Program in Clinical Research, Clinical Support Services and Clinical Training

NIEHS临床研究处继续扩大其对临床和转化研究的支持范围。NIEHS临床研究单位（CRU）记录了超过8000例患者就诊，患者满意度超过95%。已经雇用了额外的工作人员来支持CRU的职能。NIEHS的CRU通过CRIS电子健康记录系统和临床试验数据库集成到Bethesda CC中，并与Bethesda的NIEHS环境自身免疫小组合作。CRU目前正在进行研究，涉及哮喘、癌症、心血管疾病、免疫学、炎症、代谢疾病、神经内分泌学和药代动力学等领域。许多研究利用了环境多态性登记处（EPR），这是一个由niehs操作的队列，包括超过15,000名北卡罗来纳州居民，他们捐赠了DNA并同意被召回进行表型研究。epr相关的随访研究解决了炎症、DNA损伤修复、内分泌受体多态性、内皮功能和肺部疾病等问题。此外，与当地大学和其他政府机构的合作途径目前正在进行中。NIEHS临床研究分部通过发展人类研究合规办公室（OHRC）建立了一个全面的人类研究保护计划。该办公室负责管理和协调NIEHS临床研究的预IRB临床和科学审查，支持IRB的日常行政运作，开发和维护支持OHRC活动的电子管理系统和网站，执行临床站点的质量保证/质量改进审计，加强和加强人体研究保护教育和培训计划。与科学/临床pi及其员工合作制定人体研究协议，制定和实施标准操作程序，以确保NIEHS符合DHHS， FDA， NIH的指导方针和法规。

The NIEHS Clinical Research Branch has continued to expand its scope of support for clinical and translational studies. The NIEHS Clinical Research Unit (CRU) has recorded over 8000 patient encounters with over 95% patient satisfaction. Additional staff have been hired to support CRU functions. The NIEHS' CRU is integrated into the Bethesda CC via the CRIS electronic health record system and the Clinical Trials Database, and collaborated with the NIEHS Environmental Autoimmunity Group in Bethesda. Studies are currently underway at the CRU, involving the fields of asthma, cancer, cardiovascular disease, immunology, inflammation, metabolic disease, neuroendocrinology, and pharmacokinetics. Many studies take advantage of the Environmental Polymorphisms Registry (EPR), a NIEHS-operated cohort encompassing over 15,000 North Carolina residents, who have donated DNA and have agreed to be called back for phenotypic studies. EPR-related follow-up studies address issues of inflammation, DNA injury repair, endocrine receptor polymorphisms, endothelial function and lung disease. Furthermore, collaboration avenues with local universities as well as other governmental agencies are currently underway. The NIEHS Clinical Research Branch has established a comprehensive Human Research Protection Program thru the development of the Office of Human Research Compliance (OHRC). This office is responsible for managing and coordinating the pre-IRB clinical and scientific review of NIEHS clinical studies, supporting the day to day administrative operations of the IRB, Developing and maintaining electronic management systems and websites that support activities of the OHRC, Performing quality assurance/quality improvement audits of clinical sites, strengthening and enhancing the human research protection education and training program, working with scientific / clinical PIs and their staff to develop human research protocols, developing and implementing standard operational procedures, to ensure that NIEHS complies with DHHS, FDA, NIH guidelines and regulations.