Iowa Non-communicable Chronic Diseases Research Training Program in Romania

说明(申请人提供)：这份重新提交的申请建议培训罗马尼亚研究人员预防和管理非传染性慢性疾病(癌症、脑血管疾病、肺部疾病、肥胖、环境和生活方式因素)。罗马尼亚是一个相对较大的国家，中东欧地区有2200万人口，是世卫组织六个地区中受非传染性慢性病困扰最严重的国家。尽管罗马尼亚在慢性病管理方面拥有重要的临床专业知识，但在以人口为基础的研究、预防战略和公共卫生干预方面几乎完全缺乏研究专业知识。在五年的时间里，这项计划将吸引职业生涯早期和中期的科学家和卫生专业人员参加中期培训(25人)、短期培训(15人)、长期培训(3-4人)，以及将广泛使用互联网网络会议的“短期等值”远程教育活动的创新计划。此外，中长期受训人员将在罗马尼亚举办一系列联合讲习班。该方案的主要合作机构将是罗马尼亚克卢日-纳波卡的Babes-Bolyai大学的卫生政策和公共卫生中心，尽管罗马尼亚的其他一些相关机构也将参与其中。非传染性慢性病各方面的专门知识和指导将由来自罗马尼亚多个系和学院以及若干机构的一批高素质的爱荷华大学教职员工提供。该计划的教师反映了广泛的研究领域，从遗传学到流行病学，从临床研究到实施科学。这项计划的设计是基于过去和目前在该地区开展研究培训计划的经验，并基于成熟的合作者网络。项目人员对影响罗马尼亚和该地区健康的社会、经济、政治和文化因素有第一手知识，他们制定并完善了培训未来科学家和公共卫生专业人员的既定模式，这些模式将用于增加对非传染性慢性病的了解，从而减少非传染性慢性病的发生和影响。 公共卫生相关性：最新数据表明，非传染性慢性病约占罗马尼亚所有死亡人数的90%。尽管整个中东欧地区国家的非传染性慢性病发病率很高，但罗马尼亚提供了一个独特的机会，可以对这些疾病产生重大影响，并对该地区的邻国产生“溢出”效应。

DESCRIPTION (provided by applicant): This re-submitted application proposes to train Romanian researchers in the prevention and management of non-communicable chronic diseases (cancer, cerebrovascular diseases, lung disease, obesity, envirnomental and lifestyle factors). Romania is a relatively large country with a population of 22 million in Central/Eastern Europe, "the worst afflicted by non-communicable chronic diseases" of the six WHO regions. Although significant clinical expertise exists in Romania regarding the management of chronic diseases, research expertise is almost totally lacking in regard to population-based studies, prevention strategies, and public health interventions. Over a five-year period, this program will engage early and mid-career scientists and health professionals in intermediate-term training (25), short-term training (15), long-term training (3-4), and in an innovative program of "short-term-equivalent" distance education activities that will make extensive use of Internet web-conferencing. Additionally, intermediate and long-term trainees will conduct a series of joint workshops in Romania. The primary collaborating institution for this program will be the Center for Health Policy and Public Health at Babes-Bolyai University in Cluj-Napoca, Romania, although a number of other affliated institutions in Romania will also be involved. Expertise and mentoring in the various aspects of non-communicable chronic diseases will be provided by a cadre of highly qualified University of lowa faculty members from a number of departments and colleges as well as from several institutions in Romania. The program faculty reflects a broad range of research areas from genetics to epidemiology to clinical research to implementation science. The design of this program is based on experiences conducting previous and current research training programs in the region and on a network of well-established collaborators. Program personnel have first-hand knowledge of the social, economic, political, and cultural factors impacting health in Romania and the region They have developed and refined an established model for training future scientists and public health professionals that will be applied to increase understanding of, and, therefore, reduce the occurance and impact of non-communicable chronic diseases. PUBLIC HEALTH RELEVANCE: The most recent data indicates that non-communicable chronic diseases account for about 90% of all deaths in Romania. Although there are high rates of non-communicable chronic diseases in countries throughout the Central and Eastern European region, Romania provides a unique opportunity to have a large impact on these diseases and to have a "spillover" effect on neighboring countries in the region.