated through a Central Operations Office located within the
applicant organization.

1.  Awardee Rights and Responsibilities

Awardees will have primary responsibility for defining the details
for the project within the guidelines of the RFA and for performing
the scientific activity, and agree to accept close coordination,
cooperation, and participation of NIAID staff in those aspects of
scientific and technical management of the project as stated below
under NIAID Staff Responsibilities.  Specifically, awardees have
primary responsibilities as described below.

Under the Cooperative Agreement, a partnership relationship exists
between the recipient of the award and NIAID in which successful
applicants are responsive to the guidelines and conditions set forth
in the RFA.  At the same time, investigators are expected to define
research objectives and approaches in accord with their own interests
and perceptions of novel and exploitable approaches to the research
which ultimately is likely to result in improved prevention and
control of hepatitis C.

It is the primary responsibility of the HC CRC Program Director to
clearly state the objectives and approaches of the research, to plan
and conduct the research stipulated in the application, and to ensure
that the results obtained are analyzed and published in a timely
manner.  The HC CRC Program Director also will propose pilot studies
to the NIAID Scientific Coordinator after review of these studies and
their budgets by a local review committee.  NIAID may periodically
review and generate internal reports from data and progress reports
developed under this  agreement.  The data obtained will, however, be
the property of the awardee.

2.  NIAID Staff Responsibilities

The NIAID will have substantial scientific/programmatic involvement
during the conduct of this activity, through technical assistance,
advice and coordination above and beyond normal program stewardship
for grants, as described below.

The NIAID will work closely with the Program Directors and shall be
represented by the Scientific Coordinator (Program Officer).  The
Scientific Coordinator will be the Hepatitis Program Officer in the
Enteric Diseases Branch of NIAID.  During the award period, the NIAID
Scientific Coordinator may provide appropriate assistance, advice,
and guidance in:

o  overall design of studies, e.g., prospective or intervention,
especially those undertaken jointly by the HC CRCs;
o  linkage to special populations and vaccine production facilities
funded through NIAID contracts, NIAID's data collection and analysis
contracts, and DMID staff capabilities with respect to IND filing;
o  coordination and facilitation of information, technology, reagent
and pedigree specimen exchange between HC CRCs themselves and with
other grantees;
o  assistance in review and selection of developmental fund awardees;
and
o  technical and administrative activities of HC CRCs.

However, it is again emphasized that the role of NIAID will be TO
FACILITATE AND NOT TO DIRECT THE ACTIVITIES of the HC CRCs.  It is
anticipated that decisions in all activities outlined within this RFA
will be reached by consensus of the investigators and that the NIAID
Scientific Coordinator will be given the opportunity to offer input
to this process.

In the event that research supported by the Cooperative Agreement
results in development of a therapeutic or other medical
intervention, NIAID will retain the option to cross-file or
independently file an application for investigational clinical trial
(i.e., an Investigational New Drug Application [INDA]) to the United
States Food and Drug Administration.  To facilitate this, reports of
data generated by the HC CRC or any of its members which are required
for inclusion in INDs and Clinical Brochures and for cross-filing
purposes will be submitted by the Program Director to the Scientific
Coordinator upon request.  Such reports will be in final draft form
and include background information, methods, results, and conclusion.
They will be subject to approval and revision by NIAID and may be
augmented with test results from other Government sponsored projects
prior to submission to the appropriate regulatory agency.

3.  Collaborative Responsibilities

The HC CRC Program Directors and NIAID Scientific Coordinator will
form a Joint Steering Committee which will meet at the NIH in
Bethesda, Maryland (or at a site designated by NIAID) twice a year.
Its functions include, but are not limited to: tracking and reviewing
activities/progress over the six months between meetings, planning
for the next six months and beyond, maintaining focus, and developing
collaborative efforts among HC CRCs.  The Program Directors and
Scientific Coordinator will have voting rights.  Issues for
discussion and agendas will be a collaborative responsibility.  The
first steering committee meeting will occur shortly Post Award.

Twice during the project period and in conjunction with the
semi-annual Steering Committee meeting, workshops for the Program
Directors and Project Leaders will be convened to share hepatitis C
research advances, to discuss research needs and opportunities, and
to develop collaborations.  It is likely that these workshops will be
convened in Year 1 and Year 3 of the project period at the NIH in
Bethesda, Maryland (or at a site designated by NIAID).

4.  Arbitration

Any disagreement that may arise on scientific/programmatic matters
(within the scope of the award) between award recipients and the
NIAID may be brought to arbitration.  An arbitration panel will be
composed of three members -- one selected by the Program Director, a
second member selected by the NIAID, and the third member selected by
the two prior members.  This special arbitration procedure in no way
affects the awardee's right to appeal an adverse action that is
otherwise appealable in accordance with PHS regulations at 42 CFR
part 50, subpart D, and HHS regulation at 45 CFR part 16.

STUDY POPULATIONS

A strong emphasis is placed on studying hepatitis C in racial/ethnic
populations that are disproportionately affected.  These populations
include African-Americans and Hispanics.  Subjects may be recruited
or specimens obtained from domestic sites or through collaborations
with foreign institutions if the collaboration is beneficial to the
foreign country and offers the potential for collection of hepatitis
C data that are pertinent to U.S. populations and could not be
generated as effectively in the United States.

INCLUSION OF WOMEN AND MINORITIES IN RESEARCH INVOLVING HUMAN
SUBJECTS

It is the policy of the NIH that women and members of minority groups
and their sub-populations must be included in all NIH supported
biomedical and behavioral research projects involving human subjects,
unless a clear and compelling rationale and justification is provided
that inclusion is inappropriate with respect to the health of the
subjects or the purpose of the research.  This new policy results
>From the NIH Revitalization Act of 1993 (Section 492B of Public Law
103-43) and supersedes and strengthens the previous policies
(Concerning the Inclusion of Women in Study Populations, and
Concerning the Inclusion of Minorities in Study Populations), which
have been in effect since 1990. The new policy contains some
provisions that are substantially different from the 1990 policies.

All investigators proposing research involving human subjects should
read the "NIH Guidelines For Inclusion of Women and Minorities as
Subjects in Clinical Research," which have been published in the
Federal Register of March 28, 1994 (FR 59 14508-14513) and printed in
the NIH Guide for Grants and Contracts, Volume 23, Number 11, March
18, 1994.

Investigators also may obtain copies of the policy from Dr. Johnson
at the address listed under INQUIRIES.  Dr. Johnson may also provide
additional relevant information concerning the policy.

LETTER OF INTENT

Prospective applicants are asked to submit, by March 1, 1995, a
letter of intent that includes a descriptive title of the overall
proposed research, the name, address, and telephone number of the
Program Director, a list of the key investigators and their
institution(s), and the number and title of this RFA.  Although the
letter of intent is not required, is not binding, does not commit the
sender to submit an application, and does not enter into the review
of subsequent applications, the information that it contains allows
NIAID staff to estimate the potential review workload and to avoid
conflict of interest in the review.

The letter of intent is to be sent to Dr. Olivia Preble at the
address listed under INQUIRIES.

APPLICATION PROCEDURES

It is highly recommended that potential applicants contract Dr.
Leslye Johnson in the early stages of application preparation. Before
preparing an application, the applicant should carefully read the
information brochure, "NIAID APPLICATION GUIDELINES FOR MULTIPROJECT
RESEARCH AWARDS," available from the contacts listed under INQUIRIES.
Instructions for formatting the application as outlined in the
brochure should be followed carefully.  Failure to follow the
instructions may result in unnecessary delays in the review process.

Applications are to be submitted on the standard research grant
application form PHS 398 (rev. 9/91).  These application forms may be
obtained from the institution's office of sponsored research or its
equivalent and from the Office of Grants Information, Division of
Research Grants, National Institutes of Health, 5333 Westbard Avenue,
Room 449, Bethesda, MD 20892, telephone (301) 594-7248.

The RFA label available in the PHS 398 (rev. 9/91) application form
must be affixed to the bottom of the face page of the application.
Failure to use this label could result in delayed processing of the
application such that it may not reach the review committee in time
for review.  In addition, the RFA title and number must be typed on
line 2a of the face page of the application form and the YES box must
be marked.

Submit a signed, typewritten original of the application, including
the checklist, and three signed, exact, single-sided photocopies, in
one package, to:

Division of Research Grants
National Institutes of Health
6701 Rockledge Drive - MSC 7710
Bethesda, MD  20892-7710
Bethesda, MD  20817 (express mail)

At the time of submission, two additional exact copies of the grant
application and all five sets of appendix material must also be sent
to:

Dr. Olivia Preble
Division of Extramural Activities
National Institute of Allergy and Infectious Diseases
Solar Building, Room 4C-20  MSC 7610
6003 Executive Boulevard
Bethesda, MD  20892-7610
Rockville, MD  20852 (express mail)

Applications must be received by July 18, 1995.  All components,
subparts and sections of the application must be collated into the
application, and the packages sent to the DRG and to the NIAID must
each be complete in themselves.  Applications that do not conform to
the instructions contained in PHS 398 (rev. 9/91) application kit
will be judged nonresponsive and will be returned to the applicant.

Current NIH policy permits a component research project of a
multiproject grant application to be concurrently submitted as a
traditional individual research project (R01) application.  If,
following review, both the multiproject application and the R01
application are found to be in the fundable range, the investigator
must relinquish the R01 and will not have the option to withdraw from
the multiproject grant.  This is an NIH policy intended to preserve
the scientific integrity of a multiproject grant, which may be
seriously compromised if a strong component project(s) is removed
>From the program.  Investigators wishing to participate in a
multiproject grant must be aware of this policy before making a
commitment to the Program Director and awarding institution.

REVIEW CONSIDERATIONS

Review Method

Upon receipt, applications will be reviewed for completeness by the
Division of Research Grants (DRG) for completeness and for
responsiveness by NIAID staff.  Incomplete and non-responsive
applications will be returned to the applicant without further
consideration or review.

Those applications that are complete and responsive may be subjected
to a triage by a peer review group to determine their scientific
merit relative to other applications received in response to this
RFA.  The NIAID will remove from competition those applications
judged to be non-competitive for award and will notify the Program
Directors and institutional business officials.

Those applications judged by the reviewers to be competitive for
award will be further reviewed for scientific and technical merit by
a review committee convened by the Division of Extramural Activities,
NIAID.  The second level of review will be provided by the National
Advisory Allergy and Infectious Diseases Council.

Review Criteria

The standard review criteria are stated in the NIAID GUIDELINES FOR
MULTIPROJECT RESEARCH AWARDS, which is available from the program
staff listed under INQUIRIES.  In addition, the following criteria
will apply:

o  the scientific and technical significance, merit, and originality
of the research projects and anticipated contributions to the
understanding of HCV's immunology and disease;

o  the scientific expertise and experience of the Program Director,
the Project Leaders and key project and core personnel;

o  documentation of a strong clinical capability, adequate and
appropriate patient populations, disease prevalence, and historical
success of recruitment and retention of subjects;

o  documentation of the sponsoring institution's commitment to the
program and willingness to accept the participation and assistance of
NIAID staff;

o  adequacy of proposed plan for coordination and communication
within the applicant HC CRC and with NIAID and other HC CRCs; and

o  adequacy of proposed plan for selection of pilot studies.

AWARD CRITERIA

Funding decisions will be made on the basis of scientific and
technical merit as determined by peer review, program balance, and
availability of funds.

INQUIRIES

Written and telephone inquiries concerning this RFA are encouraged.
The opportunity to clarify any issues or questions from potential
applicants is welcome.  Direct inquiries regarding programmatic
issues to:

Dr. Leslye Johnson
Division of Microbiology and Infectious Diseases
National Institute of Allergy and Infectious Diseases
Solar Building, Room 3A-22  MSC 7630
6003 Executive Boulevard
Bethesda, MD  20892-7630
Telephone:  (301) 496-7051
Email:  lj7m@nih.gov

Direct inquiries regarding review issues, address the letter of
intent to, and mail two copies of the application and all five sets
of appendices to:

Dr. Olivia Preble
Division of Extramural Activities
National Institute of Allergy and Infectious Diseases
Solar Building, Room 4C-20  MSC 7610
6003 Executive Boulevard
Bethesda, MD  20892-7610
Rockville, MD  20852
Telephone:  (301) 496-8208
Email:  op2t@nih.gov

Direct inquiries regarding fiscal matters to:

Linda M. Shaw
Division of Extramural Activities
National Institute of Allergy and Infectious Diseases
Solar Building, Room 4B-33  MSC 7610
6003 Executive Boulevard
Bethesda, MD  20892-7610
Rockville, MD  20852
Telephone:  (301) 496-7075
Email:  lsl5k@nih.gov

Schedule

Letter of Intent Receipt Date:  April 7, 1995
Application Receipt Date:       July 18, 1995
Scientific Review Date:         November 1995
Advisory Council Date:          January 1996
Earliest Award Date:            May 1, 1996

AUTHORITY AND REGULATIONS

This program is described in the Catalog of Federal Domestic
Assistance No. 93.855 Immunology, Allergic and Immunological Diseases
Research and 93.856 Microbiology and Infectious Diseases Research.
Grants are awarded under the authority of the Public Health Service
Act, Section 301 (42 USC 241) and administered under PHS grants
policies and Federal Regulations, most specifically at 42 CFR Part 52
and 45 CFR Part 74.  This program is not subject to the
intergovernmental review requirements of the Executive Order 12372 or
Health Systems Agency review.

The PHS strongly encourages all grant recipients to provide a smoke-
free workplace and promote the non-use of all tobacco products.  This
is consistent with the PHS mission to protect and advance the
physical and mental health of the American people.

From owner-sci-resources@net.bio.net Mon Mar 06 22:00:00 1995
Path: biosci!biosci!not-for-mail
From: BIOSCI Administrator <biosci-help@net.bio.net>
Newsgroups: bionet.sci-resources
Subject: NSF - Summary of new documents on STIS - 5 March 1995
Date: 6 Mar 1995 17:21:32 -0800
Organization: BIOSCI International Newsgroups for Molecular Biology
Lines: 160
Sender: biohelp@net.bio.net
Approved: biosci-moderator@net.bio.net
Distribution: world
Message-ID: <3jgces$pdh@net.bio.net>
NNTP-Posting-Host: net.bio.net

This message contains a summary of the documents added to the NSF STIS
system in the previous week.  Reference material concerning STIS
follows the summary.
------------------------------------------------------------------------
                     ** NEW DOCUMENTS ON STIS **

Document Type: Letter

   Title: LMPS01  - Dear Colleague Letter
               File size (bytes):       
               STIS Filename:           lmps01.txt

Document Type: Press Release

   Title: DIAL-A-SCIENTIST STUDYING EL NINO
               File size (bytes):       
               STIS Filename:           pr9514.txt

   Title: NSF-FUNDED RESEARCH WILL HELP NATURAL GAS INDUSTRY
               File size (bytes):       
               STIS Filename:           pr9515.txt

   Title: COMPUTATIONAL SCIENCE HIGHLIGHTS AVAIBABLE ON WORLD WIDE
          WEB
               File size (bytes):       
               STIS Filename:           pr9516.txt

Document Type: Program Guideline

   Title: NSF 95-37 - Multi-User Biological Equipment and
          Instrumentation Resources Instrument Development for Biological
          Research
               File size (bytes):       
               STIS Filename:           nsf9537.txt

   Title: NSF 5-40  Program Description for Bioengineering and
          Environmental Systems
               File size (bytes):       27276
               STIS Filename:           nsf9540.txt

   Title: NSF 95-44 An Opportunity in the Environment and Global
          Change Research Initiative
               File size (bytes):       
               STIS Filename:           nsf9544.txt

   Title: NSF 95-44 An Opportunity in the Environment and Global
          Change Research Initiative
               File size (bytes):       
               STIS Filename:           nsf9544.txt

   Title: NSF 95-45 The National Science Foundation Global Change
          Research Program a component of the U.S. Global Change Research
          Program
               File size (bytes):       
               STIS Filename:           nsf9545.txt

   Title: NSF 95-47  NSF/DOE/NASA/USDA JOINT PROGRAM ON TERRESTRIAL
          ECOLOGY AND GLOBAL CHANGE
               File size (bytes):       
               STIS Filename:           nsf9547.txt

   Title: NSF 95-49 -- ENVIRONMENTAL GEOCHEMISTRY AND
          BIOGEOCHEMISTRY Research at the Interfaces of Geochemistry,
          Hydrology, Coastal Sciences, Chemistry, Microbial and Molecular
          Biology, Colloid and Transport Engineering, and Mathematics
               File size (bytes):       
               STIS Filename:           nsf9549.txt

   Title: NSF 95-52 -- CIVIL INFRASTRUCTURE SYSTEMS
               File size (bytes):       
               STIS Filename:           nsf9552.txt

   Title: NSF 95-54 -- NATIONAL CONSORTIUM FOR RESEARCH ON VIOLENCE
               File size (bytes):       
               STIS Filename:           nsf9554.txt

------------------------------------------------------------------------
                ** UPDATES TO EXISTING STIS DOCUMENTS **

Document Type: Committees

   Title: NSF Advisory Committee Meetings
               File size (bytes):       10955
               STIS Filename:           cmmtg.txt

Document Type: Phone Book

   Title: NSF Alpha Telephone
               File size (bytes):       97256
               STIS Filename:           phnalpha.txt

   Title: NSF Alpha Telephone
               File size (bytes):       97256
               STIS Filename:           phnalpha.txt

   Title: NSF Organizational Directory
               File size (bytes):       98642
               STIS Filename:           phnorg.txt

   Title: NSF Organizational Directory
               File size (bytes):       98642
               STIS Filename:           phnorg.txt

Document Type: Program Guideline

   Title: NSF 5-40  Program Description for Bioengineering and
          Environmental Systems
               File size (bytes):       27276
               STIS Filename:           nsf9540.txt

Document Type: Recruit

   Title: Senior Executive Service Nationwide Vacancy Listing
               File size (bytes):       31653
               STIS Filename:           sesvac.txt

   Title: Student Career Experience Program (SCEP)
               File size (bytes):       5255
               STIS Filename:           vgs9566.txt

------------------------------------------------------------------------
                       ** FOR YOUR REFERENCE **
------------------------------------------------------------------------
HOW TO OBTAIN DOCUMENTS

The above files can be retrieved in electronic form using the STIS
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$$XID RFA HS95003 HS-95-003 P1O1 ***************************************

CONSUMER ASSESSMENTS OF HEALTH PLANS STUDY

NIH Guide, Volume 24, Number 9, March 10, 1995

RFA:  HS-95-003

P.T. 34; K.W. 0404021, 0755018, 0730000

Agency for Health Care Policy and Research

Letter of Intent Receipt Date:  May 20, 1995
Application Receipt Date:  June 20, 1995

PURPOSE

The Agency for Health Care Policy and Research (AHCPR) invites
applications for cooperative agreements to:  (1) produce reliable,
valid and rigorously tested survey protocols for collecting
information from consumers regarding their assessments of health
plans and services; (2) develop and test the effectiveness of
different formats for conveying resulting information to consumers;
(3) demonstrate the resulting survey protocols in real world
settings; and (4) evaluate the usefulness of this information in
assisting consumers, and purchasers acting on their behalf, in making
informed selections of health care plans and services.  The long term
goal of this project is to strengthen the science base underlying the
evolution and the use of consumer surveys within the health care
industry.

HEALTHY PEOPLE 2000

The Public Health Service (PHS) is committed to achieving the health
promotion and disease prevention objectives of "Healthy People 2000,"
a PHS-led national activity for setting priority areas.  This RFA,
Consumer Assessments of Health Plans Study (CAHPS), is related to the
priority areas of access to and use of clinical preventive services,
maternal and child health services, and health services related to
major disease categories.  Potential applicants may obtain a copy of
"Healthy People 2000" (Full Report:  Stock No. 017-001-00474-0 or
Summary Report:  Stock No. 017-001-00473-1) through the
Superintendent of Documents, Government Printing Office, Washington,
DC 20402-9325 (telephone 202-783-3238).

ELIGIBILITY REQUIREMENTS

Applications may be submitted by public and private non-profit
private domestic organizations or associations, including
universities, units of State and local governments, non-profit firms
and foundations; or a consortium of organizations.  If the
application is submitted by a domestic, non-profit, public or private
organization, a consortium may include other types of organizations,
such as for-profits.  Racial/ethnic minorities, women, and persons
with disabilities are encouraged to apply as Principal Investigators.

MECHANISM OF SUPPORT

The administrative and funding instrument will be the cooperative
agreement (U18), an "assistance" mechanism in which substantial AHCPR
scientific and programmatic involvement with the awardee(s) is
anticipated during the performance of the project.  The total project
period for each application submitted in response to this RFA may not
exceed five years.  The anticipated award date is September 30, 1995.
Funding beyond the initial budget period will depend upon annual
progress reviews by AHCPR and the availability of funds.

FUNDS AVAILABLE

The AHCPR expects to award up to $2 million for two projects not to
exceed $1 million in total costs for each project for the first year.
The number of awards is dependent on the number of high quality
applications responding to this RFA.  This is a one time
solicitation.

RESEARCH OBJECTIVES

Background

Public and private organizations are surveying consumers to collect
information on access to care, use of health services, health
outcomes, and patient satisfaction.  The results of these surveys are
being used by: consumers to inform their choices about health care
plans; purchasers to assess the value of the services they buy; and
health insurers, quality assurance managers and policy makers, to
plan programs and services.

Existing tools for obtaining information from health plan enrollees
vary on several dimensions:  content of the questions;
characteristics of intended respondents; and fit to particular health
care settings.  The extent to which these instruments have been
tested and the methods used to accomplish the testing also differ
across surveys.  Because of these variations, it is unlikely that any
single existing instrument will produce accurate and useful
assessments from (and for) consumers across different types of plans
and health care settings.

Potential survey users require responses to a range of critical
questions including, but not limited to, the following:  Are existing
instruments capable of producing reliable and valid assessments of
consumer evaluations of health care services?  Do they include the
full range of topics important to consumers?  Can they be used to
obtain information from the full range of audiences of interest,
including high users of health care services; people insured under
managed care as well as fee-for service plans; consumers with poor
literacy skills; plan disenrollees; participants in publicly
subsidized programs; and relatively healthy middle-class health care
consumers?

Even if reliability and validity can be demonstrated, will potential
users, particularly inexperienced ones, know how to conduct a valid
survey?  Will different users collect data in a manner that allows
valid comparison across a variety of health plans?

And most importantly, if these efforts can be accomplished, will they
yield the expected pay-off; that is, the production of accurate,
understandable information that enables consumers and purchasers
acting on their behalf to identify and select appropriate,
high-quality health care coverage?

In September 1994, AHCPR co-sponsored a conference with the Robert
Wood Johnson (RWJ) Foundation, "Consumer Survey Information in a
Reformed Health Care System."  Conference papers and discussions
identified no single instrument that could be used across a wide
variety of consumer groups and within multiple service settings to
obtain assessments of health plans and services.  Some of these
surveys are effective, though, for a specific purpose, population or
service.  Thus, these various instruments offer the possibility of
constructing "question modules" -- sets of questions drawn from a
variety of sources and relating to diverse concepts, consumers and
delivery settings -- to use as the basis for activities to be
performed under this agreement.

The AHCPR is currently supporting a project with that goal:  to
construct question modules from existing survey instruments.  This
Survey Design Project, through contract to the Research Triangle
Institute, is developing modules of consumer survey questions.  These
modules ask about the experiences of consumers regarding access to
care, use of specific health services, health outcomes, and
satisfaction with the care received.  The goal of the project is to
produce modules that are adaptable to a variety of health care
settings.

The Survey Design Project began with an extensive search for question
modules and items.  This search was guided by recent published and
unpublished studies on consumer information needs.  The contractor
then developed an Adult Health Care Survey and began developing
modules and items related to other areas of interest.

Although validity and reliability studies were not within the scope
of work, items in the modules were subjected to rigorous cognitive
testing to ensure appropriate interpretation by respondents.  Items
in the modules were then revised as necessary to be understandable to
consumers who receive care through different benefits arrangements
(e.g., fee for service as well as managed care plans).

Finally, this project's methods and products were reviewed by as many
interested parties as could be identified.  This review included two
public meetings, one held at the beginning of the contract and one at
the end.  Draft modules and materials were circulated for comments to
over 100 researchers, consumers and potential users.  The project was
also informed by a technical panel of researchers and representatives
of health insurance organizations, managed care organizations,
clinical associations and other groups.

Because AHCPR wishes to provide rapid access to products from the
Survey Design Project and to products resulting from CAHPS, we plan
to disseminate both through the AHCPR User Group Initiative.  This
effort is being developed to respond to requests from potential users
who wish to begin using consumer question modules as early as
possible, even before the completion of the systematic demonstration
called for in this RFA.  Points at which grantees are expected to
coordinate activities with the User Group Initiative are noted under
RESEARCH OBJECTIVES, Study Design.

The results of the Survey Design Project, including limited technical
and operational instructions, will be placed in the public domain no
later than March 30, 1995.  The results of the Survey Design Project,
the AHCPR/RWJ conference and other relevant efforts are being made
available to potential applicants and others (see INQUIRIES).

Objectives and Scope

The objectives of this RFA are to:  (1) produce reliable, valid and
rigorously tested survey protocols for collecting information from
consumers regarding their assessments of health plans and services;
(2) develop and test the effectiveness of different formats for
conveying resulting information to consumers; (3) demonstrate the
resulting survey protocols in real world settings; and (4) evaluate
the usefulness of this information in assisting consumers, and
purchasers acting on their behalf, in making informed selections of
health care plans and services.

To save time and resources, applicants should select the best
existing set of questions currently in the public domain and use it
to accomplish objectives 1 and 2.  For purposes of this RFA, the
"best existing set of questions" is that which most successfully
addresses the following questions and concerns:

1.  Who are the critical consumers from whom to collect assessments
of health care plans and services?  Successful applicants will
develop and test a core question module designed to obtain a basic
assessment of plan features and services from relatively healthy,
adult, middle-level socioeconomic status (SES) Americans who receive
care through the predominant types of benefits plans and delivery
settings (e.g., indemnity plans, managed care plans, etc).  Grantees
should develop and test additional modules, as time and budget
permit, to obtain assessment data from some of the following types of
consumers:

a.  Parents of young children, especially those of low SES,
b.  Racial and ethnic minorities,
c.  Participants in publicly subsidized health programs, such as
Medicaid or State health programs,
d.  High users of health care services, such as the chronically ill,
those suffering severe acute episodes of illness, and persons with
disabilities,
e.  Persons living in rural areas,
f.  Persons with poor literacy skills, and
g.  Disenrollees from health plans.

For which of these potentially important consumer groups should
question modules be developed?  After the core module is completed,
what should be the sequence of module development?  What rationale
supports this prioritization?  Applicants should address these
questions as part of their application.  If applicants discover that
items or question modules for use with a consumer group perceived as
high- priority do not exist, they should propose development of those
modules as part of this project.

2.  What information on access and quality do consumers want and need
to assist in selecting health care plans and services?  How do
information needs vary by type of audience?  Although a large-scale,
fully developed needs assessment covering the entire range of topics
and consumers may not exist, a number of qualitative (e.g., focus
group studies by AHCPR and the National Committee on Quality
Assurance in 1994) and quantitative (e.g., a survey by Consumers
Union 1995) studies conducted recently  provide information related
to this question.  If an applicant discovers an access or
quality-related information need for which items/questions modules do
not exist, the applicant may propose development of those modules as
part of this project.

3.  Through what types of benefits arrangements and delivery settings
are the consumer groups of interest likely to receive services?
Consumers may conceivably obtain health care services through fee for
service plans, diverse types of managed care plans, public assistance
programs or other types of benefits arrangements.  These benefits may
be offered through public or private employers, purchasing
cooperatives, multi-state health plans, or public health clinics.
This diversity of benefits and settings means that items, or the
wording of items, from any given set of questions may not be
appropriate for all consumers in all situations.

In selecting their core questions module, applicants should consider
that the overall goal of CAHPS is to produce modules (especially a
core module) that will allow comparability across the greatest
possible range of plans and benefits arrangements.  Since it is
unlikely that any existing module was designed with application to
multiple settings in mind, applicants should discuss in their
application the extent to which their selected module will require
post-award testing to meet this goal.

4.  What evidence exists to ensure that consumers interpret proposed
survey items as the developers intended?  As mentioned under RESEARCH
OBJECTIVES, Background, a variety of instruments exist with which to
obtain consumer perceptions about health care services.  A limitation
of some of these instruments is their lack of cognitive testing of
survey items with members of the target audience.  In selecting
question modules for use in this RFA, applicants should obtain
information about the extent to which item interpretation was tested
and the methods used to accomplish this.

Because the AHCPR wishes to build on existing work to the greatest
extent possible and to accomplish objectives 1 and 2 rapidly, it is
recommended that the results of the Survey Design Project form the
basis for activities to be performed under this agreement.  The
modules developed in the Survey Design Project, to AHCPR's awareness,
best satisfy the concerns discussed above.

Although use of the modules from the Survey Design Project is
recommended, itis anticipated that applicants may make revisions,
additions, or other alterations to them.  Changes or alternatives to
the modules are acceptable and appropriate to the extent that they
address the concerns discussed above.

In any case, each applicant must:  (a) specify instruments or
question modules and (b) discuss their suitability for accomplishment
of study objectives.  Applicants' responses to the four preceding
questions should form the basis for Phase 1 of this project as
described in the next section.

Study design

Grantees will need to accomplish a number of objectives in two
phases, a project planning phase (Phase 1) and a demonstration and
evaluation phase (Phase 2).  During both phases, grantees will
collaborate with the AHCPR project officer (and the advisory
committee, when appropriate) to define and respond to key questions
and issues that will guide the development of CAHPS products.

Grantees are expected to prepare interim reports and a final report
that summarizes all Phase 1 and 2 activities. Elements of these
reports will be determined jointly by the grantees and AHCPR.

Phase 1:  Project planning

The major goals of Phase 1 include:  (a) development and initial
implementation of a project work plan, (b) production of survey
protocols suitable for use in real-world settings, (c) development
and testing of report formats for survey information, (d) development
and initial implementation of a process and outcome evaluation plan,
and (e) recruitment of demonstration sites and development of a
demonstration time table.  Phase 1 is expected to be completed within
15 months of the award date.

Applicants should provide information that demonstrates their ability
to accomplish the activities listed below.  Applicants may include in
appendices descriptions of prior projects that demonstrate their
experience in performance of similar activities.

1.  Develop a work plan.  This should include specification of
project activities, linked to a listing of products and a time table
for their execution or development.

2.  Propose advisory committee (see SPECIAL REQUIREMENTS).
Applicants should discuss proposed composition of the advisory
committee (i.e., types of expertise required) and ways in which the
advisory committee may be used most effectively during the course of
the project.

3.  Characterize focal consumer populations.  Applicants will have
laid the groundwork for this step as part of their application.  In
Phase 1, grantees and AHCPR (with input from the advisory committee)
should complete specification of focal consumer groups, as well as
determine their quality-related information needs.  As they make
these decisions, the project team should keep in mind that products
resulting from CAHPS must be appropriate for use in a variety of
settings as discussed in RESEARCH OBJECTIVES, Objectives and Scope,
number 1.

4.  Refine the question modules.  Applicants will have selected
existing modules and identified items/modules that need to be
developed as part of the application.  As the grantees develop new
items and modules, they should make critical decisions jointly with
AHCPR and with input from the advisory committee.

5.  Perform all activities related to production of survey protocols
that are ready for use in real world settings.  This includes:
testing the validity and reliability of question modules for each
consumer group of interest; performing cognitive testing, as
necessary, to ensure that respondents will interpret items as
intended; resolving all issues related to sampling strategies;
preparing alternative versions of survey instruments for
administration by telephone or mail; developing and implementing
plans for data analysis and processing, and other issues.

As part of the application, applicants should identify criteria for
site selection for Phase 1 reliability, validity and cognitive
testing and obtain letters of commitment from actual sites.

Because the user demand for rigorously tested survey modules is
great, grantees are expected to perform reliability, validity and
cognitive testing on a module-by-module schedule, with priority given
to modules that have the widest applicability.  As each module is
tested and revised, it will be released to the public through the
AHCPR User Group Initiative.  Though many important activities need
to be accomplished within the 15 month Phase 1 time frame, grantees
should sequence activities so that the testing of questionnaire
modules occurs as early as possible.

6.  Coordinate activities as appropriate with AHCPR User Group
Initiative.  The purposes of the User Group Initiative are to
disseminate modules and segments of the user manual as they are
completed, track efforts at implementing the modules at sites other
than those included in this cooperative agreement, and provide
technical assistance to these users.

7.  Develop/revise user manual.  The user manual should provide
thorough, comprehensive documentation to guide users, whether
unsophisticated or highly experienced, through all activities
associated with survey administration, including mail and telephone
administration.

8.  Develop and test sample reporting formats.  Many different types
of consumers will ultimately use reports based on data collected
through these instruments.  To be optimally useful to consumers,
characteristics of the data-based reports should be tailored to fit
characteristics of the intended user.

On the other hand, some potential survey administrators will not have
the resources required to develop reports specifically tailored to
consumer subgroups.  These users will need to know how to select
appropriate formats from a stock of sample reports and how to design
and test their own materials for a heterogeneous group of users.

9.  Develop a process and outcome evaluation plan.  One of the
grantee's most important responsibilities under this agreement will
be the development of a comprehensive plan to evaluate CAHPS
products, procedures, and outcomes.  This involves at least three
components:  (a) developing and implementing a plan for the
evaluation of report formats; (b) developing and implementing a plan
for the process evaluation of CAHPS procedures (e.g., the usefulness
of the operations manual to staff at demonstration sites); and (c)
developing and implementing a plan for the evaluation of the
effectiveness of data-based reports to consumers.  Though all of the
evaluation planning must occur in Phase 1, the only evaluation data
expected to be collected in Phase 1 is that related to step "a."

Applications should demonstrate the applicant's ability to:

o  Specify appropriate evaluation questions, identify appropriate
outcome measures and appropriate respondents for each question, and
specify times at which these questions should be asked.

o  Develop an appropriate evaluation design.  The design should:  (a)
eliminate as many threats to validity as possible; and (b) result in
a clear demonstration of usefulness of the data-based reports in
assisting consumer decision-making in an open enrollment situation,
as well as identification of factors related to product effectiveness
or ineffectiveness.

o  Identify and use appropriate qualitative and quantitative data
collection instruments.

o  Analyze data appropriately.  Applicants should pay particular
attention to strategies for analysis of qualitative data, as well as
the issue of conveying information from quantitative evaluation
analyses in a manner that is understandable by and useful to
personnel at sites implementing the survey protocols.

o  Develop recommendations based on evaluation data that can be used
to modify CAHPS projects or procedures.  One component of the CAHPS
evaluation plan should be the development of clearly written,
user-friendly recommendations designed to promote data-based changes
to products and procedures.

10.  Recruit sites and develop a time table for Phase 2
demonstrations.

o  Identify selection criteria for and propose demonstration sites.
AHCPR is interested in a range of diverse demonstration sites as
discussed above in RESEARCH OBJECTIVES, Objectives and Scope, numbers
1 and 3.  Applicants are not required to include all of those types
of settings in their applications, but should provide examples of the
types of settings they intend to include, a rationale for their
choice, and evidence of recent experience in undertaking large-scale,
multi-site demonstrations.  If necessary, AHCPR will work with the
awardee to identify appropriate organizations.  Final selection of
sites will take place in consultation with the AHCPR Project Officer.

o  Identify key personnel from each potential site and specify their
roles.  Also, as sites are selected, grantees will need to identify
appropriate demonstration site staff to be added to the advisory
committee (e.g., the lead contact at each site, consumer
representatives, etc.).

o  Building on the work plan discussed above, develop a demonstration
time table.  This document should contain all the information sites
will need to know in order to commit themselves to the demonstration.

Phase 2:  Demonstration and evaluation

The goals of Phase 2 are to:  (a) work with demonstration sites to
implement the tested survey protocols; (b) assess the effectiveness
of data obtained through these surveys in assisting consumers with
their health plan selections; (c) continue implementation of the
process and outcome evaluation; and (d) revise CAHPS products and
procedures based on evaluation data.

Applicants should provide information which illustrates their ability
to plan and implement large-scale, multi-site demonstrations,
including their ability to accomplish the following activities.

11.  Develop a demonstration management plan.  After each site
commits to the demonstration, the grantee should develop an overall
management plan which will serve as the master plan to guide all
demonstration activities.  The groundwork for this plan will have
been laid by development of demonstration time tables discussed at
the end of Phase 1 activities.  The management plan should clearly
specify both grantee and site personnel roles and responsibilities
and should include a time table listing key decisions related to and
dates for all demonstration components.

12.  Assist sites in all phases of demonstration activity as
specified in the management plan, including:  selecting appropriate
survey modules; collecting data; using the operations manual;
developing, testing, and disseminating reports in formats appropriate
for the audiences of interest; and other activities.

13.  Coordinate activity among all demonstration sites and work with
the AHCPR User Group Initiative.

14.  Collect process and outcome evaluation data at all appropriate
points.  The grantee should analyze evaluation data and produce
reports which include recommended revisions to CAHPS products and
procedures.

15.  Revise products and procedures based on data-based
recommendations.  Before making these revisions, the grantee should
consult with AHCPR and obtain input from the advisory committee.

Timetable

Phase 1 of CAHPS should be completed 15 months from the date of
award.  The entire project may take four to five years.

SPECIAL REQUIREMENTS

To promote the development of this multi-site collaborative project,
a number of additional issues must be addressed in applications
responding to this RFA, as discussed below.

Budget

Applicants must develop a timeline for project activities, including
percentage of effort for key staff for all years, as part of the
budget justification.

Project Organization

Applicants, or principal members of the consortium qualified to
participate in this agreement, must have experience in: field survey
operations; testing and improvement of survey instruments; management
of multiple collaborators; program planning and evaluation; and
development and evaluation of health-related materials for consumer
audiences.

If a consortium of institutions responds to this RFA, the application
must describe a practical structure for consortium decision-making
and governance, and the mechanisms designed to ensure that effective
collaboration will occur among sites.  Unanticipated disagreements
about methods, resource allocation, standardization, authorship,
etc., may arise during the course of any project.  The consortium
must be able to make unified decisions on the merits of these issues,
without dissolving or routinely relying upon outside arbitration.

Confidentiality of Data

Information obtained in the course of this study that identifies an
individual or entity must be treated as confidential in accordance
with section 903(c) of the Public Health Service Act.  Applicants
must describe in the Human Subjects section number 5 procedures for
ensuring the confidentiality of information.  This should include a
discussion of who will be permitted access to the information, both
the raw data and machine readable files, and how personal identifiers
will be safeguarded.

Terms and Conditions of Award

This cooperative agreement anticipates substantial AHCPR scientific
and programmatic involvement with the awardees throughout the
planning, implementation, and close-out of CAHPS.

1.  Awardee Responsibilities

The awardee will have primary and lead responsibility for all
activities including:

o  Formation of the advisory committee, including convening meetings
and documenting activities, with committee membership approved by the
AHCPR project officer;

o  Development and implementation of a comprehensive process and
outcome evaluation design;

o  Selection, in collaboration with the AHCPR project officer, of
items or question modules from the consumer survey instrument that
will be tested;

o  Identification and implementation of techniques to test the
modules for reliability, validity, consistency in interpretation, and
comparability across different sites/subpopulations;

o Development and implementation of a module-by-module testing
schedule;

o  Identification and recruitment of Phase 1 testing sites for
reliability, validity, etc.  Applicants should submit letters of
commitment with the application;

o  Identification of characteristics of appropriate Phase 2
demonstration sites and selection, in collaboration with the project
officer, of actual sites possessing these characteristics;

o  Development of sample selection strategy and identification of
potential associated methodological issues;

o  Identification of methodological issues associated with
administration of the survey to the subpopulations and sites of
interest;

o  Identification of potential confidentiality concerns of test sites
and individual respondents and a strategy for implementing safeguards
that address these concerns;

o  Identification of methodological issues associated with mode of
administration of the questionnaire;

o  Identification and implementation of procedures that enhance
response rates;

o  Development and implementation, with project officer approval, of
an appropriate data coding, preparation and analysis plan;

o  Development and documentation of strategies to address all
outlined methodological issues;

o  Development, testing and revision of a comprehensive survey
operations, or "user", manual suitable for use by organizations with
minimal as well as extensive experience in fielding large-scale,
multi-site surveys;

o  Provision of training and technical assistance to all Phase 2
demonstration sites;

o  Preparation and testing, in collaboration with project officer, of
understandable, usable reports that summarize survey results and
which are tailored to the subpopulations of interest;

o  Preparation of agreed-upon interim and final reports, including a
summary report to inform AHCPR of any difficulties encountered in the
course of planning, implementing and evaluating the surveys;

o  Provision of AHCPR access to all data generated under this award
as it is collected; and

o  Cooperation with other key parties in this project, particularly
the AHCPR User Group; other CAHPS grantees; and other complementary
projects.

2.  AHCPR Staff Responsibilities

The AHCPR Project Officer and other AHCPR staff will have substantial
scientific and programmatic involvement during the conduct of this
activity, through technical assistance, advice, and coordination
beyond the usual program stewardship for grants.  Collaboration on
the development of the testing plan, evaluation design and survey
protocol will occur after the award is made.  Specifically, AHCPR's
role in the cooperative agreement is to provide technical assistance,
advice, and support to the PI and to ensure that all related
AHCPR-supported projects complement one another. AHCPR will:

o  Work with the grantee to structure composition of the advisory
committee;

o  Approve composition of advisory committee, management plan and
plans for data collection and analysis;

o  Participate in all key project decisions, including but not
limited to:  identification of focal consumer groups, assessment of
consumer information needs, selection of items/question modules to be
tested, identification and resolution of methodological issues;

o  Work with the grantee to identify and negotiate with Phase 2
demonstration sites, with the AHCPR project officer retaining right
of final approval;

o  Establish collaboration with and obtain project-related
information from other Federal agencies and programs;

o  Disseminate tested question modules and other research findings as
they become available; and

o  Participate in or coordinate strategy sessions with the grantees
on at least four occasions in the first year and up to every four
months thereafter to review progress;

The AHCPR will require prior written approval for the addition or
deletion of a participating or collaborating institution, site, or
other organizational component.

The AHCPR reserves the right to terminate or curtail the study in the
event of:

o  Insufficient progress towards completion of study goals within an
agreed-upon time frame;

o  Inability to identify and recruit demonstration sites that include
members of the subpopulations and settings of interest;

o  Inability to work collaboratively with demonstration sites, the
advisory committee, or other necessary organizations;

o  Inability to successfully address key methodological issues; and

o  Substantive changes in the agreed-upon protocol with which the
AHCPR does not agree.

These special Terms of Award are in addition to and not in lieu of
otherwise applicable PHS grants policies and Federal regulations.

Collaborative Responsibilities

As discussed under Phase 1 activities, grantees must establish an
Advisory Committee to provide overall policy guidance and technical
expertise, and assist in conflict resolution.  The membership of the
Advisory Committee may include, in addition to the Principal and
Co-Investigators, the AHCPR project officer, consumers, methodology
experts in the fields of health care consumer survey research, social
marketing (with experience in developing health information for
consumers), health insurance and other health-related research areas;
representatives of public and private groups from Phase 2
demonstration sites, including employers, unions, health plan
administrators, and other health insurance providers; and local and
national health service providers and institutions.

SPECIAL INSTRUCTIONS TO APPLICANTS CONCERNING INCLUSION OF WOMEN AND
MINORITIES IN RESEARCH INVOLVING HUMAN SUBJECTS

It is the policy of the AHCPR that women and members of minority
groups be included in all AHCPR supported research projects involving
human subjects, unless clear and compelling rationale and
justification are provided that inclusion is inappropriate with
respect to the health of the subjects or the purpose of the research.

A new NIH policy resulting from the NIH Revitalization Act of 1993
(Section 492B of Public Law 103-43) supersedes and strengthens NIH's
previous policies (Concerning the Inclusion of Women in Study
Populations, and Concerning the Inclusion of Minorities in Study
Populations), which were in effect since 1990 and which AHCPR had
adopted.  The new NIH policy contains provisions that are
substantially different from the 1990 policies.  All investigators
proposing research involving human subjects should read the "NIH
Guidelines for Inclusion of Women and Minorities as Subjects in
Clinical Research," which have been published in the Federal Register
of March 28, 1994 (FR 59 14508-14513), and reprinted in the NIH GUIDE
FOR GRANTS AND CONTRACTS of March 18, 1994, Volume 23, Number 11.

Investigators may obtain copies from these sources or from the AHCPR
contractor, Global Exchange listed under INQUIRIES. AHCPR staff may
also provide information concerning this policy.

LETTER OF INTENT

Prospective applicants are asked to submit, by May 20, 1995, a letter
of intent that includes the name, address, and telephone number of
the proposed Principal Investigator and other key personnel; the
identities of proposed consortia members, including any other
participating organizations or institutions; a descriptive title of
the proposed demonstration project; and the number and title of the
RFA.

Although a letter of intent is not required, is not binding, and does
not enter into the consideration of any subsequent application, the
information allows AHCPR staff to estimate the potential review
workload and avoid conflicts of interest in the review.

The letter of intent is to be sent to the CAHPS project officer at
the address listed under INQUIRIES.

APPLICATION PROCEDURES

Applications are to be submitted on research grant application form
PHS 398 (rev. 9/91).  State and local government applicants may use
form PHS 5161, Application for Federal Assistance.  These forms are
available at most institutional offices of sponsored research; the
Office of Grants Information, Division of Research Grants, National
Institutes of Health, Westwood Building, Room 449, Bethesda, MD
20892, telephone (301) 594-7248.  For AHCPR, applications are
available from Global Exchange Inc., 7910 Woodmont Avenue, Suite 400,
Bethesda, MD 20814-3015, telephone (301) 656-3100, Fax (301)
652-5264.

The RFA label available in the PHS 398 (rev. 9/91) application form
must be affixed to the bottom of the face page of the application.
Failure to use this label could result in delayed processing of the
application such that it may not reach the review committee in time
for review.  In addition, the RFA title and number must be typed on
line 2a on the face page of the application form and the YES box must
be marked.

Complete information must be submitted with the application.
Consortium arrangements typically take the form of a formal agreement
between an applicant and other organization(s).  In the grant
application, a separate budget page and budget justification must be
included for each organization involved in the proposed consortium
arrangement.

Submit a signed, typewritten, original of the application, including
the Checklist, and three signed legible copies (two copies when using
the PHS 5161) in one package to:

Division of Research Grants
National Institutes of Health
6701 Rockledge Drive, Room 1040 - MSC 7710
Bethesda, MD  20892-7710
Bethesda, MD  20817 (for express mail or courier)

Applications submitted under this RFA must be received by June 20,
1995, by the Division of Research Grants, NIH.  If an application is
received after that date, it will be returned to the applicant.  At
the time of submission, two additional copies of the application (one
copy when using the PHS 5161) must be sent to the CAHPS project
officer at the address under INQUIRIES.

Conference for Prospective Applicants

The AHCPR plans to convene a conference for prospective applicants on
April 5, 1995 in Rockville, Maryland.  Attendance is not a
prerequisite to applying.  Attendees must pay for their own travel
and accommodation costs.  For further information, contact (301)
594-1357 ext 105.

REVIEW CONSIDERATIONS

All applications will be judged on the basis of the scientific and
technical merit of the proposed project and the documented ability of
the investigator to meet the objectives of the RFA.  Upon receipt,
applications will be reviewed for completeness by the Referral
Office, Division of Research Grants, NIH, and by AHCPR staff for
responsiveness to the RFA.  Incomplete and nonresponsive applications
will be returned to applicants without further consideration.  The
determination of any application as nonresponsive will be the sole
responsibility of AHCPR.

All accepted applications will undergo peer review for scientific and
technical merit by a special review group convened by the AHCPR.
Review criteria for AHCPR grant applications are:  significance and
originality from a scientific and technical viewpoint; adequacy of
the method; availability of data or proposed plan to collect data
required for the project; qualifications and experience of the
Principal Investigator and proposed staff; adequacy of the plan for
organizing and carrying out the project; reasonableness of the
proposed budget; and adequacy of the facilities and resources
available to the applicant.  Although the technical merit of the
proposed protocol is important, it is not the sole criterion for
selection of the awardee(s).

Applications may undergo triage by the peer review group on the basis
of relative scientific and technical competitiveness.  The AHCPR will
withdraw from further consideration those applications judged to be
non-competitive for award and notify the applicant Principal
Investigator and institutional official.  When an application is
reviewed, the peer review committee may recommend further
consideration or no further consideration.  The committee also
assigns priority scores to the applications for which further
consideration is recommended.  Recommendations of the peer review
committee may be reviewed subsequently by AHCPR's National Advisory
Council for Health Care Policy, Research, and Evaluation.  The peer
review process is rigorous, and only those applications judged to be
of greatest merit will be recommended for further consideration.

Special Review Criteria

In addition to the review criteria noted above, the review committee
will evaluate each application in response to this RFA against the
following special scientific and technical review criteria:

1.  Understanding of issues related to completing the activities
outlined in OBJECTIVES AND SCOPE and STUDY DESIGN.

2.  Understanding of all issues related to the measurement of
consumer assessments of health care plans and services.

3.  Understanding of the needs of various audiences who may use
health care information (e.g., consumers, purchasers, plans,
providers, payers, State and local-level health care organizations)
and the ways in which they may use this information (selection of
plans and providers; comparison of plan/provider performance;
identification of local or multi-site quality problems).

4.  Demonstrated experience in the performance of all aspects of
fielding a large-scale, multi-site survey, including but not limited
to:  formulation of a methodologically sound design; performance of
validity and reliability studies on large-scale survey instruments;
identification and resolution of methodological issues associated
with sample selection and sample size, and with administration of
surveys to the subpopulations of interest and within a variety of
health care delivery settings; identification and resolution of
methodological issues associated with mode of administration.

5.  Demonstrated ability to produce detailed survey operations
manuals suitable for use by groups with minimal as well as extensive
experience in fielding large-scale, multi-site surveys.

6.  Demonstrated ability to cooperate with, provide technical
assistance or training to, and/or monitor the progress of potential
collaborating organizations or test sites; particularly, other groups
such as consortium members, subgrantees, subcontractors,
community-based organizations, data supplying organizations,
respondents, and site representatives.

7.  Demonstrated ability to collaborate with government agencies in
the performance of research studies and demonstrations.

8.  Demonstrated ability to develop and test attractive,
understandable, usable health-related materials for a variety of
consumers.

9.  Demonstrated ability to design and implement process and outcome
evaluations, including:  specification of evaluation questions and
outcome measures; use of quantitative and qualitative data collection
methods; data analysis; development of data-based recommendations and
use of the recommendations to improve products and procedures.

AWARD CRITERIA

Applications will compete for available funds with all other
applications for this RFA.  The following will be considered in
making funding decisions:  quality of the proposed project as
determined by scientific and technical merit; program balance,
including the likelihood of successful collaboration based upon
sufficient compatibility of features; and availability of funds.  The
earliest anticipated date of award is September 30, 1995.

INQUIRIES

Written and telephone inquiries concerning this RFA are encouraged.
Copies of this RFA and background documents are available from:

Global Exchange Inc.
7910 Woodmont Avenue, Suite 400
Bethesda, MD  20814-3015
Telephone:  (301) 656-3100
FAX:  (301) 652-5264

Copies of the RFA without background materials can also be requested
by e-mail at cahpsrfa@PO3.AHCPR.GOV, the NIH GOPHER (gopher.nih.gov),
and AHCPR InstantFAX at (301) 594-2800, AHCPR Pub. No. 95-0044.  To
use InstantFAX, you must call from a fax machine with a telephone
handset.  Use the key pad on the receiver when responding to prompts
>From InstantFAX.  The RFA will be sent at the end of the ordering
process.  AHCPR InstantFAX operates 24 hours a day, 7 days a week.
For questions about this service, call AHCPR's Division of
Communications at (301) 594-1364 ext. 159.

Direct inquiries regarding programmatic issues, including information
on the policy of inclusion of women and minorities in study
populations, to:

Christine Crofton, Ph.D.
CAHPS Project Officer
Agency for Health Care Policy and Research
2101 East Jefferson Street, Suite 603
Rockville, MD  20852-4908
Telephone:  (301) 594-1357 ext 105

Direct inquiries regarding fiscal matters to:

Mr. Ralph L. Sloat
Grants Management Officer, Office of Management
Agency for Health Care Policy and Research
2101 East Jefferson Street, Suite 601
Rockville, MD  20852-4908
Telephone:  (301) 594-1447

AUTHORITY AND REGULATIONS

This program is described in the Catalog of Federal Domestic
Assistance No. 93.226.  Awards are made under authorization of the
Public Health Service Act, Title IX (42 U.S.C. 299-299c-6).  Awards
are administered under the PHS Grants Policy Statement and Federal
Regulations 42 CFR 67, Subpart A, and 45 CFR Parts 74 and 92.  This
program is not subject to the intergovernmental review requirements
of Executive Order 12372.

The PHS strongly encourages all grant and contract recipients to
provide a smoke-free workplace and promote the non-use of all tobacco
products.  In addition, Public Law 103-227, the Pro-Children Act of
1994, prohibits smoking in certain facilities (or in some cases, any
portion of a facility) in which regular or routing education,
library, day care, health care or early childhood development
services are provided to children.  This is consistent with the phs
mission to protect and advance the physical and mental health of the
american people.

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Subject: NIH GUIDE - RFA HS-95-004 - V24(09) 03/10/95
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$$XID RFA HS95004 HS-95-004 P1O1 ***************************************

HEALTH SERVICES RESEARCH ON ADVANCE DIRECTIVES

NIH Guide, Volume 24, Number 9, March 10, 1995

RFA:  HS-95-004

P.T. 34; K.W. 0730021, 0730052

Agency for Health Care Policy and Research

Letter of Intent Receipt Date:  May 15, 1995
Application Receipt Date:  June 20, 1995

PURPOSE

The Agency for Health Care Policy and Research (AHCPR) is soliciting
applications for research on advance directives.  Research
applications are invited for establishing and evaluating a pilot
study of the effectiveness of a community focused, home-based
approach to completion of advance medical care directives by
individuals.

HEALTHY PEOPLE 2000

The Public Health Service (PHS) is committed to achieving the health
promotion and disease prevention objectives of "Healthy People 2000,"
a PHS-led national activity for setting priority areas.  AHCPR urges
applicants to submit grant applications with relevance to the
specific objectives of this initiative.  Potential applicants may
obtain a copy of "Healthy People 2000" (Full Report:  Stock No.
017-001-00474-0 or Summary Report:  Stock No. 017-001-00473-1)
through the Superintendent of Documents, Government Printing Office,
Washington, DC 20402-9325 (telephone 202-783-3238).

ELIGIBILITY REQUIREMENTS

Applications may be submitted by domestic and foreign non-profit
organizations, public and private, including universities, clinics,
units of State and local governments, non-profit firms, and
non-profit foundations.  Racial/ethnic minority individuals, women,
and persons with disabilities are encouraged to apply as Principal
Investigators.

MECHANISM OF SUPPORT

This request for applications will use the research project grant
(R01) mechanism.  Responsibility for the planning, direction, and
execution of the proposed project will be solely that of the
applicant.  This is a one-time solicitation.  The total requested
project period may not exceed two years.

FUNDS AVAILABLE

The AHCPR expects to make one award of up to $700,000 (total cost)
over a two-year period to meet the objectives of this RFA.  Funding
for the first year will not exceed $350,000 total cost.  This is a
one time solicitation, with the first year of funding to be awarded
in Fiscal Year 1995.  No award will be made if, as a result of the
scientific and technical review, none of the applications is judged
to be of high merit.  Continuation of the grant for the second year
will depend on evaluation of a one-year progress review by AHCPR, and
the availability of funds.

RESEARCH OBJECTIVES

Definition and Significance

An advance directive is a means of recording a person's preferences
regarding future health care decisions while the person is fully
competent.  Such recorded preferences may be used to guide the actual
decisions that are made at a later time, should the person become
incompetent.

Advance directives commonly take one of two forms.  A living will
records the person's health care preferences in the event he or she
has a terminal illness.  The other form, the durable power of
attorney for health care, sometimes called "medical power of
attorney," or "health care proxy," records the individual chosen by
the person to make decisions on his/her behalf if necessary.  Thus,
one form of advance directive focuses on what health care will be
chosen, while the other focuses upon who is most trusted by the
patient to do the choosing.  These goals are not mutually exclusive
and combined forms of advance directives are increasingly common.

Advance directives are designed to accomplish a number of functions.
They protect an individual's right to choose or to refuse various
forms of health care, even in the face of the development of
decisional incapacity.   They provide additional assurance that the
care provided for an incompetent patient will actually match that
patient's personal values.  They transfer a critical health-care
decision point from the time of a patient's decisional incapacity to
an earlier time when the person is fully competent.

Historical Background

In the decade of the 1960s, medicine introduced a number of
technologies capable of prolonging life in critically ill patients,
including cardiopulmonary resuscitation, mechanical ventilation, and
renal dialysis.  For a time, the excitement over the initial success
of these treatments displaced concerns about the negative impact of
such technologies upon patient autonomy, or about the balancing of
the value of life's quality with its quantity.

In concert with these technological advances, the field of biomedical
ethics expanded greatly between 1970 and 1985.  Early biomedical
ethics discussions focused upon the value of patient autonomy, and
the right of the competent patient to choose or to refuse various
forms of medical care, including life-prolonging therapy.  Around
1970, the earliest form of "living will" was introduced.  The
importance of respect for informed consent as a guiding ethical
principle was firmly entrenched by the time the President's
Commission for the Study of Ethical and Legal Problems in Medicine
and Biomedical and Behavioral Research issued its 1983 influential
report, Deciding to Forego Life-Sustaining Treatment (U.S. Government
Printing Office, Washington, DC Stock number: 040-000-00470-0).  That
report encouraged the use of advance directives and popularized use
of the generic term.  Concern about use of life-sustaining
technologies was outlined in two Office of Technology Assessment
reports (U.S. Congress, Office of Technology Assessment:
Life-Sustaining Technologies and the Elderly, OTA-BA-306, Washington,
DC, U.S. Government Printing Office (GPO), July 1987; and,
Institutional Protocols for Decisions about Life-Sustaining
Treatments--Special Report, OTA-BA-389, Washington, DC, GPO, July
1988).

More recently, the value of advance directives has been generally
assumed, and attention has been devoted to refining and improving the
various forms or documents which can be used to record patient
preferences.  At the same time, empirical research has been
conducted, and many more data are available about the prevalence and
effectiveness of advance directives.  AHCPR has funded much of the
empirical research on this question, having 10 projects currently
underway and 7 projects completed.  Research has been conducted in
hospitals, nursing homes, physicians' offices, and the community.

The Patient Self-Determination Act

In 1990, Congress, prompted by concerns similar to those expressed by
the President's Commission report of 1983, and by the low rates of
execution of directives among the population, passed the Patient
Self-Determination Act.  This law directs that all patients admitted
to Medicare and Medicaid certified providers, including hospitals,
nursing facilities, hospices, home health agencies, and pre-paid
health plans must receive some form of counselling regarding their
right to refuse medical treatment and their right to complete an
advance directive under the laws of their State.  Patients must be
asked whether they already have an advance directive, and if they do,
the directive must be made part of the medical record in a manner
that assures easy retrieval in a later emergency.  Institutions are
also required to perform some type of public outreach and education
around advance directives.

Some have argued that passage of this law solved the advance
directive "problem" and that further research is not needed to guide
policy.  However, the law does not mandate discussion of advance
directives in most outpatient, primary care settings, where many
experts feel that these discussions would optimally occur.  Given the
disappointing advance directive completion rates in studies where
experienced primary care providers spent a good deal of time
educating and counselling patients, it is reasonable to question
whether the often perfunctory methods many hospitals have used to
comply with the law, such as having the admitting clerk hand the
patient a brochure, could possibly have any beneficial effect.

Additionally, many providers have interpreted the Patient
Self-Determination Act as if it were focused solely on
do-not-resuscitate (DNR) orders.  This points out the problem, that
while an individual's plans may be for a broad scope and level of
care at the end of his or her life, these plans may be reduced to the
very narrow question of whether the patient is a "DNR" or "full
code."  Decisions may be made as if cardiopulmonary resuscitation
were the only decision that matters, or cardiopulmonary arrest is the
only medical contingency for which advance planning is desirable.
Also, many practitioners do not discuss advance directives with their
patients even though their patients may be willing to do so (Loewy
EH, Carslon RW. Archives Internal Medicine 1994; 154:2265-7).

While the Patient Self-Determination Act may have changed the
practice environment in a positive direction, the need for research
in advance directives persists.  This was recognized by the Senate
Appropriations Committee which directed AHCPR to support a study in
this area (S.103-318).

Future Research Needs

A conference was held in September 1993, supported by AHCPR, the
Greenwall Foundation, The Kornfeld Foundation, and the Walter and
Elsie Haas Fund.  The purpose of the conference was to assess the
current state-of-knowledge about decision-making for incapacitated
adults, giving special attention to the role of advance directives
and aiming to establish priorities for further theoretical and
empirical research in this area.  This invitational working
conference assembled 36 leading investigators to make recommendations
on the priorities for both theoretical and empirical research in the
wake of the Patient Self-Determination Act.  Conference participants
reached consensus that future research on advance directives should
focus on a broad process of communication that participants called
"advance care planning."  The consensus statement derived from this
conference was published in a Special Supplement to the Hastings
Center Report (November-December 1994 issue) entitled "Advance Care
Planning:  Priorities for Ethical and Empirical Research."  Potential
applicants under this RFA are encouraged to read this report.  It is
available from the National Technical Information Service (NTIS)
order number PB95-147740.  A limited number of copies are available
>From program staff listed under INQUIRIES.

Specific Goals of this RFA

Research under this RFA should address the issue of the low
percentage of the general public who have completed an advance
medical directive.  Specifically, this RFA calls for a pilot project
to assess the effectiveness of a community focused, home-based
approach to encouraging the completion of advance medical directives,
including bona fide advance directives documentation.  The pilot
project should be initiated in four geographic and ethnically diverse
locations.  It is desirable that the research should evaluate the
validity of advance directives executed in this setting.  Validity
includes the concepts of accuracy and of stability.  Accuracy in this
context is the issue of how well the advance directive explains or is
consistent with the person's true desires.  Stability refers to how
long the advance directive actually represents the person's desires.
The research should address differences in motivational and
procedural barriers to completing an appropriate living will or
health care power of attorney.

SPECIAL REQUIREMENTS

1.  The AHCPR does not endorse, recommend or specify which or what
particular documentation is to be used.  However, it is expected that
the applicant will specify and justify the advance directive
documentation to be used with respect to validity, reliability, and
stability of patient preferences for life sustaining treatment.

2.  This pilot project should be administered by an organization with
a demonstrated record of education achievements in adult learning and
community involvement. The organization should affiliate with an
academic institution experienced in this area.  The research design
must be rigorous.

3.  The applicant's literature review should demonstrate evidence of
substantive understanding of advance directives research supported by
AHCPR as to avoid duplication and to enhance utilization of prior
research.  Applicants may obtain a listing of AHCPR supported
projects from program staff listed under INQUIRIES.

4.  The proposed research design should be sensitive to the consensus
statement on behalf of the September 1993 conference participants
that appears in the Special Supplement (pp S32-36) to that statement,
noted above.

INCLUSION OF WOMEN AND MINORITIES IN RESEARCH INVOLVING HUMAN
SUBJECTS

It is the policy of AHCPR that women and members of minority groups
must be included in all AHCPR supported health services research
projects involving human subjects, unless a clear and compelling
rationale and justification are provided that inclusion is
inappropriate with respect to the health of the subjects or the
purpose of the research.

A new NIH policy resulting from the NIH Revitalization Act of 1993
(Section 492B of Public Law 103-43) supersedes and strengthens NIH's
previous policies (Concerning the Inclusion of Women in Study
Populations, and Concerning the Inclusion of Minorities in Study
Populations), which were in effect since 1990 and which AHCPR had
adopted.  The new NIH policy contains some provisions that are
substantially different from the 1990 policies.  AHCPR plans to
publish guidelines specific to AHCPR.  In the interim, AHCPR will
follow the NIH guidelines, as applicable.

All investigators proposing research involving human subjects should
read the "NIH Guidelines for Inclusion of Women and Minorities as
Subjects in Clinical Research," published in the Federal Register of
March 28, 1994 (FR 59 14508-14513) and reprinted in the NIH Guide for
Grants and Contracts, Volume 23, Number 11, March 18, 1994.

Investigators also may obtain copies of this policy from the AHCPR
program staff listed under INQUIRIES.  AHCPR program staff may also
provide additional relevant information concerning this policy.

LETTER OF INTENT

Prospective applicants are asked to submit, by May 15, 1995, a letter
of intent that includes a descriptive title of the proposed research;
the name, address, and telephone number of the Principal
Investigator, co-investigators and other key personnel; the applicant
institution and other participating organizations or institutions;
and the number and title of this RFA.  Although a letter of intent is
not required, is not binding, and does not enter into the
consideration of any subsequent application, the information allows
AHCPR staff to estimate the potential review workload and avoid
conflicts of interest in the review.  The letter of intent should be
sent to:

Julius Pellegrino
Agency for Health Care Policy And Research
2101 East Jefferson Street, EOC/Suite 502
Rockville, MD  20852-4908

APPLICATION PROCEDURES

Applications are to be submitted on research grant application form
PHS 398 (rev. 9/91).  State and local government agencies may use
form PHS 5161 and follow those requirements for copy submission.
These forms are available at most institutional offices of sponsored
research; and the Office of Grants Information, Division of Research
Grants, National Institutes of Health, Westwood Building, Room 449,
Bethesda, MD 20892.  Applications for AHCPR support are also
available from Global Exchange Inc., 7910 Woodmont Avenue, Suite 400,
Bethesda, MD 20814-3015, telephone 301-656-3100 (FAX 301-652-5264).
The RFA label available in the form PHS 398 (rev. 9/91) must be
affixed to the bottom of the face page of the original application.
Failure to use this label could result in delayed processing of the
application such that it may not reach the review committee in time
for review.  In addition, type "RFA HS-95-004" in Section 2a on the
face page of the application form and mark the "YES" box.

Submit a signed, typewritten original of the application, including
the Checklist, and three signed, photocopies, in one package to:

Division of Research Grants
National Institutes of Health
6701 Rockledge Drive, Room 1040 - MSC 7710
Bethesda, MD  20892-7710
Bethesda, MD  20817 (for express mail)

At the time of submission, two additional copies of the application
must be sent to:

Julius Pellegrino
Agency For Health Care Policy And Research
2101 East Jefferson Street, EOC/Suite 502
Rockville, MD  20852-4908

Applications submitted under this RFA must be received in the
Division of Research Grants, NIH, by June 20, 1995.  If an
application is received after that date, it will be returned to the
applicant without review.

REVIEW CONSIDERATIONS

Upon receipt, applications will be reviewed by the Referral Office,
Division of Research Grants, NIH, for completeness, and by AHCPR
staff for responsiveness to the RFA.  Incomplete applications will be
returned to the applicant without further consideration.
Nonresponsive applications will be transferred to a standing AHCPR or
other appropriate scientific review group convened by the AHCPR for
review through routine mechanisms.  The determination of any
application as nonresponsive will be the sole responsibility of
AHCPR.  Applications may undergo advance review by the peer review
group on the basis of relative scientific and technical
competitiveness.  The AHCPR will withdraw from further consideration
those applications judged to be non-competitive for award and notify
the applicant Principal Investigator and institutional official.
When an application is reviewed, the peer review committee may
recommend further consideration or no further consideration.  The
committee also assigns priority scores to the applications for which
further consideration is recommended.  Recommendations of the peer
review committee may be reviewed subsequently by AHCPR's National
Advisory Council for Health Care Policy, Research, and Evaluation.
The peer review process is rigorous, and only those applications
judged to be of greatest merit will be recommended for further
consideration.

General Review Criteria

The general review criteria for AHCPR grant applications are:

o  significance and originality from a scientific and technical
viewpoint;

o  adequacy of the proposed method(s);

o  availability of data or proposed plan to collect data required for
the project;

o  adequacy of the plan for organizing and carrying out the project;

o  qualifications and experience of the Principal Investigator and
proposed staff;

o  reasonableness of the proposed budget;

o  adequacy of the facilities and resources available to the
applicant; and

o  adequacy of plans to include both genders and minorities and their
subgroups, as appropriate for the scientific goals of the research.
Plans for the recruitment and retention of subjects will also be
evaluated.

The initial review group will also examine the provisions for the
protection of experimental subjects, and the safety of the research
environments.

Special Review Criteria

In addition to the general review criteria noted above, the reviewers
will assess applicants' treatment of the SPECIAL REQUIREMENTS of this
RFA, i.e. documentation, organization, literature review, and
consensus statement.

AWARD CRITERIA

Applications will compete for available funds with all other
applications for this RFA.  In making funding decisions, AHCPR will
consider:  quality of the proposed project as determined by peer
review, availability of funds, and program balance.

INQUIRIES

The AHCPR welcomes the opportunity to clarify any issues or questions
>From potential applicants.  Direct inquiries regarding program
matters to:

Julius Pellegrino, Program Staff
Agency For Health Care Policy and Research
2101 East Jefferson Street, EOC/Suite 502
Rockville, MD  20852-4908
Telephone:  (301) 594-1357 Ext 138
FAX:  (301) 594-3721
Email:  JPELLEGR@po3.ahcpr.gov

Direct inquiries regarding fiscal matters to:

Ralph Sloat, Grants Management Officer
Agency for Health Care Policy and Research
2101 East Jefferson Street, EOC/Suite 601
Rockville, MD  20852-4908
Telephone:  (301) 594-1447
Email:  RSloat@po7.ahcpr.gov

AUTHORITY AND REGULATIONS

This program is described in the Catalog of Federal Domestic
Assistance, No. 93.226.  Awards are made under authorization of the
Public Health Service Act, Title IX, and are administered under the
PHS Grants Policy Statement and Federal Regulations 42 CFR Part 67,
Subpart A, and 45 CFR Part 74 (45 CFR Part 92 for State and local
governments). This program is not subject to the intergovernmental
review requirements of Executive Order 12372.

The PHS strongly encourages all grant and contract recipients to
provide a smoke-free workplace and promote the non-use of all tobacco
products.  In addition, Public Law 103-227, the Pro-Children Act of
1994, prohibits smoking in certain facilities (or in some cases, any
portion of a facility) in which regular or routing education,
library, day care, health care or early childhood development
services are provided to children.  This is consistent with the PHS
mission to protect and advance the physical and mental health of the
American people.

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$$XID RFA HG95005 HG-95-005 P1O1 ***************************************

PILOT PROJECTS FOR SEQUENCING OF THE HUMAN GENOME

NIH GUIDE, Volume 24, Number 9, March 10, 1995

RFA:  HG-95-005

P.T. 34; K.W. 1215018, 0755045

National Center for Human Genome Research

Letter of Intent Receipt Date:  June 1, 1995
Application Receipt Date:  August 4, 1995

PURPOSE

The National Center for Human Genome Research (NCHGR) invites
applications to develop and implement pilot projects to test
strategies that have the potential to lead to full-scale production
sequencing of mammalian DNA, resulting in achieving the goal of the
complete, accurate, finished sequence of human DNA by the year 2005.

HEALTHY PEOPLE 2000

The Public Health Service (PHS) is committed to achieving the health
promotion and disease prevention objectives of "Healthy People 2000,"
a PHS-led national activity for setting priority areas.  This Request
for Applications (RFA), Pilot Projects for Sequencing of Human DNA,
is related to several priority areas, including cancer, heart disease
and stroke, diabetes and chronic disability conditions, maternal and
infant health, and others. Potential applicants may obtain a copy of
"Healthy People 2000" (Full Report:  Stock No. 017-001-00474-0 or
Summary Report:  Stock No. 017-001-00473-1) through the
Superintendent of Documents, Government Printing Office, Washington,
DC 20402-9325 (telephone 202-783-3238).

ELIGIBILITY REQUIREMENTS

Applications may be submitted by domestic for-profit and non-profit
organizations, public and private, such as universities, colleges,
hospitals, laboratories, units of State and local governments, and
eligible agencies of the Federal government.  Applications from
social/ethnic minority individuals, women, and persons with
disabilities are encouraged.  Applications from foreign institutions
will not be accepted.   However, subcontracts to foreign institutions
are allowable, with sufficient justification.

Collaborations and consortia are encouraged.  In such collaborations,
the respective contributions should be well-integrated into the
design of the application to encourage cross-fertilization of ideas
and rapid application of the research to practical purposes.

MECHANISM OF SUPPORT

This RFA will use the National Institutes of Health (NIH) individual
research project grant (R01), pilot project/feasibility study (R21),
research program project (P01), exploratory grant (P20), and center
grant (P50) mechanisms.  The R21 mechanism is used to support highly
creative approaches for which substantial preliminary data are not
yet available.  Each R21 award will be limited to $100,000 direct
costs per year for a maximum of two years.  The P20 mechanism is used
to support groups of outstanding investigators who wish to develop
interdisciplinary research programs.  P20 awards will be limited to
$750,000 direct costs per year for a maximum of three years.  R21 and
P20 grants are not renewable, but future project continuation is
possible through other grant mechanisms such as R01 or P01.
Responsibility for the planning, direction and execution of the
proposed project will be solely that of the applicant.  Awards will
be administered under PHS grants policy as stated in the Public
Health Service Grants Policy Statement.  The total project period for
an application submitted in response to this RFA may not exceed three
years (with the exception of the R21 noted above).

Future unsolicited competing continuation applications will compete
with all investigator-initiated applications and be reviewed
according to the customary peer review procedures. The anticipated
award date is April 1, 1996.

FUNDS AVAILABLE

Given the importance of both further technology improvement for DNA
sequencing and the need to gain more experience in large-scale
sequencing of human DNA, the NCHGR is implementing a bipartite plan
to advance the capability of large-scale sequencing of human DNA and
to strike a balance between these two program areas.  This RFA
represents one part of this plan and solicits applications to
initiate pilot projects for large-scale sequencing that will increase
the experience in production issues such as improved strategies,
substrate preparation, data analysis, and project management and
organization.  The complementary part of the plan is announced in RFA
HG-95-004, "Improved Electrophoretic DNA Sequencing Technology."  The
scientific goals of these two RFAs are very different but awards
applications submitted for either RFA will be funded out of a single
set-aside of $20 million.  Applicants may respond to both RFA, if
desired, but should not address the two RFAs in a single application.
The anticipated outcome of the plan is to support a set of
applications that will provide the balance needed in the NCHGR
program to enhance progress toward attainment of the sequence of the
human genome.

NCHGR anticipates that projects of widely varying size may be
responsive to this RFA and therefore expects to consider for funding
projects ranging in cost from $100,000 to several million dollars per
year.  Only applications found to be of high scientific merit will be
considered for funding and all of the funds will not be spent if
there are not enough highly meritorious applications.  Funding in
future years is subject to the availability of funds.

RESEARCH OBJECTIVES

Background

The NCHGR sponsors basic and applied research concerned with the
characterization and analysis of the human genome and the genomes of
selected model organisms.  The activities encompassed by the NCHGR
program include genetic and physical mapping, DNA sequencing,
informatics related to mapping and sequencing, gene identification
and technology development that will facilitate all of these efforts.
The NCHGR, in conjunction with the Department of Energy, recently
formulated a new five-year plan (Science Vol. 262, pp. 43-46, 1993)
in which the goals for DNA sequencing were two-fold:  (1) development
of new technologies to facilitate DNA sequencing and (2) the
production of DNA sequence, primarily that of model organisms.

In the past year, there has been significant progress in developing
the capability for large-scale DNA sequencing.  Several laboratories
have generated at least one, and as many as ten, megabases of DNA
sequence each.  Through this experience, strategic and organizational
lessons, such as how to manage large laboratory efforts devoted to
rapid data production, have been learned.  The capacity of automated
sequencing instruments has increased, and newer, higher throughput
sequencing instruments are close to a stage at which they could be
introduced into a large-scale sequencing environment.  However,
sequencing technology and sequencing capability must still be
improved considerably to achieve the DNA sequencing capability
necessary to determine the sequence of the three billion base pairs
of human DNA within the time and cost goals for the HGP.  The
technological progress and project management experience that have
already been achieved warrant the initiation of human DNA sequencing
at increased scale.  Obtaining more experience in larger scale
sequencing of human DNA is also necessitated by the recognition that
important issues will be encountered in large-scale sequencing of
human DNA that will not be addressed in current large-scale projects
directed to sequencing non-human DNA.  One such issue is the
large-scale generation of sequencing substrates, which in most cases
will be based on high resolution maps.  The current human physical
mapping goal calls for maps with STSs every 100 kb, on average.
Current DNA sequencing methods require maps of considerably higher
resolution but, except for relatively short intervals, such high
resolution maps are not available for human DNA.  The quantity and
type of repetitive sequences present in human DNA, and the sheer size
of the genome, will present challenges to map construction.
Therefore, large-scale human DNA sequencing requires that strategies
to convert low resolution maps to sequencing substrates be developed
and tested.  However, preparation of high resolution physical maps is
not in and of itself, a goal of the NCHGR; for reasons of efficiency
and quality control, it is noted in the extended five-year plan, that
"preparation of sequence-ready sets of clones should be closely
associated with an imminent intent to sequence".

A second issue requiring study is the effect of highly conserved,
highly repetitive sequences on the assembly of DNA sequence.  Large
data sets of human DNA sequence will be useful in studying this
question.  Such data sets will also be useful in developing improved
base-calling algorithms.

In recognition of the importance of both further technology
improvement and the need to gain more experience in large-scale
sequencing of human DNA, the NCHGR is implementing a bipartite plan
to advance the capability of large-scale sequencing of human DNA and
to strike a balance between these two program areas.  This RFA
represents one part of this plan and solicits applications to
initiate pilot projects for large-scale sequencing that will increase
the experience in production issues such as improved strategies,
substrate preparation, data analysis, project management and
organization.  The other, complementary part of the plan is announced
in RFA HG-95-004, "Improved Electrophoretic DNA Sequencing
Technology".  Its purpose is to invite applications for research
projects to develop novel automated sequencing technology suitable
for large-scale genomic sequencing through the reduction in scale and
increased parallelization of existing methods that utilize Sanger
sequencing reactions coupled with electrophoretic separation of
fragments.

Objectives and Scope

The purpose of this RFA is to solicit applications for pilot projects
to increase the capacity of the NCHGR program for the sequencing of
human DNA, i.e., to develop realistic paths that have the potential
to lead to full-scale production sequencing of human DNA, resulting
in achieving the goal of the complete, accurate, finished sequence of
human DNA by the year 2005.  Applications are sought that will
propose an integrated strategy that will span the entire large-scale
sequencing problem, from the up-front preparation of sequencing
substrates through the assembly and analysis of the data.  The
applicant must propose to sequence at least 1 Mb of contiguous DNA
over the three year pilot project period.

If the models tested in these pilot projects are to truly contribute
to the ultimate goal of the HGP, they will have to be capable of
scaling up effectively.  Therefore, applicants should clearly address
the question of how the proposed approach will scale for efficient,
rapid large-scale human DNA sequencing.  Importantly, the issues of
organization and managing large-scale sequencing should be addressed
in so far as is possible, i.e., the pilot project and a tentative
plan for a scaled-up project should be presented.

The primary focus of this RFA is to gain experience in sequencing
human DNA.  However, the inclusion of parallel sequencing of mouse
DNA is acceptable, with appropriate justification.

Applicants should address the following issues:

o  How the pilot-scale project will scale up and lead to the
efficient, cost-effective sequencing of the human genome and
attainment of the year 2005 goal;

o  The "up-front" aspects of high throughput sequencing,
specifically, the preparation of sequencing substrate.  At present,
the density of the markers (STSs) on the human physical mapping
varies widely on different chromosomes.  The HGP goal for the
physical map, to be completed by 1998, is to have one STS marker
every 100 kb, on average.  While such a map is extremely valuable for
many uses, additional effort will be needed to either produce a much
higher resolution map in regions to be sequenced or to develop a
strategy that can use the low resolution map directly in order to
generate the DNA substrates for sequencing.  Thus it is critical for
the applicant to address the transition from the relatively low
resolution map information that is available now to a map of the
resolution required to support sequencing, or to propose an
alternative means of substrate (template) generation.  The proposed
strategy for doing so should be tested on a region of not less than 5
Mb of DNA.  This requirement is intended to ensure that the problem
of converting 100 kb maps to sequencing substrates will be done on a
region large enough to provide information about the problems that
will be encountered in dealing with large-scale substrate
preparation.  If, on the other hand, the project proposes to sequence
regions where only minimal substrate preparation is needed, because
the high resolution map has already been constructed, applicants must
address how substrate preparation for sequencing the entire human
genome will be accomplished.

o  New Technological Developments.  Successful applications will need
a clear-cut scientific and budgetary strategy for maintaining
state-of-the-art sequencing capability.  Applicants must address the
ways in which the proposed strategy will allow incorporation of the
new technological developments in DNA sequencing that will surely
arise during the term of the grant.  The exportability of any
technology or strategies to be developed in the pilot project must
also be addressed.

o  Sequence quality.  While the ultimate goal of the HGP is to
produce DNA sequence of high quality, some applicants may wish to
propose, as a viable path toward attaining the final high quality
sequence, scenarios that produce sequence that is of lower quality
than that expected for the year 2005 product, such as sequence that
has gaps and/or a relatively high error rate.  In such cases, the
applicants must indicate how the pilot project will contribute to
attaining the ultimate goal of accurate and complete sequence.
Applicants must also estimate the value of any such "lower accuracy"
product to the community.  Thus, an applicant's overall vision and
strategy for how the HGP will accomplish its goal of producing an
accurate and complete sequence, is of central importance.
Additionally, the applicant must discuss the cost-effectiveness of a
strategy that involves an investment in lower accuracy sequencing.

Another aspect of sequence quality that applicants must address is
the description of sequence accuracy for the sequence produced in the
pilot project.

o  Cost factors.  It is recognized that the cost of sequencing in
different pilot projects will vary, depending upon several factors
including the laboratory's strategy, state of the starting map, and
current level of experience in sequencing.  However, as the
long-range vision of successful pilot projects must be toward
sequencing the entire human genome, applicants must address both
their costs through the life of the proposed (3 year) project and
projected long-term costs, as part of their overall vision for
efficiently accomplishing the goal of a complete and accurate human
sequence.

o  Selection of the genomic region(s) to serve as substrate for the
pilot project.  Because of the small number of projects that will be
funded, it will be important that the region(s) chosen for sequencing
accurately represent the breadth of "problems" likely to be
encountered in the sequence of the entire genome.

The U.S. HGP has adopted a policy of encouraging rapid release of
mapping and sequencing data into public databases.  Guidelines
developed by NCHGR and DOE advisors recommend that data be made
publicly available within six months of the time they are verified.
Applicants should fully describe their plans for data release.

Post-Award Management

During the course of the grant period, mapping and cloning
technologies will improve, genomic technologies will evolve, and the
rate of progress and focus of work supported by the grant(s) may
change.  It is expected that the Principal Investigator will make any
necessary adjustment in scientific direction to accommodate the
changing environment.  In order to ensure that the project(s) remains
focused on appropriate goals, incorporates new technological advances
and makes sufficient progress, scientific and programmatic visits to
the grantee will be conducted at a frequency to be negotiated with
the awardee.

LETTER OF INTENT

Prospective applicants are asked to submit, by June 1, 1995, a letter
of intent that includes a descriptive title of the proposed research,
the name, address, and telephone number of the Principal
Investigator, the identities of other key personnel and participating
institutions, and the number and title of the RFA in response to
which the application may be submitted.  Any applicant planning to
submit an application for more than $500,000 direct cost per year
must have contacted staff, listed under INQUIRIES, before submitting
the application or it will be returned to the applicant.

Although a letter of intent is not required, is not binding, and does
not enter into the review of subsequent applications, the information
that it contains allows NCHGR staff to estimate the potential review
workload and to avoid conflict of interest in the review.

The letter of intent is to be sent to Dr. Jane L. Peterson or Dr.
Jeffery A. Schloss at the address listed under INQUIRIES.

APPLICATION PROCEDURES

The research grant application form PHS 398 (rev. 9/91) is to be used
in applying for these grants.  These forms are available at most
institutional offices of sponsored research and from the Office of
Grants Information, Division of Research Grants, National Institutes
of Health, 5333 Westbard Avenue, Room 449, Bethesda, MD 20892,
telephone 301/594-7248.

The RFA label available in the PHS 398 (rev. 9/91) application form
must be affixed to the bottom of the face page of the application.
Failure to use this label could result in delayed processing of the
application such that it may not reach the review committee in time
for review.  In addition, the RFA title and number must be typed on
line 2a of the face page of the application form and the YES box must
be marked.

Submit a signed, typewritten original of the application, including
the Checklist, and three signed, photocopies, in one package to:

Division of Research Grants
National Institutes of Health
6701 Rockledge Drive, Room 1040 - MSC 7710
Bethesda, MD  20892-7710
Bethesda, MD  20817 (for express mail)

At the time of submission, two additional copies of the application
must also be sent to:

Ms. Linda Engel
Office of Scientific Review
National Center for Human Genome Research
Building 38A, Room 604
38 Library Drive MSC 6050
Bethesda, MD  20892-6050

Applications must be received by August 4, 1995.  If an application
is received after that date, it will be returned to the applicant
without review.  The Division of Research Grants (DRG) will not
accept any application in response to this RFA that is essentially
the same as one currently pending initial review, unless the
applicant withdraws the pending application.  The DRG will not accept
any application that is essentially the same as one already reviewed.
This does not preclude the submission of substantial revisions of
applications already reviewed, but such applications must include an
introduction addressing the previous critique.

REVIEW CONSIDERATIONS

Upon receipt, applications will be reviewed for completeness by DRG
and for responsiveness to the RFA by the NCHGR program staff.
Incomplete applications will be returned to the applicant without
further consideration.  If the application is not responsive to the
RFA, NCHGR staff will contact the applicant to determine whether to
return the application to the applicant or submit it for review in
competition with unsolicited applications at the next review cycle.

Those applications that are complete and responsive will be evaluated
in accordance with the criteria stated below for scientific/technical
merit by an appropriate peer review group convened by the NCHGR.
Site visits will not be performed as part of the initial review and
applicant interviews will only be conducted in exceptional cases.
Therefore, applicants must present a complete and well-justified
written application. As part of the initial merit review, all
applications will receive a written critique and may undergo a
process in which only those applications deemed to have the highest
scientific merit will be discussed and assigned a priority score.
All applications will receive a second level of review by the
National Advisory Council for Human Genome Research.

Review criteria are the following:

o  scientific and technical merit of the proposed research to meet
the objectives of this RFA, including:
1.  novelty of the strategies and methods proposed;
2.  exportability of the strategies and technologies under
investigation, or quality of the plan describing how the genome will
be sequenced if the strategies and technologies are not exportable;
3.  plan for incorporating new technologies (e.g., a new base-calling
instrument) at reasonable cost;

o  significance and originality of the research and methodological
approaches;

o  feasibility of the research and adequacy of the experimental
design;

o  likelihood that the pilot project will be able to scale to a
successful system for sequencing the entire human genome;

o  qualifications and research experience of the Principal
Investigator and staff, particularly, but not exclusively, in the
area of the proposed research;

o  quality of integration of the proposed solutions to critical
large-scale sequencing issues (upstream to base- calling to
downstream);

o  quality of the management plan;

o  availability of the facilities, resources and technology necessary
to perform the research, and the level of institutional commitment;
and

o  appropriateness of the proposed budget and time-line in relation
to the proposed research.

Additional factors to be considered in the evaluation of competing
renewal applications will be:

o  prior demonstrated success in increasing throughput, decreasing
cost, and maintaining accuracy in DNA sequencing;

o  timeliness with which data have been placed in the public domain;

AWARD CRITERIA

The earliest anticipated date of award is April 1, 1996.
Applications submitted in response to this RFA and RFA HG-95-004 will
compete for the same pool of funds.  Factors that will be used to
make award decisions are as follows:

o  Quality of the proposed project as determined by peer review;

o  Promise of the proposed program to contribute to the goals of RFAs
HG-95-004 and HG-95-005, and to the balance between further
technology development and pilot sequence production in the NCHGR
sequencing program;

o  Overall contribution of the pilot project to knowledge and
experience required to sequence the human genome in its entirety;

o  Selection of region(s) for study that will present the array of
problems likely to be encountered in sequencing the entire human
genome;

o  Nature and extent of the plans for placing DNA sequence data in
the public domain and disseminating information on technological
developments in a timely manner;

o  Availability of funds.

INQUIRIES

Written and telephone inquiries concerning this RFA are encouraged.
The opportunity to clarify any issues or questions from potential
applicants is welcome.

Direct inquiries regarding programmatic issues to:

Jane L. Peterson, Ph.D. or Jeffery A. Schloss, Ph.D.
Mammalian Genomics Branch
National Center for Human Genome Research
Building 38A, Room 610
38 Library Drive MSC 6050
Bethesda, MD  20892-6050
Telephone:  (301) 496-7531
FAX:  (301) 480-2770
Email:  jane_peterson@nih.gov
Email:  jeff_schloss@nih.gov

Direct inquiries regarding fiscal matters to:

Ms. Jean Cahill
Grants Management Officer
National Center for Human Genome Research
Building 38A, Room 613
38 Library Drive MSC 6050
Bethesda, MD  20892-6050
Telephone:  (301) 402-0733
Email:  jean_cahill@nih.gov

AUTHORITY AND REGULATIONS

This program is described in the Catalog of Federal Domestic
Assistance No. 93.172.  Awards are made under authorization of the
Public Health Service Act, Title IV, Part A (Public Law 78-410, as
amended by Public Law 99-158, 42 USC 241 and 285) and administered
under PHS grants policies and Federal Regulations 42 CFR 52 and 45
CFR Part 74.  This program is not subject to the intergovernmental
review requirements of Executive Order 12372 or Health Systems Agency
review.

The PHS strongly encourages all grant and contract recipients to
provide a smoke-free workplace and promote the non-use of all tobacco
products.  In addition, Public Law 103-227, the Pro-Children Act of
1994, prohibits smoking in certain facilities (or in some cases, any
portion of a facility) in which regular or routing education,
library, day care, health care or early childhood development
services are provided to children.  This is consistent with the phs
mission to protect and advance the physical and mental health of the
american people.

From owner-sci-resources@net.bio.net Tue Mar 07 22:00:00 1995
Path: biosci!biosci!not-for-mail
From: BIOSCI Administrator <biosci-help@net.bio.net>
Newsgroups: bionet.sci-resources
Subject: NIH GUIDE - RFA HG-95-004 - V24(09) 03/10/95
Date: 8 Mar 1995 15:07:40 -0800
Organization: BIOSCI International Newsgroups for Molecular Biology
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$$XID RFA HG95004 HG-95-004 P1O1 ***************************************

IMPROVED ELECTROPHORETIC DNA SEQUENCING TECHNOLOGY

NIH Guide, Volume 24, Number 9, March 10, 1995

RFA:  HG-95-004

P.T. 34; K.W. 1215018, 0755045

National Center for Human Genome Research

Letter of Intent Receipt Date:  June 15, 1995
Application Receipt Date:  August 29, 1995

PURPOSE

The National Center for Human Genome Research (NCHGR) invites
applications for research projects to develop novel automated
sequencing technology suitable for large-scale genomic sequencing
through the reduction in scale and increased parallelization of
existing approaches that utilize Sanger sequencing reactions coupled
with electrophoretic separation of fragments.  The Request For
Applications (RFA) encompasses front end sample preparation,
separation, detection, and data acquisition and handling.
Technologies solicited include a spectrum of approaches ranging from
capillary and ultrathin gel electrophoresis to microfabricated and
microelectro mechanical systems (MEMS) that could yield reductions in
scale and increased throughput.  This RFA is a reissuance of RFA
HG-95-001.

HEALTHY PEOPLE 2000

The Public Health Service (PHS) is committed to achieving the health
promotion and disease prevention objectives of "Healthy People 2000,"
a PHS-led national activity for setting priority areas.  This RFA,
Improved Electrophoretic DNA Sequencing Technology, is related to
several priority areas, including cancer, heart disease and stroke,
diabetes and chronic disability conditions, maternal and infant
health, and others.  Potential applicants may obtain a copy of
"Healthy People 2000" (Full Report:  Stock No. 017-001-00474-0 or
Summary Report:  Stock No. 017-001-00473-1) through the
Superintendent of Documents, Government Printing Office, Washington,
DC 20402-9325 (telephone 202-783-3238).

ELIGIBILITY REQUIREMENTS

Applications may be submitted by domestic for-profit and non- profit
organizations, public and private, such as universities, colleges,
hospitals, laboratories, units of State and local governments, and
eligible agencies of the Federal Government.  Collaborations between
scientists in academia and industry are encouraged, as are
applications from minority individuals and women.  Applications from
foreign institutions will not be accepted.  However, subcontracts to
foreign institutions are allowable, with sufficient justification.

Applications are particularly encouraged from scientists, such
as engineers and physicists, and institutions, such as for-profit
institutions and biotechnology companies, that have not traditionally
requested research support from the NCHGR.  Applicants whose
expertise is primarily nonbiological are especially encouraged to
interact closely with biologists during the development of the
research plan.

MECHANISM OF SUPPORT

Support for this program will be through the National Institutes of
Health (NIH) individual research project grant (R01), pilot
project/feasibility study (R21), research program project (P01), and
exploratory grant (P20) mechanisms.  The R21 mechanism is used to
support highly creative approaches for which substantial preliminary
data are not yet available.  Each R21 award will be limited to
$100,000 direct costs per year and to a maximum of three years of
support, although the funding limit may be waived under exceptional
circumstances.  The P20 mechanism is used to support groups of
outstanding investigators who wish to develop interdisciplinary
research programs.  Each P20 awards will be limited to three years at
$750,000 direct costs per year.  R21 and P20 grants are not
renewable, but future project continuation is possible through other
grant mechanisms such as R01 or P01.  The levels and time frames for
support of R21 and P20 awards indicated here are specific to this
solicitation.  Responsibility for the planning, direction, and
execution of the proposed project will be solely that of the
applicant. Awards will be administered under PHS grants policy as
stated in the Public Health Service Grants Policy Statement.

This RFA is a one-time solicitation.  Future unsolicited competing
continuation applications will compete with all
investigator-initiated applications and be reviewed according to the
customary peer review procedures.  The total project period for
applications submitted in response to the present RFA may not exceed
three years.  The anticipated award date is April 1, 1996.

FUNDS AVAILABLE

Given the importance of both further technology improvement and the
need to gain more experience in large-scale sequencing of human DNA,
the NCHGR is implementing a bipartite plan to advance the capability
of large-scale sequencing of human DNA and to strike a balance
between these two scientific areas.  This RFA represents one part of
this plan and invites applications for research projects to develop
novel automated sequencing technology suitable for large-scale
genomic sequencing through the reduction in scale and increased
parallelization of existing approaches utilizing Sanger sequencing
reactions coupled with electrophoretic separation of fragments.  The
complementary part of the plan announced in RFA HG-05-005, "Pilot
Projects for Sequencing of the Human Genome," solicits applications
to initiate pilot projects for large-scale sequencing that will
increase the experience in production issues such as improved
strategies, substrate preparation, data analysis, project management
and organization.  The scientific goals of these two RFAs are very
different, but the applications for both RFAs will be competing for
the same pool of available funds.  The anticipated outcome of the
plan is to support a set of applications that will provide the
balance needed in these two areas of the NCHGR program to enhance
progress toward attainment of the sequence of the human genome.

It is anticipated that $20,000,000 (direct and indirect costs) per
year for up to three years will be available for the combination of
this RFA and RFA HG-95-005, beginning in fiscal year 1996.  It is
anticipated that approximately 15 awards will be made from the pool
of applications received in response to this RFA and RFA HG-95-005,
representing a mix of research topics and mechanisms.  Because the
nature and scope of the research proposed in response to this RFA may
vary, it is anticipated that the size of awards will also vary.  The
number of awards may be increased if a large number of highly
meritorious applications are received and if funds are available.
The number of awards made will be contingent upon the quality of
applications received and the availability of funds.

RESEARCH OBJECTIVES

Background

The NCHGR sponsors basic and applied research concerned with the
development and application of new technologies for the
characterization and analysis of the human genome and the genomes of
selected model organisms.  The activities encompassed by the NCHGR
program include genetic and physical mapping, DNA sequencing,
informatics related to mapping and sequencing, gene identification,
and technology development that will facilitate all of these efforts.

The NCHGR, in conjunction with the Department of Energy, recently
formulated a new five-year plan (Science Vol. 262, pp. 43-46, 1993)
that states that significant technological advances will need to be
made in the area of DNA sequencing if the demanding goals of the
Human Genome Project are to be met.

A major long-term goal of the Human Genome Program is to identify all
the genes encoded in the three billion base pairs of human DNA.  The
first step in this process is to assemble detailed genetic and
physical maps of the human genome.  Subsequently, the complete
sequence of human DNA must be determined.  In order to attain this
second objective, DNA sequencing technology must be further developed
so that the cost will be significantly decreased and the rate
significantly increased.  In 1994, the cost of sequencing performed
by highly skilled researchers in laboratories devoted to genomic DNA
sequencing was estimated to be about $1 per finished base.

The state-of-the-art approach for large-scale sequencing includes
isolation of sample DNA from a biological source followed by
amplification of the DNA and the synthesis of fluorescently tagged
replicate ladders of the template DNA in a Sanger sequencing
reaction.  Biochemistry for DNA sequencing is currently performed in
volumes that range from multiple microliters to hundreds of
microliters, and only modest parallelization and automation has been
achieved. The DNA ladders are resolved on a separation medium through
slab gel electrophoresis and ladder composition is evaluated by
laser-based detection technology.  Software tools are then utilized
for identification of the four bases, assembly of contiguous
sequences from individual reads, and sequence finishing, including
resolution of ambiguities.

Current sequence throughput from automated electrophoresis
instruments is approximately 7,000,000 bases (raw) per instrument
year.  Use of these instruments in sequencing approaches based on a
combination of shotgun and directed strategies results in a
throughput of about 700,000 finished bases per year.  Even at this
relatively modest throughput, sequence assembly and finishing
limitations result in a systems bottleneck.  Current efforts to
optimize genomic sequencing technology focus on the development of a
fully automated, integrated, modular system, that accounts for sample
flow in a way that eliminates bottlenecks and maximally utilizes each
step of the system from the front end of sample isolation through to
data collection and analysis.

Recent advances suggest that dramatically improved DNA sequencing
technology can be developed through the application of existing
miniaturization and automation technologies to state-of-the-art
genomic sequencing.  A continuum of approaches exists that creates a
path to a substantially reduced scale for sequencing devices with
associated throughput increase and cost decrease.  Further
development of these approaches requires several technological
advances that are expected to be addressable based on existing
scientific principles.

Capillary Electrophoresis and Ultrathin Gels

Recent work in ultrathin (capillary or slab) gel electrophoresis has
demonstrated the potential for greatly increased separation speed due
to improved heat transfer.  These approaches are also expected to
yield cost savings by reduction in sample size if small volume
robotic reaction systems are developed concurrently.  Although
preliminary data suggest that these formats will be successful in
improving sequence throughput, technological challenges remain to the
development of dependable, exportable systems.  Remaining challenges
include the need to identify new separation matrices that will allow
for increased reproducibility of separation and easy manipulation in
these formats, small volume loading technology, reduced volume sample
preparation chemistry, improved detection technology, and systems
automation to attain maximal sustainable throughput.

Microfabricated Devices and MEMS

It is anticipated that further reductions in scale and increases in
throughput could be achieved through the application of existing
microfabrication and MEMS to DNA sequencing.  It is anticipated that
successful application of this technology could increase the speed of
sequencing by two to three orders of magnitude.  Technological
challenges that are likely to be encountered are related to the
nature of the sample and include reduced volume sample preparation
chemistries, improved sample loading technologies, optimizing surface
chemistries to minimize sample and reagent loss, and microscale
fluidics and detection issues.

Systems Integration, Data Acquisition and Handling

A key component of high-throughput automated systems will be improved
software tools for base calling, sequence assembly, and sequence
finishing, as well as for overall systems integration. Even in
current approaches, sequence finishing is a bottleneck and requires
manual intervention to achieve sequence closure as well as resolution
of ambiguities.  Therefore, if order of magnitude improvements in
finished sequence throughput are to be achieved, this component will
require substantial attention and creative approaches for full
automation.

Objectives

The purpose of this RFA is to encourage applications from individuals
and groups interested in developing novel automated sequencing
technology suitable for large-scale electrophoresis-based genomic
sequencing through the reduction in scale of existing approaches that
utilize Sanger sequencing reactions coupled with electrophoretic
separation of fragments.  Applications are encouraged that will
provide technology that can ultimately achieve the sequencing goals
of the Human Genome Project.  Therefore applications should address
the development of sequencing technology that when fully developed
will allow:

o  the large-scale sequencing of DNA at a cost significantly below 50
cents per base pair, and

o  increased large-scale genomic DNA sequence throughput, by at least
10-fold over current methods.

Novel sequencing technologies based on reductions in scale that will
be considered include, but are not limited to, capillary and
ultrathin electrophoresis separation systems, and microfabricated and
MEMS systems.  Proposals to develop such systems should consider
front-end sample preparation through separation and detection, aiming
for a fully automated, integrated, modular system.  Support for
individual components of an integrated system will be considered,
given indications of a vision towards a fully integrated system or
appropriate collaborations.  It is important for applicants to
demonstrate an appreciation of bottlenecks that arise in the
application of existing technology to large-scale genomic DNA
sequencing, and to indicate how these bottlenecks will be overcome in
the proposed system.  In this context, collaboration with large-scale
genomic sequencing efforts is encouraged.  It is also important for
applicants to discuss plans for export and support of the technology
developed.

As the development of a fully functional integrated system is largely
dependent on successful data handling, it is anticipated that
proposals will deal with this issue in detail.  Applications for the
development of improved tools for data acquisition, data handling,
sequence assembly, and finishing are encouraged, as these steps
represent the greatest bottlenecks in current systems and additional
improvements in these areas are required to unleash the full power of
systems with a capacity for higher throughput.  It is crucial that
the development of new data acquisition and handling tools be closely
linked to large-scale sequencing efforts using current technology and
existing data sets, and should also be well connected to ongoing
efforts toward reductions in scale to ensure adaptability of ensuing
products to higher throughput systems under development.

Applications to pursue DNA sequencing projects using state-of-the-art
techniques, or improved non-electrophoretic-based technology such as
hybridization-based approaches or scanning probe microscopy will not
be considered responsive to this request for applications.  However,
the NCHGR welcomes applications in those areas, as well as other new
approaches to DNA sequencing, through program announcements PA-92-50
and PA-90-21.  Applications that are solely directed toward the
development of databases to support large-scale sequencing projects,
or development of algorithms and analytical tools for the annotation
of genomic information, should be submitted under program
announcement PA-92-50.

LETTER OF INTENT

Because of the specialized interest of this NCHGR program it is
strongly recommended that potential applicants contact NCHGR staff to
discuss research objectives and appropriate mechanisms. Prospective
applicants are asked to submit, by June 15, 1995, a letter of intent
that includes a descriptive title of the proposed research, the name,
address, and telephone number of the Principal Investigator, the
identities of other key personnel and participating institutions, and
the number and title of the RFA in response to which the application
may be submitted.

Although a letter of intent is not required, is not binding, and does
not enter into the review of subsequent applications, the information
that it contains allows NCHGR staff to estimate the potential review
workload and to avoid conflict of interest in the review.

The letter of intent is to be sent to Dr. Carol A. Dahl or Dr. Robert
L. Strausberg at the address listed under INQUIRIES.

APPLICATION PROCEDURES

The research grant application form PHS 398 (rev. 9/91) is to be used
in applying for these grants.  These forms are available at most
institutional offices of sponsored research; from the Office of
Grants Information, Division of Research Grants, National Institutes
of Health, 5333 Westbard Avenue, Room 449, Bethesda, MD 20892,
telephone 301/594-7248; and from the NIH program administrator listed
under INQUIRIES.

The RFA label available in the PHS 398 (rev. 9/91) application form
must be affixed to the bottom of the face page of the application.
Failure to use this label could result in delayed processing of the
application such that it may not reach the review committee in time
for review.  In addition, the RFA title and number must be typed on
line 2a of the face page of the application form and the YES box must
be marked.

Submit a signed, typewritten original of the application, including
the Checklist, and three signed, photocopies, in one package to:

Division of Research Grants
National Institutes of Health
6701 Rockledge Drive, Room 1040 - MSC 7710
Bethesda, MD  20892-7710
Bethesda, MD  20817 (for express mail)

To expedite the review process, at the time of submission, please
send two additional copies of the application to:

Office of Scientific Review
National Center for Human Genome Research
Building 38A, Room 604
38 Library Drive MSC 6050
Bethesda, MD  20892-6050

Applications must be received by August 29, 1995.  If an application
is received after that date, it will be returned to the applicant
without review.  The Division of Research Grants (DRG) will not
accept any application in response to this RFA that is essentially
the same as one currently pending initial review, unless the
applicant withdraws the pending application.  The DRG will not accept
any application that is essentially the same as one already reviewed.
This does not preclude the submission of substantial revisions of
applications already reviewed, but such applications must include an
introduction addressing the previous critique.

REVIEW CONSIDERATIONS

Upon receipt, applications will be reviewed for completeness by DRG
and for responsiveness to the RFA by the NCHGR program staff.
Incomplete applications will be returned to the applicant without
further consideration.  If the application is not responsive to the
RFA, NCHGR staff will contact the applicant to determine whether to
return the application to the applicant or submit it for review in
competition with unsolicited applications at the next review cycle.
Those applications that are complete and responsive will be evaluated
in accordance with the criteria stated below for scientific/technical
merit by an appropriate peer review group convened by the NCHGR.  As
part of the initial merit review, all applications will receive a
written critique and may undergo a process in which only those
applications deemed to have the highest scientific merit will be
discussed and assigned a priority score.  All applications will
receive a second level of review by the National Advisory Council for
Human Genome Research.

Review criteria for this RFA are generally the same as those for
unsolicited research grant applications, and are the following:

o  scientific, technical, or medical significance and originality of
proposed research;

o  appropriateness and adequacy of the experimental approach and
methodology proposed to carry out the research;

o  qualifications and research experience of the Principal
Investigator and staff, particularly, but not exclusively, in the
area of the proposed research;

o  availability of the resources necessary to perform the research;

o  appropriateness of the proposed budget and duration in relation to
the proposed research;

Additional scientific/technical merit criteria specific to this RFA
include:

o  likelihood that the proposed technology will serve as a technology
that can support the completion of the goals of the Human Genome
Project for sequencing of genomic DNA.

o  degree to which the project contributes to a fully integrated,
automated, modular system for the sequencing of genomic DNA;

o  degree to which the proposed technology considers and effectively
overcomes existing bottlenecks in large-scale sequencing of genomic
DNA;

o  degree to which the proposed system addresses data acquisition and
handling issues;

o  degree to which the proposal considers exportation and support of
the ensuing technology;

AWARD CRITERIA

The anticipated date of award is April 1, 1996.  The following
criteria will be considered in making funding decisions.

o  the quality of the proposed project as determined by peer review;

o  balance among the projects in addressing the issues related to the
development of a fully integrated, automated, miniaturized, highly
parallel system for sequencing of genomic DNA with associated tools
for data acquisition and handling, as specified in this RFA;

o  promise of the proposed program to contribute to the goals of RFA
HG-95-004 and HG-95-005, and to the balance between further
technology development and pilot sequence production in the NCHGR
sequencing program;

o  availability of funds.

INQUIRIES

Written and telephone inquiries concerning this RFA are encouraged.
The opportunity to clarify any issues or questions from potential
applicants is welcome.

Direct inquiries regarding programmatic issues to:

Carol A. Dahl, Ph.D., or Robert L. Strausberg, Ph.D.
Sequencing Technology Branch
National Center for Human Genome Research
Building 38A, Room 610
38 Library Drive MSC 6050
Bethesda, MD  20892-6050
Telephone:  (301) 496-7531
FAX:  (301) 480-2770
Email:  carol_dahl@nih.gov
Email:  robert_strausberg@nih.gov

Direct inquiries regarding fiscal matters to:

Jean M. Cahill
Grants and Contracts Management Section
National Center for Human Genome Research
Building 38A, Room 613
38 Library Drive MSC 6050
Bethesda, MD  20892-6050
Telephone:  (301) 402-0733
FAX:  (301) 402-1951
Email:  jean_cahill@nih.gov

AUTHORITY AND REGULATIONS

This program is described in the Catalog of Federal Domestic
Assistance No. 93.172.  Awards are made under authorization of the
Public Health Service Act, Title IV, Part A (Public Law 78- 410, as
amended by Public Law 99-158, 42 USC 241 and 285) and administered
under PHS grants policies and Federal Regulations 42 CFR 52 and 45
CFR 74.  This program is not subject to the intergovernmental review
requirements of Executive Order 12372 or Health Systems Agency
review.

The PHS strongly encourages all grant and contract recipients to
provide a smoke-free workplace and promote the non-use of all tobacco
products.  In addition, Public Law 103-227, the Pro-Children Act of
1994, prohibits smoking in certain facilities (or in some cases, any
portion of a facility) in which regular or routing education,
library, day care, health care or early childhood development
services are provided to children.  This is consistent with the phs
mission to protect and advance the physical and mental health of the
american people.

From owner-sci-resources@net.bio.net Tue Mar 07 22:00:00 1995
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From: BIOSCI Administrator <biosci-help@net.bio.net>
Newsgroups: bionet.sci-resources
Subject: NIH Guide, vol. 24, no. 9, pt. 1of1, 10 March 1995
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$$XID NIHGUIDE 19950310 V24N09 P1O1 ************************************
X-comment: RFAs described: HS-95-003, HS-95-004, HG-95-005, HG-95-004

NIH GUIDE - Vol. 24, No. 9 - March 10, 1995

$$INDEX BEGIN *******************************************************

                               NOTICES

$$INDEX N1 **********************************************************

NEW ADDRESS FOR THE DIVISION OF RESEARCH GRANTS
Division of Research Grants
INDEX:  DIVISION OF RESEARCH GRANTS

$$INDEX N2 **********************************************************

RESPONSIBILITIES OF NIH AND AWARDEE INSTITUTIONS FOR THE RESPONSIBLE
CONDUCT OF RESEARCH
National Institutes of Health
INDEX:  NATIONAL INSTITUTES OF HEALTH

               NOTICES OF AVAILABILITY (RFPs/RFAs/PAs)

$$INDEX R1 06/20/95 *************************************************

CONSUMER ASSESSMENTS OF HEALTH PLANS STUDY (RFA HS-95-003)
Agency for Health Care Policy and Research
INDEX:  HEALTH CARE POLICY RESEARCH

$$INDEX R2 06/20/95 *************************************************

HEALTH SERVICES RESEARCH ON ADVANCE DIRECTIVES (RFA HS-95-004)
Agency for Health Care Policy and Research
INDEX:  HEALTH CARE POLICY RESEARCH

$$INDEX R3 08/04/95 *************************************************

PILOT PROJECTS FOR SEQUENCING OF THE HUMAN GENOME (RFA HG-95-005)
National Center for Human Genome Research
INDEX:  HUMAN GENOME RESEARCH

$$INDEX R4 08/29/95 *************************************************

IMPROVED ELECTROPHORETIC DNA SEQUENCING TECHNOLOGY (RFA HG-95-004)
National Center for Human Genome Research
INDEX:  HUMAN GENOME RESEARCH

This publication is available electronically via BITNET or INTERNET,
by subscription, and is also on the NIH GOPHER (gopher.nih.gov).
Alternative access is through the NIH Grant Line using a personal
computer (data line 301/402-2221); contact Dr. John James at 301/594-
7270 for details.

THE PUBLIC HEALTH SERVICE (PHS) STRONGLY ENCOURAGES ALL GRANT AND
CONTRACT RECIPIENTS TO PROVIDE A SMOKE-FREE WORKPLACE AND PROMOTE THE
NON-USE OF ALL TOBACCO PRODUCTS.  IN ADDITION, PUBLIC LAW 103-227,
THE PRO-CHILDREN ACT OF 1994, PROHIBITS SMOKING IN CERTAIN FACILITIES
(OR IN SOME CASES, ANY PORTION OF A FACILITY) IN WHICH REGULAR OR
ROUTING EDUCATION, LIBRARY, DAY CARE, HEALTH CARE OR EARLY CHILDHOOD
DEVELOPMENT SERVICES ARE PROVIDED TO CHILDREN.  THIS IS CONSISTENT
WITH THE PHS MISSION TO PROTECT AND ADVANCE THE PHYSICAL AND MENTAL
HEALTH OF THE AMERICAN PEOPLE.

$$INDEX END *********************************************************

                               NOTICES

$$N1 BEGIN **********************************************************

NEW ADDRESS FOR THE DIVISION OF RESEARCH GRANTS

NIH GUIDE, Volume 24, Number 9, March 10, 1995

P.T. 34; K.W. 1014006

Division of Research Grants

The Division of Research Grants (DRG) is moving to a new location.
Effective May 8, 1995, all COMPETING grant applications submitted to
the National Institutes of Health must be sent to:

Division of Research Grants
National Institutes of Health
6701 Rockledge Drive, Room 1040 - MSC 7710
Bethesda, MD  20892-7710
Bethesda, MD  20817 (for courier/overnight mail service)

The telephone numbers for all offices within the DRG will also be
changing.  Essential telephone numbers at the new location and other
information updates will be published in future issues of the NIH
Guide for Grants and Contracts.  Questions concerning this
announcement may be directed to the Referral Office at (301) 594-
7250.  This telephone number will be in operation until May 8, 1995.
After May 8 the telephone number will be (301) 435-0715.

$$N1 END ************************************************************

$$N2 BEGIN **********************************************************

RESPONSIBILITIES OF NIH AND AWARDEE INSTITUTIONS FOR THE RESPONSIBLE
CONDUCT OF RESEARCH

NIH GUIDE, Volume 24, Number 9, March 10, 1995

P.T. 34; K.W. 1014006, 1014004

National Institutes of Health

This version of the notice replaces the version published in the NIH
Guide for Grants and Contracts, Vol. 23, No. 44, December 16, 1994.
Item number 5 has been clarified.

The responsible conduct of research is an important public policy
issue.  Cases of misconduct in science present a serious threat to
continued public confidence in the integrity of the scientific
process and the stewardship of Federal funds.  The Public Health
Service (PHS) has set forth regulations and policies (42 CFR Part 50,
Subpart A) for handling misconduct in science.  The purpose of this
notice is to provide guidance on the responsibilities of awardee
institutions under current regulations when misconduct in science
affects the design, conduct, or reporting of research funded by the
NIH.

DEFINITION

Misconduct in science is defined as fabrication, falsification,
plagiarism, or other practices that seriously deviate from those that
are commonly accepted within the scientific community for proposing,
conducting, or reporting research.  It does not include honest error
or honest differences in interpretations or judgements of data. (42
CFR 50.102) Copies of the regulation pertaining to misconduct in
science are available from the Office of Research Integrity (ORI) at
the address listed below.

POLICY

1.  It is the policy of PHS to maintain high ethical standards in
research and investigate and resolve promptly and fairly all
instances of alleged or apparent misconduct.  The NIH places
responsibility on awardee institutions to assure that each NIH funded
program, function, or activity is progressing toward its respective
goals (45 CFR 74.81) and that awarded funds are expended solely for
the purpose of the award in accordance with the approved application
and budget, applicable regulations, the terms and conditions of the
award, and the applicable cost principles.  These responsibilities
must be carried out with extra care where misconduct in science has
been found or where a misconduct in science investigation has been
initiated.

2.  Where a misconduct in science investigation has been initiated
that involves alleged misconduct affecting an ongoing project, the
awardee institution, consistent with its responsibilities under
applicable regulations, is responsible for taking whatever steps are
necessary to protect the scientific integrity of the project; protect
human or animal subjects; provide reports to ORI; ensure that awarded
funds are properly expended; and ensure the continuation of the
project, to the extent such continuation is consistent with the
foregoing objectives and the need to ensure a prompt, fair
investigation.  Affirmative obligations are imposed in each of these
areas by 42 CFR 50.103 and 50.104.  The institution should consult
with the ORI and the funding agency as necessary to accomplish these
objectives.  Appointment of a qualified institutional official not
previously connected with the research project to oversee the
scientific and/or financial aspects of the project is an example of
an action that may be necessary, depending upon the circumstances.

3.  When a finding of misconduct in science has been made against an
individual or individuals working on the funded project by the ORI,
the awardee institution must assess the effect of that finding upon
the qualifications of the Principal Investigator (PI) or other staff
named in the application.  Proposed changes must be reported promptly
to the awarding agency.  In accord with 42 CFR 52.2 and 52.5(a), the
awarding agency may withdraw its approval of the PI or other staff
named in the application against whom a finding of misconduct has
been made, and require the appointment of acceptable substitutes
before the project may continue. If PHS or HHS has imposed
administrative actions based on an ORI finding of misconduct, such as
debarment of an investigator from Federal funding, the awardee
institution is expected to make any changes necessary on the funded
project to comply with such actions.

4.  A finding of misconduct in science that has a significant effect
upon the conduct of a funded project may constitute grounds for the
withholding of additional awards and the suspension and/or
termination of current funding under 45 CFR 74.114 and 74.115.

5.  Under 45 CFR 74.27, et seq., and the cost principles referenced
therein, and the Public Health Service Grants Policy Statement,
expenditures of awarded funds by the awardee or by the subrecipients
for research that is invalid or unreliable because of misconduct in
science may, on a case-by-case basis, be determined to be unallowable
costs for which the awardee institution is liable for repayment to
the awarding agency.  This and any other determination of unallowable
costs is appealable under 42 CFR Part 50, Subpart D and 45 CFR Part
16.  Awardees should have procedures in place for the recovery of
funds from subrecipients.

6.  Where the validity or reliability of data has been affected by
misconduct in science, the awardee institution and its employee
authors are responsible for submitting a correction or retraction of
data to a journal, as appropriate, and/or for republishing the
corrected data.  Such corrections or retractions may be required as a
PHS administrative action.  If the institution does not meet its
responsibilities, the awarding agency may invoke its rights to access
the data (45 CFR 74.211) and to use copyrightable material developed
under the award (45 CFR 74.145), have the data reviewed, and submit
the correction.

COOPERATION AND TECHNICAL ASSISTANCE

Staff of the ORI are available to assist awardee institutions in
responding to misconduct in science.  Staff of the NIH awarding
agencies are available to provide technical assistance to protect
funded projects from the adverse effects of misconduct in science.
The joint responsibilities of the awarding agencies and the awardee
institutions are the protection of human and animal subjects, proper
stewardship of public funds, and ensuring the integrity of the
scientific data from the project.

INQUIRIES

Written, telephone, and email requests for additional information or
clarification of the issues addressed in this notice are welcome.

Questions concerning technical assistance to protect funded projects
should be directed to:

NIH Agency Extramural Research Integrity Officer
National Institutes of Health
Building 1, Room 152
Bethesda, MD  20892
Telephone:  (301) 496-5356
Email:  gg9i@nih.gov

Questions concerning the conduct of institutional or ORI inquiries or
investigations should be directed to:

Division of Research Investigations
Office of Research Integrity
5515 Security Lane, Suite 700
Rockville, MD  20852
Telephone:  (310) 443-5330
FAX:  (301) 594-0039
Email:  dmacfarlane@oash.ssw.dhhs.gov

$$N2 END ************************************************************

               NOTICES OF AVAILABILITY (RFPs/RFAs/PAs)

$$R1 BEGIN HS-95-003 FULL-TEXT **************************************

CONSUMER ASSESSMENTS OF HEALTH PLANS STUDY

NIH GUIDE, Volume 24, Number 9, March 10, 1995

RFA AVAILABLE:  HS-95-003

P.T. 34; K.W. 0404021, 0755018, 0730000

Agency for Health Care Policy and Research

Letter of Intent Receipt Date:  May 20, 1995
Application Receipt Date:  June 20, 1995

PURPOSE

The Agency for Health Care Policy and Research (AHCPR) invites
applications for cooperative agreements (U19) to:  (1) produce
reliable, valid and rigorously tested survey protocols for collecting
information from consumers regarding their assessments of health
plans and services; (2) develop and test the effectiveness of
different formats for conveying resulting information to consumers;
(3) demonstrate the resulting survey protocols in real world
settings; and (4) evaluate the usefulness of this information in
assisting consumers, and purchasers acting on their behalf, in making
informed selections of health care plans and services.  The long term
goal of this project is to strengthen the science base underlying the
evolution and the use of consumer surveys within the health care
industry.

The AHCPR expects to award up to $2 million for two projects not to
exceed $1 million in total costs for each project for the first year.
The number of awards is dependent on the number of high quality
applications responding to this RFA. This is a one-time solicitation.

HEALTHY PEOPLE 2000

The Public Health Service (PHS) is committed to achieving the health
promotion and disease prevention objectives of "Healthy People 2000,"
a PHS-led national activity for setting priority areas.  This RFA,
Consumer Assessments of Health Plans Study (CAHPS), is related to the
priority areas of access to and use of clinical preventive services,
maternal and child health services, and health services related to
major disease categories.  Potential applicants may obtain a copy of
"Healthy People 2000" (Full Report:  Stock No. 017-001-00474-0 or
Summary Report:  Stock No. 017-001-00473-1) through the
Superintendent of Documents, Government Printing Office, Washington,
DC 20402-9325, telephone: 202-783-3238.

INQUIRIES

The RFA, which describes the research objectives, application
procedures, review considerations, and award criteria for this
solicitation, may be obtained electronically through the NIH Grant
Line (data line 301/402-2221) and the NIH GOPHER (gopher.nih.gov),
and by mail and email from the program contact listed below.  Copies
of this RFA and background documents are available from:

Global Exchange Inc.
7910 Woodmont Avenue, Suite 400
Bethesda, MD  20814-3015
Telephone:  (301) 656-3100
FAX:  (301) 652-5264

Copies of the RFA without background materials can also be requested
through email at cahpsrfa@PO3.AHCPR.GOV, the NIH GOPHER
(gopher.nih.gov), through AHCPR InstantFAX at 301-594-2800, AHCPR
Pub. No. 95-0044.  To use InstantFAX, you must call from a fax
machine with a telephone handset.  Use the key pad on the receiver
when responding to prompts from InstantFAX.  The RFA will be sent at
the end of the ordering process.  AHCPR InstantFAX operates 24 hours
a day, 7 days a week.  For questions about this service, call AHCPR's
Division of Communications at 301-594-1364 ext. 159.

Direct inquiries regarding programmatic issues, including information
on the policy of inclusion of women and minorities in study
populations, to:

Christine Crofton, Ph.D.
CAHPS Project Officer
Agency for Health Care Policy and Research
2101 East Jefferson Street, Suite 603
Rockville, MD  20852-4908
Telephone:  (301) 594-1357 ext 105

$$R1 END ************************************************************

$$R2 BEGIN HS-95-004 FULL-TEXT **************************************

HEALTH SERVICES RESEARCH ON ADVANCE DIRECTIVES

NIH GUIDE, Volume 24, Number 9, March 10, 1995

RFA AVAILABLE:  HS-95-004

P.T. 34; K.W. 0730021, 0730052

Agency for Health Care Policy and Research

Letter of Intent Receipt Date:  May 15, 1995
Application Receipt Date:  June 20, 1995

PURPOSE

The Agency for Health Care Policy and Research (AHCPR) is soliciting
applications for research on advance directives.  Research
applications are invited for establishing and evaluating a pilot
study of the effectiveness of a community focused, home-based
approach to completion of advance medical care directives by
individuals.  An advance directive is a means of recording a person's
preferences regarding future health care decisions while the person
is fully competent.  Such recorded preferences may be used to guide
the actual decisions that are made at a later time, should the person
become incompetent.

Research under this RFA should address the issue of the low
percentage of the general public who have completed an advance
medical directive.  Specifically, this RFA calls for a pilot project
to assess the effectiveness of a community focused, home-based
approach to encouraging the completion of advance medical directives,
including bona fide advance directives documentation.  The pilot
project should be initiated in four geographic and ethnically diverse
locations.  It is desirable that the research should evaluate the
validity of advance directives executed in this setting.

This request for applications will use the research project grant
(R01) mechanism.  The AHCPR expects to make one award of up to
$700,000, total cost, over a two-year period to meet the objectives
of this RFA.  Funding for the first year will not exceed $350,000
total cost.

HEALTHY PEOPLE 2000

The Public Health Service (PHS) is committed to achieving the health
promotion and disease prevention objectives of "Healthy People 2000,"
a PHS-led national activity for setting priority areas.  AHCPR urges
applicants to submit grant applications with relevance to the
specific objectives of this initiative.  Potential applicants may
obtain a copy of "Healthy People 2000" (Full Report:  Stock No.
017-001-00474-0 or Summary Report:  Stock No. 017-001-00473-1)
through the Superintendent of Documents, Government Printing Office,
Washington, DC 20402-9325 (telephone 202-783-3238).

INQUIRIES

The RFA, which describes the research objectives, application
procedures, review considerations and award criteria for this
solicitation, may be obtained electronically through the NIH Grant
Line (data line 301-402-2221) and the NIH GOPHER (gopher.nih.gov),
and by contacting the program staff listed below.

Julius Pellegrino
Agency For Health Care Policy and Research
2101 East Jefferson Street, Suite 502
Rockville, MD  20852-4908
Telephone:  (301) 594-1357 ext. 138
FAX:  (301) 594-3721
Email:  JPELLEGR@po3.ahcpr.gov

$$R2 END ************************************************************

$$R3 BEGIN HG-95-005 FULL-TEXT **************************************

PILOT PROJECTS FOR SEQUENCING OF THE HUMAN GENOME

NIH GUIDE, Volume 24, Number 9, March 10, 1995

RFA AVAILABLE:  HG-95-005

P.T. 34; K.W. 1215018, 0755045

National Center for Human Genome Research

Letter of Intent Receipt Date:  June 1, 1995
Application Receipt Date:  August 4, 1995

PURPOSE

The National Center for Human Genome Research (NCHGR) invites
applications to develop and implement pilot projects to test
strategies that have the potential to lead to full-scale production
sequencing of mammalian DNA, resulting in achieving the goal of the
complete, accurate, finished sequence of human DNA by the year 2005.
This RFA will use the National Institutes of Health (NIH) individual
research grant (R01), pilot project/feasibility study (R21), research
program project (P01), exploratory grant (P20) and center (P50) grant
mechanisms.  $20 million has been set-aside to fund approximately 15
awards made under this RFA and RFA HG-95-004.

HEALTHY PEOPLE 2000

The Public Health Service (PHS) is committed to achieving the health
promotion and disease prevention objectives of "Healthy People 2000,"
a PHS-led national activity for setting priority areas.  This Request
for Applications (RFA), Pilot Projects for Sequencing of Human DNA,
is related to several priority areas, including cancer, heart disease
and stroke, diabetes and chronic disability conditions, maternal and
infant health, and others.  Potential applicants may obtain a copy of
"Healthy People 2000" (Full Report:  Stock No. 017-001-00474-0 or
Summary Report:  Stock No. 017-001-00473-1) through the
Superintendent of Documents, Government Printing Office, Washington,
DC 20402-9325 (telephone 202-783-3238).

INQUIRIES

The RFA, which describes the research objectives, application
procedures, review considerations, and award criteria for this
solicitation, may be obtained electronically through the NIH Grant
Line (data line 301/402-2221) and the NIH GOPHER (gopher.nih.gov),
and by mail and email from the program contact listed below.

Jane L. Peterson, Ph.D. or Jeffery A. Schloss, Ph.D.
Mammalian Genomics Branch
National Center for Human Genome Research
38 Library Drive - MSC 6050
Bethesda, MD  20892-6050
Telephone:  (301) 496-7531
FAX:  (301) 480-2770
Email:  jane_peterson@nih.gov
Email:  jeff_schloss@nih.gov

$$R3 END ************************************************************

$$R4 BEGIN HG-95-004 FULL-TEXT **************************************

IMPROVED ELECTROPHORETIC DNA SEQUENCING TECHNOLOGY

NIH GUIDE, Volume 24, Number 9, March 10, 1995

RFA AVAILABLE:  HG-95-004

P.T. 34; K.W. 1215018, 0755045

National Center for Human Genome Research

Letter of Intent Receipt Date:  June 15, 1995
Application Receipt Date:  August 29, 1995

PURPOSE

The National Center for Human Genome Research (NCHGR) invites
applications for research projects to develop novel automated
sequencing technology suitable for large-scale genomic sequencing
through the reduction in scale and increased parallelization of
existing approaches that utilize Sanger sequencing reactions coupled
with electrophoretic separation of fragments.  The Request For
Applications (RFA) encompasses front end sample preparation,
separation, detection, and data acquisition and handling.
Technologies solicited include, but are not limited to, a spectrum of
approaches ranging from capillary and ultrathin gel electrophoresis
to microfabricated and microelectro mechanical systems (MEMS) that
could yield reductions in scale and increased throughput.  This RFA
is a reissuance of RFA HG-95-001.  Support for this program will be
through the National Institutes of Health (NIH) individual research
project grant (R01), pilot project/feasibility study (R21), research
program project (P01), and exploratory grant (P20) mechanisms.  $20
million has been set-aside to fund approximately 15 awards made under
this RFA and RFA HG-95-005.

HEALTHY PEOPLE 2000

The Public Health Service (PHS) is committed to achieving the health
promotion and disease prevention objectives of "Healthy People 2000,"
a PHS-led national activity for setting priority areas.  This RFA,
Improved Electrophoretic DNA Sequencing Technology, is related to
several priority areas, including cancer, heart disease and stroke,
diabetes and chronic disability conditions, maternal and infant
health, and others.  Potential applicants may obtain a copy of
"Healthy People 2000" (Full Report:  Stock No. 017-001-00474-0 or
Summary Report:  Stock No. 017-001-00473-1) through the
Superintendent of Documents, Government Printing Office, Washington,
DC 20402-9325 (telephone 202-783-3238).

INQUIRIES

The RFA, which describes the research objectives, application
procedures, review considerations, and award criteria for this
solicitation, may be obtained electronically through the NIH Grant
Line (data line 301/402-2221) and the NIH GOPHER (gopher.nih.gov),
and by mail and email from the program contact listed below.

Carol A. Dahl, Ph.D., or Robert L. Strausberg, Ph.D.
Sequencing Technology Branch
National Center for Human Genome Research
Building 38A, Room 610
38 Library Drive - MSC 6050
Bethesda, MD  20892-6050
Telephone:  (301) 496-7531
FAX:  (301) 480-2770
Email:  carol_dahl@nih.gov
Email:  robert_strausberg@nih.gov

$$R4 END ************************************************************

From owner-sci-resources@net.bio.net Sun Mar 12 22:00:00 1995
Path: biosci!biosci!not-for-mail
From: BIOSCI Administrator <biosci-help@net.bio.net>
Newsgroups: bionet.sci-resources
Subject: NSF - Summary of new documents on STIS - 12 March 1995
Date: 13 Mar 1995 15:15:41 -0800
Organization: BIOSCI International Newsgroups for Molecular Biology
Lines: 130
Sender: biohelp@net.bio.net
Approved: biosci-moderator@net.bio.net
Distribution: world
Message-ID: <3k2jmt$gu4@net.bio.net>
NNTP-Posting-Host: net.bio.net

This message contains a summary of the documents added to the NSF STIS
system in the previous week.  Reference material concerning STIS
follows the summary.
------------------------------------------------------------------------
                     ** NEW DOCUMENTS ON STIS **

Document Type: Dir of Awards

   Title: NSF 95-6 The  Advanced Technological Education (ATE) 
               File size (bytes):        1994 Awards
               STIS Filename:           nsf956.txt   (NSF)
               Also available:          nsf956.doc

Document Type: International Document

   Title: INT 95-006 -General Outline of JFY 1995 Government Budget
          for S&T
               File size (bytes):       
               STIS Filename:           int95006.txt

Document Type: Letter

   Title: LEHR9501  EPSCoR Newsletter
               File size (bytes):       
               STIS Filename:           lehr9501.txt

   Title: LMPS9501  - Dear Colleague Letter
               File size (bytes):       4067
               STIS Filename:           lmps9501.txt

Document Type: Report

   Title: NSF 93-147 -- A Selected List of Fellowship and Other
          Support Opportunities for Advanced Education
               File size (bytes):       
               STIS Filename:           ns93147a.txt

   Title: NSF 93-147 -- A Selected List of Fellowship and Other
          Support Opportunities for Advanced Education
               File size (bytes):       
               STIS Filename:           ns93147b.txt

   Title: NSF 93-147 -- A Selected List of Fellowship and Other
          Support Opportunities for Advanced Education
               File size (bytes):       
               STIS Filename:           ns93147c.txt

   Title: NSF 93-147 -- A Selected List of Fellowship and Other
          Support Opportunities for Advanced Education
               File size (bytes):       
               STIS Filename:           ns93147d.txt

   Title: NSF 93-147 -- A Selected List of Fellowship and Other
          Support Opportunities for Advanced Education
               File size (bytes):       
               STIS Filename:           ns93147e.txt

   Title: NSF 93-147 -- A Selected List of Fellowship and Other
          Support Opportunities for Advanced Education
               File size (bytes):       
               STIS Filename:           ns93147f.txt

------------------------------------------------------------------------
                ** UPDATES TO EXISTING STIS DOCUMENTS **

Document Type: Committees

   Title: NSF Advisory Committee Meetings
               File size (bytes):       13107
               STIS Filename:           cmmtg.txt

Document Type: Letter

   Title: LMPS9501  - Dear Colleague Letter
               File size (bytes):       4067
               STIS Filename:           lmps9501.txt

Document Type: News

   Title: MPSLECT -- Understanding or Memorization
               File size (bytes):        Are We Teaching the Right Thing?
               STIS Filename:           mpslect.txt   (NSF)

Document Type: Program Guideline

   Title: NSF 94-139 (Reprint)- Grant Opportunities for Academic
          Liaison with Industry (GOALI)
               File size (bytes):       21055
               STIS Filename:           nsf94139.txt

------------------------------------------------------------------------
                       ** FOR YOUR REFERENCE **
------------------------------------------------------------------------
HOW TO OBTAIN DOCUMENTS

The above files can be retrieved in electronic form using the STIS
system.  If you don't know how to use STIS, send an E-mail message to
stisinfo@nsf.gov (Internet).  You will receive
a copy of the STIS flyer via E-mail.

If you are already using STIS, you can use the information above to
retrieve these files:

Documents via E-mail:

     Send a message to stisserve@nsf.gov (Internet).
     Use the "STIS Filename" shown above in the "get" command.
     For example, to retrieve nsf94139.txt, the text of your message should be 
     as follows:
                       get nsf94139.txt

Anonymous FTP:

     FTP to stis.nsf.gov.  Use the "STIS Filename" shown above to
     retrieve a file.  For example, to retrieve nsf94139.txt, you would
     enter:
                       ftp> get nsf94139.txt

WAIS or Gopher:

     Do a word search on the filename as shown in the summary.

If you want a *printed* copy of a document:

     Send your name and postal mailing address, and the document title
     and number to "pubs@nsf.gov" (Internet).

If you have problems with the above procedures:

     Send a message to "stis@nsf.gov" (Internet).

From owner-sci-resources@net.bio.net Wed Mar 15 22:00:00 1995
Path: biosci!biosci!not-for-mail
From: "Len A. Poli" <lpoli@cello.gina.calstate.edu>
Newsgroups: bionet.sci-resources
Subject: 9-12 biotechnology/molecular biology
Date: 15 Mar 1995 22:45:11 -0800
Organization: BIOSCI International Newsgroups for Molecular Biology
Lines: 19
Sender: biohelp@net.bio.net
Approved: biosci-moderator@net.bio.net
Distribution: world
Message-ID: <3k59vj$t4b@cello.gina.calstate.edu>
NNTP-Posting-Host: net.bio.net

I'm interested in communicating with high school science
teachers/administgrators who would like to share ideas, protocols,
laboratory investigations, etc.  We in San Francisco Public Schools have
a program called SF Base- (Biotechnology Alliance for Science Education).
 Our partners are UCSF, City College (CCSF) and San Francisco State
(SFSU).  We have connections with other Bay Area Partnerships such as The
San Mateo County Biotechnology Partnership, the Sant Clara County
Biotechnology Partnership and the Human Genome Education Project from
Stanford.  Currently we are doing experiments dealing with bacterial
transformation, recombinant DNA, & DNA fingerprinting.  We have several
other ideas.  If your interesed and/or whant to share let me know by
e-mail, phone or US post.
Len Poli
Implementation Director, SF Base
(San Francisco Biotechnology Alliance for Science Education -precollege-)
3045 Santiago Avenue (valid until May 1, 1995)
San Francisco CA 94116

Voice (415) 759-2767          Fax (415) 556-1514

From owner-sci-resources@net.bio.net Wed Mar 15 22:00:00 1995
Path: biosci!biosci!not-for-mail
From: BIOSCI Administrator <biosci-help@net.bio.net>
Newsgroups: bionet.sci-resources
Subject: NIH Guide, vol. 24, no. 10, pt. 1of1, 17 March 1995
Date: 16 Mar 1995 15:29:22 -0800
Organization: BIOSCI International Newsgroups for Molecular Biology
Lines: 688
Sender: biohelp@net.bio.net
Approved: biosci-moderator@net.bio.net
Distribution: world
Message-ID: <3kahki$mkh@net.bio.net>
NNTP-Posting-Host: net.bio.net

$$XID NIHGUIDE 19950317 V24N10 P1O1 ************************************
X-comment: RFAS described: HD-95-006, HD-95-007, HD-95-008, AI-95-011, PA-95-
                           038, PA-95-039

NIH GUIDE - Vol. 24, No. 10 - March 17, 1995

$$INDEX BEGIN *******************************************************

                               NOTICES

$$INDEX N1 **********************************************************

NEW ADDRESS FOR THE DIVISION OF RESEARCH GRANTS
Division of Research Grants
INDEX:  DIVISION OF RESEARCH GRANTS

$$INDEX N2 **********************************************************

ELIMINATION OF INTERNATIONAL GENOME RESEARCH PROGRAM FOR CENTRAL AND
EASTERN EUROPE
National Center for Human Genome Research
INDEX:  HUMAN GENOME RESEARCH

$$INDEX N3 **********************************************************

ETHICAL AND POLICY ISSUES IN RESEARCH WITH CHILDREN AND
ADOLESCENTS---A SYMPOSIUM
National Institute of Child Health and Human Development
National Institute of Mental Health
INDEX:  CHILD HEALTH, HUMAN DEVELOPMENT; MENTAL HEALTH

$$INDEX N4 **********************************************************

NATIONAL HUMAN SUBJECT PROTECTIONS WORKSHOPS
National Institutes of Health
Food and Drug Administration
INDEX:  NATIONAL INSTITUTES OF HEALTH; FOOD AND DRUG ADMINISTRATION

               NOTICES OF AVAILABILITY (RFPs/RFAs/PAs)

$$INDEX R1 06/15/95 *************************************************

COOPERATIVE MULTICENTER NEONATAL RESEARCH NETWORK (RFA HD-95-006)
National Institute of Child Health and Human Development
INDEX:  CHILD HEALTH, HUMAN DEVELOPMENT

$$INDEX R2 06/16/95 *************************************************

COOPERATIVE MULTICENTER NETWORK OF MATERNAL-FETAL MEDICINE UNITS (RFA
HD-95-007)
National Institute of Child Health and Human Development
INDEX:  CHILD HEALTH, HUMAN DEVELOPMENT

$$INDEX R3 10/11/95 *************************************************

COOPERATIVE SPECIALIZED INFERTILITY RESEARCH CENTER PROGRAM (RFA
HD-95-008)
National Institute of Child Health and Human Development
INDEX:  CHILD HEALTH, HUMAN DEVELOPMENT

$$INDEX R4 11/15/95 *************************************************

MUCOSAL AND SYNOVIAL GENE TRANSFER IN INFECTION/INFLAMMATION (RFA
AI-95-011)
National Institute of Allergy and Infectious Diseases
National Institute of Arthritis and Musculoskeletal and Skin Diseases
INDEX:  ALLERGY, INFECTIOUS DISEASES; ARTHRITIS, MUSCULOSKELETAL,
SKIN DISEASES

$$INDEX P1 **********************************************************

NEUROSCIENCE RESEARCH OF NICOTINE AND NICOTINE ABUSE (PA-95-038)
National Institute on Drug Abuse
INDEX:  DRUG ABUSE

$$INDEX P2 **********************************************************

GENE TRANSFER FOR PRIMARY IMMUNE DEFICIENCY (PA-95-039)
National Institute of Allergy and Infectious Diseases
The Jeffrey Modell Foundation
INDEX:  ALLERGY, INFECTIOUS DISEASES; JEFFREY MODELL FOUNDATION

This publication is available electronically via BITNET or INTERNET,
by subscription, and is also on the NIH GOPHER (gopher.nih.gov).
Alternative access is through the NIH Grant Line using a personal
computer (data line 301/402-2221); contact Dr. John James at 301/594-
7270 for details.

THE PHS STRONGLY ENCOURAGES ALL GRANT AND CONTRACT RECIPIENTS TO
PROVIDE A SMOKE-FREE WORKPLACE AND PROMOTE THE NON-USE OF ALL TOBACCO
PRODUCTS.  IN ADDITION, PUBLIC LAW 103-227, THE PRO-CHILDREN ACT OF
1994, PROHIBITS SMOKING IN CERTAIN FACILITIES (OR IN SOME CASES, ANY
PORTION OF A FACILITY) IN WHICH REGULAR OR ROUTING EDUCATION,
LIBRARY, DAY CARE, HEALTH CARE OR EARLY CHILDHOOD DEVELOPMENT
SERVICES ARE PROVIDED TO CHILDREN.  THIS IS CONSISTENT WITH THE PHS
MISSION TO PROTECT AND ADVANCE THE PHYSICAL AND MENTAL HEALTH OF THE
AMERICAN PEOPLE.

$$INDEX END *********************************************************

                               NOTICES

$$N1 BEGIN **********************************************************

NEW ADDRESS FOR THE DIVISION OF RESEARCH GRANTS

NIH GUIDE, Volume 24, Number 10, March 17, 1995

P.T. 34; K.W. 1014006

Division of Research Grants

The Division of Research Grants (DRG) is moving to a new location.
Effective May 8, 1995, all COMPETING grant applications submitted to
the National Institutes of Health must be sent to:

Division of Research Grants
National Institutes of Health
6701 Rockledge Drive, Room 1040 - MSC 7710
Bethesda, MD  20892-7710
Bethesda, MD  20817 (for courier/overnight mail service)

The telephone numbers for all offices within the DRG will also be
changing.  Essential telephone numbers at the new location and other
information updates will be published in future issues of the NIH
Guide for Grants and Contracts.  Questions concerning this
announcement may be directed to the Referral Office at (301) 594-
7250.  This telephone number will be in operation until May 8, 1995.
After May 8 the telephone number will be (301) 435-0715.

$$N1 END ************************************************************

$$N2 BEGIN **********************************************************

ELIMINATION OF INTERNATIONAL GENOME RESEARCH PROGRAM FOR CENTRAL AND
EASTERN EUROPE

NIH GUIDE, Volume 24, Number 10, March 17, 1995

P.T.  34; K.W. 1215018

National Center for Human Genome Research

Effective April 1, 1995, the National Center for Human Genome
Research will discontinue the International Genome Research Program
for Central and Eastern Europe, which includes the collaborative
program (PA-92-067) and the research fellowship program (PA-92-068).
No new applications will be accepted after that date.  Commitments to
ongoing grants will be honored, provided funds are available.

INQUIRIES

For further information contact:

Bettie J. Graham, Ph.D.
Chief, Mapping Technology Branch
National Center for Human Genome Research
Building 38A, Room 612
Bethesda, MD  20892-6050
Email:  Bettie_Graham@nih.gov

$$N2 END ************************************************************

$$N3 BEGIN **********************************************************

ETHICAL AND POLICY ISSUES IN RESEARCH WITH CHILDREN AND
ADOLESCENTS---A SYMPOSIUM

NIH GUIDE, Volume 24, Number 10, March 17, 1995

P.T. 42, AA; K.W. 1014004

National Institute of Child Health and Human Development
National Institute of Mental Health

Symposium Dates:  April 27 and 28, 1995
Symposium Location:  Boston, Massachusetts

Public Responsibility in Medicine and Research (PRIM&R) announces a
symposium on the "Ethical and Policy Issues in Research with Children
and Adolescents."  The symposium is co-sponsored by Tufts University
School of Medicine, the National Institute of Child Health and Human
Development, the National Institute of Mental Health, the Society for
Adolescent Medicine, the Association of Medical School Pediatric
Department Chairmen, the American Pediatric Society, the Society for
Pediatric Research, and the Boston Children's Hospital.

The topics to be covered include:

o  Genetic research and gene therapy
o  Research on life-threatening conditions
o  Research in school-based clinics
o  Mental health research (including substance abuse and child abuse)
o  Contraceptive research
o  An examination of capacity, consent, and assent
o  Randomized trials

The conference will include plenary addresses, panel discussions, and
more than 24 workshops by a diverse faculty of experienced research,
clinicians, institutional administrators, representatives of advocacy
organizations and other professionals who conduct and review research
with children and adolescents.  Small discussion groups will
facilitate productive attendee/faculty interaction and will provide a
forum for the development of effective strategies to address common
concerns.

PRIM&R has set aside a limited number of auditor scholarships for
full-time students and others demonstrating need.

INQUIRIES

Joan Rachlin, Esq.
Executive Director, Public Responsibility in Medicine and Research
132 Boylston Street
Boston, MA  02116
Telephone:  (617) 423-4112
FAX:  (617) 423-1185

$$N3 END ************************************************************

$$N4 BEGIN **********************************************************

NATIONAL HUMAN SUBJECT PROTECTIONS WORKSHOPS

NIH GUIDE, Volume 24, Number 10, March 17, 1995

P.T. 42; K.W. 0783005

National Institutes of Health
Food and Drug Administration

The National Institutes of Health (NIH) and the Food and Drug
Administration (FDA) are continuing to sponsor a series of workshops
on responsibilities of researchers, Institutional Review Boards
(IRBs), and institutional officials for the protection of human
subjects in research.  The workshops are open to everyone with an
interest in research involving human subjects, and will be of special
interest to those persons currently serving or about to begin serving
as a member of an IRB.  Issues discussed at these workshops are
relevant to all Public Health Service agencies.  The current schedule
includes the following:

DATES:  May 4-5, 1995

TITLE:  Contemporary Issues in Human Research Subject Protection in
Vulnerable and Minority Populations:  Sharing the Benefits and
Burdens of Research

LOCATION:  Regal Riverfront Hotel, St. Louis, MO

SPONSORS:  Washington University School of Medicine; Jewish Hospital
of St. Louis at Washington University; Meharry Medical College

REGISTRATION
Barb Woodson, Secretary, Research Administration
Jewish Hospital of Saint Louis
216 South Kingshiway, Room 1768-69
Saint Louis, MO  63110
Telephone:  (314) 454-8322
FAX:  (314) 454-4241

REGISTRATION FEE:  $150

DESCRIPTION:  The HHS and FDA mandate to Institutional Review Boards
is to protect the rights and welfare of human subjects while
supporting scientific advancement.  This protection is extended to
all human subjects, but additional safeguards are provided by both
the HHS/FDA regulations and basic ethical principles to protect the
rights and welfare of vulnerable subjects who, by reason of their
disability or illness, exhibit diminished personal autonomy.  Neither
the Federal regulations, nor ethical codes, including The Belmont
Report, proscribe inclusion of vulnerable persons as research
subjects, although special justification of any plan to involve
vulnerable persons as research subjects is required.  Women and
members of certain racial groups -- particularly Afro-Americans and
Hispanics -- have been excluded from research.  Inasmuch as these
groups have not been involved, they also are vulnerable -- vulnerable
to exclusion and to the possibility of being deprived of proven new
advances from research.  This Conference will focus particularly on
evolving concerns for the protection of vulnerable subjects from
research risks, inappropriate or inadvertent exploitation, or
discrimination by exclusion.  Presentations will highlight FDA
regulatory updates; explore the new guidelines for the inclusion of
women and people of color and diverse racial and ethnic backgrounds
in clinical research; examine the claims that women have been
systematically excluded from research and potentially deprived
thereby of proven diagnostic and therapeutic strategies; review
current issues in research in vulnerable populations including
unconscious patients in emergency rooms, AIDS patients, children, the
elderly, and the cognitively-impaired.  IRB challenges in research in
psychiatry will be discussed, including the validity of initial and
continuing informed consent for research in schizophrenic patients,
justification for the use of a placebo, the social and medical
implications of genetic screening for vulnerability to psychiatric
disease, the ethical difficulties involved in research in child
psychiatry, and the influence of cultural patterns on psychiatric
research in minority populations.  The Conference will include
keynote addresses, panel presentations, facilitated forums,
information exchanges, and active audience participation.  An
outstanding faculty of experts in each area of discussion has been
selected on the basis of expertise and ability to communicate
authoritatively and comprehensively.

INQUIRIES

Ms. Darlene Marie Ross
Office for Protection from Research Risks
National Institutes of Health
6100 Executive Boulevard, Suite 3B01
Rockville, MD  20892-7507
Telephone:  (301) 496-8101
FAX:  (301) 402-0527

$$N4 END ************************************************************

               NOTICES OF AVAILABILITY (RFPs/RFAs/PAs)

$$R1 BEGIN HD-95-006 FULL-TEXT **************************************

COOPERATIVE MULTICENTER NEONATAL RESEARCH NETWORK

NIH GUIDE, Volume 24, Number 10, March 17, 1995

RFA AVAILABLE:  HD-95-006

P.T. 34; K.W. 0775013, 0403020, 0730050, 0785035

National Institute of Child Health and Human Development

Letter of Intent Receipt Date:  April 1, 1995
Application Receipt Date:  June 15, 1995

PURPOSE

The National Institute of Child Health and Human Development (NICHD)
invites applications from investigators willing to participate with
the NICHD under a Cooperative Agreement in an ongoing multicenter
clinical program designed to investigate the safety and efficacy of
treatment and management strategies to care for newborn infants,
particularly those related to management of low birth weight infants.
The objective of this program is to facilitate evaluation of these
strategies by establishing a network of academic centers that, by
rigorous patient evaluation using common protocols, can study the
required numbers of patients and can provide answers more rapidly
than individual centers acting alone.  The NICHD program staff will
assist the principal investigators of the Neonatal Research Network
and the Advisory Board in identifying research topics of high
priority, and in designing protocols appropriate to the evaluation of
optimal management in these areas.  It is anticipated that
approximately 12 or 13 awards for clinical centers will be made, with
an estimated total cost of $3.5 million.

HEALTHY PEOPLE 2000

The Public Health Service (PHS) is committed to achieving the health
promotion and disease prevention objectives of "Healthy People 2000,"
a PHS-led national activity for setting priority areas.  This Request
for Application (RFA), Cooperative Multicenter Neonatal Research
Network is related to the priority area of low birth weight.
Potential applicants may obtain a copy of "Healthy People 2000" (Full
Report:  Stock No. 017-001-00474-0 or Summary Report:  Stock No.
017-001-00473-1) through the Superintendent of Documents, Government
Printing Office, Washington, DC 20402-9325 (telephone 202-783-3238).

INQUIRIES

The RFA, which describes the research objectives, application
procedures, review considerations and award criteria for this
solicitation, may be obtained electronically through the NIH Grant
Line (data line 301-402-2221) and the NIH GOPHER (gopher.nih.gov),
and by mail and email from the program contact listed below.

Linda L. Wright, M.D.
Center for Research for Mothers and Children
National Institute of Child Health and Human Development
6100 Executive Boulevard, Room 4B03F - MSC 7510
Bethesda, MD  20892-7510
Telephone:  (301) 496-5575
FAX:  (301) 496-3790
Email:  WRIGHTL@HD01.NICHD.NIH.GOV

$$R1 END ************************************************************

$$R2 BEGIN HD-95-007 FULL-TEXT **************************************

COOPERATIVE MULTICENTER NETWORK OF MATERNAL-FETAL MEDICINE UNITS

NIH GUIDE, Volume 24, Number 10, March 17, 1995

RFA AVAILABLE:  HD-95-007

P.T. 34; K.W. 0785135, 0775020, 0775025

National Institute of Child Health and Human Development

Letter of Intent Receipt Date:  April 1, 1995
Application Receipt Date:  June 16, 1995

PURPOSE

The National Institute of Child Health and Human Development (NICHD)
invites applications from investigators willing to participate with
the NICHD under a Cooperative Agreement (U10) in an ongoing
multicenter clinical program designed to investigate problems in
clinical obstetrics, particularly those related to prevention of low
birth weight.  The objective of this program is to facilitate
resolution of these problems by establishing a network of academic
centers that, by rigorous patient evaluation using common protocols,
can study the required numbers of patients and can provide answers
more rapidly than individual centers acting alone.  The NICHD program
staff will assist the principal investigators of the MFMUs and the
Advisory Board in identifying research topics of high priority, and
in designing protocols appropriate to the evaluation of optimum
management in these areas.  It is anticipated that approximately 12
or 13 clinical centers will be involved in the program.  Awards will
consist of base budgets, supplemented by capitated funding for
patient recruitment to specific protocols.

HEALTHY PEOPLE 2000

The Public Health Service (PHS) is committed to achieving the health
promotion and disease prevention objectives of "Healthy People 2000,"
a PHS-led national activity for setting priority areas.  This Request
for Application (RFA), Cooperative MultiCenter Network of
Maternal-Fetal Medicine Units (MFMUs), is related to the priority
area of low birth weight.  Potential applicants may obtain a copy of
"Healthy People 2000" (Full Report:  Stock No. 017-001-00474-0 or
Summary Report:  Stock No. 017-001-00473-1) through the
Superintendent of Documents, Government Printing Office, Washington,
DC 20402-9325 (telephone 202-783-3238).

INQUIRIES

The RFA, which describes the research objectives, application
procedures, review considerations and award criteria for this
solicitation, may be obtained electronically through the NIH Grant
Line (data line 301-402-2221) and the NIH GOPHER (gopher.nih.gov),
and by mail and e-mail from the program contact listed below.

Donald McNellis, M.D.
Center for Research for Mothers and Children
National Institute of Child Health and Human Development
6100 Executive Boulevard, Room 4B03 - MSC 7510
Bethesda, MD  20892-7510
Telephone:  (301) 496-5575
FAX:  (301) 496-3790
Email:  mcnellid@hd01.nichd.nih.gov

$$R2 END ************************************************************

$$R3 BEGIN HD-95-008 FULL-TEXT **************************************

COOPERATIVE SPECIALIZED INFERTILITY RESEARCH CENTER PROGRAM

NIH GUIDE, Volume 24, Number 10, March 17, 1995

RFA AVAILABLE:  HD-95-008

P.T. 04; K.W. 0413002, 0710030, 0785035

National Institute of Child Health and Human Development

Letter of Intent Receipt Date:  May 15, 1995
Application Receipt Date:  October 11, 1995

PURPOSE

The National Institute of Child Health and Human Development (NICHD)
invites applications from investigators willing to participate with
the NICHD under a cooperative agreement (U54) in an ongoing
multicenter cooperative research program termed the National
Cooperative Program for Infertility Research (NCPIR).  The objective
of this Program is to expedite the development of new approaches for
the diagnosis and treatment of human male or female infertility.  It
is anticipated that $3,040,000 (including indirect and direct costs)
will be available for the entire program for the first year of the
Program.  It is planned that these funds will support at least two
Center awards.  In addition to new applications received in response
to this solicitation, up to two competing continuation (renewal)
applications are expected to compete for these two Center awards.

HEALTHY PEOPLE 2000

The Public Health Service (PHS) is committed to achieving the health
promotion and disease prevention objectives of "Healthy People 2000,"
a PHS-led national activity for setting priority areas.  This request
for applications (RFA), Cooperative Specialized Infertility Research
Center Program, is related to the priority area of family planning.
Potential applicants may obtain a copy of "Healthy People 2000" (Full
Report:  Stock No. 017-001-00474-0 or Summary Report:  Stock No.
017-001-00473-1) through the Superintendent of Documents, Government
Printing Office, Washington, DC 20402-9325 (telephone 202-783-3238).

INQUIRIES

The RFA, which describes the research objectives, application
procedures, review considerations and award criteria for this
solicitation, may be obtained electronically through the NIH Grant
Line (data line 301-402-2221) and the NIH GOPHER (gopher.nih.gov),
and by mail and email from the program contact listed below.

Michael E. McClure, Ph.D.
Reproductive Sciences Branch
National Institute of Child Health and Human Development
Building 61E, Room 8B01
Bethesda, MD  20892
Telephone:  (301) 496-6515
FAX:  (301) 496-0962
Email:  MCCLUREM@HD01.NICHD.NIH.GOV

$$R3 END ************************************************************

$$R4 BEGIN AI-95-011 FULL-TEXT **************************************

MUCOSAL AND SYNOVIAL GENE TRANSFER IN INFECTION/INFLAMMATION

NIH GUIDE, Volume 24, Number 10, March 17, 1995

RFA AVAILABLE:  AI-95-011

P.T. 34; K.W. 1002008, 0745032, 0715026, 0715120

National Institute of Allergy and Infectious Diseases
National Institute of Arthritis and Musculoskeletal and Skin Diseases

Letter of Intent Receipt Date:  July 15, 1995
Application Receipt Date:  November 15, 1995

PURPOSE

The National Institute of Allergy and Infectious Diseases (NIAID) and
the National Institute of Arthritis and Musculoskeletal and Skin
Diseases (NIAMS) invite submission of investigator-initiated research
applications for basic and preclinical studies targeted at molecular
methods for transferring genes into cells of mucosal membranes and
synovial tissues to augment host defenses and alter inflammatory
responses for the treatment or prevention of infectious and rheumatic
and other immunologic diseases.  The estimated funds available for
the total (direct and indirect) first-year costs of all awards made
under this RFA will be $950,000, $750,000 from the NIAID and $200,000
>From the NIAMS.  In Fiscal Year 1996, the NIAID plans to fund
approximately three to four research projects grants (R01s) and/or
FIRST (R29) awards and the NIAMS plans to fund one R01/R29.

HEALTHY PEOPLE 2000

The Public Health Service (PHS) is committed to achieving the health
promotion and disease prevention objectives of "Healthy People 2000,"
a PHS-led national activity for setting priority areas.  This Request
for Applications (RFA), Mucosal and Synovial Gene Transfer in
Infection/Inflammation, is related to the priority areas of diabetes
and chronic disabling diseases and immunization and infectious
diseases.  Potential applicants may obtain a copy of "Healthy People
2000" (Full Report:  Stock No. 017-001-00474-0 or Summary Report:
Stock No. 017-001-00473-1) through the Superintendent of Documents,
Government Printing Office, Washington, DC 20402-9325 (telephone
(202) 782-3238).

INQUIRIES

The RFA, which describes the research objectives, application
procedures, review considerations and award criteria for this
solicitation, may be obtained electronically through the NIH Grant
Line (data line 301-402-2221) and the NIH GOPHER (gopher.nih.gov),
and by mail and email from the program contact listed below.

Howard B. Dickler, M.D.
Division of Allergy, Immunology and Transplantation
National Institute of Allergy and Infectious Diseases
Solar Building, Room 4A19
Bethesda, MD  20892-7640
Telephone:  (301) 496-7104
FAX:  (301) 402-2571
Email:  hd7e@nih.gov

$$R4 END ************************************************************

$$P1 BEGIN PA-95-038 FULL-TEXT **************************************

NEUROSCIENCE RESEARCH OF NICOTINE AND NICOTINE ABUSE

NIH GUIDE, Volume 24, Number 10, March 17, 1995

PA AVAILABLE:  PA-95-038

P.T. 34; K.W. 0404001, 0404019, 1002030, 0710085

National Institute on Drug Abuse

PURPOSE

The purpose of this program announcement is to encourage research to
examine the many aspects of nicotine abuse/addiction in in vitro or
in vivo systems, in animals, and in man.  The research may be based
upon behavioral, neurophysiologic, neurochemical, or other methods
that will seek to explain nicotine use.  The overall goal is to
further the understanding of the brain mechanisms that underlie
addictive processes, with an eventual target of developing specific
treatments for the abuse/addiction of nicotine in man.

HEALTHY PEOPLE 2000

The PHS is committed to achieving the health promotion and disease
prevention objectives of "Healthy People 2000," a PHS-led national
activity for setting priority areas.  This program announcement,
Neuroscience Research of Nicotine and Nicotine Abuse, is related to
the priority area of tobacco.  Potential applicants may obtain a copy
of "Healthy People 2000" (Full Report:  Stock No. 017-001-00474-0 or
Summary Report:  Stock No. 017-001-00473-1) through the
Superintendent of Documents, Government Printing Office, Washington,
DC 20402-9325 (telephone 202-783-3238).

INQUIRIES

The PA, which describes the research objectives, application
procedures, review considerations, and award criteria for this
solicitation, may be obtained electronically through the NIH Grant
Line (data line 301/402-2221) and the NIH GOPHER (gopher.nih.gov),
and by mail and email from the program contact listed below.

David N. Johnson, Ph.D.
Division of Basic Research
National Institute on Drug Abuse
5600 Fishers Lane, Room 10A-19
Rockville, MD  20857
Telephone:  (301) 443-6975
Email:  dj42n@nih.gov

$$P1 END ************************************************************

$$P2 BEGIN PA-95-039 FULL-TEXT **************************************

GENE TRANSFER FOR PRIMARY IMMUNE DEFICIENCY

NIH GUIDE, Volume 24, Number 10, March 17, 1995

PA AVAILABLE:  PA-95-039

P.T. 34; K.W. 0745032, 0715120

National Institute of Allergy and Infectious Diseases
The Jeffrey Modell Foundation

Application Receipt Dates:  June 1, and October 1, 1995, and February
1, 1996

PURPOSE

The NIAID and the Jeffrey Modell Foundation (JMF) invite research
grant applications specifically targeted to isolation and
characterization of defective genes that cause primary immune
deficiency diseases and development of the techniques and vectors
necessary to transfer these genes into hematopoietic progenitors to
correct the defects.  The estimated funds available for the total
(direct and indirect) first-year costs of awards made under this
Program Announcement (PA) to applications assigned to NIAID will be
$500,000 ($400,000 from the NIAID and $100,000 from the JMF).  In
Fiscal Year 1996, the NIAID and the JMF plan to fund approximately
two to three R01 and/or R29 grants.

HEALTHY PEOPLE 2000

The PHS is committed to achieving the health promotion and disease
prevention objectives of "Healthy People 2000," a PHS-led national
activity for setting priority areas.  This program announcement is
related to the priority area of immunization and infectious diseases.
Potential applicants may obtain a copy of "Healthy People 2000" (Full
Report:  Stock No. 017-001-00474-0 or Summary Report:  Stock No.
017-001-00473-1) through the Superintendent of Documents, Government
Printing Office, Washington, DC 20402-0325 (telephone 202-783-3238).

INQUIRIES

The PA, which describes the research objectives, application
procedures, review considerations and award criteria for this
solicitation, may be obtained electronically through the NIH Grant
Line (data line 301-402-2221) and the NIH GOPHER (gopher.nih.gov),
and by mail and email from the program contact listed below.

Howard B. Dickler, M.D.
Division of Allergy, Immunology and Transplantation
National Institute of Allergy and Infectious Diseases
Solar Building, Room 4A19
Bethesda, MD  20892-7640
Telephone:  (301) 496-7104
Email:  hd7e@nih.gov

$$P2 END ************************************************************

From owner-sci-resources@net.bio.net Wed Mar 15 22:00:00 1995
Path: biosci!biosci!not-for-mail
From: BIOSCI Administrator <biosci-help@net.bio.net>
Newsgroups: bionet.sci-resources
Subject: NIH GUIDE - PA-95-039 - V24(10) 03/17/95
Date: 16 Mar 1995 15:29:53 -0800
Organization: BIOSCI International Newsgroups for Molecular Biology
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$$XID RFA PA95039 PA-95-039 P1O1 ***************************************

GENE TRANSFER FOR PRIMARY IMMUNE DEFICIENCY

NIH GUIDE, Volume 24, Number 10, March 17, 1995

PA NUMBER:  PA-95-039

P.T. 34; K.W. 0745032, 0715120

National Institute of Allergy and Infectious Diseases
The Jeffrey Modell Foundation

Application Receipt Dates:  June 1, and October 1, 1995 and February
1, 1996

PURPOSE

The National Institute of Allergy and Infectious Diseases (NIAID) of
the National Institutes of Health (NIH) and the Jeffrey Modell
Foundation (JMF) invite investigator-initiated research grant
applications specifically targeted to isolation and characterization
of defective genes that cause primary immune deficiency diseases and
development of the techniques and vectors necessary to transfer these
genes into hematopoietic progenitors to correct the defects.

HEALTHY PEOPLE 2000

The Public Health Service (PHS) is committed to achieving the health
promotion and disease prevention objectives of "Healthy People 2000,"
a PHS-led national activity for setting priority areas.  This Program
Announcement (PA), Gene Transfer for Primary Immune Deficiency, is
related to the priority area of immunization and infectious diseases.
Potential applicants may obtain a copy of "Healthy People 2000" (Full
Report:  Stock No. 017-001-00474-0 or Summary Report:  Stock No.
017-001-00473-1) through the Superintendent of Documents, Government
Printing Office, Washington, DC 20402-0325 (telephone 202-783-3238).

ELIGIBILITY REQUIREMENTS

Applications may be submitted by domestic and foreign, for-profit and
non-profit organizations, public and private, such as universities,
colleges, hospitals, laboratories, units of State and local
governments, and eligible agencies of the Federal government.
Racial/ethnic minority individuals, women, and persons with
disabilities are encouraged to apply as Principal Investigators.
Foreign institutions are not eligible for the First Independent
Research Support and Transition (FIRST) (R29) award.

MECHANISM(S) OF SUPPORT

The mechanisms of support will be the individual research project
grant (R01) and the FIRST (R29) award.  The total project period for
an application submitted in response to this PA may not exceed five
years; a foreign application may not request more than three years of
support.

FUNDS AVAILABLE

The estimated funds available for the total (direct and indirect)
first-year costs of awards made under this PA, for applications
assigned to the NIAID, will be $500,000 ($400,000 from the NIAID and
$100,000 from the JMF).  In Fiscal Year 1996, the NIAID and the JMF
plan to fund two to three R01 and/or R29 grants.  This level of
support is dependent on the receipt of a sufficient number of
applications of high scientific merit.  The usual PHS policies
governing grants administration and management, including indirect
costs, will apply.  Although this program is provided for in the
financial plans of the NIAID and the JMF, awards pursuant to this
program announcement are contingent upon the availability of funds
for this purpose.  Funding beyond the first and subsequent years of
the grant will be contingent upon satisfactory progress during the
preceding years and availability of funds.

New applications submitted for the June 1 and October 1, 1995 and
February 1, 1996 receipt dates will be eligible for funding under
this program announcement.  Competing continuation applications for
already funded projects will NOT be eligible for award from NIAID and
JMF under this PA.  Although the NIAID has a continuing interest in
the research areas of this PA, the latest anticipated award date with
set-aside funds is September 30, 1996.

RESEARCH OBJECTIVES

Background

Research on the immune system and diseases that result from
abnormalities of this system are part of the mission of the NIAID.
Primary immune deficiency diseases are a heterogenous group of
diseases in which immune system dysfunction causes such things as
abnormal susceptibility to infection and abnormal inflammatory
responses.  There are more than 70 such diseases (e.g.,
Wiscott-Aldrich Syndrome, Ataxia-telangiectasia, Bare Lymphocyte
Syndrome) and, although many are rare, it has been estimated that as
many as 500,000 individuals in the United States are affected, of
whom 5,000-10,000 (primarily children) are severely affected.  The
genes for most of these diseases have not yet been identified.
Morbidity, mortality, medical, and social costs for severely affected
individuals and their families are extremely high.  The Jeffrey
Modell Foundation was started by Vicki and Fred Modell in memory of
their son Jeffrey, who died in 1986, at the age of 15, of an
inherited immune deficiency.  This research foundation provides
funding to advance investigations, trials, diagnosis, and clinical
services needed for those with primary immunodeficiency diseases.

Advances in molecular biology and mapping the human genome provide
the opportunity to isolate and clone the defective genes that cause
primary immunodeficiency.  These advances include isolation of large
tracts of the human genome in cloned form, the development of novel
strategies to detect genes, and the use of efficient methods of
mutation detection.  A recent successful example involves cloning of
the gene responsible for x-linked agammaglobulinemia.  This gene is a
previously undescribed member of the SRC family of proto-oncogenes
which encode protein-tyrosine kinases.  Thus, not only has a gene
responsible for a disease been identified, but a whole new area in
tissue-specific signalling has been opened.

In addition, recent advances in isolation of hematopoietic
progenitors from peripheral blood greatly enhance the opportunity for
successful gene transfer for correction of the defects in patients
themselves.

Scope

The objective of this PA is to encourage innovative new research
targeted at isolation and characterization of the genes that cause
primary immune deficiency and development of the techniques and
vectors necessary for gene transfer to correct these defects.  Some
examples of research topics that would be considered responsive to
this solicitation include, but are not limited to, the following:

o  Application of advances in molecular biology and the human genome
map to isolate defective genes that cause primary immune deficiency.

o  Characterization of the structure and function of the products of
the defective genes and an indepth understanding of the biochemical
and immunologic consequences of the genetic defect.

o  Development of vectors for efficient and successful transfer of
normal versions of the genes that are defective in primary immune
deficiency.

o  Development or improvement of techniques for isolating and growing
hematopoietic progenitors and selecting those that have been
successfully transfected.

These areas of interest are not listed in any order or priority.
They are only suggested examples of areas of research.  Applicants
are encouraged to propose other areas that are related to the
objectives and scope of this PA as described above.

INCLUSION OF WOMEN AND MINORITIES IN RESEARCH INVOLVING HUMAN
SUBJECTS

It is the policy of the NIH that women and members of minority groups
and their sub-populations must be included in all NIH supported
biomedical and behavioral research projects involving human subjects,
unless a clear and compelling rationale and justification is provided
that inclusion is inappropriate with respect to the health of the
subjects or the purpose of the research.  This new policy results
>From the NIH Revitalization Act of 1993 (Section 492B of Public Law
103-43) and supersedes and strengthens the previous policies
(Concerning the Inclusion of Women in Study Populations, and
Concerning the Inclusion of Minorities in Study Populations), which
have been in effect since 1990. The new policy contains some
provisions that are substantially different from the 1990 policies.

All investigators proposing research involving human subjects should
read the "NIH Guidelines For Inclusion of Women and Minorities as
Subjects in Clinical Research," which have been published in the
Federal Register of March 28, 1994 (FR 59 14508-14513) and printed in
the NIH Guide for Grants and Contracts, Volume 23, Number 11, March
18, 1994.

Investigators also may obtain copies of the policy from the program
staff listed under INQUIRIES.  Program staff may also provide
additional relevant information concerning the policy.

APPLICATION PROCEDURES

Applications are to be submitted on the grant application form PHS
398 (rev. 9/91) and will be accepted on the standard application
deadlines as indicated in the application kit.  Requests for
continued funding of already funded projects (Type 2) will NOT be
considered under this program announcement.  Applications may be
submitted for the following receipt dates only:  June 1, and October
1, 1995 and February 1, 1996.  Awards resulting from this program
announcement will be made on or about April 1, July 1, and September
30, 1996.  Application kits are available at most institutional
offices of sponsored research and may be obtained from the Office of
Grants Information, Division of Research Grants, National Institutes
of Health, Westwood Building, Room 449, Bethesda, MD 20892, telephone
(301) 594-7248.

Each application must be identified by checking "YES" on line 2a of
the PHS face page, and the number and title of this program
announcement must be typed in section 2a.

The completed original and five legible, single-sided copies of the
application must be sent or delivered to:

Division of Research Grants
National Institutes of Health
6701 Rockledge Drive, Room 1040 - MSC 7710
Bethesda, MD  20892-7710
Bethesda, MD  20817 (for express mail or courier service)

FIRST (R29) applications must include at least three sealed letters
of reference attached to the face page of the original application.
FIRST applications submitted without the required number of reference
letters will be considered incomplete and will be returned without
review.

Applicants from institutions that have a General Clinical Research
Center (GCRC) funded by the NIH National Center for Research
Resources may wish to identify the Center as a resource for
conducting the proposed research.  If so, a letter of agreement from
the GCRC Program Director must be included in the application
material.

REVIEW CONSIDERATIONS

Applications will be assigned on the basis of established PHS
referral guidelines.  Applications will be evaluated for scientific
and technical merit by an appropriate peer review group convened in
accordance with the standard NIH peer review procedures.  As part of
the initial merit review, all applications will receive a written
critique and undergo a process in which only those applications
deemed to have the highest scientific merit, generally the top half
of applications under review, will be discussed, assigned a priority
score, and receive a second level review by the appropriate national
advisory council or board.

Review Criteria

o  scientific, technical, or medical significance and originality of
proposed research;

o  appropriateness and adequacy of the experimental approach and
methodology proposed to carry out the research;

o  qualifications and research experience of the Principal
Investigator and staff, particularly, but not exclusively, in the
area of the proposed research;

o  availability of the resources necessary to perform the research;

o  appropriateness of the proposed budget and duration in relation to
the proposed research;

o  adequacy of plans to include both genders and minorities and their
subgroups as appropriate for the scientific goals of the research.
Plans for the recruitment and retention of subjects will also be
evaluated.

The initial review group will also examine the provisions for the
protection of human and animal subjects and the safety of the
research environment.

AWARD CRITERIA

Applications assigned to the NIAID will compete for available
set-aside funds provided by the NIAID and the JMF.  The following
will be considered when making funding decisions:  quality of the
proposed project as determined by peer review, program balance among
research areas of the program announcement, and availability of
funds.

INQUIRIES

Written and telephone inquiries are encouraged.  The opportunity to
clarify any issues or questions from potential applicants is welcome.

Direct inquiries regarding programmatic issues to:

Howard B. Dickler, M.D.
Division of Allergy, Immunology and Transplantation
National Institute of Allergy and Infectious Diseases
Solar Building, Room 4A19
Bethesda, MD  20892-7640
Telephone:  (301) 496-7104
FAX:  (301) 402-2571
Email:  hd7e@nih.gov

Direct inquiries regarding fiscal matters to:

Maryellen Connell
Division of Extramural Activities
National Institute of Allergy and Infectious Diseases
Solar Building, Room 4B28
Bethesda, MD  20892-7610
Telephone:  (301) 496-7075
FAX:  (301) 480-3780
Email:  mc40u@nih.gov

AUTHORITY AND REGULATIONS

This program is described in the Catalog of Federal Domestic
Assistance No. 93.855 - Immunology, Allergy and Transplantation
Research.  Awards are made under authorization of the Public Health
Service Act, Title IV, Part A (Public Law 78-410, as amended by
Public Law 99-158, 42 USC 241 and 285) and administered under PHS
grants policies and Federal Regulations 42 CFR 52 and 45 CFR Part 74.
This program is not subject to the intergovernmental review
requirements of Executive Order 12372 or Health Systems Agency
review.

The PHS strongly encourages all grant and contract recipients to
provide a smoke-free workplace and promote the non-use of all tobacco
products.  In addition, Public Law 103-227, the Pro-Children Act of
1994, prohibits smoking in certain facilities (or in some cases, any
portion of a facility) in which regular or routing education,
library, day care, health care or early childhood development
services are provided to children.  This is consistent with the phs
mission to protect and advance the physical and mental health of the
american people.

From owner-sci-resources@net.bio.net Wed Mar 15 22:00:00 1995
Path: biosci!biosci!not-for-mail
From: BIOSCI Administrator <biosci-help@net.bio.net>
Newsgroups: bionet.sci-resources
Subject: NIH GUIDE - RFA HD-95-008 - V24(10) 03/17/95
Date: 16 Mar 1995 15:30:20 -0800
Organization: BIOSCI International Newsgroups for Molecular Biology
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$$XID RFA HD95008 HD-95-008 P1O1 ***************************************

COOPERATIVE SPECIALIZED INFERTILITY RESEARCH CENTER PROGRAM

NIH GUIDE, Volume 24, Number 10, March 17, 1995

RFA:  HD-95-008

P.T. 04; K.W. 0413002, 0710030, 0785035

National Institute of Child Health and Human Development

Letter of Intent Receipt Date:  May 15, 1995
Application Receipt Date:  October 11, 1995

PURPOSE

The National Institute of Child Health and Human Development (NICHD)
invites applications from investigators willing to participate with
the NICHD under a cooperative agreement in a multicenter cooperative
research program termed the National Cooperative Program for
Infertility Research (NCPIR).  The objective of this Program is to
expedite the development of new approaches for the diagnosis and
treatment of human male or female infertility.  Recognizing that the
complexity of infertility research severely limits the progress that
can be achieved by individual investigators working alone, the NICHD
will support at least two Centers comprised of biomedical research
projects and technical service core facilities that are interactively
organized to conduct accelerated preclinical and clinical research
and development studies on promising new leads in human infertility
research.  The Centers will also serve as national resources for the
career development of young scientists electing to pursue research in
high priority areas of infertility research.  The benefit of this
activity will be to the infertile couples, their health-care
providers, and the public.

HEALTHY PEOPLE 2000

The Public Health Service (PHS) is committed to achieving the health
promotion and disease prevention objectives of "Healthy People 2000,"
a PHS-led national activity for setting priority areas.  This Request
for Applications (RFA), Cooperative Specialized Infertility Research
Center Program, is related to the priority area of family planning.
Potential applicants may obtain a copy of "Healthy People 2000" (Full
Report:  Stock No. 017-001-00474-0 or Summary Report:  Stock No.
017-001-00473-1) through the Superintendent of Documents, Government
Printing Office, Washington, DC 20402-9325 (telephone 202-783-3238).

ELIGIBILITY REQUIREMENTS

Applications may be submitted by domestic for-profit and non-profit
organizations, public and private, that meet the requirements stated
in this RFA.  Minority individuals, persons with disabilities, and
women are encouraged to apply as Principal Investigators.  The need
for continuous and active communications and interactions among the
awarded sites dictates that only institutions in the United States
will be eligible for these Center grant awards.

MECHANISM OF SUPPORT

The funding mechanism to be used to assist the scientific community
in undertaking this Program of applied human biology research will be
the National Institutes of Health (NIH) cooperative specialized
center (U54) mechanism.  Funding will be provided by means of
cooperative agreements established between the participating Centers
and the NICHD.  A cooperative agreement is not an "acquisition"
mechanism.  It is an "assistance" mechanism in which substantial NIH
scientific and/or programmatic involvement with the awardee is
anticipated during the performance of the activities conducted by the
awardee.  Under a cooperative agreement, the NIH purpose is to
support, stimulate, and expedite the recipient's activities by
jointly being involved with them.  NIH staff work cooperatively with
the award recipients in a partner role and do not assume direction,
prime responsibility, or a dominant role in the activity.  Details of
the responsibilities, relationships, and governance of the activities
to be funded under the cooperative agreements awarded for this
Program are discussed later in this document under the section "Terms
and Conditions."

The total project period for an application submitted in response to
this RFA may not exceed five years.  The anticipated award date is
September 1, 1996.  Because the nature and scope of the research
proposed in response to this RFA may vary, it is anticipated that the
size of the awards will also vary.

Awards and levels of support depend on the receipt of a sufficient
number of applications of high scientific merit.  Although the
Program is provided for in the financial plans of the NICHD, awards
pursuant to the RFA are contingent upon the availability of funds for
this purpose.

This RFA is a one-time only solicitation for the purpose of the
present competition.  At this time, the NICHD has not determined
whether or how this Program will be continued beyond the present
solicitation.  Any future NICHD determination in this regard will be
publicly announced.

FUNDS AVAILABLE

It is anticipated that an estimated total of $3,040,000 (including
indirect and direct costs) will be available for the entire program
for the first year of the Program.  It is planned that these funds
will support at least two Center awards.  In addition to new
applications received in response to this solicitation, up to two
competing continuation (renewal) applications are expected to compete
for these two Center awards.

RESEARCH OBJECTIVES

Background

It has been estimated that infertility affects between 35 and 70
million married couples, who would like to have children, around the
world (World Health Organization, 1988 data).  In U.S. studies
described nearly 50 years ago, it was stated that 10 percent of
married couples were "sterile," while the remaining 90 percent
possessed varying degrees of fertility.  More recent studies
(National Center for Health Statistics, 1988 and 1990 data) in the
U.S. have conservatively indicated that there are 2.3 million
infertile couples, about nine percent of the domestic married couple
population base with wives aged 15 to 44.  In addition, it has been
observed that about 4.9 million U.S. women in this age range had an
impaired ability to have children. While analyses of the U.S.
population base has not found alarming increases in either the number
of infertile couples or the overall incidence of infertility,
physician office visits reflecting societal life style requirements
for infertility services have markedly increased from 1968 (600,000)
to 1988 (1,350,000) with a projected peak in 1995 approaching
1,800,000.  Of the infertile couples seeking medical treatment for
infertility, it has been estimated that up to one-half will be
unsuccessful in achieving their desired outcome.

Human infertility is generally accorded to female factors (40
percent), male factors (40 percent), male and female factors (10
percent) or unexplained infertility factors (10 percent). Current
therapy results for male factor infertility have been discouraging.
One earlier British study reported only a 20 percent chance of a
successful pregnancy within two years and no significant improvement
of this chance with the use of therapeutic insemination, husband
(TIH).  Potential applications of assisted reproductive technology
aimed at male infertility alleviation, such as Intracytoplasmic Sperm
Injection have not been well researched yet.  Varicocele is a
progressive disorder affecting 15 percent of pubertal boys.  While
evidence suggests many, but not all, of the men affected by this
disorder experience infertility, the underlying pathophysiology and
effective treatment approaches are not well understood.

Ovulation failure has been reported to be the underlying cause for at
least 25 percent of female factor infertility.  A specific cause for
anovulation is usually not able to be determined.  Chronic
anovulation predisposes the female to infertility and compromises
fecundity if not detected and treated early.  Recent findings also
indicate that current ovulation inducing fertility drug treatments
may carry, in certain circumstances, underappreciated risks to the
female (hyperstimulation, ovarian cancer) and the child (multiple
gestation, low birth weight prematurity consequences) associated with
medically assisted conception procedures.  In reproductive aged
females, it has been estimated that the general incidence of
endometriosis is 5 to 15 percent.  For women being surgically treated
for infertility, the incidence is 30 to 50 percent.  Among infertile
females with no other known cause of their infertility, the incidence
has been reported at 40 to 70 percent.  The causative role of
endometriosis in infertility is poorly understood at present and
optimal diagnosis and treatment of endometriosis has yet to be
attained.  The role of dysfunctional uterine bleeding, either in the
presence or absence of uterine myomata, is not well understood with
respect to infertility.  Uterine myomata occur in nearly 20 percent
of all reproductive aged women, are the single most common diagnosis
>From gynecological hospital admissions, may be the only clinical
abnormality observed in an infertile couple, and represent the most
common medical indication for an often unwanted hysterectomy that
prematurely ends a females reproductive option.

Objectives

It is the primary objective of the cooperative research program
described in this RFA to meet the nationally identified need for a
coordinated infertility research program that will accelerate the
translation of promising new preclinical or clinical leads into new
clinical methods available to the public.  The need for accelerated
basic and clinical research on the diagnostic and therapeutic aspects
of infertility alleviation or cure has been extensively considered in
a number of relevant reports ("Infertility: Medical and Social
Choices," Office of Technology Assessment of the Congress of the
United States, Publication OTA-BA-358, May 1988; "Infertility in
America:  Why is the Government Ignoring a Major Health Problem?,"
Report of the House Committee on Government Operations, December
1989; and "Medically Assisted Conception: An Agenda for Research,"
Report of the Institute of Medicine of the National Research Council,
1989.)  Legislative directives included in the deliberations of the
101st U.S. Congress stressed the need to enhance support for research
on the diagnostic and therapeutic aspects of infertility alleviation
(Resolution HJ 173, Bill HR 2956).  Such directives were restated in
the respective appropriation committee reports issued by the 102nd
U.S. Congress.  The NIH Reauthorization Act of 1993 issued from the
103rd U.S. Congress and enacted on June 10, 1993, as PL 103-43 (Title
X., Subtitle A., Section 1001) authorized the Director, NICHD, to
make grants or contracts for the operation of two Centers to conduct
activities for the purpose of improving methods of diagnosis and
treatment of infertility and to provide for the coordination of the
Centers assisted under this section.  The terms of PL 103-43
acknowledge that infertility research and development problems are so
complex that they can not be solved by individual investigators
working alone and that "without specialized centers, promising new
leads may never be translated into new methods or ever made available
to the public."  The operational requirements to be met by such
Centers are further detailed in the subsequent section of this RFA.

Research Scope

The scope of the research projects expected to be pursued by a
proposed Center's research plan should address studies organized with
an orientation to either female factor or male factor infertility
research.  Although it is anticipated that the overall NCPIR
cooperative research program may be expanded by one or more Centers
in the future, to accommodate a broadened range of studies, the two
Centers to be awarded from this RFA are expected to be oriented
toward either research on the early diagnosis and/or therapy of those
female factors that most contribute to infertility (endometriosis,
ovulatory dysfunction, uterine dysfunction) or those male factors
associated with ineffective sperm production (quality or quantity) or
function.  Research proposals for projects or cores directly
involving human in vitro fertilization and/or embryo transfer must be
in compliance with NIH policies for such research and should not,
therefore, include efforts or activities that create human embryos
solely for research purposes.  As a cardinal principle, the current
Center organization should consist of multidisciplinary projects
and/or cores capable of interacting in a coordinated, cooperative
fashion.  Each Center should organize its overall research plan to
include a mix of primary clinical and closely adjunctive preclinical
research activities.  Applicants should note that it is not the
intent of this cooperative research program to fund a collection of
diverse, noninteractive projects.  Awards will not be made for
applications with research activities focused exclusively on basic
research or clinical research.  It is not intended for the Centers to
conduct epidemiological research or large clinical trials.
Applicants should particularly note that the NICHD currently supports
a separately established cooperative research program, called the
Reproductive Medicine Clinical Trial Network (RMN) for conducting
national clinical research trials of experimental protocols and it is
not the intent of the present NCPIR cooperative research program to
support additional large-scale, long-term clinical trials.  It is
anticipated, however, that progress achieved by the NCPIR Centers may
lead to collaborating interactions with the existing RMN group.

The scope of the Centers requested in the present RFA is expected to
include a program of applied human biology involving clinical
research projects and requisitely adjunctive preclinical projects
and/or cores that may prove translational in moving research progress
>From the bench into the clinic.  Within the requirement for a minimum
of three funded projects to constitute a Center award, an applicant's
research plan might, for example, include a set of clinical research
projects and related animal model projects to study
infertility-related aspects of endometriosis.

Alternately, an applicant's research design strategy may include
projects involving clinical and preclinical animal investigations of
several different types of infertility-associated ovulation failure.
Another orientation might be toward male spermatogenesis failure.
Yet another orientation of scope might encompass comparative clinical
and preclinical experimental evaluations of in vitro fertilization
and embryo transfer protocols.  Research proposals for projects or
cores directly involving human in vitro fertilization and/or embryo
transfer must be in compliance with NIH policies for such research
and should not, therefore, include efforts or activities that create
human embryos solely for research purposes.  These examples are only
indicative of general strategy designs and should not be taken as an
inclusive or exclusive preference of the NICHD.

Guidance and Management Structures

The National Cooperative Program for Infertility Research (NCPIR)
will include two Centers supporting an aggregate of up to ten to
twelve research projects and two or more technical service cores. At
least one clinical project and an administrative core will reside in
the sponsoring department of the grantee institution awarded a Center
grant.  As the Centers may be consortium-based, other research
projects may be resident at domestic U.S. institutions other than the
grantee institution.  A Steering Committee consisting of the
investigators responsible for each project, the Principal
Investigator of each Center, an NICHD staff Research Coordinator, and
a nongovernment chairperson designated by the Steering Committee will
assist and guide the conduct of the research performed by the
Centers.  A nonvoting member of the NICHD grants management staff
will serve as an advisor to the Committee.  The Steering Committee
will employ a consensus decision process to assist the Centers in
evaluating the progress of Center projects, proposed new research
initiatives, the need for extra-Center collaborations and the need to
redirect certain Center efforts due to either sufficient data
acquisition to permit conclusion, the acquisition of data supporting
an alternative study initiative or experience proving that proposed
research is no longer feasible.  Further details of the guidance and
management structures and processes may be found in the Terms and
Conditions section below.

Description of a Center

The minimal requirements for the Centers described in this RFA are as
follows (see also Review Criteria and Procedures below):

o  Competent and experienced principal investigator who is committed
to and directly involved in human infertility research;

o  Availability of competent and experienced scientific experts to
direct individual research projects or cores associated with the
proposed Center;

o  Availability of the technical resources and facilities necessary
for the conduct of the experiments;

o  Access to properly managed animal facilities for projects
conducting animal studies;

o  Access to inpatient and outpatient reproductive health care units
providing adequate numbers of patients for clinical research projects
(Applicants from institutions which have a General Clinical Research
Center (GCRC) funded by the NIH National Center for Research
Resources may wish to identify the GCRC as a resource for conducting
the proposed research.  In such a case, a letter of agreement from
either the GCRC program director or principal investigator should be
included with the application);

o  A research environment conducive to the training of new
investigators in infertility research;

o  Willingness to cooperate in a coordinated cooperative research
program involving two or more Centers with multiple interacting
research projects, and if required, service cores;

o  Substantive evidence of departmental and institutional support for
and commitment to the proposed Center.

SPECIAL REQUIREMENTS

Contents of Applications

A response to this RFA should consist of a proposal that includes:

o  A description of a National Center for Infertility Research (NCIR)
consisting of multiple individual research projects and, as
justified, one or more core service facilities.  For suggested
formatting instructions see the document, "Suggested Format for NICHD
U54 Grant Applications," available from the program staff listed
under INQUIRIES.

o  A description of the capabilities of the Center to meet or exceed
the minimal requirements stated earlier (see DESCRIPTION OF A CENTER
above).

o  A proposed five-year research plan that presents the applicant's
perception of the Center's organization and component functions.
This plan should demonstrate the applicant's knowledge, ingenuity,
practicality, and commitment in organizing a multiproject research
infrastructure for conducting studies aimed at developing new
approaches to the diagnosis and/or therapy of human infertility.  The
research plan for the Center and all component projects must address
the "Research Scope" described earlier.  For the 02 through 05 years
of the overall Center research plan, the plan should include (for
peer review evaluation) at least one and no more than two "New
Program Development" (NPD) research projects directly related to the
overall research emphasis of the Center, which will provide up to
$75,000 total cost per annum to new investigators who have not been
the Principal Investigator of a funded NIH (or comparable) research
project grant award.  The initial NPD project(s) should be presented
as a two-year research project by a named new  investigator.  NPD
project investigators may be resident at either the grantee or a
participating consortium institution.  For each successfully competed
NPD project, the NICHD will include a full four years of budgeting
support to permit renewal of a continuing project or replacement by a
new NPD project in accord with the consensus decision process of the
NCPIR Steering Committee.

Optimal components of the Center organization include the mix of
local and external projects or cores to be included in the Center as
follows:

o  Principal investigators may consider organizing the Center to
attack a problem from different disciplines using collaborations
between institutions via consortium subcontract arrangements for
projects at other institutions.  Centers may thus seek to maximize
their scientific expertise and research capabilities by including in
the application new projects or technical service cores to be
supported at other institutions through subcontracted consortium
arrangements.

o  The Principal Investigator may choose to organize the Center using
collaborations of projects within the same institution.

o  The Principal Investigator of the Center may wish to incorporate
into the application a highly relevant individual NIH research
project, which is currently ongoing and deemed appropriate for
transfer into the Center.  Such a project may be fully presented in
the Center application as a renewal project and, contingent upon the
review outcome, become eligible for funding through the Center upon
relinquishment of the prior awarded project.

Irrespective of the organizational mix selected by the Principal
Investigator, each research project or core proposed for inclusion in
the Center must be described independently using the PHS 398
application format as described in Appendix A of this RFA.  For the
individual projects or cores, the page limits stated in the PHS 398
instructions must be followed.  The overall Center application must
also use the PHS 398 format to provide at the beginning of the
application an overall summary of the Center's organization and
cumulative aggregate budgeting for the various budgetary categories.
In both instances, all essential information for the evaluation of
the application must appear in the body of the application rather
than in an appendix.

Terms and Conditions of Award

The following terms and conditions of the award, and details of the
arbitration procedures pertaining to the scope and nature of the
interaction between the NICHD and the participating Centers will be
incorporated into the Notice of Grant Award and provided to the
Principal Investigator as well as the institutional official at the
time of award.  These procedures will be in addition to the customary
programmatic and financial negotiations which occur in the
administration of grants.

1.  The purpose of these cooperative agreements is to establish new
methods for the diagnosis or therapy of human infertility.

2.  Planning and implementation of the studies will be done by a
Steering Committee consisting of the Principal and Project
Investigators from each of the participating Centers, one NICHD staff
member from the Reproductive Sciences Branch, CPR, NICHD, who will be
the Research Coordinator and Collaborator, and a nongovernment
Chairperson, who will be a nonvoting member, as designated by the
Steering Committee.  A member of the NICHD grants management staff
will serve as a nonvoting advisor to the Committee.  The Steering
Committee meetings will be convened at least twice yearly.  The
purpose of these meetings is to share scientific information, assess
scientific progress, identify new research opportunities, establish
priorities that will accelerate the translation of preclinical
findings into clinical applications, and conduct the business of the
cooperative research program.

3.  The primary authorities and responsibilities of the awardees are
to participate cooperatively with the Steering Committee in the
following activities:

o  Determine objectives and experimental approaches;
o  Design protocols;
o  Conduct experiments and collect the resulting data;
o  Analyze results and interpret the results;
o  Present results and plans to the Steering Committee;
o  Publish results, conclusions, and interpretation of the studies;
and
o  Modify, delete, or add protocols within the Program

Awardees will retain custody of and primary rights to their data
developed under the award subject to current government policies
regarding rights of access as consistent with current HHS, PHS, and
NIH policies.

The awardees agree to accept the coordinating role of the Steering
Committee and the cooperative nature of the group process.

4.  The degree of programmatic involvement of the Research
Coordinator is as follows:

o  Participation in the group process setting research priorities,
deciding optimal research approaches and protocol designs, and
contributing to the adjustment of research protocols or approaches as
warranted.  The Research Coordinator will assist and facilitate the
group process and not direct it.

o  Providing, as a member of the Steering Committee, assistance by
reviewing and commenting on all transitional phases of the Centers'
activities prior to implementation to assure consistency with
required program goals and compliance with research protocol
priorities.  This includes efforts to improve and strengthen inter-
and intra-Center cooperation amongst the research projects of the
Centers as well as interactions with industry.  The Research
Coordinator will, as required, help redirect program efforts,
including options of modifications or terminations by mutual consent
between the Program and NICHD.  In the event of disagreements among
the Program participants, the Research Coordinator will assist in
forming an arbitration panel as discussed below;

o  Retaining the option to recommend the withholding of support from
a Center project or core materially failing to meet the technical
performance requirements established by the Program. This includes
identifying jointly with participants the need to add additional
research projects or service cores to Centers or to phase out a
Center project or core when performance standards have not been met;
and

o  Participating in data analyses, interpretations, and where
warranted, co-authorship of the publication of results of studies
conducted by a Center to the research community and health care
recipients.

5.  Arbitration

When agreement between an awardee and NICHD staff cannot be reached
on scientific/programmatic issues that may arise after the award, an
arbitration panel will be formed.  The panel will consist of one
person selected by the Principal Investigators, one person selected
by NICHD staff, and a third person selected by these two members.
The decision of the arbitration panel, by majority vote, will be
binding.  This special arbitration procedure in no way affects the
right of an awardee to appeal an adverse action in accordance with
PHS regulations at 42 CFR Part 50, Subpart D, and HHS regulations at
45 CFR Part 16.

6.  Cooperative agreements are assistance mechanisms and are subject
to the same administrative requirements as grants.  The above special
Terms of Award are in addition to, and not in lieu of, otherwise
applicable OMB administrative guidelines, HHS, PHS, and NIH grant
regulations, policies and procedures, with particular emphasis on HHS
regulations at 45 CFR Part 74 and 92. Business management aspects of
these awards will be administered by the NICHD Grants Management
section in accordance with HHS, PHS, and NIH grant administration
requirements.

7.  The level of support recommended for future years is subject to
negotiation and the availability of funds.

INCLUSION OF WOMEN AND MINORITIES IN RESEARCH INVOLVING HUMAN
SUBJECTS

It is the policy of the NIH that women and members of minority groups
and their subpopulations must be included in all NIH-supported
biomedical and behavioral research projects involving human subject,
unless a clear and compelling rationale and justification is provided
that inclusion is inappropriate with respect to the health of the
subjects or the purpose of the research.  This new policy results
>From the NIH Revitalization Act of 1993 (Section 492B of Public Law
103-43) and supersedes and strengthens the previous policies
(Concerning the Inclusion of Women in Study Populations, and
Concerning the Inclusion of Minorities in Study Populations), which
have been in effect since 1990.  The new policy contains some
provisions that are substantially different from the 1990 policies.

All investigators proposing research involving human subjects should
read the "NIH Guidelines for Inclusion of Women and Minorities as
Subjects in Clinical Research," which have been published in the
Federal Register of March 28, 1994 (FR 59 14508-14513) and reprinted
in the NIH Guide for Grants and Contracts, Volume 23, Number 11,
March 18, 1994.

Investigators also may obtain copies of the policy from the program
staff listed under INQUIRIES.  Program staff may also provide further
discussion concerning the policy.

LETTER OF INTENT

Prospective applicants are asked to submit, by May 15, 1995, a letter
of intent that includes a descriptive title of the proposed research,
the name, address, and telephone number of the Principal
Investigator, the identities of other key personnel and participating
institutions, and the number and title of the RFA in response to
which the application may be submitted.

Although a letter of intent is not required, is not binding, and does
not enter into the review of subsequent applications, the information
that it contains allows NICHD staff to estimate the potential review
workload and to avoid conflict of interest in the review.

The letter of intent is to be sent to Dr. Michael E. McClure at the
address listed under INQUIRIES.

APPLICATION PROCEDURES

All applicants must document their ability to meet or exceed the
minimum requirements as set out in the DESCRIPTION OF A CENTER
section and meet or exceed those in the SPECIAL REQUIREMENTS section
as detailed above.  This specifically includes understanding of and
commitment to the cooperative nature of this Program.

Any competing renewal application should include in the progress
report section a description of how the Center has met the special
cooperative agreement terms and conditions of the award, including
its interaction with other NCPIR Center projects and the NICHD
Research Coordinator.

Applications from institutions that have a General Clinical Research
Center (GCRC) funded by the NIH National Center for Research
Resources may wish to identify the GCRC as a resource for conducting
the proposed research, if appropriate.  If so, a letter of agreement
>From either the GCRC program director or principal investigator could
be included with the application.

The research grant application form PHS 398 (rev. 9/91) is to be used
in applying for these awards.  These forms are available at most
institutional offices of sponsored research and from the Office of
Grants Information, Division of Research Grants, National Institutes
of Health, 5333 Westbard Avenue, Room 449, Bethesda, MD 20892,
telephone 301/594-7248.

Additional suggestions for formatting the application into a Center
grant application are provided in the document "Suggested Format for
NICHD U54 Grant Applications," which is available from the program
staff listed under INQUIRIES.

The RFA label available in the PHS 398 (rev. 9/91) application form
must be affixed to the bottom of the face page of the application.
Failure to use this label could result in delayed processing of the
application such that it may not reach the review committee in time
for review.  In addition, the RFA title, COOPERATIVE SPECIALIZED
INFERTILITY RESEARCH CENTER GRANT, and number, RFA HD-95-008, must be
typed on line 2a of the face page of the application form and the YES
box must be checked.  On line 2b, type U54.

Submit a signed, typewritten original of the application, including
the Checklist, and three signed, photocopies, in one package to:

Division of Research Grants
National Institutes of Health
6701 Rockledge Drive, Room 1040 - MSC 7710
Bethesda, MD  20892-7710
Bethesda, MD  20817 (for express mail or courier service)

At the time of submission, two additional copies of the application
must be sent to:

Susan Streufert, Ph.D.
Division of Scientific Review
National Institute of Child Health and Human Development
Building 61E, Room 5E03
Bethesda, MD  20892

Applications must be received by October 11, 1995.  If an application
is received after that date, it will be returned to the applicant
without review.  The Division of Research Grants (DRG) will not
accept any application in response to this RFA that is essentially
the same as one currently pending initial review, unless the
applicant withdraws the pending application.  The DRG will not accept
any application that is essentially the same as one already reviewed.
This does not preclude the submission of substantial revisions of
applications already reviewed, but such applications must include an
introduction addressing the previous critique.

Schedule

Letter of Intent Receipt Date:     May 15, 1995
Application Receipt Date:          October 11, 1995
Initial Review Group Peer Review:  February/March 1996
NACHHD Council Review:             June 4, 1996
Earliest Award Date:               September 1, 1996

REVIEW CONSIDERATIONS

Upon receipt, applications will be reviewed for completeness by DRG
and responsiveness by NICHD staff.  Incomplete applications will be
returned to the applicant without further consideration.  Any
application that does not meet the minimum requirements in the
DESCRIPTION OF A CENTER and SPECIAL REQUIREMENTS sections of this RFA
will be considered unresponsive to the RFA and returned to the
applicant.

Applications that are complete and responsive to the Request for
Applications will be evaluated for scientific and technical merit by
an appropriate peer review group convened by the NICHD in accordance
with the review criteria stated below.  As part of the initial merit
review, all applications will receive a written critique and may
undergo a process in which only those applications deemed to have the
highest scientific merit will be discussed, assigned a priority
score, and receive a second level review by the National Advisory
Child Health and Human Development Council.

Review Criteria

Evaluation of the applications will be based upon the following:

1.  Qualifications, experience, and commitment of key personnel,
particularly, but not exclusively, in the area of the proposed
research

o  Scientific, clinical, and administrative abilities of the
Principal Investigator and other key participants;

o  Knowledge and experience of the Principal Investigator and other
key investigators in areas relevant to the conduct of the experiments
proposed;

o  Documented commitment time for the proposed studies and the
specifically stated and described willingness of the Principal
Investigator and the key investigators to work and collaborate with
other Centers and with NICHD assistance in the manner summarized in
this RFA;

2.  Protocols and Procedures

o  Scientific merit of the application and its component projects and
cores, including ethical issues relating to human subjects

o  Adequacy of plans to include both genders and minorities and their
subgroups as appropriate for the scientific goals of the research.
Plans for the recruitment and retention of subjects will also be
evaluated.

o  Responsiveness of the application to the research objectives of
the Program outlined in this RFA;

o  Willingness to work and cooperate with other Centers and the NICHD
in the manner summarized in this RFA.

3.  Facilities and Management

o  Adequacy of administrative, clinical, and technical capabilities
to conduct the research proposed;

o  Adequacy of animal facilities and appropriateness of animal care
management where animal work is proposed;

o  Adequacy of clinical facilities and appropriateness of patient
care management where clinical work is proposed; and

o  Institutional assurance to provide support to the Center in such
areas as fiscal administration, personnel management, space
allocation, procurement, planning, and budgeting.

4.  Budgeting

Appropriateness of the proposed budget and duration in relation to
the proposed research.

AWARD CRITERIA

The anticipated date of award is September 1, 1996.  Applications
approved by the NACHHD Council will be considered for award based on
scientific and technical merit; compatibility of features to make a
successful collaborative program a reasonable likelihood; program
balance; and availability of funds.  In order to be eligible for an
award, an application must have at least three fundable projects, at
least two of which are entirely or predominately clinical research
projects.  If the consortium option described in this RFA is
employed, at least one clinical research project and the
administrative core must reside at the institution submitting the
application.  Awards will not be made for applications with research
activities focused exclusively on clinical research or exclusively on
basic research or for applications proposing epidemiological or large
scale clinical trial research.

INQUIRIES

Written and telephone inquiries concerning this RFA are encouraged.
The opportunity to clarify any issues or questions from potential
applicants is welcome.

Direct inquiries regarding programmatic issues and address the letter
of intent to:

Michael E. McClure, Ph.D.
Center for Population Research
National Institute of Child Health and Human Development
Building 61E, Room 8B01
Bethesda, MD  20892
Telephone:  (301) 496-6515
FAX:  (301) 496-0962
Email:  MCCLUREM@HD01.NICHD.NIH.GOV

Direct inquiries regarding fiscal matters to:

Ms. Melinda Nelson
Office of Grants and Contracts
National Institute of Child Health and Human Development
Building 61E, Room 8A17
Bethesda, MD  20892
Telephone:  (301) 496-5481
FAX:  (301) 402-0915
Email:  NELSONM@HD01.NICHD.NIH.GOV

AUTHORITY AND REGULATIONS

This Program is described in the Catalog of Federal Domestic
Assistance number 13.864, Population Research.  Awards will be made
under the authority of the Public Health Service Act, Title X,
Section 1004 (Public Law 92-572, as amended; 42 USC 241) and Title
III, Section 301 (Public Law 78-410, as amended; 42 USC 241).  These
special Terms of Award are in addition to, and not in lieu of,
otherwise applicable OMB administrative guidelines, HHS grant
administration regulations at 45 CFR Part 74, and other HHS, PHS, and
NIH grant administration policies.  This program is not subject to
the intergovernmental review requirements of Executive Order 12372 or
Health Systems Agency review.

The PHS strongly encourages all grant and contract recipients to
provide a smoke-free workplace and promote the non-use of all tobacco
products.  In addition, Public Law 103-227, the Pro-Children Act of
1994, prohibits smoking in certain facilities (or in some cases, any
portion of a facility) in which regular or routing education,
library, day care, health care or early childhood development
services are provided to children.  This is consistent with the phs
mission to protect and advance the physical and mental health of the
american people.

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NEUROSCIENCE RESEARCH OF NICOTINE AND NICOTINE ABUSE

NIH GUIDE, Volume 24, Number 10, March 17, 1995

PA NUMBER:  PA-95-038

P.T. 34; K.W. 0404001, 0404019, 1002030, 0710085

National Institute on Drug Abuse

PURPOSE

The purpose of this program announcement is to encourage research to
examine the many aspects of nicotine abuse/addiction in in vitro or
in vivo systems, in animals, and in man.  The research may be based
upon behavioral, neurophysiologic, neurochemical, or other methods
that will seek to explain nicotine use.  The overall goal is to
further our understanding of the brain mechanisms that underlie
addictive processes, with an eventual target of developing specific
treatments for the abuse/addiction of nicotine in man.

HEALTHY PEOPLE 2000

The Public Health Service (PHS) is committed to achieving the health
promotion and disease prevention objectives of "Healthy People 2000",
a PHS-led national activity for setting priority areas.  This program
announcement, Neuroscience Research of Nicotine and Nicotine Abuse,
is related to the priority area of tobacco.  Potential applicants may
obtain a copy of "Healthy People 2000" (Full Report:  Stock No.
017-001-00474-0 or Summary Report:  Stock No. 017-001-00473-1)
through the Superintendent of Documents, Government Printing Office,
Washington, DC 20402-9325 (telephone 202-783-3238).

ELIGIBILITY REQUIREMENTS

Applications may be submitted by domestic and foreign, for-profit and
non-profit organizations, public and private, such as universities,
colleges, hospitals, laboratories, units of State and local
governments, and eligible agencies of the Federal government.
Racial/ethnic minority individuals, women, and persons with
disabilities are encouraged to apply as principal investigators.

MECHANISM OF SUPPORT

The mechanism available for support of this program announcement is
the regular research project grant (R01).  Because the nature and
scope of the research proposed in response to this program
announcement may vary, it is anticipated that the size of an award
will vary also.

RESEARCH OBJECTIVES

Background

Throughout history, man has maintained the ubiquitous habit of
smoking, ingesting, or otherwise using tobacco products.  The most
common usage is inhalation of the smoke, with approximately 27
percent of the United States population lighting up cigarettes,
cigars, and pipes on a regular basis.  (1) Nicotine, the major
pharmacologic agent in tobacco, is widely accepted to be the primary
cause of this habit (2,3).

In the 1964 report of the Advisory Committee of the U.S. Surgeon
General on Smoking and Health, (3) the WHO Expert Committee criteria
were used as the basis for viewing tobacco as a "habit" rather than
an addiction.  The primary reasons for the decision to define
smoking, even heavy or compulsive smoking, as a habit was because of
the absence of clear-cut nicotine-induced signs of physical
dependence (withdrawal) in animal models, and of the belief that
symptoms observed when smokers stopped using tobacco were "secondary
to the deprivation of a desired object" rather than a specific
nicotine-induced withdrawal effect, and of the variable duration of
these cessation symptoms. Furthermore, there was the belief that the
obvious tolerance that smokers showed for tobacco was of "low grade,"
and that a variety of interventions that appeared to help the
motivated smoker in quitting this "habit."

In this historic document, it was implied many times (but never
actually stated) that the primary reason that people smoked tobacco
was to obtain nicotine.

Subsequent reports from the Surgeon General and from other
prestigious national and international forums (including the Royal
College of Physicians, (4) the American Psychiatric Association and
the World Health Organization have left little doubt as to the
addictive nature of nicotine.  These were summarized in the 1988
Surgeon General's Report which incorporated more than 2500 published
papers and the contributions of more than 50 scientists, and
presented three major conclusions:

1.  Cigarettes and other forms of tobacco are addictive,

2.  Nicotine is the drug in tobacco that causes addiction, and

3.  The pharmacological and behavioral processes that determine
tobacco addiction are similar to those that determine addiction to
drugs such as heroin and cocaine.

Because of the widespread use of cigarettes and other
nicotine-containing products and the recent suggestion that nicotine
may be "as addictive as cocaine", the National Institute on Drug
Abuse (NIDA) is seeking additional research into the many different
effects of nicotine.

Areas of Research

Areas of research interest in this program announcement range from
the in vitro biochemical and neurochemical determinations of the
effects of nicotine in model systems, to in vivo studies
investigating the behavioral or physiologic effects of nicotine in
animals and in man.

In general, these may include:

o  An examination of the cholinergic mechanisms involved, both
peripherally and centrally, in the effects of nicotine.

o  Further investigations of the subtypes of nicotinic cholinergic
receptors (alpha, beta, delta and gamma), and their correlation with
function.

o  Neurobiologic and/or neurochemical techniques that utilize the
underlying mechanisms of nicotine to understand the use/abuse of this
substance.

o  Studies of individual sensitivities of animal or human systems
toward the behavioral or physiologic effects of nicotine.

o  The development of new animal models of smoking that correlate
with the human pattern of nicotine self-administration.

o  A comparison of the neuroanatomical sites and the neurochemical
substrates in the addictive behavior of nicotine.

o  Effects of nicotine on cognitive performance, perception,
vigilance, memory and motor skills.

o  Neurotoxicologic effects of nicotine in animals and/or man.

o  Effects of prenatal nicotine on development and social behaviors
in the offspring.

o  Human studies on the prevalence of nicotine addiction in society
and its role in fostering attitudes towards other drugs of abuse.

o  Autoradiographic or computer imaging studies of tobacco
smoking/nicotine administration.

o  A comparison of behaviors (craving/withdrawal/relapse) of nicotine
and other abused drugs.

These areas of research are not intended to be all-inclusive, but are
designed to give the applicant some direction for the types of
research that NIDA is interested in exploring in its search to
understand the basic mechanism(s) of nicotine abuse, as well as other
abused drugs.

INCLUSION OF WOMEN AND MINORITIES IN RESEARCH INVOLVING HUMAN
SUBJECTS

It is the policy of the NIH that women and minority groups and their
subpopulations must be included in all NIH-supported biomedical and
behavioral research projects involving human subjects, unless a clear
and compelling rationale and justification is provided that inclusion
is inappropriate with respect to the health of the subjects or the
purpose of the research. This new policy results from the NIH
Revitalization Act of 1993 (Section 492B of Public Law 103-43) and
supersedes and strengthens the previous policies (concerning the
Inclusion of Women in Study Populations, and Concerning the Inclusion
of Minorities in Study Populations) which have been in effect since
1990.  The new policy contains some new provisions that are
substantially different from the 1990 policies.

All investigators proposing research involving human subjects should
read the "NIH Guidelines for Inclusion of Women and Minorities as
Subjects in Clinical Research", which have been published in the
Federal Register of March 28, 1994 (FR 59 14508-14513), and reprinted
in the NIH GUIDE FOR GRANTS AND CONTRACTS of March 18, 1994, Volume
23, Number 11.

Investigators may obtain copies from these sources or from the
program staff or contact person listed below. Program staff also
provide additional relevant information concerning the policy.

APPLICATION PROCEDURES

Applications are to be submitted on the grant application form PHS
398 (rev. 9/91) and will be accepted at the standard application
deadlines as indicated in the application kit. Application kits are
available at most institutional offices of sponsored research and may
be obtained from the Office of Grant Information, Division of
Research Grants, National Institutes of Health, Westwood Building,
Room 449, Bethesda, MD 20892, telephone 301/594-7248.  The title and
number of the program announcement must be typed in Item 2a of face
page of the application.

Applicants from institutions that have a General Clinical Research
Center (GCRC) funded by the NIH National Center for Research
Resources may wish to identify the GCRC as a resource for conducting
the proposed research.  If so, a letter of agreement from either the
GCRC program director or principal investigator could be included
with the application.

The completed original application and five legible copies of the
application must be sent or delivered to:

Division of Research Grants
National Institutes of Health
6701 Rockledge Drive, Room 1040 - MSC 7710
Bethesda, MD  20892-7710

If overnight delivery is used, the zip code is 20817.

REVIEW CONSIDERATIONS

Applications that are complete and responsive to the program
announcement will be evaluated for scientific and technical merit by
an appropriate peer review group convened in accordance with the
standard NIH peer review procedures.  As part of the initial merit
review, all applications will receive a written critique and undergo
a process in which only those applications deemed to have the highest
scientific merit, generally the top half of applications under
review, will be discussed, assigned a priority score, and receive a
second level review by the appropriate advisory council or board.

Review Criteria:

o  scientific, technical, or medical significance and originality of
proposed research;

o  appropriateness and adequacy of the experimental approach and
methodology proposed to carry out the research;

o  qualifications and research experience of the Principal
Investigator and staff, particularly, but not exclusively, in the
area of proposed research;

o  availability of the resources necessary to perform the research;

o  appropriateness of the proposed budget and duration in relation to
the proposed research; and

o  adequacy of plans to include both genders and minorities and their
subgroups as appropriate for the scientific goals of the research.
Plans for the recruitment and retention of subjects will also be
evaluated.

The initial review group will also examine the provisions for the
protection of human and animals subjects, and the safety of the
research environment.

AWARD CRITERIA

Applications will compete for available funds with all other approved
applications assigned to the Institute.  The following will be
considered in making funding decisions:

o  quality of the proposed project as determined by peer review,

o  availability of funds,

o  programmatic priorities, i.e.,

o  relevance to program goals and objectives as described in the
Areas of Research Interest in the program announcement.

INQUIRIES

Inquiries are encouraged.  The opportunity to clarify any issues or
questions from potential applicants is welcome.

Direct inquiries regarding programmatic issues to:

David N. Johnson, Ph.D.
Division of Basic Research
National Institute on Drug Abuse
5600 Fishers Lane, Room 10A-19
Rockville, MD  20857
Telephone:  (301) 443-6975
FAX:  (301) 594-6043
Email:  dj42n@nih.gov

Direct inquiries regarding fiscal matters to:

Gary Fleming, J.D., M.A.
Grants Management Branch
National Institute on Drug Abuse
5600 Fishers Lane, Room 8A-54
Rockville, MD  20857
Telephone:  (301) 443-6710
FAX:  (301) 594-6847
Email:  gfleming@aoada.ssw.dhhs.gov

AUTHORITY AND REGULATIONS

This program is described in the Catalog of Federal Domestic
Assistance No. 93.279.  Awards are made under authorization of
Section 301 of the Public Health Service Act (42 USC 241) and
administered under PHS policies and Federal Regulations at Title 42
CFR 52 "Grants for Research Projects,"  Title 45 CFR Part 74 & 92,
"Administration of Grants" and 45 CFR Part 46, "Protection of Human
Subjects."  This program is not subject to the inter- governmental
review requirements of Executive Order 12372 or Health Systems Agency
review.

Sections of the Code of Federal Regulations are available in booklet
form from the U.S. Government Printing Office.  Grants must be
administered in accordance with the PHS Grants Policy Statement,
(rev. 4/94), which may be available from your office of sponsored
research.

The PHS strongly encourages all grant and contract recipients to
provide a smoke-free workplace and promote the non-use of all tobacco
products.  In addition, Public Law 103-227, the Pro-Children Act of
1994, prohibits smoking in certain facilities (or in some cases, any
portion of a facility) in which regular or routing education,
library, day care, health care or early childhood development
services are provided to children.  This is consistent with the PHS
mission to protect and advance the physical and mental health of the
American people.

Bibiolography

1.  U.S. Dept. of Health and Human Services. National Household
Survey on Drug Abuse: Main Findings 1990. DHHS Publication # (ADM)
91-1788. Washington, D.C. United States Government Printing Office,
1991.

2.  Nicotine Psychopharmacology (eds: S. Wonnacott, M.A.H. Russell,
I.P. Stolerman) Oxford Science Publications, p. 25, 1990.

3.  Reducing the Health Consequences of Smoking: Nicotine Addiction.
A Report of the Surgeon General. Rockville, MD. DHHS Publication #
(CDC) 88-8406. Washington, DC United States Government Printing
Office, 1988.

4.  Henningfield, JE, C Cohen and JD Slade. Is nicotine more
addictive than cocaine? Br. J. Addiction 86: 565-569, 1991.

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MUCOSAL AND SYNOVIAL GENE TRANSFER IN INFECTION/INFLAMMATION

NIH GUIDE, Volume 24, Number 10, March 17, 1995

RFA:  AI-95-011

P.T. 34; K.W. 1002008, 0745032, 0715026, 0715120

National Institute of Allergy and Infectious Diseases
National Institute of Arthritis and Musculoskeletal and Skin Diseases

Letter of Intent Receipt Date:  July 15, 1995
Application Receipt Date:  November 15, 1995

PURPOSE

The National Institute of Allergy and Infectious Diseases (NIAID) and
the National Institute of Arthritis and Musculoskeletal and Skin
Diseases (NIAMS) of the National Institutes of Health (NIH) invite
submission of investigator-initiated research applications for basic
and preclinical studies targeted at molecular methods for
transferring genes into cells of mucosal membranes and synovial
tissues to augment host defenses and alter inflammatory responses for
the treatment or prevention of infectious and rheumatic and other
immunologic diseases.

HEALTHY PEOPLE 2000

The Public Health Service (PHS) is committed to achieving the health
promotion and disease prevention objectives of "Healthy People 2000,"
a PHS-led national activity for setting priority areas.  This Request
for Applications (RFA), Mucosal and Synovial Gene Transfer in
Infection/Inflammation, is related to the priority areas of diabetes
and chronic disabling diseases and immunization and infectious
diseases.  Potential applicants may obtain a copy of "Healthy People
2000" (Full Report:  Stock No. 017-001-00474-0 or Summary Report:
Stock No. 017-001-00473-1) through the Superintendent of Documents,
Government Printing Office, Washington, DC 20402-9325 (telephone
(202) 782-3238).

ELIGIBILITY REQUIREMENTS

Applications may be submitted by domestic and foreign, for-profit and
non-profit organizations, public and private institutions, such as
universities, colleges, hospitals, laboratories, units of State and
local governments, and eligible agencies of the Federal government.
Foreign institutions are not eligible to apply for First Independent
Research Support and Transition (FIRST) (R29) awards.  Racial/ethnic
minority individuals, women, and persons with disabilities are
encouraged to apply as Principal Investigators.

MECHANISM OF SUPPORT

The mechanisms of support will be the individual research project
grant (R01) and the FIRST (R29) award.  The total project period for
an application submitted in response to this RFA may not exceed five
years; a foreign application may not request more than three years of
support.  Responsibility for the planning, direction, and execution
of the proposed project will be solely that of the applicant.

This RFA is a one-time solicitation.  Future competing renewal
applications will compete with all investigator-initiated
applications and will be reviewed according to customary referral and
review procedures.

The National Heart, Lung, and Blood Institute (NHLBI) also has
interest in supporting applications concerned with gene transfer to
respiratory cells for the purpose of modulating host defense
processes and inflammatory responses which may apply to treatment or
prevention of infectious or inflammatory diseases.  For applications
of mutual interest, the NHLBI is likely to be given a secondary
assignment in accordance with DRG Referral Guidelines.

FUNDS AVAILABLE

The estimated funds available for the total (direct and indirect)
first-year costs of all awards made under this RFA will be $950,000,
$750,000 from the NIAID and $200,000 from the NIAMS.  In Fiscal Year
1996, the NIAID plans to fund approximately three to four R01s and/or
R29s and the NIAMS plans to fund one R01/R29.  The NIH is currently
limiting annual inflationary increases to no more than four percent
for future years of awards.  The usual PHS policies governing grants
administration and management will apply.  This level of support is
dependent on the receipt of a sufficient number of applications of
high scientific merit.  Although this program is provided for in the
financial plans of the NIAID and the NIAMS, awards pursuant to this
RFA are contingent upon the availability of funds for this purpose.
Funding beyond the first and subsequent years of the grant will be
contingent upon satisfactory progress during the preceding years and
availability of funds.

RESEARCH OBJECTIVES

Background

The pathogenesis of many infectious diseases involves a combination
of mucosal colonization, production and release of toxins and
invasion of tissue.  Both host and microbial factors that may
contribute to or limit infection are now being understood at
molecular and genetic levels.  Among these are microbial adhesins and
virulence factors important for attachment and penetration of host
tissues; opsonic factors and host cell surface molecules involved in
microbial adherence and uptake; antimicrobial peptides of phagocytic
and mucosal cells; host cellular factors that may alter microbial
metabolism as well as microbial toxins that may mediate inflammation
through effects on host cell metabolism.

Gene transfer into mucosal cells offers the potential to modify the
course of infectious diseases by altering the expression of factors
that participate in host/pathogen interactions.  Potential advantages
might include an ability to change colonization and tissue invasion
in clinical situations where effective antibiotics are lacking;
providing antimicrobials in high concentrations at critical sites;
and altering cell turnover in targeted tissues (increased
resistance).

The ability to transfer into mucosal cells genes that encode
molecules that are anti-microbial, anti-inflammatory, or vaccine
epitopes would confer enormous advantages in treating or preventing
infectious and immunologic diseases.  Mucosal gene transfer could be
a useful adjunct in a variety of clinical situations including:  (a)
viral, bacterial, fungal or parasitic infections of the respiratory
and gastrointestinal tracts; (b) infection of the genitourinary tract
and sexually transmitted diseases (STDs); (c) intrabdominal and post
surgical wounds as well as decubitus ulcers; (d) mucosal vaccination
with recombinant immunogens; (e) noninfectious inflammatory disorders
involving mucosal tissues such as asthma; and (f) introduction of
self molecules into the gastrointestinal tract for induction of
tolerance in autoimmune diseases.  In the case of rheumatic diseases
such as rheumatoid arthritis, delivery of genes to the synovial
membranes may induce significant local changes to reduce inflammation
and limit tissue destruction and disability.

Advantages include:  delivery of the active molecule to the optimal
site; high concentrations of therapeutic agent; continuous presence
of this molecule for days or weeks; and a defined end of exposure to
the molecule  (due to cellular turnover).  In experimental systems of
rheumatoid arthritis, the approach has shown promising results.

Research Objectives and Scope

While exciting advances have occurred in gene therapy, much of the
work has focused on hematologic cells or the cells of solid organs
and less effort has been focused on mucosal cells.  The main work in
the area concerns introducing the cystic fibrosis gene into
respiratory epithelial cells.  The aim of this RFA would be to
support basic research leading to gene transfer intended to augment
host defense at mucosal sites.  Relevant research includes, but is
not limited to, the following:

o  development and characterization of vectors that would efficiently
transfer genes into various cells of the respiratory,
gastrointestinal or genitourinary tracts and which are safe and
suitable for use in humans;

o  modification and packaging for transfection of genes that encode
molecules that are antimicrobials or anti-inflammatory and intended
to modify host/pathogen interactions;

o  modification and packaging for transfection of genes that are
useful as immunogenic or toleragenic epitopes for vaccines;

o  preclinical studies in cell lines and animal models that may prove
useful in evaluation of safety and efficacy of such approaches;

o  modification and packaging for transfection of genes to alter
mucosal levels of mediators specific or useful in the treatment of
asthma, inflammatory bowel disease and other immunologically mediated
disorders of unknown etiology.

NOTE:  This RFA is not intended to support studies of gene transfer
in genetic deficiencies.

INCLUSION OF WOMEN AND MINORITIES IN RESEARCH INVOLVING HUMAN
SUBJECTS

It is the policy of the NIH that women and members of minority groups
and
their subpopulations must be included in all NIH- supported
biomedical and
behavioral research projects involving human subjects, unless a clear
and
compelling rationale and justification is provided that inclusion is
inappropriate with respect to the health of the subjects or the
purpose of the
research.  This new policy results from the NIH Revitalization Act of
1993
(Section 492B of Public Law 103-43) and supersedes and strengthens
the
previous policies (Concerning the Inclusion of Women in Study
Populations, and
Concerning the Inclusion of Minorities in Study Populations) which
have been
in effect since 1990.  The new policy contains some new provisions
that are
substantially different from the 1990 policies.

All investigators proposing research involving human subjects should
read the
"NIH Guidelines For Inclusion of Women and Minorities as Subjects in
Clinical
Research," which has been published in the Federal Register of March
28, 1994
(FR 59 14508-14513), and reprinted in the NIH GUIDE FOR GRANTS AND
CONTRACTS
of March 18, 1994, Volume 23, Number 11.

Investigators may obtain copies from these sources or from the
program staff
or contact person listed below.  Program staff may also provide
additional
relevant information concerning the policy.

LETTER OF INTENT

Prospective applicants are asked to submit, by July 15, 1995, a
letter of intent that includes a descriptive title of the overall
proposed research, the name, address and telephone number of the
Principal Investigator, and the number and title of this RFA.
Although the letter of intent is not required, is not binding, does
not commit the sender to submit an application, and does not enter
into the review of subsequent applications, the information that it
contains allows NIH staff to estimate the potential review workload
and to avoid conflict of interest in the review.  The letter of
intent is to be sent to Dr. Christopher Beisel at the address listed
under INQUIRIES.

APPLICATION PROCEDURES

Applications are to be submitted on the standard research grant
application form PHS 398 (rev. 9/91).  These application forms may be
obtained from the institution's office of sponsored research or its
equivalent and from the Office of Grants Information, Division of
Research Grants, National Institutes of Health, 5333 Westbard Avenue,
Room 449, Bethesda, MD 20892, telephone (301) 594-7248.

The RFA label available in the PHS 398 (rev 9/91) application form
must be affixed to the bottom of the face page of the application.
Failure to use this label could result in delayed processing of the
application such that it may not reach the review committee in time
for review.  For purposes of identification and processing, item 2a
on the face page of the application must be marked "YES" and the RFA
number and the words "MUCOSAL AND SYNOVIAL GENE TRANSFER IN
INFECTION/INFLAMMATION" must be typed in.

FIRST award (R29) applications must include at least three sealed
letters of reference attached to the face page
of the original application.  FIRST applications submitted without
the
required number of reference letters will be considered incomplete
and will be returned without review.

It is highly recommended that the appropriate NIAID or NIAMS program
contact be consulted before submitting the letter of intent and
during the early stages of preparation of the application.  (See
program contacts under INQUIRIES).

Submit a signed, typewritten original of the application, including
the checklist, and three signed, exact, single-sided photocopies, in
one package to:

Division of Research Grants
National Institutes of Health
6701 Rockledge Drive, Room 1040 - MSC 7710
Bethesda, MD  20892-7710
Bethesda, MD  20817 (for express mail or courier service)

At the time of submission, two additional exact copies of the grant
application and all five sets of the appendix must also be sent to
Dr. Beisel at the address listed under INQUIRIES.

Applications must be received by November 15, 1995.  Applications
received after the receipt date will be returned without review.
Applications that do not conform to the instructions contained in PHS
398 (rev. 9/91) application kit will be judged non-responsive and
will be returned to the applicant.  The Division of Research Grants
(DRG) will not accept any application in response to this RFA that is
essentially the same as one currently pending initial review, unless
the applicant withdraws the pending application.  This does not
exclude the submission of substantial revisions of an application
already reviewed.  These applications must, however, include an
introduction addressing the previous critique.

Applicants from institutions that have a General Clinical Research
Center (GCRC) funded by the NIH National Center for Research
Resources may wish to identify the GCRC as a resource for conducting
the proposed research.  If so, a letter of agreement from either the
GCRC program director or principal investigator could be included
with the application.

REVIEW CONSIDERATIONS

Upon receipt, applications will be reviewed for completeness by the
NIH Division of Research Grants (DRG) and for responsiveness by NIAID
staff. Incomplete and non-responsive applications will be returned to
the applicant without further consideration.

Applications that are complete and responsive to the RFA will be
evaluated for scientific and technical merit by an appropriate peer
review group convened by the NIAID in accordance with the review
criteria stated below.  As part of the initial merit review, a
process (triage) may be used by the initial review group in which
applications will be determined to be competitive or non- competitive
based on their scientific merit relative to other applications
received in response to the RFA.  Applications judged to be
competitive will be discussed and be assigned a priority score.
Applications determined to be non-competitive will be withdrawn from
further consideration and the principal investigator and the official
signing for the applicant organization will be promptly notified.
The second level of review will be provided by the National Advisory
Allergy and Infectious Diseases Council and the National Arthritis
and Musculoskeletal and Skin Diseases Advisory Council.  Review,
Council and award dates can be found in "SCHEDULE", below.

Review Criteria

o  scientific, technical, or medical significance and originality of
proposed research;

o  appropriateness and adequacy of the experimental approach and
methodology proposed to carry out the research;

o  qualifications and research experience of the Principal
Investigator and staff, particularly, but not exclusively, in the
area of the proposed research;

o  availability of the resources necessary to perform the research;

o  appropriateness of the proposed budget and duration in relation to
the proposed research;

o  adequacy of plans to include both genders and minorities and their
subgroups as appropriate for the scientific goals of the research.
Plans for the recruitment and retention of subjects will also be
evaluated.

The initial review group will also examine the provisions for the
protection of human and animal subjects and the safety of the
research environment.

AWARD CRITERIA

Funding decisions will be made on the basis of scientific and
technical merit as determined by peer review, program priorities, and
the availability of funds.

INQUIRIES

Written and telephone inquiries concerning this RFA are encouraged.
The opportunity to clarify any issues or questions from potential
applicants is welcome.

Direct inquiries regarding programmatic issues to:

Howard B. Dickler, M.D.
Division of Allergy, Immunology and Transplantation
National Institute of Allergy and Infectious Diseases
Solar Building, Room 4A19
6003 Executive Boulevard
Bethesda, MD  20892-7640
Telephone:  (301) 496-7104
FAX:  (301) 402-2571
Email:  hd7e@nih.gov

Susana A. Serrate-Sztein, M.D.
Rheumatic Diseases Branch
National Institute of Arthritis and Musculoskeletal and Skin Diseases
Natcher Building, Room 5AS37G
Bethesda, MD  20892-6500
Telephone:  (301) 594-5032
FAX:  (301) 480-4353
Email:  arthrit@ep.niams.nih.gov

Direct inquiries regarding review issues, mail two copies of the
application and all five sets of appendices, and mail the letter of
intent to:

Christopher E. Beisel, Ph.D.
Division of Extramural Activities
National Institute of Allergy and Infectious Diseases
Solar Building, Room 4C03
6003 Executive Boulevard
Bethesda, MD  20892-7610
Telephone:  (301) 402-4596
FAX:  (301) 402-2638
Email:  cb45d@nih.gov

Direct inquiries regarding fiscal matters to:

Ms. Maryellen Connell
Division of Extramural Activities
National Institute of Allergy and Infectious Diseases
Solar Building, Room 4B28
Bethesda, MD  20892-7610
Telephone:  (301) 496-7075
FAX:  (301) 480-3780
Email:  mc40u@nih.gov

Schedule

Letter of Intent Receipt Date:  July 15, 1995
Application Receipt Date:       November 15, 1995
Scientific Review Date:         March 1996
Advisory Council Date:          May 1996
Earliest Award Date:            August 1996

AUTHORITY AND REGULATIONS

The program is described in the Catalog of Federal Domestic
Assistance, No. 93.855 and No. 93.846.  Awards will be made under the
authority of the Public Health Service Act, Title IV, Part A, (Public
Law 78-410, as amended by Public Law 99-158, 42 USC 241 and 285) and
administered under PHS grants policies and Federal Regulations 42 CFR
52 and 45 CRF Part 74.  This program is not subject to the
intergovernmental review requirements of Executive Order 12372 or
Health Systems Agency review.

The PHS strongly encourages all grant and contract recipients to
provide a smoke-free workplace and promote the non-use of all tobacco
products.  In addition, Public Law 103-227, the Pro-Children Act of
1994, prohibits smoking in certain facilities (or in some cases, any
portion of a facility) in which regular or routing education,
library, day care, health care or early childhood development
services are provided to children.  This is consistent with the phs
mission to protect and advance the physical and mental health of the
american people.

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$$XID RFA HD95006 HD-95-006 P1O1 ***************************************

COOPERATIVE MULTICENTER NEONATAL RESEARCH NETWORK

NIH GUIDE, Volume 24, Number 10, March 17, 1995

RFA:  HD-95-006

P.T. 34; K.W. 0775013, 0403020, 0730050, 0785035

National Institute of Child Health and Human Development

Letter of Intent Receipt Date:  April 1, 1995
Application Receipt Date:  June 15, 1995

PURPOSE

The National Institute of Child Health and Human Development (NICHD)
invites applications from investigators willing to participate with
the NICHD under a Cooperative Agreement (U10) in an ongoing
multicenter clinical program designed to investigate the safety and
efficacy of treatment and management strategies to care for newborn
infants, particularly those related to management of low birth weight
infants.  The objective of this program is to facilitate evaluation
of these strategies by establishing a network of academic centers
that, by rigorous patient evaluation using common protocols, can
study the required numbers of patients and can provide answers more
rapidly than individual centers acting alone.

The NICHD program staff will assist the principal investigators of
the Neonatal Research Network and the Advisory Board in identifying
research topics of high priority, and in designing and implementing
protocols appropriate to the evaluation of optimal management in
these areas.

It is anticipated that approximately 12 or 13 clinical centers will
be involved in the program.

HEALTHY PEOPLE 2000

The Public Health Service (PHS) is committed to achieving the health
promotion and disease prevention objectives of "Healthy People 2000,"
a PHS-led national activity for setting priority areas.  This Request
for Applications (RFA), Cooperative Multicenter Neonatal Research
Network, is related to the priority area of low birth weight.
Potential applicants may obtain a copy of "Healthy People 2000" (Full
Report:  Stock No. 017-001-00474-0 or Summary Report:  Stock No.
017-001-00473-1) through the Superintendent of Documents, Government
Printing Office, Washington, DC 20402-9325 (telephone 202-783-3238).

ELIGIBILITY REQUIREMENTS

Applications may be submitted by domestic non-profit organizations,
public and private.  Organizations should have academically-oriented
divisions of neonatal medicine.  The need for continuous and active
communication among sites dictates that only institutions in the
United States are eligible to apply.  Racial/ethnic minority
individuals, women, and persons with disabilities are encouraged to
apply as principal investigators.

MECHANISM OF SUPPORT

The administrative and funding instrument to be used for this program
will be a cooperative agreement (U10), an "assistance" mechanism
(rather than an "acquisition" mechanism), in which substantial NIH
scientific and/or programmatic involvement with the awardee is
anticipated during performance of the activity.  Under the
cooperative agreement, the NIH purpose is to support and stimulate
the recipients' activity by involvement in the activity and otherwise
working jointly with the award recipients in a partner role, but it
is not to assume direction, prime responsibility, or a dominant role
in the activity.  Details of the responsibilities, relationships and
governance of the study to be funded under cooperative agreements are
discussed later in this document under the section "Terms and
Conditions."

The total project period for an application submitted in response to
the present RFA may not exceed five years.  The anticipated award
date is April 1, 1996.  Because the nature and scope of the research
proposed in response to this RFA may vary, it is anticipated that the
size of awards will vary also.

The number of awards and level of support depend on receipt of a
sufficient number of applications of high scientific merit.  Although
this program is provided for in the financial plans of the NICHD,
awards pursuant to this RFA are contingent upon the availability of
funds for this purpose.

At this time, the NICHD has not determined whether or how this
solicitation will be continued beyond the present RFA.

FUNDS AVAILABLE

It is anticipated that 12 or 13 awards for Clinical Sites will be
made, with an estimated total cost of $3,500,000 (including direct
and indirect costs) for the entire program in the first year.  Up to
ten competing continuation awards and at least three new awards are
expected.

RESEARCH OBJECTIVES

A.  Background

Modern neonatology medicine has introduced a number of principles of
management and innovative methodologies without rigorous use of the
controlled observation necessary for their objective evaluation.  A
major problem has been the balance between assuring prompt
implementation of new technologies, procedures, treatments and drugs,
and adequate evaluation of their safety and efficacy.  Indeed,
because of the urgent demands of sick infants, care is often based on
limited knowledge of new modalities not subjected to critical studies
prior to introduction and use.  In a critically ill infant, an
innovative idea may be tried which, if the infant's condition
improves, may rapidly set a new trend, and become the standard of
care.  Therefore, the incorporation into the arsenal of therapies
frequently is based on limited experience, and their efficacy and/or
safety have not been evaluated scientifically.

In an attempt to respond to the need for well-designed clinical
trials in neonatal medicine, NICHD established a Neonatal Research
Network in 1986.  Seven university units were selected among
respondents to an RFA.  The Network Steering Committee, which
consists of representatives from each Clinical Center, NICHD staff,
and data center staff, evaluated several controversial issues for
study.  It then selected certain priority areas in which to develop
protocols for randomized clinical trials.  Protocols on the
prevention of sepsis, intraventricular hemorrhage, pulmonary
hypertension, surfactant administration, and outcome and resource
requirements for very low birthweight (VLBW) infants were initiated.
In addition, the Network established a generic data base of infants
less than 1500 grams at birth.  A Data Monitoring and Safety
Committee advises NICHD on research design issues, data quality and
analysis, and ethical and human subject protection aspects of
protocols.

During the second grant period of the Neonatal Research Network
(1991-1996), clinical trials were initiated on the prevention or
treatment of chronic lung disease, intraventricular hemorrhage,
retinopathy of prematurity, and persistent pulmonary hypertension.
Studies of VLBW maturity and postnatal growth, the sequelae of the
fetal drug exposure, and a standardized follow-up program were also
initiated.

The NICHD expects that the ongoing clinical trials dealing with the
prevention of intraventricular hemorrhage and retinopathy of
prematurity, the treatment of persistent pulmonary hypertension, and
the follow-up study will continue into the new grant period in
existing centers.  New protocols may be developed before the Network
is refunded.  Centers that join the Network in the next award period
(beginning April 1, 1996) may participate in the protocols ongoing at
that time.

The NICHD intends to enable the Network to initiate new protocols
within the first year of the next award period.  The topics of these
protocols will be decided cooperatively by the Steering Committee
with advice from the Advisory Board.  Areas of interest include all
major areas of newborn pathophysiology: cerebral function, pulmonary
physiology, gastrointestinal function and nutrition, immunology, etc.
Also of interest are the evaluation of drugs in the newborn, the
rapid transfer of new technologies to neonatal medicine, strategies
to reduce the cost and preserve the quality of neonatal care, and
long-term outcome.

B.  Objectives and Scope

There are a number of controversial issues in neonatology that might
be clarified by multicenter collaborative research.  Funded principal
investigators will cooperate with the NICHD program officer in
identifying research topics of high priority and in designing
protocols appropriate to the evaluation of superior, or even optimal
management in these areas.  The participating Neonatal Research
Network members will be designated as "Clinical Centers" which will
recruit, assess and treat subjects under the supervision of the
respective Clinical Center principal investigator.  The data center
will have primary responsibility for data management and analysis for
Network research in collaboration with the Steering Committee.

C.  Guidance and Management Structures

The management of the Neonatal Research Network includes three
committees whose functions are as follows:

1.  A Steering Committee will be responsible for protocol
development, assisted by the Advisory Board and the Data Safety and
Monitoring Committee.  The Steering Committee will have primary
responsibility for the conduct of protocols and the preparation of
publications.  The Steering Committee will be composed of all
principal investigators, one representative from the data center, and
two NICHD staff.  NICHD staff will comprise the Director of the
Center for Research for Mothers and Children (CRMC) and a
neonatologist from the Pregnancy and Perinatology Branch (Neonatal
Research Network program officer).  The Neonatal Research Network
program officer will be the only voting NICHD staff member of the
Steering Committee.  An outside chairperson, who is not participating
as a principal investigator, will be selected by the NICHD.

2.  An Advisory Board will advise the Steering Committee in the
identification and prioritization of topics for Network research.
The Advisory Board, chosen by the NICHD with the advice of the
Steering Committee, will be composed of individuals with expertise in
clinical trials, biostatistics, epidemiology, perinatology, and
neonatology; the Chairperson of the Steering Committee; and the
Director of the CRMC and the Neonatal Research Network program
officer.  Additional members will participate based on the need for
specific expertise.

3.  A Data Safety and Monitoring Committee will monitor the safety of
ongoing clinical trials and advise on their conduct.  It will be
established by NICHD and will represent expertise in clinical trial
design and conduct, perinatology, neonatology, basic science, and
ethics.

In addition, the Network has established Policies and Procedures that
govern its operations, including publications.  These documents are
under periodic review, and may be amended and supplemented at the
discretion of the Steering Committee.

SPECIAL REQUIREMENTS

The NICHD invites applications both from current members of the
Neonatal Research Network (competing renewal applications) and from
prospective members (new applications).  Minimum requirements for
applicants are as follows (see also Review Criteria and Procedures,
below):

A.  Requirements for Applicants

1.  Academic Productivity

Provide evidence of recent research productivity by the applicant
Clinical Center in previous or present clinical trials, especially of
a cooperative, multicenter nature.  Specifically, contributions in
key areas such as protocol design, patient recruitment, data analysis
and interpretation, and publication are important.

Applicants who are current Neonatal Research Network members should
describe their participation in Network research during the current
competitive segment in detail, i.e., studies in which they
participated, subcommittee memberships and chairman, percentage of
patients eligible for each study, and percentage of eligible patients
who were recruited for each study.

New applicants should describe their recent participation in at least
one randomized clinical trial and one observational study, preferably
of a multicenter nature, providing similar information to that
requested from current Network members.

2.  Neonatology Staffing

Participants must be based in a level III neonatal intensive care
unit that admits both inborn and outborn patients.  Physician
staffing of the Clinical Center should include at least four
full-time board-certified neonatologists. Provide complete
descriptions of their training and qualifications in both clinical
care and research, and their previous and current involvement in
clinical research.  Specifically, the academic status and academic
career development pathways should be described.  The approximate
percentage time protected for research by the academic department
should be specified.

3.  Available Population

Applicant Clinical Centers must have at least 500 admissions per year
currently in the unit.  No more than 30 percent of admissions should
be outborn.  Large perinatal centers will be given preference over
combined services composed of a small inborn unit and a
transfer/tertiary care service.

Applicants that have numbers of births near the minimum or have
experienced a recent decline in annual admissions, should describe
this decline and document efforts to maintain access to an adequate
number of neonatal patients for research purposes.

The patient population served by the Clinical Center should be
characterized by demographics, obstetric parameters, and payment
status.  Indications should be given of the proportions of various
subgroups, including minorities, that have been eligible, and have
actually been randomized, in previous or current clinical trials (see
also section on Inclusion of Women and Minorities).

4.  Maternal Fetal Medicine Unit

The Clinical Center should be located in an institution with a
perinatal program that delivers high-risk pregnancies and has one or
more perinatologists active in clinical research on staff.  A history
of cooperation between neonatology and obstetrics towards excellence
in clinical care, maintenance of a data base, and research
productivity should be documented.  An obstetrician at the
institution who has interest and experience in clinical research and
is willing to participate in the Neonatal Research Network should be
designated.  Such individual(s) must commit to serve as a consultant
and possible collaborator in Network research.  The academic status
and career development pathways of such individual(s) must be
described.

The organization and service load of the Maternal Fetal Medicine
Units at the institution, including its research activities, must be
included.

5.  Facilities and Clinical Capabilities

The applicant Clinical Center should have a full range of pediatric
subspecialists, state-of-the-art facilities and clinical
capabilities, and excellent support staff.  The applicant Clinical
Center should include a detailed description of facilities,
equipment, and clinical capabilities; pediatric subspecialists and
support staff; specialty clinics; laboratory facilities; and imaging
capabilities.  The availability of an institutional pharmacy and
respiratory therapy program capable of supporting clinical research
should also be documented.

An established neonatal follow-up program with experience in
following patients and a designated facility must be in place.  The
professional staff should include a developmental pediatrician or
neonatologist with similar expertise.  Specialists available to
consult should include pediatric neurology, ophthalmology,
orthopedics, surgery; physical and/or occupational therapy; and
social services.  A system of ongoing follow-up data collection must
be documented, as well as established policies and procedures for
conducting clinical research in these facilities.

All applicants, both new and competing renewals, are also invited to
describe briefly any special research strengths that may be relevant
to Network research.  Such strengths would represent state-of-the-art
scientific capabilities that might be shared or made available to the
Network, to expand the scientific productivity of the research.  For
example, an ongoing specialized registry or capabilities in areas
such as PET scanning, prenatal diagnosis, molecular biology, and
clinical pharmacology constitute some of the relevant strengths that
could be included.

Special administrative strengths may also be described.  For example,
both competing and new applications may present the availability of
potentially collaborating neonatal units in medical centers with
which affiliations have been developed by the applicant institution
for clinical research.  The same requirements (above) must be met by
such affiliated institutions.

Applicants from institutions that have a General Clinical Research
Center (GCRC) funded by the NIH National Center for Research
Resources may wish to identify the GCRC as a resource for conducting
the proposed research.  If so, a letter of agreement from either the
GCRC program director or principal investigator should be included
with the application.

A description of whether, and how, policies and procedures may have
been modified to support neonatal clinical research in the past must
be provided.

6.  Perinatal Data System

The Clinical Center must have an established neonatal/perinatal data
system, preferably computerized, to collect and tabulate statistics.
Applicants must provide a detailed description of the variables
collected and the data quality and management activities.  The
applicant should also illustrate how the system has been used
recently to plan and perform clinical research.  All successful
applicants must be willing to provide complete, accurate, and timely
data to the Neonatal Research Network generic data base.

7.  Research Nurse Staffing

A research nurse must be designated for the full-time nurse
coordinator position.  Also, additional research nursing staff should
be available.  Provide descriptions of these individuals' training,
experience, and involvement in clinical research.

8.  Proposed Protocol Concept (new applicants only)

To provide peer reviewers and NICHD an idea of the capabilities of
investigators, only new applicants must submit a "concept" proposal,
briefly (2-3 pages) summarizing a protocol that the applicant might
submit to the Network for possible implementation at all Network
centers.  The proposed "concept" will serve as an indicator of the
applicant's ability to participate in the development and design of
cooperative protocols in the Network.  The "concept" may not actually
be performed by the Network, although it is anticipated that funded
Neonatal Research Network centers will be invited to submit the
"concepts" included in their applications to the Network Steering
Committee.

For purposes of this RFA only, the protocol "concept" should address
ONE of the following topics:

a.  Strategies to improve the neurologic outcome of VLBW infants
(including diagnosis and treatment of acute perinatal asphyxia).

b.  Treatments to reduce the risk of chronic lung disease.

c.  Strategies to reduce the cost while preserving the quality of
neonatal care.

The "concept" should also demonstrate use of the applicant's
perinatal data system to estimate numbers of available patients
eligible for the protocol at their institution.  The "concept" should
also address relevant ethical issues and the appropriate inclusion of
minorities as subjects.

9.  Intent to Participate

There must be a clearly expressed intent to participate in a
cooperative manner with other Neonatal Research Network Clinical
Centers, the NICHD, and the data center, in all aspects of Network
research, as outlined in this RFA.

10.  Departmental and Institutional Commitments

The departmental and institutional commitments to collaborative
neonatal/perinatal research should be clearly documented by letters
to the Principal Investigator, and by citing evidence of past
support.

11.  Acceptance of Budgetary Mechanism

Assurance of cooperation with the policy of capitation of research
costs for each individual protocol, in addition to a base budget,
should be provided from the department and from the institutional
office of sponsored research programs.

B.  Budget Preparation

The instructions for budget requests provided with the research grant
application form (PHS 398) should be followed.  Indirect costs will
be awarded in the same manner as for research project grants (RO1).
Budgets will be reviewed on the basis of appropriateness for the work
proposed.  Allowable costs and policies governing the research grants
programs of the NIH will prevail.  In planning the budget section of
the application each applicant should submit budget estimates for all
years.

The first-year budget at the time of application will be limited to a
BASE BUDGET with maximum allowances as follows:

Principal Investigator 10% effort
Research Nurse Coordinator 100% effort
Data Entry Clerk 50% effort
Supplies and Small Equipment (itemized and justified) NTE $4,500
Travel (a total of 10 trips to Bethesda per Network team) as
appropriate
Other costs (itemized and individually justified) NTE $2,500

When an application has been favorably recommended and is being
considered for funding, the applicant will be required to complete
protocol budgets for those studies underway within the network.
These budgets will consist of specific protocol-related costs and
will be capitated on the anticipated number of subjects to be
enrolled in the study at the applicant Clinical Center.

Ongoing annual budgets of Neonatal Research Network members will be
based on individual protocols, which will be funded through a
capitation system.  Each Clinical Center will be given base costs
(listed above), in addition to a flat fee per patient successfully
enrolled and completed.  The principal investigator will be required
to project patient enrollment for a specific protocol during a
specified time frame; continuation and level of funding will be based
on actual recruitment.

Future years' budgets should be limited to base budget costs, with an
annual increment not to exceed four percent.

Terms of Agreement

The funding mechanism to be used to assist the scientific community
in undertaking this system of clinical investigation will be a
Cooperative Agreement between the participating units and NICHD.  The
major difference between a Cooperative Agreement and a research grant
is that there will be substantial programmatic involvement of NICHD
staff above and beyond the levels required for traditional program
management of grants.  Specifically, the role of the NICHD Neonatal
Research Network program officer will be to aid the awardees and the
Steering Committee in the following ways.

o  Assistance in the identification of important areas of study.

o  Assistance in the development of study protocols.

o  Assistance in the development and review of capitation-based
budgets, including the identification of study costs and special
institutional needs.

o  Assistance in the review and evaluation of each stage of the
program before subsequent stages are started, in conjunction with the
Steering Committee, and the Advisory Board.

o  Assistance in reporting results in the community of investigators
and health care recipients.

Programmatic responsibility for review and oversight of these
Cooperative Agreements will reside with the Neonatal Research Network
program officer.  This role will include the following:

o  Assurance of the scientific merit of the trials, including the
option to withhold support of a participating center if technical
performance requirements such as protocol compliance, enrollment
targets, or randomization of subjects are not met.

o  Assistance in the efficient conduct of the trials, including
ongoing review of progress; possible redirection of activities to
improve performance and cooperation; and frequent communication with
other members of the Steering Committee.

o  Initiation of a decision to modify or terminate a study based on
the advice of the data center, Data Safety and Monitoring Committee,
and Advisory Committee with the mutual consent of the Steering
Committee.

The responsibilities and authorities of the awardees will be as
follows:

o  Identification of priority issues for research.

o  Development and implementation of common protocols.

o  Collection and transmission of accurate data in a timely manner.

o  Analysis of data and publication of results of the Neonatal
Research Network studies.

All parties will agree to accept the coordinating role of the group
and the participatory and cooperative nature of the group process.

The specific terms, conditions, and details of arbitration procedures
pertaining to the scope and nature of the interaction between NICHD
and the participating Neonatal Research Network units will be
incorporated into the Notice of Grant Award.  These procedures will
be in addition to the customary programmatic and financial
negotiations that occur in the administration of grants; they will be
invoked only when agreement cannot be reached on issues that may
arise after the award between the awardee and the Neonatal Research
Network program officer.  In that event, an arbitration panel will be
formed consisting of one person selected by the principal
investigators, one person selected by the Chief of the Pregnancy and
Perinatology Branch, and a third person selected by these two
members.  The decision of the arbitration panel will be binding.

Terms of Award of Cooperative Agreement are in addition to, and not
in lieu of, otherwise applicable OMB administrative guidelines, DHHS
grant administration regulations at 45 CFR Part 74 and other DHHS,
PHS, and NIH grant administration policies.  The NICHD review
procedure in no way affects the right of a recipient of a cooperative
agreement to appeal an adverse determination under the terms of PHS
regulations at 42 CFR Part 50, Subpart D, and DHHS regulations at 45
CFR Part 16.  Business management aspects of these awards will be
administered by the NICHD Office of Grants and Contracts in
accordance with DHHS, PHS, and NIH grant administration requirements.

INCLUSION OF WOMEN AND MINORITIES IN RESEARCH INVOLVING HUMAN
SUBJECTS

It is the policy of the NIH that women and members of minority groups
and their subpopulations must be included in all NIH supported
biomedical and behavioral research projects involving human subjects,
unless a clear and compelling rationale and justification are
provided that inclusion is inappropriate with respect to the health
of the subjects or the purpose of the research.  This new policy
results from the NIH Revitalization Act of 1993 (Section 492B of
Public Law 103-43) and supersedes and strengthens the previous
policies (Concerning the Inclusion of Women in Study Populations, and
Concerning the Inclusion of Minorities in Study Populations), which
have been in effect since 1990.  The new policy contains some
provisions that are substantially different from the 1990 policies.

All investigators proposing research involving human subjects should
read the "NIH Guidelines For Inclusion of Women and Minorities as
Subjects in Clinical Research," which have been published in the
Federal Register of March 28, 1994 (FR 59-14508-14513) and reprinted
in the NIH Guide for Grants and Contracts, Volume 23, Number 11,
March 18, 1994.

Investigators also may obtain copies of the policy from the program
staff listed under INQUIRIES.  Program staff may also provide
additional relevant information concerning the policy.

LETTER OF INTENT

Prospective applicants are asked to submit, by April 1, 1995, a
letter of intent that includes a descriptive title of the proposed
research, the name, address, and telephone number of the Principal
Investigator, the identities of other key personnel and participating
institutions, and the number and title of the RFA in response to
which the application may be submitted.  Although a letter of intent
is not required, is not binding, and does not enter into the review
of a subsequent application, the information that it contains allows
the NICHD staff to estimate the potential review workload and avoid
conflict of interest in the review.

The letter of intent is to be sent to Dr. Linda L. Wright at the
address listed under INQUIRIES.

APPLICATION PROCEDURES

The research grant application form PHS 398 (rev. 9/91) is to be used
in applying for these grants.  These forms are available at most
institutional offices of sponsored research and from the Office of
Grants Information, Division of Research Grants, National Institutes
of Health, 5333 Westbard Avenue, Room 449, Bethesda, MD 20892,
telephone 301-594-7248.

The RFA label available in the PHS 398 (rev. 9/91) application form
must be affixed to the bottom of the face page of the application.
Failure to use this label could result in delayed processing of the
application such that it may not reach the review committee in time
for review.  In addition, the RFA title and number, COOPERATIVE
MULTICENTER NEONATAL RESEARCH NETWORK HD-95-006, must be typed on
line 2a of the face page of the application form and the YES box must
be marked.

Submit a signed, typewritten original of the application, including
the Checklist, and three signed photocopies, in one package to:

Division of Research Grants
National Institute of Health
6701 Rockledge Drive, Room 1040 - MSC 7710
Bethesda, MD  20893-7710
Bethesda, MD  20817 (for express mail or courier service)

At the time of submission, two additional copies of the application
must be sent to:

Susan Streufert, Ph.D.
Division of Scientific Review
National Institute of Child Health and Human Development
Executive Building, Room 5E03F
6100 Executive Boulevard, MSC 7510
Bethesda, MD  20892-7510

Applications must be received by June 15, 1995.  If an application is
received after that date, it will be returned to the applicant
without review.  The Division of Research Grants (DRG) will not
accept any application in response to this RFA that is essentially
the same as one currently pending initial review, unless the
applicant withdraws the pending application.  The DRG will not accept
any application that is essentially the same as one already reviewed.
This does not preclude the submission of substantial revisions of
applications already reviewed, but such applications must include an
introduction addressing the previous critique.

Schedule

Letter of Intent Receipt Date:  April 1, 1995
Application Receipt Date:       June 15, 1995
NICHD Council Review:           January 1996
Earliest Award Date:            April 1, 1996

REVIEW CONSIDERATIONS

Upon receipt, applications will be reviewed for completeness by DRG
and responsiveness by the NICHD.  Incomplete and/or non-responsive
applications will be returned to the applicant without further
consideration.  Applications that are complete and responsive to the
RFA will be evaluated for scientific and technical merit by an
appropriate peer review group convened by the Division of Scientific
Review, NICHD in accordance with the review criteria stated below.

As part of the initial merit review, a process (triage) may be used
by the initial review group in which applications will be determined
to be competitive or noncompetitive based on their scientific merit
relative to other applications received in response to the RFA.
Applications judged to be competitive will be discussed and be
assigned a priority score.  Applications determined to be
non-competitive will be withdrawn from further consideration and the
Principal Investigator and the official signing for the applicant
organization will be notified.

Criteria for Review of Applications:

a.  Qualifications, experience, and commitment of key personnel.

o  Scientific, clinical, and administrative abilities and academic
productivity of the principal investigator and other team members;

o  Knowledge and experience in areas relevant to the conduct of
collaborative clinical research, especially randomized clinical
trials, in neonatal medicine.  This should include specific
experience in research design;

o  Commitment of staff time for the satisfactory conduct of the
study;

o  Experience and qualifications of team members who would be
responsible for data quality and management activities;

b.  Protocols and Procedures

o  Quality of the Clinical Center's participation in either (1)
(current Network members) Network protocols during the current grant
period or (2) (new applicants) a randomized, clinical trial in the
recent past;

o  Willingness to work and cooperate with other Neonatal Research
Network units and the NICHD in the manner summarized in this RFA;

o  Quality of the proposed "concept" protocol designed to be
undertaken by the Network (new applicants only);

o  Optional research strengths, as presented.

c.  Facilities and Management

o  Adequacy of administrative, clinical, and data organizational
management facilities as described in the minimum requirements;

o  Institutional assurance to provide support to the study in such
areas as fiscal administration, personnel management, space
allocation, procurement, planning and budgeting;

o  Optional administrative strengths, such as affiliations with other
research units.

d.  Budget - Appropriateness of the Proposed Budget

The initial review group will also examine the provisions for the
protection of human and animal subjects and the safety of the
research environment.

o  Adequacy of plans to include both genders and minorities and their
subgroups as appropriate for the scientific goals of the research.
Plans for the recruitment and retention of subjects will also be
evaluated.

AWARD CRITERIA

Applications recommended by the National Advisory Child Health and
Human Development Council will be considered for award based
primarily on scientific and technical merit.  Program balance, that
is, the scope and variety of research strengths to enable a
successful collaborative program, will be considered.  Final
selection of Clinical Centers for funding may be partly based in the
need for diversity in the study population.  Availability of funds
may also determine the awards made.

INQUIRIES

Inquiries concerning this RFA are encouraged.  The opportunity to
clarify any issues or questions from potential applicants is welcome.

Direct inquiries regarding programmatic issues to:

Linda L. Wright, M.D.
Center for Research for Mothers and Children
National Institute of Child Health and Human Development
Executive Building, Room 4B03F
6100 Executive Boulevard, MSC 7510
Bethesda, MD  20892-7510
Telephone:  (301) 496-5575
FAX:  (301) 496-3790
Email:  WrightL@HD01.NICHD.NIH.GOV

Direct inquiries regarding fiscal matters to:

Ms. Mary Ellen Colvin
Office of Grants and Contracts
National Institute of Child Health and Human Development
Executive Building, Room 8A17G
6100 Executive Boulevard MSC 7510
Bethesda, MD  20892-7510
Telephone:  (301) 496-1303
FAX:  (301) 402-0915
Email:  COLVINM@HD01.NICHD.NIH.GOV

AUTHORITY AND REGULATIONS

This program is described in the Catalog of Federal Domestic
Assistance No. 93.3, 93.865.  Awards are made under authorization of
the Public Health Service Act, Title IV, Part A (Public Law 78-410,
as amended by Public Law 99-158, 42 USC 241 and 285) and administered
under PHS grants policies and Federal Regulations 42 CFR 52 and 45
CFR Part 74.  This program is not subject to the intergovernmental
review requirements of Executive Order 12372 or Health Systems Agency
review.

The PHS strongly encourages all grant and contract recipients to
provide a smoke-free workplace and promote the non-use of all tobacco
products.  In addition, Public Law 103-227, the Pro-Children Act of
1994, prohibits smoking in certain facilities (or in some cases, any
portion of a facility) in which regular or routing education,
library, day care, health care or early childhood development
services are provided to children.  This is consistent with the phs
mission to protect and advance the physical and mental health of the
american people.

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$$XID RFA HD95007 HD-95-007 P1O1 ***************************************

COOPERATIVE MULTICENTER MATERNAL-FETAL MEDICINE UNITS NETWORK

NIH GUIDE, Volume 24, Number 10, March 17, 1995

RFA:  HD-95-007

P.T. 34; K.W. 0785135, 0775020, 0775025

National Institute of Child Health and Human Development

Letter of Intent Receipt Date:  April 1, 1995
Application Receipt Date:  June 16, 1995

PURPOSE

The National Institute of Child Health and Human Development (NICHD)
invites applications from investigators willing to participate with
the NICHD under a Cooperative Agreement (U10) in an ongoing
multicenter clinical program designed to investigate problems in
clinical obstetrics, particularly those related to prevention of low
birth weight.  The objective of this program is to facilitate
resolution of these problems by establishing a network of academic
centers that, by rigorous patient evaluation using common protocols,
can study the required numbers of patients and can provide answers
more rapidly than individual centers acting alone.

The NICHD program staff will assist the principal investigators of
the MFMUs and the Advisory Board in identifying research topics of
high priority, and in designing and implementing protocols
appropriate to the evaluation of optimum management in these areas.

It is anticipated that approximately 12 or 13 clinical centers will
be involved in the program.

HEALTHY PEOPLE 2000

The Public Health Service (PHS) is committed to achieving the health
promotion and disease prevention objectives of "Healthy People 2000,"
a PHS-led national activity for setting priority areas.  This Request
for Applications (RFA), Cooperative Multicenter Maternal-Fetal
Medicine Units Network, is related to the priority area of low birth
weight. Potential applicants may obtain a copy of "Healthy People
2000" (Full Report:  Stock No. 017-001-00474-0 or Summary Report:
Stock No. 017-001-00473-1) through the Superintendent of Documents,
Government Printing Office, Washington, DC 20402-9325 (telephone
202-783-3238).

ELIGIBILITY REQUIREMENTS

Applications may be submitted by domestic non-profit organizations,
public and private.  Organizations should have academically-oriented
divisions of maternal-fetal medicine.  The need for continuous and
active communication among sites dictates that only institutions in
the United States are eligible to apply.  Racial/ethnic minority
individuals, women, and persons with disabilities are encouraged to
apply as principal investigators.

MECHANISM OF SUPPORT

The administrative and funding instrument to be used for this program
will be a cooperative agreement (U10), an "assistance" mechanism
(rather than an "acquisition" mechanism), in which substantial NIH
scientific and/or programmatic involvement with the awardee is
anticipated during performance of the activity.  Under the
cooperative agreement, the NIH purpose is to support and stimulate
the recipients' activity by involvement in the activity and otherwise
working jointly with the award recipients in a partner role, but it
is not to assume direction, prime responsibility, or a dominant role
in the activity.  Details of the responsibilities, relationships and
governance of the study to be funded under cooperative agreements are
discussed later in this document under the section "Terms of
Agreement."

The total project period for applications submitted in response to
the present RFA may not exceed five years.  The anticipated award
date is April 1, 1996.  Because the nature and scope of the research
proposed in response to this RFA may vary, it is anticipated that the
sizes of awards will vary also.

Awards and level of support depend on receipt of a sufficient number
of applications of high scientific merit.  Although this program is
provided for in the financial plans of the NICHD, awards pursuant to
this RFA are contingent upon the availability of funds for this
purpose.

At this time, the NICHD has not determined whether or how this
solicitation will be continued beyond the present RFA.

FUNDS AVAILABLE

It is anticipated that 12 or 13 awards for Clinical Sites will be
made, with an estimated total cost of $3,500,000 (including direct
and indirect costs) for the entire program in the first year.  Up to
nine competing continuation awards and at least three new awards are
expected.

RESEARCH OBJECTIVES

A.  Background

Modern obstetrical management, especially the management of high-risk
pregnancies, has in some instances adopted principles of care, and at
times employed pharmaceuticals and methodologies without rigorous use
of the controlled observation necessary for their objective
evaluation.  Often the development of this medical specialty (and
others as well) has been marked by the enthusiastic adoption of
concepts and procedures followed by their modification or
replacement, sometimes decades later, after extensive experience has
failed to support their usefulness or shown unexpected consequences.
Costs involved in instrument purchase and employment have often been
large, and uncertainties embedded in such obstetrical practices have
contributed at least partly to the rising incidence of cesarean
delivery.  Regional differences in practice have complicated the
field.

In an attempt to respond to the need for well-designed clinical
trials in maternal-fetal medicine, NICHD established a Network of
Maternal-Fetal Medicine Units in 1986.  Seven university units were
selected among respondents to an RFA.  The Network Steering
Committee, which consists of representatives from each clinical
center, NICHD staff, and data coordinating center staff, evaluated
several controversial issues for study.  It then selected certain
priority areas on which to develop protocols for randomized clinical
trials.  Trials were done on question of postterm pregnancy,
management of preterm labor, and prevention of preeclampsia.  A Data
Monitoring and Safety Committee also advises NICHD on research design
issues, data quality and analysis, and ethical and human subject
protection aspects of protocols.

During the second grant period of the MFMU Network (1991-1996),
clinical trials were initiated on preterm premature rupture of
membranes, prevention of preeclampsia in high-risk patients,
predictors of preterm birth, obstetric predictors of neonatal
survival, varicella in pregnancy, asthma in pregnancy, and bacterial
vaginosis in pregnancy.

The NICHD expects that ongoing clinical trials dealing with preterm
labor, asthma and bacterial vaginosis will probably continue into the
continuation grant period for existing centers.  Centers that might
join the Network in the next award period (beginning April 1, 1996)
may participate in the protocols ongoing at that time.

The NICHD intends to enable the Network to initiate new protocols
within the first year of the next award period.  The topics of these
protocols will be decided cooperatively by the Steering Committee
with advice from the Advisory Board.  Areas of interest include:
gestational diabetes mellitus, and techniques to reduce the risk of
preterm labor and birth.

B.  Objectives and Scope

There are a number of controversial issues in maternal-fetal medicine
that might be clarified by multicenter collaborative research.
Funded principal investigators will cooperate with the NICHD program
officer in identifying research topics of high priority and in
designing protocols appropriate to the evaluation of superior, or
even optimal management in these areas.  The participating
maternal-fetal medicine units (MFMUs) will be designated as "clinical
centers", and will recruit, assess and treat the subjects in the
clinical research of the Network, with each MFMU being supervised by
its respective principal investigator.  The data center will have
primary responsibility for data management and analysis for Network
research in collaboration with the Steering Committee.

C.  Guidance and Management Structures

The management of the MFMU Network includes three committees whose
functions are as follows:

1.  A Steering Committee will be responsible for protocol
development, assisted by the Advisory Board and the Data Safety and
Monitoring Committee.  The Steering Committee will have primary
responsibility for the conduct of protocols and the preparation of
publications.  The Steering Committee will be composed of all
principal investigators, one representative from the data center, and
three NICHD staff.  NICHD staff will comprise the Director of the
Center for Research for Mothers and Children (CRMC), an obstetrician
>From the Pregnancy and Perinatology Branch (MFMU program officer),
and a representative from the Epidemiology and Biometry Research
Program.  The MFMU program officer will be the only voting NICHD
staff member of the Steering Committee.  An outside chairperson, who
is not participating as a principal investigator, will be selected by
the NICHD.

2.  An Advisory Board will advise the Steering Committee in the
identification and prioritization of topics for network research.
The Advisory Board, chosen by the NICHD with the advice of the
Steering Committee, will be composed of individuals with expertise in
clinical trials, biostatistics, epidemiology, perinatology, and
neonatology; the Chairperson of the Steering Committee; the Director
of the CRMC; and the MFMU program officer.  Additional members will
participate based on the need for specific expertise.

3.  A Data Safety and Monitoring Committee will monitor the safety of
ongoing clinical trials and advise on their conduct.  It will be
established by NICHD and will represent expertise in ethics, clinical
trial design, perinatology, neonatology, and basic science.

In addition, the Network has established Policies and Procedures that
govern its operations, including publications.  These documents are
under periodic review, and may be amended and supplemented at the
discretion of the Steering Committee.

SPECIAL REQUIREMENTS

The NICHD invites applications both from current members of the MFMU
Network (competing renewal applications) and from prospective members
(new applications).  Minimum requirements for applicants are as
follows (see also Review Criteria and Procedures, below):

A.  Requirements for Applicants

1.  Academic Productivity

Provide evidence of recent research productivity by the applicant
Clinical Center in previous or present clinical trials, especially of
a cooperative, multicenter nature.  Specifically, contributions in
key areas such as protocol design, patient recruitment, data analysis
and interpretation, and publication are important.

Applicants who are current MFMU Network members should describe their
participation in Network research during the current competitive
segment.

New applicants should describe their recent participation in one
randomized clinical trial, preferably of a multicenter nature.

2.  Maternal-Fetal Staffing

Physician staffing of the MFMU should include at least three
maternal-fetal medicine subspecialists, each of whom would be
available to take primary responsibility for one or more of the
Network protocols at the unit.  Provide complete descriptions of
their training and qualifications in both clinical care and research,
and their previous and current involvement in clinical research.
Specifically, the academic status and academic career development
pathways should be described.  The approximate percentage time
protected for research by the academic department should be
specified.

3.  Research Nurse Staffing

A research nurse must be designated for the full-time nurse
coordinator position.  Also, additional research nursing staff should
be available.  Provide descriptions of these individuals' training,
experience, and involvement in clinical research.

4.  Available Population

Applicant units must have at least 2,700 births per year currently in
the unit, with a minimum of 30 percent documented to be high risk
pregnancies.

Applicants that have numbers of births near the minimum or which have
experienced a decline in annual births in recent years, should
document efforts to maintain access to an adequate number of
obstetric patients for research purposes.

A large majority of patients with obstetric complications who deliver
in the MFMU must also receive prenatal care at the institution.

The patient population served by the MFMU must  be characterized by
demographics, obstetric parameters, and payment status.  Indications
be given of the proportions of various subgroups, including
minorities, that have been eligible, and have actually been
randomized, in previous or current clinical trials (see also section
on Inclusion of Women and Minorities).

5.  Strengths of the MFMU

A detailed description of the clinical attributes of the MFMU must be
provided.  This should include antenatal fetal testing, intrapartum
diagnosis, laboratory testing, and perinatal pathology.

Other institutional components related to the MFMU must also be
described.  In particular, the ambulatory facilities for prenatal and
postpartum care must be presented, including the established policies
and procedures for conducting clinical research in these facilities,
in both low risk and complicated pregnancies.  Also, the availability
of an institutional pharmacy capable of supporting clinical research
must be documented.

Describe whether, and how, MFMU policies and procedures may have been
modified, if necessary, to support clinical research in the past.

6.  Perinatal Data System

The MFMU unit must have an established perinatal data system,
preferably computerized, to collect and tabulate perinatal
statistics.  Applicants must provide a detailed description of the
variables collected, and the data quality and management activities.
The applicant must also illustrate how the system has been used
recently to plan and perform clinical research.

7.  Neonatal Intensive Care Unit

One or more neonatologists active in clinical research at the
institution must be designated.  Such individual(s) must commit to
serve as a consultant and possible collaborator in Network research.
The academic status and career development pathways of these
individuals must be described.

Describe the organization and service load of the NICU at the
institution, including the existing newborn follow-up program and its
research activities.

8.  Proposed Protocol Concept (new applicants only)

To provide peer reviewers and NICHD an idea of the capabilities of
investigators, only new applicants must submit a "concept", briefly
(2-3 pages) summarizing a protocol that the applicant might submit to
the Network for possible implementation at all Network centers.  The
proposed "concept" will serve as an indicator of the applicant's
ability to participate in the development and design of cooperative
protocols in the Network.  The "concept" or another design on the
same topic, may or may not actually be performed by the Network.  It
is anticipated that funded MFMU centers will be invited to submit the
"concepts" included in their applications to the Network Steering
Committee.

For purposes of this RFA only, the protocol "concept" must address
ONE of the following topics:

a.  Tocolytics to prevent preterm birth after initial successful
suppression of preterm labor.

b.  Morbidity associated with gestational diabetes mellitus.

c.  Antenatal steroids for preterm premature rupture of membranes
(PROM).

The "concept" should also demonstrate use of the applicant's
perinatal data system to estimate numbers of available patients
eligible for the protocol at the institution.  The "concept" should
also address relevant ethical issues and the appropriate inclusion of
minorities as subjects.

9.  Intent to Participate

There must be a clearly expressed intent to participate in a
cooperative manner with other MFMU units, the NICHD, and the data
center, in all aspects of Network research, as outlined in this RFA.

10.  Departmental and Institutional Commitments

The departmental and institutional commitments to collaborative
maternal-fetal research should be clearly documented by letters to
the Principal Investigator, and by citing evidence of past support.

11.  Acceptance of Budgetary Mechanism

Assurance of cooperation with the policy of capitation of research
costs for each individual protocol, in addition to a base budget,
should be provided from the department and from the institutional
office of sponsored research programs.

B.  Optional:  Special Strengths Available to The MFMU Unit

All applicants, both competing renewals and new, are also invited to
describe briefly any special research strengths of the MFMU that may
be relevant to Network research.  Such strengths would represent
state-of-the-art scientific capabilities that might be shared or made
available to the Network, to expand the scientific productivity of
the research, over what it might be otherwise.  For example,
capabilities in areas such as genetics, placental function, or
clinical pharmacology, are examples of relevant strengths that could
be included.

Special administrative strengths may also be described.  For example,
both competing and new applications may also present the availability
of potentially collaborating maternal-fetal medicine units in medical
centers with which affiliations have been developed by the applicant
institution for the purpose of clinical research.  The same
requirements (above) must be met by such affiliated institutions.
Another example of an administrative strength would be linkage with
ongoing, specialized registries.

Applicants from institutions that have a General Clinical Research
Center (GCRC) funded by the NIH National Center for Research
Resources may wish to identify the GCRC as a resource for conducting
the proposed research.  If so, a letter of agreement from either the
GCRC program director or principal investigator could be included
with the application.

C.  Budget Preparation

The instructions for budget requests provided with the research grant
application form (PHS 398) should be followed.  Indirect costs will
be awarded in the same manner as for research project grants (RO1).
Budgets will be reviewed on the basis of appropriateness for the work
proposed.  Allowable costs and policies governing the research grants
programs of the NIH will prevail.  In planning the budget section of
the application each applicant should submit budget estimates for all
years.

The first-year budget at the time of application will be limited to a
BASE BUDGET with maximum allowances as follows:

Principal Investigator 10% effort
Research Nurse Coordinator 100% effort
Data Entry Clerk 50% effort
Supplies and Small Equipment (itemized and justified) NTE $4,500
Travel (a total of 10 trips to Bethesda per Network team) as
appropriate
Other costs (itemized and individually justified) NTE $2,500

When an application has been favorably recommended and is being
considered for funding, the applicant will be required to complete
protocol budgets for those studies underway within the network.
These budgets will consist of specific protocol-related allowances
and will be capitated on the anticipated number of subjects to be
enrolled in the study at the applicant MFMU.

Ongoing annual budgets of MFMU Network members will be based on
individual protocols that will be funded through a capitation system.
Each MFMU Network member will be given base costs (listed above), in
addition to a flat fee per patient successfully enrolled and
completed.  The individual members will be required to project
patient enrollment for a specific protocol during a specified time
frame; continuation and level of funding will be based on actual
recruitment.

Future years' budgets should be limited to base budget costs, with an
annual increment not to exceed four percent.

Terms of Agreement

The funding mechanism to be used to assist the scientific community
in undertaking this system of clinical investigation will be a
Cooperative Agreement between the participating units and NICHD.  The
major difference between a Cooperative Agreement and a research grant
is that there will be substantial programmatic involvement of NICHD
staff above and beyond the levels required for traditional program
management of grants.  Specifically, the role of the NICHD
Maternal-Fetal Research network program officer will be to aid the
awardees and the Steering Committee in the following ways:

o  Assistance in the identification of important areas of study.

o  Assistance in the development of study protocols.

o  Assistance in the development and review of capitation-based
budgets, including the identification of study costs and special
institutional needs.

o  Assistance in the review and evaluation of each stage of the
program before subsequent stages are started, in conjunction with the
Steering Committee, and the Advisory Board.

o  Assistance in reporting results in the community of investigators
and health care recipients.

Programmatic responsibility for scientific review and oversight of
these Cooperative Agreements will reside with the MFMU Network
program official. This role will include the following:

o  Assurance of the scientific merit of the trials.  The NICHD
reserves the right to terminate support of a participating center if
technical performance requirements such as protocol compliance,
enrollment targets, or randomization of subjects are not met; if a
study reaches a major endpoint substantially before schedule; or, if
an ethical issue dictates premature termination.

o  Assistance in the efficient conduct of the trials, including
ongoing review of progress; possible redirection of activities to
improve performance and cooperation; and frequent communication with
other members of the Steering Committee.

o  Initiation of a decision to modify or terminate a study based on
the advice of the data center, Data Safety and Monitoring Committee,
and Advisory Committee with the mutual consent of the Steering
Committee.

The responsibilities and authorities of the awardees will be as
follows:

o  Identification of priority issues for research.

o  Development and implementation of protocols.

o  Collection and transmission of accurate data in a timely manner.

o  Analysis of data and publication of results of the MFMU trials.

All parties will agree to accept the coordinating role of the group
and the participatory and cooperative nature of the group process.

The specific terms, conditions, and details of arbitration procedures
pertaining to the scope and nature of the interaction between NICHD
and the participating MFMUs will be incorporated into the Notice of
Grant Award.  These procedures will be in addition to the customary
programmatic and financial negotiations that occur in the
administration of grants; they will be invoked only when agreement
cannot be reached between the awardee and the MFMU program officer on
issues that may arise after the award.  In that event, an arbitration
panel will be formed consisting of one person selected by the
principal investigators, one person selected by the Chief of the
Pregnancy and Perinatology Branch, and a third person selected by
these two members.  The decision of the arbitration panel will be
binding.

Terms of Award of Cooperative Agreement are in addition to, and not
in lieu of, otherwise applicable OMB administrative guidelines, DHHS
grant administration regulations at 45 CFR Part 74 and other DHHS,
PHS, and NIH grant administration policies.  The NICHD review
procedure in no way affects the right of a recipient of a cooperative
agreement to appeal an adverse determination under the terms of PHS
regulations at 42 CFR Part 50, Subpart D, and DHHS regulations at 45
CFR Part 16.  Business management aspects of these awards will be
administered by the NICHD Office of Grants and Contracts in
accordance with DHHS, PHS, and NIH grant administration requirements.

INCLUSION OF WOMEN AND MINORITIES IN RESEARCH INVOLVING HUMAN
SUBJECTS

It is the policy of the NIH that women and members of minority groups
and their subpopulations must be included in all NIH supported
biomedical and behavioral research projects involving human subjects,
unless a clear and compelling rationale and justification are
provided that inclusion is inappropriate with respect to the health
of the subjects or the purpose of the research.  This new policy
results from the NIH Revitalization Act of 1993 (Section 492B of
Public Law 103-43) and supersedes and strengthens the previous
policies (Concerning the Inclusion of Women in Study Populations, and
Concerning the Inclusion of Minorities in Study Populations), which
have been in effect since 1990.  The new policy contains some
provisions that are substantially different from the 1990 policies.

All investigators proposing research involving human subjects should
read the "NIH Guidelines For Inclusion of Women and Minorities as
Subjects in Clinical Research," which have been published in the
Federal Register of March 28, 1994 (FR 59-14508-14513) and reprinted
in the NIH Guide for Grants and Contracts, Volume 23, Number 11,
March 18, 1994.

Investigators also may obtain copies of the policy from the program
staff listed under INQUIRIES.  Program staff may also provide
additional relevant information concerning the policy.

LETTER OF INTENT

Prospective applicants are asked to submit, by April 1, 1995, a
letter of intent that includes a descriptive title of the proposed
research, the name, address, and telephone number of the Principal
Investigator, the identities of other key personnel and participating
institutions, and the number and title of the RFA in response to
which the application may be submitted.  Although a letter of intent
is not required, is not binding, and does not enter into the review
of a subsequent application, the informtation that it contains allows
the NICHD staff to estimate the potential review workload and avoid
conflict of interest in the review.

The letter of intent is to be sent to Dr. Donald McNellis at the
address listed under INQUIRIES.

APPLICATION PROCEDURES

The research grant application form PHS 398 (rev. 9/91) is to be used
in applying for these grants.  These forms are available at most
institutional offices of sponsored research and from the Office of
Grants Information, Division of Research Grants, National Institutes
of Health, 5333 Westbard Avenue, Room 449, Bethesda, MD 20892,
telephone 301-594-7248.

The RFA label available in the PHS 398 (rev. 9/91) application form
must be affixed to the bottom of the face page of the application.
Failure to use this label could result in delayed processing of the
application such that it may not reach the review committee in time
for review.  In addition, the RFA title and number, COOPERATIVE
MULTICENTER NETWORK OF MATERNAL-FETAL MEDICINE UNITS (MFMUs) HD-
95-007, must be typed on line 2a of the face page of the application
form and the YES box must be marked.

Submit a signed, typewritten original of the application, including
the Checklist, and three signed photocopies, in one package to:

Division of Research Grants
National Institute of Health
6701 Rockledge Drive, Room 1040 - MSC 7710
Bethesda, MD  20893-7710
Bethesda, MD  20817 (for express mail)

At the time of submission, two additional copies of the application
must be sent to:

Susan Streufert, Ph.D.
Division of Scientific Review
National Institute of Child Health and Human Development
Executive Building, Room 5E03F
6100 Executive Boulevard, MSC 7510
Bethesda, MD  20892-7510

Applications must be received by June 16, 1995.  If an application is
received after that date, it will be returned to the applicant
without review.  The Division of Research Grants (DRG) will not
accept any application in response to this RFA that is essentially
the same as one currently pending initial review, unless the
applicant withdraws the pending application.  The DRG will not accept
any application that is essentially the same as one already reviewed.
This does not preclude the submission of substantial revisions of
applications already reviewed, but such applications must include an
introduction addressing the previous critique.

Schedule

Letter of Intent Receipt Date:  April 1, 1995
Application Receipt Date:       June 15, 1995
NICHD Council Review:           January 1996
Earliest Award Date:            April 1, 1996

REVIEW CONSIDERATIONS

Upon receipt, applications will be reviewed for completeness by DRG
and responsiveness by the NICHD.  Incomplete and/or non-responsive
applications will be returned to the applicant without further
consideration.  Applications that are complete and responsive to the
RFA will be evaluated for scientific and technical merit by an
appropriate peer review group convened by the Division of Scientific
Review, NICHD in accordance with the review criteria stated below.

As part of the initial merit review, a process (triage) may be used
by the initial review group in which applications will be determined
to be competitive or noncompetitive based on their scientific merit
relative to other applications received in response to the RFA.
Applications judged to be competitive will be discussed and be
assigned a priority score.  Applications determined to be
non-competitive will be withdrawn from further consideration and the
Principal Investigator and the official signing for the applicant
organization will be notified.

Review Criteria

a.  Qualifications, Experience, and Commitment of Key Personnel.

o  Scientific, clinical, and administrative abilities and academic
productivity of the principal investigator and other team members;

o  Knowledge and experience in areas relevant to the conduct of
collaborative clinical research, especially randomized clinical
trials, in maternal-fetal medicine.  This should include specific
experience in research design;

o  Commitment of staff time for the satisfactory conduct of the
study;

o  Experience and qualifications of team members who would be
responsible for data quality and management activities.

b.  Protocols and Procedures

o  Quality of the unit's participation in either (1) (new applicants)
a randomized, clinical trial in the recent past, or (2) (current
Network members) Network protocols during the current grant period;

o  Willingness to work and cooperate with other MFMUs and the NICHD
in the manner summarized in this RFA;

o  Quality of the proposed "concept" protocol designed to be
undertaken by the Network (new applicants only);

o  Optional research strengths, as presented.

c.  Facilities and Management

o  Adequacy of administrative, clinical, and data organizational
management facilities as described in the minimum requirements;

o  Institutional assurance to provide support to the study in such
areas as fiscal administration, personnel management, space
allocation, procurement, planning and budgeting;

o  optional administrative strengths, such as affiliations with other
research units.

d.  Budget - Appropriateness of the Proposed Budget

o  Adequacy of plans to include both genders and minorities and their
subgroups as appropriate for the scientific goals of the research.
Plans for the recruitment and retention of subjects will also be
evaluated.

The initial review group will also examine the provisions for the
protection of human and animal subjects and the safety of the
research environment.

AWARD CRITERIA

Applications recommended by the NACHHD Council will be considered for
award based primarily on scientific and technical merit.  Program
balance, that is, the scope and variety of research strengths to
enable a successful collaborative program, will be considered.  Final
selection of Clinical Centers for funding may be partly based on the
need for diversity in the study population.  Availability of funds
may also determine the awards made.

INQUIRIES

Inquiries concerning this RFA are encouraged.  The opportunity to
clarify any issues or questions from potential applicants is welcome.

Direct inquiries regarding programmatic issues to:

Donald McNellis, M.D.
Center for Research for Mothers and Children
National Institute of Child Health and Human Development
Executive Building, Room 4B03
6100 Executive Boulevard, MSC 7510
Bethesda, MD  20892-7510
Telephone:  (301) 496-5575
FAX:  (301) 496-3790
Email:  mcnellid@hd01.nichd.nih.gov

Direct inquiries regarding fiscal matters to:

Ms. Mary Ellen Colvin
Office of Grants and Contracts
National Institute of Child Health and Human Development
Executive Building, Room 8A17G
6100 Executive Boulevard MSC 7510
Bethesda, MD  20892-7510
Telephone:  (301) 496-1303
FAX:  (3010 402-0915
Email:  colvinm@hd01.nichd.nih.gov

AUTHORITY AND REGULATIONS

This program is described in the Catalog of Federal Domestic
Assistance No. 93.3, 93.865.  Awards are made under authorization of
the Public Health Service Act, Title IV, Part A (Public Law 78-410,
as amended by Public Law 99-158, 42 USC 241 and 285) and administered
under PHS grants policies and Federal Regulations 42 CFR 52 and 45
CFR Part 74.  This program is not subject to the intergovernmental
review requirements of Executive Order 12372 or Health Systems Agency
review.

The PHS strongly encourages all grant and contract recipients to
provide a smoke-free workplace and promote the non-use of all tobacco
products.  In addition, Public Law 103-227, the Pro-Children Act of
1994, prohibits smoking in certain facilities (or in some cases, any
portion of a facility) in which regular or routing education,
library, day care, health care or early childhood development
services are provided to children.  This is consistent with the phs
mission to protect and advance the physical and mental health of the
american people.

From owner-sci-resources@net.bio.net Sun Mar 19 22:00:00 1995
Path: biosci!biosci!not-for-mail
From: BIOSCI Administrator <biosci-help@net.bio.net>
Newsgroups: bionet.sci-resources
Subject: NSF - Summary of new documents on STIS - 19 March 1995
Date: 20 Mar 1995 10:52:54 -0800
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This message contains a summary of the documents added to the NSF STIS
system in the previous week.  Reference material concerning STIS
follows the summary.
------------------------------------------------------------------------
                     ** NEW DOCUMENTS ON STIS **

Document Type: Bulletin

   Title: BUL 95-04 NSF Bulletin April- Vol 22;  no 8
               File size (bytes):       
               STIS Filename:           bul9504.txt

Document Type: General Publication

   Title: NSF 94-102 Research  Instrumentation
               File size (bytes):         Enabling the Discovery Process
               STIS Filename:           nsf94102.txt   (NSF)

Document Type: News

   Title: TIP5310 - Media Tipsheet March 10, 1995
               File size (bytes):       
               STIS Filename:           tip5310.txt

Document Type: Press Release

   Title: REVOLUTION IN ATMOSPHERIC MONITORING COULD IMPROVE WEATHER
          FORECASTS, MEASURE GLOBAL WARMING
               File size (bytes):       
               STIS Filename:           pr9517.txt

   Title: ELECTRONIC ARCHIVE WILL SPEED SCIENTIFIC EXCHANGE
               File size (bytes):       
               STIS Filename:           pr9518.txt

Document Type: Program Guideline

   Title: MEDLOFSC -- The National Medal of Science
               File size (bytes):       
               STIS Filename:           medlofsc.txt

   Title: NSF 95-60 - Instrumentation Grants for Research in
          Computer and Information Science and Engineering
               File size (bytes):       
               STIS Filename:           nsf9560.txt

Document Type: Recruit

   Title: Head, Arctic Sciences Section
               File size (bytes):       
               STIS Filename:           vep959.txt

   Title: Head, Arctic Sciences Section
               File size (bytes):       
               STIS Filename:           vep959i.txt

   Title: Head, Arctic Sciences Section
               File size (bytes):       
               STIS Filename:           vep959l.txt

   Title: Biologist (Science Assistant)
               File size (bytes):       
               STIS Filename:           vex9522.txt

   Title: Geographer (Program Director)
               File size (bytes):       
               STIS Filename:           vex9523.txt

   Title: Office Automation Clerk (Part-time)
               File size (bytes):       
               STIS Filename:           vgs9568.txt

   Title: Audio-Visual Producation Specialist
               File size (bytes):       
               STIS Filename:           vgs9569.txt

Document Type: Report

   Title: NSF 95-65 Restructuring Engineering Education
               File size (bytes):        A Focus on Change
               STIS Filename:           nsf9565.txt   (NSF)

------------------------------------------------------------------------
                ** UPDATES TO EXISTING STIS DOCUMENTS **

Document Type: Antarctic EAM

   Title: OPP94008 - Support of Long-Term Ecological Research Project
               File size (bytes):       36835
               STIS Filename:           opp94008.txt

Document Type: Phone Book

   Title: NSF Alpha Telephone
               File size (bytes):       97691
               STIS Filename:           phnalpha.txt

   Title: NSF Organizational Directory
               File size (bytes):       98690
               STIS Filename:           phnorg.txt

------------------------------------------------------------------------
                       ** FOR YOUR REFERENCE **
------------------------------------------------------------------------
HOW TO OBTAIN DOCUMENTS

The above files can be retrieved in electronic form using the STIS
system.  If you don't know how to use STIS, send an E-mail message to
stisinfo@nsf.gov (Internet).  You will receive
a copy of the STIS flyer via E-mail.

If you are already using STIS, you can use the information above to
retrieve these files:

Documents via E-mail:

     Send a message to stisserve@nsf.gov (Internet).
     Use the "STIS Filename" shown above in the "get" command.
     For example, to retrieve phnorg.txt, the text of your message should be 
     as follows:
                       get phnorg.txt

Anonymous FTP:

     FTP to stis.nsf.gov.  Use the "STIS Filename" shown above to
     retrieve a file.  For example, to retrieve phnorg.txt, you would
     enter:
                       ftp> get phnorg.txt

WAIS or Gopher:

     Do a word search on the filename as shown in the summary.

If you want a *printed* copy of a document:

     Send your name and postal mailing address, and the document title
     and number to "pubs@nsf.gov" (Internet).

If you have problems with the above procedures:

     Send a message to "stis@nsf.gov" (Internet).

From owner-sci-resources@net.bio.net Mon Mar 20 22:00:00 1995
Path: biosci!biosci!not-for-mail
From: Daniel.Drell@mailgw.er.doe.gov
Newsgroups: bionet.sci-resources
Subject: Notice of ELSI Biblio & Supp
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        Here's a notice of the bibliography and supplement for science
        postings:

        "ELSI Bibliography" and "1994 Supplement": These bibliographic
        resources provide a current and comprehensive topical listing of
        books and articles related to the ethical, legal and social
        implications (ELSI) of the Human Genome Project.  The bibliography
        and supplement were developed with the support of the Office of
        Health and Environmental Research, U.S. Department of Energy, and
        are available, free on request, from the compiler: Michael S.
        Yesley, msy@lanl.gov or 505/665-4424 (fax).

From owner-sci-resources@net.bio.net Thu Mar 23 22:00:00 1995
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From: BIOSCI Administrator <biosci-help@net.bio.net>
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Subject: NIH GUIDE - RFA DE-95-003 - V24(11) 03/24/95
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$$XID RFA DE95003 DE-95-003 P1O1 ***************************************

ORAL CANCER RESEARCH CENTERS

NIH GUIDE, Volume 24, Number 11, March 24, 1995

RFA:  DE-95-003

P.T. 34; K.W. 0715035, 0715148, 0785055, 0710070, 1002045

National Institute of Dental Research

Letter of Intent Receipt Date:  May 15, 1995
Application Receipt Date:  August 22, 1995

PURPOSE

The National Institute of Dental Research (NIDR) invites applications
>From United States institutions for the support of Oral Cancer
Research Centers.  The goal of these centers is to support
multidisciplinary basic and clinical research incorporating the range
of parameters and academic disciplines necessary for reducing the
morbidity and mortality due to oral cancer (e.g., epidemiology,
behavioral sciences, nutrition, immunology, molecular biology,
toxicology, and virology).  Multifactorial, multistep approaches will
be encouraged.  Proposed centers should take full advantage of
combined institutional strengths in various geographic locations.

HEALTHY PEOPLE 2000

The Public Health Service (PHS) is committed to achieving the health
promotion and disease prevention objectives of "Healthy People 2000,"
a PHS-led national activity for setting priority areas.  This Request
for Application (RFA), Oral Cancer Research Centers, is related to
the priority area of oral health.  Potential applicants may obtain a
copy of "Healthy People 2000" (Full Report:  Stock No.
017-001-00474-0 or Summary Report:  Stock No. 017-001-00473-1)
through the Superintendent of Documents, Government Printing Office,
Washington, DC 20402-9325 (telephone 202-783-3238).

ELIGIBILITY REQUIREMENTS

Applications may be submitted by domestic for-profit and non-profit,
public and private organizations, such as dental and medical schools,
universities, research institutions, hospitals, laboratories, units
of state and local governments, and eligible agencies of the federal
government.  Applications from foreign institutions are not eligible.
However, domestic applications may include international components.
Although an application must be submitted from a single institution,
it may include consortia arrangements with other institutions
provided these arrangements are clearly delineated and confirmed.
Applications with key personnel such as center directors or principal
investigators who are members of a minority group and/or women are
encouraged.  To be eligible for a center grant under this program,
the potential applicant institution must have an ongoing,
independently supported basic and/or clinical research program in the
area of oral cancer or the capacity and infrastructure to support
such research.  The current application must propose new research in
this area including human clinical oral cancer research.

MECHANISM OF SUPPORT

Centers will be supported by the National Institutes of Health
Specialized Center grant (P50) mechanism for a period of not more
than five years.  The earliest possible award date is April 1, 1996.
Responsibility for the planning, direction, and execution of the
proposed center will be solely that of the applicant.  This RFA is a
one-time solicitation.  Issuance of a subsequent request for new and
competing continuation applications will be contingent upon program
needs and the availability of funds.

FUNDS AVAILABLE

Two to three awards are planned and up to $2,250,000 in total costs
will be committed for the first year of support if sufficient
applications of high scientific merit are received.  Although this
program is provided for in the financial plans of the NIDR, the award
of grants pursuant to this RFA is also contingent upon the
availability of funds for this purpose.

Applicants may request up to $500,000 in direct costs for the first
year.  Where indirect costs are assigned to a subcontract and counted
as direct costs on the parent grant, the direct cost maximum of
$500,000 may be exceeded by the amount of indirect costs assigned to
the subcontract.  Applications that exceed these limits will be
returned without review.  Budget increases of no more than four
percent per year for recurring costs may be requested for each of the
subsequent four years.

RESEARCH OBJECTIVES

Background

The International Classification of Diseases defines oral cancer as
cancer of the oral cavity and pharynx, including cancer of the lip,
tongue, salivary glands, gum, floor and other areas of the mouth,
oropharynx, nasopharynx, hypopharynx, pharynx and other buccal areas.
The Programs Advisory Committee (PAC) of the NIDR has stressed the
need for research exploring a range of factors involved in oral
cancer.  Research topics in the area of oral cancer include: studies
on herpes simplex virus; tobacco and alcohol as potential synergistic
etiological agents; head and neck radiation studies; environmental
causes of oral cancer; the effect of nutrition on  survival following
treatment for cancer; the role of human papilloma virus in the
development of oral cancer; molecular mechanisms of oral cancer; the
synergistic roles of both x-rays and chemicals in the development of
cancer; smoke and smokeless tobacco products; the role of
antioxidants in preventing cancer; and the role of transforming
growth factor alpha (TGF-alpha).

Although there has been a reduction in total mortality over the past
two decades, the five-year relative cancer survival rate for oral and
pharyngeal cancer is one of the lowest.  As reported by the NCI
Surveillance Epidemiology and End Result (SEER) Program for
1983-1989, only 33 percent of black patients and 54 percent of white
patients survive the five year period after detection of oral cancer.
This five year survival rate falls far below the survival for many
other cancers including cancers of the testis, skin melanoma, breast,
colon, rectum and kidney.  At the same time, the annual number of new
cases for all cancers has increased, rising from an estimated 625,000
new cases and 331,000 deaths in 1970 to an estimated 1,170,000 cases
and 526,000 deaths in 1993.  A large portion of this increase is due
to a 50 percent increase in the size of the population since 1970
coupled with an increase in the number of older Americans.  The
number of people 85 and older has more than doubled during this time.
However, during the time period 1973-1990 the incidence of cancer of
the oral cavity and pharynx has decreased slightly from approximately
five percent to about four percent of all cancers for men and two
percent for women while mortality has decreased by about 18 percent.
It is reasonable to hypothesize that early detection and/or treatment
have played a role in the greater reduction of mortality over
incidence.  As with other forms of cancer, both the mortality and
incidence data reflect higher rates among men than women and blacks
than whites.

This RFA indicates a renewed and increased interest on the part of
the NIDR in supporting research on oral cancer.  Because of the
interest and familiarity of dental professionals with the oral
cavity, they may be the first to recognize and diagnose oral cancers.
Oral cancers and precancerous lesions can often be visualized by the
health care professional and are often easier than cancers in other
sites to biopsy, treat, and follow during treatment.

Goals of the Centers

The primary goal of the centers is to accelerate and expand the
development of basic, clinical, epidemiological and behavioral
research as well as to translate research findings into improved
clinical methods for prevention, early detection and therapy of oral
cancer.  Multifactorial, multidisciplinary and multistep approaches
will be encouraged.  It is assumed that the proposed centers will
take full advantage of combined institutional strengths in various
geographic locations.

The following areas of research in oral cancer are encouraged but are
not meant to be exclusive:

o  determination of molecular events that lead to the conversion of a
normal oral epithelial cell to a malignant cell;

o  prospective and retrospective analysis of tissue samples to
determine events that lead to oral cancer;

o  genetic basis for susceptibility to cancer development including
gene changes, production of gene products, incorporation of a virus
in the genome, and chromosomal alterations;

o  continued development of specific markers or probes that can
enhance early detection and provide a better prognosis for
premalignant oral lesions;

o  tobacco, alcohol, and candidiasis as risk factors for cancer of
the buccal epithelium and other parts of the oral cavity;

o  studies of premalignant lesions in an effort to enhance early
prevention, detection, and treatment;

o  use of animals or other experimental approaches to develop better
means of prevention and treatment of mucosal diseases including oral
cancer;

o  the nature and mode of action of antitumor agents including gene
therapy;

o  enhance naturally occurring anticancer therapies including
biological modifiers and salivary antivirals;

o  improvement in the understanding of the effects of anticancer
therapies on oral mucosa and salivary glands;

o  development of procedures for reducing the untoward oral side
effects (e.g., destruction of salivary gland) resulting from
chemotherapy and radiation of oral and other cancers;

o  effects of nutrition or nutritional supplements on precancerous
lesions and on recovery from radiation and chemotherapy; and

o  development and testing of interventions designed to reduce risk
behavior factors (e.g., tobacco and alcohol use) for oral cancer and
precancerous lesions;

Center Characteristics

Each research center must be a clearly defined organizational entity
within a larger research institution with a director responsible for
management of the center.  Strong and effective scientific leadership
must be provided.  The application should specify provisions that
will be made for replacement of the director with a suitably
qualified alternative should circumstances require.  The director
will be responsible for the organization and operation of the center
and for communication with the center internal and external advisory
panels and with the NIDR on scientific and administrative matters.
Directors will be responsible for maintaining high-quality research
efforts and for ensuring effective collaboration among collaborating
scientists.  The center will consist of a cluster of related research
projects, some of which may be basic while others may involve
clinical and small epidemiological studies.  These projects must not
constitute a collection of individual, unrelated investigations more
appropriately supported by individual research project grants or
small grants, rather they should be related by a common research
theme.

Each center must include core units, each of which is shared by at
least two research projects.  One unit must be an administrative
core.  Funds for the center director and administrative staff will be
provided.  This core unit should ensure that participants are
provided with shared support services that enhance their research.
The director will be responsible for monitoring the overall quality
and the scope of center activities.  The administrative core may
provide limited funds, not to exceed $25,000 in direct costs and not
lasting for more than two years, to support pilot research projects.
The goals of the pilot and feasibility studies are to provide
start-up funds for new projects, to develop new investigators under
the direction of experienced basic and clinical scientists, and to
encourage established investigators to utilize recent research
techniques in addressing novel areas of oral cancer concerns.
Research plans for pilot and feasibility projects to be carried out
during the first and second years of the award and detailed
procedures for the review and selection of future such projects by
advisory panels and the center director must be included in the
application.

The director will convene an advisory panel of experts from outside
the applicant institution at least once a year to review center
activities and provide a written report on the progress of the
center.  This report may be included in the center's annual progress
report to the NIDR.

A biostatistics, experimental design, data management and analysis
core is also mandatory, although this function can be incorporated
into the administrative core.  The biostatistics core will provide
the staff with resources needed to enhance research programs through
the application of epidemiology, sampling, biostatistics, and related
support methodologies.  Specifically, it should foster and strengthen
biostatistician-clinical investigator interaction in the design and
conduct of clinical research.  Evidence should be presented of the
role played by proposed key staff from this core in the development
of the application, in particular the design of the research and
pilot projects.

Other proposed cores must directly relate to ongoing and planned oral
health research activities of the center:

o  A Diagnostics Core may provide and develop methods and/or
instrumentation to detect early signs or markers of oral disease or
dysfunction and to monitor the efficacy of treatments.

o  A Laboratory Core may provide resources and scientific expertise
to carry out adjunct studies on clinical trial patients or general
population samples.  Animal resources may be included where
appropriate.  Laboratory cores could, for example, include:
behavioral/social sciences, biomaterial sciences, pharmacology,
microbiology, immunology, nutrition, or molecular biology.  Core
resources, such as animal facilities, computer services and equipment
to be shared by investigators will be provided, although budgetary
constraints preclude expenditures for very expensive items of
equipment or major renovations.

o  A Unique Clinical Facilities Core may provide resources to
facilitate research that cannot be carried out in conventional
health-care settings, such as the use of mobile units for clinical
studies involving elderly or physically disabled individuals or
work-site based dental operatories for preventive interventions with
employed adults.  Any costs associated with patient care must be
limited to procedures included in research protocols.

The above descriptions are not intended to include the full range of
possible activities.  Cores may provide support for personnel,
including the necessary expertise to direct cores, equipment,
supplies, services, facilities, and limited travel.  In addition,
they may provide funds for the integration of activities with other
research centers in the same or related biomedical or
behavioral/social science areas for purposes of program enrichment.

Applicants from institutions that have a General Clinical Research
Center (GCRC) funded by the National Center for Research Resources
may wish to identify the GCRC as a resource for conducting the
proposed research.  If so, a letter of agreement from either the GCRC
program director or principal investigator should be included with
the application.

INCLUSION OF WOMEN AND MINORITIES IN RESEARCH INVOLVING HUMAN
SUBJECTS

It is the policy of the NIH that women and members of minority groups
and their subpopulations must be included in all NIH supported
biomedical and behavioral research projects involving human subjects,
unless a clear and compelling rationale and justification is provided
that inclusion is inappropriate with respect to the health of the
subjects or the purpose of the research.  This new policy results
>From the NIH Revitalization Act of 1993 (Section 492B of Public Law
103-43) and supersedes and strengthens the previous policies
(Concerning the Inclusion  of Minorities in Study Populations) which
have been in effect since 1990.  The new policy contains some new
provisions that are substantially different from the 1990 policies.
All investigators proposing research involving human subjects should
read the "NIH Guidelines For Inclusion of Women and Minorities as
Subjects in Clinical Research," which have been published in the
Federal Register of March 28, 1994 (FR 59 14508-14513), and reprinted
in the NIH GUIDE FOR GRANTS AND CONTRACTS of March 18, 1994, Volume
23, Number 11.

Investigators may obtain copies from these sources or from the
program staff or contact person listed under INQUIRIES.  Program
staff may also provide additional relevant information concerning the
policy.

LETTER OF INTENT

Prospective applicants are asked to submit, by May 15, 1995, a letter
of intent that includes a descriptive title for the oral cancer
research center, each research project and each pilot and feasibility
project and core; give the name, address, and telephone number of the
center director; the identity of other key personnel and
participating institutions and departments; and this RFA by number
and title.

Although a letter of intent is not required, is not binding, and does
not enter into the review of a subsequent application, the
information that it contains is helpful in planning for the timely
review of applications.  It allows NIDR staff to estimate the
potential review workload and to avoid possible conflict of interest
in the review.

The letter of intent is to be addressed to Dr. Norman S. Braveman at
the address listed under INQUIRIES.

APPLICATION PROCEDURES

Applications are due no later than close of business on August 22,
1995.  Applications received after that time will be returned to the
applicant without further consideration.

Prospective applicants are encouraged to communicate with program and
grants management staff of the NIDR's Extramural Program as early as
possible in the planning phase of application preparation.  Advice
and suggestions by staff may materially assist applicants to ensure
that the cancer center's objectives and structure and the budget
format are acceptable.

Applications are to be submitted on the grant application form PHS
398 (rev. 9/91), available at most institutional offices of sponsored
research and from the Office of Grants Information, Division of
Research Grants, National Institutes of Health, 5333 Westbard Avenue,
Room 449, Bethesda, MD 20892, telephone 301/594-7248.  The RFA label
available in the PHS 398 application form kit must be affixed to the
bottom of the face page of the original and the original must be
placed on top of the entire package.  Failure to use this label could
result in delayed processing of the application such that it may not
reach the review committee in time for review.  In addition, in order
to identify the application as a response to this RFA, the RFA title
"Oral Cancer Research Centers" and number "RFA DE-95-003" must be
typed in item 2a of the face page of the application form and the YES
box must be checked.

The instructions accompanying form PHS 398 must be followed to the
extent possible, but some modification will be necessary.  For
example, a new Table of Contents must be prepared giving page numbers
for all items in the application.  Pagination must be consecutive
throughout the application.  Each project, pilot feasibility project,
and core unit must be identified by number and investigator.  A
consolidated budget for the complete oral cancer center for the
entire project period must be presented (use page 5, form PHS 398).
Separate detailed, annual and total budgets for the entire project
period for each project and core must be presented (use pages 4-5,
form PHS 398).  In addition, a summary table must be included
providing budget totals for each project and core and for the entire
program, for all years of support.  Direct and indirect costs are to
be given.  Funds may be requested for professional, technical, and
administrative personnel, consultant services, equipment, supplies,
travel, patient costs directly related to the research, minor
renovations and other costs.  Detailed justification of the budget
requests will be required.

Specific attention must be given to efforts to contain costs and
ensure cost-competitive implementation of center goals.  Accordingly,
provide a summary of additional financial support from non-NIDR
sources for activities that will complement and expand the program
proposed for support by the NIDR.  Explain how these activities will
further the goals of the cancer center and make it more
cost-effective.  Awardees will be expected to update this information
on an annual basis.

Under Research Plan, describe the goals of the center and explain how
each proposed research project, core and pilot/feasibility project
will contribute toward achieving those goals.  Describe the
administrative structure, the responsibilities of the center
director, individual investigators, advisory groups, and the proposed
mechanisms for monitoring scientific progress.  Describe the
relationship of all existing and pending institutional research
projects that may be relevant to the oral cancer center regardless of
funding source.

Each project and core unit must be presented as in a research grant
application, that is, the instruction pages 19-24 of form PHS 398
must be followed.  The 25-page limitation will apply to each core
unit.  Each pilot/feasibility study must be presented as in a small
grant application, so that, the Research Plan may not exceed ten
pages.  Additional instructions and guidelines, in this connection,
are to be found in the NIDR Small Grant Program announcement
PA-91-36:  NIH GUIDE, Vol. 20, No. 12, March 22, 1991, and in its
modification by the notice that appeared in the NIH GUIDE, Vol. 22,
No. 1, January 8, 1993.  Abstracts (page 2, form PHS 398) must be
completed for the entire application, each research project and core
unit, and for each pilot and feasibility study proposed for
initiation during the first two years of the award.

Whenever appropriate, the application must: (a) delineate all
consortia arrangements and formally and officially confirm them by
signed statements from the responsible official(s) of each
institution; (b) be accompanied by firm funding commitments that
ensure that appropriate clinical research projects will be active at
the time of the award; and (c) include a letter of agreement from
either the GCRC program director or principal investigator should the
applicant identify a GCRC as a resource for conducting the proposed
research.

Submit a signed, typewritten original of the application, including
the Checklist, and three signed photocopies, in one package to:

Division of Research Grants
National Institutes of Health
6705 Rockledge Drive, Suite 1040 - MSC 7710
Bethesda, MD  20892-7710
Bethesda, MD  20817 (for express or courier service)

At the time of submission, two additional copies of the application
must also be sent to:

Dr. H. George Hausch
Division of Extramural Research
National Institute of Dental Research
Natcher Building, Room 4AN-44F
45 Center Drive MSC 6402
Bethesda, MD  20892-6402

Applications must be received by August 22, 1995.  If an application
is received after that date, it will be returned to the applicant
without review.

REVIEW CONSIDERATIONS

Upon receipt, applications will be reviewed for completeness by DRG
and responsiveness by the NIDR.  Incomplete applications or those
that exceed the first year budget limit of $500,000 will be returned
to the applicant without further consideration. Waivers of the
receipt deadline and budget limitation will not be granted.  If NIDR
staff find that the application is not responsive to the RFA, it will
be returned without further consideration.

Applications that are complete and responsive to the RFA will be
evaluated for scientific and technical merit by an appropriate peer
review group convened by the NIDR in accordance with the review
criteria stated below.  As part of the initial merit review, a
process (triage) may be used by the initial review group in which
applications will be determined to be competitive or non-competitive
based on their scientific merit relative to other applications
received in response to the RFA.  Applications judged to be
competitive will be discussed and assigned a priority score.
Applications determined to be non-competitive will be withdrawn from
further consideration and the principal investigator/program director
and the official signing for the applicant organization will be
promptly notified.  Secondary review of the applications will be
conducted by the National Advisory Dental Research Council.

Major factors to be considered in the evaluation of the applications
include:

o  The extent to which the center will promote advances in the area
of oral cancer that could not be achieved or would be achieved more
slowly if the component projects were funded separately.

o  The institutional environment, its commitment to the center, and
evidence of an organizational structure that will promote
multidisciplinary, collaborative research.  The potential of the
center to provide an environment for interaction between
investigators including the opportunity to learn new technology and
for investigators supported by other public and private funds.

o  The scientific merit, originality and feasibility of each project,
the soundness of the methodology proposed, and the competence of the
investigators. Availability of statistical and data analysis
resources and evidence of their use in developing the research
protocols.

o  The technical merit and justification for core resources
requested.

o  The adequacy of laboratory and clinical facilities, and the
availability of appropriate populations in clinical studies.

o  Adequacy of plans to include both genders and minorities and their
subgroups as appropriate for the scientific goals of the research.
Plans for the recruitment and retention of subjects will also be
evaluated.

o  The inclusion of clinical and basic research projects that are
interrelated with adequate plans for interaction and communication of
information and concepts among the collaborating investigators.

o  The scientific and administrative qualifications, experience and
commitment of the center director and his/her ability to provide
effective leadership.  The arrangements for an assistant director to
administer the center in the director's absence and replace the
director should it become necessary.

o  Plans for monitoring research, and for reviewing changes in
research direction.  The composition and use of internal and external
reviewing committees and future pilot studies.

o  Appropriateness of the period and budget requested for each
project, core, pilot project and the entire center.

The inclusion of projects deemed to have limited scientific merit or
that are considered peripheral to the oral cancer center's objectives
may be considered a reflection of the center director's judgement and
may adversely affect the rating of the application.  Component pilot
projects lacking significant and substantial merit will not be
recommended for further consideration.  Pilot projects or cores with
only adequate merit that are not deemed essential to success of the
oral cancer center may be recommended for deletion.

AWARD CRITERIA

The earliest anticipated date of award is April 1,
1996.

Applicants should be aware that, in addition to scientific merit,
program priorities and program balance, the total cost of the Oral
Cancer Center to the NIDR will be considered by NIDR staff and the
National Advisory Dental Research Council in making funding
recommendations.  One consideration will be the extent to which
complementary projects, supported from non-NIDR funds, will
contribute to the cost-effectiveness of the proposed Oral Cancer
Center.  In circumstances in which applications have similar
scientific merit, but vary in cost-competitiveness, the NIDR is
likely to select the more cost-competitive application for funding.

Funded oral cancer centers may undergo an interim peer review by NIDR
to evaluate progress.

INQUIRIES

Written and telephone inquiries concerning this RFA are encouraged.
The opportunity to clarify any issues or questions from potential
applicants is welcome.

Direct inquiries regarding programmatic issues to:

Dr. Norman S. Braveman
Division of Extramural Research
National Institute of Dental Research
Natcher Building, Room 4AN 24B
45 Center Drive MSC 6402
Bethesda, MD  20892-6402
Telephone:  (301) 594-2089
FAX:  (301) 480-8318
Email:  BravemanN@de45.nidr.nih.gov

Direct inquiries regarding grants management issues to:

Ms. Theresa Ringler
Division of Extramural Research
National Institute of Dental Research
Natcher Building, Room 4AS-55
45 Center Drive  MSC 6402
Bethesda, MD  20892-6402
Telephone:  (301) 594-4800

AUTHORITY AND REGULATIONS

This program is described in the Catalog of Federal Domestic
Assistance No. 93.121.  Awards are made under authorization of the
Public Health Service Act, Title IV, Part A (Public Law 78-410, as
amended by Public Law 99-158, 42 USC 241 and 285) and administered
under PHS grants policies and Federal Regulations 42 CFR 52 and 45
CFR Part 74.  This program is not subject to the intergovernmental
review requirements of Executive Order 12372 or Health Systems Agency
review.

The PHS strongly encourages all grant and contract recipients to
provide a smoke-free workplace and promote the non-use of all tobacco
products.  In addition, Public Law 103-227, the Pro-Children Act of
1994, prohibits smoking in certain facilities (or in some cases, any
portion of a facility) in which regular or routing education,
library, day care, health care or early childhood development
services are provided to children.  This is consistent with the phs
mission to protect and advance the physical and mental health of the
american people.

From owner-sci-resources@net.bio.net Thu Mar 23 22:00:00 1995
Path: biosci!biosci!not-for-mail
From: Daniel.Drell@mailgw.er.doe.gov
Newsgroups: bionet.sci-resources
Subject: DOE ELSI Call for proposals
Date: 23 Mar 1995 21:45:44 -0800
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      Attached is a file with the recent (March 13, 1995) Federal
      Register announcement of the DOE Human Genome Program ELSI
      announcement, for electronic distribution.

      thanks

      Dan Drell

                                  [6450-01-P]



Department of Energy

Office of Energy Research

Energy Research Financial Assistance Program Notice 95-15:  Human Genome
Program - Ethical, Legal, and Social Implications 

AGENCY:  Department of Energy (DOE)

ACTION:  Notice inviting grant applications.


SUMMARY:  The Office of Health and Environmental Research (OHER) of the Office
of Energy Research (ER), U.S. Department of Energy (DOE), hereby announces its
interest in receiving applications in support of the Ethical, Legal, and
Social Implications (ELSI) subprogram of the Human Genome Program (HGP).  The
HGP is a coordinated, multidisciplinary, goal-oriented, research effort aimed
at improving technologies that will lead to a detailed understanding of the
human genome at the molecular level.  This particular research notice
encompasses research grants that address ethical, legal, and social issues
that may arise from the use of information and knowledge resulting from the
HGP.  

DATES: Formal applications submitted in response to this notice must be
received by 4:30 p.m., E.D.T., July 13, 1995, to be accepted for merit review
in September and to permit timely consideration for award in Fiscal Year 1996.

ADDRESSES:  Formal applications referencing Program Notice 95-15 should be
forwarded to:  U.S. Department of Energy, Office of Energy Research,
Acquisition and Assistance Management Division, ER-64 (GTN), Washington, 
D.C. 20585, ATTN:  Program Notice 95-15.  The following address must be used
when submitting applications by U.S. Postal Service Express Mail or any
commercial mail delivery service, or when handcarried by the applicant:  U.S.
Department of Energy, Office of Energy Research, Acquisition and Assistance
Management Division, ER-64, 19901 Germantown Road, Germantown, MD  20874.

FOR FURTHER INFORMATION CONTACT:  Dr. Daniel W. Drell, Office of Health and
Environmental Research, ER-72 (GTN), Office of Energy Research, U.S.
Department of Energy, Washington, D.C.  20585, (301) 903-6488.  

SUPPLEMENTARY INFORMATION:  The DOE encourages the submission of applications
to conduct multidisciplinary, empirical research on privacy issues from the
creation, use, maintenance, and disclosure of genetic information.  This may
include (but is not limited to) issues of ownership and control of genetic
information and the protection of the privacy of genetic information in
various settings including the workplace.  Applications should demonstrate
knowledge of the relevant literature, and should include detailed plans for
the gathering and analysis of factual information and the exploration of the
specific issues of interest.  All applications should include, where
appropriate, detailed discussion of human subjects protection issues; e.g.,
storage of, manipulation of, and access to data.  Where appropriate,
provisions to ensure the inclusion of women, minorities, and potentially
disabled individuals must be described, unless specific exclusions are
scientifically necessary and justified in detail.  All proposed research
applications should address the issue of efficient dissemination of results to
the widest appropriate audience.

The DOE is also soliciting applications for the preparation and dissemination
of educational materials in any appropriate medium that will enhance public
understanding of both the scientific aspects and the ethical, legal, and
social aspects of the HGP.  In addition, the DOE is encouraging applications
for the support of conferences focusing on specific issues or areas of concern
related to the ethical, legal, and social implications of the HGP.  This may
include (but is not limited to) implications of advances in the genetic
characterization of complex traits and diseases. Educational and conference
applications should also demonstrate awareness of the relevant literature, and
include detailed plans for the accomplishment of project goals, including,
where appropriate, video productions. In the case of applications that propose
the production of series for broadcast, audio-visuals or other educational
materials, the DOE strongly recommends that samples of previous similar work
by the producers and writers be submitted along with the application. In the
case of all educational activities, the DOE strongly recommends inclusion of
assessments of effectiveness of the proposed activities.  In the case of all
conferences, a fairly detailed and complete roster of committed speakers is
necessary.  At the completion of the conference, a summary or report is
required.  Educational and conference applications must also demonstrate
awareness of the need to reach the widest appropriate audience.

Potential applicants are strongly encouraged to submit a brief preapplication
in accordance with 10 CFR 600.10(d)(2), that consists of two to three pages of
narrative describing the research project objectives and methods of
accomplishment.  These will be reviewed relative to the scope and research
needs of the DOE's Human Genome Program.  Preapplications referencing Program
Notice 95-15 should be received by April 13, 1995, and sent to Dr. Daniel W.
Drell, Office of Health and Environmental Research, ER-72 (GTN), Washington,
D.C. 20585.  Telephone and FAX numbers are required parts of the
preapplication, and electronic mail addresses are desirable.  A response to
the preapplications discussing the potential program relevance of a formal
application generally will be communicated within 30 days of receipt. 

It is anticipated that approximately $700,000 will be available for grant
awards in this area during FY 1996, contingent upon availability of
appropriated funds.  Multiple year funding of grant awards is expected, and is
also contingent upon availability of funds.  Previous awards have ranged from
$60,000 per year up to $500,000 per year with terms from one to three years;
most awards average about $200,000 per year for two or three years.  Similar
award sizes are anticipated for new grants.  

Information about development and submission of applications, eligibility,
limitations, evaluation, selection process, and other policies and procedures
may be found in the Application Guide for the Office of Energy Research
Financial Assistance Program and 10 CFR Part 605.  The Application Guide is
available from the U.S. Department of Energy, Office of Health and
Environmental Research, Health Effects and Life Sciences Research Division,
ER-72 (GTN), Washington, D.C.  20585.  Telephone requests may be made by
calling (301) 903-6488.  

As part of its grant regulations, ER requires at 10 CFR 605.11(b) that a
grantee funded by ER and performing research involving recombinant DNA
molecules and/or organisms and viruses containing recombinant DNA molecules
shall comply with the National Institutes of Health "Guidelines for Research
Involving Recombinant DNA Molecules" (51 FR 16958, May 7, 1986), or such later
revision of those guidelines as may be published in the Federal Register.  

The dissemination of materials and research data in a timely manner is
essential for progress towards the goals of the DOE Human Genome Program.  The
OHER requires the timely sharing of resources and data.  Applicants should, in
their applications, discuss their plans for disseminating research results and
materials that may include, where appropriate, publication in the open
literature, wide-scale mailings, etc.  Once OHER and the applicant have agreed
upon a distribution plan, it will become part of the award conditions.  Funds
to defray the costs of disseminating results and materials are allowable;
however, such requests must be sufficiently detailed and adequately justified. 
Applicants should also provide timelines projecting progress toward achieving
proposed goals.

The Catalog of Federal Domestic Assistance Number for this program is 81.049,
and the solicitation control number is ERFAP 10 CFR Part 605.

D. D. Mayhew
Director, Office of Management
Office of Energy Research
[FRDoc. 95-6107 Filed 3-10-95; 8:45 am]
Billing code 6450-01-P
Published in the Federal Register, V. 60, No. 48, Monday, March 13, 1995, 
pp. 13433-13434

From owner-sci-resources@net.bio.net Thu Mar 23 22:00:00 1995
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Subject: NIH GUIDE - RFA DE-95-004 - V24(11) 03/24/95
Date: 23 Mar 1995 21:20:57 -0800
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$$XID RFA DE95004 DE-95-004 P1O1 ***************************************

HEALTH EFFECTS OF DENTAL AMALGAMS IN CHILDREN

NIH GUIDE, Volume 24, Number 11, March 24, 1995

RFA:  DE-95-004

P.T. 34; K.W. 0785040, 0750005, 1007009

National Institute of Dental Research

Letter of Intent Receipt Date:  May 22, 1995
Applications Receipt Date:  August 24, 1995

PURPOSE

The National Institute of Dental Research (NIDR) invites applications
for cooperative agreements for a multidisciplinary clinical trial
addressing the health effects of dental amalgams in children.  Public
concerns about the safety of dental amalgam fillings containing
mercury continues despite assurances from the public health
community.  The general purpose of the trial is to investigate the
possible relationship between lowdose exposure to mercury vapor from
dental amalgam restorations and the occurrence of specific health
conditions in children.  To accomplish this the NIDR is interested in
supporting a prospective, randomized clinical trial involving
children from high risk caries populations needing restorative dental
treatment with dental amalgam.

HEALTHY PEOPLE 2000

The Public Health Service (PHS) is committed to achieving the health
promotion and disease prevention objectives of "Healthy People 2000,"
a PHS-led national activity for setting priority areas.  This Request
for Applications (RFA), Health Effects of Dental Amalgams in
Children, is related to the Priority area of oral health.  Potential
applicants may obtain a copy of "Healthy People 2000" (Full Report:
Stock No. 017-001-00474-0 or Summary Report:  Stock No. 017-001-
00473-1) through the Superintendent of Documents, Government Printing
Office, Washington, DC 20402-9325 (telephone 202-783-3238).

ELIGIBILITY REQUIREMENTS

Applications may be submitted by domestic for-profit, non-profit,
public and private organizations, such as dental or medical schools,
universities and research institutions.  Applications from foreign
institutions are not eligible, however, applications may have
international components.  Applicants from institutions that have a
General Clinical Research Center (GCRC) funded by the NIH National
Center for Research Resources may wish to identify the GCRC as a
resource for conducting the proposed research.  If so, a letter of
agreement from either the GCRC program director or principal
investigator should be included with the application.

MECHANISM OF SUPPORT

The administrative and funding mechanism to be used to undertake this
program will be a cooperative agreement (U01), which is an assistance
mechanism, rather than an acquisition mechanism.  Under the
cooperative agreement, the NIH purpose is to support and/or stimulate
the recipient's activity by collaborating and otherwise working
jointly with the award recipient in a partnership role, but it is not
to assume direction, prime responsibility, or a dominant role in the
activity.  Details of the responsibilities, relationships and
governance of a study funded under a cooperative agreement are
discussed later in this document under the section "Terms and
Conditions of Award."

The cooperative agreement mechanism of support will be used because
substantial NIDR programmatic staff involvement with the awardee is
necessary to facilitate coordination of a multidisciplinary approach
to the research topic, to assist in protocol development,
particularly in the selection of appropriate health endpoints, in
quality control procedures, and to play an active role in monitoring
the safety of study participants.

FUNDS AVAILABLE

This RFA is a one-time solicitation.  At least one application is
expected to be funded as a result of this RFA.  However, in the event
that a multicenter trial is needed to obtain sufficient numbers of
subjects and to provide standardized analysis of biological samples,
additional awards will be made.  In either case, the funds available
for the first year of support for the RFA are expected to total no
more than $500,000.  This level of support is conditional upon the
receipt of applications of high scientific merit.  Awards are
expected to be made in Fiscal Year 1996.  Although the financial and
programmatic plans of the NIDR provide for support beyond the initial
five year award, awards pursuant to this RFA are also contingent upon
the availability of funds.

RESEARCH OBJECTIVES

Background

Dental amalgam, a mixture of approximately equal parts of elemental
mercury and other metals including silver, tin, copper, zinc and
palladium or indium, has been in continuous use as a dental
restorative material for well over a century.  It has been the
material of choice in restoring posterior teeth because of its
strength, durability and relative low cost.  It is estimated that
approximately one-half of the 200 million restorative procedures
performed in 1990 utilized amalgam as the material of choice.

Mercury is widely found in the environment with trace levels present
in air, water, and food.  The toxicity of elemental mercury and its
compounds is widely recognized.  Experimental studies on animals, and
biopsy observations in humans based on occupational exposure to
organic mercury can affect the immune system to produce a nephrotic
syndrome.  Research on animals indicate large strain differences in
susceptibility to the autoimmune response to mercury.  In humans
signs and symptoms associated with mercury intoxication from
elemental mercury include tremor, ataxia, personality change, loss of
memory, insomnia, fatigue, depression, headaches, irritability,
slowed nerve conduction, weight loss, appetite loss, psychological
distress, and gingivitis.

Several review articles have indicated that few large scale human
studies have been conducted investigating the potential adverse
effects of dental amalgams.  One large study of Swedish women was
reported in which none of the correlations between number of amalgam
fillings and clinical symptoms or complaints were found to be
positive.   Most of the signs and symptoms of mercury toxicity have
been associated with longterm occupational exposure to air
concentrations of mercury greater than 50 fg/m3, reflected by urinary
mercury concentrations greater than 100 ng/ml.  While clinically
significant effects have not been reported below air concentrations
of 100 fg/m3, preclinical manifestations consisting of short term
memory loss and slowed peripheral nerve conduction have been reported
below this level.  No clinical findings on impairment of kidney
function have been found in persons exposed to airborne
concentrations of mercury below 100 fg/m3.

Purported public concerns over the release of mercury from dental
amalgam fillings have been recurring for many years.  However, recent
concerns have intensified with the discovery that small amounts of
mercury vapor may be released from amalgam restorations and
eventually absorbed into body tissues.  Although, with the exception
of allergic or hypersensitive reactions in a small number of
patients, no adverse health effects have been demonstrated following
the placement of dental amalgam fillings in humans.  Nevertheless,
there is a concern over the margin of safety between known toxic
levels of mercury, regardless of source, and those levels in
individuals having numerous amalgam fillings.

A Health Assessment Program sponsored by the American Dental
Association (ADA) was initiated in 1975.  Each year, at the annual
ADA meeting, practicing dentists volunteer to participate in this
screening program. Questionnaires are given to all volunteers and
urinary samples are collected for mercury assays.  Between 1975 and
1983 over 9400 dentists participated in this program.  Urine
specimens were collected from 4272 of these dentists, 3793 of whom
were general dentists.  Their average urinary mercury concentration
was 14.2 ng/ml, 4.8% had concentration levels over 50 ng/ml, 1.3
percent levels over 100 ng/ml.  A subsequent report of the findings
for 19851986 showed a decrease in urinary mercury concentration,
averaging 5.8 ng/ml and 7.6 ng/ml.  Although some five percent to
seven percent of these professionals had high urinary mercury
concentrations (over 20 ng/ml) no abnormal glomerular or tubular
kidney dysfunction was reported.

In 1991, the ADA reported results of a survey of 1000 adults which
showed that nearly one-half believed that health problems could
develop from dental amalgam.  In the same year, the National
Institutes of Health (NIH) and the Food and Drug Administration (FDA)
separately convened panels of experts to evaluate the current state
of knowledge regarding amalgam-related hazards.  Both panels of
experts agreed that current research information does not demonstrate
a causal relationship between dental amalgam and a human health
problem.  Subsequent to these meetings the Swedish Medical Research
Council held a scientific conference in 1992 on the biological
consequences of mercury released from dental amalgam and reported
that it does not, according to available data, contribute to systemic
disease, toxicological or teratological effects.

In contrast, a symposium on the toxicity of mercury vapor from dental
amalgam, held in 1992 under the auspices of the Society of
Toxicology, reported that more remains to be learned about the
effects of chronic, low level mercury exposure associated with dental
amalgams.  Attendees called for more research in the areas of
neurologic, reproductive, developmental and renal effects, and the
mechanisms that underlie them.

The need for additional research was echoed by the Public Health
Service when in 1991, at the direction of the Assistant Secretary for
Health, it brought together subject matter experts as well as
specialists in risk and benefits assessment on the Committee to
Coordinate Environmental Health and Related Programs (CCERHP) to
reach an independent judgment about the degree of health risk, if
any, posed by the use of dental amalgam as a restorative material.
These experts determined that current research did not demonstrate a
health hazard for the vast majority of individuals exposed to mercury
vapor at levels commonly encountered.  In a 1993 report from CCERHP,
the Assistant Secretary for Health, reaffirmed the position
enunciated earlier by PHS that there are no data to compel a change
in the current use of dental amalgam.  Nevertheless, given the
available scientific evidence, the possible adverse health effects
resulting from the use of dental amalgam cannot be fully discounted.
The strongest evidence documenting any potential hazards of amalgam
restorations would be obtained from prospective cohort clinical
studies, especially a clinical trial involving an amalgam restorative
material in children.  In particular, given the current state of
knowledge, information is needed to try to define more precisely the
human dose response relationship of low dose mercury exposure from
dental amalgam restorative materials.

Children in the mixed dentition stage have been selected as the
subjects of choice because of the importance of establishing a
baseline in a group with little or no exposure to mercury.  Further,
the NIDR is interested in studying a population that experiences
caries at a high rate, who have received little or no restorative
treatment prior to entry into the prospective trial, and in which
there is a high likelihood of need for amalgam restorations.
Finally, a childhood population of this age group will allow at least
seven years, and hopefully more, of followup, a period that should
prove sufficient to detect even the most subtle effects, if any, of
amalgam.

Objectives and Scope

The aims of this clinical trial are to investigate the following:

1.  Potential neurological, psychological/behavioral, renal,
endocrine or other relevant organ system impairments or dysfunctions
in children that are attributable to exposure to amalgam
restorations;

2.  Degree to which Hg concentrations in urine, blood or other
relevant tissues differ in children with and without exposure to
amalgam restorations; and

3.  Progression of Hg concentrations in urine, blood or other
relevant tissues over time in children beginning with the time of the
initial placement of amalgam restorations.

It is anticipated that the clinical trial would be performed in
populations at high risk for dental caries consisting of individuals
that have received little or no previous treatment and which are in
need of restorative treatment.  Such populations may come from within
the U.S., outside of the U.S., or a combination of the two.  It is
anticipated that routine restorations of carious teeth supplemented
by an aggressive caries prevention and education program consistent
with appropriate standard of care would be instituted for the study
population throughout the study period.

Due to the nature of the trial, a multidisciplinary approach
including the appropriate mix of experts from epidemiology,
biostatistics, neurology, behavioral sciences/child psychology,
toxicology, and other relevant specialties is believed to be
essential to its success.  To accomplish the objectives within the
multidisciplinary context, substantive NIDR scientific input is
viewed as essential during both the developmental and operational
phases of the project.  Consensus is necessary regarding specific
neurological, psychological/behavioral, and/or other appropriate
health endpoints as well as for the length of time, estimated to be
in the range of five to seven years, for study subject followup
during which even the most subtle psychological or physiological
changes could be detected.

SPECIAL REQUIREMENTS

The organizational structure of the study may take one of several
forms depending on the ability to recruit sufficient numbers of
subjects, to perform analyses on biological samples, and to perform
data entry and analysis.  These functions may all be able to be
performed at one institution or with subcontracts to individual
centers under a single award.  On the other hand, it may be necessary
to fund multiple sites with individual awards.  In the latter case,
it may also be necessary to fund a coordinating center to insure
efficient conduct of the trial. In the event that multiple sites are
required to carry out the trial, it is imperative that principal
investigators of the individual centers agree to follow a single
clinical protocol as well as to make measurements in a uniform and
prescribed manner.

Specific rationale should accompany the suggested outcome measures
recommended as primary response variables.  The variables selected
should be specific enough to pertain to mercury vapor exposure.  If
multiple primary outcome measures are recommended, the methodology
for combining results should be addressed to avoid confusion
regarding procedures used for interpreting statistically significant
findings (i.e., explain how positives will be validated).

The importance of identifying and documenting the availability of an
adequate population of subjects for this trial cannot be
overemphasized.  The assumptions made in the calculation of sample
size determination must be made explicit with supportive
documentation provided whenever possible.  Procedures for soliciting
diverse subpopulations will be required as will specific procedures
for monitoring and managing the trial, including any quality control
procedures.  If more than one country or cultural/ethnic group is
involved, a detailed description of precautions that will be taken to
ensure that all instruments used will be valid across the various
subgroups is necessary.

Administrative responsibility needs to be documented in detail
including responsibility for recruitment and enrollment, eligibility
requirements, and criteria for determining whether a field center
qualifies for inclusion in the study.

Special attention must be given to the potential attrition problem
during the study period, indicating the methods that will be used to
encourage subjects to remain in the study, the techniques used for
monitoring dropout rates at individual study sites, and the possible
corrective actions that will be employed.

The method of providing restorative care for all participants at the
conclusion of the study must be specified.  Appropriate level of
dental care will have to be provided to all participants requiring
restorative care as a result of participating in this study or
coincident to participating in the study.

Terms and Conditions of Award

These special Terms of Award are in addition to, and not in lieu of,
otherwise applicable OMB administrative guidelines, HHS Grant
Administration Regulations at 45 CFR parts 74 and 92, and other HHS,
PHS, and NIH Grant Administration policy statements.

The administrative and funding instrument used to undertake the
project is a cooperative agreement (U01), an "assistance" mechanism
(rather than an "acquisition" mechanism) in which substantial NIH
scientific and/or programmatic involvement with the awardee is
anticipated during the performance of the activity.  Under the
cooperative agreement, the NIH purpose is to support and/or stimulate
the recipient in a partner role, but it is not to assume direction,
prime responsibility or a dominant role in the activity.  Consistent
with this concept, the dominant role and prime responsibility for the
activity resides with the awardee(s) for the project as a whole,
although specific tasks and activities in carrying out the studies
will be shared among the awardees and the NIDR Project Scientist who
is the Assistant Director for Program Development, Extramural
Program.

Awardees will have the usual responsibilities of award recipients,
including protocol development, participant recruitment and followup,
data collection, quality control, interim data and safety monitoring,
final data analysis and interpretation, and preparation of
publications, as well as responsibilities for collaboration with
other awardees, as appropriate, and collaboration with the NIDR
Project Scientist.

Awardees will have lead responsibilities for the project as a whole
and it is anticipated that the awardees will have lead
responsibilities in all joint tasks and activities, except it is
anticipated that the NIDR Project Scientist(s) will have lead
responsibilities in quality control and catalyzing interim monitoring
of data and safety and may, consistent with publication policy to be
adopted by the Steering Committee as well as NIH publication policy,
have lead responsibilities in the preparation of some publications.
Awardees will retain custody of and have primary rights to the data
developed under these awards, subject to Federal government rights of
access consistent with current HHS, PHS, and NIH policies.

In addition to the NIDR Project Scientist, a representative from the
Epidemiology and Oral Disease Prevention Program (EODPP) will have
responsibilities in protocol development, quality control, interim
data and safety monitoring, final data analysis and interpretation,
preparation of publications, collaboration with awardees, and project
coordination.

The main governing body of the study will be the Steering Committee.
The Committee will have primary responsibility for developing common
protocols, facilitating the conduct and monitoring of studies, and
reporting the study results.  The composition of the Committee will
depend on the final organization of the trial.  For a multicenter
trial, the Committee will be composed of the principal investigator,
representatives from each of the recruitment centers, a
representative of the coordinating center, representatives from each
of the analytic centers, the NIDR Project Scientist and a
representative of the EODPP.  For a single center trial, the
Committee will consist of the PI, representatives from any analytic
centers, the NIDR Project Scientists and a representative of the
EODPP.  Each member of the Committee will  have one vote except for
representatives from the NIDR who, together, shall have only one
vote.  The Chairperson, who will be someone other than an NIDR staff
member, will be selected by the Committee. Subcommittees will be
established by the Steering Committee, as it deems appropriate.

The collaborative protocol will be developed by the Steering
Committee and followed by all awardees.  This protocol may be
reviewed by an external committee convened by NIDR.  The protocol
will be implemented only with the concurrence of the awardee(s) and
NIDR.  Data will be submitted centrally to the Coordinating Center.
The protocol will define rules regarding access to data and
publications.  An independent Data and Safety Monitoring Board
(DSMB), to be appointed by NIDR, will review progress at least
annually and report to NIDR.  The DSMB will examine data for any
untoward effects of the treatment procedure or of Hg amalgam on
subjects as well as for statistically significant increases in Hg
between baseline and subsequent measurements.  The DSMB will have the
responsibility of reporting to the NIDR the occurrence of untoward
effects of Hg amalgam, any human subject ethical issues, or if
statistical significance is reached in one of the major study
endpoints before the planned end of the trial.

The NIDR reserves the right to terminate or curtail the study (or an
individual award in the event of (a) failure to develop or implement
a mutually agreeable collaborative protocol, (b) substantial
shortfall in participant recruitment, follow up, data reporting,
quality control, or other major breach of the protocol, (c) reaching
a major study endpoint substantially before schedule with persuasive
statistical significance, or (d) human subject ethical issues.

Any disagreement that may arise in scientific/programmatic matters
within the scope of the award, between award recipients and the NIDR
may be brought to arbitration.  An arbitration panel will be composed
of three members one selected by the Steering Committee (with the
NIDR members not voting) or by the individual awardee in the event of
an individual disagreement, a second member selected by the NIDR, and
the third member selected by the two prior members.  This special
arbitration procedure in no way affects the awardee's right to appeal
an adverse action that is otherwise appealable in accordance with the
PHS regulations at 42 CFR part 50, Subpart D and HHS regulation at 45
CFR part 16.

INCLUSION OF WOMEN AND MINORITIES IN RESEARCH INVOLVING HUMAN
SUBJECTS

It is the policy of the NIH that women and members of minority groups
and their subpopulations must be included in all NIH supported
biomedical and behavioral research projects involving human subjects,
unless a clear and compelling rationale and justification is provided
that inclusion is inappropriate with respect to the health of the
subjects or the purpose of the research.  This  new policy results
>From the NIH Revitalization Act of 1993 (Section 492 of Public Law
103-43) and supersedes and strengthens the previous policies
(Concerning the Inclusion of Minorities in Study Populations) which
have been in effect since 1990.  The new policy contains some new
provisions that are substantially different from the 1990 policies.

All investigators proposing research involving human subjects should
read the "NIH Guidelines for inclusion of Women and Minorities as
Subjects in Clinical Research," which have been published in the
Federal Register of March 28, 1994 (FR 59 14508-14513), and reprinted
in the NIH Guide for Grants and Contracts, Volume 23, Number 11,
March 18, 1994.

Investigators may obtain copies from these sources or from program
staff or contact the person listed under INQUIRIES.  Program staff
may also provide additional relevant information concerning the
policy.

LETTERS OF INTENT

Prospective applicants are asked to submit, by May 22, 1995, a letter
of intent that includes a descriptive title of the proposed
center(s), the name, address and telephone number of the center
director(s), the identities of other key personnel and the number and
title of this RFA.  Although a letter of intent is not required, is
not binding, and does not enter into the review of subsequent
applications.  It allows NIDR staff to estimate the potential review
workload and to avoid possible conflict of interest in the review.

The letter of intent is to be addressed to Dr. Norman S. Braveman at
the address listed under INQUIRIES.

APPLICATION PROCEDURES

Prospective applicants are advised to communicate with program and
grants management staff of the NIDR as early as possible in the
planning phase of application preparation.  NIDR staff are available
to assist applicants to ensure that the objectives, structure, and
the budget format for the proposed study are acceptable.

The research grant application form PHS 398 (rev. 9/91) is to be used
in applying for this cooperative agreement.  These forms are
available at most institutional offices of sponsored research; from
the Office of Grants Information, Division of Research Grants,
National Institutes of Health, 5333 Westbard Avenue, Room 449,
Bethesda, MD 20892, telephone 301/594-7248; and from the program
administrator listed under INQUIRIES.

The RFA label available in the form PHS 398 must be affixed to the
bottom of the face page of the original application.  Failure to use
this label could result in delayed processing of the application such
that it may not reach the review committee in time for review.  In
addition, the RFA title and number must be typed in item 2a of the
face page of the application form and the YES box checked.

The instructions accompanying form PHS 398 must be followed to the
extent possible, but some modification will be necessary.  For
example, a new Table of Contents must be prepared giving page numbers
for all items in the application.  Pagination must be consecutive
throughout the application.  A consolidated budget for the complete
project for the entire project period must be presented (see page 5,
form PHS 398).  Separate detailed, annual and total budgets for the
entire project period for each center must be presented (use pages 4
and 5, form PHS 398).  Direct and indirect costs are to be given.
Funds may be requested for professional, technical, and
administrative personnel; consultant services; equipment; supplies;
travel; patient costs directly related to the research; minor
renovations and other costs.  Detailed justification of the budget
requests will be required.

Under Research Plan, describe the goals of the center(s) and discuss
the background and significance of the topics being addressed.
Explain how the proposed research will accomplish the objectives.
Describe the organizational and administrative structure, the
responsibilities of the principal investigator and other
investigators, and the proposed mechanisms for monitoring scientific
progress.  Address issues raised under the "Special Requirements" and
"Terms and Conditions" sections of the RFA.

An abstract (page 2, form PHS 398) must be completed for the entire
application.

Submit a signed, original of the application, including the
Checklist, and three signed, exact photocopies, in one package to:

Division of Research Grants
National Institutes of Health
6701 Rockledge Drive, Room 1040 - MSC 7710
Bethesda, MD  20892-7710
Bethesda, MD  20817 (for express or courier service)

At the time of submission, two additional copies also must be sent
to:

Dr. H. George Hausch
Division of Extramural Research
National Institute of Dental Research
Natcher Building, Room 4AN-44F
45 Center Drive MSC 6402
Bethesda, MD  20892-6402

Applications must be received by August 24, 1995.  If an application
is received after that date, it will be returned to the applicant.

REVIEW CONSIDERATIONS

General Considerations

All applications will be judged on the basis of the scientific merit
of the proposed protocols and the documented ability of the PI and
the research team to conduct the essential study components as
broadly outlined in the RESEARCH OBJECTIVES of the RFA.  Although
technical merit of the application is important, it will not be the
sole criterion for selection.  Other considerations such as
importance and timeliness of the proposed trial, access to patients,
and multidisciplinary nature of the studies will be part of the
evaluation criteria.

Review Method

Upon receipt, applications will be reviewed by NIH staff for
completeness and responsiveness.  Applications that are incomplete or
nonresponsive to this RFA, or exceed the first year budget limit of
$500,000 in direct costs, including any indirect costs associated
with consortium arrangements, will be returned to the applicant
without further consideration.  Waivers of the receipt date deadline
and budget limitation will not be granted.  Those applications that
are complete and responsive will be evaluated in accordance with the
criteria stated below for scientific and technical merit by a special
review committee convened by the NIDR Scientific Review Office.

As part of the initial merit review, a process (triage) may be used
by the initial review group in which applications will be determined
to be competitive or non-competitive based on their scientific merit
relative to other applications received in response to the RFA.
Applications judged to be competitive will be discussed and assigned
a priority score.  Applications judged to be noncompetitive will be
withdrawn from further consideration and the Principal Investigator
and the official signing for the applicant organization will be
notified.

Review Criteria

Applicants are encouraged to submit and describe their own ideas on
how best to meet the goals and objectives of the RFA.  They are
expected to address issues identified under SPECIAL REQUIREMENTS of
the RFA.  Applications will be judged primarily on the scientific
quality of the application, the appropriateness, importance and
timeliness of the proposed approach, adequacy of facilities, access
to patients, the multidisciplinary nature of the study, the approach
to cost containment, the discussion of considerations relevant to the
RFA, the expertise of the investigators, their capability to perform
the proposed research, and a demonstrated ability to work as part of
a multidisciplinary team as well as with the NIDR project scientists.

The review group will assess the scientific merit of the protocols
and related major factors, including:

1.  The rationale for and prioritization of the primary health
outcome variables proposed for the trial.

2.  The appropriateness of the study design regarding length of
study, composition and size of study groups, anticipated number of
centers needed, inclusion of appropriate control group(s), and entry
criteria of subjects required at participating centers.

3.  Documentation (e.g., pilot study results) relative to the
feasibility of the study population proposed for use in the trial,
including susceptibility to dental caries, need for restorative
treatment, lack of previous exposure to amalgam fillings or exposure
to mercury from other environmental or dietary sources.

4.  The adequacy of the identified study population, including the
potential for enrollment, participation by females and minorities as
study subjects, participant access for the duration of the trial
period, and stability of participants for the duration of the study.
Adequacy of plans to include both genders and minorities and their
subgroups as appropriate for the scientific goals of the research.
Plans for the recruitment and retention of subjects will also be
evaluated.

5.  The scientific and administrative qualifications, experience and
commitment of the identified investigators to conduct this study.
The adequacy of the proposed interdisciplinary team to conduct this
trial.  The expertise and experience of the data management team
identified by the applicant, including the quality control procedures
suggested for data entry, editing, storage and processing procedures.
The quality and thoroughness of the analytical plan suggested in the
study protocol.

6.  The extent to which the investigators have anticipated potential
problems; the loss of a senior investigator, change of an
administrative head at a study site controlling access to a large
group of study participants, difficulties in recruiting participants,
corrective actions for clinics experiencing difficulty during the
study period.

7.  The technical expertise, demonstrated experience and capabilities
of the laboratory to perform the mercury assays at the sensitivity
level required for this study. The technical merit and justification
for other core resources requested and the appropriateness of the
budget for each component.

8.  The thoroughness and adequacy of quality control procedures for
accuracy and reliability of the clinical and laboratory data,
monitoring the adherence to the study protocol by all investigators,
and safety of procedures used.

9.  The strategy for conducting longterm followup of the study
participants should this be desired later including provisions for
treatment of exiting participants from the study, during or at its
conclusion, including providing for any restorative treatment needs.

AWARD CRITERIA

The NIDR appreciates the value of complementary funding from other
public and private sources, including foundations and industrial
concerns, for activities that will complement and expand those
supported by the NIDR.  Such support is encouraged to supplement
funding for this trial.

Applications recommended for funding by the National Advisory
Research Dental Council will be considered for award based upon: (a)
scientific and technical merit as determined by peer review,
importance of the proposed clinical trial, timeliness,
multidisciplinary nature of the study, and the requirements
explicitly stated in the RFA; (b) in the case of a multicenter trial,
compatibility of the various elements to make a successful
collaborative program a reasonable likelihood; and (c) availability
of funds.

Letter of Intent Receipt Date:  May 22, 1995
Application Receipt Date:       August 24, 1995
NARDC Review:                   January 1996
Anticipated Award Date:         March 1996

INQUIRIES

Written and telephone inquiries concerning this RFA are encouraged.
The opportunity to clarify any issues or questions from potential
applicants is welcome.

Direct inquiries regarding scientific program issues to:

Norman S. Braveman, Ph.D.
Division of Extramural Research
National Institute of Dental Research
Natcher Building, Room 4AN 24B
45 Center Drive MSC 6402
Bethesda, MD  20892-6402
Telephone:  (301) 594-2089
FAX:  (301) 480-8318
Email:  BravemanN@de45.nidr.nih.gov

Direct inquiries concerning fiscal policy matters to:

Ms. Theresa Ringler
Division of Extramural Research
National Institute of Dental Research
Natcher Building, Room 4AS-55
45 Center Drive  MSC 6402
Bethesda, MD  20892-6402
Telephone:  (301) 594-4800

AUTHORITY AND REGULATIONS

This program is described in the Catalog of Federal Domestic
Assistance No. 93.121.  Awards are made under authorization of the
Public Health Service Act, Title IV, Part A (Public Law 78-410, as
amended by Public Law 99-158, 42 USC 241 and 285) and administered
under PHS grants policies and Federal Regulations 42 CFR 52 and 45
CFR Parts 74 and 92. [Part 92 applies when state and local
governments are eligible to apply as "domestic organization."].  This
program is not subject to the intergovernmental review requirements
of Executive Order 12372 or Health Systems Agency review.

The PHS strongly encourages all grant and contract recipients to
provide a smoke-free workplace and promote the non-use of all tobacco
products.  In addition, Public Law 103-227, the Pro-Children Act of
1994, prohibits smoking in certain facilities (or in some cases, any
portion of a facility) in which regular or routing education,
library, day care, health care or early childhood development
services are provided to children.  This is consistent with the phs
mission to protect and advance the physical and mental health of the
american people.

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$$XID RFA PAR95041 PAR-95-041 P1O1 *************************************

RESEARCH AND DEMONSTRATION GRANTS IN OCCUPATIONAL SAFETY AND HEALTH

NIH GUIDE, Volume 24, Number 11, March 24, 1995

PA NUMBER:  PAR-95-041

P.T. 34, 12; K.W. 0725020

National Institute for Occupational Safety and Health

PURPOSE

The purpose of this grant program is to develop knowledge that can be
used in preventing occupational diseases and injuries.  The National
Institute for Occupational Safety and Health (NIOSH) will support the
following types of applied research projects:  causal research to
identify and investigate the relationships between hazardous working
conditions and associated occupational diseases and injuries; methods
research to develop more sensitive means of evaluating hazards at
work sites, as well as methods for measuring early markers of adverse
health effects and injuries; control research to develop new
protective equipment, engineering control technology, and work
practices to reduce the risks of occupational hazards; and
demonstrations to evaluate the technical feasibility or application
of a new or improved occupational safety and health procedure,
method, technique, or system.

Background

Americans are now working more hours than ever before.  The workplace
environment profoundly affects health.  Each person, simply by going
to work each day, may face hazards that threaten one's health and
safety.  Risking a person's life or health should never be considered
part of the job.

In 1970, Congress passed the Occupational Safety and Health Act to
ensure Americans the right to "safe and healthful working
conditions," yet workplace hazards continue to inflict a tremendous
toll in both human and economic costs.

In 1992, employers reported 3.3 million disabling work injuries and
370,000 cases of occupational illness.  According to the most current
statistics an average of 17 American workers die each day from
injuries on the job.  Moreover, even the most conservative estimates
find that about 137 additional workers die each day from workplace
diseases.

Medical payments under workers' compensation rose to almost $17
billion in 1991.  Considering that workers' compensation is received
by only 60 percent of injured workers and does not cover most cases
of chronic occupational illness, medical costs alone for these
conditions may total $30 to $40 billion.

Occupational injury and disease creates needless human suffering, a
tremendous burden upon health care resources, and an enormous drain
on U.S. productivity (estimated to exceed $100 billion annually).
Yet, to date, this mainstream public health problem has somehow
escaped mainstream public attention.  Workplace injury and disease is
neither inevitable nor acceptable.  The time has come to protect one
of the nation's most valuable resources:  the American worker.

The philosophy of NIOSH is articulated in the NIOSH's vision
statement:  Delivering on the Nation's Promise:  Safety and Health at
Work for All People...Through Prevention.  To identify and reduce
hazardous working conditions, the NIOSH carries out disease, injury,
and hazard surveillance and conducts a wide range of field and
laboratory research.  Additionally, NIOSH sponsors extramural
research in priority areas to complement and expand its efforts.
These are listed under RESEARCH OBJECTIVES.

HEALTHY PEOPLE 2000

The Public Health Service (PHS) is committed to achieving the health
promotion and disease prevention objectives of "Healthy People 2000,"
a PHS-led national activity to reduce morbidity and mortality and
improve the quality of life.  This program announcement, Research and
Demonstration Grants in Occupational Safety and Health, is related to
the priority area occupational safety and health.  Potential
applicants may obtain a copy of "Healthy People 2000" (Full Report:
Stock No. 017-001-00474-0 or Summary Report:  Stock No.
017-001-00473-1) through the Superintendent of Documents, Government
Printing Office, Washington, DC 20402-9325 (telephone 202-783-3238).

ELIGIBILITY REQUIREMENTS

Eligible applicants include domestic and foreign non-profit and
for-profit organizations, universities, colleges, research
institutions, and other public and private organizations, including
State and local governments, and eligible agencies of the Federal
government.  Racial/ethnic minority individuals, women, and persons
with disabilities are encouraged to apply as Principal Investigators.
Exceptions:  applicants for the Special Emphasis Research Career
Award Grant or Small Grant programs must be citizens or persons
lawfully admitted to the U.S. for permanent residence (resident
alien) at the time of application and must be employed by a domestic
institution.

MECHANISM OF SUPPORT

The types of grants NIOSH supports are described below.  Applications
responding to this program announcement will be reviewed by staff for
their responsiveness to the following program requirements.  Grants
are funded for 12-month budget periods in project periods up to five
years for research project grants and demonstration project grants;
three years for SERCA grants; and up to two years for small grants.
Continuation awards within the project period are made on the basis
of satisfactory progress and on the availability of funds.

1.  Research Project Grants (R01)

A research project grant application should be designed to establish,
discover, develop, elucidate, or confirm information relating to
occupational safety and health, including innovative methods,
techniques, and approaches for dealing with occupational safety and
health problems.  These studies may generate information that is
readily available to solve problems or contribute to a better
understanding of the causes of work-related diseases and injuries.

2.  Demonstration Project Grants (R18)

A demonstration project grant application should address, either on a
pilot or full-scale basis, the technical or economic feasibility of
implementing a new/improved innovative procedure, method, technique,
or system for preventing occupational safety or health problems.  The
project should be conducted in an actual workplace where a baseline
measure of the occupational problem will be defined, the new/improved
approach will be implemented, a follow-up measure of the problem will
be documented, and an evaluation of the benefits will be conducted.

3.  Special Emphasis Research Career Award (SERCA) Grants (K01)

The SERCA grant is intended to provide opportunities for individuals
to acquire experience and skills essential to the study of
work-related hazards, and in so doing create a pool of highly
qualified investigators who can make future contributions to research
in the area of occupational safety and health.  SERCA grants are not
intended either for individuals without research experience or for
productive, independent investigators with a significant number of
publications and of senior academic rank.  Moreover, the award is not
intended to substitute one source of salary support for another for
an individual who is already conducting full-time research; nor is it
intended to be a mechanism for providing institutional support.

Candidates must:  (1) hold a doctoral degree; (2) have research
experience at or above the doctoral level; (3) not be above the rank
of associate professor; (4) be employed at a domestic institution;
and (5) be citizens or persons lawfully admitted to the U.S. for
permanent residence (resident alien) at the time of application.

This non-renewable award provides support for a three-year period for
individuals engaged in full-time research and related activities.
Awards will not exceed $50,000 per year in direct costs for salary
support (plus fringe benefits), technical assistance, equipment,
supplies, consultant costs, domestic travel, publications, and other
costs.  The indirect cost rate applied is limited to eight percent of
the direct costs, excluding tuition and related fees and equipment
expenses, or to the actual indirect cost rate, whichever results in
the lesser amount.

A minimum of 60 percent time must be committed to the proposed
research project, although full-time is desirable.  Other work in the
area of occupational safety and health will enhance the candidate's
qualifications, but is not a substitute for this requirement.
Related activities may include research career development activities
as well as involvement in patient care to the extent that it will
strengthen research skills.  Fundamental/basic research will not be
supported unless the project will make an original contribution for
applied technical knowledge in the identification, evaluation, and/or
control of occupational safety and health hazards (e.g., development
of a diagnostic technique for early detection of an occupational
disease).  Research project proposals must be of the applicants' own
design and of such scope that independent investigative capability
will be evident within three years.  At the completion of this
three-year award, it is intended that awardees should be better able
to compete for individual research project grants awarded by NIOSH.

SERCA grant applications should be identified as such on the
application form.  Section 2 of the application (the Research Plan)
should include a statement regarding the applicant's career plans and
how the proposed research will contribute to a career in occupational
safety and health research.  This section should also include a
letter of recommendation from the proposed advisor(s).

4.  Small Grants (R03)

The small grant program is intended to stimulate proposals from
individuals who are considering a research career in occupational
safety and health; as such, the minimum time commitment is 10
percent.  It is expected that a recipient would subsequently compete
for a career development grant (K01 - see section H.3.) or for a
traditional research project grant (R01 - see section H.1.) related
to occupational safety and health.  The award is not intended to
supplement ongoing or other proposed research; nor is it intended to
be a mechanism for providing institutional support.

The small grant investigators must be U.S. citizens or persons
lawfully admitted to the U.S. for permanent residence (resident
alien) at the time of application who are predoctoral students,
post-doctoral researchers (within three years following completion of
doctoral degree or completion of residency or public health
training), or junior faculty members (no higher than assistant
professor).  If university policy requires that a more senior person
be listed as principal investigator, it should be clear in the
application which person is the small grant investigator.  Except for
applicants who are assistant professors, there must be one or more
named mentors to assist with the project.  A biographical sketch is
required for the small grant investigator, as well as for the
supervisor and other key consultants, as appropriate.

This non-renewable award provides support for project periods of up
to two years to carry out exploratory or pilot studies, to develop or
test new techniques or methods, or to analyze data previously
collected. Awards will not exceed $25,000 per year in direct costs
for salary support (plus fringe benefits), technical assistance,
equipment, supplies, consultant costs, domestic travel, publications,
and other costs.  The indirect costs will be based upon the
negotiated indirect cost rate of the applicant organization.  An
individual may not receive more than two small grant awards, and
then, only if the awards are at different stages of development
(e.g., doctoral student, post-doctoral researcher, or junior faculty
member).

FUNDS AVAILABLE

For fiscal year (FY) 1995, the budget for research grants is
$9,373,900. Of that amount, $5,300,000 is to support 44 non-competing
continuation awards, and $4,073,900 is available for approximately 35
new and competing renewal awards, which includes $400,000 for Small
Business Innovation Research grant awards.

Within the $9,373,900 budget, there is emphasis for health and safety
research within the construction industry, totaling $2,500,000.  Of
this figure, $1,850,000 is to support 10 non-competing continuation
awards, and $650,000 is available for approximately six new and
competing renewal awards.

Grant applications should be focused on the research priorities
described under RESEARCH OBJECTIVES in this announcement, which
include several new research priorities.  Grant applications in these
new areas will compete for the available funds given above, as well
as for funds announced through Requests for Applications that are
anticipated in FY 1995 and FY 1996.

RESEARCH OBJECTIVES

The NIOSH program priorities, listed below, are applicable to all of
the above types of grants listed under MECHANISMS OF SUPPORT.  These
priority areas represent both new areas and traditional diseases and
injuries related to risks on the job.  NIOSH intends to support
projects that facilitate progress in understanding and preventing
adverse effects among workers.  The conditions or examples listed
under each category are selected examples, not comprehensive
definitions of the category. Investigators may also apply in other
areas related to occupational safety and health, but the rationale
for the significance of the research to the field of occupational
safety and health must be presented in the grant application.
Potential applicants with questions concerning the acceptability of
their proposed work are strongly encouraged to contact Dr. Roy M.
Fleming at the address under INQUIRIES.

New Research Priorities are:

o  Surveillance:  The ability to identify the occurrence and
emergence of work-related injury and disease is vital for prevention.
While some targeted surveillance efforts address specific conditions,
such as adult lead poisoning, occupational lung disease, and carpal
tunnel syndrome, a national surveillance system for occupational
disease and injury does not exist.  To broaden current surveillance
systems, it is necessary to:  (1) improve hazard surveillance by
developing systems that identify hazardous work conditions, rather
than cases of disease or injury; (2) evaluate new disease
surveillance efforts to better fill the gaps in current reporting
systems; (3) explore additional surveillance methods for nonfatal
injury, including workplace violence; and (4) assess the economic
burden of occupational conditions and potential economic benefits of
their prevention.

o  Work Organization:  Through surveillance and research, NIOSH and
others have identified many physical and chemical hazards of work.
However, there is growing evidence that the way work is organized,
itself, affects the health and well-being of workers, both directly
and in combination with other hazards.  Investigations are needed on
broad aspects of employment, including underemployment,
overemployment, unemployment, shift-work, alternate work schedules,
and job stress.  Also encompassed are special risks that may result
>From the ongoing evolution to a service economy; to a workforce that
is increasingly comprised of women, minorities and older workers; and
to conditions of employment and demands for productivity increasingly
pressured by global market forces.

o  Control Technology and Intervention Research:  NIOSH seeks to
prevent work-related diseases and injuries by designing,
implementing, and evaluating measures to reduce occupational hazards
at their source.  If prevention measures are not currently available,
new technologies need to be developed for controlling hazardous
exposures.  Such new technologies must be evaluated to determine that
the prevention measures are feasible, even for smaller businesses.
Intervention research, of which control technology is a part,
examines the utility and impact of new and existing preventive
measures in the workplace.  Assessments are needed of the
effectiveness of regulations, educational efforts, government and
private outreach programs, employer policies, worker training, and
protective technology in preventing disease and injury.

o  Health Services Research:  This area includes (1) assessing the
adequacy of the supply of occupational safety and health
professionals, including specialist or generalist physicians and
nurses, industrial hygienists, safety specialists, and engineers; (2)
evaluating the accessibility, availability, and delivery of
occupational health services, the role of workers' compensation, and
the integration of occupational health services and primary health
care; (3) improving the quality of occupational health care, through
clinical and preventive practice guidelines; (4) assessing the
effectiveness of screening and treatment of select occupational
conditions; and (5) evaluating the economics of treating and
preventing occupational injuries and illnesses.

Traditional research priorities are broadly intended for
investigator-initiated research of emerging or reemerging issues,
particularly those affecting a large number of workers.  These areas
include:  occupational lung diseases, musculoskeletal injuries,
occupational cancers (other than lung), severe occupational traumatic
injuries and fatalities, cardiovascular disease, disorders of
reproduction, neurotoxic disorders, noise-induced hearing loss,
dermatologic conditions, and psychological disorders.

INCLUSION OF WOMEN AND MINORITIES IN RESEARCH INVOLVING HUMAN
SUBJECTS

Applicants are required to give added attention (where feasible and
appropriate) to the inclusion of minorities and/or women study
populations for research into the etiology of diseases, research in
behavioral and social sciences, clinical studies of treatment and
treatment outcomes, research on the dynamics of health care and its
impact on disease, and appropriate interventions for disease
prevention and health promotion.  Exceptions would be studies of
diseases which exclusively affect males or where involvement of
pregnant women may expose the fetus to undue risks.  If minorities
and/or women are not included in a given study, a clear rationale and
justification for their exclusion must be provided.

APPLICATION PROCEDURES

The research grant application form PHS 398 (rev. 9/91) is to be used
in applying for these grants.  These forms are available at most
institutional offices of sponsored research; from the Office of
Grants Information, Division of Research Grants, National Institutes
of Health, 5333 Westbard Avenue, Room 449, Bethesda, MD 20892,
telephone 301/594-7248; and from the program administrator listed
under INQUIRIES.

The original and five copies of the PHS 398 must be submitted to the
address below by the specified receipt dates also provided below.  A
mailing label is provided in the form PHS 398 application package.

Division of Research Grants
National Institutes of Health
6701 Rockledge Drive, Room 1040 - MSC 7710
Bethesda, MD  20892-7710
Bethesda, MD  20817 (for express or courier service)

The timetable for receiving applications and awarding grants is given
below.  This is a continuous announcement, consequently, these
receipt dates will be ongoing until further notice.

Research and Demonstration Project Grants:

Receipt          Initial        Secondary    Earliest Possible
Date*            Review         Review         Start Date

Feb 1            Jun/Jul        Sep          Dec 1
Jun 1            Oct/Nov        Jan          Apr 1
Oct 1            Feb/Mar        May          Aug 1

*Deadlines for competing continuation applications or revised
applications are 1 month later.

SERCA and Small Grants

Receipt          Initial        Secondary    Earliest Possible
Date             Review         Review         Start Date

Mar 1            Jun/Jul        Aug          Nov 1
Jul 1            Oct/Nov        Dec          Mar 1
Nov 1            Feb/Mar        Apr          Jul 1

Applications must be received by the above receipt dates.  To guard
against problems caused by carrier delays, retain a legible
proof-of-mailing receipt from the carrier, dated no later than one
week prior to the receipt date.  If the receipt date falls on a
weekend, it will be extended to Monday; if the date falls on a
holiday, it will be extended to the following work day.  The receipt
date will be waived only in extenuating circumstances.  To request
such a waiver, include an explanatory letter with the signed,
completed application.  No request for a waiver will be considered
prior to receipt of the application.

REVIEW CONSIDERATIONS

Applications will be assigned on the basis of established PHS
referral guidelines.  Applications will be reviewed for scientific
and technical merit by study sections of the Division of Research
Grants, NIH in accordance with the NIH peer review procedures.
Following scientific-technical review, the applications will receive
a second-level programmatic review by NIOSH.

As part of the initial merit review, all applications will receive a
written critique and undergo a process in which only those
applications deemed to have the highest scientific merit, generally
the top half of applications under review, will be discussed,
assigned a priority score, and those applications assigned to the
NIOSH will receive a second level review by the NIOSH programmatic
review committee.

Review Criteria

The initial (peer) review is based on scientific merit and
significance of the project, competence of the proposed staff in
relation to the type of research involved, feasibility of the
project, likelihood of its producing meaningful results,
appropriateness of the proposed project period, adequacy of the
applicant's resources available for the project, and appropriateness
of the budget request.

Demonstration grant applications will be reviewed additionally on the
basis of the following criteria:

o  Degree to which project objectives are clearly established,
obtainable, and for which progress toward attainment can and will be
measured.
o  Availability, adequacy, and competence of personnel, facilities,
and other resources needed to carry out the project.
o  Degree to which the project can be expected to yield or
demonstrate results that will be useful and desirable on a national
or regional basis.
o  Documentation of cooperation from industry, unions, or other
participants in the project, where applicable.

SERCA grant applications will be reviewed additionally on the basis
of the following criteria:

o  The review process will consider the applicant's scientific
achievements, the applicant's research career plan in occupational
safety and health, and the degree to which the applicant's
institution offers a superior research environment (supportive
nature, including letter(s) of reference from advisor(s) which should
accompany the application).

Small grant applications will be given consideration to the fact that
applicants do not have extensive experience with the grant process.

AWARD CRITERIA

Applications will compete for available funds with all other approved
applications assigned to NIOSH.  The following will be considered in
making funding decisions:  Quality of the proposed project as
determined by peer review, availability of funds, and program
priority.

In the secondary review, the following factors will be considered:

o  The results of the initial review.
o  The significance of the proposed study to the mission of NIOSH.
(1) Relevance to occupational safety and health, by contributing to
achievement of research objectives specified in Section 20(a) of the
Occupational Safety and Health Act of 1970 and Section 501 of the
Federal Mine Safety and Health Amendments Act of 1977,
(2) Magnitude of the problem in terms of numbers of workers affected,
(3) Severity of the disease or injury in the worker population,
(4) Potential contribution to applied technical knowledge in the
identification, evaluation, and/or control of occupational safety and
health hazards,
(5) Program balance, and
(6) Policy and budgetary considerations.

Questions regarding the above criteria may be addressed to Dr.
Fleming at the address listed under INQUIRIES.

INQUIRIES

Inquiries are encouraged.  The opportunity to clarify and issues or
questions from potential applicants is welcome.

Direct inquiries regarding technical or programmatic issues to:

Roy M. Fleming, Sc.D.
National Institute for Occupational Safety and Health
Centers for Disease Control and Prevention
1600 Clifton Road, NE
Building 1, Room 3053, Mail Stop D-30
Atlanta, GA  30333
Telephone:  (404) 639-3343
FAX:  (404) 639-2196
Email:  rmf2@niood1.em.cdc.gov

Direct inquiries regarding fiscal matters to:

Ms. Georgia Jang
Grants Management Branch, PGO
Centers for Disease Control and Prevention
255 E. Paces Ferry Road, NE
Room 321, Mail Stop E-13
Atlanta, GA  30305
Telephone:  (404) 842-6814
FAX:  (404) 842-6613
Email:  glj2@opspgo1.em.cdc.gov

AUTHORITY AND REGULATIONS

This program is described in the Catalog of Federal Domestic
Assistance No. 93.262.  This program is authorized under the Public
Health Service Act, as amended, Section 301 (42 U.S.C. 241); the
Occupational Safety and Health Act of 1970, Section 20 (a) (29 U.S.C.
669[a]); and the Federal Mine Safety and Health Amendments Act of
1977, as amended, Section 501 (30 U.S.C. 951).  The applicable
program regulations are in 42 CFR Part 52.  This program is not
subject to the Public Health Systems Reporting Requirements.

The PHS strongly encourages all grant and contract recipients to
provide a smoke-free workplace and to promote the nonuse of all
tobacco products. In addition, Public Law 103-227, the Pro-Children
Act of 1994, prohibits smoking in certain facilities (or in some
cases, any portion of a facility) in which regular or routine
education, library, day care, health care or early childhood
development services are provided to children.

From owner-sci-resources@net.bio.net Thu Mar 23 22:00:00 1995
Path: biosci!biosci!not-for-mail
From: BIOSCI Administrator <biosci-help@net.bio.net>
Newsgroups: bionet.sci-resources
Subject: NIH Guide, vol. 24, no. 11, pt. 1of1, 24 March 1995
Date: 23 Mar 1995 21:20:26 -0800
Organization: BIOSCI International Newsgroups for Molecular Biology
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$$XID NIHGUIDE 19950324 V24N11 P1O1 ************************************
X-comment: RFAs described: DE-95-003, DE-95-004, PAR-95-041, PA-95-042

NIH GUIDE - Vol. 24, No. 11 - March 24, 1995

$$INDEX BEGIN *******************************************************

                               NOTICES

$$INDEX N1 **********************************************************

NEW ADDRESS FOR THE DIVISION OF RESEARCH GRANTS
Division of Research Grants
INDEX:  DIVISION OF RESEARCH GRANTS

               NOTICES OF AVAILABILITY (RFPs/RFAs/PAs)

$$INDEX R1 08/22/95 *************************************************

ORAL CANCER RESEARCH CENTERS (RFA DE-95-003)
National Institute of Dental Research
INDEX:  DENTAL RESEARCH

$$INDEX R2 08/24/95 *************************************************

HEALTH EFFECTS OF DENTAL AMALGAMS IN CHILDREN (RFA DE-95-004)
National Institute of Dental Research
INDEX:  DENTAL RESEARCH

$$INDEX P1 **********************************************************

RESEARCH AND DEMONSTRATION GRANTS IN OCCUPATIONAL SAFETY AND HEALTH
(PAR-95-041)
National Institute for Occupational Safety and Health
INDEX:  OCCUPATIONAL SAFETY, HEALTH

$$INDEX P2 **********************************************************

NIAID/MODELL MINORITY FELLOWSHIPS IN PRIMARY IMMUNE DEFICIENCY
(PA-95-042)
National Institute of Allergy and Infectious Diseases
The Jeffrey Modell Foundation
INDEX:  ALLERGY, INFECTIOUS DISEASES; JEFFREY MODELL FOUNDATION

This publication is available electronically via BITNET or INTERNET,
by subscription, and is also on the NIH GOPHER (gopher.nih.gov).
Alternative access is through the NIH Grant Line using a personal
computer (data line 301/402-2221); contact Dr. John James at 301/594-
7270 for details.

THE PUBLIC HEALTH SERVICE (PHS) STRONGLY ENCOURAGES ALL GRANT
RECIPIENTS TO PROVIDE A SMOKE-FREE WORKPLACE AND PROMOTE THE NON-USE
OF ALL TOBACCO PRODUCTS.  THIS IS CONSISTENT WITH THE PHS MISSION TO
PROTECT AND ADVANCE THE PHYSICAL AND MENTAL HEALTH OF THE AMERICAN
PEOPLE.

$$INDEX END *********************************************************

                               NOTICES

$$N1 BEGIN **********************************************************

NEW ADDRESS FOR THE DIVISION OF RESEARCH GRANTS

NIH GUIDE, Volume 24, Number 11, March 24, 1995

P.T. 34; K.W. 1014006

Division of Research Grants

The Division of Research Grants (DRG) is moving to a new location.
Effective May 8, 1995, all COMPETING grant applications submitted to
the National Institutes of Health must be sent to:

Division of Research Grants
National Institutes of Health
6701 Rockledge Drive, Room 1040 - MSC 7710
Bethesda, MD  20892-7710
Bethesda, MD  20817 (for courier/overnight service)

The telephone numbers for all offices within the DRG will also be
changing.  Essential telephone numbers at the new location and other
information updates will be published in future issues of the NIH
Guide for Grants and Contracts.  Questions concerning this
announcement may be directed to the Referral Office at (301) 594-
7250.  This telephone number will be in operation until May 8, 1995.
After May 8 the telephone number will be (301) 435-0715.

$$N1 END ************************************************************

               NOTICES OF AVAILABILITY (RFPs/RFAs/PAs)

$$R1 BEGIN DE-95-003 FULL-TEXT **************************************

ORAL CANCER RESEARCH CENTERS

NIH GUIDE, Volume 24, Number 11, March 24, 1995

RFA AVAILABLE:  DE-95-003

P.T. 34; K.W. 0715035, 0715148, 0785055, 0710070, 1002045

National Institute of Dental Research

Letter of Intent Receipt Date:  May 15, 1995
Application Receipt Date:  August 22, 1995

PURPOSE

The National Institute of Dental Research (NIDR) invites applications
>From United States institutions for the support of Oral Cancer
Research Centers.  The goal of these centers is to support
multidisciplinary basic and clinical research incorporating the range
of parameters and academic disciplines necessary for reducing the
morbidity and mortality due to oral cancer (e.g., epidemiology,
behavioral sciences, nutrition, immunology, molecular biology,
toxicology, and virology).  Multifactorial, multistep approaches will
be encouraged.  Proposed centers should take full advantage of
combined institutional strengths in various geographic locations.

HEALTHY PEOPLE 2000

The Public Health Service (PHS) is committed to achieving the health
promotion and disease prevention objectives of "Healthy People 2000,"
a PHS-led national activity for setting priority areas.  This Request
for Application (RFA), Oral Cancer Research Centers, is related to
the priority area of oral health.  Potential applicants may obtain a
copy of "Healthy People 2000" (Full Report:  Stock No. 017-001-00474-
0 or Summary Report:  Stock No. 017-001-00473-1) through the
Superintendent of Documents, Government Printing Office, Washington,
DC 20402-9325 (telephone 202/783-3238).

INQUIRIES

The RFA, which describes the research objectives, application
procedures, review considerations and award criteria for this
solicitation, may be obtained electronically through the NIH Grant
Line (301-402-2221) and the NIH GOPHER (gopher@nih.gov) as well as by
mail and email from the program contact listed below.

Dr. Norman S. Braveman
Division of Extramural Research
National Institute of Dental Research
Natcher Building, Room 4AN 24B
45 Center Drive MSC 6402
Bethesda, MD  20892-6402
Telephone:  (301) 594-2089
FAX:  (301) 480-8318
Email:  BravemanN@de45.nidr.nih.gov

$$R1 END ************************************************************

$$R2 BEGIN DE-95-004 FULL-TEXT **************************************

HEALTH EFFECTS OF DENTAL AMALGAMS IN CHILDREN

NIH GUIDE, Volume 24, Number 11, March 24, 1995

RFA AVAILABLE:  DE-95-004

P.T. 34; K.W. 0785040, 0750005, 1007009

National Institute of Dental Research

Letter of Intent Receipt Date:  May 22, 1995
Applications Receipt Date:  August 24, 1995

PURPOSE

The National Institute of Dental Research (NIDR) invites applications
for cooperative agreements (U01) for a multidisciplinary clinical
trial addressing the health effects of dental amalgams in children.
Public concerns about the safety of dental amalgam fillings
containing mercury continues despite assurances from the public
health community.  The general purpose of the trial is to investigate
the possible relationship between low-dose exposure to mercury vapor
>From dental amalgam restorations and the occurrence of specific
health conditions in children.  To accomplish this the Institute is
interested in supporting a prospective, randomized clinical trial
involving children from high risk caries populations needing
restorative dental treatment with dental amalgam.

It is anticipated that one award will be made and up to $500,000 in
total costs will be committed for the first year of support, if a
sufficient number of applications of high scientific merit are
received.

HEALTHY PEOPLE 2000

The Public Health Service (PHS) is committed to achieving the health
promotion and disease prevention objectives of "Healthy People 2000,"
a PHS-led national activity for setting priority areas.  This RFA,
Health Effects of Dental Amalgams in Children, is related to the
priority area of oral health.  Potential applicants may obtain a copy
of "Healthy People 2000" (Full Report:  Stock No. 017-001-00474-0 or
Summary Report:  Stock No. 017-001-00473-1) through the
Superintendent of Documents, Government Printing Office, Washington,
DC 20402-9325 (telephone 202-783-3238).

INQUIRIES

The RFA, which describes the research objectives, application
procedures, review considerations and award criteria for this
solicitation, may be obtained electronically through the NIH Grant
Line (data line: 301-402-2221) and the NIH Gopher (gopher.nih.gov)
and by mail and email from the program contact listed below.

Dr. Norman S. Braveman
Division of Extramural Research
National Institute of Dental Research
Natcher Building Room 4AN-24B
45 Center Drive  MSC 6402
Bethesda, MD  20892-6402
Telephone:  (301) 594-2089
FAX:  (301) 480-8318
Email:  BravemanN@de45.nidr.nih.gov

$$R2 END ************************************************************

$$P1 BEGIN PAR-95-041 FULL-TEXT *************************************

RESEARCH AND DEMONSTRATION GRANTS IN OCCUPATIONAL SAFETY AND HEALTH

NIH GUIDE, Volume 24, Number 11, March 24, 1995

PA AVAILABLE:  PAR-95-041

P.T. 34, 12; K.W. 0725020

National Institute for Occupational Safety and Health

PURPOSE

The purpose of this grant program is to develop knowledge that can be
used in preventing occupational diseases and injuries.  The National
Institute for Occupational Safety and Health (NIOSH) will support the
following types of applied research projects:  causal research to
identify and investigate the relationships between hazardous working
conditions and associated occupational diseases and injuries; methods
research to develop more sensitive means of evaluating hazards at
work sites, as well as methods for measuring early markers of adverse
health effects and injuries; control research to develop new
protective equipment, engineering control technology, and work
practices to reduce the risks of occupational hazards; and
demonstrations to evaluate the technical feasibility or application
of a new or improved occupational safety and health procedure,
method, technique, or system.  For fiscal year (FY) 1995, the budget
for research grants is $9,373,900. Of that amount, $5,300,000 is to
support 44 non-competing continuation awards, and $4,073,900 is
available for approximately 35 new and competing renewal awards,
which includes $400,000 for Small Business Innovation Research grant
awards.  Within the $9,373,900 budget, there is emphasis for health
and safety research within the construction industry, totaling
$2,500,000.  Of this figure, $1,850,000 is to support 10
non-competing continuation awards, and $650,000 is available for
approximately six new and competing renewal awards.

HEALTHY PEOPLE 2000

The Public Health Service (PHS) is committed to achieving the health
promotion and disease prevention objectives of "Healthy People 2000,"
a PHS-led national activity to reduce morbidity and mortality and
improve the quality of life.  This program announcement, Research and
Demonstration Grants in Occupational Safety and Health, is related to
the priority area occupational safety and health.  Potential
applicants may obtain a copy of "Healthy People 2000" (Full Report:
Stock No. 017-001-00474-0 or Summary Report:  Stock No.
017-001-00473-1) through the Superintendent of Documents, Government
Printing Office, Washington, DC 20402-9325 (telephone 202-783-3238).

INQUIRIES

The PA, which describes the research objectives, application
procedures, review considerations, and award criteria for this
solicitation, may be obtained electronically through the NIH Grant
Line (data line 301/402-2221) and the NIH GOPHER (gopher.nih.gov),
and by mail and email from the program contact listed below.

Roy M. Fleming, Sc.D.
National Institute for Occupational Safety and Health
Centers for Disease Control and Prevention
1600 Clifton Road, NE
Building 1, Room 3053, Mail Stop D-30
Atlanta, GA  30333
Telephone:  (404) 639-3343
FAX:  (404) 639-2196
Email:  rmf2@niood1.em.cdc.gov

$$P1 END ************************************************************

$$P2 BEGIN PA-95-042 FULL-TEXT **************************************

NIAID/MODELL MINORITY FELLOWSHIPS IN PRIMARY IMMUNE DEFICIENCY

NIH GUIDE, Volume 24, Number 11, March 24, 1995

PA AVAILABLE:  PA-95-042

P.T. 22; K.W. 0715120, 0755030, 0765033, 0745020, 0745070

National Institute of Allergy and Infectious Diseases
The Jeffrey Modell Foundation

Application Receipt Dates:  April 5, August 5, and December 5, 1995

PURPOSE

The National Institute of Allergy and Infectious Diseases (NIAID) of
the National Institutes of Health (NIH) and the Jeffrey Modell
Foundation (JMF) invite applications for Individual Postdoctoral
Fellowships from racial/ethnic minority individuals, women, and
persons with disabilities for research on the etiology, pathogenesis,
diagnosis and/or treatment of prima