Clinical Infrastructure

临床基础设施核心是SCCOR提案不可或缺的组成部分。它是一个统一的环节，通过为DNA分析和各种生物化学测定提供血液，以非常具体的方式为每个项目服务。同样重要的是，临床基础设施核心收集、整理、归档和检索所有临床数据，从而将每个科学分析与关键临床信息相匹配。此外，临床基础设施核心负责招募患者、对照组和独特家族进行纵向研究。它还负责对这些病人及其家属进行系统的跟踪。实际上，这是一项艰巨的任务，需要与患者、家属、医生、研究护士、科学家、 IRB和管理员。将采集、储存、检索和分析数千个样本。将生成并维护一个包含临床、人口统计学、血管造影、心电图和超声心动图资料的超大数据库。克利夫兰诊所的研究小组已经以基因库和基因探索的形式在现场组建了这样一个组织。我们在这两个大型和重要的数据库方面已有多年的经验，并得到了强有力的机构支持。我们有空间和大量的研究护士，计算机，技术人员和一些医生来操作这个劳动密集型的 基础设施演进随着时间的推移，它的操作方面得到了改善，目前正在出现关于基因和冠状动脉疾病的重要新数据。我们现在有机会与SCCOR一起扩大我们的研究目标，并进一步将数据库中的临床表型信息与冠状动脉疾病的遗传和分子病理生理学联系起来。临床基础设施核心显然是必不可少的这一目标。我们相信，在加里弗朗西斯和斯蒂芬埃利斯博士以及我们许多敬业的工作人员的领导下，我们可以利用我们在GeneBank和GeneQuest方面的独特经验， 整合SCCOR项目，旨在探索和更好地了解冠状动脉疾病的遗传学。

The Clinical Infrastructure Core is an indispensable component of the SCCOR proposal. It is the unifying link that serves each Project in a very specific manner by providing blood for DNA analysis and assorted biochemistry determinations. Just as importantly, the Clinical Infrastructure Core collects, collates, files and retrieves all clinical data, thereby matching each scientific analysis to key clinical information. Moreover, the Clinical Infrastructure Core is responsible for recruiting patients, controls, and unique families for longitudinal study. It is also responsible for the systematic follow-up of these patients and their families. In reality, this is an enormous task, requiring the multiple interactions with patients, families, physicians, research nurses, scientists, IRBs and administrators. Thousands of samples will be acquired, stored, retrieved and analyzed. An exceptionally large database of clinical, demographic, angiographic, electrocardiographic and echocardiographic material will be generated and maintained. The group at the Cleveland Clinic has already assembled such an organization on site in the form of GeneBank and GeneQuest. We have now several years of experience with these two large and important data repositories, generously maintained by strong institutional support. We have space and a large cadre of research nurses, computers, technicians and some physicians to operate this labor-intensive infrastructure. Over time, its operational aspects have improved, and important new data on genes and coronary artery disease are currently emerging. We now have an opportunity with the SCCOR to expand our research goals and further link our clinical phenotype information in the data banks to the genetic and molecular pathophysiology of coronary artery disease. The Clinical Infrastructure Core is clearly essential to this end. We believe that under the able leadership of Drs. Gary Francis and Stephen Ellis and our many dedicated personnel, that we can leverage our unique experience with GeneBank and GeneQuest to focus on new and tightly integrated SCCOR projects designed to explore and better understand the genetics of coronary artery disease.