CORE--HUMAN STUDIES

描述(改编自申请)人文科学的使命 核心是提供共享的资源、人员、服务、教育和 会诊以治愈调查人员、受训人员及其合作者 对选定的消化系统疾病患者的研究。这样做的主要目标是 核心是促进GI的协作、培训和绩效 临床试验、人体生理研究和卫生服务研究 消化系统疾病。核心的传统焦点一直是 消化系统疾病和上消化道生理的调查，包括分泌物， 运动性和荷尔蒙调节。这一重点已扩大到包括 其他重要胃肠道疾病的研究，如复杂性溃疡 疾病，胃食道反流病(GERD)，巴雷特上皮，胃肠道 出血、非溃疡性消化不良、幽门螺杆菌感染、癌前病变 条件(胃炎、息肉和溃疡性结肠炎)和炎症性 肠病。核心的一个压倒一切的主题是生理学的研究 内脏疼痛可能与所有这些疾病有关。这个 这一领域在胃肠道疾病中的重要性因胃肠道疾病的影响而凸显 生活质量的症状和对医疗服务的需求。有了这一点 思想，核心极大地扩展了对神经肠道疾病的研究，如 肠易激综合征(IBS)、非溃疡性消化不良和非心源性胸腔 疼痛。 这个核心的具体目标是为治愈研究人员、受训人员、 和他们的合作者可以访问：(1)高质量的临床研究单位 为了以低成本进行胃肠道临床研究，(2)充分利用 配备用于胃肠道临床和生理研究的内窥镜设备，(3) 为胃肠道分泌测试、胃肠动力和pH测试以及H. 幽门螺杆菌评估(酶联免疫吸附试验、C-14呼气试验和组织病理学)，(4) 临床研究技术教学和研究设计咨询， 数据管理、统计分析和常规结果，(5)组织和 选定的胃肠道疾病患者的临床数据库(最大数据 基础是胃肠道出血和功能性胃肠道疾病)，(6)咨询关于 进行卫生服务研究，包括研究设计、成本 评估、生活质量量表、有效性研究和建模 成本效益研究；(7)胃肠疾病研究专用设备(例如 消融巴雷特上皮或内窥镜超声的设备 仪器)，(8)心理生理学和胃肠动力实验室 神经肠道疾病，以及(9)利用脑成像单元进行 神经肠道疾病的研究。所需的仪器和人员 这些服务和功能是昂贵的，因此在不同的 核心调查人员具有成本效益，并可促进协作。

DESCRIPTION (Adapted from the application) The mission of the Human Studies Core is to provide shared resources, personnel, services, education, and consultation to CURE investigators, trainees, and their collaborators for the study of patients with selected digestive diseases. The primary goal of this core is to facilitate collaboration, education about, and performance of GI clinical trials, human physiological studies, and health service studies in digestive diseases. The traditional focus of the core has been the investigation of peptic diseases and upper GI physiology, including secretion, motility, and hormonal regulation. This focus has been broadened to include the study of other important gastrointestinal illnesses such as complicated ulcer disease, gastroesophageal reflux disease (GERD), Barrett's epithelium, GI hemorrhage, non-ulcer dyspepsia, Helicobacter pylori infection, pre-cancer conditions (gastritis, polyposis, and ulcerative colitis), and inflammatory bowel disease. An overriding theme of the core is the study of the physiology of visceral pain which may be associated with all of these disorders. The importance of this area in GI diseases is highlighted by the impact of GI symptoms on quality of life and demand for health care services. With this in mind, the core has greatly expanded the study of neuroenteric diseases such as irritable bowel syndrome (IBS), non-ulcer dyspepsia, and non-cardiac chest pain. The specific goals of this core are to provide CURE investigators, trainees, and their collaborators with access to: (1) a quality clinical research unit for performance of GI clinical research at a low cost, (2) utilization of fully equipped endoscopy units for GI clinical and physiologic research studies, (3) laboratory services for GI secretory tests, GI motility and pH testing, and H. pylori assessments (ELISA, C-14 breath testing, and histopathology), (4) teaching of clinical research techniques and consultation about study design, data management, statistical analysis, and routine outcomes, (5) tissue and clinical data banks of patients with selected GI diseases (the largest data bases are for GI hemorrhage and functional GI disease), (6) consultation about conducting health services research including design of studies, cost assessments, quality of life instruments, effectiveness studies, and modeling cost-effectiveness studies, (7) specialized equipment for GI studies (such as equipment for ablating Barrett's epithelium or endoscopic ultrasound instruments), (8) psychophysiology and GI motility laboratories for the study of neuroenteric diseases, and (9) utilization of a brain imaging unit for the study of neuroenteric diseases. The instruments and personnel required for these services and functions are expensive, so that sharing them among various investigators in a core is cost effective and promotes collaboration.