International Collaborative Alcohol & Injury Research Training Program in Poland

说明(申请人提供)：减少因酒精相关的故意和非故意伤害造成的死亡和残疾是世界卫生组织的一个主要全球健康目标。酒精的使用与机动车撞车、摔倒和火灾造成的伤亡有相当大的比例有关。在波兰和其他正在经历快速社会和文化变革的东欧国家，与极高的人均酒精消费量和与酒精相关的伤害发生率上升相关的问题已成为至关重要的国家关切问题。伤害和创伤是波兰的第三大死因，与酒精有关的死亡占多数。在波兰发展基础设施，以扩大伤害和酒精研究和预防的能力，将解决不断升级的公共卫生问题，该问题可能在未来几十年给该地区带来毁灭性的健康和经济后果。为了实现这一目标，将通过密歇根大学(UM)和弗罗茨瓦夫医科大学(WMU)的研究人员以及波兰其他几个学术医学机构的研究人员之间的合作，建立一个多层次的研究培训计划。这是建立在密歇根大学神经学和精神病学研究所和华沙医学院专注于药物使用障碍的波兰科学家之间成功的培训和研究合作的基础上的。这一新的特定伤害和酒精合作将密歇根大学在酒精相关伤害预防、EMS/创伤服务、精神病学、公共卫生和交通研究方面的专业知识与WMU在伤害和创伤医学和公共卫生方面的发展专业知识结合在一起，以提高波兰的培训和研究能力。通过这一合作努力，将在弗罗茨瓦夫医科大学和波兰各地的学术、医疗和公共卫生地点建立一个联合体。该计划将在密歇根大学对来访的波兰科学家进行酒精和伤害研究方法方面的培训，并制定研究指导计划，以解决波兰目前在酒精和伤害预防、治疗和评估方面的问题。波兰解决与药物滥用有关的伤害问题的研究基础设施将得到改善，办法是提供一支能够开展独立研究项目的临床医生科学家的基本核心，并制定新的方案，以解决紧急医学和公共卫生方面的这一关键问题。公共卫生相关性：人均酒精消费量和与酒精有关的伤害水平较高，再加上解决这些问题的研究基础设施有限，对波兰和其他前苏联集团国家的公共卫生构成重大挑战。这一拟议的培训计划将在波兰发展高质量的伤害和创伤研究能力，该能力可以作为一个区域范围的财团的核心，以解决这些发展中国家日益严重的医疗负担。

DESCRIPTION (provided by applicant): Reducing death and disability caused by alcohol-related intentional and non-intentional injuries is a major world-wide health goal for the World Health Organization. Alcohol use has been linked with a substantial proportion of injuries and deaths from motor vehicle crashes, falls, and fires. In Poland and other Eastern European countries that have been experiencing rapid social and cultural changes, problems related to extremely high per capita alcohol consumption and the rising rate of alcohol-related injury have become critically important national concerns. Injury and trauma constitute the third leading cause of death in Poland, with a preponderance of alcohol-related mortality. Developing an infrastructure to expand the capacity for injury and alcohol research and prevention in Poland will address an escalating public health problem that has the potential for devastating health and economic consequences to this region over the next decades. To accomplish this goal, a multi-tiered research training program will be established through collaboration among researchers at the University of Michigan (UM) and Wroclaw Medical University (WMU) and several other academic medical settings in Poland. This builds on a successful training and research collaboration between UM and Polish scientists at the Institute of Neurology and Psychiatry, and the Medical College of Warsaw focused on substance use disorders. This new specific injury and alcohol collaboration brings together expertise in alcohol-related injury prevention, EMS/Trauma services, psychiatry, public health, and transportation research at UM with a developing expertise in injury and trauma medicine and public health at WMU in order to increase training and research capacity in Poland. A consortium at Wroclaw Medical University and academic medical and public health locations throughout Poland will be fostered through this collaborative effort. The program will train visiting Polish scientists at the UM in alcohol and injury research methodology, and develop mentored programs of research that address current issues in alcohol and injury prevention, treatment, and evaluation in Poland. The Polish research infrastructure for addressing substance abuse-related injuries will be improved by the provision of an essential core of clinician scientists capable of conducting independent research projects and developing new programming to address this critical issue in emergency medicine and public health. Public Health Relevance: The high levels of per capita alcohol consumption and alcohol-related injuries, combined with a limited research infrastructure to address these issues, present significant public health challenges to Poland and other former Soviet-bloc countries. This proposed training program will develop the capacity for high quality injury and trauma research in Poland that can serve as the core of a region-wide consortium to address a growing, critical health care burden in these developing countries.