From owner-sci-resources@net.bio.net Wed Jan 04 22:00:00 1995
Path: biosci!biosci!not-for-mail
From: BIOSCI Administrator <biosci-help@net.bio.net>
Newsgroups: bionet.sci-resources
Subject: NSF - Summary of new documents on STIS - 1 January 1995
Date: 4 Jan 1995 14:32:29 -0800
Organization: BIOSCI International Newsgroups for Molecular Biology
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This message contains a summary of the documents added to the NSF STIS
system in the previous week.  Reference material concerning STIS
follows the summary.
------------------------------------------------------------------------
                ** UPDATES TO EXISTING STIS DOCUMENTS **

Document Type: Letter

   Title: Current List of REU Sites
               File size (bytes):       88039
               STIS Filename:           reulist

------------------------------------------------------------------------
                       ** FOR YOUR REFERENCE **
------------------------------------------------------------------------
HOW TO OBTAIN DOCUMENTS

The above files can be retrieved in electronic form using the STIS
system.  If you don't know how to use STIS, send an E-mail message to
stisinfo@nsf.gov (Internet).  You will receive
a copy of the STIS flyer via E-mail.

If you are already using STIS, you can use the information above to
retrieve these files:

Documents via E-mail:

     Send a message to stisserve@nsf.gov (Internet).
     Use the "STIS Filename" shown above in the "get" command.
     For example, to retrieve reulist, the text of your message should be 
     as follows:
                       get reulist

Anonymous FTP:

     FTP to stis.nsf.gov.  Use the "STIS Filename" shown above to
     retrieve a file.  For example, to retrieve reulist, you would
     enter:
                       ftp> get reulist

WAIS or Gopher:

     Do a word search on the filename as shown in the summary.

If you want a *printed* copy of a document:

     Send your name and postal mailing address, and the document title
     and number to "pubs@nsf.gov" (Internet).

If you have problems with the above procedures:

     Send a message to "stis@nsf.gov" (Internet).

From owner-sci-resources@net.bio.net Thu Jan 05 22:00:00 1995
Path: biosci!biosci!not-for-mail
From: Jay Snoddy <snoddy@oerhp01.er.doe.gov>
Newsgroups: bionet.sci-resources
Subject: Small Business Innovation Research solicitation is available (fwd)
Date: 6 Jan 1995 13:40:31 -0800
Organization: BIOSCI International Newsgroups for Molecular Biology
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Please excuse any cross-postings.

RE: SMALL BUSINESS INNOVATION RESEARCH; DEPARTMENT of ENERGY

	Solicitation for grant applications

Topics: 

	Human Genome

	Computerized Processing of Biological Data

	Medical Applications 

	Advanced Environmental Monitoring Technologies
        
	and other topics


DUE DATE: March 1, 1995


-----------------------------------------

The Office of Health and Environmental Research of the Office of Energy
Research would like to call your attention to the 1995 solicitation for
grant applications to the Department of Energy (DOE) Small Business
Innovation Research (SBIR) program.  From this solicitation, about 200
Phase I grant applications from small businesses (500 employees or less)
for up to $75,000 over a period of about 6 months will be funded for
feasibility studies.  Some of these will continue into Phase II, which is
the principal research and development effort, funded at up to $750,000
over a two-year period.  Grant applications are sought in 44 technical
topics which are described in Appendix I of the published solicitation. 
The awards will be made on a competitive basis among all of the topics. 
Please note the following topics might be of particular interest for
individuals on this electronic newsgroup. 

        Topic No 

               9.   Advanced Environmental Monitoring Technologies
**            10.   Human Genome 
**            11.   Computerized Processing of Biological Data
              13.   Medical Applications  

Grant applications are invited only for specific subtopics that
are further elaborated in the solicitation. That solicitation
contains detailed descriptions of the technical topics and what
is sought in grant applications; please note that the technical
topics described in the solicitation are to be interpreted
literally.  Following the instructions and text descriptions
found in the solicitation is critical in preparing an
application.  

In many cases, a critical impetus in winning an SBIR grant has
been the suggestion by a research scientist to a suitable small
business of the need for new instrumentation or technology.  Very
much in line with the philosophy of the SBIR program, this
catalytic action on the part of active researchers has helped
interested and competent small businesses develop superior grant
applications.

Copies of the current DOE SBIR solicitation can be obtained by
writing to the following address:

                        SBIR Program Manager, ER-16
                        U.S. Department of Energy
                        Washington, D.C.  20585

You may also call (301) 903-5707 to receive a copy.  In addition
you may send a request to sbir-sttr@mailgw.er.doe.gov.  

The due date for the receipt of grant applications is March 1, 1995. 

Questions about the program should be addressed to Kay Etzler, the SBIR
spokesperson, on (301) 903-5867.  However, since the solicitation is
subject to the procurement regulations of the Federal Government, no
further elaborations will be provided by the SBIR office on any of the
written descriptions of the 44 technical topics. 



----------------------------------------------------------------------
-Jay Snoddy-                     Internet: snoddy@er.doe.gov
-DOE Human Genome Program-       Phone: 301-903-2792 FAX: 301-903-8521
----------------------------------------------------------------------

From owner-sci-resources@net.bio.net Mon Jan 09 22:00:00 1995
Path: biosci!biosci!not-for-mail
From: BIOSCI Administrator <biosci-help@net.bio.net>
Newsgroups: bionet.sci-resources
Subject: NSF - Summary of new documents on STIS - 8 January 1995
Date: 9 Jan 1995 16:44:24 -0800
Organization: BIOSCI International Newsgroups for Molecular Biology
Lines: 143
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This message contains a summary of the documents added to the NSF STIS
system in the previous week.  Reference material concerning STIS
follows the summary.
------------------------------------------------------------------------
                     ** NEW DOCUMENTS ON STIS **

Document Type: International Document

   Title: INT 95-001 -European Science Foundation Debates Future Role
               File size (bytes):       14032
               STIS Filename:           int95001.txt

   Title: INT 95-002 - Current Status of Programs to Support
          American Researchers in Japan
               File size (bytes):       4356
               STIS Filename:           int95002.txt

   Title: INT 95-003 - NEDO's International Joint Research Grants
          for Japan FY 1994
               File size (bytes):       8727
               STIS Filename:           int95003.txt

   Title: INT 95-004 - 1994 Survey of Research and Development in
          Japan
               File size (bytes):       6525
               STIS Filename:           int95004.txt

   Title: INT 95-005 - White Paper on Science and Technology Japan
          FY 1994
               File size (bytes):       4947
               STIS Filename:           int95005.txt

Document Type: Program Guideline

   Title: NSF 94-170 - CISE Minority Institutions Infrastructure
          Program
               File size (bytes):       22383
               STIS Filename:           nsf94170.txt

   Title: NSF 94-171 -- Combined Research-Curriculum Development
          Program
               File size (bytes):       19569
               STIS Filename:           nsf94171.txt

   Title: NSF 94-173 THE U.S. TROPICAL OCEAN GLOBAL ATMOSPHERE
          PROGRAM COUPLED OCEAN-ATMOSPHERE RESPONSE EXPERIMENT
               File size (bytes):       14176
               STIS Filename:           nsf94173.txt

Document Type: Recruit

   Title: Chemist (Program Director)
               File size (bytes):       5408
               STIS Filename:           vex952.txt

   Title: Mathematician (Program Director)
               File size (bytes):       4620
               STIS Filename:           vex955.txt

   Title: Mathematician (Program Director)
               File size (bytes):       5708
               STIS Filename:           vex956.txt

   Title: Secretary (Office Automation)
               File size (bytes):       6438
               STIS Filename:           vgs9544.txt

   Title: Supervisory Computer Specialist (Section Head)
               File size (bytes):       7099
               STIS Filename:           vgs9545.txt

   Title: Investigative Assistant (Office Automation)
               File size (bytes):       5047
               STIS Filename:           vgs9547.txt

   Title: Clerical and Administrative Support Positions
               File size (bytes):       7290
               STIS Filename:           vgs9548.txt

   Title: Secretary (Office Automation)
               File size (bytes):       7553
               STIS Filename:           vgs9549.txt

------------------------------------------------------------------------
                ** UPDATES TO EXISTING STIS DOCUMENTS **

Document Type: Form

   Title: NSF 94-3  -  Grant Proposal Guide Forms Kit(Revised)
               File size (bytes):       1469
               STIS Filename:           nsf943.txt
               Also available:          nsf943.zip nsf943.tar

Document Type: Phone Book

   Title: NSF Alpha Telephone
               File size (bytes):       96782
               STIS Filename:           phnalpha.txt

   Title: NSF Organizational Directory
               File size (bytes):       99792
               STIS Filename:           phnorg.txt

------------------------------------------------------------------------
                       ** FOR YOUR REFERENCE **
------------------------------------------------------------------------
HOW TO OBTAIN DOCUMENTS

The above files can be retrieved in electronic form using the STIS
system.  If you don't know how to use STIS, send an E-mail message to
stisinfo@nsf.gov (Internet).  You will receive
a copy of the STIS flyer via E-mail.

If you are already using STIS, you can use the information above to
retrieve these files:

Documents via E-mail:

     Send a message to stisserve@nsf.gov (Internet).
     Use the "STIS Filename" shown above in the "get" command.
     For example, to retrieve phnorg.txt, the text of your message should be 
     as follows:
                       get phnorg.txt

Anonymous FTP:

     FTP to stis.nsf.gov.  Use the "STIS Filename" shown above to
     retrieve a file.  For example, to retrieve phnorg.txt, you would
     enter:
                       ftp> get phnorg.txt

WAIS or Gopher:

     Do a word search on the filename as shown in the summary.

If you want a *printed* copy of a document:

     Send your name and postal mailing address, and the document title
     and number to "pubs@nsf.gov" (Internet).

If you have problems with the above procedures:

     Send a message to "stis@nsf.gov" (Internet).

From owner-sci-resources@net.bio.net Wed Jan 11 22:00:00 1995
Path: biosci!biosci!not-for-mail
From: Ray Dobert <rdobert@nalusda.gov>
Newsgroups: bionet.announce,bionet.sci-resources
Subject: NIST UPDATE - DNA Diagnostics funding
Date: 11 Jan 1995 22:58:55 -0800
Organization: BIOSCI International Newsgroups for Molecular Biology
Lines: 52
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Approved: bionews-moderator@net.bio.net
Distribution: world
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Reply-To: baum@micf.nist.gov
NNTP-Posting-Host: net.bio.net
Xref: biosci bionet.announce:1677 bionet.sci-resources:1215

Please forward requests for additional information to baum@micf.nist.gov 
or atp@micf.nist.gov

R. Dobert
Biotech Info. Center/USDA

---------- Forwarded message ----------
From:baum@micf.nist.gov
DATE:     January 9, 1995

CONTENTS:
  New `Tools for DNA Diagnostics' Competition Opened
---------------------------------------------------------------------

ADVANCED TECHNOLOGY PROGRAM

   New `Tools for DNA Diagnostics' Competition Opened

   NIST's Advanced Technology Program has announced the second
   focused program competition in the area of Tools for DNA
   Diagnostics. The technical goal of the program is to develop
   cost-effective methods to determine, analyze and store DNA
   sequences for a wide variety of diagnostic applications, such as
   for agricultural, environmental and health care uses. The
   business goal of the program is to support the development of a
   new and potentially very large market for DNA diagnostic systems.
   An estimated $15 million is available for funding under this
   competition. Proposals are due by 3 p.m. EST, March 29, 1995.
   Details of the competition were published in the Dec. 21, 1994,
   issue of Commerce Business Daily and are available (along with
   proposal kits) from the ATP office by calling (800) ATP-FUND
   (283-3863) or sending e-mail to atp@micf.nist.gov (via
   Internet).
   Media Contact: Michael Baum, (301) 975-2763
                  baum@micf.nist.gov

------------------------------------------------------------------
     This is the e-mail edition of NIST UPDATE. NIST UPDATE is a
     bi-weekly synopsis for journalists of current activites,
     research results, and program announcements from the
     National Institute of Standards and Technology. If you would
     like to subscribe to this e-mail edition, send an e-mail note
     to:
      MAILSERV@nist.gov
     In the body of the message, put the command:
      SUBSCRIBE NIST_UPDATE
     (don't forget the underbar between T and U). That's all there
     is to it. Send reports of problems to:
      baum@micf.nist.gov
     NIST UPDATE also may be found on the NIST gopher service:
      gopher-server.nist.gov
---------------------------------------------------------------------

From owner-sci-resources@net.bio.net Fri Jan 13 22:00:00 1995
Path: biosci!biosci!not-for-mail
From: BIOSCI Administrator <biosci-help@net.bio.net>
Newsgroups: bionet.sci-resources
Subject: NIH GUIDE - RFA HL-95-013 - V24(01) 01/13/95
Date: 13 Jan 1995 16:50:36 -0800
Organization: BIOSCI International Newsgroups for Molecular Biology
Lines: 470
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$$XID RFA HL95013 HL-95-013 P1O1 ***************************************

HIV-ASSOCIATED PATHOGENS OF THE LUNG: LIFE CYCLE REGULATION

NIH GUIDE, Volume 24, Number 1, January 13, 1995

RFA:  HL-95-013

P.T. 34; K.W. 0715008, 0715165, 1002027

National Heart, Lung, and Blood Institute

Letter of Intent Receipt Date:  March 3, 1995
Application Receipt Date:  April 28, 1995

PURPOSE

The purpose of this solicitation is to encourage research on the
molecular basis of cell/life cycle regulation of pathogens and
opportunistic microorganisms that cause lung disease in HIV-infected
hosts.  The request for applications (RFA) focuses on ways in which
the environment in the host lung, including signals from host lung
cells may affect the microbial mechanisms that determine growth and
replication of the microbial agents.  Examples of microorganisms that
would be appropriate for study under this program are Mycobacterium
tuberculosis, Pneumocystis carinii, Histoplasma capsulatum, and
Coccidioides immitis.

HEALTHY PEOPLE 2000

The Public Health Service (PHS) is committed to achieving the health
promotion and disease prevention objectives of "Healthy People 2000,"
a PHS-led national activity for setting priority areas.  This RFA,
HIV-Associated Pathogens of the Lung: Life Cycle Regulation, is
related to the priority area of immunization and infectious diseases.
Potential applicants may obtain a copy of "Healthy People 2000" (Full
Report:  Stock No. 017-001-00474-0) or "Healthy People 2000" (Summary
Report:  Stock No. 017-001-00473-1) through the Superintendent of
Documents, Government Printing Office, Washington, DC 20402-9325
(telephone 202-783-3238).

ELIGIBILITY REQUIREMENTS

Applications may be submitted by domestic and foreign for-profit and
non-profit institutions, public and private, such as universities,
colleges, hospitals, laboratories, units of state and local
governments and eligible agencies of the Federal government.  Foreign
institutions are not eligible for the First Independent Research
Support and Transition (FIRST) award (R29).  Applications from
minority individuals women and new investigators are encouraged.

All current policies and requirements that govern the research grant
programs of the NIH will apply to grants awarded under this RFA.
Awards under this RFA to foreign institutions will be made only for
research of very unusual merit, need, and promise, and in accordance
with PHS policy governing such awards.

Among the disciplines and expertise that may be appropriate for this
research program are cell biology, microbiology, genetics,
immunology, molecular immunology, molecular biology, infectious
diseases, pathology, and pulmonary medicine.

MECHANISM OF SUPPORT

The support mechanism for this program will be the National
Institutes of Health (NIH) individual research project grant (R01)
and the FIRST award (R29).  While multidisciplinary approaches are
encouraged, it is not the intent of this RFA to solicit applications
for large studies encompassing a variety of individual subprojects,
i.e., program projects.  If collaborative arrangements through
subcontracts with other institutions are planned, consult the program
staff listed under INQUIRIES.

Upon initiation of the program, the NHLBI will sponsor periodic
meetings to encourage exchange of information among investigators who
participate in this program.  In the budget for the grant
application, applicants should request travel funds for a one-day
meeting each year, most likely to be held in Bethesda, Maryland.
Applicants should also include a statement in their applications
indicating their willingness to participate in these meetings.

Applicants (who will plan and execute their own research programs)
are expected to furnish their own estimates of time required to
achieve the objectives of the proposed research project.  Up to five
years of support may be requested for R01s; five years are required
for FIRST awards.  Requested budgets for FIRST awards may not exceed
those specified in the FIRST award guidelines.  Because a variety of
approaches would represent valid responses to this RFA, it is
anticipated that there will be a range of costs among individual
grants awarded.

This RFA is a one-time solicitation.  Future unsolicited competing
continuation applications may be submitted for peer review and
competition for support through the regular grant program of the NIH.
It is anticipated that support for this program will begin in
September 1995.  Administrative adjustments in project period and/or
amount may be required at the time of the award.

The National Institute of Allergy and Infectious Diseases (NIAID)
also supports research aimed at a better understanding of the
interactions between the HIV-infected host and a variety of
pathogenic and opportunistic infectious agents.  Therefore,
applications that are of mutual interest are likely to be given a
secondary assignment to NIAID in accordance with the NIH referral
guidelines.

FUNDS AVAILABLE

Although financial plans for fiscal year 1995 include approximately
$2,000,000 for the total cost of the program for the first year,
award of grants pursuant to this RFA is contingent upon receipt of
funds for this purpose.  It is anticipated that no more than eight
awards will be issued under this program.  The specific number to be
funded will, however, depend on the merit and scope of the
applications received and the availability of funds.

RESEARCH OBJECTIVES

Background

The lung is the portal of entry for a variety of microorganisms many
of which produce disease associated with the HIV epidemic.
Furthermore, the lung is the site of the initial host response to
these invading agents and as such is involved in both specific and
non-specific mechanisms of defense against infection.  In HIV-
infected individuals and other immunocompromised hosts the ability of
invading agents to disseminate systemically appears to be enhanced
due to suppressed cellular immunity.  Many of the organisms that
threaten immunocompromised individuals have complex life/cell cycles
that along with host factors may regulate pathogenic processes in the
lung.  Little is known about the mechanisms by which pathogenic and
opportunistic microorganisms, some of which may have been dormant for
years, become harmful to the host.  For some of these organisms lack
of progress in understanding aspects of their life/cell cycle that
influence pathogenesis can be ascribed to difficulty of in vitro
culture.  For example, the pathogenic Mycobacteria grow very slowly
and methods to maintain sustained growth of Pneumocystis carinii in
vitro are still being sought.

Rapid advances are occurring in understanding the molecular
regulation of the order and timing of eukaryotic cell growth and
division, including signals that limit growth and cause or prevent
cell division.  For example, cyclins acting through cyclic-AMP
dependent protein kinase appear to be an important feature of the
mechanism that integrates cell growth with cell division.  A more
detailed knowledge of the cell cycle indicates that cell replication
appears to depend not just on cell size, but also on the rate of
growth and it has become apparent that it is possible for one
regulatory mechanism to override another, under certain environmental
conditions.

Although investigators have begun to define the homeostatic
mechanisms that integrate cell growth and division in molecular
terms, little is yet known about the enzymatic machinery that might
control the rate and timing of life/cell cycling in many pulmonary
pathogens and opportunistic agents that cause disease in humans.  The
mechanisms whereby host cells and specific forms of these
microorganisms interact in the lung and the extent to which the
intracellular environment of lung cells influence the life/cell cycle
of these microbes are also poorly understood.

Tuberculosis (TB) has reemerged as an urgent health problem in the
United States in the 1980s in conjunction with the HIV epidemic as
well as with other factors such as increased homelessness and
immigration of people from areas where the incidence of TB is high.
An estimated 15 million people in the United States are currently
infected with Mycobacterium tuberculosis (Mtb).  It is expected that
in many of these individuals Mtb will remain dormant, yet a number of
them will develop active disease at some point, most likely through
reactivation of the organisms they harbor.  This is particularly
important because of the ease with which Mtb is communicated and
because of the many individuals who have medical conditions,
especially HIV infection, that increase their risk of developing
active TB.  A variety of host factors, in addition to HIV infection,
put patients at increased risk of TB, presumably by compromising
their immune responses.  However, little is known about the actual
mechanisms that control interactions between the host and Mtb and how
such factors may alter the life cycle of the organism.  Such
knowledge might provide the basis for developing new strategies to
prevent and treat TB.

Pneumoncystis carinii pneumonia (PCP) continues to be an important
complication in individuals infected with HIV.  While the use of a
number of drugs has had an overall suppressive effect on the
incidence of PCP, there remain a number of problems associated with
therapy for this infection.  It is anticipated that a better
understanding of the mechanisms involved in the interaction between
host lung cells and the infectious forms of P. carinii might provide
alternative approaches for treating this opportunistic infection.

Objectives and Scope

The objective of this program is to elucidate the role of life/cell
cycle regulation of a variety of microorganisms that are associated
with the pathogenesis of lung disease, particularly but not
exclusively, in the setting of HIV infection.  These could include
various bacteria, fungi, and protozoa which act as opportunists or as
well-recognized microbial pathogens either alone or in combination
with HIV infection.

Areas of interest under this program include the identification of
markers of microbial replication and the interaction of host and
microbial factors that allow organisms to continue to remain viable
in cells or tissues for many months or years without replicating.  Of
particular interest are the cellular mechanisms responsible for a
change in the relationship between the host cells and the
microorganism that lead to active disease processes in the lung.
Mycobacteria and P. carinii are likely candidates, but studies that
propose to investigate other organisms are also encouraged.  For
example a variety of fungal organisms such as Histoplasma, Candida,
Coccidioides and Aspergillus are also of particular interest.  A
better understanding of the enzymes controlling life/cell cycle
processes might provide insight into the phenomena of microbial
latency and activation/reactivation as well as provide novel targets
for antimicrobial chemotherapy.

The cell division machinery of Mycobacteria, especially Mtb, and the
regulation of microbial division, especially in lung tissue, offer
potential targets for study with respect to pulmonary tuberculosis.
It is thought that the DNA synthetic mechanisms and cell division
apparatus of Mtb are unique.  The genome of Mtb is 70 percent guanine
and cytosine, suggesting that its DNA polymerase has adapted to
handle its more highly stable form of DNA.  The cell division of Mtb
is exceptionally slow for a pathogenic bacterium.  It is unknown
whether this is due to pauses in DNA synthesis, a low constant rate
of DNA synthesis, gaps between DNA synthesis and cell division, or
factors unrelated to DNA replication.  The DNA replication process of
Mtb is thought to be highly error prone which would help explain why
the spontaneous occurrence of resistance to chemotherapeutic agents
is much higher for Mtb than for other microorganisms.  This also
suggests that the DNA polymerase of Mtb may proofread inefficiently
during replication.  The signals that regulate DNA synthesis and the
growth of Mtb, especially in the lung remain to be uncovered.  The
extent to which reactivation may be regulated by DNA replication
processes and whether host cell factors influence these processes are
completely unknown.  While the tubercle bacilli can remain "dormant"
for decades in host cells little is known about the signals that
regulate the transition between active growth and the "dormant"
state.  Projects that are directed toward gaining mechanistic
insights into the processes of reactivation of Mtb, particularly in
the immunocompromised host are of interest.

Projects dealing with fungal infections associated with
immunocompromised hosts would also be responsive.  For example these
might focus on Coccidioides immitis which is characterized by a
sequence which involves inhalation of infectious conidia into the
respiratory tract where they undergo conversion to spherules.  It has
been suggested that leukocytes and carbon dioxide in the lung play a
role in regulating this morphologic change.  Once formed the
spherules undergo a complex series of processes which give rise to
endospores before being distributed locally in the lung or being
disseminated to other organs of the body.  In addition to the
morphologic considerations, a number of other factors are thought to
contribute to the virulence of these organisms.  These include the
antiphagocytic properties of the organism's cell wall, the thickness
and large size of the spherule form of the organism and the large
number of endospores released from each spherule.  The way in which
such processes are signalled and regulated are appropriate topics for
study under this RFA.

In vitro experiments, animal studies and innovative studies using
human cells or tissues, are encouraged.  Research involving humans
should be formulated in the context of mechanistic studies and should
address specific hypotheses.  Large scale clinical studies are beyond
the scope of this RFA.

SPECIAL REQUIREMENTS

Applications that propose descriptive studies and do not contain
hypothesis driven research directed at understanding the mechanisms
underlying cell/life cycles of microorganisms and how these
contribute to the pathogenesis of lung disease will not be
acceptable.  Studies focused exclusively on microorganisms will not
be acceptable; applications must address microbial-host interactions.
Studies directed at understanding how lung cell signals from an
immunocompromised host interact with microbial signals to direct
microbial growth, replication, dormancy and reactivation are of
special interest.  Applications that focus on issues relevant to the
HIV-immunocompromised host and that use molecular approaches are of
particular interest.

INCLUSION OF WOMEN AND MINORITIES IN RESEARCH INVOLVING HUMAN
SUBJECTS

It is the policy of the NIH that women and members of minority groups
and their subpopulations must be included in all NIH supported
biomedical and  behavioral research projects involving human
subjects, unless a clear and compelling rationale and justification
is provided that inclusion is inappropriate with respect to the
health of the subjects or the purpose of the research.  This new
policy results from the NIH Revitalization Act of 1993 (Section 492B
of Public Law 103-43) and supersedes and strengthens the previous
policies (Concerning the Inclusion of Women in Study Populations, and
Concerning the Inclusion of Minorities in Study Populations) which
have been in effect since 1990.  The new policy contains some new
provisions that are substantially different from the 1990 policies.

All investigators proposing research involving human subjects should
read the "NIH Guidelines for Inclusion of Women and Minorities as
Subjects in Clinical Research", which have been published in the
Federal Register of March 28, 1994 (FR 59 14508-14513), and reprinted
in the NIH GUIDE FOR GRANTS AND CONTRACTS of March 18, 1994, Volume
23, Number 11.

Investigators also may obtain copies of the policy from the program
staff listed under INQUIRIES.  Program staff may also provide
additional relevant information concerning the policy.

LETTER OF INTENT

Prospective applicants are asked to submit, by March 3, 1995, a
letter of intent that includes a descriptive title of the proposed
research, the name, address, and telephone number of the Principal
Investigator, the identities of other key personnel and participating
institutions, and the number and title of the RFA in response to
which the application may be submitted.

Although a letter of intent is not required, is not binding, and does
not enter into the review of subsequent applications, the information
that it contains allows NIH staff to estimate the potential review
workload and to avoid conflict of interest in the review.  The letter
of intent is to be sent to Dr. C. James Scheirer, at the address
listed under INQUIRIES.

APPLICATION PROCEDURES

The research grant application form PHS 398 (rev. 9/91) is to be used
in applying for these grants.  These forms are available at most
institutional offices of sponsored research and from the Office of
Grants Information, Division of Research Grants, National Institutes
of Health, Westwood Building, Room 449, Bethesda, MD 20892, telephone
(301) 594-7248.  Use the conventional format for research project
grant applications and ensure the points identified in the section
REVIEW CONSIDERATIONS are fulfilled.  To identify the application as
a response to this RFA, check "YES" on item 2a of page 1 of the
application and enter the title "HIV-Associated Pathogens of the
Lung: Life Cycle Regulation" HL-95-013.

The RFA label found in form PHS 398 application kit must be affixed
to the bottom of the face page of the original completed application
form PHS 398.  Failure to use this label could result in delayed
processing of the application such that it may not reach the review
committee in time for review.

Send or deliver the completed application and three signed
photocopies in one package to:

Division of Research Grants
National Institutes of Health
Westwood Building, Room 240
Bethesda, MD  20892**

Send two additional copies of the application to the Chief, Review
Branch, DEA at the address listed under INQUIRIES.  It is important
to send these two copies at the same time as the original and three
copies are sent to the Division of Research Grants.  Otherwise the
NHLBI cannot guarantee that the application will be reviewed in
competition for this RFA.

Applications must be received by April 28, 1995.  If an application
is received after this date, it will be returned to the applicant
without review.  The DRG will not accept any application in response
to this RFA that is essentially the same as one currently pending
initial review, unless the applicant withdraws the pending
application.  The DRG will not accept any application that is
essentially the same as one already reviewed.  This does not preclude
the submission of substantial revisions of applications already
reviewed, but such applications must include an introduction
addressing the previous critique.

REVIEW CONSIDERATIONS

Upon receipt, applications will be reviewed for completeness by the
DRG and responsiveness to this RFA by the NHLBI.  Incomplete
applications will be returned without further consideration.  If the
application is not responsive to the RFA, DRG staff may contact the
applicant to determine whether to return the application to the
applicant or submit it for review in competition with unsolicited
applications at the next review cycle.  Applications that are
complete and responsive to the RFA will be evaluated for scientific
and technical merit by an appropriate peer review group convened by
the Division of Extramural Affairs, NHLBI in accordance with the
review criteria stated below.

As part of the initial merit review, a process (triage) may be used
by the initial review group in which applications will be determined
to be competitive or non-competitive based on their scientific merit
relative to other applications received in response to the RFA.
Applications judged to be competitive will be discussed and be
assigned a priority score.  Applications determined to be non-
competitive will be withdrawn from further consideration and the
Principal Investigator and the official signing for the applicant
organization will be notified.

Review Criteria.  The factors to be considered in the evaluation of
scientific merit of each application will be similar to those used in
the review of traditional research project grant applications
including the novelty, originality, and feasibility of the approach;
the training, experience, and research competence of the
investigator(s); the adequacy of the experimental design; the
suitability of the facilities; the appropriateness of the requested
budget to the work proposed; and the adequacy of plans to include
both genders and minorities and their subgroups as appropriate for
the scientific goals of the research.  Plans for the recruitment and
retention of subjects will also be evaluated.  The initial review
group will also examine the provisions for the protection of human
and animal subjects and the safety of the research environment.

AWARD CRITERIA

The anticipated date of award is September 29, 1995.  In addition to
the scientific merit of the applications, awards will be based on
significance to the subject of the RFA and the availability of
resources.

INQUIRIES

Inquiries concerning this RFA are encouraged. The opportunity to
clarify any issues or questions from potential applicants is welcome.

Direct inquiries regarding programmatic issues to:

Hannah H. Peavy, M.D.
Division of Lung Diseases
National Heart, Lung, and Blood Institute
Westwood Building, Room 6A09
Bethesda, MD  20892
Telephone:  (301) 594-7425
FAX:  (301) 594-7487
Email:  hpv%nihhwb1.bitnet@cu.nih.gov

Direct inquiries regarding review matters and mail the letter of
intent to:

C. James Scheirer, Ph.D.
Division of Extramural Activities
National Heart, Lung, and Blood Institute
Westwood Building, Room 557
Bethesda, MD  20892
Telephone:  (301) 594-7478
FAX:  (301) 594-7407
Email:  james_scheirer%nihhwb1.bitnet@cu.nih.gov

Direct inquiries regarding fiscal matters to:

Raymond L. Zimmerman
Division of Extramural Affairs
National Heart, Lung, and Blood Institute
Westwood Building, Room 4A17
Bethesda, MD  20892
Telephone:  (301) 594-7420
FAX:  (301) 594-7492
Email:  raymond_zimmerman%nihhwb1.bitnet@cu.nih.gov

AUTHORITY AND REGULATIONS

This program is described in the Catalog of Federal Domestic
Assistance, No. 93.838.  Awards are made under authorization of the
Public Health Service Act, Title IV, Part A (Public Law 78-410,
amended by Public Law 99-158, 42 USC 241 and 285) and administered
under PHS grants policies and Federal Regulations 42 CFR 52 and 45
CFR Part 74.  This program is not subject to the intergovernmental
review requirements of Executive Order 12372 or to review by a Health
Systems Agency.

The Public Health Service (PHS) strongly encourages all grant
recipients to provide a smoke-free workplace and promote the non-use
of all tobacco products.  This is consistent with the PHS mission to
protect and advance the physical and mental health of American
people.

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$$XID RFA PA95020 PA-95-020 P1O1 ***************************************

DECISION MAKING PROCESSES IN WOMEN'S HEALTH

NIH GUIDE, Volume 24, Number 1, January 13, 1995

PA NUMBER:  PA-95-020

P.T. 34, II; K.W. 0785035, 0730050

National Institute of Nursing Research
Office of Research on Women's Health
Agency for Health Care Policy and Research

PURPOSE

The National Institute of Nursing Research (NINR), the Office of
Research on Women's Health (ORWH), and the Agency for Health Care
Policy and Research (AHCPR) invite submission of research grant
applications to study the treatment and intervention decision making
processes associated with non-cancerous health problems of women that
frequently result in the surgical procedure, hysterectomy.  These
health problems have symptoms that may lead to a decision for
hysterectomy even when the underlying pathology is limited.  These
problems include dysfunctional uterine bleeding, leiomyota
(fibroids), endometriosis, pelvic pain, and uterine prolapse.
Cancerous conditions leading to hysterectomy are not included in this
Program Announcement (PA).

This PA is jointly sponsored by NIH and AHCPR and both agencies are
interested in applications in all the areas described under RESEARCH
OBJECTIVES.  The AHCPR is particularly interested in studies that
include an emphasis on the influence of market forces, cost factors,
health care payers, practice variation, and access issues.

HEALTHY PEOPLE 2000

The Public Health Service (PHS) is committed to achieving the health
promotion and disease prevention objectives of "Healthy People 2000,"
a PHS-led national activity for setting priority areas.  This PA,
Decision-Making Processes In Women's Health, is related to the
priority areas of health promotion and clinical preventive services.
Potential applications may obtain a copy of "Healthy People 2000"
(Full Report:  Stock No. 017-001-00474-0 or Summary Report:  Stock
No. 017-001-00473-1) through the Superintendent of Documents,
Government Printing Office, Washington, DC 20402-9325 (telephone
202-783-3238).

ELIGIBILITY REQUIREMENTS

Applications may be submitted by domestic and foreign for-profit and
non-profit organizations, public and private, such as universities,
colleges, hospitals, laboratories, units of State and local
governments, and eligible agencies of the Federal government.  The
AHCPR, by statute, can award grants to non-profit organizations only.
Applications from minority individuals and women are encouraged.

MECHANISM OF SUPPORT

This PA will use the NIH/AHCPR individual research project grant
(R01).  Responsibility for the planning, direction, and execution of
the proposed project will be solely that of the applicant.  Though
the length of individual studies will vary, support will be provided
for a period up to five years, based on availability of funds and
sufficient scientific progress.  Costs of individual projects will
vary.

RESEARCH OBJECTIVES

Women and their health care providers confront an increasingly
complex decision making process related to selecting hysterectomy
and/or alternatives as treatment/intervention options.  Current
scientific investigations are focused on evaluating the efficacy of
emerging medical and surgical treatments prior to, during and
following hysterectomy; but little investigative effort has focused
on the complexity of the decision making process itself.  The
interaction effect of endogenous and exogenous factors on decision
making has not been thoroughly examined.  Among these factors are the
woman's preferences and symptoms, the clinical practitioner's
assessment and treatment plan, and the utilization criteria of the
health care payers leading to the decision to implement or not
implement hysterectomy as a treatment option.

The purpose of this program announcement is to encourage exploration
of the treatment and intervention decision-making processes of women
experiencing non-cancerous health problems that frequently result in
a hysterectomy.  These problems, including dysfunctional uterine
bleeding, leiomyota (fibroids), endometriosis, and uterine prolapse,
have symptoms that may lead to a decision for hysterectomy even with
limited underlying pathology.  The symptomatology associated with
such problems include pelvic pain, excessive and/or frequent uterine
bleeding, changes in urination, and related symptoms.

In examining the decision making process, it is important to consider
the varying perspectives of, and influences on, women having the
health problems.  In addition, the role of their significant others,
their clinical  practitioners (nurses, physicians, and others), and
health care payers on decision outcomes need consideration.  These
differing viewpoints and interests are usually the major factors
leading to decisions for surgical treatment, such as hysterectomy,
rather than using alternative, less invasive and costly treatments or
interventions when they are available.  There is limited scientific
information about how women make these decisions, how they are
informed about their treatment options, and what influence, if any,
clinical practitioners and health care payers have on their decision
making.

Numerous methodological approaches may be used to address the study
of decision making.  It is appropriate to propose both quantitative,
qualitative and combined approaches.

Currently, hysterectomy is the second most commonly performed major
surgery for women in the US.  Half of the hysterectomies are
performed on women 40 years old or younger.  There is considerable
regional variation.  Whether this variation is related to factors
other than clinical decisions and recommendations by clinical
practitioners is not clear.

Although, total hysterectomy for benign disease historically has been
justified on several grounds, there is no convincing evidence that
hysterectomy conveys a benefit proportional to the risks of the
surgery.  Recent advances in technology have enabled us to follow
more closely the status of many conditions which lead to
hysterectomy.  New conservative surgical approaches which spare the
uterus are growing in use.

A variety of conditions can be indications for hysterectomy, the most
common of which are benign conditions, such as uterine leiomyomas,
endometriosis, dysfunctional uterine bleeding, and uterine prolapse.
Conditions such as endometriosis and leiomyoma usually stabilize or
regress at the time of natural menopause.  When the effects of these
problems become more symptomatic, the usual first line of treatment
consists of medical therapies or conservative surgical approaches or
watchful waiting.  Abnormal uterine bleeding may also be treated with
drug therapy.  Pelvic pain, which must have a differential diagnosis
leading to a decision that it is occurring due to a non-cancerous or
other less serious condition, needs to be explored to determine the
extent to which it may be the important factor in a decision to treat
surgically.  Conventional treatment of chronic pelvic pain currently
consists of oral contraceptives or nonsteroidal anti-inflammatory
drugs.  Other treatments or interventions for symptom management of
pain may be less invasive and less costly in approach.  Approaches to
uterine prolapse may include exercise to strengthen the pelvic
muscles in mild or moderate prolapse, placement of a pessary
especially in older women, and surgery for severe prolapse.

Family members are frequently important partners for many women when
making health-related decisions. The role and influence of family
members in treatment/intervention decisions generally remains
unexplored, but could be of potential significance, especially for
certain cultural/ethnic groups.  Cultural beliefs, mores, and values
are factors that are seldom addressed in clinical investigations,
particularly in the area of health-related decision making.  Such
factors could be addressed from an individual, family and/or
community perspective.

The term clinical practitioner for this announcement refers to the
health care professional who is the principal source of care for the
patient's condition.  This provider may be a primary care physician
or nurse, an advanced nurse practitioner, a clinical nurse
specialist, a certified nurse midwife, a women's health care
specialist, a gynecologist, a general surgeon, or other health
professionals who fulfills the above role.  In situations where more
than one provider is involved, the responsibilities of each provider
should be clearly defined.

Health care practitioners as well as patients are said to be
influenced in making decisions by the policies and procedures of
employing organizations, referring organizations, health care payers
and other market forces.  These include hospitals and other
organizations providing clinical services, managed care
organizations, health insurance plans, and other "third party" payers
that can influence choices actually available or valued by
practitioners, patients, and their families.

Examples of possible research questions include, but are not limited
to:

What are the sources of information most frequently used/consulted by
women in their self care of their uterine/pelvic symptoms, and for
treatment/intervention decisions?  What is the reliability of these
sources?  How do women resolve conflicting information, advice or
recommendations in these sources?

How do the various sources of information about treatment or control
of their clinical problems influence women to seek or use one
treatment over another?

What are the relationships of symptoms and their management to the
decision to have a hysterectomy or not?  Are there different levels
of symptom intensity related to these decisions?  What are the
methodological considerations in determining symptom influence on
treatment decisions?

How does the decision-making process vary within and across
cultural/ethnic groups or in geographic regions for different
practitioners?

Are there specific components of the decision-making process that
lead to satisfactory/unsatisfactory outcomes for the patient?

To what extent is watchful waiting recommended and adhered to, or are
other options sought by women with any frequency? What options are
considered and used?

How are the appropriateness and effectiveness of clinical decisions
for hysterectomy best evaluated?  What are the cost differentials
across treatment/intervention options? Are these influential to women
in making their treatment decisions?

Does the type of decision made depend more on the different health
care practitioners or on the individual characteristics and symptoms
of the woman?

Does the type of surgical procedure offered for hysterectomy
(abdominal versus vaginal hysterectomy, inclusion of the ovaries or
not) directly or indirectly influence the decision for surgery when
other options are also indicated?

What is the influence of clinical guidelines developed by
professional societies and groups related to the noncancerous
clinical conditions and their treatments, if any?

INCLUSION OF WOMEN AND MINORITIES IN RESEARCH INVOLVING HUMAN
SUBJECTS

It is the policy of NIH and AHCPR that women and members of minority
groups and their subpopulations must be included in all NIH/AHCPR-
supported biomedical, behavioral, and health services research
projects involving human subjects, unless clear and compelling
rationale and justification is provided that inclusion is
inappropriate with respect to the health of the subjects or the
purpose of the research.  The new policy results from the NIH
Revitalization Act of 1993 (Section 492B of Public Law 103-43) and
supersedes and strengthens the previous policies (Concerning the
Inclusion of Women in Study Populations) which have been in effect
since 1990.  The new policy contains some new provisions that are
substantially different from the 1990 policies.  All investigators
proposing research involving human subjects should read the "NIH
Guidelines For Inclusion Of Women And Minorities As Subjects In
Clinical Research," which have been published in the Federal Register
of March 28, 1994 (FR 59 14508-14513), and reprinted in the NIH GUIDE
TO GRANTS AND CONTRACTS of March 18, 1994, Volume 23, Number 11.

Investigators may obtain copies from these sources or from the
program staff or contact person listed under INQUIRIES.  Program
staff may also provide additional relevant information concerning the
policy.

APPLICATION PROCEDURES

The research grant application form PHS 398 (rev. 9/91) is to be used
and will be accepted at the standard application deadlines indicated
in the application kit.  These forms are available at most
institutional offices of sponsored research; from the Office of
Grants Information, Division of Research Grants, National Institutes
of Health, 5333 Westbard Avenue, Room 449, Bethesda, MD 20892,
telephone 301/594-7248.  The number and title of this program
announcement must be typed in item number 2a on the application face
page.

The completed application and five signed, legible copies must be
sent or delivered to:

Division of Research Grants
National Institutes of Health
Westwood Building, Room 240
Bethesda, MD  20892-6300**

REVIEW CONSIDERATIONS

Applications received under this program announcement will be
assigned to an appropriate NIH or AHCPR Initial Review group (IRG) in
accordance with established PHS referral guidelines.  The IRG,
consisting primarily of non-Federal scientific and technical experts,
will review the application for scientific and technical merit in
accordance with standard NIH/AHCPR review procedures.  Notification
of the review recommendations will be sent to the applicant after the
initial review.  Applications assigned to the NIH, recommended for
further consideration, and receiving sufficiently high priority will
receive a second-level review by appropriate National Advisory
Council, whose review will be based on policy considerations as well
as scientific merit.

Applications that are complete and responsive to the program
announcement will be evaluated for scientific and technical merit by
an appropriate peer review group convened by the NIH/AHCPR in
accordance with the review criteria stated below.  As part of the
initial merit review, a process (triage) may be used by the initial
review group in which applications will be determined to be
competitive or non-competitive based on their scientific merit
relative to other applications received in response to the RFA.
Applications judged to be competitive will be discussed and be
assigned a priority score.  Applications determined to be non-
competitive will be withdrawn from further consideration and the
Principal Investigator and the official signing for the applicant
organization will be notified.

AWARD CRITERIA

Decisions to make awards are based on the overall scientific merit of
the application reflected in the priority score, availability of
funds, and research program priorities within the NINR, ORWH, and
AHCPR.

INQUIRIES

Written and telephone inquiries concerning this PA are encouraged.
The opportunity to clarify any issues or questions from potential
applicants is welcome.

Direct inquiries regarding scientific or programmatic issues to:

Patricia Moritz, Ph.D., R.N.
National Institute of Nursing Research
Building 45, Room 3AN-12
45 Center Drive MSC 6300
Bethesda, MD  20892-6300
Telephone:  (301) 594-5966
FAX:  (301) 480-8260
Email:  pmoritz@ep.ninr.nih.gov

Virginia Cain, Ph.D.
Office of Research on Women's Health
Building 1, Room 201
Bethesda, MD  20892
Telephone:  (301) 402-1770
FAX:  (301) 402-1798
Email:  virginia_cain@nih.gov

Anne Bavier, M.N., R.N.
Agency for Health Care Policy and Research
2101 E. Jefferson Drive
Rockville, MD  20852-4908
Telephone:  (301) 594-1357, ext. 129
FAX:  (301) 594-2155
Email:  abavier@po3.ahcpr.gov

Direct inquiries regarding fiscal matters to:

Sally A. Nichols
Grants Management Officer
National Institute of Nursing Research
Building 45, Room 3AN-32
45 Center Drive MSC 6301
Bethesda, MD  20892-6301
Telephone:  (301) 594-6869
Email:  snichols@ep.ninr.nih.gov

Ralph Sloat
Grants Management Officer
Agency for Health Care Policy and Research
2101 E. Jefferson Drive
Rockville, MD  20852-4908
Telephone:  (301) 594-1447
FAX:  (301) 594-2155
Email:  rsloat@po7.ahcpr.gov

AUTHORITY AND REGULATIONS

This program is described in the Catalog of Federal Domestic
Assistance No. 93.361, Nursing Research; 93.180, Medical Treatment
Effectiveness Research;and 93.226, Health Services Research and
Development.  Awards are made under authorization of the Public
Health Service Act, Title IV, Part A (Public Law 78-410, as amended
by Public Law 99-158, 42 USC 241 and 285), and Federal Regulations 42
CFR 52.  AHCPR Awards are made under authority of the PHS Act, Title
IX (42 USC 299-299c-6) and Federal Regulations 42 CFR Part 67,
Subpart A.  Awards are administered under PHS grants policies and 45
CFR Part 74 (Part 92 for State and local governments).  This program
is not subject to the intergovernmental review requirements of
Executive Order 12372 or Health Systems Agency review.

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$$XID RFA PA95019 PA-95-019 P1O1 ***************************************

H. PYLORI:  BASIC, PRE-CLINICAL, AND CLINICAL RESEARCH

NIH GUIDE, Volume 24, Number 1, January 13, 1995

PA NUMBER:  PA-95-019

P.T. 34; K.W. 1002027, 0715085, 0765012

National Institute of Allergy and Infectious Diseases

Application Receipt Dates:  June 1, and October 1, 1995 and February
1, 1996

PURPOSE

The National Institute of Allergy and Infectious Diseases (NIAID),
invites submission of investigator-initiated research applications
for support of research on the definition of the natural history of
infection, animal models, protective immune responses to infection,
virulence determinants, bacterial genetics, and antibiotic resistance
to Helicobacter pylori.  This bacterium is known to be associated
with chronic gastritis, duodenal and gastric ulcer disease, and
possibly with certain malignancies of the stomach.  The development
of vaccines against this organism is also of interest to the NIAID.

HEALTHY PEOPLE 2000

The Public Health Service (PHS) is committed to achieving the health
promotion and disease prevention objectives of "Healthy People 2000,"
a PHS-led national activity for setting priority areas.  This program
announcement, H. Pylori:  Basic, Pre-Clinical and Clinical Research,
is related to the priority area of immunization and infectious
diseases.  Potential applicants may obtain a copy of "Healthy People
2000" (Full Report:  Stock No. 017-001-00474-0) or "Healthy  People
2000" (Summary Report:  Stock No. 017-001-00473-1) through the
Superintendent of Documents, Government Printing Office, Washington,
DC 20402-0325 (telephone 202-783-3238).

ELIGIBILITY REQUIREMENTS

Applications may be submitted by domestic and foreign, for-profit and
non-profit organizations, public and private, such as universities,
colleges, hospitals, laboratories, units of State and local
governments, and eligible agencies of the Federal government.
Racial/ethnic minority individuals, women, and persons with
disabilities are encouraged to apply as Principal Investigators.
Foreign institutions are not eligible for the First Independent
Research Support and Transition (FIRST) award (R29).

MECHANISM OF SUPPORT

The mechanisms of support will be the individual research project
grant (R01) and the FIRST (R29) award.  The total project period for
an application submitted in response to this RFA may not exceed five
years; a foreign application may not request more than three years of
support.

FUNDS AVAILABLE

The estimated NIAID funds available for the total (direct and
indirect) first-year costs of all awards made under this PA will
$1,000,000.  In Fiscal Year 1996, the NIAID plans to fund four to
five R01 and/or R29 grants.  This level of support is dependent on
the receipt of a sufficient number of applications of high scientific
merit.  Although this program is provided for in the financial plans
of the NIAID, awards pursuant to this program announcement are
contingent upon the availability of funds for this purpose.  Funding
beyond the first and subsequent years of the grant will be contingent
upon satisfactory progress during the preceding years and
availability of funds.

New applications submitted for the June 1 and October 1, 1995 and
February 1, 1996 receipt dates will be eligible for funding under
this program announcement.  Competing continuation applications for
already funded projects will NOT be eligible for award from NIAID
under this program announcement.

RESEARCH OBJECTIVES

Background

In 1983, a spiral shaped, urease producing, Gram negative bacterium,
Helicobacter pylori, was identified in the stomachs of some
individuals.  Since then, there has been increasing evidence for its
association with active and chronic gastritis, peptic ulcers, and
duodenal ulcers.  Effective treatment of the infection with
antibiotics eliminates ulcer recurrences in more than 90 percent of
cases.  An epidemiologic relationship between atrophic gastritis,
which develops in a small percentage of those infected with H.
pylori, and gastric malignancies has also been noted.

H. pylori colonizes the gastric mucosa of greater than 30 percent of
persons in the U.S. and more frequently in African American,
Hispanic, and socioeconomically disadvantaged populations in this
country.  In some developing countries, it is found in almost 100% of
the population.  Non-ulcer dyspepsia (NUD) and gastric and duodenal
ulcer disease, are among the most common human ailments of the upper
GI tract requiring medical attention.  An estimated 10 percent of
people in the United States will develop peptic ulcer disease, a
chronic inflammatory condition of the stomach and duodenum, sometime
in their lifetime.  It is estimated that there are 300,000 new cases,
3.2 million recurrences, and 3,000 deaths due to duodenal ulcer
disease each year in the U.S. NUD affects even greater numbers of
individuals, but a causal relationship between NUD and H. pylori has
not been definitively established to date.  Defining this
relationship, and identifying even a subset of NUD patients, would
facilitate the prescription of appropriate antibiotic therapy for
those individuals.

A recent Consensus Conference sponsored by NIDDK, NIAID, and the NIH
Office of Medical Applications of Research recommended that patients
presenting with duodenal or gastric ulcers who were also seropositive
for H. pylori be treated with antimicrobial triple therapy to
eradicate the organism.  The Panel recommended that basic research be
conducted in order to generate much needed data on the biology of
this organism.  The development of an effective preventive strategy,
including the development of a vaccine should also be pursued when
sufficient information on pathogenesis is available.  This initiative
will focus on these basic issues, including definition of the natural
history of infection, animal models, protective immune responses to
infection, virulence determinants, bacterial genetics, and antibiotic
resistance.

It is known that a significant number (approximately 10 percent) of
children under the age of 10 are seropositive for H. pylori.  The
source of infection, modes of transmission, identification of risk
factors, and the consequence of this infection on the health of the
young are not known, and are of special interest to the NIAID in the
context of this Program Announcement.

Research Objectives and Experimental Approaches

Well-designed basic, pre-clinical and clinical studies are needed to
provide a better understanding of H. pylori biology and pathogenesis
so that effective intervention strategies can be designed.

Topics of interest to the NIAID include, but are not limited to:

o  development or use of animals that can be infected with human
isolates of H. pylori and that serve as models for stages of the
human disease and are amenable to evaluation of prophylactic and
therapeutic strategies;

o  identification of virulence factors of the organism, effect of
deletion of virulence factor genes on pathogenesis;

o  biomarkers (antigens or nucleic acids) of strains of H. pylori
that may be associated with particular outcomes of infection such as
various forms of NUD, ulcer disease, or asymptomatic carriage;

o  definition of the genetics of the organism including
characterization of plasmids, mechanism of gene transfer, etc;

o  development and mechanism of antibiotic resistance;

o  vaccine development; and

o  natural history of infection, particularly in children, including
risk factors and modes of transmission.

Multidisciplinary studies and collaboration among investigators with
expertise in appropriate disciplines are encouraged.  When
investigators are at different institutions, individual R01
applications may include consortium arrangements.  Collaborative
arrangements with ongoing studies that provide patient populations,
specimens and data are encouraged (a list of possible resources is
included in this PA).  Such arrangements should be clearly delineated
in the application.

The methodologies employed and personnel involved in the study,
including statistical analyses, should be described in the
application and evident in the study design.  The hypothesis(es) to
be tested should be clearly stated.  The measurement of immunological
and bacterial markers is highly dependent on the assay system chosen
and its execution.  Thus, it is very important that applicants
clearly define the methodologies to be used, the rationale for
choosing that methodology and for validating results as well as
methods of collection, processing, and storage of samples.

The value of studies of patients or their specimens will be directly
related to the care exercised in selection and initial
characterization of cases and controls.  Therefore, a detailed
description of case recruitment procedures, the criteria to be used
for case definition and the manner in which the criteria are to be
applied should be included.  This is particularly true in the case of
non-ulcer dyspepsia for which a generally accepted definition does
not exist.  Similar care should be given to descriptions of
enrollment of comparison groups.

INCLUSION OF WOMEN AND MINORITIES IN RESEARCH INVOLVING HUMAN
SUBJECTS

It is the policy of the NIH that women and members of minority groups
and their sub-populations must be included in all NIH supported
biomedical and behavioral research projects involving human subjects,
unless a clear and compelling rationale and justification is provided
that inclusion is inappropriate with respect to the health of the
subjects or the purpose of the research.  This new policy results
>From the NIH Revitalization Act of 1993 (Section 492B of Public Law
103-43) and supersedes and strengthens the previous policies
(Concerning the Inclusion of Women in Study Populations, and
Concerning the Inclusion of Minorities in Study Populations), which
have been in effect since 1990. The new policy contains some
provisions that are substantially different from the 1990 policies.

All investigators proposing research involving human subjects should
read the "NIH Guidelines For Inclusion of Women and Minorities as
Subjects in Clinical Research," which have been published in the
Federal Register of March 28, 1994 (FR 59 14508-14513) and printed in
the NIH Guide for Grants and Contracts, Volume 23, Number 11, March
18, 1994.

Investigators also may obtain copies of the policy from the program
staff listed under INQUIRIES.  Program staff may also provide
additional relevant information concerning the policy.

APPLICATION PROCEDURES

Applications are to be submitted on the grant application form PHS
398 (rev. 9/91) and will be accepted on the standard application
deadlines as indicated in the application kit.  Requests for
continued funding of already funded projects (Type 2) will NOT be
considered under this program announcement.  Applications may be
submitted for the following receipt dates only:  June 1, and October
1, 1995 and February 1, 1996.  Awards resulting from this program
announcement will be made on or about April 1, July 1, and December
1, 1996.  Application kits are available at most institutional
offices of sponsored research and may be obtained from the Office of
Grants Information, Division of Research Grants, National Institutes
of Health, Westwood Building, Room 449, Bethesda, MD 20892, telephone
(301) 594-7248.

Each application must be identified by checking "YES" on line 2a of
the PHS face page, and the number and title of this program
announcement must be typed in section 2a.

The completed original and five legible, single-sided copies of the
application must be sent or delivered to:

Division of Research Grants
National Institutes of Health
Westwood Building, Room 240
Bethesda, MD  20892**

FIRST (R29) applications must include at least three sealed letters
of reference attached to the face page of the original application.
FIRST applications submitted without the required number of reference
letters will be considered incomplete and will be returned without
review.

Applicants from institutions that have a General Clinical Research
Center (GCRC) funded by the NIH National Center for Research
Resources may wish to identify the Center as a resource for
conducting the proposed research.  If so, a letter of agreement from
the GCRC Program Director must be included in the application
material.

REVIEW CONSIDERATIONS

Applications will be assigned on the basis of established PHS
referral guidelines.  Applications will be reviewed for scientific
and technical merit by study sections of the Division of Research
Grants, NIH, in accordance with the standard NIH peer review
procedures.  Following scientific/technical review, the applications
will receive secondary review by the appropriate national advisory
council.

As part of the initial merit review, a process (triage) may be used
by the initial review group in which applications will be determined
to be competitive or non-competitive based on their scientific merit
relative to other applications received in response to the RFA.
Applications judged to be competitive will be discussed and be
assigned a priority score.  Applications determined to be non-
competitive will be withdrawn from further consideration and the
Principal Investigator and the official signing for the applicant
organization will be notified.

Review Criteria

o  scientific, technical, or medical significance and originality of
proposed research;

o  appropriateness and adequacy of the experimental approach and
methodology proposed to carry out the research;

o  qualifications and research experience of the Principal
Investigator and staff, particularly, but not exclusively, in the
area of the proposed research;

o  availability of the resources necessary to perform the research;

o  appropriateness of the proposed budget and duration in relation to
the proposed research;

o  adequacy of plans to include both genders and minorities and their
subgroups as appropriate for the scientific goals of the research.
Plans for the recruitment and retention of subjects will also be
evaluated.

The initial review group will also examine the provisions for the
protection of human and animal subjects and the safety of the
research environment.

AWARD CRITERIA

Applications assigned to the NIAID will compete for available set-
aside funds.  The following will be considered when making funding
decisions: quality of the proposed project as determined by peer
review, program balance among research areas of the announcement,
availability of funds.

INQUIRIES

Written and telephone inquiries are encouraged.  The opportunity to
clarify any issues or questions from potential applicants is welcome.

Direct inquiries regarding programmatic issues to:

Dennis R. Lang, Ph.D.
Division of Microbiology and Infectious Diseases
National Institute of Allergy and Infectious Diseases
Solar Building, Room 3A21
6003 Executive Boulevard MSC 7630
Bethesda, MD  20892-7630
Telephone:  (301) 496-7051
FAX:  (301) 402-1456
Email:  dl73v@nih.gov

Direct inquiries regarding fiscal matters to:

Ms. Louise Kreh
Division of Extramural Activities
National Institute of Allergy and Infectious Diseases
Solar Building, Room 4B35
6003 Executive Boulevard MSC 7610
Bethesda, MD  20892-7610
Telephone:  (301) 496-7075
FAX:  (301) 480-3780
Email:  louise_kreh@exec.niaid.pc.niaid.nih.gov

AUTHORITY AND REGULATIONS

This program is described in the Catalog of Federal Domestic
Assistance No. 93.856, Microbiology and Infectious Disease Research.
Awards are made under authorization of the Public Health Service Act,
Title IV, Part A (Public Law 78-410, as amended by Public Law 99-158,
42 USC 241 and 285) and administered under PHS grants policies and
Federal Regulations 42 CFR 52 and 45 CFR Part 74.  This program is
not subject to the intergovernmental review requirements of Executive
Order 12372 or Health Systems Agency review.

The Public Health Service (PHS) strongly encourages all grant
recipients to provide a smoke-free work place and promote the non-use
of all tobacco products.  This is consistent with the PHS mission to
protect and advance the physical and mental health of the American
people.

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$$XID RFA AI95005 AI-95-005 P1O1 ***************************************

INTERDISCIPLINARY PROGRAMS IN AUTOIMMUNE DISEASE

NIH GUIDE, Volume 24, Number 1, January 13, 1995

RFA:  AI-95-005

P.T. 34; K.W. 0715015, 0710030

National Institute of Allergy and Infectious Diseases
National Institute of Diabetes and Digestive and Kidney Diseases
Juvenile Diabetes Foundation International

Letter of Intent Receipt Date:  March 15, 1995
Application Receipt Date:  June 15, 1995

PURPOSE

The National Institute of Allergy and Infectious Diseases (NIAID) and
the National Institute of Diabetes and Digestive and Kidney Disease
(NIDDK) of the National Institutes of Health (NIH) and the Juvenile
Diabetes Foundation International (JDFI) invite applications for
program project grants to support interdisciplinary programs in
autoimmune disease.  This Request for Applications (RFA) will support
programs combining investigations of basic, molecular, immunologic,
and genetic mechanisms in the pathogenesis of autoimmunity and the
development of innovative therapies for human autoimmune disease.
These programs may incorporate investigation into any autoimmune
disease, including, but not limited to, Insulin Dependent Diabetes
Mellitus (IDDM), or any field of science with relevance to the
mechanisms and treatment of autoimmunity.  Programs utilizing
investigators from different scientific disciplines are particularly
desirable, so as to utilize expertise in several areas
simultaneously.

Applications should be submitted to and will be reviewed by the NIH
according to the usual NIH peer review procedures.  Funds for each
Program Project to be awarded under this RFA will be provided by the
NIAID and the JDFI.  One or more program projects will be cofunded by
NIDDK.

HEALTHY PEOPLE 2000

The Public Health Service (PHS) is committed to achieving the health
promotion and disease prevention objectives of "Healthy People 2000,"
a PHS-led national activity for setting priority areas.  This RFA,
Interdisciplinary Programs in Autoimmune Disease, is related to the
priority area of diabetes and chronic disabling diseases.  Potential
applicants may obtain a copy of "Healthy People 2000" (Full Report:
Stock No. 017-001-00474-0) or "Healthy People 2000" (Summary Report:
Stock No. 017-001-00473-1) through the Superintendent of Documents,
Government Printing Office, Washington, DC 20402-9325 (telephone
202-782-3238).

ELIGIBILITY REQUIREMENTS

Research grant applications may be submitted by domestic for-profit
and non-profit organizations, public and private institutions, such
as universities, colleges, hospitals, laboratories, units of State
and local governments, and eligible agencies of the Federal
government.  Foreign organizations are not eligible to apply.
Racial/ethnic minority individuals, women, and persons with
disabilities are encouraged to apply as Principal Investigators.

MECHANISM OF SUPPORT

The mechanism of support will be the program project (P01) grant.
This mechanism supports broadly based multi-disciplinary research
programs that have a well-defined central research focus, theme, or
objective.  An important feature of the program project is that the
interrelationships of the individual scientifically meritorious
projects will result in a greater contribution to the overall program
goals than if each project were pursued individually.  The program
project grant consists of a minimum of three interrelated individual
research projects that contribute to the program objective.  The
program project grant also can provide support for certain common
resources termed cores.  Such resources should be utilized by two or
more projects within the program project.

Responsibility for the planning, direction, and execution of the
proposed project will be solely that of the applicant.  The total
project period may not exceed five years.  At this time, the NIAID is
administratively limiting the duration of P01 grants to four years.
The earliest anticipated award date is March 1996.

FUNDS AVAILABLE

The estimated total funds (direct and indirect costs) available for
the first year of support for this RFA will be $2.75 million:  $1.5
million from NIAID; $1.0 million from JDFI; and $250,000 from NIDDK.
In Fiscal Year 1996, the NIAID and the JDFI anticipate jointly
funding approximately three or four program projects related to this
RFA.  Approximately 60 percent of the total costs of each grant will
be funded by the NIAID and approximately 40 percent by the JDFI.  One
or more of these applications will be cofunded by the NIDDK.  This
level of support is dependent on the receipt of a sufficient number
of applications of high scientific merit.  Applications may not
request budgets in excess of $750,000 total (direct and indirect)
costs in the first year.  The NIH is currently limiting annual
inflationary increases to no more than four percent for future years.
Funding rules and policies, including the determination of allowable
indirect costs, of each funding organization will be applicable.
Post award administration will conform to current policies and
requirements that govern the research grant programs of the NIH and
the JDFI as appropriate.  Although this program is provided for in
the financial plans of the NIAID, the JDFI, and the NIDDK, awards
pursuant to this RFA are contingent upon the availability of funds
for this purpose.  Funding beyond the first and subsequent years of
the grant will be contingent upon satisfactory progress during the
preceding years and availability of funds.  At this time, it has not
been determined whether or how this solicitation will be continued
beyond the period stated in the present RFA.

The National Institute of Arthritis, Musculoskeletal and Skin
Diseases (NIAMS) is interested in research on the immune mechanisms
involved in rheumatic diseases and the development of new therapies
for these diseases based on manipulation of the immune system.
Applications that are of mutual interest are likely to be given dual
secondary assignment to the NIAMS in accordance with NIH Division of
Research Grants (DRG) referral guidelines.

RESEARCH OBJECTIVES

Background

Autoimmune diseases affect five to seven percent of the population,
resulting in significant morbidity and mortality, and cost billions
of dollars annually for health care and loss of productivity.
Insulin Dependent Diabetes Mellitus (IDDM) disproportionately affects
children and young adults.  In addition to IDDM, other diseases
included in this category are rheumatoid arthritis, systemic lupus
erythematosus, multiple sclerosis, and inflammatory bowel disease.
There is no known cure or prevention for these diseases.  However,
recent developments, including new animal models, the ability to
generate transgenic animals, recent new paradigms for the stimulation
of T and B cells, the finding of new co-factors for stimulation, and
the development of new methods for detecting self-antigens, have
revolutionized our thinking about the development of tolerance, both
central and peripheral.  These new developments in basic immunology
may lead to important insights into the pathogenesis and therapy of
autoimmune disease.

Research Objectives and Scope

Application of recent advances in basic immunology to the
understanding of the pathogenesis of autoimmune diseases, including
the development of novel therapies and possible preventive
strategies, is a major goal of this RFA.  The specific objectives of
this program are to: facilitate the application of new advances in
immunology and immunogenetics to the understanding and treatment of
autoimmune diseases, including IDDM; increase the understanding of
the etiology and pathogenic mechanisms involved in development and
progression of autoimmune diseases; enable investigators working on
various different autoimmune diseases to come together to work in a
collaborative and synergistic way; and promote the collaboration
between investigators working in disease-specific models and
investigators focusing on basic studies of self tolerance and the
defects in this process in several experimental systems.  In addition
to investigation of the initiation of the autoimmune process, the
mechanism of the target organ damage in autoimmune disease is
unclear.  The elucidation of the destructive pathways resulting from
the autoimmune process in these diseases could be useful for the
development of therapeutic strategies and is a relevant topic for
this RFA.  The inclusion of clinical investigators may allow earlier
transfer of new information to the clinical setting.

SPECIAL REQUIREMENTS

The NIAID, the NIDDK, and the JDFI plan to sponsor an annual meeting
to encourage the exchange of information among investigators
supported under this RFA, foster collaborative efforts, and identify
resources that would enhance the productivity of this research
program.  Applications should include a statement indicating the
willingness of the applicant institution to participate in such
annual meetings.  For this purpose, travel funds for an annual two-
day meeting, to be held in the Washington, DC area, should be
included in the budget request.

Letter of Authorization

This RFA is co-sponsored by the JDFI.  In order for an application to
be considered for funding by the JDFI, applicants must submit a brief
letter of authorization co-signed by the Principal Investigator and
the official signing for the applicant institution, authorizing
release of the application and all related materials to the JDFI.
This letter of authorization may be combined with the letter of
intent or may be submitted directly to Dr. Elaine Collier at the
address listed under INQUIRIES.  The summary statement for such
applications will be shared with the JDFI at the time of their
availability.  Applications without such authorization will not be
considered for funding by the JDFI.

INCLUSION OF WOMEN AND MINORITIES IN RESEARCH INVOLVING HUMAN
SUBJECTS

It is the policy of the NIH that women and members of minority groups
and their sub-populations must be included in all NIH supported
biomedical and behavioral research projects involving human subjects,
unless a clear and compelling rationale and justification is provided
that inclusion is inappropriate with respect to the health of the
subjects or the purpose of the research.  This new policy results
>From the NIH Revitalization Act of 1993 (Section 492B of Public Law
103-43) and supersedes and strengthens the previous policies
(Concerning the Inclusion of Women in Study Populations, and
Concerning the Inclusion of Minorities in Study Populations), which
have been in effect since 1990. The new policy contains some
provisions that are substantially different from the 1990 policies.

All investigators proposing research involving human subjects should
read the "NIH Guidelines For Inclusion of Women and Minorities as
Subjects in Clinical Research," which have been published in the
Federal Register of March 28, 1994 (FR 59 14508-14513) and printed in
the NIH Guide for Grants and Contracts, Volume 23, Number 11, March
18, 1994.

Investigators also may obtain copies of the policy from the program
staff listed under INQUIRIES.  Program staff may also provide
additional relevant information concerning the policy.

LETTER OF INTENT

Prospective applicants are asked to submit, by March 15, 1995, a
letter of intent that includes a descriptive title of the overall
proposed research, the name, address, and telephone number of the
Principal Investigator, a list of the key investigators and their
institution(s), and the number and title of this RFA.  Although the
letter of intent is not required, is not binding, does not commit the
sender to submit an application, and does not enter into the review
of subsequent applications, the information that it contains allows
NIAID staff to estimate the potential review workload and to avoid
conflict of interest in the review.

The letter of intent is to be sent to Dr. Mark Rohrbaugh at the
address listed under INQUIRIES.

APPLICATION PROCEDURES

Applications are to be submitted on form PHS 398 (rev. 9/91), the
standard application form for research grants.  Application kits are
available at most institutional offices of sponsored research and may
be obtained from the Office of Grants Information, Division of
Research Grants, National Institutes of Health, Westwood Building,
Room 449, Bethesda, MD 20892, telephone 301/594-7248.  Applicants
must adhere to the format and requirements specified in the PHS 398
application kit.  In addition, applicants for multicomponent grants
are strongly advised to read the information brochure "NIAID Program
Project Grants and Multiproject Cooperative Agreements", available
>From Dr. Elaine Collier at the address listed under INQUIRIES.

Applicants from institutions that have a General Clinical Research
Center (GCRC) funded by the NIH National Center for Research
Resources may wish to identify the GCRC as a resource for conducting
the proposed research.  If so, a letter of agreement from either the
GCRC program director or principal investigator could be included
with the application.

For purposes of identification and processing, mark "YES" in item 2a
on the face page of the application and type in the RFA number,
AI-95-005, and the title "INTERDISCIPLINARY PROGRAMS IN AUTOIMMUNE
DISEASE."  The RFA label available in the form PHS 398 must be
affixed to the bottom of the face page of the original application.
Failure to use this label could result in delayed processing of the
application such that it may not reach the review committee in time
for review.

The signed, typewritten original of the application, including the
Checklist, and three exact single-sided copies must be sent to:

Division of Research Grants
National Institutes of Health
Westwood Building, Room 240
Bethesda, MD  20892**

At the time of submission, two additional copies and all five sets of
appendices must also be sent to Dr. Mark Rohrbaugh at the address
listed under INQUIRIES.  To ensure their review, applications must be
received by both the Division of Research Grants and Dr. Mark
Rohrbaugh by June 15, 1995.  Applications not received by June 15,
1995 will be considered non-responsive and will be returned to the
applicant without review.

Concurrent submission of an R01 and a Component Project of a Multi-
project Application:

Current NIH policy permits a component research project of a multi-
project grant application to be concurrently submitted as a
traditional individual research project (R01) application.  If,
following review, both the multi-project application and the R01
application are found to be in the fundable range, the investigator
must relinquish the R01 and will not have the option to withdraw from
the multi-project grant.  This is an NIH policy intended to preserve
the scientific integrity of a multi-project grant, which may be
seriously compromised if a strong component project(s) is removed
>From the program.  Investigators wishing to participate in a multi-
project grant must be aware of this policy before making a commitment
to the Principal Investigator and awarding institution.

REVIEW CONSIDERATIONS

Review Procedures

Upon receipt, applications will be reviewed for completeness by the
Division of Research Grants (DRG) and for responsiveness by the
NIAID.  Incomplete and/or non-responsive applications will be
returned to the applicant without further consideration.

Complete and responsive applications will be evaluated for scientific
and technical merit by an appropriate peer review group convened by
the NIAID in accordance with the review criteria stated below.  As
part of the initial merit review, a process (triage) may be used by
the initial review group in which applications will be determined to
be competitive or non-competitive based on their scientific merit
relative to other applications received in response to the RFA.
Applications judged to be competitive will be discussed and will be
assigned a priority score.  Applications determined to be non-
competitive will be withdrawn from further consideration and the
Principal Investigator and the official signing for the applicant
organization will be notified.  The second level of review will be
provided by the National Advisory Allergy and Infectious Diseases
Council and the National Institute of Diabetes and Digestive and
Kidney Diseases Advisory Council.

Review Criteria

The review criteria for P01 grant applications are the review
criteria for large, multicomponent, interdisciplinary program
projects as outlined in the NIAID brochure entitled "NIAID Guidelines
for Multiproject Research Awards."  The program project grant
application should include a justification for the appropriateness of
that granting mechanism for the proposed project.  The distinguishing
features of a program project grant include:

o  A well-defined, unifying goal or problem area of research to which
each project relates and contributes, thereby producing a research
environment that allows each research effort to share the creative
strengths of others.

o  A program director who possesses recognized scientific and
administrative competence.  He/she must demonstrate a substantial
commitment to the program in time and effort thereby exercising
leadership in providing overall direction and in upholding rigorous
scientific conduct.

o  Each research project must, as assessed by peer review, stand on
its own independent scientific merit, as well as complement other
projects whenever feasible.

o  The projects require the participation of established
investigators in several disciplines or investigators with special
expertise in several areas of one discipline.  All investigators must
contribute to and share the responsibilities of fulfilling the
program objective.

o  Ability of the proposed research to provide knowledge of basic,
molecular and genetic mechanisms in the pathogenesis of autoimmunity
and the development of innovative therapies for human autoimmune
disease.  The appropriateness of the proposed experimental plan to
validate the utility of the chosen strategy will be considered in
this regard.

o  Adequacy of plans to include both genders and minorities and their
subgroups as appropriate for the scientific goals of the research.
Plans for the recruitment and retention of subjects will also be
evaluated.

AWARD CRITERIA

Funding decisions will be made on the basis of scientific and
technical merit as determined by peer review, program priorities, and
the availability of funds.

INQUIRIES

Written and telephone inquiries concerning this RFA are encouraged.
The opportunity to clarify any issues or questions from potential
applicants is welcome.

Requests for the brochure "NIAID Application Guidelines for
Multiproject Research Awards," as well as inquiries regarding
programmatic issues may be directed to:

Elaine Collier, M.D.
Division of Allergy, Immunology, and Transplantation
National Institute of Allergy and Infectious Disease
Solar Building, Room 4A20
6003 Executive Boulevard
Bethesda, MD  20892-7640
Telephone:  (301) 496-7104
FAX:  (301) 402-2571
Email:  EC5X@NIH.GOV

Joan Harmon, Ph.D.
Division of Diabetes, Endocrinology, and Metabolic Diseases
National Institute of Diabetes and Digestive and Kidney Diseases
Natcher Building, Room 5AN-18G
Bethesda, MD  20892
Telephone:  (301) 594-8808
FAX:  (301) 480-3503
Email:  joanh@dvsgate.niddk.nih.gov

Direct inquiries regarding review issues, mail two copies of the
application and all five sets of appendices, and mail the letter of
intent to:

Mark L. Rohrbaugh, Ph.D.
Division of Extramural Activities
National Institute of Allergy and Infectious Diseases
Solar Building, Room 4C20
6003 Executive Boulevard
Bethesda, MD  20892-7610
Telephone:  (301) 496-8424
FAX:  (301) 402-2638
Email:  MR28K@NIH.GOV

Direct inquiries regarding fiscal matters to:

Ms. Jacqueline Johnson
Division of Extramural Activities
National Institute of Allergy and Infectious Diseases
Solar Building, Room 4B26
6003 Executive Boulevard
Bethesda, MD  20892-7610
Telephone:  (301) 496-7075
Email:  JJ19E@NIH.GOV

Schedule

Letter of Intent Receipt Date:  March 15, 1995
Application Receipt Date:       June 15, 1995
Scientific Review Date:         October 1995
Advisory Council Date:          January 1996
Earliest Award Date:            March 1996

AUTHORITY AND REGULATIONS

This program is described in the Catalog of Federal Domestic
Assistance, No. 93.855 and No. 93.847.  Awards will be made under the
authority of the Public Health Service Act, Title IV, Part A, (Public
Law 78-410, as amended by Public Law 99-158, 42 USC 241 and 285) and
administered under PHS grants policies and Federal Regulations 42 CFR
52 and 45 CFR Part 74.  This program is not subject to the
intergovernmental review requirements of Executive Order 12372 or
Health Systems Agency review.

The Public Health Service (PHS) strongly encourages all grant
recipients to provide a smoke-free work place and promote the nonuse
of all tobacco products.  This is consistent with the PHS mission to
protect and advance the physical and mental health of the American
people.

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$$XID RFA HS96001 HS-96-001 P1O1 ***************************************

RESEARCH ON THE OUTCOMES OF PHARMACEUTICAL THERAPY

NIH GUIDE, Volume 24, Number 1, January 13, 1995

RFA:  HS-96-001

P.T. 34; K.W. 0745005, 0730021

Agency for Health Care Policy and Research

Letter of Intent Receipt Date:  March 1, 1995
Application Receipt Date:  April 12, 1995

PURPOSE

The Agency for Health Care Policy and Research (AHCPR) invites
applications to conduct research on the outcomes of pharmaceutical
therapy.  This request for applications (RFA) focuses on the effects
on patient outcomes of various proposed or existing mechanisms for
managing selection, utilization, and cost of pharmaceutical therapies
and services.  Current restructuring within the health care system
provides an important opportunity to enhance understanding of the
interrelationships of pharmaceutical treatments and services with
patient outcomes.  Of particular interest are studies involving the
comparative effectiveness and/or cost effectiveness of pharmaceutical
therapies within the changing health care system.

This is an activity of the research component of AHCPR's Medical
Treatment Effectiveness Program (MEDTEP).  Section 1142 of the Social
Security Act, a part of AHCPR's authorizing legislation, refers
specifically to the need to study the outcomes of prescription drug
therapy.  Awards are a part of the Outcomes of Pharmaceutical Therapy
(OPT) program, as introduced in RFA HS-92-03.

HEALTHY PEOPLE 2000

The Public Health Service (PHS) is committed to achieving the health
promotion and disease prevention objectives of "Healthy People 2000,"
a PHS-led national activity for setting priority areas.  AHCPR urges
applicants to submit grant applications with relevance to the
specific objectives of this initiative.  Potential applicants may
obtain a copy of "Healthy People 2000" (Full Report:  Stock No.
017-001-00474-0 or Summary Report:  Stock No. 017-001-00473-1)
through the Superintendent of Documents, Government Printing Office,
Washington, DC 20402-9325 (telephone 202-783-3238).

ELIGIBILITY REQUIREMENTS

Applications may be submitted by domestic and foreign non-profit
organizations, public and private, including universities, clinics,
units of State and local governments, non-profit firms, and non-
profit foundations.  Racial/ethnic minority individuals, women, and
persons with disabilities are encouraged to apply as Principal
Investigators.

MECHANISM OF SUPPORT

This request for applications will use the research project grant
(R01) mechanism.  Responsibility for the planning, direction, and
execution of the proposed project will be solely that of the
applicant.  This is a one-time solicitation.  The total requested
project period may not exceed five years.  Annual progress reviews by
AHCPR and the availability of funds will determine the continuation
of grants up to the five year limit.

FUNDS AVAILABLE

The AHCPR expects to award up to $2 million for first year support of
four to six awards.

RESEARCH OBJECTIVES

Background

The enabling legislation for AHCPR authorizes studies of the
effectiveness and appropriateness of health care services and
procedures.  Section 1142 of the Social Security Act recognizes drug
therapy as an important form of treatment and refers to the need to
study effectiveness and appropriateness.  As a component of MEDTEP, a
program was established in March 1992 with RFA HS-92-03, focusing on
the patient outcomes of pharmaceutical therapy.  As a result of that
RFA, AHCPR has awarded sixteen grants focusing on outcomes of
pharmaceutical therapy in ambulatory care settings.  This RFA
initiates an extension of that work, but is not limited to studies in
any particular care setting.  It focuses on the effects on patient
outcomes of various programs, proposed or existing, for managing
selection, utilization, and cost of pharmaceutical therapies and
services within the changing health care environment.

MEDTEP Research Themes

This RFA incorporates the themes and concepts common to all MEDTEP
research (MEDTEP-Summary PA-94-074).  "Effectiveness" refers to
outcomes experienced by, or observed in, patients in routine clinical
practice.  This is distinct from "efficacy" which refers to the
potential benefit of clinical interventions provided under ideal
circumstances to patients who meet specific criteria.  Cost
effectiveness summarizes the cost and effect of treatment in terms of
specified outcomes measured in nonmonetary units; it indicates value
obtained for resources expended.

MEDTEP studies focus on clinical conditions that affect large numbers
of people (or a large proportion of a major subpopulation); that
result in substantial expense; that are significant in Medicaid or
Medicare programs; and for which there are large, unexplained
variations in treatment.  The outcomes to be studied, in addition to
traditional measures such as survival and morbidity, include patient-
reported outcomes such as perceived health status, functioning, and
quality of life.  MEDTEP studies typically involve a
multidisciplinary team of researchers with clinical and
methodological expertise, plus understanding of the perspectives of
patients, providers, and policymakers.

Methods

MEDTEP studies draw on a wide range of research methods that include,
but are not limited to:  experimental and quasi-experimental designs,
case-control and cohort studies, effectiveness trials, meta-analysis,
cost effectiveness analysis, decision modeling, and combinations of
these methods.

Primary data will generally be required; however, these may be
combined with, and occasionally replaced by, secondary data when the
latter will provide adequate information and efficient means to
address the research question(s).  Data sources should allow for the
detection, measurement, and/or control of:  drug exposure, indication
for drug use, severity of illness, comorbidities, relevant
confounders, and costs of care when appropriate.  Measures of short-
and long-term outcomes, as well as pre-treatment health status
information, are critical data elements.

Applications must be explicit and detailed in describing data,
methods, and tools for data collection and analysis.  The research
plan must be justified in terms of potential for answering the
proposed research question(s).

Applicants who propose to use Medicare or Medicaid data must specify
the required data files and explore the availability and cost of
obtaining these data with the Health Care Financing Administration
(HCFA).  The estimated cost must be presented, along with
documentation from HCFA, as part of the grant application.  This cost
should not be included in the total budget request for the project.
For more information about data budgets, contact Mr. Ralph L. Sloat,
AHCPR Grants Management Officer (see INQUIRIES).

Topic Selection

Current restructuring within the health care system provides an
opportunity to enhance understanding of the interrelationships of
pharmaceutical treatments and services, with patient outcomes.  The
changing mix of payment mechanisms, benefit plans, and cost-
containment strategies has widespread implications for patient care.
Of particular interest are studies involving the comparative
effectiveness and/or cost effectiveness of pharmaceutical therapies
within the changing health care system.

Studies are expected to compare different clinical approaches to the
prevention, diagnosis, treatment, and/or management of common
clinical conditions.  While most of these studies will involve
comparisons among drug therapies and/or related services, studies of
drug versus non-drug treatment options also are responsive to the
RFA.  If it is not feasible to address all important treatment
options in a single study, applicants must identify the specific
interventions the study will address and justify selections and
exclusions.

Studies should focus on one or both of the following topic areas:

1.  Pharmaceutical Economic Analyses

Evaluations of the economic impact of drug therapy are of particular
policy relevance in the changing health care environment.  Economic
information is needed by large-volume purchasers such as managed care
organizations to guide formulary decisions, price negotiations, and
clinical decision making.  Cost-effectiveness, cost-benefit, and
cost-utility analyses are responsive to this RFA provided patient
outcomes are the central focus.  Studies that evaluate monetary cost
alone are not responsive.  Of special interest are studies that
develop tools or analytic models that will be useful in other
research.  Examples of suitable topics include the following:

o  Comparative cost effectiveness of alternative drug therapies for
treatment of a selected common condition.  Choice of condition and
treatment options should be justified in terms of clinical and policy
relevance.

o  Cost-utility studies that include user-friendly (to patients and
providers) methods or measures for assessing patient preferences,
values, and utilities.

2.  Effects of Changes in the Health Care Environment

There is a trend in health care toward systems of managed care,
including health maintenance organizations, individual practice
organizations, preferred provider organizations, and coordinated care
networks.  Often, these systems include some form of case management
or pharmaceutical benefit management, for coordination of services
and patient monitoring.  They also include mechanisms for managing
selection, utilization, and cost for pharmaceutical therapies and
services.

Previous studies have explored the effects of policy and educational
interventions on the appropriateness of drug prescribing and use.
Many questions remain, however, about the long-term effects of
programs that monitor and intervene in the drug management process.
Innovations that affect patient outcomes and cost, and that warrant
evaluation include:

o  Interventions designed to change prescribing practices.  These
range from face-to-face academic detailing, to computer-generated
reminders, to adoption of clinical practice guidelines and treatment
algorithms that address drug selection and use.

o  Interventions such as those implemented by large-volume drug
purchasers including HMOs, Medicaid programs, and pharmaceutical
benefit managers, to optimize the clinical and/or cost effectiveness
of drug utilization review (DUR).

o  Interventions designed to encourage the provision or alter the
content of pharmaceutical care.  These include reimbursement programs
for pharmacist cognitive services within managed care organizations.

INCLUSION OF WOMEN AND MINORITIES IN RESEARCH INVOLVING HUMAN
SUBJECTS

It is the policy of AHCPR that women and members of minority groups
must be included in all AHCPR supported health services research
projects involving human subjects, unless a clear and compelling
rationale and justification are provided that inclusion is
inappropriate with respect to the health of the subjects or the
purpose of the research.

A new NIH policy resulting from the NIH Revitalization Act of 1993
(Section 492B of Public Law 103-43) supersedes and strengthens NIH's
previous policies (Concerning the Inclusion of Women in Study
Populations, and Concerning the Inclusion of Minorities in Study
Populations), which were in effect since 1990 and which AHCPR had
adopted.  The new NIH policy contains some provisions that are
substantially different from the 1990 policies.  AHCPR plans to
publish guidelines specific to AHCPR.  In the interim, AHCPR will
follow the NIH guidelines, as applicable.

All investigators proposing research involving human subjects should
read the "NIH Guidelines for Inclusion of Women and Minorities as
Subjects in Clinical Research," published in the Federal Register of
March 28, 1994 (FR 59 14508-14513) and reprinted in the NIH Guide for
Grants and Contracts, Volume 23, Number 11, March 18, 1994.

Investigators also may obtain copies of the NIH policy from the AHCPR
program staff listed under INQUIRIES.  AHCPR program staff may also
provide additional relevant information concerning this policy.

LETTER OF INTENT

Prospective applicants are asked to submit, by March 1, 1995, a
letter of intent that includes a descriptive title of the proposed
research; the name, address, and telephone number of the Principal
Investigator, co-investigators and other key personnel; the applicant
institution and other participating organizations or institutions;
and the number and title of this RFA.  Although a letter of intent is
not required, is not binding, and does not enter into the
consideration of any subsequent application, the information allows
AHCPR staff to estimate the potential review workload and avoid
conflicts of interest in the review.  The letter of intent is to be
sent to:

Joanne S. Book
Center for Medical Effectiveness Research
Agency for Health Care Policy and Research
East Jefferson Street, Suite 605
Rockville, MD  20852-4908

APPLICATION PROCEDURES

Applications are to be submitted on the research grant application
form PHS 398 (rev. 9/91).  State and local government agencies may
use form PHS 5161 and follow those requirements for copy submission.
These forms are available at most institutional offices of sponsored
research; the Office of Grants Information, Division of Research
Grants, National Institutes of Health, Westwood Building, Room 449,
Bethesda, MD 20892, telephone (301) 594-7248; and, for AHCPR
applications, from Global Exchange Inc., 7910 Woodmont Avenue, Suite
400, Bethesda, MD 20814-3015, telephone (301) 656-3100 (FAX 301
652-5264).

The RFA label available in the form PHS 398 (rev. 9/91) form must be
affixed to the bottom of the face page of the original application.
Failure to use this label could result in delayed processing of the
application such that it may not reach the review committee in time
for review.  In addition, type "RFA HS-96-001" in Section 2a on the
face page of the application form and mark the "YES" box.

Submit a signed, typewritten original of the application, including
the Checklist, and three signed, photocopies, in one package to:

Division of Research Grants
National Institutes of Health
Westwood Building, Room 240
Bethesda, MD  20892**

At the time of submission, two additional copies of the application
must be sent to:

Center for Medical Effectiveness Research
Agency for Health Care Policy and Research
2101 East Jefferson Street, Suite 605
Rockville, MD  20852-4908

Applications submitted under this RFA must be received in the
Division of Research Grants, NIH, by April 12, 1995.  If an
application is received after that date, it will be returned to the
applicant without review.

REVIEW CONSIDERATIONS

Upon receipt, applications will be reviewed by the Referral Office,
Division of Research Grants, NIH, for completeness, and by AHCPR
staff for responsiveness to the RFA.  Incomplete applications will be
returned to the applicant without further consideration.
Nonresponsive applications will be transferred to a standing AHCPR or
other appropriate scientific review group for review through routine
mechanisms.  The determination of any application as nonresponsive
will be the sole responsibility of AHCPR.  Applications may undergo
triage by the peer review group on the basis of relative scientific
and technical competitiveness.  The AHCPR will withdraw from further
consideration those applications judged to be non-competitive for
award and notify the applicant Principal Investigator and
institutional official.  When an application is reviewed, the peer
review committee may recommend further consideration or no further
consideration.  The committee also assigns priority scores to the
applications for which further consideration is recommended.
Recommendations of the peer review committee may be reviewed
subsequently by AHCPR's National Advisory Council for Health Care
Policy, Research, and Evaluation.  The peer review process is
rigorous, and only those applications judged to be of greatest merit
will be recommended for further consideration.

Review Criteria

The general review criteria for AHCPR grant applications are:

o  significance and originality from a scientific and technical
viewpoint;

o  adequacy of the proposed method(s);

o  availability of data or proposed plan to collect data required for
the project;

o  adequacy of the plan for organizing and carrying out the project;

o  qualifications and experience of the Principal Investigator and
proposed staff;

o  reasonableness of the proposed budget;

o  adequacy of the facilities and resources available to the
applicant; and

o  adequacy of plans to include both genders and minorities and their
subgroups, as appropriate for the scientific goals of the research.
Plans for the recruitment and retention of subjects will also be
evaluated.

The initial review group will also examine the provisions for the
protection of experimental subjects, and the safety of the research
environments.

Special Review Criteria

In addition to the general review criteria noted above, the following
special scientific and technical review criteria will apply to this
RFA:

o  scientific importance and policy relevance of the topic;

o  generalizability of results;

o  feasibility of answering proposed research question(s) within the
project period;

o  attention to technical issues in case definition, case finding,
data collection, and analysis;

o  quality and adequacy of proposed data;

o  justification for focus on outcome(s) specified;

o  adequacy of outcome measure(s);

o  sensitivity to patient heterogeneity and individual preference;

o  specification of useful findings or products, and identification
of constituency(ies) for these; and

o  efficiency of the research plan.

AWARD CRITERIA

Applications will compete for available funds with all other
applications for this RFA.  In making funding decisions, AHCPR will
consider:  quality of the proposed project as determined by peer
review, availability of funds, and program balance.

INQUIRIES

The AHCPR welcomes the opportunity to clarify any issues or questions
>From potential applicants.  Direct inquiries regarding program
matters to:

Richard J. Greene, M.D., Ph.D.
Center for Medical Effectiveness Research
Agency for Health Care Policy and Research
East Jefferson Street, Suite 605
Rockville, MD  20852-4908
Telephone:  (301) 594-1485
Email:  JBook@po4.ahcpr.gov

Direct inquiries regarding fiscal matters to:

Ralph Sloat, Grants Management Officer
Agency for Health Care Policy and Research
2101 East Jefferson Street, Suite 601
Rockville, MD  20852-4908
Telephone:  (301) 594-1447
Email:  RSloat@po7.ahcpr.gov

AUTHORITY AND REGULATIONS

This program is described in the Catalog of Federal Domestic
Assistance, No. 93.180.  Awards are made under authorization of the
Public Health Service Act, Title IX, and Section 1142 of the Social
Security Act.  Awards are administered under the PHS Grants Policy
Statement and Federal Regulations 42 CFR Part 67, Subpart A, and 45
CFR Part 74 (45 CFR Part 92 for State and local governments).  This
program is not subject to the intergovernmental review requirements
of Executive Order 12372.

The Public Health Service strongly encourages all grant recipients to
provide a smoke-free workplace and promote the non-use of all tobacco
products.  This is consistent with the PHS mission to protect and
advance the physical and mental health of the American people.

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Subject: NIH GUIDE - RFA HL-95-012 - V24(01) 01/13/95
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$$XID RFA HL95012 HL-95-012 P1O1 ***************************************

LUNG SPECIFIC DRUG DELIVERY SYSTEMS FOR TUBERCULOSIS TREATMENT

NIH GUIDE, Volume 24, Number 1, January 13, 1995

RFA:  HL-95-012

P.T. 34; K.W. 0715165, 0740022, 1002027

National Heart, Lung, and Blood Institute

Letter of Intent Receipt Date:  February 24, 1995
Application Receipt Date:  April 7, 1995

PURPOSE

The National Heart, Lung, and Blood Institute (NHLBI) invites grant
applications to encourage research on novel approaches to therapy,
adjuvants to therapy, and prophylaxis of tuberculosis (TB), using the
lung as the site of drug delivery.

The primary objective of this special grant program is to develop new
modalities of treatment for pulmonary TB based on delivery of the
therapeutic agent(s) directly to the lung.

HEALTHY PEOPLE 2000

The Public Health Service (PHS) is committed to achieving the health
promotion and disease prevention objectives of "Healthy People 2000,"
a PHS-led national activity for setting priority areas.  This Request
for Applications (RFA), Lung Specific Drug Delivery Systems for
Enhanced TB Treatment, is related to the priority area of
immunization and infectious diseases.  Potential applicants may
obtain a copy of "Healthy People 2000" (Full Report:  Stock No.
017-001-00474-0) or "Healthy People 2000" (Summary Report:  Stock No.
017-001-00473-1) through the Superintendent of Documents, Government
Printing Office, Washington, DC 20402-9325 (telephone 202-783-3238).

ELIGIBILITY REQUIREMENTS

Applications may be submitted by domestic and foreign for-profit and
non-profit institutions, public and private, such as universities,
colleges, hospitals, laboratories, units of state and local
governments and eligible agencies of the Federal government.  Foreign
institutions are not eligible for the First Independent Research
Support and Transition (FIRST) award (R29).  Applications from
minority individuals women and new investigators are encouraged.

All current policies and requirements that govern the research grant
programs of the NIH will apply to grants awarded under this RFA.
Awards under this announcement to foreign institutions will be made
only for research of very unusual merit, need, and promise, and in
accordance with Public Health Service policy governing such awards.

Among the disciplines and expertise that may be appropriate for this
research program are molecular pharmacology, physical chemistry, cell
biology, biochemistry, virology, molecular biology, molecular
immunology, infectious diseases, pathology, and pulmonary medicine.

MECHANISM OF SUPPORT

The support mechanism for this program will be the National
Institutes of Health (NIH), individual research grant (R01) and the
FIRST award (R29).  While multidisciplinary approaches are
encouraged, it is not the intent of this announcement to solicit
applications for large studies encompassing a variety of individual
subprojects, i.e., program projects.  If collaborative arrangements
through subcontracts with other institutions are planned, consult the
program staff listed under INQUIRIES.

Upon initiation of the program, the NHLBI will sponsor periodic
meetings to encourage exchange of information among investigators who
participate in this program.  In the budget for the grant
application, applicants should request travel funds for a one-day
meeting each year, most likely to be held in Bethesda, Maryland.
Applicants should also include a statement in their applications
indicating their willingness to participate in these meetings.

Applicants (who will plan and execute their own research programs)
are expected to furnish their own estimates of time required to
achieve the objectives of the proposed research project.  Up to five
years of support may be requested for R01s; five years are required
for FIRST awards.  Requested budgets for FIRST awards may not exceed
those specified in the FIRST award guidelines.  Because a variety of
approaches would represent valid responses to this RFA, it is
anticipated that there will be a range of costs among individual
grants awarded.

This RFA is a one-time solicitation.  Future unsolicited competing
continuation applications may be submitted for peer review and
competition for support through the regular grant program of the NIH.
It is anticipated that support for this program will begin in
September 1995.  Administrative adjustments in project period and/or
amount may be required at the time of the award.

Applicants from institutions that have a General Clinical Research
Center (GCRC) funded by the NIH National Center for Research
Resources may wish to identify the GCRC as a resource for conducting
the proposed research.  If so, a letter of agreement from the GCRC
program director and principal investigator should be included with
the application.

The National Institute of Allergy and Infectious Diseases (NIAID)
also has interest in developing new delivery systems and new
therapeutic agents for the treatment of tuberculosis.  Therefore,
applications that are of mutual interest are likely to be given a
secondary assignment to NIAID in accordance with the NIH referral
guidelines.

FUNDS AVAILABLE

Although financial plans for fiscal year 1995 include approximately
$2,500,000 for the total cost of the program for the first year,
award of grants pursuant to this RFA is contingent upon receipt of
funds for this purpose.  It is anticipated that no more than 10
awards will be issued under this program.  The specific number to be
funded will, however, depend on the merit and scope of the
applications received and the availability of funds.

RESEARCH OBJECTIVES

Background

The spread of tuberculosis (TB) has reemerged as an urgent health
problem.  Rates for this disease have been increasing since the mid
1980s in association with the HIV epidemic.  Recent projections of TB
rates made by the Centers for Disease Control suggest that,
worldwide, the current high rate of new TB cases in the population is
likely to increase over the next 10 years.  For industrialized
countries, including the United States TB case rates are expected to
remain stable or perhaps increase slightly over the next decade.  The
number of new active cases of TB reported annually in the U.S.
population is now approximately 10/100,000 (new cases/100,000 people
in the general population), with extremely high rates in HIV infected
study populations, about 800/100,000.

Current methods of treatment are far from optimal and better ones are
being sought to overcome the increasing spread of TB and the problem
of incompletely treated TB that contributes to the emergence of drug
resistant strains.  Since many patients with TB may have significant
social problems, compliance with drug therapy is frequently
difficult.

The development of targeted drug delivery to the lungs as a means of
treating TB is desirable for several reasons.  Although TB is a
systemic disease that can potentially affect any organ system, the
lung is the major portal of entry for Mycobacterium tuberculosis
(Mtb) and thereby the site of the initial immune response as well as
an important site of reactivation disease.  Technology for lung
specific drug delivery systems is now at a point where aerosols and
aerosols combined with liposomes and possibly timed-release
methodology may offer advantages for more effective treatment and
prevention of TB.

Conventional antituberculous medications frequently have serious side
effects.  Although single drugs can be effective for prophylactic
treatment of skin test converters, active disease must be treated
using combinations of three or four drugs over a period of at least
six to nine months to insure that disease will not recur after
treatment is discontinued and to prevent the emergence of resistant
strains.  Targeted delivery of new formulations, directly to the
lungs, could result in high pulmonary levels relative to systemic
levels.  Thus, increasing effectiveness and decreasing toxicity.
Supplementing the dose of agent delivered to the diseased lung, when
it is the only clinically involved organ, could make it possible to
decrease the duration of treatment in these cases.  Because the
systemic dose will not be increased, undesirable toxicities would be
avoided.

Another advantage is that this mode of delivery might make it easier
to provide prolonged treatment.  It should be possible to design
biopolymers or nanoparticles which slowly dissolve and therefore
slowly release their drugs to the pulmonary environment.  Improved
targeted delivery approaches combined with development of new
antituberculous drugs or with timed release formulations may reduce
the frequency of dose delivery.  This would be a major benefit in
treating patients in whom it is hard to maintain effective compliance
with treatment regimens.  For example, longer intervals between
treatment would make it easier to deliver directly observed therapy,
which is an effective means of getting patients to complete a full
course of treatment.

Targeted drug delivery may be essential in carrying out future modes
of TB therapy such as gene therapy resulting in increased cytokine
expression or antisense oligonucleotide therapy blocking protein
synthesis.

Objectives and Scope

The objective of this initiative is to encourage basic research aimed
at developing new modalities of treatment for TB, using the lung as
the site of drug delivery.

Delivery of antituberculous agents to the lung might be used as a
means of increasing local concentrations of drug to augment existing,
conventional therapy or perhaps the lung could be used as the route
of delivery for agents that are intended to work both locally and
systemically.  It is thought that lowered systemic toxicity provided
by this approach would permit much more flexibility for treatment
regimens such that smaller, more effective doses may be employed.
Conversely, if a lung delivery system is intended as the only route
for drug delivery, it would be essential to demonstrate that systemic
levels of drug are adequate to treat TB elsewhere in the body.

Drugs could be targeted to the lung as opposed to other organs, to
airways of a specific size within the lungs, or perhaps to injured or
diseased areas as compared to normal ones.  Specific cells such as
macrophages, endothelial cells, or epithelial cells might be targeted
and it should even be possible to deliver drugs to specific
organelles within a cell.

Potential drug delivery sites could include the alveolar surface
itself, or cells on the surface such as macrophages, lymphocytes, or
neutrophils.  Other targets might include cells and extracellular
matrix beneath the epithelium.  The nature of the material will
affect its fate.  For example, insoluble particulate material will
largely be taken up by resident alveolar macrophages.  Some
surfactant phospholipids will be recycled into Type II epithelial
cells.  Soluble molecules will enter and pass through or between
epithelial cells into the extracellular matrix. Some proteins will be
found in phagocytic cells in the connective tissue and lymph nodes.

Aerosol delivery of therapeutic agents to the lung has been used for
many years in the treatment of airways obstructive diseases.  Since
the 1980s the aerosol application of interferon-alpha (INF-`) has
been examined by several groups of investigators for the treatment of
various types of lung cancer.  Interferon-gamma has also been given
to human subjects to activate alveolar macrophages.  In general, it
seems possible to deliver fairly high concentrations of these agents
to the epithelial lung surface and minimize the systemic dose and
toxicity.

Drugs used in the treatment of TB including rifampin and streptomycin
can be encapsulated in liposomes.  Drugs such as these could be
delivered to the lung in conjunction with antituberculous therapy
(administered by mouth or parenterally) to augment therapy or given
to replace conventional therapy, if adequate levels can be achieved
in all parts of the body.

Liposomal preparations of drugs or agents capable of potentiating
immune responses may have enhanced uptake by lung cells.
Furthermore, it appears to be possible to deliver liposomes by the
aerosol route.  Surfactant which may be useful as a vehicle for the
delivery of other agents can be aerosolized and delivered to the
lung.

Research topics that could be applicable to the goals of this RFA
might include, but are not limited to, the following areas:
mechanisms of treatment, drug formulation issues, delivery strategies
to get agents to the respiratory tract, targeting strategies to reach
particular sites, evaluation of drug delivery and especially,
evaluation of effectiveness of lung targeted drug delivery.  These
issues could be studied at a variety of levels including laboratory
modeling animal testing, and human studies.

Both animal studies and innovative studies involving human subjects
or using human cells or tissues are encouraged. Research involving
humans should be formulated in the context of mechanistic studies and
should address specific hypotheses.  Large scale clinical studies are
beyond the scope of this RFA.  Pharmacologic agents currently used in
antituberculous regimens and agents that appear to show promise for
future use are of interest.

SPECIAL REQUIREMENTS

Applications that propose descriptive studies and do not contain
hypothesis driven studies directed at developing lung specific drug
delivery systems to aid in the treatment of tuberculosis will not be
acceptable.  Treatment strategies must be clearly linked to the lung
and to specific mechanisms of mycobacterial disease.  This program
will not support studies directed at development of animal models
alone, therefore the models must be applied to the study of lung
specific drug delivery strategies for use in the treatment of
mycobacterial disease.  This RFA is not intended to support in vitro
studies of drug screening. Studies to verify that drug in an active
state reaches the site intended for deposition should be included.
Applications that focus on molecular pharmacologic approaches are of
particular interest.

INCLUSION OF WOMEN AND MINORITIES IN RESEARCH INVOLVING HUMAN
SUBJECTS

It is the policy of the NIH that women and members of minority groups
and their subpopulations must be included in all NIH supported
biomedical and  behavioral research projects involving human
subjects, unless a clear and compelling rationale and justification
is provided that inclusion is inappropriate with respect to the
health of the subjects or the purpose of the research.  This new
policy results from the NIH Revitalization Act of 1993 (Section 492B
of Public Law 103-43) and supersedes and strengthens the previous
policies (Concerning the Inclusion of Women in Study Populations, and
Concerning the Inclusion of Minorities in Study Populations) which
have been in effect since 1990.  The new policy contains some new
provisions that are substantially different from the 1990 policies.

All investigators proposing research involving human subjects should
read the "NIH Guidelines for Inclusion of Women and Minorities as
Subjects in Clinical Research", which have been published in the
Federal Register of March 28, 1994 (FR 59 14508-14513), and reprinted
in the NIH GUIDE FOR GRANTS AND CONTRACTS of March 18, 1994, Volume
23, Number 11.

Investigators also may obtain copies of the policy from the program
staff listed under INQUIRIES.  Program staff may also provide
additional relevant information concerning the policy.

LETTER OF INTENT

Prospective applicants are asked to submit, by February 24, 1995, a
letter of intent that includes a descriptive title of the proposed
research, the name, address, and telephone number of the Principal
Investigator, the identities of other key personnel and participating
institutions, and the number and title of the RFA in response to
which the application may be submitted.

Although a letter of intent is not required, is not binding, and does
not enter into the review of subsequent applications, the information
that it contains allows NIH staff to estimate the potential review
workload and to avoid conflict of interest in the review.  The letter
of intent is to be sent to Dr. C. James Scheirer, at the address
listed under INQUIRIES.

APPLICATION PROCEDURES

The research grant application form PHS 398 (rev. 9/91) is to be used
in applying for these grants.  These forms are available at most
institutional offices of sponsored research and from the Office of
Grants Information, Division of Research Grants, National Institutes
of Health, The Westwood Building, Room 449, Bethesda, MD 20892,
telephone (301) 594-7248.  Use the conventional format for research
project grant applications and ensure the points identified in the
section REVIEW CONSIDERATIONS are fulfilled.  To identify the
application as a response to this RFA, check "YES" on item 2a of page
1 of the application and enter the title "Lung Specific Drug Delivery
Systems for Enhanced TB Treatment" HL-95-012.

The RFA label found in form PHS 398 application kit must be affixed
to the bottom of the face page of the original completed application
form PHS 398.  Failure to use this label could result in delayed
processing of the application such that it may not reach the review
committee in time for review.

Send or deliver the completed application and three signed
photocopies in one package to:

Division of Research Grants
National Institutes of Health
Westwood Building, Room 240
Bethesda, MD  20892**

Send two additional copies of the application to the Chief, Review
Branch, DEA at the address listed under INQUIRIES.  It is important
to send these two copies at the same time as the original and three
copies are sent to the Division of Research Grants.  Otherwise the
NHLBI cannot guarantee that the application will be reviewed in
competition for this RFA.

Applications must be received by April 7, 1995.  If an application is
received after this date, it will be returned to the applicant
without review.  The DRG will not accept any application in response
to this RFA that is essentially the same as one currently pending
initial review, unless the applicant withdraws the pending
application.  The DRG will not accept any application that is
essentially the same as one already reviewed.  This does not preclude
the submission of substantial revisions of applications already
reviewed, but such applications must include an introduction
addressing the previous critique.

REVIEW CONSIDERATIONS

Upon receipt, applications will be reviewed for completeness by the
DRG and responsiveness to this RFA by the NHLBI.  Incomplete
applications will be returned without further consideration.  If the
application is not responsive to the RFA, DRG staff may contact the
applicant to determine whether to return the application to the
applicant or submit it for review in competition with unsolicited
applications at the next review cycle.  Applications that are
complete and responsive to the RFA will be evaluated for scientific
and technical merit by an appropriate peer review group convened by
the Division of Extramural Affairs, NHLBI in accordance with the
review criteria stated below.

As part of the initial merit review, a process (triage) may be used
by the initial review group in which applications will be determined
to be competitive or non-competitive based on their scientific merit
relative to other applications received in response to the RFA.
Applications judged to be competitive will be discussed and be
assigned a priority score.  Applications determined to be non-
competitive will be withdrawn from further consideration and the
Principal Investigator and the official signing for the applicant
organization will be notified.

Review Criteria.  The factors to be considered in the evaluation of
scientific merit of each application will be similar to those used in
the review of traditional research project grant applications
including the novelty, originality, and feasibility of the approach;
the training, experience, and research competence of the
investigator(s); the adequacy of the experimental design; the
suitability of the facilities; the appropriateness of the requested
budget to the work proposed and the adequacy of plans to include both
genders and minorities and their subgroups as appropriate for the
scientific goals of the research.  Plans for the recruitment and
retention of subjects will also be evaluated.  The initial review
group will also examine the provisions for the protection of human
and animal subjects and the safety of the research environment.

AWARD CRITERIA

The anticipated date of award is September 29, 1995.  In addition to
the scientific merit of the applications, awards will be based on
responsiveness to the RFA and the availability of resources.

INQUIRIES

Inquiries concerning this RFA are encouraged.  The opportunity to
clarify any issues or questions from potential applicants is welcome.

Direct inquiries regarding programmatic issues to:

Hannah H. Peavy, M.D.
Division of Lung Diseases
National Heart, Lung, and Blood Institute
Westwood Building, Room 6A09
Bethesda, MD  20892
Telephone:  (301) 594-7425
FAX:  (301) 594-7487
Email:  hpv%nihhwb1.bitnet@cu.nih.gov

Direct inquiries regarding review matters to:

C. James Scheirer, Ph.D.
Division of Extramural Activities
National Heart, Lung, and Blood Institute
Westwood Building, Room 557
Bethesda, MD  20892
Telephone:  (301) 594-7478
FAX:  (301) 594-7407
Email:  james_scheirer%nihhwb1.bitnet@cu.nih.gov

Direct inquiries regarding fiscal matters to:

Raymond L. Zimmerman
Division of Extramural Affairs
National Heart, Lung, and Blood Institute
Westwood Building, Room 4A17
Bethesda, MD  20892
Telephone:  (301) 594-7420
FAX:  (301) 594-7492
Email:  raymond_zimmerman%nihhwb1.bitnet@cu.nih.gov

AUTHORITY AND REGULATIONS

This program is described in the Catalog of Federal Domestic
Assistance, No. 93.838.  Awards are made under authorization of the
Public Health Service Act, Title IV, Part A (Public Law 78-410,
amended by Public Law 99-158, 42 USC 241 and 285) and administered
under PHS grants policies and Federal Regulations 42 CFR 52 and 45
CFR Part 74.  This program is not subject to the intergovernmental
review requirements of Executive Order 12372 or to review by a Health
Systems Agency.

The Public Health Service (PHS) strongly encourages all grant
recipients to provide a smoke-free workplace and promote the non-use
of all tobacco products.  This is consistent with the PHS mission to
protect and advance the physical and mental health of the American
people.

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Subject: NIH GUIDE - RFA CA-95-004 - V24(01) 01/13/95
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$$XID RFA CA95004 CA-95-004 P1O1 ***************************************

BREAST CANCER SURVEILLANCE RESEARCH

NIH GUIDE, Volume 24, Number 1, January 13, 1995

RFA:  CA-95-004

P.T. 34; K.W. 0715036, 0745020, 0710030

National Cancer Institute

Letter of Intent Receipt Date:  February 14, 1995
Application Receipt Date:  April 21, 1995

PURPOSE

The Division of Cancer Prevention and Control (DCPC), National Cancer
Institute (NCI), invites applications from domestic institutions for
cooperative agreements to the Surveillance Program (SP).  New
applicants and applicants currently funded under SP initiatives are
invited to respond to this Request For Applications (RFA) to design
and conduct breast cancer surveillance research.  This is a follow-up
to a cooperative agreement in which three awards began in 1994.

Cancer surveillance research requires a strong interface between
methodologic techniques and cancer control initiatives in prevention,
early detection, and treatment.  The purpose of the Breast Cancer
Surveillance Research initiative outlined in this RFA is to examine
thoroughly the operational aspects of breast cancer screening
practices in the United States by conducting analytic research
designed to assess the effectiveness, efficiency, and cost of
screening programs as they relate to the reduction of breast cancer
mortality.  This may include studies of medical decision models for
workup of women with positive screening tests, studies of utilization
of emerging new technologies in breast cancer screening and
diagnosis, and studies of biological differences among cancer related
to detection methods.  The intent of this RFA is to broaden the
current Surveillance projects in areas that have not as yet been
adequately covered, specifically among urban African-Americans and
rural areas.

This initiative also encourages interdisciplinary approaches to
research on the basic biology and immunobiology of breast cancer to
determine if there is a difference in screened detected and non-
screened detected cases.  It is not only important to determine the
need for change in screening practices but to stimulate other breast
cancer research.  In order to more fully understand the effect of
breast cancer screening on cancer outcome, data on breast cancer
screening practices and tumor biologic characteristics need to be
collected and linked to data from quality controlled population-based
tumor registry programs.  Examples of such registry programs are
those affiliated with the NCI's Surveillance, Epidemiology, and End
Results (SEER) Program or members of the North American Association
of Central Cancer Registries (NAACCR) who meet comparable standards
for completeness, quality, and timeliness of reporting and registry
operations.  A description of the NCI guidelines for these standards
is available upon request from the program staff listed under
INQUIRIES.  Responses to this RFA would initiate mechanisms to
accomplish these goals, study the utilization of state-of-the-art and
emerging new technologies in breast cancer screening, and increase
knowledge of the differences in basic biology and immunology of
breast cancer by method of detection.

HEALTHY PEOPLE 2000

The Public Health Service (PHS) is committed to achieving the health
promotion and disease prevention objectives of "Healthy People 2000,"
a PHS-led national activity for setting priority areas.  This RFA,
Breast Cancer Surveillance Research, is related to the priority area
of cancer surveillance and data systems.  This information
(surveillance and data systems) is used to understand the health
status of the population and to plan, implement, describe and
evaluate public health programs that control and prevent adverse
health events.  Potential applicants may obtain a copy of "Healthy
People 2000" (Full Report:  Stock No. 017-001-00474-0) or "Healthy
People 2000" (Summary Report:  Stock No. 017-001-00473-1) through the
Superintendent of Documents, Government Printing Office, Washington,
DC 20402-9325 (telephone 202-783-3238).

ELIGIBILITY REQUIREMENTS

Applications may be submitted by domestic for-profit and non-profit
organizations, public and private, such as universities, colleges,
cancer centers, hospitals, laboratories, units of State and local
governments, and eligible agencies of the Federal government.
Applications from minority and women investigators are encouraged.
Since this RFA concerns breast cancer surveillance research in the
United States, a domestic application may not include an
international component.  New applicants and those with currently
funded programs are eligible as described below.

A Breast Cancer Surveillance Research applicant may be, but is not
limited to, a hospital, a clinic, a group of practicing physicians,
or a consortium of hospitals and/or clinics and/or physicians that
agree to work together with a Principal Investigator and a single
administrative focus.  Although a Health Maintenance Organization
(HMO) can be part of an application, it should not serve as the sole
population base for the surveillance activities.

It is essential that an applicant show evidence of the ability to
access and organize data collection from at least three different
facilities, which include:  mammography facilities, pathology
laboratories, and a quality-controlled, population-based cancer
registry.  If this expertise does not reside within one institution,
an applicant may put together a group with the necessary expertise,
which may involve the use of several institutions and/or
organizations.  Each applicant must have access to a resource unit
that supports research data management and statistical analyses
locally.

MECHANISM OF SUPPORT

Support of this program will be through the National Institutes of
Health (NIH) cooperative agreement mechanism (U01).  The cooperative
agreement is an assistance mechanism in which substantial NCI
programmatic involvement with the recipient during performance of the
planned activity is anticipated to assist awardees in the planning,
direction, and execution of the proposed project.  The anticipated
average amount of the direct cost awards will be $250,000 per year
per award.  The anticipated date of award is December 1995.  The
total project period for applications submitted in response to the
RFA may not exceed five years.

This RFA is a one-time solicitation.  Future unsolicited competing
continuation applications will compete with all other unsolicited
applications and be reviewed by a standing Division of Research
Grants (DRG) study section.  If the NCI determines that there is a
sufficient continuing program need, a request for new and competitive
continuation applications will be announced.

FUNDS AVAILABLE

The NCI has determined that it will continue its support of programs
that monitor progress against cancer through breast cancer screening.
Approximately $8,000,000 in total costs for five years will be
committed to fund applications that are submitted in response to this
RFA.  It is anticipated that up to three awards will be made to
applicants who successfully demonstrate that they can develop a
"multi-institutional group" with the ability to access mammography
and pathology facilities, and a cancer registry.  Awards will be made
to applicants who demonstrate a willingness to collaborate with
researchers working in the same research area, principally awardees
who have formed the working Consortium as a response to the previous
RFA.  First year costs may include development of computer systems
dedicated to this research, if needed.  Following is the estimated
total cost support available for all awards by fiscal year:

FY 96   $1,000,000
FY 97    1,500,000
FY 98    1,500,000
FY 99    2,000,000
FY 2000  2,000,000
Total   $8,000,000

This level of support is dependent on the receipt of a sufficient
number of applications of high scientific merit.  Although this
program is provided for in the financial plans of the NCI, awards
pursuant to this RFA are contingent upon the availability of funds
for this purpose.

For purposes of budgeting, funds should be requested for up to three
persons to attend two meetings in Bethesda, Maryland, during each of
the five years of award.

RESEARCH OBJECTIVES

A.  Background

Breast cancer is the second leading cause of death among women.  In
1993, an estimated 46,000 women will die of breast cancer, while
182,000 new female cases will be diagnosed.  Approximately one woman
in every eight will develop breast cancer in her lifetime (Miller,
Ries, Hankey et al, 1992).

Screening for breast cancer can reduce mortality among women aged 50
and older.  A controlled trial that started in the early 1960s
demonstrated a 30 percent reduction in breast cancer mortality among
women screened by mammography and clinical breast examinations
(Shapiro, Venet, Strax, Venet, 1988).  More recent studies confirmed
the effectiveness of screening mammography in reducing breast cancer
mortality, (DHHS, PHS, "Healthy People 2000") notwithstanding the
recent conflicting results from the Canadian study (Miller, Baines,
To, Wall, 1992).

A review of the breast cancer screening data indicates an under
utilization of mammography in surveys conducted as late as 1979
(Howard, 1987).  Eight to eleven years later, breast cancer screening
with mammography had become an increasing part of the health care
picture.  Data from 1987 and 1990 National Health Interview Surveys
(NHIS) showed that screening with mammography had reached 59 percent
of women over 40 years of age at some time by 1990 (compared to 45
percent in 1987), and 33 percent had a screening exam in the last
year (compared to 17 percent in 1987) (Kessler, Breen, 1992).
Although data from the 1992 NHIS show increases in screening across
all age and race groups, these increases are smaller than the
increases in the late 1980s (Breen and Kessler, unpublished data from
the 1992 NHIS public use data tapes).  These percentages were higher
than previous surveys, and were part of an increasing trend that
suggested annual mammography was as high as 40 percent in surveys of
the Behavioral Risk Factor Surveillance System (BRFSS) of the Centers
for Disease Control (CDC).  In addition, analyses of the 1987 BRFSS
data showed considerable state-to-state variation in screening rates.
Rates of participation by population characteristics are also
obtained.  This project will provide the opportunity to investigate
differences in the actual provision of screening services, and by
doing so, assist in evaluating the population benefit of these
increased screening activities.

Data on another critical component of breast cancer screening, the
physical examination, are also available from the NHIS.  Makuc,
Freid, and Kleinman reported on breast physical examination rates
>From 1973 and 1985 (Makuc, Freid, Kleinman, 1989).  They showed a
substantial increase in prevalence of examinations during this
interval for black women in the U.S., but virtually no change among
white women.  By 1985, approximately 70 percent of white and black
women had received a breast physical examination within the past two
years.  Recent survey results indicate that while the usage of
mammography is increasing, the usage of clinical breast exam along
with mammography may be declining.  A comparison of mammography
utilization rates among white women 64 to 75 years of age in five
communities of the NCI Breast Cancer Screening Consortium showed that
rates had increased significantly (from 19-33 percent in 1978-88 to
35-59 percent in 1991 across all five areas).  However, among women
who had a mammogram, the percent who also had a clinical breast
examination decreased between the 1978-88 survey and the 1991 survey
(p=.001 using logistic regression pooled across all sites) (Coleman,
Feuer, NCI Breast Cancer Screening Consortium, 1992).  Since clinical
breast exam, along with mammography, is recommended as a screening
test for breast cancer detection, data need to be collected on this
screening test as well when feasible.

Research is needed on the effectiveness, efficiency, and cost of
breast cancer screening programs in the United States, on the medical
decision models for workup of women with abnormal screening tests,
and on the utilization of emerging new technologies in breast cancer
detection.  Of major interest is whether or not there are differences
in biology, clinical management, and outcome between screened
detected and non-screened detected cases.  These areas of cancer
surveillance research require a strong interface between methodologic
techniques and cancer control initiatives in prevention, early
detection, and treatment.  Investigators affiliated with mammography
facilities, pathology laboratories, and a population-based cancer
registry are encouraged to work together to answer these questions.

B.  Goals and Scope

The objectives of this RFA are to foster research collaborations and
interactions among basic researchers, clinical investigators, and
applied researchers affiliated with quality-controlled population-
based tumor registries.  The focus of these collaborations is to
advance research in breast cancer screening methods, technology,
clinical work-up of women with abnormal screening tests, and
differentials in the biology and immunobiology of breast cancers in
relationship to detection methods.

Specifically, the objectives of the Breast Cancer Surveillance
Research Project are to conduct analytic research on breast cancer
screening in order to assess the operation (including cost) of
screening programs and policies in the U.S., and associated decision
models for workup of women with positive screening tests.  The
research must be amenable to extending implementation in a multi-
group setting using comparable data, which may include, but is not
limited to, the following:

o  recommended screening policies
o  target groups for screening
o  rates of women screened
o  influence of screening on trends in breast cancer incidence and
intermediate outcomes (e.g., stage)
o  quality assurance procedures
o  use of state-of-the-art technology
o  results of screening examinations, including predictive values,
sensitivity, and specificity
o  follow-up of screened women
o  effect of screening on changes in breast cancer prognosis

Under the previous release of this RFA, three awards were made.
However, incomplete coverage of several key populations will limit
our understanding the current implementation of breast cancer
screening in the U.S.  Specifically, coverage of African-Americans
and rural populations is less than optimal.  This RFA encourages
applicants who can address one of these two groups, although
consideration will be given to applicants who can perform unique and
important research in other populations.

Secondary objectives of the Breast Cancer Surveillance Research
Project extend the operational focus of breast cancer screening
programs to incorporate basic and clinical research on emerging
technologies in breast cancer detection and on biological differences
of tumors associated with detection modality.  Specifically, these
objectives are to conduct research such as, but not limited to, the
following:

1.  Studies of the utilization of state-of-the-art and emerging new
technologies in breast cancer screening and diagnosis. Technologies
of interest include, but are not limited to,

o  improvement in conventional mammography such as technological
development in grid design and composition

o  magnetic resonance and stereotactic fine needle aspiration and
biopsy

o  cytology of nipple aspirate.

2.  Studies designed to determine whether or not there are
differences in biology, clinical management, and outcome between
screened detected and non-screened detected cases. Studies may
include, but are not limited to,

o  basic biology and immunology of breast cancer to determine whether
there is a difference in screened detected cases and non-screened
detected cases

o  genetic alterations among women with breast cancer detected
through screening and those with breast cancer which was non-screened
detected.

The above research topics are given as examples.  Each applicant may
submit more than one research plan, and each research plan, depending
upon the nature of the proposed study, may or may not be a
collaborative study.  However, the potential for extension to a
multi-institutional setting should be addressed.  An additional five-
page limit will be allowed for each additional research plan.

The Breast Cancer Surveillance Research Project by its very nature
will bring together multidisciplinary health professionals to
accomplish the goals and objectives of the proposal.  Thus, it is
important that applicants for this project demonstrate a track record
of interdisciplinary activity and interactive "know-how."
Furthermore, this concept builds on several ongoing efforts related
to data collection in breast cancer screening programs.  Examples
include CDC's projects in providing breast and cervical cancer
screening to low income populations, NCI's Specialized Programs of
Research Excellence in Breast Cancer (SPORES), the American College
of Radiology's mammography lexicon, and NCI's SEER Special Studies.

The applicant must establish the availability and potential of a
linked data base between breast cancer screening, registry, and
pathology data sources.  This data must serve as a foundation or
"core" for the conduct of health services and basic biologic
research.  The quality of this data base must be demonstrated in the
application clearly; however, this should be seen as a basic
component and not as research in itself.  The research topics
suggested in the paragraphs about objectives above must build on this
data base.  As such, an applicant may wish to limit their application
to one or two strong research proposals along with the establishment
of the data base to maintain a balance in the application and allow
for a reasonable budget.

SPECIAL REQUIREMENTS

Study Organization

The NCI will convene a meeting for new award recipients to join the
NCI's Breast Cancer Surveillance Consortium.  This Consortium
consists of one voting member from each award recipient (the
Principal Investigator or designee) and one voting member from the
NCI (the Program Director or designee).  The awardees to this
Consortium will review the established group procedures and goals,
and work with other investigators to plan and set priorities for
cooperative group studies.  The NCI Program Director will coordinate
and facilitate the interactions of the Consortium institutions and
will review their activities for relevance to the objectives of the
RFA and programmatic considerations.

Terms and Conditions of Award

Under the cooperative agreement, a partnership will exist between the
recipient of the award and the NCI, with assistance from the NCI in
carrying out the planned activity.  The following terms and
conditions pertaining to the scope and nature of the interaction
between the NCI and the investigators will be incorporated in the
Notice of Grant Award.  These terms will be in addition to the
customary programmatic and financial negotiations which occur in the
administration of grants.  The "Nature of NCI Staff Involvement" and
"Responsibilities of Awardees" described in this section are in
addition to, and not in lieu of, otherwise applicable OMB
administrative guidelines; DHHS grant administration regulations 45
CFR 74; DHHS grant administration regulations 45 CFR 92; other DHHS,
PHS, and NIH grant administration policy statements; and other NCI
administrative terms of award.

The inability of an awardee to meet the performance requirements set
forth in the Terms and Conditions of Award in the RFA, or significant
changes in the level of performance, may result in an adjustment of
funding, withholding of support, suspension or termination of award.

1.  Awardee Rights and Responsibilities

a.  Nature of Involvement with Consortium

The award recipients must be willing to join the established NCI
Breast Cancer Surveillance Consortium for the purpose of planning,
developing, and conducting collaborative projects which share a
common protocol, study design and research objectives, and comparable
data collection procedures.  Within this framework, the awardees will
have primary and lead responsibility for the project as a whole,
including research design and protocol development, and the planning,
conduct, analysis, publication and interpretation of their studies.
Data from these collaborative projects will be pooled for joint
analysis, interpretation and publication of results in accord with
policies and procedures established by the Consortium.  The
Consortium will convene as needed to discuss collaborative study
progress and address scientific-technical aspects of implementation.
In addition, when relevant, the award recipients will provide reports
on progress of other funded projects external to the collaborative
activities.

The award recipients (Principal Investigator or designee) must attend
Consortium strategy session meetings and cooperate fully as active
participants in the development and implementation of collaborative
projects.

Each awardee must access three different kinds of facilities for the
purpose of data collection and analysis regarding breast cancer
screening practices.  Access to existing records and collection of
new information is required for:  mammography facilities, pathology
laboratories, and a quality-controlled, population-based cancer
registry.  Since this project includes substantial involvement in the
use of the facilities' records and practices, the awardee must ensure
collaboration among the three facilities throughout the award for
purposes of this research project.

b.  Strategy Sessions and Meeting Attendance

The awardee must agree to send at least one representative to each of
the Consortium meetings.  In most cases, two representatives will be
necessary because of the wide range of substantive and methodological
discussions during these strategy sessions.

c.  Data Collection and Management

Award recipients:

1.  Must cooperate in the establishment of comparable data collection
techniques for collaborative studies;

2.  Ensure that the tripartite multi-institutional group is able to
implement the data collection procedures to be developed by the
Consortium members;

3.  Ensure that the population-based registry data are compatible
with SEER Program standards; and

4.  Make all data required by any collaborative Consortium study
available for pooled analyses.

Awardees are required to collect prospective detailed data directly
>From breast cancer screening facilities and from pathology records,
and to link these data to population-based cancer registry data.
These unique linkages are required in order to conduct research on
breast cancer screening programs and to facilitate investigator
initiated research on the immunobiology, cell biology, molecular
genetics and endocrinology of breast cancer.

The awardees will retain custody of and primary rights to their data.
However, the NCI Program Director or designee will have access to all
data generated under collaborative studies conducted under this
award.  The NCI Program Director or designee may review data
management and analysis procedures for collaborative studies under
mutually agreeable circumstances.

Data must also be available for external monitoring if required by
NCI's agreement with other Federal agencies, such as the FDA.

2.  NCI Staff Responsibilities

a.  Establishment of Consortium

The NCI Program Director will convene a meeting for the recipients of
this RFA to join the Consortium, when the awards have been made.
Principal Investigators from each of the award recipients will meet
with the NCI Program Director to build a cooperative organizational
unit, referred to as the Consortium.  The Program Director may
designate a staff person in the Surveillance Program to assume some
duties of this role as needed.

b.  Strategy Sessions

The NCI Program Director or designee, in cooperation with the
Consortium Coordinator, will sponsor strategy sessions when
indicated, attended by Principal Investigators and other appropriate
staff from the Consortium and appropriate NCI staff.

c.  Data Management

Each awardee will retain custody of and primary rights to their data
and is responsible for statistical analysis of local data, computer
processing and statistical interpretations.  However, for any
collaborative studies among the Consortium members, the NCI is
willing to assist in providing data analysis and statistical
evaluation from existing resources for pooled analyses.  For these
collaborative studies, the Consortium members will be responsible for
the study design, planning and interpretation of the data.  The NCI
Program Director will have access to all data generated under this
award and will periodically review the data management and analysis
procedures for the Consortium.  Data must also be available for
external monitoring if required by NCI's agreement with other federal
agencies, such as the Food and Drug Administration (FDA).

d.  Monitoring and Program Review

In addition to normally prescribed duties of program and grants
staff, an on-site program review will occur as early as 10 months but
no later than 18 months after award.  The program review will be
conducted to evaluate progress of the Consortium, particularly the
collaborative projects.  The inability of a Consortium member to meet
the performance requirements set forth in the Terms of Cooperation in
the RFA, or significant changes in the level of performance, may
result in an adjustment of funding, withholding of support,
suspension or termination of the award.

3.  Collaborative Responsibilities

Awardees to this request must agree to join the existing Breast
Cancer Surveillance Consortium.  The Consortium members will
establish a leader (Consortium Coordinator, chosen from awardees) who
will administratively preside at all Consortium meetings. The
Consortium Coordinator, other members of the Consortium, and the NCI
Program Director (Associate Director, Surveillance Program, DCPC)
have established administrative procedures (i.e., meeting dates,
guidelines for reporting, etc.) and methods by which all
scientific/analytic requirements of the RFA will be met.  The new
awardees will review these procedures and work with the Consortium to
determine the need for any changes.  Awardees will be required to
accept and implement the common protocol and procedures approved by
the Consortium.

The Consortium will convene as needed to discuss collaborative study
progress and address scientific-technical aspects of implementation.
At Consortium meetings, members will strive to develop collaborative
protocols and comparable standards for data collection and
management, examine the areas of commonality, and discuss progress
toward the agreed upon goals in all of the RFA scope of activities.
These range from development of data collection instruments to more
complex procedures such as the study protocol required to answer
research questions in the collaborative studies proposed by the
Consortium.  Timelines will be established, revised and refined;
Consortium members will collectively address and solve problems
within the project; outstanding research questions will be defined
and existing ones will be prioritized; data will be analyzed and
prepared for "pooled" statistical analyses to answer agreed upon
research questions requiring pooled analyses.

At these meetings, information relevant to collaborative studies will
be reviewed and discussed, including such issues as overall
Consortium performance and the science of current or proposed
collaborative studies.  Data will be analyzed and the outstanding
research questions established and prioritized into national research
goals by the Consortium investigators and the NCI Program Director.
The Principal Investigators will have the primary responsibility for
analyzing and prioritizing the research questions to be developed
into collaborative studies.  The NCI Program Director will provide
assistance and guidance as needed, for example, in developing shared
study protocols, selecting data elements, obtaining cooperation from
the three types of facilities, linking databases, and analyzing
pooled data on the operational aspects of screening.  Communication
at the various stages of protocol development is encouraged.

4.  Arbitration Process

The Terms and Conditions of Award require that the NCI Program
Director make post-award decisions related to program performance and
programmatic decisions on scientific-technical matters.  NCI will
establish an arbitration process when a mutually acceptable agreement
cannot be obtained between the awardee and the NCI Program Director.
An arbitration panel (with appropriate expertise) composed of one
member selected by the recipient group, one NCI nominee, and a third
member chosen by the other two will be formed to review the NCI
decision and recommend a course of action to the Director, NCI.
These special arbitration procedures in no way affect the awardee's
right to appeal an adverse action in accordance with PHS regulations
42 CFR Part 50, Subpart D, and DHHS regulations 45 CFR Part 16.

INCLUSION OF WOMEN AND MINORITIES IN RESEARCH INVOLVING HUMAN
SUBJECTS

It is the policy of the NIH that women and members of minority groups
and their subpopulations must be included in all NIH supported
biomedical and behavioral research projects involving human subjects,
unless a clear and compelling rationale and justification is provided
that inclusion is inappropriate with respect to the health of the
subjects or the purpose of the research.  This new policy results
>From the NIH Revitalization Act of 1993 (Section 492B of Public Law
103-43) and supersedes and strengthens the previous policies
(Concerning the Inclusion of Women in Study Populations, and
Concerning the Inclusion of Minorities in Study Populations), which
have been in effect since 1990. The new policy contains some
provisions that are substantially different from the 1990 policies.

Investigators proposing research involving human subjects should read
the "NIH Guidelines For Inclusion of Women and Minorities as Subjects
in Clinical Research," which have been published in the Federal
Register of March 28, 1994 (FR 59 14508-14513) and reprinted in the
NIH Guide for Grants and Contracts, Volume 23, Number 11, March 18,
1994.

Investigators also may obtain copies of the policy from the program
staff listed under INQUIRIES.  Program staff may also provide
additional relevant information concerning the policy.

LETTER OF INTENT

Prospective applicants are asked to submit, by February 14, 1995, a
letter of intent that includes a descriptive title of the proposed
research, the name, address, and telephone number of the Principal
Investigator, the identities of other key personnel and participating
institutions, and the number and title of the RFA in response to
which the application may be submitted.

Although a letter of intent is not required, is not binding, and does
not enter into the review of subsequent applications, the information
that it contains is helpful in planning for the review of
applications.  It allows NCI staff to estimate the potential review
workload and to avoid conflict of interest in the review.

The letter of intent is to be sent to Dr. Brenda K. Edwards at the
address listed under INQUIRIES.

APPLICATION PROCEDURES

Because the Terms of Cooperation (discussed in the Special
Requirements Section above) will be included in all awards issued as
a result of this RFA, it is critical that each applicant include
specific plans for responding to these terms.  Plans must describe
how the applicant will comply with NCI staff involvement as well as
how all the responsibilities of awardees will be fulfilled.

1.  In addition to providing a complete research plan based on the
kind of resources immediately available to the applicant, each
applicant must delineate its catchment area for each of the three
facilities (mammography, pathology, and tumor registry).  Each
applicant will project how the research plan could be expanded as
resources within the Consortium become available.

2.  A designated Principal Investigator is required.  An associate
Principal Investigator should be named to assure continuity in the
event of resignation of the Principal Investigator.  The
qualifications and experience of both must be described.

3.  Each applicant must provide the qualifications and experience of
all proposed support personnel, as well as a description of the
proposed duties for each position.

4.  Multiple research affiliations and related funded research are
permitted provided they are not conflicting.  The affiliation
agreements must state specifically how the problem of competing
projects will be resolved.

5.  Quality control procedures must be described in detail.  It is
essential that the quality control of the cancer registry be
described.

6.  The availability of facilities, including mammography facilities,
pathology laboratories, and quality controlled population-based
cancer registries, must be described.  A statement of commitment from
each participating institution or organization and/or documentation
of collaborative arrangements must be provided.  Each applicant must
have a defined space for administrative activities and administrative
personnel which will serve as a focus for data management, quality
control, and communication.

7.  Each applicant's capability and expertise to manage the data must
be described.  Data management includes development of data
collection forms, procedures for data transmittal, procedures for
data entry, data editing, compilation, and analysis, as well as
procedures for quality control and verification of submitted data.
Statistical data collection comparability must exist among the
tripartite local facilities and the collaborative research project.
Each applicant must provide evidence of their willingness to pool
statistical data for analysis as required for collaborative studies.
Each applicant's ability to manage data from local facilities and to
participate in multi-institutional collaborative studies must be
described.

8.  Applicants need to demonstrate that they can successfully develop
a tripartite organization of local facilities and show evidence that
they will successfully participate in a Consortium and conduct
collaborative studies.  This will be the primary mechanism by which
the NCI Program Director will relate to all principal award
recipients over the duration of the period of the RFA.

9.  The applicant must describe how the issue of confidentiality will
be addressed, describing how the records of patients will be
protected.  The applicant must include evidence and knowledge of
legal issues pertaining to the collection and analysis of data.
Specific state laws and their impact on the project must be fully
explained.

10.  Each applicant must submit at least one research plan separate
>From the construction of the research data base in the application,
with an additional five page limit being allowed to describe each
additional study.

11.  In the event several projects or components are proposed, the
format of the program project grant should be used in which separate
budgets are used.

The research grant application form PHS 398 (rev. 9/91) is to be used
in applying for cooperative agreements.  These forms are available at
most institutional offices of sponsored research; from the Office of
Grants Inquiries, Division of Research Grants, National Institutes of
Health, 5333 Westbard Avenue, Room 449, Bethesda, MD 20892, telephone
(301) 594-7248; and from the NCI program official named below.

The RFA label available in the PHS 398 application form must be
affixed to the bottom of the face page of the application.  Failure
to use this label could result in delayed processing of the
application such that it may not reach the review committee in time
for review.  In addition, the RFA title and number must be typed on
line 2a of the face page of the application form and the YES box must
be marked.

Submit a signed, typewritten original of the application, including
the Checklist, and three signed, clear and single-sided photocopies,
in one package to:

Division of Research Grants
National Institutes of Health
Westwood Building, Room 240
Bethesda, MD  20892**

At the time of submission, two additional copies of the application
must also be sent to:

Ms. Toby Friedberg, Referral Officer
Division of Extramural Activities
National Cancer Institute
Executive Plaza North, Room 636
Bethesda, MD  20892

Failure to submit these copies may delay the review and consideration
of an application for award in FY 1996.

Applications must be received by April 21, 1995.  If an application
is received after that date, it will be returned to the applicant.
The Division of Research Grants (DRG) will not accept any application
in response to this RFA that is essentially the same as one currently
pending initial review, unless the applicant withdraws the pending
application.  The DRG will not accept any application that is
essentially the same as one already reviewed.  This does not preclude
the submission of substantial revisions of applications already
reviewed, but such applications must include an introduction
addressing the previous critique.

REVIEW CONSIDERATIONS

Review Procedures

Upon receipt, applications will be reviewed for completeness by DRG
and responsiveness by the NCI.  Incomplete and/or non-responsive
applications will be returned to the applicant without further
consideration.  Applications that are complete and responsive to the
RFA will be evaluated for scientific and technical merit in
accordance with the review criteria stated below by an appropriate
peer review group convened by the NCI.

As part of the initial merit review, a process (triage) may be used
by the initial review group in which applications will be determined
to be competitive or non-competitive based on their scientific merit
relative to other applications received in response to the RFA.
Applications judged to be competitive will be discussed and be
assigned a priority score.  Applications determined to be non-
competitive will be withdrawn from further consideration and the
Principal Investigator and the official signing for the applicant
organization will be notified.

Review Criteria

The following factors will be considered in evaluating the scientific
merit of each response to the RFA:

1.  Scientific merit of each research plan within the application
that includes analytic research on breast cancer screening plus one
or more of the following:  utilization of state-of-the-art and
emerging new technologies in breast cancer screening and diagnosis,
biology of screened detected and non-screened detected cases, and
other investigator proposed studies.

2.  Appropriateness of plans to develop or modify current data
collection practices to conform to standards set by Consortium
members which should include:

o  evidence of obtaining cooperation of radiologists, pathologists,
surgeons, tumor registrars, etc., necessary for data collection
efforts;

o  description of how data systems in the area will be linked to
cancer registry and plans to solve anticipated problems with data
linkage.

The development of a data base linking breast cancer screening
facilities to registries and pathology laboratories will be
considered as a basic requirement of the application.  The
establishment of this data base is necessary for the research
priorities for this RFA to be completed.  Establishment of this data
base must be described succinctly so that reviewers can determine its
viability.  However, the mere establishment of the data base is not
equivalent to responsiveness to the RFA.

3.  Scientific, technical, or medical significance and originality of
proposed breast cancer research that uses the database; i.e., whether
or not new technologies are employed in breast cancer screening and
diagnosis, basic biology and immunobiology of screened detected
versus non-screened detected breast cancer, genetic alterations among
women with breast cancer detected through screening versus those with
breast cancer that was non-screened detected, economics of breast
cancer screening techniques, or some other area of breast cancer
research which uses the database.  The scientific merit of the study
objective(s), design, and methodology.

4.  Appropriateness and adequacy of the experimental approach and
methodology proposed to carry out the research.

5.  Qualifications and research experience of the Principal
Investigator and staff, particularly, but not exclusively, in the
area of the proposed research should include:

o  demonstration of a track record of interdisciplinary activity and
interactive "know-how";
o  experience in the management of large data sets;
o  personnel with credentials and experience in cancer registration,
breast cancer pathology, mammography and other breast cancer
screening technology, breast cancer biology, biostatistics, and
computer programming.

6.  Adequacy of time (effort) that the Principal Investigator and
staff would devote to establishing the database and conducting the
proposed studies.

7.  Availability of resources necessary to perform the research.

8.  Commitment to conduct pooled analyses of combined data across
cooperative agreements in the Consortium for research objectives that
require pooled analyses of data.

9.  Availability of a population for surveillance coverage and
research which complements the existing projects.  Current studies
sponsored by NCI include the ethnically diverse population in and
around San Francisco, a Health Maintenance Organization in the
Seattle area, a relatively homogeneous population although
representative of the catchment area, and the area surrounding
Denver, Colorado, which has a sizable Hispanic population.  Adequacy
of plans to include both genders and minorities and their subgroups
as appropriate for the scientific goals of the research.  Plans for
the recruitment and retention of subjects will also be evaluated.

Subsequent to the scientific merit of the proposed projects,
consideration will be given to the appropriateness of the proposed
budget and duration in relation to the proposed research as part of
the review process.

AWARD CRITERIA

The anticipated date of award is December 1995.  In addition to the
technical merit of the application, the NCI will consider how well
the proposed research meets the goals and objectives of the program
as described in the RFA, as well as the level of total costs
requested.  Awards will be given to Principal Investigators/
applicants who demonstrate they can successfully develop the
essential elements required in a tripartite local organization, which
shows evidence that they will successfully participate in
collaborative studies conducted by the Consortium.  The Consortium is
the primary entity by which the NCI Program Director will relate to
all principal award recipients over the duration of the period of the
project.  Funding criteria will be weighted toward those applications
that demonstrate a capability for collaborative studies involving all
three facilities (clinical/radiology, pathology/laboratory science,
and population-based quality controlled cancer registry) and
scientifically meritorious research studies that address the full
scope of the RFA.  Strong consideration will be given to the
potential of having geographical and racial representation in the
study population within the Consortium.

INQUIRIES

Written and telephone inquiries concerning this RFA are encouraged.
The opportunity to clarify any issues or questions from potential
applicants is welcome.

Direct inquiries regarding programmatic issues to:

Brenda K. Edwards, Ph.D.
Surveillance Program
National Cancer Institute
Executive Plaza North, Room 343
Bethesda, MD  20892
Telephone:  (301) 496-8506
FAX:  (301) 402-0816
Email: edwardsb@dcpceps.nci.nih.gov

Direct inquiries regarding fiscal matters to:

Robert E. Hawkins
Grants Administration Branch
National Cancer Institute
Executive Plaza South, Suite 243
Bethesda, MD  20892
Telephone:  (301) 496-7800, ext. 213

AUTHORITY AND REGULATIONS

This program is described in the Catalog of Federal Domestic
Assistance  No. 93,399.  Awards are made under authorization of the
Public Health Service Act, Title IV, Part A (Public Law 78-410, as
amended by Public Law 99-158, 42 USC 241 and 285) and administered
under PHS grants policies and Federal Regulations 42 CFR 52 and 45
CFR Part 74; DHHS grant regulations at 45 CFR part 92.  This program
is not subject to the intergovernmental review requirements of
Executive Order 12372 or Health Systems Agency review.

The Public Health Service strongly encourages all grant recipients to
provide a smoke-free workplace and promote the non-use of all tobacco
products.  This is consistent with the PHS mission to protect and
advance the physical and mental health of the American people.

References

Coleman EA, Feuer EJ, NCI Breast Screening Consortium.  Breast cancer
screening among women 65-74 years of age in 1987-88 and 1991.  Ann
Intern Med. 1992;117:961-966.

Howard J.  Using mammography for cancer control:  an unrealized
potential.  Cancer. 1987;37:33-48.

Kessler LG, Breen N.  Screening mammography doubles between 1987 and
1990.  1992(in review).

Makuc DM, Freid VM, Kleinman JC.  National trends in the use of
preventive health care by women.  Am J Public Health. 1989;79:21-26.

Miller AB, Baines CJ, To T, Wall C.  Canadian National Breast
Screening Study.  Can Med Assoc J. 1992;147:1459-1488.

Miller BA, Ries LAG, Hankey BF, Kosary CL, Edwards BK (eds). Cancer
Statistics Review:  1973-1989, National Cancer Institute. NIH Pub.
No. 92-2789, 1992.

Shapiro S, Venet W, Strax P, Venet L.  Periodic screening of breast
cancer:  the Health Insurance Plan Project and its sequelae,
1963-1986.  Baltimore, MD:  The Johns Hopkins University Press; 1988.

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Subject: NIH GUIDE - RFA AG-95-003 - V24(01) 01/13/95
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$$XID RFA AG95003 AG-95-003 P1O1 ***************************************

MINORITY DISSERTATION RESEARCH GRANTS IN AGING

NIH GUIDE, Volume 24, Number 1, January 13, 1995

RFA:  AG-95-003

P.T. 40, FF; K.W. 0710010

National Institute on Aging

Application Receipt Date: March 20, 1995

PURPOSE

Small grants to support doctoral dissertation research will be
available for minority doctoral candidates.  Grant support is
designed to aid the research of new minority investigators and to
encourage individuals from a variety of academic disciplines and
programs to study problems in aging.

HEALTHY PEOPLE 2000

The Public Health Service (PHS) is committed to achieving the health
promotion and disease prevention objectives of "Healthy People 2000,"
a PHS-led national activity for setting priority areas.  This Request
for Applications (RFA), Minority Dissertation Research Grants in
Aging, is related to several priority areas applicable to aging.
Potential  candidates for the awards may obtain a copy of "Healthy
People 2000" (Full Report:  Stock No. 017-001-00474-0) or "Healthy
People 2000" (Summary Report:  Stock No. 017-001-00473-1) through the
Superintendent of Documents, Government Printing Office, Washington,
DC 20402-9325 (telephone 202-783-3238).

ELIGIBILITY REQUIREMENTS

For the purpose of this RFA, individuals who are eligible to apply
are minority students who are defined as belonging to a particular
racial or ethnic group.  In awarding dissertation grants the National
Institute on Aging (NIA) will give priority to African Americans,
Hispanic Americans, Native Americans and Pacific Islanders or other
ethnic or racial group members who have been found to be
underrepresented in biomedical or behavioral research.  Within this
group, women and persons with disabilities are particularly
encouraged to apply.  The applicant for dissertation research grant
support must be a citizen, or noncitizen national, of the United
States or have been lawfully admitted for permanent residence.

The doctoral candidate must have a dissertation topic approved by the
named committee.  This information must be verified in a letter of
certification from the thesis chairperson and submitted with the
grant application (see APPLICATION PROCEDURES).  Research topics
should be on aging-related issues and should fit within one or more
of the areas described below for each individual program (see
RESEARCH OBJECTIVES).

The applicant organization must be a domestic institution supporting
doctoral level training, such as a university or college.  The
performance site may be foreign or domestic.

MECHANISM OF SUPPORT

The mechanism of support is the NIH small grant (R03).  Grants may be
made for up to two years.  Grants to support dissertation research
will provide no more than $30,000 in total direct costs, and no more
than $25,000 in direct costs in any one year.

FUNDS AVAILABLE

The NIA anticipates funding approximately 20 grants with a total cost
of up to $600,000.  These grants are not eligible for competitive
renewal.

RESEARCH OBJECTIVES

This research initiative is to provide minority students assistance
to complete their dissertation research on an aging-related topic and
thereby increase the pool of minority researchers in aging.  The
description of the four extramural programs below is provided to help
potential applicants to determine whether their topic may be
appropriate for this initiative.  Questions on the relevance of a
particular topic can be addressed to the program contact listed under
INQUIRIES.

Biology of Aging Program

This program supports studies that focus on diseases associated with
increasing age and the basic mechanisms involved in aging processes.
The overall objectives of the program are related to understanding
normal functions and alterations in them that can be induced by
interaction with the environment and disease processes as aging
proceeds.  The program interests are in molecular and cellular
biology, genetics, immunology, basic nutrition, and endocrinology.

Behavioral and Social Research Program

This program supports research on social and psychological aging
processes and the place of older people in society and its social
institutions.  The emphasis is on promoting health, effective
functioning, productivity and independence throughout the middle and
later years.  Areas of special interest include health and behavior;
cognitive functioning; long term care; work, retirement and
productivity; family and intergenerational relationships; aging
demographics; and minorities, women, oldest old, rural and retarded
older adults.

Neuroscience and Neuropsychology of Aging Program

This program supports research on the structure and function of the
aging nervous system and the behavioral manifestations of the aging
brain.  Areas of special interest include age-related changes in the
nervous system, especially as these affect sensory processes,
learning, cognition, memory and sleep.  The study of Alzheimer's
disease and other disorders associated with the aging nervous system,
including the causes, diagnosis, epidemiology, treatment and
management of such disorders are of special interest.

Geriatrics Program

This program supports research on clinical problems that occur
predominantly among older persons or that are associated with
increased morbidity and mortality in older people.  Areas of interest
include cardiovascular-pulmonary diseases, infectious diseases,
osteoporosis, digestive diseases, rehabilitation and physical
function and performance in older persons.

SPECIAL REQUIREMENTS

Additional Material. In addition to the completed PHS 398 form
described under APPLICATION PROCEDURES, applicants must also submit:

o  A letter from the faculty committee or university official
directly responsible for supervising the development and progress of
the dissertation research.  The letter must be countersigned by a
representative of the graduate school of the sponsoring institution.
The letter must:  (a) fully identify the members of the committee and
certify their approval of the dissertation topic, (b) certify that
the candidate is eligible to apply under the guidelines described in
this RFA, (c) certify that the author of the letter has read the
application and that it reflects the work to be completed in the
dissertation, and (d) note that the university official or faculty
committee expects the doctoral candidate to proceed with the approved
project proposal with or, without NIA support.

o  A transcript of the investigator's graduate school record

o  Biography of mentor limited to 2 pages (use the Biographical
Sketch page in PHS form 398)

o  Statement of the investigator's career goals to be placed under
"Background" (see the Research Plan instructions in PHS form 398)

Although not required, identification of the investigator's minority
group would be helpful so that NIA may continue to monitor and
improve the effectiveness of this program.

Grant Conditions.  The following conditions apply to dissertation
grants:

o  The doctoral candidate must be the designated Principal
Investigator on the grant and the doctoral candidate must be the only
individual on the grant for whom salary support is requested.

o  The principal investigator's salary may not exceed $12,000 per
twelve months.

o  Work on the funded project must be initiated within three months
after the date of the award.

o  An awardee may be invited to participate in a meeting or
presentation of other NIA dissertation awardees.

o  The dissertation constitutes the final report of the grant. Two
copies of the dissertation must be submitted.  The dissertation must
be officially accepted by the faculty committee or university
official responsible for the candidate's dissertation and must be
signed by the responsible officials.

o  Investigators may request support for up to 24 months.  An
application that requests support beyond this time will be returned.

o  Grantees who are approved for two years of support must submit a
satisfactory progress report no later than 10 months after the start
of the first year of the grant.  This report should contain a brief
summary of the work completed to date together with copies of any
publications supported wholly or in part by the dissertation grant.
Investigators who need more than 24 months to complete the research
project will be required to submit a request for an extension without
funds for support beyond the first 24 months.  An unfunded
continuation of the grant may be awarded if satisfactory progress is
being made, but the total direct costs of the entire project may not
exceed $30,000 overall, and $25,000 in any one year.

An applicant who receives support for dissertation research under a
grant from the NIA may not at the same time receive support under a
predoctoral or fellowship grant awarded by any other Federal agency,
nor be supported under any other research project grant.

Allowable Costs.  Expenses usually allowed under PHS research grants
will be covered by the NIA dissertation research grants, but may not
exceed $30,000 for the project.  Allowable costs include the
investigator's salary (not to exceed $12,000 per 12 months); direct
research project expenses such as travel to one scientific meeting
per year (limited to $800 per year), data processing, supplies, and
dissertation costs.  Any level of effort that is less than full time
by the candidate must be fully justified.  No tuition is allowed.  It
is expected that most equipment needed for the research will be
available at the site or laboratory in which the dissertation is to
be performed.  Therefore, any requests for equipment must be
specially justified.  Indirect costs are limited to eight percent of
requested direct costs, less equipment.

INCLUSION OF WOMEN AND MINORITIES IN RESEARCH INVOLVING HUMAN
SUBJECTS

It is the policy of the NIH that women and members of minority groups
and their subpopulations must be included in all NIH supported
biomedical and behavioral research projects involving human subjects,
unless a clear and compelling rationale and justification is provided
that inclusion is inappropriate with respect to the health of the
subjects or the purpose of the research.  This new policy results
>From the NIH Revitalization Act of 1993 (Section 492B of Public Law
103-43) and supersedes and strengthens the previous policies
(Concerning the Inclusion of Women in Study Populations, and
Concerning the Inclusion of Minorities in Study Populations), which
have been in effect since 1990.  The new policy contains some
provisions that are substantially different from the 1990 policies.

All investigators proposing research involving human subjects should
read the "NIH Guidelines For Inclusion of Women and Minorities as
Subjects in Clinical Research," which have been published in the
Federal Register of March 28, 1994 (FR 59 14508-14513) and reprinted
in the NIH Guide for Grants and Contracts, Volume 23, Number 11,
March 18, 1994.

Investigators also may obtain copies of the policy from the program
staff listed under INQUIRIES.  Program staff may also provide
additional relevant information concerning the policy.

APPLICATION PROCEDURES

The research grant application form PHS 398 (rev. 9/91) is to be used
in applying for these grants.  These forms are available at most
institutional offices of sponsored research; from the Office of
Grants Information, Division of Research Grants, National Institutes
of Health, 5333 Westbard Avenue, Room 449, Bethesda, MD 20892,
telephone (301) 594-7248 and from the program administrator listed
under INQUIRIES.

The RFA label available in the PHS 398 (rev. 9/91) application form
must be affixed to the bottom of the face page of the application.
Failure to use this label could result in delayed processing of the
application such that it may not reach the review committee in time
for review.  In addition, the RFA title and number (Minority
Dissertation Research Grants in Aging, AG-95-003) must be typed on
line 2a of the face page of the application form and the YES box must
be marked.

Instructions for completing the applications are found in the PHS 398
form.  These instructions should be followed except that under C.
Specific Instructions - Research plan, no more than 10 pages should
be used for items 1 to 4 (instead of 25 pages as stated in the
standard instructions).  Applications that exceed the 10 page limit
for this section will be returned.

Submit a signed typewritten original of the application (with the
supporting letter and graduate school transcript), including the
Checklist, and three signed photocopies, in one package to:

Division of Research Grants
National Institutes of Health
Westwood Building, Room 240
Bethesda, MD 20892**

At the time of submission, two additional copies of the application
(with the supporting letter and the graduate school transcript) must
be sent to:

Dr. Michael Oxman
Chief, Scientific Review Office
National Institute on Aging
Gateway Building, Suite 2C212
7201 Wisconsin Avenue, MSC 9205
Bethesda, MD  20892-9205
ATTN:  Minority Dissertation

Applications must be received by March 20, 1995.  If an application
is received after that date, it will be returned to the applicant
without review.  The Division of Research Grants (DRG) will not
accept any application in response to this RFA that is essentially
the same as one currently pending initial review, unless the
applicant withdraws the pending application.  The DRG will not accept
any application that is essentially the same as one already reviewed.
This does not preclude the submission of substantial revisions of
applications already reviewed, but such applications must include an
introduction addressing the previous critique.

REVIEW CONSIDERATIONS

Upon receipt, applications will be reviewed for completeness by DRG
and responsiveness by NIA.  Applications that are either incomplete
or nonresponsive will be returned to the applicant without further
consideration.  Applications that are complete and responsive to the
RFA will be evaluated for scientific and technical merit by an
appropriate review group  convened by the NIA in accordance with the
review criteria stated below.

As part of the initial merit review, a process (triage) may be used
by the initial review group in which applications will be deemed to
be competitive or non-competitive based on their scientific merit
relative to other applications received in response to the RFA.
Applications judged to be competitive will be discussed and assigned
a priority score.  Applications determined to be noncompetitive will
be withdrawn from further consideration and the Principal
Investigator and the official signing for the applicant organization
will be notified.

Review Criteria.

o  scientific, technical, or medical significance and originality of
the proposed research;

o  appropriateness and adequacy of the literature review,
experimental approach and methodology proposed to carry out the
research;

o  qualifications and research experience of the Principal
Investigator (the student);

o  qualifications, research and training experience of the mentor;

o  quality and availability of research resources needed to complete
the dissertation;

o appropriateness of the proposed budget and duration in relation to
the proposed research;

o  Adequacy of plans to include both genders and minorities and their
subgroups as appropriate for the scientific goals of the research.
Plans for the recruitment and retention of subjects will also be
evaluated.

The initial review group will also examine the provisions for the
protection of human and animal subjects and the safety of the
research environment.

AWARD CRITERIA

The anticipated date of award is September 1995.  Final funding
decisions are based on the recommendations of the reviewers, the
relevance of the project to NIA priorities, and the availability of
funds.

INQUIRIES

Inquiries concerning this RFA are encouraged.  The opportunity to
clarify any issues or questions from potential applicants is welcome.
Interested investigators are strongly encouraged to contact the
person named below who can provide clarifying information about
material described in this RFA.  The investigator will then be
referred to the relevant program to discuss the suitability of the
research topic.

Dr. Robin A. Barr
Office of Extramural Affairs
National Institute on Aging
Gateway Building, Suite 2C218
7201 Wisconsin Avenue, MSC 9205
Bethesda, MD  20892-9205
Telephone:  (301) 496-9322
FAX:  301-402-9245
Email:  barr%nihniagw.bitnet@cu.nih.gov

Direct inquiries relating to fiscal matters to:

Mr. Joseph Ellis
Grants and Contracts Management Office
Gateway Building, Suite 2N212
7201 Wisconsin Avenue, MSC 9205
Bethesda, MD  20892-9205
Telephone:  (301) 496-1472
FAX:  301-402-3672
Email:  EllisJ@gw.nia.nih.gov

AUTHORITY AND REGULATIONS

This program is described in the Catalog of Federal Domestic
Assistance No. 93.366.  Awards are made under authorization of the
Public Health Service Act Title IV, Part A (Public Law 79-410, as
amended by Public Law 99-158, 42 DSC 241 and 285) and administered
under PHS grants policies and Federal Regulations 42 CFR 52 and 45
CFR Part 74.  The requirements of Executive Order 12372,
"Intergovernmental Review of Federal Programs," are not applicable to
NIA research grant programs.

The Public Health Service strongly encourages all grant recipients to
provide a smoke-free workplace and promote the non-use of all tobacco
products.  This is consistent with the PHS mission to protect and
advance the physical and mental health of the American people.

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$$XID RFA AR95003 AR-95-003 P1O1 ***************************************

CLINICAL STUDIES:  SKIN DISEASES IN HIV/AIDS

NIH GUIDE, Volume 24, Number 1, January 13, 1995

RFA:  AR-95-003

P.T. 34; K.W. 0715008, 0715185, 0745070

National Institute of Arthritis and Musculoskeletal and Skin Diseases

Letter of Intent Receipt Date:  March 15, 1995
Application Receipt Date:  April 21, 1995

PURPOSE

The National Institute of Arthritis and Musculoskeletal and Skin
Diseases (NIAMS) invites applications for clinical studies on the
treatment of skin diseases associated with HIV infection, including
AIDS.  These studies are designed primarily to evaluate innovative or
new treatments and/or combination therapy in the treatment of any of
the skin diseases seen in association with HIV infection, including
AIDS, and compare them to more standard therapeutic approaches for
these diseases, particularly in relation to efficacy, side effects
and costs.  It is not intended that large scale multicenter clinical
trials be supported in response to this RFA, but rather that clinical
studies be designed that may, once validated, form the basis for
subsequent clinical trials.

HEALTHY PEOPLE 2000

The Public Health Service (PHS) is committed to achieving the health
promotion and disease prevention objectives of "Healthy People 2000,"
a PHS-led national activity for setting priority areas.  This Request
for Applications (RFA),  Clinical Studies in Skin Diseases Associated
with HIV/AIDS, is related to the priority area of chronic disabling
conditions.  Potential applicants may obtain a copy of "Healthy
People 2000" (Summary Report:  Stock No. 017-001-00474-0 or "Healthy
People 2000" (Summary Report:  Stock No. 017-001-00473-1) through the
Superintendent of Documents, Government Printing Office, Washington,
DC 20402-9325 (telephone 202-783-3238).

ELIGIBILITY REQUIREMENTS

Applications may be submitted by domestic and foreign, for-profit and
non-profit organizations, public and private, such as universities,
colleges, hospitals, laboratories, units of State and local
governments, and eligible agencies of the Federal government.
Foreign institutions are not eligible for First Independent Research
Support and Transition (FIRST) (R29) awards.  Racial/ethnic minority
individuals, women, and persons with disabilities are encouraged to
apply as Principal Investigators.

MECHANISM OF SUPPORT

This RFA will use the National Institutes of Health (NIH) individual
research project grant (R01), FIRST (R29) awards, and interactive
research project grant (IRPG) mechanisms.  The IRPG mechanism is
described in PA-94-086, NIH Guide, Vol. 23, No. 28, July 29, 1994.
Responsibility for the planning, direction, and execution of the
proposed project will be solely that of the applicant.  The total
project period for applications submitted in response to the present
RFA may not exceed three years.  The anticipated award date is
September 15, 1995.  Because the nature and scope of the research
proposed in response to this RFA may vary, it is anticipated that the
size of an award will vary also.  This RFA is a one time
solicitation.  Future unsolicited competing continuation applications
will compete with all investigator-initiated applications and be
reviewed according to the customary peer review procedures.

FUNDS AVAILABLE

The estimated funds (total costs) available for the first year of
support for the entire program is anticipated to be 1.5 million
dollars.  The anticipated number of new awards is four to five.

RESEARCH OBJECTIVES

Background

Previously supported studies of the natural history of HIV infection,
including AIDS, focusing on the incidence and prevalence of skin
disease, have indicated that essentially all individuals infected
with HIV manifest skin diseases at some time during their infection.
These diseases may be similar in nature to those seen in the non-HIV
infected population, but are often more chronic and resistant to
treatment.  These diseases include, but are not limited to seborrheic
dermatitis, psoriasis, verruca vulgaris, molluscum contagiosum,
superficial fungal infections, folliculitis, both bacterial and of
other etiologies, and pruritus.  Other skin manifestations associated
with HIV infection are more specific to individuals infected with
HIV.  Malignancies associated with HIV infection are not within the
scope of this RFA.  Although many of these diseases respond
reasonably well to standard dermatologic therapy, many of them
eventually become resistant to therapy and necessitate either
combination treatment or innovative therapies (utilization of
medications for non-FDA approved indications).  These approaches have
been anecdotally reported and discussed in clinical dermatologic
circles, but there are no controlled clinical studies to determine
the efficacy, side effects, or cost attendant with these approaches.
As individuals with HIV live longer, it becomes even more likely that
they will suffer significant skin manifestations potentially
requiring the use of innovative therapeutic approaches.  This RFA is
designed to initiate studies that have the long term potential of
indicating whether novel agents or therapeutic combinations are
likely to be effective for these diseases.

Applications in response to this RFA are not expected to be for large
scale multicenter clinical trials.  Rather, it is expected that
applications will be for clinical studies designed to develop and
test protocols that have the potential for providing statistically
valid information concerning efficacy, side effects and cost of
innovative approaches to these diseases.  These studies should have
reproducible and quantifiable end points and appropriate control
groups.  Outcome measures or endpoints taking into account meaningful
clinical improvement are preferred.  Consideration should be given to
the level of improvement (for example 20, 30, or 50 percent) that
would be accepted as meaningful to clinicians or subjects.  The
validity of outcome measures or endpoints should be addressed.  It is
strongly recommended that applicants have or enlist individuals with
clinical trial and biostatistical expertise and training in order to
ensure proper design of these clinical investigations.  The NIAMS
strongly supports the provision of training or experience in
biostatistics and clinical trials for individuals interested in
careers in these disciplines within dermatology as a component of
projects submitted in response to this RFA.  The sample size
considerations for the pilot study should be addressed.  The
application should include a plan for data management and analysis.
A plan for data safety monitoring is strongly recommended,
particularly for studies incorporating larger numbers of subjects or
testing interventions with potentially significant adverse effects.
It is also expected that there will be a discussion of the size of
subsequent studies that would have sufficient power to prove the
hypothesis once the clinical studies have demonstrated the validity
of the approach to be taken.  Therefore, the clinical studies
supported under this RFA are expected to be of three years duration
to allow enough time for study design, development of the protocol,
and field testing and evaluation.  These studies are not to be
designed to be definitive tests of therapeutic interventions that
typically would require larger multicenter approaches and budgets
well in excess of those expected in responses to this RFA.

The specific disease or diseases to be investigated, the
interventions to be tested, and the control groups, are to be
proposed by the applicant.  These should be adequately justified by
literature citations and/or clinical experience, which may be
anecdotal.

INCLUSION OF WOMEN AND MINORITIES IN RESEARCH INVOLVING HUMAN
SUBJECTS

It is the policy of the NIH that women and members of minority groups
and their subpopulations must be included in all NIH supported
biomedical and behavioral research projects involving human subjects,
unless a clear and compelling rationale and justification is provided
that inclusion is inappropriate with respect to the health of the
subjects or the purpose of the research.  This new policy results
>From the NIH Revitalization Act of 1993 (Section 492B of Public Law
103-43) and supersedes and strengthens the previous policies
(Concerning the Inclusion of Women in Study Populations, and
Concerning the Inclusion of Minorities in Study Populations), which
have been in effect since 1990.  The new policy contains some
provisions that are substantially different from the 1990 policies.

All investigators proposing research involving human subjects should
read the "NIH Guidelines For Inclusion of Women and Minorities as
Subjects in Clinical Research," which have been published in the
Federal Register of March 28, 1994 (FR 59 14508-14513) and reprinted
in the NIH Guide for Grants and Contracts, Volume 23, Number 11,
March 18, 1994.

Investigators also may obtain copies of the policy from the program
staff listed under INQUIRIES.  Program staff may also provide
additional relevant information concerning the policy.

Applicants from institutions that have a General Clinical Research
Center (GCRC) funded by the NIH National Center for Research
Resources may wish to identify the GCRC as a resource for conducting
the proposed research.  If so, a letter of agreement from either the
GCRC program director or Principal Investigator should be included
with the application.

LETTER OF INTENT

Prospective applicants are asked to submit, by March 15, 1995, a
letter of intent that includes a descriptive title of the proposed
research, the name, address, and telephone number of the Principal
Investigator, the identities of other key personnel and participating
institutions, and the number and title of the RFA in response to
which the application may be submitted.

Although a letter of intent is not required, is not binding, and does
not enter into the review of subsequent applications, the information
that it contains allows NIAMS staff to estimate the potential review
workload and to avoid conflict of interest in the review.

The letter of intent is to be sent to Dr. Alan N. Moshell at the
address listed under INQUIRIES.

APPLICATION PROCEDURES

The research grant application form PHS 398 (rev. 9/91) is to be used
in applying for these grants.  These forms are available at most
institutional offices of sponsored research; from the Office of
Grants Information, Division of Research Grants, National Institutes
of Health, 5333 Westbard Avenue, Room 449, Bethesda, MD 20892,
telephone 301/594-7248; and from the program administrator listed
under INQUIRIES.

The RFA label available in the PHS 398 (rev. 9/91) application form
must be affixed to the bottom of the face page of the application.
Failure to use this label could result in delayed processing of the
application such that it may not reach the review committee in time
for review.  In addition, the RFA title and number must be typed on
line 2a of the face page of the application form and the YES box must
be marked.

Applications for the FIRST Award (R29) must include at least three
sealed letters of reference attached to the face page of the original
application.  FIRST Award (R29) applications submitted without the
required number of reference letters will be considered incomplete
and will be returned without review.

Submit a signed, typewritten original of the application, including
the Checklist, and three signed, photocopies, in one package to:

Division of Research Grants
National Institutes of Health
Westwood Building, Room 240
Bethesda, MD  20892**

At the time of submission, two additional copies of the application
must also be sent to:

Tommy L. Broadwater, Ph.D.
Chief, Grants Review Branch
National Institute of Arthritis and Musculoskeletal and Skin Diseases
Natcher Building, Room 5AS-25U
45 Center Drive, MSC 6500
Bethesda, MD  20892-6500

Applications must be received by April 21, 1995.  If an application
is received after that date, it will be returned to the applicant
without review.  The Division of Research Grants (DRG) will not
accept any application in response to this RFA that is essentially
the same as one currently pending initial review, unless the
applicant withdraws the pending application.  The DRG will not accept
any application that is essentially the same as one already reviewed.
This does not preclude the submission of substantial revisions of
applications already reviewed, but such applications must include an
introduction addressing the previous critique.

REVIEW CONSIDERATIONS

Upon receipt, applications will be reviewed for completeness by DRG
and responsiveness by the NIAMS.  Incomplete applications will be
returned to the applicant without further consideration. If the
application is not responsive to the RFA, NIAMS staff will contact
the applicant to determine whether to return the application to the
applicant or submit it for review in competition with unsolicited
applications at the next review cycle.

Applications that are complete and responsive to the RFA will be
evaluated for scientific and technical merit by an appropriate peer
review group convened by the (ICD) in accordance with the review
criteria stated below.  As part of the initial merit review, a
process (triage) may be used by the initial review group in which
applications will be determined to be competitive or non-competitive
based on their scientific merit relative to other applications
received in response to the RFA.  Applications judged to be
competitive will be discussed and be assigned a priority score.
Applications determined to be non-competitive will be withdrawn from
further consideration and the Principal Investigator and the official
signing for the applicant organization will be notified.  The second
level of review will be provided by the National Advisory ICD
Council/Board.

Review criteria for this RFA are generally the same as those for
unsolicited research grant applications.

o  scientific, technical, or clinical significance and originality of
proposed research;

o  appropriateness and adequacy of the experimental approach and
methodology proposed to carry out the research;

o  qualifications and research experience of the Principal
Investigator and staff, particularly, but not exclusively, in the
area of the proposed research;

o  availability of the resources necessary to perform the research;

o  appropriateness of the proposed budget and duration in relation to
the proposed research;

o  adequacy of plans to include both genders and minorities and their
subgroups as appropriate for the scientific goals of the research.
Plans for the recruitment and retention of subjects will also be
evaluated.  The initial review group will also examine the provisions
for the protection of human and animal subjects, the safety of the
research environment, and conformance with the NIH Guidelines for the
Inclusion of Women and Minorities as Subjects in Clinical Research.

AWARD CRITERIA

The anticipated date of award is September 15, 1995.  Awards will be
based upon the following criteria:

o  priority score
o  availability of funds
o  programmatic priorities of the funding ICD

INQUIRIES

Written and telephone inquiries concerning this RFA are encouraged.
The opportunity to clarify any issues or questions from potential
applicants is welcome.

Direct inquiries regarding programmatic issues to:

Alan N. Moshell, M.D.
Skin Diseases Program Director
National Institute of Arthritis and Musculoskeletal and Skin Diseases
Natcher Building, Room 5AS-25L
45 Center Drive
Bethesda, MD  20892-6500
Telephone:  (301) 594-5017
FAX:  (301) 480-4543
Email:  moshella@ep.niams.nih.gov

Direct inquiries regarding fiscal matters to:

Mary  L. Graham
Grants Management Officer
National Institute of Arthritis, Musculoskeletal and Skin Diseases
Natcher Building, Room 5AS-49A
Bethesda, MD  20892-6500
Telephone:  (301) 594-3504
FAX:  (301) 480-5450
email:  Grahamm@ep.niams.nih.gov

AUTHORITY AND REGULATIONS

This program is described in the Catalog of Federal Domestic
Assistance No. 93.361.  Awards are made under authorization of the
Public Health Service Act, Title IV, Part A (Public Law 78-410, as
amended by Public Law 99-158, 42 USC 241 and 285) and administered
under PHS grants policies and Federal Regulations 42 CFR 52 and 45
CFR Part 74.  This program is not subject to the intergovernmental
review requirements of Executive Order 12372 or Health Systems Agency
review.

The Public Health Service (PHS) strongly encourages all grant
recipients to provide a smoke free workplace and promote the non-use
of all tobacco products.  This is consistent with the PHS mission to
protect and advance the physical and mental health of the American
people.

From owner-sci-resources@net.bio.net Fri Jan 13 22:00:00 1995
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Subject: NIH GUIDE - PA-95-016 - V24(01) 01/13/95
Date: 13 Jan 1995 16:49:38 -0800
Organization: BIOSCI International Newsgroups for Molecular Biology
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$$XID RFA PA95016 PA-95-016 P1O1 ***************************************

FAILURE TO HEAL:  CHRONIC WOUND HEALING IN THE SKIN

NIH GUIDE, Volume 24, Number 1, January 13, 1995

PA NUMBER:  PA-95-016

P.T. 34; K.W. 0715185, 0715027

National Institute of Arthritis and Musculoskeletal and Skin Diseases
National Institute on Aging
National Institute of Child Health and Human Development
National Institute of General Medical Sciences
National Institute of Nursing Research

PURPOSE

The National Institute of Arthritis and Musculoskeletal and Skin
Diseases (NIAMS), National Institute on Aging (NIA), the National
Institute of Child Health and Human Development (NICHD), National
Institute of General Medical Sciences (NIGMS), and the National
Institute of Nursing Research (NINR) invite applications for research
on wounds that fail to heal, including decubitus (pressure) ulcers,
venous (stasis) ulcers and diabetic ulcers.  The purpose of this
Program Announcement is to encourage research investigations that
will provide new knowledge of the mechanisms of abnormal wound
healing and/or to apply new findings or interventions to the
treatment and prevention of chronic wounds in man.

HEALTHY PEOPLE 2000

The Public Health Service (PHS) is committed to achieving the health
promotion and disease prevention objectives of "Healthy People 2000,"
a PHS-led national activity for setting priority areas.  This Program
Announcement (PA), Failure to Heal:  Chronic Wound Healing in the
Skin, is related to the priority  area of chronic disabling
conditions.  Potential applicants may obtain a copy of "Healthy
People 2000" (Summary Report:  Stock No. 017-001-00474-0 or "Healthy
People 2000" (Summary Report:  Stock No. 017-001-00473-1) through the
Superintendent of Documents, Government Printing Office, Washington,
DC 20402-9325 (telephone 202-783-3238).

ELIGIBILITY REQUIREMENTS

Applications may be submitted by domestic and foreign for-profit and
non-profit organizations, public and private, such as universities,
colleges, hospitals, laboratories, units of State and local
governments, and eligible agencies of the Federal government.  Women
and minority investigators are encouraged to apply.  Foreign
institutions are not eligible for First Independent Research Support
and Transition (FIRST) (R29) awards.

MECHANISM OF SUPPORT

This PA will use the National Institutes of Health (NIH) individual
research project grant (R01), FIRST (R29) awards, and interactive
research project grant (IRPG) mechanisms.  The IRPG mechanism is
described in PA-94-086, NIH Guide, Vol. 23, No. 28, July 29, 1994.
The total project period for applications submitted in response to
the PA may not exceed five years.

RESEARCH OBJECTIVES

Background

In spite of recent advances in the basic mechanisms of wound healing,
knowledge of the factors involved in the development and treatment of
chronic wounds remains limited.  Future progress in the treatment of
chronic wounds will require greater understanding of their
pathogenesis and failure to heal.  These two aspects were the subject
of a Workshop sponsored by the Skin Diseases Interagency Coordinating
Committee of the National Institutes of Health held on January 10 and
11, 1993.  The Workshop brought together a multidisciplinary group of
scientists working in the field of wound repair.  A summary of this
Workshop was published in the Journal of Investigative Dermatology
(v.102, pp 125-7, 1994).  Identified below is a selection of the
areas covered in that Workshop that are relevant to this
solicitation.  This list is illustrative and not exclusive or
restrictive.

o  Cytokines and growth factors in wound healing
o  Keratinocyte migration in the wound bed
o  The chronic wound environment
o  Changes in composition of extracellular matrix with advancing age
o  Matrix degrading metalloproteinases in wound healing
o  Metabolic changes, both systemic and in the wound environment,
including changes as a consequence of chronic disease or disability
o  Local tissue hypoxia
o  Fibrin formation and removal in wound healing
o  Wound infection
o  Alterations in wound healing with advancing age, chronic disease
or disability
o  Characterizing risk factors for recurring wounds
o  Clinical therapeutics in wound healing and prevention of recurring
wounds
o  Factor affecting the rate of healing of decubitus ulcers, and
success of treatment

INCLUSION OF WOMEN AND MINORITIES IN RESEARCH INVOLVING HUMAN
SUBJECTS

It is the policy of the NIH that women and members of minority groups
and their subpopulations must be included in all NIH supported
biomedical and behavioral research projects involving human subjects,
unless a clear and compelling rationale and justification is provided
that inclusion is inappropriate with respect to the health of the
subjects or the purpose of the research.  This new policy results
>From the NIH Revitalization Act of 1993 (Section 492B of Public Law
103-43) and supersedes and strengthens the previous policies
(Concerning the Inclusion of Women in Study Populations) which have
been in effect since 1990.  The new policy contains some new
provisions that are substantially different from the 1990 policies.
All investigators proposing research involving human subjects should
read the "NIH Guidelines For Inclusion of Women and Minorities as
Subjects in Clinical Research," which have been published in the
Federal Register of March 28, 1994 (FR 59 14508-14513), and reprinted
in the NIH Guide for Grants and Contracts, Volume 23, Number 11,
March 18, 1994.

Investigators may obtain copies from these sources or from the
program staff or contact persons listed below.  Program staff may
also provide additional relevant information concerning the policy.

APPLICATION PROCEDURES

Applications are to be submitted on the grant application form PHS
398 (rev. 9/91) and will be accepted at the standard application
deadlines as indicated in the application kit.  Application kits are
available from most institutional offices of sponsored research and
>From the Office of Grants Information, Division of Research Grants,
National Institutes of Health, Westwood Building, Room 449, Bethesda,
MD 20892, telephone 301-594-7248.  The number and title of this
program announcement must be typed in item number 2a on the fact page
of the application.

The completed original and five permanent, legible copies of the PHS
398 form must be sent or delivered to:

Division of Research Grants
National Institutes of Health
Westwood Building, Room 240
Bethesda, MD  20892**

REVIEW CONSIDERATIONS

Applications received under this program announcement will be
assigned to an appropriate Initial Review Group (IRG) in accordance
with established NIH Referral Guidelines.  The IRG, consisting
primarily of non-Federal scientific and technical experts, will
review the applications for scientific and technical merit in
accordance with standard NIH review procedures.  As part of the
initial merit review, a process (triage) may be used by the initial
review group in which applications will be determined to be
competitive or non-competitive based on their scientific merit.
Applications judged to be competitive will be discussed and be
assigned a priority score.  Applications determined non-competitive
will be withdrawn from further consideration and the Principal
Investigator and the official signing for the applicant organization
will be notified.  Notification of the review recommendations will be
sent to the applicant after the initial review.  Applications
recommended for further consideration and receiving sufficiently high
priority will receive a second-level review by an appropriate
National Advisory Council, whose review may be based on policy
considerations as well as scientific merit.

AWARD CRITERIA

Applications recommended by a National Advisory Council will be
considered for funding on the basis of overall scientific and
technical merit of the research as determined by peer review, program
needs and balance, and availability of funds.

INQUIRIES

Inquiries concerning this PA are encouraged.  The opportunity to
clarify any issues or questions from potential applicants is welcome.

Direct inquiries regarding programmatic issues to:

Alan N. Moshell, M.D.
National Institute of Arthritis, Musculoskeletal and Skin Diseases
Natcher Building,Room 5AS-25L
45 Center Drive
Bethesda, MD  20892-6500
Telephone:  (301) 594-5017
FAX:  (301) 480-4543

Hilary D. Sigmon, Ph.D., R.N.
National Center of Nursing Research
Natcher Building, Room 3AN-12
45 Center Drive
Bethesda, MD  20892-6300
Telephone:  (301) 594-5970
FAX:  (301) 480-8260

David Finkelstein, Ph.D.
National Institute on Aging
Gateway Building, Room 2C231
Bethesda, MD  20892
Telephone:  (301) 496-6402
FAX:  (301) 402-0010

Danuta Krotoski, Ph.D.
National Center for Medical Rehabilitation Research
National Institute of Child Health and Human Development
Building 61E, Room 2A03
Bethesda, MD  20892
Telephone:  (301) 402-2242
FAX:  (301) 402-0832

Yvonne T. Maddox, Ph.D.
National Institute of General Medical Sciences
Natcher Building, Room 2AS-49H
45 Center Drive
Bethesda, MD  20892-6200
Telephone:  (301) 594-5560
FAX:  (301) 480-2802

Direct inquiries regarding fiscal matters to:

Mary Graham
National Institute of Arthritis, Musculoskeletal and Skin Diseases
Natcher Building, Room 5AS-49A
45 Center Drive
Bethesda, MD  20892-6500
Telephone:  (301) 594-3504
FAX:  (301) 480-5450

Sally A. Nichols
Grants Management Office
National Institute of Nursing Research
Natcher Building, Room 3AN-32
45 Center Drive
Bethesda, MD  20892-6300
Telephone:  (301) 594-6869
FAX:  (301) 480-8256

Carol Tippery
Grants Management Officer
National Institute of General Medical Science
Natcher Building, Room 2AN-24C
45 Center Drive
Bethesda, MD  20892-6200
Telephone:  (301) 594-5135
FAX:  (301) 480-1969

AUTHORITY AND  REGULATIONS

This program is described in the Catalog of Federal Domestic
Assistance No. 93.361.  Awards are made under authorization of the
Public Health Service Act, Title IV, Part A (Public Law 78-410, as
amended by Public Law 99-158, 42 USC 241 and 285) and administered
under PHS grants policies and Federal Regulations 42 CFR 52 and 45
CFR Part 74.  This program is not subject to the intergovernmental
review requirements of Executive Order 12372 or Health Systems Agency
review.

The Public Health Service strongly encourages all grant recipients to
provide a smoke-free workplace and promote the nonuse of all tobacco
products.  This is consistent with the PHS mission to protect and
advance the physical and mental health of the American people.

From owner-sci-resources@net.bio.net Fri Jan 13 22:00:00 1995
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Subject: NIH GUIDE - RFA MH-95-001 - V24(01) 01/13/95
Date: 13 Jan 1995 16:49:31 -0800
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$$XID RFA MH95001 MH-95-001 P1O1 ***************************************

SERVICES RESEARCH SUPPLEMENTS TO CLINICAL THERAPEUTIC GRANTS

NIH GUIDE, Volume 24, Number 1, January 13, 1995

RFA:  MH-95-001

P.T. 34; K.W. 0715129, 0730057

National Institute of Mental Health

Letter of Intent Receipt Date:  April 15, 1995
Application Receipt Date:  May 5, 1995

PURPOSE

The National Institute of Mental Health (NIMH) announces the
continued availability of competitive supplements to expand ongoing
funded clinical therapeutic research grants into the area of services
research.  The purpose of these supplements is to help move mental
health treatments from the testing of efficacy (i.e., whether the
treatment works under highly controlled conditions in a population
with a well-defined mental disorder) into testing of effectiveness
(i.e., whether the same promising treatment works when applied to a
wider and diverse range of settings, providers, populations, and
outcome assessment).

Services research is a major NIMH priority and is responsive to
Public Law 102-321 (July 10, 1992), which requires NIMH to obligate
not less than 15 percent of its budget to health services research.

HEALTHY PEOPLE 2000

The Public Health Service (PHS) is committed to achieving the health
promotion and disease prevention objectives of "Healthy People 2000,"
a PHS-led national activity for setting priority areas.  This RFA,
Services Research Supplement to Clinical Therapeutic Grants, is
related to the priority areas of mental health and mental disorders.
Potential applicants may obtain a copy of "Healthy People 2000" (Full
Report:  Stock No. 017-001-00474-0) or "Healthy People 2000" (Summary
Report:  Stock No. 017-001-00473-1) through the Superintendent of
Documents, Government Printing Office, Washington, DC 20402-9325
(telephone 202-783-3238).

ELIGIBILITY REQUIREMENTS

These supplemental applications will only be considered for currently
funded NIMH grants with at least one year remaining at the time of
award, and ending no later than June 30, 1998.  Applicants who
previously submitted supplemental applications in response to the
original RFA are eligible to resubmit.  Applications may be submitted
by foreign and domestic, for-profit and non-profit organizations,
public and private, such as universities, colleges, hospital,
laboratories, units of State and local governments, and eligible
agencies of the Federal government.  Racial/ethnic minority
individuals, women, and persons with disabilities are encouraged to
apply as principal investigators.

MECHANISMS OF SUPPORT

This RFA will use the National Institutes of Health (NIH) competitive
supplement (S01) mechanism and can supplement the following types of
grants:  R01, R10, R37, P01, P20, P30, P50.  PHS policy prohibits any
foreign institution from applying for a P mechanism.

FUNDS AVAILABLE

It is anticipated that at least $1,000,000 in direct costs will be
made available.  Awards will have a maximum yearly direct cost amount
of $200,000, but may not exceed the total costs of the prior year of
the parent grant.

RESEARCH OBJECTIVES

Following are examples of the types of clinical services research
issues that would benefit from expansion of ongoing clinical
therapeutic research grants.  The list is illustrative rather than
comprehensive.  It is expected that additional relevant and important
research topics will be identified by investigators responding to
this RFA.

o  Studies testing promising treatments with new populations, such as
racial or ethnic minorities, patients with co-occurring mental,
substance abuse, or medical conditions

o  Studies testing the effectiveness of proven mental health
treatments when employed in everyday practice and settings (e.g.,
primary care settings, nursing homes, community mental health
centers, outpatient clinics)

o  Studies testing the effectiveness of proven mental health
treatments when administered by providers who more fully represent
the range and expertise of providers expected to deliver the
treatment in everyday practice and settings

o  Studies of the delivery of treatment, such as how to provide
coordinated treatment and rehabilitation services and select
modalities which best match the patient's/client's needs

o  Studies that measure an expanded range of outcomes (beyond symptom
reduction), such as functional capacity, quality of life, or cost

o  Financing and cost issues relating to therapeutic interventions,
e.g., cost-effectiveness, cost-benefit, and cost-utility research

SPECIAL REQUIREMENTS

o  Supplemental requests should address the need to establish the
effectiveness of efficacious treatments, thereby increasing the
generalizability of research findings.

o  Supplemental funds may be used for expenses clearly related and
necessary to conduct the proposed additional services research,
including both direct and allowable indirect costs.

o  Supplemental funds may not be used to operate a treatment,
rehabilitation, or other service program, nor may such funds be used
to fund research that is an integral part of the parent grant.

INCLUSION OF WOMEN AND MINORITIES IN RESEARCH INVOLVING HUMAN
SUBJECTS

It is the policy of the NIH that women and members of minority groups
and their subpopulations must be included in all NIH supported
biomedical and behavioral research projects involving human subjects,
unless a clear and compelling rationale and justification is provided
that inclusion is inappropriate with respect to the health of the
subjects or the purpose of the research.  This new policy results
>From the NIH Revitalization Act of 1993 (Section 492B of Public Law
103-43) and supersedes and strengthens the previous policies
(Concerning the Inclusion of Women in Study Populations, and
Concerning the Inclusion of Minorities in Study Populations), which
have been in effect since 1990. The new policy contains some
provisions that are substantially different from the 1990 policies.

All investigators proposing research involving human subjects should
read the "NIH Guidelines For Inclusion of Women and Minorities as
Subjects in Clinical Research," which have been published in the
Federal Register of March 28, 1994 (FR 59 14508-14513) and reprinted
in the NIH Guide for Grants and Contracts, Volume 23, Number 11,
March 18, 1994.

Investigators also may obtain copies of the policy from the program
staff listed under INQUIRIES.  Program staff may also provide
additional relevant information concerning the policy.

LETTER OF INTENT

Prospective applicants are asked to submit, by April 15, 1995, a
letter of intent that includes a descriptive title of the proposed
research, the name, address, and telephone number of the Principal
Investigator, the identities of other key personnel and participating
institutions, and the number and title of the RFA in response to
which the application may be submitted.  Although a letter of intent
is not required, is not binding, and does not enter into the review
of a subsequent application, the information that it contains allows
NIMH staff to estimate the potential review workload and avoid
conflict of interest in the review.

The letter of intent is to be sent to Dr. Robert F. Prien at the
address listed under INQUIRIES.

APPLICATION PROCEDURES

The research grant application form PHS 398 (rev. 9/91) is to be used
in applying for these grants.  These forms are available at most
institutional offices of sponsored research and from the Office of
Grants Information, Division of Research Grants, National Institutes
of Health, 5333 Westbard Avenue, Room 449, Bethesda, MD 20892,
telephone 301/594-7248.

The RFA label available in the PHS 398 (rev. 9/91) application form
must be affixed to the bottom of the face page of the application.
Failure to use this label could result in delayed processing of the
application such that it may not reach the review committee in time
for review.  In addition, the RFA title and number must be typed on
line 2a of the face page of the application form and the YES box must
be marked.

Submit a signed, typewritten original of the application, including
the Checklist, and three signed photocopies, in one package to:

Division of Research Grants
National Institutes of Health
Westwood Building, Room 240
Bethesda, MD  20892**

At the time of submission, two additional copies of the application
must also be sent to:

Mary Lou Prince
Division of Clinical and Treatment Research
National Institute of Mental Health
5600 Fishers Lane, Room 18-105
Rockville, MD  20857
Telephone:  (301) 443-4527
FAX:  (301) 443-6000

Applications must be received by May 5, 1995.  If an application is
received after this date, it will be returned to the applicant
without review.  The Division of Research Grants (DRG) will not
accept any application in response to this RFA that is essentially
the same as one currently pending initial review, unless the
applicant withdraws the pending application.  The DRG will not accept
any application that is essentially the same as one already reviewed.
This does not preclude the submission of substantial revisions of
applications already reviewed, but such applications must include an
introduction addressing the previous critique.

REVIEW CONSIDERATIONS

Upon receipt, applications will be reviewed for completeness by DRG
and responsiveness by the NIMH.  Incomplete applications will be
returned to the applicant without further consideration.  If the
application is not responsive to the RFA, DRG staff may contact the
applicant to determine whether to return the application to the
applicant or submit it for review in competition with unsolicited
applications at the next review cycle.  Applications that are
complete and responsive to the RFA will be evaluated for scientific
and technical merit by an appropriate peer review group convened by
the NIMH in accordance with the review criteria stated below.

As part of the initial merit review, a process (triage) may be used
by the initial review group in which applications will be determined
to be competitive or non-competitive based on their scientific merit
relative to other applications received in response to the RFA.
Applications judged to be competitive will be discussed and be
assigned a priority score.  Applications determined to be non-
competitive will be withdrawn from further consideration, and the
Principal Investigator and the official signing for the applicant
organization will be notified.

Review Criteria

o  Ability to move mental health treatments from the testing of
efficacy (i.e., whether the treatment works under highly controlled
conditions in a population with a well-defined mental disorder) into
testing of effectiveness (i.e., whether the same promising treatment
works when applied to a wider and diverse range of settings,
providers, populations, and outcome assessment).

o  Capability to expand and complement an existing parent grant

o  Scientific, technical, or medical significance and originality of
proposed research

o  Appropriateness and adequacy of the experimental approach and
methodology proposed to carry out the research

o  Qualifications and research experience of the Principal
Investigator and staff, particularly, but not exclusively, in the
area of the proposed research

o  Availability of the resources necessary to perform the research

o  Appropriateness of the proposed budget and duration in relation to
the proposed research

o  Adequacy of plans to include both genders and minorities and their
subgroups as appropriate for the scientific goals of the research.
Plans for the recruitment and retention of subjects will also be
evaluated.

The initial review group will also examine the provisions for the
protection of human and animal subjects and the safety of the
research environment.

AWARD CRITERIA

Applications recommended for further consideration by the National
Advisory Mental Health Council will be considered for funding on the
basis of overall scientific and technical merit of the proposal as
determined by peer review, appropriateness of budget estimates,
program needs and balance, policy consideration, adequacy of
provisions for the protection of human subjects, and availability of
funds.

Upon completion of the project's period of award made under this RFA,
grantees may submit competitive renewal applications.

INQUIRIES

Inquiries concerning this RFA are encouraged.  The opportunity to
clarify any issues or questions from potential applicants is welcome.

Direct inquiries regarding programmatic issues to:

Robert F. Prien, Ph.D.
Division of Clinical and Treatment Research
National Institute of Mental Health
5600 Fishers Lane, Room 18-105
Rockville, MD  20857
Telephone:  (301) 443-4527
FAX:  (301) 443-6000
Email:  rprien@aoamh4.ssw.dhhs.gov

George Niederehe, Ph.D.
Division of Clinical and Treatment Research
National Institute of Mental Health
5600 Fishers Lane, Room 18-105
Rockville, MD  20857
Telephone:  (301) 443-1185
FAX:  (301) 594-6784
Email:  gniedere.aoamh4.ssw.dhhs.gov

Peter S. Jensen, M.D.
Division of Clinical and Treatment Research
National Institute of Mental Health
5600 Fishers Lane, Room 18-105
Rockville, MD  20857
Telephone:  (301) 443-5944
FAX:  (301) 443-6000
Email:  pjensen.aoamh4.ssw.dhhs.gov

Kathryn Magruder, Ph.D., M.P.H.
Division of Epidemiology and Services Research
National Institute of Mental Health
5600 Fishers Lane, Room 10C-06
Rockville, MD  20857
Telephone:  (301) 443-3364
FAX:  (301) 443-4045
Email:  kmagrude.aoamh2.ssw.dhhs.gov

Direct inquiries regarding fiscal matters to:

Diana Trunnell
Grants Management Branch
National Institute of Mental Health
5600 Fishers Lane, Room 7C-08
Rockville, MD  20857
Telephone:  (301) 443-3065
FAX:  (301) 443-6885
Email:  dtrunnel.aoamh1.ssw.dhhs.gov

AUTHORITY AND REGULATION

This program is described in the Catalog of Federal Domestic
Assistance No. 93.242 Awards are made under authorization of the
Public Health Service Act, Title IV, Part A (Public Law 78-410, a
amended by Public Law 99-158, 42 PSC 241 and 285) and administered
under PHS grants and Federal Regulations 42 CFR, Part 52 "Grants for
Research Projects" and 45 CFR Part 74.  This program is not subject
to the intergovernmental review requirements of Execute Order 12372.

The Public Health Service (PHS) strongly encourages all grant
recipients to provide a smoke-free workplace and promote the non-use
of all tobacco products.  This is consistent with the PHS mission to
protect and advance the physical and mental health of the American
people.

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Path: biosci!biosci!not-for-mail
From: BIOSCI Administrator <biosci-help@net.bio.net>
Newsgroups: bionet.sci-resources
Subject: NIH Guide, vol. 24, no. 1, pt. 2of2, 13 January 1995
Date: 13 Jan 1995 16:49:24 -0800
Organization: BIOSCI International Newsgroups for Molecular Biology
Lines: 350
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$$XID NIHGUIDE 19950113 V24N01 P2O2 ************************************

The PA, which describes the research objectives, application
procedures, review considerations, and award criteria for this
program, may be obtained electronically through the NIH Grant Line
(data line 301-402-2221) and the NIH GOPHER (gopher.nih.gov) and by
mail and email from the program contacts listed below.

Alan N. Moshell, M.D.
National Institute of Arthritis, Musculoskeletal and Skin Diseases
Natcher Building,Room 5AS-25L
45 Center Drive
Bethesda, MD  20892-6500
Telephone:  (301) 594-5017
FAX:  (301) 480-4543

Hilary D. Sigmon, Ph.D., R.N.
National Center of Nursing Research
Natcher Building, Room 3AN-12
45 Center Drive
Bethesda, MD  20892-6300
Telephone:  (301) 594-5970
FAX:  (301) 480-8260

David Finkelstein, Ph.D.
National Institute on Aging
Gateway Building, Room 2C231
Bethesda, MD  20892
Telephone:  (301) 496-6402
FAX:  (301) 402-0010

Danuta Krotoski, Ph.D.
National Center for Medical Rehabilitation Research
National Institute of Child Health and Human Development
Building 61E, Room 2A03
Bethesda, MD  20892
Telephone:  (301) 402-2242
FAX:  (301) 402-0832

Yvonne T. Maddox, Ph.D.
National Institute of General Medical Sciences
Natcher Building, Room 2AS-49H
45 Center Drive
Bethesda, MD  20892-6200
Telephone:  (301) 594-5560
FAX:  (301) 480-2802

$$P1 END ************************************************************

$$P2 BEGIN PA-95-017 FULL-TEXT **************************************

SYRINGOMYELIA

NIH GUIDE, Volume 24, Number 1, January 13, 1995

PA AVAILABLE:  PA-95-017

P.T. 34; K.W. 0715140

National Institute of Neurological Disorders and Stroke
National Institute of Child Health and Human Development

PURPOSE

The National Institute of Neurological Disorders and Stroke (NINDS)
and the National Center for Medical Rehabilitative Research (NCMRR)
of the National Institute of Child Health and Human Development
(NICHD) announce the issuance of a program announcement to notify the
scientific community of their interest in the submission of research
grant applications concerning syringomyelia.  The mechanisms of
support will be the research project grant (R01), program project
(P01), center grants (P50), (NINDS only), and FIRST Award (R29).

HEALTHY PEOPLE 2000

The Public Health Service (PHS) is committed to achieving the health
promotion and disease prevention objectives of "Healthy People 2000,"
a PHS-led national activity for setting priorities.  This PA,
Syringomyelia, is related to the priority areas of chronic disabling
conditions.  Potential applicants may obtain a copy of "Healthy
People 2000" (Full Report:  Stock No. 017-001-474-0), or "Healthy
People 2000" (Summary Report:  Stock No. 017-001-00473-1) through the
Superintendent of Documents, Government Printing Office, Washington,
DC 20402-9325 (telephone 202-783-3238).

INQUIRIES

The PA, which describes the research objectives, application
procedures, review considerations, and award criteria for this
solicitation, may be obtained electronically through the NIH Grant
Line (data line 301/402-2221) and the NIH GOPHER (gopher.nih.gov),
and by mail and email from the program contact listed below.

Dr. Judy A. Small
Division of Convulsive, Developmental, and Neuromuscular Disorders
National Institute of Neurological Disorders and Stroke
Federal Building, Room 8C04
7550 Wisconsin Avenue MSC 9165
Bethesda, MD  20892-9165
Telephone:  (301) 496-5821
FAX:  (301) 480-1080
Email:  js134h@nih.gov

Dr. David B. Gray
National Center for Medical Rehabilitative Research
National Institute of Child Health and Human Development
Building 6100E, Room 2A03
6100 Executive Boulevard, MSC 7510
Bethesda, MD  20892-7510
Telephone:  (301) 402-2242
FAX:  (301) 402-0832
Email:  yga@cu.nih.gov

$$P2 END ************************************************************

$$P3 BEGIN PAR-95-018 FULL-TEXT *************************************

BIOMEDICAL RESEARCH SUPPORT SHARED INSTRUMENTATION GRANT

NIH GUIDE, Volume 24, Number 1, January 13, 1995

PA AVAILABLE:  PAR-95-018

P.T. 34; K.W. 1002024, 1014001

National Center for Research Resources

Application Receipt Date:  March 24, 1995

PURPOSE

The National Center for Research Resources (NCRR) announces the
availability of a Program Announcement (PA), the purpose of which is
to continue the competitive NCRR Biomedical Research Support (BRS)
Shared Instrumentation Grant (SIG) Program initiated in Fiscal Year
1982.  The (1992) National Report on Academic Research Equipment and
Equipment Needs for Biological Sciences, cosponsored by the National
Institutes of Health (NIH) and the National Science Foundation,
identified research equipment of the type provided through this
program as top-priority.  The objective of the program is to make
available to institutions with a high concentration of NIH-supported
biomedical investigators research instruments which can only be
justified on a shared-use basis and for which meritorious research
projects are described.  Awards under this PA will use the Biomedical
Research Support Shared Instrumentation Grant mechanism (S10).

INQUIRIES

The PA, which describes the research objectives, application
procedures, review considerations, and award criteria for this
program, may be obtained electronically through the NIH Grant Line
(data line 301-402-2221) and the NIH GOPHER (gopher.nih.gov) and by
mail and email from the program contact listed below.

Marjorie A. Tingle, Ph. D.
Director, Biomedical Research Support Program
National Center for Research Resources
Westwood Building, Room 848
Bethesda, MD  20892
Telephone:  (301) 594-7947
FAX:  (301) 594-9153
Email:  brspsig@ep.ncrr.nih.gov

$$P3 END ************************************************************

$$P4 BEGIN PA-95-019 FULL-TEXT **************************************

H. PYLORI:  BASIC, PRE-CLINICAL, AND CLINICAL RESEARCH

NIH GUIDE, Volume 24, Number 1, January 13, 1995

PA AVAILABLE:  PA-95-019

P.T. 34; K.W. 1002027, 0715085, 0765012

National Institute of Allergy and Infectious Diseases

Application Receipt Dates:  June 1, and October 1, 1995 and February
1, 1996

PURPOSE

The National Institute of Allergy and Infectious Diseases (NIAID),
invites submission of investigator-initiated research applications
for support of research on the definition of the natural history of
infection, animal models, protective immune responses to infection,
virulence determinants, bacterial genetics, and antibiotic resistance
to Helicobacter pylori.  This bacterium is known to be associated
with chronic gastritis, duodenal and gastric ulcer disease, and
possibly with certain malignancies of the stomach.  The development
of vaccines against this organism is also of interest to the NIAID.
The estimated NIAID funds available for the total (direct and
indirect) first-year costs of all awards made under this PA will
$1,000,000.  In Fiscal Year 1996, the NIAID plans to fund four to
five R01 and/or R29 grants.

HEALTHY PEOPLE 2000

The Public Health Service (PHS) is committed to achieving the health
promotion and disease prevention objectives of "Healthy People 2000,"
a PHS-led national activity for setting priority areas.  This program
announcement, H. Pylori:  Basic, Pre-Clinical and Clinical Research,
is related to the priority area of immunization and infectious
diseases.  Potential applicants may obtain a copy of "Healthy People
2000" (Full Report:  Stock No. 017-001-00474-0) or "Healthy  People
2000" (Summary Report:  Stock No. 017-001-00473-1) through the
Superintendent of Documents, Government Printing Office, Washington,
DC 20402-0325 (telephone 202-783-3238).

INQUIRIES

The PA, which describes the research objectives, application
procedures, review considerations, and award criteria for this
solicitation, may be obtained electronically through the NIH Grant
Line (data line 301/402-2221) and the NIH GOPHER (gopher.nih.gov),
and by mail and email from the program contact listed below.

Dennis R. Lang, Ph.D.
Division of Microbiology and Infectious Diseases
National Institute of Allergy and Infectious Diseases
Solar Building, Room 3A21
6003 Executive Boulevard MSC 7630
Bethesda, MD  20892-7630
Telephone:  (301) 496-7051
FAX:  (301) 402-1456
Email:  dl73v@nih.gov

$$P4 END ************************************************************

$$P5 BEGIN PA-95-020 FULL-TEXT **************************************

DECISION MAKING PROCESSES IN WOMEN'S HEALTH

NIH GUIDE, Volume 24, Number 1, January 13, 1995

PA AVAILABLE:  PA-95-020

P.T. 34, II; K.W. 0785035, 0730050

National Institute of Nursing Research
Office of Research on Women's Health
Agency for Health Care Policy and Research

PURPOSE

The National Institute of Nursing Research (NINR), the Office of
Research on Women's Health (ORWH), and the Agency for Health Care
Policy and Research (AHCPR) invite submission of research grant
applications to study the treatment and intervention decision making
processes associated with non-cancerous health problems of women that
frequently result in the surgical procedure, hysterectomy.  These
health problems have symptoms that may lead to a decision for
hysterectomy even when the underlying pathology is limited.  These
problems include dysfunctional uterine bleeding, leiomyota
(fibroids), endometriosis, pelvic pain, and uterine prolapse.
Cancerous conditions leading to hysterectomy are not included in this
Program Announcement (PA).

This PA is jointly sponsored by NIH and AHCPR and both agencies are
interested in applications in all the areas described under RESEARCH
OBJECTIVES.  The AHCPR is particularly interested in studies that
include an emphasis on the influence of market forces, cost factors,
health care payers, practice variation, and access issues.

HEALTHY PEOPLE 2000

The Public Health Service (PHS) is committed to achieving the health
promotion and disease prevention objectives of "Healthy People 2000,"
a PHS-led national activity for setting priority areas.  This PA,
Decision-Making Processes In Women's Health, is related to the
priority areas of health promotion and clinical preventive services.
Potential applications may obtain a copy of "Healthy People 2000"
(Full Report:  Stock No. 017-001-00474-0 or Summary Report:  Stock
No. 017-001-00473-1) through the Superintendent of Documents,
Government Printing Office, Washington, DC 20402-9325 (telephone
202-783-3238).

INQUIRIES

The PA, which describes the research objectives, application
procedures, review considerations, and award criteria for this
solicitation, may be obtained electronically through the NIH Grant
Line (data line 301/402-2221) and the NIH GOPHER (gopher.nih.gov),
and by mail and email from the program contact listed below.

Patricia Moritz, Ph.D., R.N.
National Institute of Nursing Research
Building 45, Room 3AN-12
45 Center Drive MSC 6300
Bethesda, MD  20892-6300
Telephone:  (301) 594-5966
FAX:  (301) 480-8260
Email:  pmoritz@ep.ninr.nih.gov

Virginia Cain, Ph.D.
Office of Research on Women's Health
Building 1, Room 201
Bethesda, MD  20892
Telephone:  (301) 402-1770
FAX:  (301) 402-1798
Email:  virginia_cain@nih.gov

Anne Bavier, M.N., R.N.
Agency for Health Care Policy and Research
2101 E. Jefferson Drive
Rockville, MD  20852-4908
Telephone:  (301) 594-1357, ext. 129
FAX:  (301) 594-2155
Email:  abavier@po3.ahcpr.gov

$$P5 END ************************************************************

                               ERRATA

$$E1 BEGIN R4 19941021 APPEND RFA GM-95-001 BOTH ***********************

INITIATIVE FOR MINORITY STUDENTS:  BRIDGES TO THE BACCALAUREATE
DEGREE

NIH GUIDE, Volume 24, Number 1, January 13, 1995

RFA:  GM-95-001

P.T. 44, FF; K.W. 0725005, 0710030

National Institute of General Medical Sciences

Letter of Intent Receipt Date:  November 18, 1994
Application Receipt Date:  January 20, 1995

The following modification is issued for RFA GM-95-001, which was
published in the NIH Guide, Vol 23, No. 37, October 21, 1994.

The third paragraph under ELIGIBILITY REQUIREMENTS should read:

Programs developed or modified under this initiative must be
specifically designed to target underrepresented minority
undergraduates majoring in the sciences.  For purposes of this
announcement, underrepresented minority students are individuals
belonging to a particular ethnic or racial group that has been
determined by the grantee institution to be underrepresented in
biomedical or behavioral research.  Historically, individuals who
have been found to be underrepresented in biomedical or behavioral
research include, but are not limited to, U.S. citizens who are
African Americans, Hispanic Americans, Native Americans, and Pacific
Islanders.  The term "science" is used in this RFA to mean the
natural, physical, and behavioral sciences and mathematics relevant
to biomedical research.

$$E1 END ************************************************************

From owner-sci-resources@net.bio.net Fri Jan 13 22:00:00 1995
Path: biosci!biosci!not-for-mail
From: BIOSCI Administrator <biosci-help@net.bio.net>
Newsgroups: bionet.sci-resources
Subject: NIH Guide, vol. 24, no. 1, pt. 1of2, 13 January 1995
Date: 13 Jan 1995 16:49:18 -0800
Organization: BIOSCI International Newsgroups for Molecular Biology
Lines: 1500
Sender: biohelp@net.bio.net
Approved: biosci-moderator@net.bio.net
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$$XID NIHGUIDE 19950113 V24N01 P1O2 ************************************
X-comment: RFAS described: AG-95-003, HL-95-012, HS-96-001, DA-95-001, AR-95-
                           003, CA-95-004, NR-95-001, HL-95-013, MH-95-001, A
                         I-95-005, PA-95-016, PA-95-017, PAR-95-018, PA-95-019,
 PA-95-020

NIH GUIDE, Volume 24, Number 1, January 13, 1995

$$INDEX BEGIN *******************************************************

                               NOTICES

$$INDEX N1 **********************************************************

LIMITED COMPETING CONTINUATION COOPERATIVE AGREEMENT DA-95-006 -
MAXIMIZING EFFICACY OF PSYCHOTHERAPY
National Institute on Drug Abuse
INDEX:  DRUG ABUSE

$$INDEX N2 **********************************************************

CLINICAL TRIALS USING TIPS PROCEDURE FOR PORTAL HYPERTENSION
(PA-95-003)
National Institute of Diabetes and Digestive and Kidney Diseases
INDEX:  DIABETES, DIGESTIVE, KIDNEY DISEASES

               NOTICES OF AVAILABILITY (RFPs/RFAs/PAs)

$$INDEX R1 **********************************************************

NIDCD NATIONAL TEMPORAL BONE, HEARING AND BALANCE PATHOLOGY RESOURCE
REGISTRY (RFP NIH-DC-95-01)
National Institutes of Health
INDEX:  NATIONAL INSTITUTES OF HEALTH

$$INDEX R2 **********************************************************

PERFORMANCE OF RADIOIMMUNOASSAYS AND RADIOIODINATIONS (RFP NICHD-
IRP-95-12)
National Institute of Child Health and Human Development
INDEX:  CHILD HEALTH, HUMAN DEVELOPMENT

$$INDEX R3 **********************************************************

HIV-2 AS A MOLECULAR AIDS VACCINE:  A PRIMATE MODEL (RFP NIH-NIDR-1-
95-2R)
National Institute of Dental Research
INDEX:  DENTAL RESEARCH

$$INDEX R4 **********************************************************

ESTIMATION OF DIFFERENCES IN FLUORIDE EXPOSURE AND EXPRESSION IN
ADOLESCENTS (RFP NIH-NIDR-1-95-4R)
National Institute of Dental Research
INDEX:  DENTAL RESEARCH

$$INDEX R5 **********************************************************

DETERMINATION OF SERUM ANTIBODIES TO PERIODONTAL PATHOGENS IN THE
U.S. POPULATION (RFP NIH-NIDR-1-95-5R)
National Institute of Dental Research
INDEX:  DENTAL RESEARCH

$$INDEX R6 **********************************************************

CLOSED LOOP CONTROL OF FUNCTIONAL NEUROMUSCULAR STIMULATION (RFP NIH-
NINDS-95-01)
National Institute of Neurological Disorders and Stroke
INDEX:  NEUROLOGICAL DISORDERS, STROKE

$$INDEX R7 **********************************************************

MICROSTIMULATION OF THE LUMBOSACRAL SPINAL CORD - MAPPING (RFP NIH-
NINDS-95-08)
National Institute of Neurological Disorders and Stroke
INDEX:  NEUROLOGICAL DISORDERS, STROKE

$$INDEX R8 **********************************************************

MICROSTIMULATION OF THE LUMBOSACRAL SPINAL CORD - CHRONIC STIMULATION
(RFP NIH-NINDS-95-09)
National Institute of Neurological Disorders and Stroke
INDEX:  NEUROLOGICAL DISORDERS, STROKE

$$INDEX R9 **********************************************************

MICROMACHINED STIMULATING ELECTRODES (RFP NIH-NINDS-95-10)
National Institute of Neurological Disorders and Stroke
INDEX:  NEUROLOGICAL DISORDERS, STROKE

$$INDEX R10 03/20/95 ************************************************

MINORITY DISSERTATION RESEARCH GRANTS IN AGING (RFA AG-95-003)
National Institute on Aging
INDEX:  AGING

$$INDEX R11 04/07/95 ************************************************

LUNG SPECIFIC DRUG DELIVERY SYSTEMS FOR TUBERCULOSIS TREATMENT (RFA
HL-95-012)
National Heart, Lung, and Blood Institute
INDEX:  HEART, LUNG, BLOOD

$$INDEX R12 04/12/95 ************************************************

RESEARCH ON THE OUTCOMES OF PHARMACEUTICAL THERAPY (RFA HS-96-001)
Agency for Health Care Policy and Research
INDEX:  HEALTH CARE POLICY RESEARCH

$$INDEX R13 04/19/95 ************************************************

NEUROSCIENCE NETWORKS IN BASIC DRUG ABUSE RESEARCH (RFA DA-95-001)
National Institute on Drug Abuse
INDEX:  DRUG ABUSE

$$INDEX R14 04/21/95 ************************************************

CLINICAL STUDIES:  SKIN DISEASES IN HIV/AIDS (RFA AR-95-003)
National Institute of Arthritis and Musculoskeletal and Skin Diseases
INDEX:  ARTHRITIS, MUSCULOSKELETAL, SKIN DISEASES

$$INDEX R15 04/21/95 ************************************************

BREAST CANCER SURVEILLANCE RESEARCH (RFA CA-95-004)
National Cancer Institute
INDEX:  CANCER

$$INDEX R16 04/26/95 ************************************************

COMMUNITY PREVENTION MODELS: RURAL MINORITY GROUPS (RFA NR-95-001)
National Institute of Nursing Research
INDEX:  NURSING RESEARCH

$$INDEX R17 04/28/95 ************************************************

HIV-ASSOCIATED PATHOGENS OF THE LUNG:  LIFE CYCLE REGULATION (RFA
HL-95-013)
National Heart, Lung, and Blood Institute
INDEX:  HEART, LUNG, BLOOD

$$INDEX R18 05/05/95 ************************************************

SERVICES RESEARCH SUPPLEMENTS TO CLINICAL THERAPEUTIC GRANTS (RFA
MH-95-001)
National Institute of Mental Health
INDEX:  MENTAL HEALTH

$$INDEX R19 06/15/95 ************************************************

INTERDISCIPLINARY PROGRAMS IN AUTOIMMUNE DISEASE (RFA AI-95-005)
National Institute of Allergy and Infectious Diseases
National Institute of Diabetes and Digestive and Kidney Diseases
Juvenile Diabetes Foundation International
INDEX:  ALLERGY, INFECTIOUS DISEASES; DIABETES, DIGESTIVE, KIDNEY
DISEASES; JUVENILE DIABETES FOUNDATION INTERNATIONAL

$$INDEX P1 **********************************************************

FAILURE TO HEAL:  CHRONIC WOUND HEALING IN THE SKIN (PA-95-016)
National Institute of Arthritis and Musculoskeletal and Skin Diseases
National Institute on Aging
National Institute of Child Health and Human Development
National Institute of General Medical Sciences
National Institute of Nursing Research
INDEX:  ARTHRITIS, MUSCULOSKELETAL, SKIN DISEASES; AGING; CHILD
HEALTH, HUMAN DEVELOPMENT; GENERAL MEDICAL SCIENCES; NURSING RESEARCH

$$INDEX P2 **********************************************************

SYRINGOMYELIA (PA-95-017)
National Institute of Neurological Disorders and Stroke
National Institute of Child Health and Human Development
INDEX:  NEUROLOGICAL DISORDERS, STROKE; CHILD HEALTH, HUMAN
DEVELOPMENT

$$INDEX P3 **********************************************************

BIOMEDICAL RESEARCH SUPPORT SHARED INSTRUMENTATION GRANT (PAR-95-018)
National Center for Research Resources
INDEX:  RESEARCH RESOURCES

$$INDEX P4 **********************************************************

H. PYLORI:  BASIC, PRE-CLINICAL, AND CLINICAL RESEARCH (PA-95-019)
National Institute of Allergy and Infectious Diseases
INDEX:  ALLERGY, INFECTIOUS DISEASES

$$INDEX P5 **********************************************************

DECISION MAKING PROCESSES IN WOMEN'S HEALTH (PA-95-020)
National Institute of Nursing Research
Office of Research on Women's Health
Agency for Health Care Policy and Research
INDEX:  NURSING RESEARCH; WOMEN'S HEALTH; HEALTH CARE POLICY RESEARCH

                               ERRATA

$$INDEX E1 **********************************************************

INITIATIVE FOR MINORITY STUDENTS:  BRIDGES TO THE BACCALAUREATE
DEGREE (RFA GM-95-001)
National Institute of General Medical Sciences
INDEX:  GENERAL MEDICAL SCIENCES

This publication is available electronically via BITNET or INTERNET,
by subscription, and is also on the NIH GOPHER (gopher.nih.gov).
Alternative access is through the NIH Grant Line using a personal
computer (data line 301/402-2221); contact Dr. John James at 301/594-
7270 for details.

THE PUBLIC HEALTH SERVICE (PHS) STRONGLY ENCOURAGES ALL GRANT
RECIPIENTS TO PROVIDE A SMOKE-FREE WORKPLACE AND PROMOTE THE NON-USE
OF ALL TOBACCO PRODUCTS.  THIS IS CONSISTENT WITH THE PHS MISSION TO
PROTECT AND ADVANCE THE PHYSICAL AND MENTAL HEALTH OF THE AMERICAN
PEOPLE.

$$INDEX END *********************************************************

                               NOTICES

$$N1 BEGIN **********************************************************

LIMITED COMPETING CONTINUATION COOPERATIVE AGREEMENT  DA-95-006 -
MAXIMIZING EFFICACY OF PSYCHOTHERAPY

NIH GUIDE, Volume 24, Number 1, January 13, 1995

RFA:  DA-95-006

P.T. 34; K.W. 0745060, 0404009

National Institute on Drug Abuse

Application Receipt Date:  January 18, 1995

PURPOSE

The National Institute on Drug Abuse (NIDA) has supported for the
past four to five years a cooperative agreement with a coordinating
center and four sites.  The cooperative agreement was issued under
the announcement entitled, "Maximizing the Efficacy of Psychotherapy
and Drug Abuse Counseling Strategies in the Treatment of Cocaine
Abusers," (RFA #DA-90-01) published in the NIH Guide in January 1990.
Grants to the coordinating center and one site were awarded in FY
1990, and three grants were awarded to three additional sites in FY
1991.  The project is designed to compare the efficacy of four
treatments for cocaine abuse:  group therapy, individual drug
counseling, individual supportive-expressive therapy, and individual
cognitive therapy (the latter three in combination with group
therapy).  In addition, the study will examine the interaction of
patients characteristics (such as psychiatric severity or sociopathy)
with type of psychotherapy/counseling.  Because the project is
ongoing but has not been completed, NIDA is soliciting competing
continuation applications from the CURRENT grantees ONLY.  NO OTHER
APPLICATIONS WILL BE CONSIDERED.  The applications must be directed
to completing the existing research protocols established under the
current cooperative agreement; proposals for new research in addition
to the existing protocols are not acceptable.

The total project period for applications submitted in response to
the present solicitation may not exceed three years.  The anticipated
award date is September 1, 1995.

The completed original application and three copies must be sent or
delivered to:

Division of Research Grants
National Institutes of Health
Westwood Building, Room 240
Bethesda, MD  20892**

An additional two copies must be sent or delivered to:

Mrs. Eleanor C. Friedenberg
Director, Office of Extramural Program Review
National Institute on Drug Abuse
5600 Fishers Lane, Room 10-42
Rockville, MD  20857

INQUIRIES

Additional information may be obtained by contacting:

John Boren, Ph.D.
Division of Clinical and Services Research
National Institute on Drug Abuse
5600 Fishers Lane, Room 10A-30
Rockville, MD  20857
Telephone:  (301) 443-0107
Email:  jboren@aoada.ssw.dhhs.gov

$$N1 END ************************************************************

$$N2 BEGIN **********************************************************

CLINICAL TRIALS USING TIPS PROCEDURE FOR PORTAL HYPERTENSION

NIH GUIDE, Volume 24, Number 1, January 13, 1995

PA NUMBER:  PA-95-003

P.T. 34; K.W. 0715115, 0755015

National Institute of Diabetes and Digestive and Kidney Diseases

Planning grant (R21) applications may be submitted in response to
this PA in addition to the previously indicated R01 applications.
The same receipt dates apply for this mechanism.  Refer to the NIH
GUIDE, Vol. 23, No. 37, October 21, 1994, INQUIRIES section to
request information regarding the R21 mechanism.

$$N2 END ************************************************************

               NOTICES OF AVAILABILITY (RFPs/RFAs/PAs)

$$R1 BEGIN NIH-DC-95-01 *********************************************

NIDCD NATIONAL TEMPORAL BONE, HEARING AND BALANCE PATHOLOGY RESOURCE
REGISTRY

NIH GUIDE, Volume 24, Number 1, January 13, 1995

RFP AVAILABLE:  NIH-DC-95-01

P.T. 34; K.W. 0715050, 0775005, 0780030

National Institutes of Health

The National Institute on Deafness and Other Communication Disorders
(NIDCD), National Institutes of Health, has a requirement to continue
and further develop the NIDCD National Temporal Bone, Hearing and
Balance Pathology Resource Registry that serves as a national
resource for both the public and the biomedical research communities
to promote research on the pathology underlying diseases and
disorders of hearing and balance.  The Registry provides information
and outreach services to the public and to health care practitioners
on the donorship of temporal bone and related brain tissues for
research purposes.  It also serves the biomedical research community
by establishing and maintaining a catalog of currently active and
inactive human temporal bone and brain tissue collections and by
conserving temporal bone and brain collections by brokering the
transfer of tissue specimens from inactive collections to active
research centers.  The Registry enables investigators to identify and
locate all known processed temporal bones and related brain tissue
specimens held in the United States by clinical and histopathologic
diagnoses and by other pertinent data, so that further studies may be
pursued.  Additional contract activities will continue to encourage
the pursuit of research on the diseases and disorders of hearing and
balance, particularly utilizing the newer techniques of antigen
retrieval and DNA extraction, by: disseminating pertinent information
to the auditory and vestibular research communities, developing and
fostering temporal bone professional education activities and
encouraging investigator collaborations in the study of the human
temporal bone and the related brain structures of hearing and
balance.  This acquisition is a recompetition of a contract currently
being performed by the Massachusetts Eye and Ear Infirmary (contract
number N01-DC-2-2111, September 30, 1992 - September 29, 1995).  A
three-year cost-reimbursement type contract is anticipated.  The
solicitation is scheduled to be issued on or about January 13, 1995.
Proposals will be due 45 days after the date of issuance of the
solicitation.  All responsible sources may submit a proposal which
shall be considered by the Government.

INQUIRIES

Copies of the solicitation can be obtained by sending a written
request to the Contracting Officer at the following address:

John P. DeCenzo
Research Contracts Branch, DCG/OD
National Institutes of Health
6100 Executive Boulevard, Room 6E01 MSC 7540
Bethesda, MD  20892-7540
Telephone:  (301) 496-4487

$$R1 END ************************************************************

$$R2 BEGIN NICHD-IRP-95-12 ******************************************

PERFORMANCE OF RADIOIMMUNOASSAYS AND RADIOIODINATIONS

NIH GUIDE, Volume 24, Number 1, January 13, 1995

RFP AVAILABLE:  NICHD-IRP-95-12

P.T. 34; K.W. 0755000, 0755010, 0780000

National Institute of Child Health and Human Development

The National Institute of Child Health and Human Development (NICHD)
has a requirement for immunoassay, bioimmunoassay, and
radioiodination services.  These services will support ongoing
research conducted by NICHD's Intramural Research Program and other
Intramural Investigators of NIH.  The tests will be quantitated
utilizing radioisotopic and fluorescent markers.  Immunoassays will
routinely be developed that are capable of detecting picomole or
femtomole concentrations of antigen.  Custom iodinations will be
performed in support of such assays with 125I using standard
chloramine-T, lactoperoxidase, and Bolton-Hunter reagents, and
electrolytic and iodogen methodologies.  Among the purification
procedures employed will be Sephadex gel, ion exchange, concanavalin-
A, electrophoresis, and high pressure liquid chromatography.
Specific activity, binding efficiency with excess antibody
trichloroacetic acid precipitation, and chromatographic elution
patterns will be included with each preparation.  The performance of
immuno-and in vitro bioimmunoassays for hormones and certain drugs in
human, monkey, rat, and mouse shall be required.  A minimum of 50,000
assays shall be performed for each year of the contract(s).  This
number may be adjusted depending on the number of actual awards.  The
laboratory of the successful Offeror(s) must be certified by the
Nuclear Regulatory Commission.  In addition, the Contractor must be
available for frequent discussions and monthly meetings with the
Project Officer and the Intramural staff.  The RFP will be available
on or about January 20, 1995.

INQUIRIES

All responsible sources are encouraged to submit a proposal.  Several
awards will be considered.  Organizations desiring a copy of the RFP
should send a self-addressed mailing label along with their written
requests to:

Mrs. Dorothy McKelvin
Office of Grants and Contracts
National Institute of Child Health and Human Development
6100 Executive Boulevard, Room 7A07 MSC 7510
Bethesda, MD  20892-7510

$$R2 END ************************************************************

$$R3 BEGIN NIH-NIDR-1-95-2R *****************************************

HIV-2 AS A MOLECULAR AIDS VACCINE:  A PRIMATE MODEL

NIH GUIDE, Volume 24, Number 1, January 13, 1995

RFP AVAILABLE:  NIH-NIDR-1-95-2R

P.T. 34; K.W. 0715008, 0740075, 0755020

National Institute of Dental Research

The National Institute of Dental Research (NIDR) has a requirement to
develop a primate model to assay the viral interactions of HIV-1 and
HIV-2.  This acquisition will involve in vivo and ex vivo studies in
order to determine if HIV-2 or the related simian immunodeficiency
virus (SIV) can inhibit HIV-1 replication in vivo and ex vivo and to
determine if recombination occurs in vivo and ex vivo between HIV-1
and HIV-2.

INQUIRIES

Request for Proposals (RFP) NIH-NIDR-1-95-2R will be available on or
about January 27, 1995, with proposals due on or about March 16,
1995.  It is anticipated that one award will be made as a result of
this solicitation.  Verbal requests for the RFP will not be accepted;
requests must be submitted in writing, addressed to:

Marilyn R. Zuckerman
Contracts Management Section
National Institute of Dental Research
Natcher Building, Room 4AN-44J
45 Center Drive MSC 6402
Bethesda, MD  20892-6402

$$R3 END ************************************************************

$$R4 BEGIN NIH-NIDR-1-95-4R *****************************************

ESTIMATION OF DIFFERENCES IN FLUORIDE EXPOSURE AND EXPRESSION IN
ADOLESCENTS

NIH GUIDE, Volume 24, Number 1, January 13, 1995

RFP AVAILABLE:  NIH-NIDR-1-95-4R

P.T. 34; K.W. 0745010

National Institute of Dental Research

The National Institute of Dental Research (NIDR) has a requirement
for the development and implementation of a cross-sectional
evaluation of the exposure to fluorides of adolescents living in
nonfluoridated or fluoridated communities and the dental caries and
fluorosis status of these individuals.  The general objectives of the
study are:  to quantify fluoride exposure of individuals in both
fluoridated and nonfluoridated communities; to establish individual
variation and response to fluoride exposure by estimating fluoride
distribution in body fluids and tissues, as well as disease and
tissue expression (dental caries and fluorosis); to correlate the
fluoride levels from different body fluids and tissues with each
other and with reported current intake, past fluoride experience
presenting as dental fluorosis, and dental caries experience; and to
contrast these relationships in fluoridated and nonfluoridated
communities and between groups of individuals with different
fluorosis manifestations.

INQUIRIES

RFP No. NIH-NIDR-1-95-4R will be available approximately February 3,
1995, with proposals due on or about March 17, 1995.  Requests for
the RFP must be submitted in writing, addressed to:

Ms. Marion L. Blevins
Contract Management Section
National Institute of Dental Research
Natcher Building, Room 4AN-44D
Bethesda, MD  20892

$$R4 END ************************************************************

$$R5 BEGIN NIH-NIDR-1-95-5R *****************************************

DETERMINATION OF SERUM ANTIBODIES TO PERIODONTAL PATHOGENS IN THE
U.S. POPULATION

NIH GUIDE, Volume 24, Number 1, January 13, 1995

RFP AVAILABLE:  NIH-NIDR-1-95-5R

P.T. 34 K.W. 0715148, 0710070

National Institute of Dental Research

The National Institute of Dental Research (NIDR) has a requirement
for a state-licensed laboratory or a laboratory certified under the
Clinical Laboratory Improvement Act of 1988 (CLIA) capable of
processing thousands of serum samples for antibodies to periodontal
pathogens, including the capability of receiving and transporting the
samples.  The objective of this study is to determine the occurrence
of elevated serum antibodies to periodontal pathogens in a sample of
persons examined in the Third National Health and Nutrition
Examination Survey (NHANES III).  Serum from the NHANES III subjects
has already been collected, frozen and stored for further analysis.
The serum must be assayed by ELISA procedures.

INQUIRIES

Request for Proposals (RFP) NIH-NIDR-1-95-5R will be available on or
about February 3, 1995, with proposals due on or about March 9, 1995.
It is anticipated that one award will be made as a result of this
solicitation.  Verbal requests for the RFP will not be accepted;
requests must be submitted in writing, addressed to:

Marilyn R. Zuckerman
Contracts Management Section
National Institute of Dental Research
Natcher Building, Room 4AN-44J
45 Center Drive MSC 6402
Bethesda, MD  20892-6402

$$R5 END ************************************************************

$$R6 BEGIN NIH-NINDS-95-01 ******************************************

CLOSED LOOP CONTROL OF FUNCTIONAL NEUROMUSCULAR STIMULATION

NIH GUIDE, Volume 24, Number 1, January 13, 1995

RFP AVAILABLE:  NIH-NINDS-95-01

P.T. 34; K.W. 0715140, 0745047, 0706040, 0415003

National Institute of Neurological Disorders and Stroke

The Neural Prosthesis Program of the National Institute of
Neurological Disorders and Stroke (NINDS), National Institutes of
Health (NIH), has a requirement for the continued research,
development, and feasibility testing of methods to enhance the
function and control of functional neuromuscular stimulation (FNS)
grasp systems.  Functional neuromuscular stimulation is being used to
restore functional hand movements in quadriplegic individuals by
electrically stimulating the paralyzed muscles in their hands and
arms.  Further research is needed to solve fundamental control
problems of hand posture, command signals, and muscle excitation as
well as developing means of providing sensory feedback.  The proposed
research project will include:  (1) the evaluation of closed-loop FNS
systems in quadriplegic individuals outside the laboratory
environment; (2) investigation of the feasibility of implementing arm
control such as elbow extension and wrist control; (3) development of
a biomechanical model of the human hand to improve strategies for
hand posture control; and (4) evaluating the combination of closed
loop FNS with surgical procedures such as tendon splicing, tendon
transfer and arthrodesis to enhance hand posture control.
Performance of work under this project will require personnel with
established expertise in neural prostheses, hand surgery, control
theory, biomechanics, and biomedical engineering.  It is anticipated
that one award will be made for a period of three years.  Award is
anticipated for August 1995.

INQUIRIES

This is not a Request for Proposals (RFP).  An RFP was issued on
December 21, 1994 and proposals are due on or about February 21,
1995.  All responsible sources may submit a proposal that will be
considered by the agency.  To receive a copy of the RFP, submit a
written request along with two self-addressed mailing labels to:

Contracting Officer
Contracts Management Branch, DEA
ATTN:  RFP No. NIH-NINDS-95-01
National Institute of Neurological Disorders and Stroke Federal
Building, Room 901
7550 Wisconsin Avenue - MSC 9190
Bethesda, MD  20892

$$R6 END ************************************************************

$$R7 BEGIN NIH-NINDS-95-08 ******************************************

MICROSTIMULATION OF THE LUMBOSACRAL SPINAL CORD - MAPPING

NIH GUIDE, Volume 24, Number 1, January 13, 1995

RFP AVAILABLE:  NIH-NINDS-95-08

P.T. 34; K.W. 0740050, 0745047

National Institute of Neurological Disorders and Stroke

The Neural Prosthesis Program of the National Institute of
Neurological Disorders and Stroke (NINDS), National Institutes of
Health (NIH), supports the development of aids for the neurologically
handicapped.  These aids, known as neural prostheses, replace or
supplement neurological function by directly interfacing with the
nervous system.  One means of accomplishing this is by
microstimulation with microelectrodes implanted directly into neural
tissue.  Animal studies have shown the potential value of
microstimulation with respect to increased stimulus selectively as
compared to larger electrodes placed on the surface of neural tissue.
The proposed project will investigate the feasibility of
microstimulation of the lumbosacral spinal cord as a method of
controlling genito-urinary and skeletal motor functions.  Performance
of work under this project will require personnel with established
expertise in neuroanatomical tracing, in electrophysiology, and in
genito-urinary physiology.  It is anticipated that one award will
made for a period of three years.  Award is anticipated for September
1995.

INQUIRIES

This is not a Request for Proposals (RFP).  The RFP will be issued on
or about January 19, 1995 with proposals due on or about March 20,
1995.  All responsible sources may submit a proposal that will be
considered by the agency.  To receive a copy of the RFP, submit a
written request along with two self-addressed mailing labels to:

Contracting Officer
Division of Extramural Activities
National Institute of Neurological Disorders and Stroke
Federal Building, Room 901
7550 Wisconsin Avenue - MSC 9190
Bethesda, MD  20892
ATTN:  RFP No. NIH-NINDS-95-08

$$R7 END ************************************************************

$$R8 BEGIN NIH-NINDS-95-09 ******************************************

MICROSTIMULATION OF THE LUMBOSACRAL SPINAL CORD - CHRONIC STIMULATION

NIH GUIDE, Volume 24, Number 1, January 13, 1995

RFP AVAILABLE:  NIH-NINDS-95-09

P.T. 34; K.W. 0740050, 0745047

National Institute of Neurological Disorders and Stroke

The Neural Prosthesis Program of the National Institute of
Neurological Disorders and Stroke (NINDS), National Institutes of
Health (NIH), supports the development of aids for the neurologically
handicapped.  These aids, known as neural prostheses, replace or
supplement neurological function by directly interfacing with the
nervous system.  One means of accomplishing this is by
microstimulation with microelectrodes implanted directly into neural
tissue.  Animal studies have shown the potential value of
microstimulation with respect to increased stimulus selectively as
compared to larger electrodes placed on the surface of neural tissue.
The proposed project will develop a method of chronic
microstimulation of the lumbosacral spinal cord to evaluate its
effects on neural and surrounding tissue in non-human animals.
Performance of work under this project will require personnel with
established expertise in neuroanatomical tracing, in
electrophysiology, and genito-urinary physiology.  It is anticipated
that one award will made for a period of three years.  Award is
anticipated for September 1995.

INQUIRIES

This is not a Request for Proposals (RFP).  The RFP will be issued on
or about January 19, 1995 with proposals due on or about March 20,
1995.  All responsible sources may submit a proposal that will be
considered by the agency.  To receive a copy of the RFP, submit a
written request along with two self-addressed mailing labels to:

Contracting Officer
Division of Extramural Activities
National Institute of Neurological Disorders and Stroke
Federal Building, Room 901
7550 Wisconsin Avenue - MSC 9190
Bethesda, MD  20892
ATTN:  RFP No. NIH-NINDS-95-09

$$R8 END ************************************************************

$$R9 BEGIN NIH-NINDS-95-10 *****************************************

MICROMACHINED STIMULATING ELECTRODES

NIH GUIDE, Volume 24, Number 1, January 13, 1995

RFP AVAILABLE:  NIH-NINDS-95-10

P.T. 34; K.W. 0740050, 0745047, 0750005, 0740027

National Institute of Neurological Disorders and Stroke

The Neural Prosthesis Program of the National Institute of
Neurological Disorders and Stroke (NINDS), National Institutes of
Health (NIH), has a requirement for developing safe and effective
methods of selective electrical stimulation of the nervous system for
restoration of function in neurologically impaired individuals.  Many
potential neural prostheses, require electrodes that are small enough
to permit small clusters of neurons to be independently stimulated.
This project involves research and development on thin-film
microelectrodes capable of stimulating such small numbers of cells.
Specifically, these microelectrodes will be designed to provide
intracortical microstimulation at multiple sites in the visual cortex
for visual prostheses and in the spinal cord for future bladder,
sexual function, and motor prostheses.  Expertise in materials
science, micromachining, integrated circuit design, and
bioengineering will be needed to perform this research.  No animal or
human testing is required.  The proposed research project will
include: (1) developing a thin-film electrical insulating layer and a
compatible thin-film conductor material for making low-resistance
electrically conductive traces on stimulating probes; (2) designing
passive, thin-film stimulating microelectrode arrays suitable for
stimulation in the CNS; (3) designing and fabricating biocompatible,
implantable probes that include active electronic multiplexing and
stimulus driving circuitry for the purpose of reducing the number of
interconnecting leads on a probe; and (4) designing and fabricating a
3 dimensional array of at least 8 probes, each with 16 shanks.  It is
anticipated that one award will made for a period of 38 months.
Award is anticipated for September 1995.

INQUIRIES

This is not a Request for Proposals (RFP).  The RFP will be issued on
or about January 19, 1995 with proposals due on or about March 20,
1995.  All responsible sources may submit a proposal that will be
considered by the agency.  To receive a copy of the RFP, submit a
written request along with two self-addressed mailing labels to:

Contracting Officer
Division of Extramural Activities
National Institute of Neurological Disorders and Stroke
7550 Wisconsin Avenue, Room 901 - MSC 9190
Bethesda, MD  20892
ATTN:  RFP No. NIH-NINDS-95-10

$$R9 END ***********************************************************

$$R10 BEGIN AG-95-003 FULL-TEXT *************************************

MINORITY DISSERTATION RESEARCH GRANTS IN AGING

NIH GUIDE, Volume 24, Number 1, January 13, 1995

RFA AVAILABLE:  AG-95-003

P.T. 40, FF; K.W. 0710010

National Institute on Aging

Application Receipt Date:  March 20, 1995

PURPOSE

Small grants to support doctoral dissertation research will be
available for minority doctoral candidates intending to study
problems in aging.  Total direct costs are limited to $30,000 for two
years.  No more than $25,000 may be requested in any one year.
$600,000 is available for this initiative in FY 95.

HEALTHY PEOPLE 2000

The Public Health Service (PHS) is committed to achieving the health
promotion and disease prevention objectives of "Healthy People 2000,"
a PHS-led national activity for setting priority areas.  This Request
for Applications (RFA), Minority Dissertation Research Grants in
Aging, is related to several priority areas applicable to aging.
Potential candidates for the grants may obtain a copy of "Healthy
People 2000" (Full Report:  Stock No. 017-001-00474-0 or Summary
Report:  Stock No. 017-001-00473-1) through the Superintendent of
Documents, Government Printing Office, Washington, DC 20402-9325
(telephone 202-783-3238).

INQUIRIES

The RFA, which describes the research objectives, application
procedures, review considerations and award criteria for this
solicitation, may be obtained electronically through the NIH Grant
line (data line 301-402-2221) and the NIH GOPHER (gopher.nih.gov) and
by mail and Email from the program contact listed below.

Dr. Robin A. Barr
Office of Extramural Affairs
7201 Wisconsin Avenue, Suite 2C218 MSC 9205
Bethesda, MD  20892-9205
Telephone:  (301) 496-9322
FAX:  301-402-2945
Email:  barr%nihniagw.bitnet@cu.nih.gov

$$R10 END ***********************************************************

$$R11 BEGIN HL-95-012 FULL-TEXT *************************************

LUNG SPECIFIC DRUG DELIVERY SYSTEMS FOR TUBERCULOSIS TREATMENT

NIH GUIDE, Volume 24, Number 1, January 13, 1995

RFA AVAILABLE:  HL-95-012

P.T. 34; K.W. 0715165, 0740022, 1002027

National Heart, Lung, and Blood Institute

Letter of Intent Receipt Date:  February 24, 1995
Application Receipt Date:  April 7, 1995

PURPOSE

The purpose of this solicitation is to encourage research on novel
approaches to therapy, adjuvants to therapy, and prophylaxis of
tuberculosis (TB), using the lung as the site of drug delivery.  The
primary objective of this special grant program is to develop new
modalities of treatment for pulmonary TB based on delivery of the
therapeutic agent(s) directly to the lung.  Treatment strategies must
be clearly linked to the lung and to specific mechanisms of
mycobacterial disease.  Applications that focus on molecular
pharmacologic approaches are of particular interest.  This RFA
solicits applications for the National Institutes of Health (NIH)
individual research project grant (R01) and First Independent
Research Support (FIRST) award (R29) support mechanisms.  Up to five
years of support may be requested.  The estimated funds (total costs)
available for the first year of support for the entire program is
$2.50 million.  It is anticipated that no more than 10 awards will be
issued under this program.  Since a variety of approaches would
represent valid responses to this RFA it is anticipated that there
will be a range of costs among individual grants awarded.

HEALTHY PEOPLE 2000

The Public Health Service (PHS) is committed to achieving the health
promotion and disease prevention objectives of "Healthy People 2000,"
a PHS-led national activity for setting priority areas.  This Request
for Applications (RFA), Lung Specific Drug Delivery Systems for
Enhanced TB Treatment, is related to the priority area of
immunization and infectious diseases.  Potential applicants may
obtain a copy of "Healthy People 2000" (Full Report:  Stock No.
017-001-00474-0) or "Healthy People 2000" (Summary Report:  Stock No.
017-001-00473-1) through the Superintendent of Documents, Government
Printing Office, Washington, DC 20402-9325 (telephone 202-783-3238).

INQUIRIES

The RFA, which describes the research objectives, application
procedures, review considerations and award criteria for this
solicitation, may be obtained electronically through the NIH Grant
Line (data Line 301-402-2221) and the NIH GOPHER (gopher.nih.gov) and
by mail and email from the program contact listed below.

Hannah H. Peavy, M.D.
Division of Lung Diseases
National Heart, Lung, and Blood Institute
Westwood Building, Room 6A09
Bethesda, MD  20892
Telephone:  (301) 594-7425
FAX:  (301) 594-7487
Email:  hpv%nihhwb1.bitnet@cu.nih.gov

$$R11 END ***********************************************************

$$R12 BEGIN HS-96-001 FULL-TEXT *************************************

RESEARCH ON THE OUTCOMES OF PHARMACEUTICAL THERAPY

NIH GUIDE, Volume 24, Number 1, January 13, 1995

RFA AVAILABLE:  HS-96-001

P.T. 34; K.W. 0745005, 0730021

Agency for Health Care Policy and Research

Letter of Intent Receipt Date:  March 1, 1995
Application Receipt Date:  April 12, 1995

PURPOSE

The Agency for Health Care Policy and Research (AHCPR) invites
applications to conduct research on the outcomes of pharmaceutical
therapy.  This request for applications (RFA) focuses on the effects
on patient outcomes of various proposed or existing mechanisms for
managing selection, utilization, and cost of pharmaceutical therapies
and services.  Current restructuring within the health care system
provides an important opportunity to enhance understanding of the
interrelationships of pharmaceutical treatments and services with
patient outcomes.  Of particular interest are studies involving the
comparative effectiveness and/or cost effectiveness of pharmaceutical
therapies within the changing health care system.  This is an
activity of the research component of AHCPR's Medical Treatment
Effectiveness Program (MEDTEP).  Section 1142 of the Social Security
Act, a part of AHCPR's authorizing legislation, refers specifically
to the need to study the outcomes of prescription drug therapy.
Awards are a part of the Outcomes of Pharmaceutical Therapy (OPT)
program, as introduced in RFA HS-92-03.  The AHCPR expects to award
up to $2 million for first year support of four to six awards.

HEALTHY PEOPLE 2000

The Public Health Service (PHS) is committed to achieving the health
promotion and disease prevention objectives of "Healthy People 2000,"
a PHS-led national activity for setting priority areas.  AHCPR urges
applicants to submit grant applications with relevance to the
specific objectives of this initiative.  Potential applicants may
obtain a copy of "Healthy People 2000" (Full Report:  Stock No.
017-001-00474-0 or Summary Report:  Stock No. 017-001-00473-1)
through the Superintendent of Documents, Government Printing Office,
Washington, DC 20402-9325 (telephone 202-783-3238).

INQUIRIES

The RFA, which describes the research objectives, application
procedures, review considerations and award criteria for this
solicitation, may be obtained electronically through the NIH Grant
Line (data line 301-402-2221) and the NIH GOPHER (gopher.nih.gov),
and by mail and email from the program contact listed below.

Richard J. Greene, M.D., Ph.D.
Center for Medical Effectiveness Research
Agency for Health Care Policy and Research
East Jefferson Street, Suite 605
Rockville, MD  20852-4908
Telephone:  (301) 594-1485
Email:  JBook@po4.ahcpr.gov

$$R12 END ***********************************************************

$$R13 BEGIN DA-95-001 FULL-TEXT *************************************

NEUROSCIENCE NETWORKS IN BASIC DRUG ABUSE RESEARCH

NIH GUIDE, Volume 24, Number 1, January 13, 1995

RFA AVAILABLE:  DA-95-001

P.T. 34; K.W. 0404009, 1002030

National Institute on Drug Abuse

Letter of Intent Receipt Date:  March 16, 1995
Application Receipt Date:  April 19, 1995

PURPOSE

The National Institute on Drug Abuse (NIDA) invites applications to
establish networks of investigators currently engaged in neuroscience
research programs for the purpose of bringing relevant aspects of
those programs to bear upon drug abuse research.  Each network will
be assembled by a Principal Investigator to form a multidisciplinary,
multi-institutional consortium of neuroscience expertise centered
upon a particular theme related to drug abuse research.  These themes
may be broad in scope, but should be concerned with identifying
fundamental brain processes susceptible to the actions of drugs of
abuse and the mechanisms through which drugs of abuse affect those
processes.  The intent of the Request for Applications (RFA) is to
encourage cooperative efforts among network investigators to
stimulate novel insights and innovative approaches to drug abuse
research not presently achievable through collaborative efforts
limited by geographical constraints.  This RFA also is intended to
extend existing research programs in the basic neurosciences into
avenues directly relevant to drug abuse research with the goal of
acquiring additional knowledge that ultimately may lead to new
therapeutic and prevention strategies applicable to the public health
problem of drug abuse.  A minimum of three research projects must
constitute the network, plus a core component concerned with
establishing communication and information links among network
members.  In addition to stimulating substantive new research
programs in drug abuse through this RFA, NIDA anticipates that the
neuroscience networks created through this initiative will serve as
experimental prototypes for new research enterprises devoted to
studies on drug abuse within the environment of rapidly advancing
communications and information technologies now revolutionizing
contemporary biomedical research.  The mechanism of support will be
the program project grant (P01).  In FY 1995, the NIDA anticipates
funding approximately two P01 awards.

HEALTHY PEOPLE 2000

The Public Health Service (PHS) is committed to achieving the health
promotion and disease prevention objectives of "Healthy People 2000,"
a PHS-led national activity for setting priority areas.  This RFA,
Neuroscience Networks in Basic Drug Abuse Research, is related to the
priority areas of tobacco, alcohol and other drugs, maternal and
infant health, and HIV infection.  Potential applicants may obtain a
copy of "Healthy People 2000" (Full Report:  Stock No.
017-001-00474-0 or Summary Report:  Stock No. 017-001-00473-1)
through the Superintendent of Documents, Government Printing Office,
Washington, DC 20402-9325 (telephone 202-783-3238).

INQUIRIES

The RFA, which describes the research objectives, application
procedures, review considerations and award criteria for this
solicitation, may be obtained electronically through the NIH Grant
Line (data line 301-402-2221) and the NIH Gopher (gopher.nih.gov),
and by mail and email from the program contact listed below.  The RFA
is also available from the Grants Management Branch, Office of
Planning and Resource Management, National Institute on Drug Abuse,
5600 Fishers Lane, Room 8A-54, Rockville, MD 20857, telephone
301-443-6710.

Karen J. Skinner, Ph.D.
Division of Basic Research
National Institute on Drug Abuse
5600 Fishers Lane, Room 10A-19
Rockville, MD  20857
Telephone:  (301) 443-1887
Email:  kskinner@aoada.ssw.dhhs.gov

$$R13 END ***********************************************************

$$R14 BEGIN AR-95-003 FULL-TEXT *************************************

CLINICAL STUDIES:  SKIN DISEASES IN HIV/AIDS

NIH GUIDE, Volume 24, Number 1, January 13, 1995

RFA AVAILABLE:  AR-95-003

P.T. 34; K.W. 0715008, 0715185, 0745070

National Institute of Arthritis and Musculoskeletal and Skin Diseases

Letter of Intent Receipt Date:  March 15, 1995
Application Receipt Date:  April 21, 1995

PURPOSE

The National Institute of Arthritis and Musculoskeletal and Skin
Diseases (NIAMS) invites applications for clinical studies on the
treatment of skin diseases associated with HIV infection, including
AIDS.  These studies are designed primarily to evaluate innovative or
new treatments and/or combination therapy in the treatment of any of
the skin diseases seen in association with HIV infection, including
AIDS, and compare them to more standard therapeutic approaches for
these diseases, particularly in relation to efficacy, side effects
and costs.  It is not intended that large scale multicenter clinical
trials be supported in response to this RFA, but rather that clinical
studies be designed that may, once validated, form the basis for
subsequent clinical trials.  The estimated funds (total costs)
available for the first year of support for the entire program is
anticipated to be 1.5 million dollars.  The anticipated number of new
awards is four to five.

HEALTHY PEOPLE 2000

The Public Health Service (PHS) is committed to achieving the health
promotion and disease prevention objectives of "Healthy People 2000,"
a PHS-led national activity for setting priority areas.  This Request
for Applications (RFA),  Clinical Studies in Skin Diseases Associated
with HIV/AIDS, is related to the priority area of chronic disabling
conditions.  Potential applicants may obtain a copy of "Healthy
People 2000" (Summary Report:  Stock No. 017-001-00474-0 or "Healthy
People 2000" (Summary Report:  Stock No. 017-001-00473-1) through the
Superintendent of Documents, Government Printing Office, Washington,
DC 20402-9325 (telephone 202-783-3238).

INQUIRIES

The RFA, which describes the research objectives, application
procedures, review considerations, and award criteria for this
solicitation, may be obtained electronically through the NIH Grant
Line (data line 301/402-2221) and the NIH GOPHER (gopher.nih.gov),
and by mail and email from the program contact listed below.

Alan N. Moshell, M.D.
Skin Diseases Program Director
National Institute of Arthritis and Musculoskeletal and Skin Diseases
Natcher Building, Room 5AS-25L
45 Center Drive
Bethesda, MD  20892-6500
Telephone:  (301) 594-5017
FAX:  (301) 480-4543
email:  moshella@ep.niams.nih.gov

$$R14 END ***********************************************************

$$R15 BEGIN CA-95-004 FULL-TEXT *************************************

BREAST CANCER SURVEILLANCE RESEARCH

NIH GUIDE, Volume 24, Number 1, January 13, 1995

RFA AVAILABLE:  CA-95-004

P.T. 34; K.W. 0715036, 0745020, 0710030

National Cancer Institute

Letter of Intent Receipt Date:  February 14, 1995
Application Receipt Date:  April 21, 1995

PURPOSE

The Division of Cancer Prevention and Control (DCPC), National Cancer
Institute (NCI), invites applications from domestic institutions for
cooperative agreements to the Surveillance Program (SP).  New
applicants and applicants currently funded under SP initiatives are
invited to respond to this Request For Applications (RFA) to design
and conduct breast cancer surveillance research.  This is a follow-up
to a cooperative agreement in which three awards began in 1994.

The purpose of the Breast Cancer Surveillance Research initiative
outlined in this RFA is to examine thoroughly the operational aspects
of breast cancer screening practices in the United States by
conducting analytic research designed to assess the effectiveness,
efficiency, and cost of screening programs as they relate to the
reduction of breast cancer mortality.  This may include studies of
medical decision models for workup of women with positive screening
tests, studies of utilization of emerging new technologies in breast
cancer screening and diagnosis, and studies of biological differences
among cancer related to detection methods.  The intent of this RFA is
to broaden the current Surveillance projects in areas that have not
as yet been adequately covered, specifically among urban African-
Americans and rural areas.  Three awards are anticipated under this
RFA.  The anticipated average amount of the direct cost awards will
be $250,000 per year per award.  The anticipated date of award is
December, 1995.

HEALTHY PEOPLE 2000

The Public Health Service (PHS) is committed to achieving the health
promotion and disease prevention objectives of "Healthy People 2000,"
a PHS-led national activity for setting priority areas.  This RFA,
Breast Cancer Surveillance Research, is related to the priority area
of cancer surveillance and data systems. This information
(surveillance and data systems) is used to understand the health
status of the population and to plan, implement, describe and
evaluate public health programs that control and prevent adverse
health events.  Potential applicants may obtain a copy of "Healthy
People 2000" (Full Report:  Stock No. 017-001-00474-0) or "Healthy
People 2000" (Summary Report:  Stock No. 017-001-00473-1) through the
Superintendent of Documents, Government Printing Office, Washington,
DC 20402-9325 (telephone 202-783-3238).

INQUIRIES

The RFA, which describes the research objectives, application
procedures, review considerations and award criteria for this
solicitation, may be obtained electronically through the NIH Grant
Line (data line 301-402-2221) and the NIH GOPHER (gopher.nih.gov) and
by mail from the program contact listed below.

Brenda K. Edwards, Ph.D.
Surveillance Program
National Cancer Institute
Executive Plaza North, Room 343
Bethesda, MD  20892
Telephone:  (301) 496-8506
FAX:  (301) 402-0816
Email:  edwardsb@dcpceps.nci.nih.gov

$$R15 END ***********************************************************

$$R16 BEGIN NR-95-001 FULL-TEXT *************************************

COMMUNITY PREVENTION MODELS:  RURAL MINORITY GROUPS

NIH GUIDE, Volume 24, Number 1, January 13, 1995

RFA AVAILABLE:  NR-95-001

P.T. 34; K.W. 0730075, 0730050, 0745027

National Institute of Nursing Research

Letter of Intent Receipt Date:  March 31, 1995
Application Receipt Date:  April 26, 1995

PURPOSE

The National Institute of Nursing Research (NINR) invites research
grant applications on comprehensive, community-based health care
strategies aimed at primary, secondary and tertiary prevention of
disease and disabilities in rural populations lacking adequate health
care services.  The purpose is to determine the impact of
comprehensive, community-based strategies incorporating culturally
specific approaches on the health of underserved, rural, minority
population groups.  Targeted populations include ethnic minority
groups such as Native Americans, Asians and Pacific Islanders,
Hispanic Americans, and African Americans.  Approximately $1.8
million in total costs for the first year will be committed to fund
four to five R01 grants under this RFA.

HEALTHY PEOPLE 2000

The Public Health Service (PHS) is committed to achieving the health
promotion and disease prevention objectives of "Healthy People 2000,"
a PHS-led national activity for setting priority areas.  This Request
for Applications (RFA), Community Prevention Models: Rural Minority
Groups, is related to all of the special populations targets.
Potential applicants may obtain a copy of "Healthy People 2000" (Full
Report:  Stock No. 017-001-00474-0) or "Healthy People 2000" (Summary
Report:  Stock No. 017-001-00473-1) through the Superintendent of
Documents, Government Printing Office, Washington, DC 20402-9325
(telephone 202-783-3238).

INQUIRIES

The RFA, which describes the research objectives, application
procedures, review considerations and award criteria for this
solicitation, may be obtained electronically through the NIH Grant
Line (data line 301-402-2221) and the NIH GOPHER (gopher.nih.gov) and
by mail and email from the program contact listed below.

Dr. Patricia Moritz
Chief, Nursing Systems Branch
National Institute of Nursing Research
Building 45, Room 3AN-12
45 Center Drive MSC 6300
Bethesda, MD  20892-6300
Telephone:  (301) 594-5956
FAX:  (301) 480-8260
Email:  pmoritz@ep.ninr.nih.gov

$$R16 END ***********************************************************

$$R17 BEGIN HL-95-013 FULL-TEXT *************************************

HIV-ASSOCIATED PATHOGENS OF THE LUNG:  LIFE CYCLE REGULATION

NIH GUIDE, Volume 24, Number 1, January 13, 1995

RFA AVAILABLE:  HL-95-013

P.T. 34; K.W. 0715008, 0715165, 1002027

National Heart, Lung, and Blood Institute

Letter of Intent Receipt Date:  March 3, 1995
Application Receipt Date:  April 28, 1995

PURPOSE

The purpose of this solicitation is to encourage research on the
molecular basis of cell/life cycle regulation of pathogens and
opportunistic microorganisms that cause lung disease in HIV-infected
hosts.  The RFA focuses on ways in which the environment in the host
lung, including signals from host lung cells may affect the microbial
mechanisms that determine growth and replication of the microbial
agents.  Examples of microorganisms that would be appropriate for
study under this program are Mycobacterium tuberculosis, Pneumocystis
carinii, Histoplasma capsulatum, and Coccidioides immitis.

Studies focused exclusively on microorganisms will not be acceptable;
applications must address microbial-host interactions.  Studies
directed at understanding dormancy and reactivation are of special
interest.  This RFA solicits applications for the National Institutes
of Health (NIH) individual research project grant (R01) and First
Independent Research Support (FIRST) award (R29) support mechanisms.
Up to five years of support may be requested.  The estimated funds
(total costs) available for the first year of support for the entire
program is $2.00 million.  It is anticipated that no more than eight
awards will be issued under this program.  Since a variety of
approaches would represent valid responses to this announcement, it
is anticipated that there will be a range of costs among individual
grants awarded.

HEALTHY PEOPLE 2000

The Public Health Service (PHS) is committed to achieving the health
promotion and disease prevention objectives of "Healthy People 2000,"
a PHS-led national activity for setting priority areas.  This Request
for Applications (RFA), HIV-Associated Pathogens of the Lung: Life
Cycle Regulation, is related to the priority area of immunization and
infectious diseases.  Potential applicants may obtain a copy of
"Healthy People 2000" (Full Report:  Stock No. 017-001-00474-0) or
"Healthy People 2000" (Summary Report:  Stock No. 017-001-00473-1)
through the Superintendent of Documents, Government Printing Office,
Washington, DC 20402-9325 (telephone 202-783-3238).

INQUIRIES

The RFA, which describes the research objectives, application
procedures, review considerations and award criteria for this
solicitation, may be obtained electronically through the NIH Grant
Line (data Line 301-402-2221) and the NIH GOPHER (gopher.nih.gov) and
by mail and email from the program contact listed below.

Hannah H. Peavy, M.D.
Division of Lung Diseases
National Heart, Lung, and Blood Institute
Westwood Building, Room 6A09
Bethesda, MD  20892
Telephone:  (301) 594-7425
FAX:  (301) 594-7487
Email:  hpv%nihhwb1.bitnet@cu.nih.gov

$$R17 END ***********************************************************

$$R18 BEGIN MH-95-001 FULL-TEXT *************************************

SERVICES RESEARCH SUPPLEMENTS TO CLINICAL THERAPEUTIC GRANTS

NIH GUIDE, Volume 24, Number 1, January 13, 1995

RFA AVAILABLE:  MH-95-001

P.T. 34; K.W. 0715129, 0730057

National Institute of Mental Health

Letter of Intent Receipt Date:  April 15, 1995
Application Receipt Date:  May 5, 1995

PURPOSE

The National Institute of Mental Health (NIMH) announces the
continued availability of competitive supplements to currently funded
NIMH grants to expand ongoing funded clinical therapeutic research
grants into the area of services research.  The purpose of these
supplements is to help move mental health treatments from the testing
of efficacy (i.e., whether the treatment works under highly
controlled conditions in a population with a well-defined mental
disorder) into testing of effectiveness (i.e., whether the same
promising treatment works when applied to a wider and diverse range
of settings, providers, populations, and outcome assessment).  This
RFA will use the National Institutes of Health (NIH) competitive
supplement (S01) mechanism and can supplement the following types of
grants:  R01, R10, R37, P01, P20, P30, P50.  PHS policy prohibits any
foreign institution from applying for a P mechanism.  It is
anticipated that at least $1,000,000 in direct costs will be made
available.  Awards will have a maximum yearly direct cost amount of
$200,000, but may not exceed the total costs of the prior year of the
parent grant.

HEALTHY PEOPLE 2000

The Public Health Service (PHS) is committed to achieving the health
promotion and disease prevention objectives of "Healthy People 2000,"
a PHS-led national activity for setting priority areas.  This RFA,
Services Research Supplement to Clinical Therapeutic Grants, is
related to the priority areas of mental health and mental disorders.
Potential applicants may obtain a copy of "Healthy People 2000" (Full
Report:  Stock No. 017-001-00474-0) or "Healthy People 2000" (Summary
Report:  Stock No. 017-001-00473-1) through the Superintendent of
Documents, Government Printing Office, Washington, DC 20402-9325
(telephone 202/783-3238).

INQUIRIES

This RFA, which describes the research objectives, application
procedures, review considerations, and award criteria for this
program, may be obtained electronically through the NIH Grant Line
(data line 301-402-2221) and the NIH GOPHER (gopher.nih.gov) and by
mail and email from the program contact listed below.

Robert F. Prien, Ph.D.
Division of Clinical and Treatment Research
National Institute of Mental Health
5600 Fishers Lane, Room 18-105
Rockville, MD  20857
Telephone:  (301) 443-4527
FAX:  (301) 443-6000
Email:  rprien@aoamh4.ssw.dhhs.gov

$$R18 END ***********************************************************

$$R19 BEGIN AI-95-005 FULL-TEXT *************************************

INTERDISCIPLINARY PROGRAMS IN AUTOIMMUNE DISEASE

NIH GUIDE, Volume 24, Number 1, January 13, 1995

RFA AVAILABLE:  AI-95-005

P.T. 34; K.W. 0715015, 0710030

National Institute of Allergy and Infectious Diseases
National Institute of Diabetes and Digestive and Kidney Diseases
Juvenile Diabetes Foundation International

Letter of Intent Receipt Date:  March 15, 1995
Application Receipt Date:  June 15, 1995

PURPOSE

The National Institute of Allergy and Infectious Diseases (NIAID) and
the National Institute of Diabetes and Digestive and Kidney Disease
(NIDDK) of the National Institutes of Health (NIH) and the Juvenile
Diabetes Foundation International (JDFI) invite applications for
program project grants (P01) to support interdisciplinary programs in
autoimmune disease.  This Request for Applications (RFA) will support
programs combining investigations of basic, molecular, immunologic,
and genetic mechanisms in the pathogenesis of autoimmunity and the
development of innovative therapies for human autoimmune disease.
These programs may incorporate investigation into any autoimmune
disease, including, but not limited to, Insulin Dependent Diabetes
Mellitus (IDDM), or any field of science with relevance to the
mechanisms and treatment of autoimmunity.  Programs utilizing
investigators from different scientific disciplines are particularly
desirable, so as to utilize expertise in several areas
simultaneously.  The mechanism of support will be the program project
(P01) grant.  The estimated total funds (direct and indirect costs)
available for the first year of support for this RFA will be $2.75
million:  $1.5 million from NIAID; $1.0 million from JDFI; and
$250,000 from NIDDK.  In Fiscal Year 1996, the NIAID and the JDFI
anticipate jointly funding approximately three or four program
projects related to this RFA.  One or more of these applications will
be cofunded by the NIDDK.

HEALTHY PEOPLE 2000

The Public Health Service (PHS) is committed to achieving the health
promotion and disease prevention objectives of "Healthy People 2000,"
a PHS-led national activity for setting priority areas.  This RFA,
Interdisciplinary Programs in Autoimmune Disease, is related to the
priority area of diabetes and chronic disabling diseases.  Potential
applicants may obtain a copy of "Healthy People 2000" (Full Report:
Stock No. 017-001-00474-0) or "Healthy People 2000" (Summary Report:
Stock No. 017-001-00473-1) through the Superintendent of Documents,
Government Printing Office, Washington, DC 20402-9325 (telephone
202-782-3238).

INQUIRIES

The RFA, which describes the research objectives, application
procedures, review considerations and award criteria for this
solicitation, may be obtained electronically through the NIH Grant
Line (data line 301-402-2221) and the NIH GOPHER (gopher.nih.gov) and
by mail and email from the program contact listed below.

Elaine Collier, M.D.
Division of Allergy, Immunology and Transplantation
National Institute of Allergy and Infectious Diseases
Solar Building, Room 4A20
Bethesda, MD  20892-7640
Telephone: (301) 496-7104
FAX:  (301) 402-2571
Email:  EC5X@NIH.GOV

$$R19 END ***********************************************************

$$P1 BEGIN PA-95-016 FULL-TEXT **************************************

FAILURE TO HEAL:  CHRONIC WOUND HEALING IN THE SKIN

NIH GUIDE, Volume 24, Number 1, January 13, 1995

PA AVAILABLE:  PA-95-016

P.T. 34; K.W. 0715185, 0715027

National Institute of Arthritis and Musculoskeletal and Skin Diseases
National Institute on Aging
National Institute of Child Health and Human Development
National Institute of General Medical Sciences
National Institute of Nursing Research

PURPOSE

The National Institute of Arthritis and Musculoskeletal and Skin
Diseases (NIAMS), National Institute on Aging (NIA), the National
Institute of Child Health and Human Development (NICHD), National
Institute of General Medical Sciences (NIGMS), and the National
Institute of Nursing Research (NINR) invite applications for research
on wounds that fail to heal, including decubitus (pressure) ulcers,
venous (stasis) ulcers and diabetic ulcers.  The purpose of this
Program Announcement is to encourage research investigations that
will provide new knowledge of the mechanisms of abnormal wound
healing and/or to apply new findings or interventions to the
treatment and prevention of chronic wounds in man.

HEALTHY PEOPLE 2000

The Public Health Service (PHS) is committed to achieving the health
promotion and disease prevention objectives of "Health People 2000,"
a PHS-led national activity for setting priority areas.  This Program
Announcement (PA), Failure to Heal:  Chronic Wound Healing in the
Skin, is related to the priority area of chronic disabling
conditions.  Potential applicants may obtain a copy of "Health People
2000" (Summary Report:  Stock No. 017-001-00474-0 or "Healthy People
000" (Summary Report:  Stock No. 017-001-00473-1) through the
Superintendent of Documents, Government Printing Office, Washington,
DC 20402-9325 (telephone 202-783-3238).

INQUIRIES

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Newsgroups: bionet.sci-resources
Subject: NIH GUIDE - PA-95-017 - V24(01) 01/13/95
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$$XID RFA PA95017 PA-95-017 P1O1 ***************************************

SYRINGOMYELIA

NIH GUIDE, Volume 24, Number 1, January 13, 1995

PA NUMBER:  PA-95-017

P.T. 34; K.W. 0715140

National Institute of Neurological Disorders and Stroke
National Institute of Child Health and Human Development

PURPOSE

The National Institute of Neurological Disorders and Stroke (NINDS)
and the National Center for Medical Rehabilitative Research (NCMRR)
of the National Institute of Child Health and Human Development
(NICHD) announce the issuance of a program announcement to notify the
scientific community of their interest in the submission of research
grant applications concerning syringomyelia.

HEALTHY PEOPLE 2000

The Public Health Service (PHS) is committed to achieving the health
promotion and disease prevention objectives of "Healthy People 2000,"
a PHS-led national activity for setting priorities.  This PA,
Syringomyelia, is related to the priority areas of chronic disabling
conditions.  Potential applicants may obtain a copy of "Healthy
People 2000" (Full Report:  Stock No. 017-001-474-0), or "Healthy
People 2000" (Summary Report:  Stock No. 017-001-00473-1) through the
Superintendent of Documents, Government Printing Office, Washington,
DC 20402-9325 (telephone 202-783-3238).

ELIGIBILITY REQUIREMENTS

Applications may be submitted by foreign and domestic, for-profit and
non-profit organizations, public and private, such as universities,
colleges, hospitals, laboratories, units of State and local
governments, and eligible agencies of the Federal government.
Foreign institutions are not eligible for First Independent Research
Support and Transition (FIRST) (R29) awards, program projects (P01),
and center grants (P50).  Racial/ethnic minority individuals, women,
and persons with disabilities are encouraged to apply as principal
investigators.

MECHANISM OF SUPPORT

The mechanisms of support will be the research project grant (R01),
program project (P01), center grants (P50), (NINDS only), and FIRST
Award (R29).  Prospective applicants are encouraged to communicate
with the NINDS or NICHD program contacts listed under INQUIRIES
regarding the appropriate funding mechanism.

RESEARCH OBJECTIVES

Summary

Syringomyelia may be defined as a chronic progressive degenerative
disorder of the spinal cord.  Pathologically, syringomyelia is
characterized by formation of a syrinx, or fluid-filled cyst, in the
spinal cord, which expands and elongates over time.  Clinically,
there is damage to the spinal cord, which results in chronic pain,
weakness in the extremities, and loss of sensation.  There are two
main forms of syringomyelia, congenital and acquired.  In most cases,
there is a congenital abnormality of the brain, the type I Chiari
malformation, where the cerebellar tonsils protrude into the
subarachnoid space at the level of the foramen magnum.  Although this
abnormality is thought to be present at birth, the onset of
syringomyelia does not occur until adulthood.  A syrinx may form in
the cervical region of the spinal cord.  About 50 percent of adults
with Chiari I malformations will develop syringomyelia.  The second
major form of syringomyelia occurs as a complication of trauma,
inflammation, or a tumor.  In this case, the syrinx forms at the site
of the injury.  The diagnosis of syringomyelia has been greatly
facilitated by the use of magnetic resonance imaging (MRI).  Once the
syrinx has been confirmed, the patient and doctor can decide the
course of treatment based on symptoms and size of the syrinx.

The treatment of syringomyelia is a subject of much debate among
neurosurgeons.  Surgical treatment could involve decompression of the
foramen magnum, with or without a dural graft, to relieve the
pressure on the spinal cord.  In many cases, this will collapse the
syrinx, and prevent progression of the disease.  Some surgeons prefer
to place a shunt in the cavity, to drain the syrinx and prevent its
re-expansion.  There are complications because of infection and shunt
blockage.  In all surgical treatments, there are complications due to
scarring and possible tethering of the cord.  Unfortunately, in many
cases there is no reversal of the symptoms already present.  There is
also no consensus among neurosurgeons about the time course for
treatment.  Some prefer to treat all syrinxes immediately hoping to
prevent some of the more serious symptoms.  Others follow the more
cautious route and wait to see if the syrinx will expand.  These
patients may be followed by electrophysiological testing to determine
if there are presymptomatic indications that the syrinx is expanding.
In both cases, there are risks.  Some individuals will be treated who
would never have developed syringomyelia.  Others will develop the
symptoms and life-long disability associated with syringomyelia
because of delay in treatment.  A controlled clinical study has not
been done to study the short- and long-term outcomes of the various
treatment options.  This information would be very important for
determining which treatment is appropriate for each individual.

Although the technologies available are making it easier to diagnose
syringomyelia, there is not enough known about the causes.  MRI has
allowed the physician to identify syrinxes in the patient at a very
early time, before the onset of symptoms.  In some patients, there is
never a progression to syringomyelia.  In other patients, the syrinx
expands and symptoms appear.  The trigger that causes the syrinx to
expand is not known.

Several research groups are working to develop animal models of
syringomyelia so that studies can be done to understand the basic
pathophysiology of syrinx formation and expansion.  Spinal cord
cavitation can be induced by injection of kaolin into the spinal cord
in mice.  Other agents, such as excitatory amino acids, are known to
induce cavitation.  Various manipulations can be easily performed in
animal models that cannot be done in humans.  Animal models will be
important for fully understanding syrinx formation and expansion in
syringomyelia.

The NINDS encourages submission of research grant applications in the
area of syringomyelia.  Some areas of interest include, but are not
limited to:

o  Comparative studies of spinal cord structure and function between
normal and syringomyelia subjects, including anatomy, pharmacology,
and physiology

o  MRI flow studies, electrophysiology, and metabolic studies of the
cord in syringomyelia patients

o  Clinical studies of syringomyelia that incorporate information
about treatment procedures and short- and long-term outcomes

o  Clinical studies to determine the pathophysiology of the various
types of syringomyelia, including Chiari Type I and Type II, and
post-traumatic

o  Clinical trials to assess various treatment options for
syringomyelia

o  Studies on biomaterials, to determine which types of sutures,
shunts, and dura grafting materials are most appropriate, and to
develop new types of biomaterials

o  Studies to improve imaging technologies, toward real time imaging
and non-invasive pulse pressure measurements

o  Studies to determine the causes of gliosis toward prevention of
scarring and cord tethering

o  Assessment of existing animal models to determine their usefulness
for studies of syringomyelia.

o  Development of new animal models of syringomyelia

In addition, the NCMRR is interested in research areas including, but
not limited to:

o  Studies to develop and validate ecologically appropriate,
sensitive, and practical functional status measures to track
functional changes during conservative management or evaluate the
effects of surgical interventions in cases of syringomyelia

o  Studies of surgical and non-surgical interventions that reduce
pain associated with syringomyelia

o  Prospective studies using imaging techniques, behavioral
observation and self-report to study the natural course, prevalence,
and risk factors that predict acute episodic and gradual functional
loss in people with syringomyelia

INCLUSION OF WOMEN AND MINORITIES IN RESEARCH INVOLVING HUMAN
SUBJECTS

It is the policy of the NIH that women and members of minority groups
and their subpopulations must be included in all NIH supported
biomedical and behavioral projects involving human subjects, unless a
clear and compelling rationale and justification is provided that
inclusion is inappropriate with respect to the health of the subjects
or the purpose of the research.  This new policy results from the NIH
Revitalization Act of 1993 (Section 492B of Public Law 103-43) and
supersedes and strengthens the previous policies (Concerning the
Inclusion of Women in Study Populations, and Concerning the Inclusion
of Minorities in Study Populations), which have been in effect since
1990.  The new policy contains some provisions that are substantially
different from the 1990 policies.

All investigators proposing research involving human subjects should
read the "NIH Guidelines For Inclusion of Women and Minorities as
Subjects in Clinical Research," which have been published in the
Federal Register of March 28, 1994 (FR 59 14508-14513) and reprinted
in the NIH Guide for Grants and Contracts, Volume 23, Number 11,
March 18, 1994.

Investigators also may obtain copies of the policy from the program
staff listed under INQUIRIES.  Program staff may also provide
additional relevant information concerning the policy.

APPLICATION  PROCEDURES

Applications are to be submitted on the grant application form PHS
398 (rev. 9/91) and will be accepted at the standard application
deadlines as indicated in the application kit.  Application kits are
available at most institutional offices of sponsored research and may
be obtained from the Office of Grants Information, Division of
Research Grants, National Institutes of Health, Westwood Building,
Room 449, Bethesda, MD 20892, telephone 301-594-7248.  The title and
number of the program announcement must be typed in Section 2a on the
face page of the application.

Applicants for program project grants or centers should request a
copy of the NINDS Guidelines: Program Project and Research Center
Grants (rev. May 1994), from the NINDS program staff listed under
INQUIRIES.  Receipt dates for new research project grant applications
and FIRST Awards (R01 and R29, respectively) and for program project
and center grant applications (P01 and P50, respectively) are
February 1, June 1, and October 1.

FIRST award applications must include at least three sealed letters
of reference attached to the face page of the original application.
FIRST applications submitted without the required number of reference
letters will be considered incomplete and will be returned without
review.

The completed original application and five legible copies must be
sent or delivered to:

Division of Research Grants
National Institutes of Health
Westwood Building, Room 240
Bethesda, MD  20892**

If the application is for a program project or center grant, send the
original and three copies to the Division of Research Grants.  Send
an additional two copies of the program project (P01) or center grant
(P50) application to Dr. Judy Small at the address listed under
INQUIRIES.

REVIEW CONSIDERATIONS

Applications will be assigned on the basis of established Public
Health Service referral guidelines.  Applications will be reviewed
for scientific and technical merit in accordance with the standard
NIH peer review procedures.  Following scientific-technical review,
the applications will receive a second-level review by the
appropriate national advisory council.

As part of the initial merit review, a process (triage) may be used
by the initial review group in which applications will be determined
to be competitive or non-competitive based on their scientific merit
relative to other applications.  Applications judged to be
competitive will be discussed and be assigned a priority score.
Applications determined to be non-competitive will be withdrawn from
further consideration and the Principal Investigator and the official
signing for the applicant organization will be notified.

Review Criteria

o  scientific, technical, or medical significance and originality of
proposed research;

o  appropriateness and adequacy of the experimental approach and
methodology proposed to carry out the research;

o  qualifications and research experience of the Principal
Investigator and staff, particularly, but not exclusively, in the
area of the proposed research;

o  availability of the resources necessary to perform the research;

o  appropriateness of the proposed budget and duration in relation to
the proposed research;

o  Adequacy of plans to include both genders and minorities and their
subgroups as appropriate for the scientific goals of the research.
Plans for the recruitment and retention of subjects will also be
evaluated.

The initial review group will also examine the provisions for the
protection of human and animal subjects and the safety of the
research environment.

AWARD CRITERIA

Applications will compete for available funds with all other approved
applications assigned to that Institute or Center.  The following
will be considered in making funding decisions:  quality of the
proposed project as determined by peer review, availability of funds,
and program priority.

INQUIRIES

Inquiries are encouraged.  The opportunity to clarify any issues or
questions from potential applicants is welcome.

Direct inquiries regarding programmatic issues to:

Dr. Judy A. Small
Division of Convulsive, Developmental, and Neuromuscular Disorders
National Institute of Neurological Disorders and Stroke
Federal Building, Room 8C04
7550 Wisconsin Avenue MSC 9165
Bethesda, MD  20892-9165
Telephone:  (301) 496-5821
FAX:  (301) 480-1080
Email:  js134h@nih.gov

Dr. David B. Gray
Deputy Director
National Center for Medical Rehabilitative Research
National Institute of Child Health and Human Development
Building 6100E, Room 2A03
6100 Executive Boulevard, MSC 7510
Bethesda, MD  20892-7510
Telephone:  (301) 402-2242
FAX:  (301) 402-0832
Email:  yga@cu.nih.gov

Direct inquiries regarding fiscal matters to:

Mr. King P. Bond, Jr.
Grants Management Branch
National Institute of Neurological Disorders and Stroke
Federal Building, Room 1004
Bethesda, MD  20892-9190
Telephone:  (301) 496-9231
FAX:  (301) 402-0218
Email:  kb33s@nih.gov

Ms. Mary Ellen Colvin
Office of Grants and Contracts
National Institute of Child Health and Human Development
Building 6100E, Room 8A17
6100 Executive Boulevard, MSC 7510
Bethesda, MD  20892-7510
Telephone:  (301) 496-1303
FAX:  (301) 402-0915
Email:  colvinm@hd01.nichd.nih.gov

AUTHORITY AND REGULATIONS

This program is described in the Catalogue of Federal Domestic
Assistance, No. 93.853, Clinical Research Related to Neurological
Disorders, and 93.854, Biological Basic Research in the
Neurosciences.  Awards are made under the authorization of the Public
Health Service Act, Title IV, Part A (Public Law 78-410, as amended
by Public Law 99-158, 42 USC 241 and 285) and administered under PHS
grants policies and Federal Regulations 42 CFR 52 and 45 CFR Part 74.
This program is not subject to Intergovernmental review requirements
of Executive Order 12372 or Health Systems Agency review.

The Public Health Service (PHS) strongly encourages all grant
recipients to provide a smoke-free workplace and promote the non-use
of all tobacco products.  This is consistent with the PHS mission to
protect and advance the physical and mental health of the American
people.

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$$XID RFA PAR95018 PAR-95-018 P1O1 *************************************

BIOMEDICAL RESEARCH SUPPORT SHARED INSTRUMENTATION GRANT

NIH GUIDE, Volume 24, Number 1, January 13, 1995

PA NUMBER:  PAR-95-018

P.T. 34; K.W. 1002024, 1014001

National Center for Research Resources

Application Receipt Date:  March 24, 1995

PURPOSE

The National Center for Research Resources (NCRR) is continuing its
competitive Biomedical Research Support (BRS) Shared Instrumentation
Grant (SIG) Program initiated in Fiscal Year 1982.  The (1992)
National Report on Academic Research Equipment and Equipment Needs
for Biological Sciences, cosponsored by the National Institutes of
Health (NIH) and the National Science Foundation, identified research
equipment of the type provided through this program as top-priority.
The objective of the program is to make available to institutions
with a high concentration of NIH-supported biomedical investigators
research instruments which can only be justified on a shared-use
basis and for which meritorious research projects are described.
Awards under this Program Announcement (PA) will use the Biomedical
Research Support Shared Instrumentation Grant mechanism (S10).

ELIGIBILITY REQUIREMENTS

Under the general research support authority of Section 301 (a)(3) of
the Public Health Service Act, BRS Shared Instrumentation Grant
awards are made to public and non-profit institutions only.  For
purposes of these guidelines, an "institution" is defined as the
organizational component identified in item 14 on page 1 of the Form
PHS 398 (rev. 9/91), for which descriptive information is provided on
page 15 in the PHS 398 kit.  These institutions include health
professional schools, other academic institutions, hospitals, health
departments, and research organizations.  Federal institutions,
foreign institutions, and for-profit institutions are not eligible to
apply.  Racial/ethnic minority individuals, women, and persons with
disabilities are encouraged to apply as Principal Investigators.

An eligible institution may submit more than one application for
different instrumentation for the March 24, 1995, deadline.  However,
if several applications are submitted for similar instrumentation
>From one or more eligible institutions on the same campus of a
university, documentation from a high administrative official must be
provided, stating that the several applications are part of a campus-
wide institutional plan, not an unintended duplication.

MECHANISM OF SUPPORT

BRS Shared Instrumentation Grants (S10) provide support for expensive
state-of-the-art instruments utilized in both basic and clinical
research.  Applications are limited to instruments that cost at least
$100,000 per instrument or system.  The maximum award is $400,000.
Because the nature and scope of the instruments that may be requested
will vary, it is anticipated that the size of an award will vary
also.

RESEARCH OBJECTIVES

This program is designed to meet the special problems of acquisition
and updating of expensive shared-use instruments which are not
generally available through other NIH mechanisms, such as the regular
research project, program project, and center grant programs, or the
Biomedical Research Technology Grant Program.  Proposals for the
development of new instrumentation will not be considered.

Types of instrumentation supported include, but are not limited to,
nuclear magnetic resonance systems, electron microscopes, mass
spectrometers, protein sequencer/amino acid analyzers and cell
sorters.  Support will not be provided for general purpose equipment
or purely instructional equipment, personal computers, personal
workstations, printers, and ethernet interfaces.  Proposals for
"stand alone" computer systems will only be considered if the
instrument is solely dedicated to the research needs of a broad
community of NIH-supported investigators.

Awards will be made for the direct costs of the acquisition of new,
or the updating of existing, research instruments.  The institution
must meet those costs (not covered in the normal purchase price)
required to place the instrumentation in operational order as well as
the maintenance, support personnel, and service costs associated with
maximum utilization of the instrument.  There is no upper limit on
the cost of the instrument, but the maximum award is $400,000.
Grants will be awarded for a period of one year and are not
renewable.  Supplemental applications will not be accepted.  The
program does not provide indirect costs or support for construction
or alterations and renovations.  Cost sharing is not required.  If
the amount of funds requested does not cover the total cost of the
instrument, the application should describe the proposed sources(s)
of funding for the balance of the cost of the instrument.
Documentation of the availability of the remainder of the funding,
signed by an appropriate institutional official, must be presented to
NCRR prior to the issuance of an award.  Requests for a multiple
instrument purchase totalling over $400,000 must specify and justify
which instrument(s) should be supported within the $400,000 ceiling.

Applicants proposing the direct purchase of an instrument that the
institution has secured or is planning to secure via a leasing
agreement are strongly encouraged to consult with their institutional
sponsored projects office regarding applicable PHS policy prior to
executing the leasing agreement.  If the leasing agreement was
executed more than one year prior to submission of the SIG
application, the applicant must provide strong justification for the
requested Federal funds.  Further, the instrument must be considered
state-of-the-art at the time of submission of the SIG application.

A major user group of three or more investigators should be
identified.  A minimum of three major users must be Principal
Investigators on NIH peer reviewed research grants at the time of the
application and award.  For purposes of this program research grants
are defined as those grants awarded with the following activity
codes: P01, R01, U01, R29, R35, and R37.  The application must show a
clear need for the instrumentation by projects supported by multiple
NIH research awards and demonstrate that these projects will require
at least 75 percent of the total usage of the instrument.  Major
users can be individual researchers, or a group of investigators
within the same department or from several departments at the
applicant institution.  NIH extramural awardees from other nearby
institutions may also be included.

If the major user group does not require total usage of the
instrument, access to the instrument should be made available to
other users upon the advice of the internal advisory committee.
These users need not be NIH awardees, but priority should be given to
NIH-supported scientists engaged in biomedical/behavioral research.

To encourage optimal sharing among individual investigators, research
groups, and departments, and to foster a collaborative
multidisciplinary environment, instruments should be integrated into
central core facilities, whenever possible.

Each applicant institution must propose a Principal Investigator who
can assume administrative/scientific oversight responsibility for the
instrumentation requested.  An internal advisory committee to assist
in this responsibility should also be utilized.  The Principal
Investigator and the advisory group are responsible for the
development of guidelines for shared use of the instrument, for
preparation of all reports required by the NIH, for relocation of the
instrument within the grantee institution if the major user group is
significantly altered, and for continued support for the maximum
utilization and maintenance of the instrument in the post-award
period.

A plan should be proposed for the day-to-day management of the
instrument including designation of a qualified individual to
supervise the operation of the instrument and to provide technical
expertise to the users.  Specific plans for sharing arrangements and
for monitoring the use of the instrument should be described.

If a grant award is made, a final progress report will be required
that describes the use of the instrument, listing all users and
indicating the value of the instrumentation to the research of the
major users and to the institution as a whole.  This report is due
within 90 days following the end of the project period.

APPLICATION PROCEDURES

Applications are to be submitted on the grant application form PHS
398 (rev. 9/91).  Application kits are available at most
institutional offices of sponsored research and may be requested from
the Office of Grants Information, Division of Research Grants,
National Institutes of Health, 5333 Westbard Avenue, Room 449,
Bethesda, MD 20892, telephone (301) 594-7248.  The title and number
of the program announcement must be typed in Section 2a on the face
page of the application.

1. Form page 1 (Face page of the application) -

Item 1.  Name the type of instrument requested.  (Note at the bottom
of the face page if a duplicate application has been sent to another
agency.)

Item 4.  If human subjects are involved in the research, follow the
instructions for completing Item 4 on the Face Page of Form PHS 398,
certifying that an Institutional Review Board (IRB) approved by PHS
has reviewed and approved the protocols involving human subjects.  If
the protocols are ongoing and have already received prior IRB review
and approval within one year of the submission date of this
application, then additional IRB review is not necessary.  However,
this fact must be noted in Item 4 on the Face Page, and, if space is
insufficient, the date(s) of prior IRB review and approval of each
protocol involving human subjects should be listed in the "Research
Plans."

Item 5.  If live vertebrate animals are involved in the research,
follow the instructions for completing Item 5 on the Face Page of
Form PHS 398, verifying that an Institutional Animal Care and Use
Committee (IACUC) approved by PHS (OPRR) has reviewed and approved
the protocols involving animals.  If the protocols are ongoing and
have already received prior IACUC review and approval within three
years of the submission date of this application, then additional
IACUC review is not necessary.  However, this fact must be noted in
Item 5 on the Face Page and, if space is insufficient, the date(s) of
prior IACUC review and approval of each protocol involving animals
should be listed in the "Research Plan."

Item 6.  Write in April 1, 1996 - March 31, 1997.

Item 8A.  Use this block to give the total amount requested from NCRR
for this instrument or system.

Item 14.  Insert the appropriate code identification.

2.  Form page 2.  Complete the abstract as directed.  Under
"Personnel engaged on project", give data on the Principal
Investigator and the major user group as required.

3.  Form page 4.  Describe the instrument requested including
manufacturer and model number.  The model chosen should be justified
by comparing its performance with other available instruments.
Provide a detailed budget breakdown of the main equipment and
accessories requested including tax and import duties, if applicable.
An itemized quote from a vendor should be included.  If a project
involves a potential biohazard, funds for accessory containment
equipment for the instrument or instrument system may be included in
the requested budget.

4.  Form page 5.  Budget Estimates for All Years.  Not applicable; do
not complete.

5. Form page 6 - Biographical Sketch.  In addition to the personnel
listed on page 2, include a biographical sketch of the person(s) who
will be in charge of maintenance and operation of the instrument and
a brief statement of the qualifications of the individual(s).
Biographical sketches should not exceed 2 pages for each individual.

6. Form page 7 - Other Support.  Provide the requested information
for each major user.

7. Section 2 of the application.  (If this is a revised application,
note the special instructions in the PHS 398 kit regarding completion
of Section 2 of the application.)

Provide information relative to the points identified under criteria
for review including:

a.  Inventory similar instruments existing at the institution or
otherwise accessible; describe (with supporting documentation) why
they are unavailable or inappropriate for the proposed research and
provide a clear justification why new or updated equipment is needed,
including accessories.

b.  The major users should describe their research projects and
indicate how the requested instrumentation and/or accessories would
enhance the progress of their research projects.  While most projects
are included in currently funded applications, some represent new
directions.  In the case of funded projects, the description should
not exceed four pages per user but should point out the benefit of
the proposed instrument to the research objectives of each major
user.  New directions and their requirements for the proposed
instrumentation should be described in sufficient detail to allow
adequate review (including preliminary data or supplemental
materials).  Use a table to list the names of the users, brief titles
of the projects, the NIH grant numbers and the estimated percentage
of use.  List the page number of this table under "Table of Contents"
(Form page 3) after "Resources and Environment."  Make a separate
table to indicate the major users' needs for requested accessories.
If possible, each user should highlight those publications that
demonstrate the user's expertise in using the requested
instrumentation.

c.  Describe the organizational plan including the internal advisory
committee for administration of the grant.

d.  Submit a specific plan for long-term operation and maintenance of
the instrument.  Provide documentation (e.g., separate letters signed
by appropriate institutional officials) describing the required
institutional commitment in support of the proposed plan.

Applications must be received by March 24, 1995.  Applications
received after this date will not be accepted for review in this
competition and will be returned to the applicant.  The original and
four copies of the application and any appendix material, must be
sent to:

Division of Research Grants
National Institutes of Health
Westwood Building, Room 240
Bethesda, MD  20892**

One copy of the application and appendix material must be addressed
to:

Biomedical Research Support Program
National Center for Research Resources
Westwood Building, Room 848
Bethesda, MD  20892

REVIEW CONSIDERATIONS

Applications are reviewed by specially convened initial review groups
of the Division of Research Grants (DRG) for scientific and technical
merit and for program considerations by the National Advisory
Research Resources Council (NARRC) of the NCRR.  Approximately half
of the applications will be reviewed at the September 1995 NARRC
meeting and the remainder at the NARRC meeting in February 1996.
Funding decisions on all applications received for the March 24,
1995, deadline will not be made until the program receives an
appropriation for FY 1996.  The Council date will not affect funding
decisions.

Applications that request a single instrument with a total purchase
cost of more than $500,000, and that would normally be eligible for
submission to both NIH and NSF, may be submitted to NIH for joint
funding with NSF by including necessary NSF documentation.  The
Agencies will review such proposals in a special review group that
will be convened by NIH as a special NIH study section with NSF
participation.  Under this arrangement, the agencies may offer joint
funding in excess of the current award limit of $400,000.  Contact
the NSF Division of Biological Instrumentation and Resources for
additional information on the NSF documentation (cover sheet and cost
sharing agreement).

As part of the initial merit review, a process (triage) may be used
by the initial review group in which applications will be determined
to be competitive or non-competitive based on their scientific merit
relative to other applications received in response to this program
announcement.  Applications judged to be competitive will be
discussed and be assigned a priority score.  Applications determined
to be non-competitive will be withdrawn from further consideration
and the Principal Investigator and the official signing for the
applicant organization will be notified.

Review Criteria

o  The extent to which an award for the specific instrument would
meet the scientific needs and enhance the planned research endeavors
of the major users by providing an instrument that is unavailable or
to which availability is highly limited.

o  The availability and commitment of the appropriate technical
expertise within the major user group or the institution for use of
the instrumentation.

o  The adequacy of the organizational plan and the internal advisory
committee for administration of the grant including sharing
arrangements for use of the instrument.

o  The institution's commitment for continued support of the
utilization and maintenance of the instrument.

o  The benefit of the proposed instrument to the overall research
community it will serve.

AWARD CRITERIA

In making funding decisions, the NCRR will give consideration to
ensure program balance among various types of instruments supported
and/or geographic distribution of awards.

INQUIRIES

Inquiries are encouraged.  The opportunity to clarify any issues or
questions from potential applicants is welcome.  Direct inquiries
regarding programmatic or scientific issues to:

Marjorie A. Tingle, Ph. D.
Director, Biomedical Research Support Program
National Center for Research Resources
Westwood Building, Room 848
Bethesda, MD  20892
Telephone:  (301) 594-7947
Email:  brspsig@ep.ncrr.nih.gov

Direct inquiries regarding fiscal matters to:

Ms. Mary V. Niemiec
Office of Grants and Contracts Management
National Center for Research Resources
Westwood Building, Room 849
Bethesda, MD  20892
Telephone:  (301) 594-7955
Email:  maryn@ep.ncrr.nih.gov

AUTHORITY AND REGULATIONS

This program is described in the Catalog of Federal Domestic
Assistance number 93.337, Biomedical Research Support.  Awards will
be made under authorization of the Public Health Service Act, Titles
III and IV, (Public Law 78-410, as amended by Public Law 99-158, 42
USC 241 and 287) and administered under PHS grants policies and
Federal Regulations 42 CFR Part 52 and 45 CFR Part 74.  This program
is not subject to the intergovernmental review requirements of
Executive Order 12372 or Health Systems Agency review.

The Public Health Service (PHS) strongly encourages all grant
recipients to provide a smoke-free workplace and promote the non-use
of all tobacco products.  This is consistent with the PHS mission to
protect and advance the physical and mental health of the American
people.

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$$XID RFA NR95001 NR-95-001 P1O1 ***************************************

COMMUNITY PREVENTION MODELS: RURAL MINORITY GROUPS

NIH GUIDE, Volume 24, Number 1, January 13, 1995

RFA:  NR-95-001

P.T. 34; K.W. 0730075, 0730050, 0745027

National Institute of Nursing Research

Letter of Intent Receipt Date:  March 31, 1995
Application Receipt Date:  April 26, 1995

PURPOSE

The National Institute of Nursing Research (NINR) invites research
grant applications on comprehensive, community-based health care
strategies aimed at primary, secondary and tertiary prevention of
disease and disabilities in rural populations lacking adequate health
care services.  The purpose is to determine the impact of
comprehensive, community-based strategies incorporating culturally
specific approaches on the health of underserved, rural, minority
population groups.  Targeted populations include ethnic minority
groups such as Native Americans, Asians and Pacific Islanders,
Hispanic Americans, and African Americans.

HEALTHY PEOPLE 2000

The Public Health Service (PHS) is committed to achieving the health
promotion and disease prevention objectives of "Healthy People 2000,"
a PHS-led national activity for setting priority areas.  This Request
for Applications (RFA), Community Prevention Models: Rural Minority
Groups, is related to all of the special populations targets.
Potential applicants may obtain a copy of "Healthy People 2000" (Full
Report:  Stock No. 017-001-00474-0) or "Healthy People 2000" (Summary
Report:  Stock No. 017-001-00473-1) through the Superintendent of
Documents, Government Printing Office, Washington, DC 20402-9325
(telephone 202-783-3238).

ELIGIBILITY REQUIREMENTS

Applications may be submitted by domestic and foreign, for-profit and
non-profit organizations, public and private, such as universities,
colleges, hospitals, laboratories, units of State and local
governments, and eligible agencies of the Federal government.
Racial/ethnic minority individuals, women, and persons with
disabilities are encouraged to apply as Principal Investigators.

MECHANISM OF SUPPORT

This RFA will use the National Institutes of Health (NIH) research
project grant (R01).  Responsibility for the planning, direction, and
execution of the proposed project will be solely that of the
applicant.  Collaboration of investigators funded under this RFA is
planned, see SPECIAL REQUIREMENTS section below.  The total project
period for an application submitted in response to this RFA may not
exceed five years.  The anticipated award date is September 30, 1995.

Because the nature and scope of the research proposed in response to
this RFA may vary, it is anticipated that the size of an award will
vary also.  This RFA is a one-time solicitation.  Future unsolicited
competing continuation applications will compete with all
investigator-initiated applications and be reviewed according to the
customary peer review procedures.

FUNDS AVAILABLE

Approximately $1.8 million in total costs for the first year will be
committed to fund applications submitted in response to this RFA.  It
is anticipated that four to five applications will be funded.  This
level of support is dependent on the receipt of a sufficient number
of applications of high scientific merit.  Although this program is
provided for in the financial plans of the NINR, awards pursuant to
this RFA are contingent upon the availability of funds for this
purpose.

RESEARCH OBJECTIVES

Background

The NINR, in its ongoing development of the National Nursing Research
Agenda, convened a panel of scientific experts to examine the state
of the science on community-based health care models, focusing on
those that involve nursing practice.  This panel has recommended
strategies that respond to the growing number of programs that focus
on community-based health care and preventive health strategies.

The panel has specifically recommended studies of comprehensive
community-based health care models for rural populations from the
perspective of primary health care, which focuses on promoting health
and preventing disease across the continuum of care.  In their review
of existing research, the panel determined that further study of
community-based models for rural residents was a very promising area
for expansion of our scientific knowledge.

In the public health/community health context, primary health care
includes primary, secondary, and tertiary prevention.  Primary
prevention includes health promotion and protection (such as
immunizations of children and elders, nutrition counseling, and life
style alterations) aimed at intervening before disease arises in
individuals. Secondary prevention measures aim to prevent disease and
disability through screening, early detection and diagnosis, and
prompt treatment of pre-symptomatic or very early clinical disease
(such as obesity, hypercholesterolemia) of populations thought to be
at-risk.  Tertiary prevention measures seek to limit disabilities in
persons with various stages of disease and rehabilitation (such as
those requiring restorative care or those with chronic illness).

Different definitions of "community" arise from the different types
of settings (worksites, senior centers, ambulatory clinics) and types
of populations (those with low-incomes, frail elderly, children and
adolescents) that are appropriate for community studies.  The major
defining element of community-based care, however, is the involvement
of clients and other community members in (a) assessing environmental
influences, health status, and health care use; (b) determining
related-health priorities; (c) designing and implementing health
programs; (d) encouraging participation in the resulting health
programs; and (e) evaluating the impact of the health programs.

The panel's review of the research on community-based models revealed
the existence of many categorical health care programs, but found
that the effect of these programs on specific population groups has
not yet been scientifically well established.  There are also
indications that some fundamental factors thought to be needed for
community-based health care success (accessibility, appropriateness,
availability, adequacy, affordability, and acceptability) have not
been included in programs and that the unique cultural requirements
of groups such as ethnic minorities have not been part of the design.

The lack of cultural specificity in the design of prevention programs
is thought to be a potential major factor in the infrequent
participation of ethnic minority groups in these programs.  Several
current studies indicate that identifying and incorporating unique
cultural factors into intervention strategies may result in increased
acceptability, use, and adherence.  Other prevention studies have
identified intervention strategies that were efficacious but which
had only limited continued use after the controlled circumstances of
a specific study were withdrawn.

There is evidence that certain population groups use health care
services only in crises and may choose not to use prevention measures
even when strongly advised to do so (for example, known HIV risk
factors and use of condoms or other safety measures).  At the same
time, there are indications that the explanation may be less the
population groups themselves than the approaches and design of health
care systems available to them.  Our understanding is further clouded
by a tendency to uniformly stereotype the health-related behaviors of
all population groups when indeed they relate to only one or some
part of the groups.  An example is the over-generalization that all
minority groups have poor pregnancy outcomes, when this is true for
many African-Americans but not for most Hispanic-Americans.
Including cultural factors unique for specific populations in the
design of community-based health care programs has been shown to
increase participation in these programs, the use of certain
interventions or treatments, and earlier recognition of risk factors.
It is believed but not well tested that prevention strategies and
interventions developed with the involvement of community
participants and implemented through partnerships between community
members and practitioners may achieve a higher participation rate and
may be maintained for longer periods of time.  Some studies have
shown, for example that members of specific cultural groups,
including indigenous health workers and ethnic healers, should be
involved in (a) designing of actual health care practices and
services so as to assure acceptance; (b) establishing methods for
gaining participation in health promoting behaviors and self care,
use prevention techniques, and adherence to treatments; (c)
understanding individual, family and community decision making
processes; and (d) gaining acceptance of practitioners who are not
group members.  Understanding the lifestyle and unique needs of a
community appears to be essential for successful collaboration in
such settings, and some have speculated that these factors themselves
may play a determining role in the understanding of health status
across various population groups.

It is not known to what extent the limited inclusion of cultural
factors represents barriers to health care participation generally
and the use of prevention strategies in particular.  The inter-
relationship of these factors and economic factors on the use and
acceptability of health care among rural minority groups is also
unclear.  Some investigators have found that certain ethnic minority
groups and rural residents use health care services differently than
others, have illnesses diagnosed at a later stage than other groups,
and seek care later in a disease process than others.  Intervention
studies with subsets of minority groups, such as certain rural Native
Americans, migrant Hispanics, southern African American churchgoers
and rural pregnant women indicate that use of prevention strategies
increase, involvement in prenatal care starts earlier, and chronic
illness risk factors are modified when the clinical care is modified
according to cultural expectations.

Research Objectives and Scope

The objective of this initiative is to examine the effect of
comprehensive community-based primary health care models designed to
include culturally appropriate approaches.  The specific populations
of focus are rural, minority groups.  Applicants should focus on
models targeted to populations as a whole, such as rural residents
including a specific focus on minority groups, or to specific
subpopulation groups, such as ethnic minority groups.  Individuals,
families and other community participants as well as clinical
practitioners and other providers may be included as foci of research
questions.  Contextual and system factors, such as environmental
factors, specific aspects of community involvement or ethnic group
involvement, non-health care cultural, social and economic factors
should be addressed.  Where appropriate, it is preferred that
primary, secondary and tertiary prevention strategies be included in
the models examined. It is not required that all three prevention
foci be included in the proposed model.

The term rural has several definitions.  This diversity has been
problematic because of a lack of precision in defining rural for
research purposes.  For example, subcomponents of rural could
represent population groups that were relatively close to urban
centers, moderately distant, or far away and, therefore, more
frontier-like in nature.  As there is no one agreed-upon definition
of rural for research purposes, those applying in response to this
RFA must use one of two definitions of rural.  These are: (1) the
U.S. Bureau of the Census (1987) designation that an area with 2,500
or more persons is urban and that those areas not classified as urban
are rural; or (2) the U.S. Office of Management and Budget (1983)
identification of metropolitan statistical areas (MSA) as cities of
50,000 or more persons, or an urbanized area with at least 50,000
persons that is part of a county or counties having at least 100,000
in its populations, therefore, non-MSAs are rural.  In addition,
applicants should indicate: (a) the total number of persons in the
geographic area of the proposed study; (b) the distance of the
geographic area in the proposed study from a MSA; and (c) the
population density of the area.

The focus of research areas and questions that could be addressed
under this initiative include, but are not limited to:

o  Do comprehensive, culturally specific, community-based primary
health care models targeted to rural, minority groups result in
improved health of, or health-related behavioral changes among
community members?  Does a culturally specific approach effect
participation in the prevention strategies incorporated in the model?

o  What are the effects of culturally specific prevention strategies
targeted to particular age groups of populations, such as rural,
minority pre-school and school-age children, that include family and
community participation in the planning, design, and implementation?
Such strategies targeted to those of different socioeconomic level?

o  What are the differences among subpopulations in the use of, and
effects of, targeted primary, secondary and tertiary prevention
strategies?  What factors can be differentiated as most influential?
To what extent are they culturally driven?

o  What, if any, behavioral changes result from implementing primary,
secondary and tertiary strategies targeted for specific cultural
groups when there is direct family/community involvement?

o  Are there differences in health status, risk factors, clinical and
cost outcomes between comprehensive community- based prevention
programs and the more traditional practitioner-individual patient-
focused, episodic primary care programs?

o  Do targeted, culturally relevant health care strategies change
participation, timeliness of health seeking behaviors, frequency of
crisis-oriented care seeking behaviors, appropriateness and
acceptability of care, and costs?

A variety of research designs could be proposed.  However, research
designs should include: a prospective, experimental or quasi-
experimental approach; a well defined, specified rural population or
subpopulation group(s); clear access to such a population/group(s); a
theoretical basis for the model or organizing subcomponents; and
demonstration of community involvement.  The terms used to identify
ethnic minority groups can vary in many ways.  Some note traditional
identifiers of origin, such as Mexican Americans; others refer to
linguistic identifiers, such as Hispanics; and still others are more
self descriptors, such as Latinos.  It is important for population(s)
targeted in a study to be clearly identified and their relationship
to community boundaries described.

SPECIAL REQUIREMENTS

Applicants are asked to plan for an annual meeting of investigators.
A meeting will be held early in the first year of funding to
facilitate collaboration among the funded investigators and to
determine the feasibility of coordination of aspects of research
designs and of holding regular meetings.  The cost of attending these
meetings, which will be held in Bethesda, Maryland, should be
included in the applicant's budget request.

INCLUSION OF WOMEN AND MINORITIES IN RESEARCH INVOLVING HUMAN
SUBJECTS

It is the policy of the NIH that women and members of minority groups
and their subpopulations must be included in all NIH supported
biomedical and behavioral research projects involving human subjects,
unless a clear and compelling rationale and justification is provided
that inclusion is inappropriate with respect to the health of the
subjects or the purpose of the research.  This new policy results
>From the NIH Revitalization Act of 1993 (Section 492B of Public Law
103-43) and supersedes and strengthens the previous policies
(Concerning the Inclusion of Women in Study Populations, and
Concerning the Inclusion of Minorities in Study Populations), which
have been in effect since 1990. The new policy contains some
provisions that are substantially different from the 1990 policies.

All investigators proposing research involving human subjects should
read the "NIH Guidelines For Inclusion of Women and Minorities as
Subjects in Clinical Research," which have been published in the
Federal Register of March 28, 1994 (FR 59 14508-14513) and reprinted
in the NIH Guide for Grants and Contracts, Volume 23, Number 11,
March 18, 1994.

Investigators also may obtain copies of the policy from the program
staff listed under INQUIRIES.  Program staff may also provide
additional relevant information concerning the policy.

LETTER OF INTENT

Prospective applicants are asked to submit, by March 31, 1995, a
letter of intent that includes a descriptive title of the proposed
research, the name, address, and telephone number of the Principal
Investigator, the identities of other key personnel and participating
institutions, and the number and title of the RFA in response to
which the application may be submitted.  Although a letter of intent
is not required, is not binding, and does not enter into the review
of a subsequent application, the information that it contains allows
NINR staff to estimate the potential review workload and avoid
conflict of interest in the review.

The letter of intent is to be sent to:

Dr. Ernest Marquez
Chief, Office of Review
National Institute of Nursing Research
Building 45, Room 3AN-24
45 Center Drive, MSC 6302
Bethesda, MD  20892-6302
Telephone:  (301) 594-5965
FAX:  (301) 480-8256

APPLICATION PROCEDURES

The research grant application form PHS 398 (rev. 9/91) is to be used
in applying for these grants.  These forms are available at most
institutional offices of sponsored research; from the Office of
Grants Information, Division of Research Grants, National Institutes
of Health, 5333 Westbard Avenue, Room 449, Bethesda, MD 20892,
telephone 301/594-7248; and from the NINR Information Office listed
under INQUIRIES.

The RFA label available in the PHS 398 (rev. 9/91) application form
must be affixed to the bottom of the face page of the application.
Failure to use this label could result in delayed processing of the
application such that it may not reach the review committee in time
for review.  In addition, the RFA title and number must be typed on
line 2a of the face page of the application form and the YES box must
be marked.

Submit a signed, typewritten original of the application, including
the Checklist, and three signed, photocopies, in one package to:

Division of Research Grants
National Institutes of Health
Westwood Building, Room 240
Bethesda, MD  20892**

At the time of submission, two additional copies of the application
must be sent to:

Dr. Ernest Marquez
Chief, Office of Review
Building 45, Room 3AN-24
45 Center Drive, MSC 6302
Bethesda, MD  20892-6302
Telephone:  (301) 594-5965
FAX:  (301) 480-8256

Applications must be received by April 26, 1995.  If an application
is received after that date, it will be returned to the applicant
without review.  The Division of Research Grants (DRG) will not
accept any application in response to this RFA that is essentially
the same as one currently pending initial review, unless the
applicant withdraws the pending application.  The DRG will not accept
any application that is essentially the same as one already reviewed.
This does not preclude the submission of substantial revisions of
applications already reviewed, but such applications must include an
introduction addressing the previous critique.

REVIEW CONSIDERATIONS

Upon receipt, applications will be reviewed for completeness by DRG
and for responsiveness by NINR staff.  Incomplete applications will
be returned to the applicant without further consideration.  If the
application is not responsive to the RFA, NIH staff may contact the
applicant to determine whether it should be returned or submitted for
review in competition with unsolicited applications at the next
review cycle.

Applications that are complete and responsive to the RFA will be
evaluated for scientific and technical merit by an appropriate peer
review group convened by the NINR in accordance with the review
criteria stated below.

As part of the initial merit review, a process (triage) may be used
by the initial review group in which applications will be determined
to be competitive or non-competitive based on their scientific merit
relative to other applications received in response to the RFA.
Applications judged to be competitive will be discussed and be
assigned a priority score.  Applications determined to be non-
competitive will be withdrawn from further consideration and the
Principal Investigator and the official signing for the applicant
organization will be notified.

Review Criteria

o  The review criteria for this RFA are essentially the same as those
for unsolicited research project grant applications:

o  Scientific, technical, or clinical significance and originality of
proposed research;

o  Appropriateness and adequacy of the experimental or
quasi-experimental approach and methodology proposed to carry out the
research;

o  Qualifications and research experience of the Principal
Investigator and staff, particularly, but not exclusively, in the
area of the proposed research;

o  Availability of the resources necessary to perform the research;

o  Appropriateness of the proposed budget and duration in relation to
the proposed research;

o  In addition, applicants are expected to address the issues
identified under "SPECIAL REQUIREMENTS," as well as criteria specific
to the objectives of this RFA.  These criteria include:

o  Applicants must be specific in defining the rural areas to be
included in the study.

o  The applicant must provide documentation supporting access to the
population(s) and community involved in the proposed study.

The initial review group will also examine the provisions for the
protection of human and animal subjects and the safety of the
research environment.

AWARD CRITERIA

Awards will be made based on scientific merit determined by peer
review and expressed in the priority score, availability of funds,
and programmatic priorities.  Award decisions will also take into
consideration the extent of diversity of approaches among the primary
health care models proposed.

INQUIRIES

Inquiries concerning this RFA are encouraged.  The opportunity to
clarify any issues or questions from potential applicants is welcome.

Direct requests for copies of the RFA or other NINR documents to:

NINR Information Office
Building 31, Room 5B13
Bethesda, MD  20892
Telephone:  (301) 496-0207
FAX:  (301) 480-4969

Direct inquiries regarding scientific/programmatic issues to:

Dr. Patricia Moritz
Nursing Systems Branch
National Institute of Nursing Research
Building 45, Room 3AN-12
45 Center Drive MSC 6300
Bethesda, MD  20892-6300
Telephone:  (301) 594-5956
FAX:  (301) 480-8260
Email:  pmoritz@ep.ninr.nih.gov

Direct inquiries regarding fiscal matters to:

Ms. Sally Nichols
Grants Management Officer
National Institute of Nursing Research
Building 45, Room 3AN-32
45 Center Drive MSC 6301
Bethesda, MD  20892-6301
Telephone:  (301 594-6869)
FAX:  (301 480-8256)
Email:  snichols@ep.ninr.nih.gov

AUTHORITY AND REGULATIONS

This program is described in the Catalog of Federal Domestic
Assistance No. 93.361, Nursing Research.  Awards are made under
authorization of the Public Health Service Act, Title IV, Part A
(Public Law 78-410, as amended by Public Law 99- 158, 42 USC 241 and
285) and administered under PHS grants policies and Federal
Regulations 42 CFR 52 and 45 CFR Part 74.  This program is not
subject to the intergovernmental review requirements of Executive
Order 12372 or Health Systems Agency review.

The Public Health Service (PHS) strongly encourages all grant
recipients to provide a smoke-free workplace and promote the non-use
of all tobacco products.  This is consistent with the PHS mission to
protect and advance the physical and mental health of the American
people.

References

U.S. Bureau of the Census. (1987).  Statistical abstract of the
United States: 1988 (108th ed.).  Washington, D.C.: U.S. Government
Printing Office.

U.S. Office of Management and Budget. (1983). Metropolitan
statistical areas (NTIS No. PB83-218891).  Washington, D.C.: U.S.
Government Printing Office.

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$$XID RFA DA95001 DA-95-001 P1O1 ***************************************

NEUROSCIENCE NETWORKS IN BASIC DRUG ABUSE RESEARCH

NIH GUIDE, Volume 24, Number 1, January 13, 1995

RFA:  DA-95-001

P.T. 34; K.W. 0404009, 1002030

National Institute on Drug Abuse

Letter of Intent Receipt Date:  March 16, 1995
Application Receipt Date:  April 19, 1995

PURPOSE

The National Institute on Drug Abuse (NIDA) invites applications to
establish networks of investigators currently engaged in neuroscience
research programs for the purpose of bringing relevant aspects of
those programs to bear upon drug abuse research.  Each network will
be assembled by a Principal Investigator to form a multidisciplinary,
multi-institutional consortium of  neuroscience expertise centered
upon a particular theme related to drug abuse research.  These themes
may be broad in scope, but should be concerned with identifying
fundamental brain processes susceptible to the actions of drugs of
abuse and the mechanisms through which drugs of abuse affect those
processes.  The intent of the request for applications (RFA) is to
encourage cooperative efforts among network investigators to
stimulate novel insights and innovative approaches to drug abuse
research not presently achievable through collaborative efforts
limited by geographical constraints.  This RFA also is intended to
extend existing research programs in the basic neurosciences into
avenues directly relevant to drug abuse research with the goal of
acquiring additional knowledge which ultimately may lead to new
therapeutic and prevention strategies applicable to the public health
problem of drug abuse.  A minimum of three research projects must
constitute the network, plus a core component concerned with
establishing communication and information links among network
members.  In addition to stimulating substantive new research
programs in drug abuse through this RFA, NIDA anticipates that the
neuroscience networks created through this initiative will serve as
experimental prototypes for new research enterprises devoted to
studies on drug abuse within the environment of rapidly advancing
communications and information technologies now revolutionizing
contemporary biomedical research.

HEALTHY PEOPLE 2000

The Public Health Service (PHS) is committed to achieving the health
promotion and disease prevention objectives of "Healthy People 2000,"
a PHS-led national activity for setting priority areas.  This RFA,
Neuroscience Networks in Basic Drug Abuse Research, is related to the
priority areas of tobacco, alcohol and other drugs, maternal and
infant health, and HIV infection.  Potential applicants may obtain a
copy of "Healthy People 2000" (Full Report:  Stock No.
017-001-00474-0) or "Healthy People 2000" (Summary Report: Stock No.
017-001-00473-1) through the Superintendent of Documents, Government
Printing Office, Washington, DC 20402-9325 (telephone 202-783-3238).

ELIGIBILITY REQUIREMENTS

Applications may be submitted by domestic for profit and non-profit,
public and private organizations, e.g., colleges, universities,
hospitals, laboratories, units of State and local government and
their agencies, and eligible agencies of the Federal government.
Racial/ethnic minority individuals, women, and persons with
disabilities are encouraged to apply as Principal Investigators.

MECHANISM OF SUPPORT

The mechanism of support will be the program project grant (P01).
Studies involving collaborative efforts among investigators in all
aspects of basic neuroscience relevant to drug abuse research are
encouraged.  The NIDA is employing the P01 mechanism initially for
its Neuroscience Network initiative to determine the feasibility,
synergy, and productivity of the Network concept.

The total project period for applications submitted in response to
this RFA may not exceed five years.  During this period, network
members may wish to submit individual R01 grants to more fully expand
efforts started under this network initiative while continuing their
participation within the network.

FUNDS AVAILABLE

The estimated total funds (direct and indirect) available for first
year support for all awards under this RFA will be $2 million.
Applications must not request budgets in excess of $1 million total
costs in the first year.  Because the nature and scope of the work
proposed in response to this RFA may vary, the size and number of the
awards will also vary.  In Fiscal Year 1995, NIDA anticipates funding
approximately two P01 awards.  This number is dependent upon the
receipt of a sufficient number of applications of high scientific
merit.  Although this program is provided for in the financial plans
of NIDA, awards made pursuant to this RFA will be contingent upon the
continued availability of funds for this purpose.  The earliest
feasible start date for the awards will be September 1995.

RESEARCH OBJECTIVES

Background

A recurring theme in contemporary biomedical research is the
existence of homologous molecules and mechanisms in diverse, but
critical biological processes.  In the explosive field of
neuroscience, this theme has become particularly evident on a variety
of fronts; for example, studies on the membrane protein,
bacteriorhodopsin, have provided important insights into receptors
for neurotransmitters and modulators that play a role in sensory
perception, and that also may be involved in learning and memory, as
well as attention and arousal.  Other studies are revealing key roles
for neurotransmitters, neuropeptides, and cytokines in linking
interactions between neuronal and immune systems; and a compelling
body of evidence now is accumulating that indicates that vital brain
processes --  such as the activity driven plasticity through which
developing synapses are refined and adult synapses are modified in
learning and memory -- may share similar mechanisms and molecules.
In drug abuse research as well, this theme has emerged in a
particularly pronounced fashion as investigators have recognized two
important facts: first, that the neuronal changes related to the
accumulated effects of addiction --  including tolerance, dependence
and sensitization -- represent drug induced neuronal plasticity
governed by principles and mediated through processes consonant with
those for other forms of neuronal adaptations; and, second, that
understanding the interplay between genetic and environmental
influences upon brain function is intimately involved with
identifying brain sites and processes vulnerable to the actions of
drugs of abuse, as well as the consequences of those actions on
nervous system function and behavior.

Today, myriad findings from drug abuse research have intriguing
counterparts in other areas of neuroscience research.  We know, for
example, that systems involving adenylate cyclase and its related
kinase (long-studied in a variety of processes, including simple
models of learning and memory) are affected in the nerve cells of the
locus ceruleus after chronic opioid administration.  We know that
morphine affects the phosphorylation state of cyclic AMP response
element binding protein (CREB), a critical transcription factor
studied in a host of biological phenomena.  We know that long-term
potentiation and long-term depression (extensively investigated as
models of cellular adaptations in the hippocampus and cortex) also
occur in the nucleus accumbens, an important brain site implicated in
the "reward" processes associated with drug abuse.  We know that
nitric oxide, a novel neurotransmitter gaining great attention
because of its diverse role in processes ranging from development to
neurotransmitter secretion, also functions in the development of
morphine tolerance.  We know that certain neurotrophins -- well
studied for their roles in development and regeneration -- attenuate
some of the cellular effects of morphine, and may be affected in
their expression by morphine.  And we know that contemporary
theoretical and experimental work focused on understanding rules
governing how the brain anticipates learning also may be relevant to
elucidating how reward and reinforcement influence learning.

Examples such as these underscore the importance of leveraging
limited research resources in ways that encourage and enable
investigators to explore several biomedical consequences of their
work.  In particular, they illustrate the possibility that ongoing
research programs in the basic neurosciences not presently addressing
drug abuse may, indeed, also have direct relevance to revealing brain
mechanisms associated with addiction; and they emphatically emphasize
the need for creative research approaches that will stimulate such
considerations.

A second recurring theme in contemporary biomedical research is the
growing importance of interdisciplinary collaborations.  In drug
abuse research, which by its nature has always relied upon a variety
of scientific approaches (from the pharmacological to the behavioral
sciences), this theme is gaining unprecedented importance.  Indeed,
the field of drug abuse research now may be among the most rapid
embracing interdisciplinary approaches, for accessible to it are
animal models that permit prominent features of drug addiction to be
studied in the laboratory -- a tool not elsewhere available to many
neuroscientists.  This advantage facilitates extensive studies at the
molecular and cellular level, opening the way for achieving detailed
biological insights into complex and clinically important behaviors.
With the recent cloning of genes for the receptors of every major
drug of abuse, and the possibility of temporally controlled, tissue
specific gene manipulations waiting upon the horizon, the stage now
is set for moving the field of drug abuse research beyond cloning, to
sophisticated, mechanistic investigations exploring relationships
among protein function and regulation, brain structure and function,
and behavior, and how drugs of abuse affect these relationships.
Clearly, however, such explorations will require new and creative
approaches integrating expertise and perspectives from all aspects of
the basic neurosciences.  Now, more than ever, it is critical that
behavioral scientists recognize the opportunities and limitations of
molecular neurobiology, and that molecular neurobiologists develop
appropriate behavioral assays to assess the consequences of their
molecular manipulations.  Similarly, it is vital that clinicians,
imaging scientists, psychologists, and others collaborate to design
safe, appropriate, informative, and reliable experiments when
investigating fundamental aspects of  human brain function; and that
those engaged in human studies interact effectively with those
involved in animal studies to achieve appropriate interpretations of
results across species.

A third theme emerging from contemporary biomedical research is the
growing importance of communication and information technologies.
The advent of high performance computing research already has greatly
advanced many areas of investigation, such as structural biology,
neuroscience, and cell biology.  Even greater opportunities appear to
exist as information and communication technologies become
increasingly integrated.  Today, desktop conferencing systems include
software enabling multiple users to work on a variety of
applications, including text, graphics, images and data, while seeing
and talking to each other.  Additionally, prototype projects already
have demonstrated the feasibility of accessing and operating costly
equipment, such as higher voltage electron microscopes, at remote
sites.  Elsewhere, new software applications are providing
opportunities to utilize simulations for safer, less costly means of
gaining experience in performing biological procedures and for
investigating biological mechanisms.  These, and other developments
signal the evolving structure of contemporary research communities: a
structure rapidly becoming as dependent upon information and
telecommunication links, as it is upon traditional laboratory
configurations.  As drug abuse research relies increasingly upon the
creativity and strength of multidisciplinary approaches and the power
of new technologies to move its research programs more vigorously
into the basic neurosciences, it is critical that NIDA develop
experimental prototypes for new research enterprises responsive to
the evolving nature of biomedical research communities.  In
particular, NIDA recognizes the importance of contemplating and
initiating the creation of thematic, electronically linked "virtual
research centers" to complement its traditional centers program,
which heavily relies upon geographical contiguity.

Research Scope

This initiative has three principal objectives:  (1) to stimulate
novel insights and innovative approaches in drug abuse research
through the establishment of national, collaborative networks of
investigators active in the neurosciences; (2) to encourage and
enable neuroscientists not currently focused on drug abuse research
to explore applications of their expertise to the field; and (3) to
develop experimental prototypes of research enterprises that exploit
emerging communication and information technologies to form "virtual
research centers" in the drug abuse field.

Scope of the Neuroscience Research Component

The first two objectives focus on increasing understanding of basic
neural processes susceptible to the actions of drugs of abuse, and
how drugs of abuse affect those processes.  To accomplish these
objectives, a Principal Investigator is invited to submit an
application proposing a multi-institutional, multidisciplinary
consortium (i.e., a network) of collaborators presently engaged in
established research programs in the neurosciences, for the purpose
of focusing the network's expertise upon a particular scientific
theme relevant to drug abuse research.  NIDA especially encourages
applications that develop a theme based on the concept of drug abuse
as a model system for investigating all aspects of neurobiological
mechanisms associated with plasticity, and particularly the role of
use-dependent synaptic modifications in understanding behaviors and
brain mechanisms related to drug abuse and the actions of drugs.
Network themes may focus upon a series of studies aimed at
elucidating the interplay of mechanisms at the cellular level, or
they may choose to focus on a multilevel approach, exploring brain
function and drug action from the systems level to a molecular one.
Themes may focus on a particular central nervous system function
implicated in drug abuse, or on mechanistic studies associated with a
particular drug of abuse.  Themes focused on particular drugs of
abuse should clearly articulate any broad principles regarding
neuronal function and drug abuse that may derive from studies on
specific drugs or related compounds.  Studies may also explore
interactions among the nervous system and other physiological
systems, such as neuroendocrine and neuroimmune systems, in efforts
to elucidate the causes and consequences of drug seeking behavior and
mechanisms of drug actions.  (In those cases where a network theme or
project also may have relevance to AIDS-related research, applicants
are strongly encouraged to discuss this relevance explicitly in the
background section of their application.)  Investigators are
encouraged to recognize that a network's theme may be broad in scope,
and creativity and originality are encouraged in identifying and
developing a research theme.  Examples of possible network themes
include, but are not limited to, the following:

o  the neural basis of drug abuse, from molecules to behavior;

o  the neurobiology of motivation in understanding drug seeking
behaviors;

o  the role of post-transcriptional processes in drug-related
neuronal adaptations;

o  drug regulation of protein turnover, including protein processing,
targeting, trafficking, and regulation;

o  drug abuse and the neurobiology of brain development;

o  the role of  certain endogenous systems (such as the opioid,
cannabinoid, and nicotinic systems) in normal CNS function, and how
drugs of abuse perturb those roles;

o  mechanisms of neuronal adaptations in critical brain regions
affected by drugs of abuse, such as the nucleus accumbens;

o  explorations of relationships between drug induced brain "rewards"
and learning and memory;

o  the effects of drugs of abuse on neuroimmune and neuroendocrine
function;

o  the role of novel neurotransmitters in drug-induced neuronal
plasticity;

o  the function of endogenous systems (such as the opioids)  in
neuromodulatory mechanisms, and the effects of drugs of abuse upon
those systems.

o  investigations into pre- and post-synaptic mechanisms by which
drugs of abuse alter synaptic efficacy.

Network applications must consist of at least three interactive and
interdependent projects conducted at independent laboratory sites and
a communication core.  Network members should be engaged in an active
neuroscience research program, which, although not directly centered
on drug abuse, has potential relevance to drug abuse research;
however, the Principal Investigator may designate one network
component as an "Exploratory Project."  This project need not be
based on an active, ongoing program or extensive preliminary data.
It should represent a highly innovative study for which the potential
significant scientific contribution offsets potential concerns about
project feasibility.  Funds for an "Exploratory Project" may be
applied to testing the feasibility of an approach, gathering
additional data, or conducting other activities that demonstrate the
project's significance.

Applicants should note that the initiative described in this RFA is
not to be construed as a means for merely assembling and
supplementing existing, ongoing programs in drug abuse research.
This initiative is intended to provide limited funds to encourage and
enable applications of basic neuroscience projects to drug abuse
research.  Investigators currently engaged in drug abuse research may
be network members, but network projects for such investigators
should represent novel avenues of study that would benefit greatly
>From network participation and/or contribute greatly to a network's
theme.  Conversely, this initiative is not intended to merely
supplement existing research programs in the basic neurosciences.
Network applications must clearly articulate a coherent theme
relevant to drug abuse research, and explicitly and carefully
describe the potential relevance of each network component to drug
abuse research, the scientific interactions anticipated among network
members, and the expected benefits to be derived to drug abuse
research from the network approach.

Communication Core

To achieve the third objectives of this RFA, applications must
include plans for a Communication Core.  Principal Investigators may
request support for equipment and personnel necessary to achieve the
communications and interactions essential to the Network's theme and
activities.  An important aspect of this core will be to exploit
emerging communication and information technologies among
geographically dispersed communities of investigators.  Issues to
consider in the communications core may include, but are not limited
to, the following:

o  Diversity and compatibility among communications and information
hardware and software available to Network laboratories;

o  "Real time" versus other modes of communications, such as Email
and bulletin boards;

o  Mechanisms and procedures for safeguarding and sharing
information, generating new information from shared information
resources, and crediting investigators' work when information is
obtained or generated from shared resources.

Although data development and sharing may be an important and
integral activity of a Network's communication core, this RFA is not
intended to provide a means for largely establishing and manipulating
extensive neuroscience data bases.  This RFA is focused on hypothesis
driven projects that may involve data sharing.  Applications focused
principally on data base development and informatics should consider
submitting applications under the Human Brain Project (HBP)
Initiative.  For additional information about the HBP initiative,
investigators are encouraged to contact the program representative
listed under INQUIRIES.

SPECIAL REQUIREMENTS

Advisory Panel

Because network members may be either newcomers to the field of drug
abuse research, or investigators established in one aspect of drug
abuse research (but not necessarily another), applications should
include plans for utilizing an Advisory Panel to assist the network
in periodic evaluation of its program.  The Advisory Panel should be
composed of at least three investigators, two of whom should be well
respected for their expertise in the field of drug abuse research.
These plans should explicitly delineate the nature and extent of
interactions with Advisory Panel members and should include at least
one annual meeting between network and Advisory Panel members.  The
Principal Investigator may also schedule additional meetings at
network sites, if appropriate.  Principal Investigators are requested
to notify the NIDA program official responsible for the network grant
at least 45 days prior to any scheduled meetings, so that the
official may have the opportunity to attend.  Applications should
specifically identify Advisory Panel members, their areas of
expertise, and the relevance of that expertise to accomplishing the
research goals related to the network's theme.  Letters of
collaboration from Advisory Panel members must be included with the
application.

Composition of Network

To encourage collaborations and diversity in perspectives among
laboratories, networks may not contain more than two component
projects from a single  institution or campus or other non-academic
organization eligible under this RFA.

Director

Each Network will have a Director responsible for organizing,
administering, and directing the Network's activities.  The Director
must commit at least 20 percent effort to the grant and be Principal
Investigator of one of the projects.

Progress Reports

Annual progress reports accompanying noncompeting continuation
applications should specifically address the nature of Network
interactions, including opportunities and problems associated with
those interactions, and proposed solutions for addressing any
identified problems.  This discussion should be useful to NIDA for
evaluating the feasibility of potential future Network initiatives.
Principal investigators and subproject leaders in the Network will be
requested to voluntarily submit manuscripts accepted for publication
to the Network's NIDA program administrator at least two weeks prior
to publication, so that a current summary of program accomplishments
may be maintained during the funding period of the grant.

INCLUSION OF WOMEN AND MINORITIES IN RESEARCH INVOLVING HUMAN
SUBJECTS

It is the policy of the NIH that women and members of minority groups
and their subpopulations must be included in all NIH supported
biomedical and behavioral research projects involving human subjects,
unless a clear and compelling rationale and justification is provided
that inclusion is inappropriate with respect to the health of the
subjects or the purpose of the research.  This new policy results
>From the NIH Revitalization Act of 1993 (Section 494B of Public Law
103-43) and supersedes and strengthens the previous policies
(Concerning the Inclusion of Women in Study Populations and
Concerning the Inclusion of Minorities in Study Populations), which
have been in effect since 1990.  The new policy contains some
provisions that are substantially different from the 1990 policies.

All investigators proposing research involving human subjects should
read the "NIH Guidelines for Inclusion of Women and Minorities as
Subjects in Clinical Research," which have been published in the
Federal Register of March 28, 1994 (FR 59 14508-14513) and reprinted
in the NIH Guide for Grants and Contracts, Volume 23,  Number 11,
March 18, 1994.

Investigators may also obtain copies of the policy from the program
staff listed under INQUIRIES.  Program staff may also provide
additional relevant information concerning the policy.

Applicants from institutions that have a General Clinical Research
Center (GCRC) funded by the NIH National Center for Research
Resources may wish to identify the GCRC as a resource for conducting
the proposed research.  If so, a letter of agreement from either the
GCRC program director or principal investigator could be included
with the application.

LETTER OF INTENT

Prospective applicants are asked to submit, by March 16, 1995, a
letter of intent that includes a descriptive title of the proposed
research, the name, address, and telephone number of the Principal
Investigator, the identities of other key personnel, and
participating institutions, and the number and title of this RFA.
Although a letter of intent is not required, is not binding, and does
not enter into the review of subsequent applications, the information
that it contains allows NIDA staff to estimate the potential review
workload and to avoid conflict of interest in the review.

The letter of intent is to be sent (or faxed) to:

Eleanor Friedenberg
Office of Extramural Program Review
National Institute on Drug Abuse
5600 Fishers Lane, Room 10-42
Rockville, MD  20857
FAX:  (301) 443-0538

APPLICATION PROCEDURES

The research grant application form PHS 398 (rev. 9/91) is to be used
in applying for these grants.  These forms are available at most
institutional offices of sponsored research;  from the Office of
Grants Information, Division of Research Grants, National Institutes
of Health, 5333 Westbard Avenue, Room 449, Bethesda, MD 20892,
telephone (301) 594-7248.

The RFA label available in the application form PHS 398 (rev. 9/91)
must be affixed to the bottom of the original face page of the
application.  Failure to use this label could result in delayed
processing of the application such that it may not reach the review
committee in time for review.  In addition, the RFA title and number
must be typed on line 2a on the face page of the application form and
the YES box must be marked.

Submit a signed, typewritten original of the application, including
the Checklist, and three signed photocopies, in one package to:

Division of Research Grants
National Institutes of Health
Westwood Building, Room 240
Bethesda, MD  20892**

At the time of submission, two additional copies of the application
must be sent to:

Director of Office of Extramural Program Review
National Institute on Drug Abuse
5600 Fishers Lane, Room 10-42
Rockville, MD  20857

Applications must be received by April 19, 1995.  If an application
is received after that date, it will be returned to the applicant
without review.  The Division of Research Grants (DRG) will not
accept any application in response to this RFA that is essentially
the same as one currently pending initial review, unless the
applicant withdraws the pending application.  The DRG will not accept
any application that is essentially the same as one already reviewed.
This does not preclude the submission of substantial revisions of
applications already reviewed, but such applications must include an
introduction addressing the previous critique.

REVIEW CONSIDERATIONS

Upon receipt, applications will be reviewed for completeness by DRG
and responsiveness by the NIDA.  Incomplete applications or
applications that are not responsive will be returned to the
applicant without further consideration.  Applications that are
complete and responsive to this RFA will be evaluated for scientific
and technical merit by an appropriate peer review group convened by
NIDA in accordance with the review criteria stated below.

As part of the initial merit review, triage will be used by the
initial review group in which applications will be determined to be
competitive or noncompetitive, based on their scientific merit
relative to other applications received in response to this RFA.
Applications judged to be competitive will be discussed and assigned
a priority score.  Applications determined to be noncompetitive will
be withdrawn from further consideration and the Principal
Investigator and the official signing for the applicant organization
will be notified.

Review Criteria

The IRG review of scientific and technical merit of the Program
Project grant application will emphasize two major aspects: (1)
review of the program as an integrated research effort focused on a
central theme, and (2) the review of each component project and core
unit(s).  The review will also include an assessment of the academic
climate and physical environment and special considerations, e.g.,
compliance with the human subjects and animal welfare regulations.
The IRG will assign a priority score for the entire program rather
that for each individual project recommended for further
consideration.  The assessment of the scientific and technical merit
will include the following:

Program as an Integrated Effort

o  The significance of the overall program goals and the development
of a well-defined central research focus of importance and relevant
to the goals of this RFA.

o  The multidisciplinary or multifaceted character of the program,
i.e., the coordination, cohesiveness, interrelationship, and
synergistic potential among the individual projects and core(s).

o  The justification for, and usefulness of the core facilities to
the research projects.  Each core unit must provide essential
facilities or services for two or more approved individual projects.
For the communication core, the feasibility of proposed approaches
for using information and communication technologies in establishing
networks of neuroscientists focused on scientific aspects of drug
abuse research.

o  Administrative arrangements and/or organizational structure,
through an administrative and/or communication core, to facilitate
and monitor the attainment of objectives and quality control.  For
example, these factors will include plans to enhance communication
and cooperation among the investigators involved in the program and
utilization of the advisory panel mechanism to assist the network in
advancing its progress.

o  The scientific leadership, ability, stature, experience, and
administrative competence of the Program Director and his or her
commitment and ability to devote substantial time and at least 20
percent effort to the program.

o  The scientific stature of the Principal Investigators and the
extent to which each contributes to the overall program goals as well
as their commitment to the program.

o  Accomplishments and progress of the program to date, if
appropriate.

o  Reasonableness of the overall budget for the proposed work.

Individual Projects and Core Units

o  The scientific and technical merit of each research project and
core unit.

o  The accomplishments and progress for the projects and the core
units to date for ongoing projects.

o  The qualifications, experience, and commitment of the
investigators responsible for the research projects or core units,
including their ability to devote adequate time and effort to the
project.

o  For any component designated as an "Exploratory Project," the
potential for significant scientific contribution, the uniqueness of
the scientific approach, and the qualifications of the investigator.

o  The appropriateness of the budget for each of the proposed
projects and core units.

Resources and Environment

o  The academic climate and physical environment in which the
research will be conducted, including the availability of space,
equipment, research subjects, etc., and the potential for interaction
with scientists from other departments and/or institutions in
addition to network members.

o  Institutional strength, stability and commitment to research and
support for the proposed program, including fiscal responsibility and
management capability to assist the Program Director and staff in
following DHHS, PHS, and NIH policies.

Other Considerations

o  When an application involves potential adverse effects on humans
or animals, adequacy of the proposed means for protecting against
such effects must be demonstrated.

o  Adequacy of plans to include both genders and minorities and their
subgroups as appropriate for the scientific goals of the research.
Plans for the recruitment and retention of subjects will also be
evaluated.

AWARD CRITERIA

The anticipated date of award is September 1995.  In making awards,
the scientific/technical merit of applications, availability of
funds, and program balance among research areas will be considered.

INQUIRIES

Inquiries concerning this RFA are encouraged.  The opportunity to
clarify any issues or questions from potential applicants is welcome.

Direct inquiries regarding program issues to

Karen J. Skinner, Ph.D.
Division of Basic Research
National Institute on Drug Abuse
5600 Fishers Lane, Room 10A-19
Rockville, MD  20857
Telephone:  (301) 443-1887
FAX:  (301) 594-6043
Email:  kskinner@aoada.ssw.dhhs.gov

Direct inquiries regarding fiscal matters to:

Gary Fleming, J.D., M.A.
Grants Management Branch
National Institute on Drug Abuse
5600 Fishers Lane, Room 8A-54
Rockville, MD  20857
Telephone:  (301) 443-6710
FAX:  (301) 594-6847
Email:  gfleming@aoada.ssw.dhhs.gov

AUTHORITY AND REGULATIONS

This program is described in the Catalogue of Federal Domestic
Assistance No. 93.279.  Awards are made under authorization of the
Public Health Service Act,  Title IV, Part A (Public Law 78-410, as
amended by Public Law 99-158, 42 USC 241 and 285) and administered
under PHS grants policies and Federal Regulations 42 CFR 52 and 45
CFR Part 74.  This program is not subject to the intergovernmental
review requirements of Executive Order 12372 of Health Systems Agency
review.

The Public Health Service strongly encourages all grant recipients to
provide a smoke-free workplace and promote the non-use of all tobacco
products.  This is consistent with the PHS mission to protect and
advance the physical and mental health of the American people.

From owner-sci-resources@net.bio.net Mon Jan 16 22:00:00 1995
Path: biosci!biosci!not-for-mail
From: BIOSCI Administrator <biosci-help@net.bio.net>
Newsgroups: bionet.sci-resources
Subject: NSF - Summary of new documents on STIS - 15 January 1995
Date: 16 Jan 1995 20:06:35 -0800
Organization: BIOSCI International Newsgroups for Molecular Biology
Lines: 56
Sender: biohelp@net.bio.net
Approved: biosci-moderator@net.bio.net
Distribution: world
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NNTP-Posting-Host: net.bio.net

This message contains a summary of the documents added to the NSF STIS
system in the previous week.  Reference material concerning STIS
follows the summary.
------------------------------------------------------------------------
                ** UPDATES TO EXISTING STIS DOCUMENTS **

Document Type: Phone Book

   Title: NSF Alpha Telephone
               File size (bytes):       96429
               STIS Filename:           phnalpha.txt

   Title: NSF Organizational Directory
               File size (bytes):       98454
               STIS Filename:           phnorg.txt

------------------------------------------------------------------------
                       ** FOR YOUR REFERENCE **
------------------------------------------------------------------------
HOW TO OBTAIN DOCUMENTS

The above files can be retrieved in electronic form using the STIS
system.  If you don't know how to use STIS, send an E-mail message to
stisinfo@nsf.gov (Internet).  You will receive
a copy of the STIS flyer via E-mail.

If you are already using STIS, you can use the information above to
retrieve these files:

Documents via E-mail:

     Send a message to stisserve@nsf.gov (Internet).
     Use the "STIS Filename" shown above in the "get" command.
     For example, to retrieve phnorg.txt, the text of your message should be 
     as follows:
                       get phnorg.txt

Anonymous FTP:

     FTP to stis.nsf.gov.  Use the "STIS Filename" shown above to
     retrieve a file.  For example, to retrieve phnorg.txt, you would
     enter:
                       ftp> get phnorg.txt

WAIS or Gopher:

     Do a word search on the filename as shown in the summary.

If you want a *printed* copy of a document:

     Send your name and postal mailing address, and the document title
     and number to "pubs@nsf.gov" (Internet).

If you have problems with the above procedures:

     Send a message to "stis@nsf.gov" (Internet).

From owner-sci-resources@net.bio.net Mon Jan 16 22:00:00 1995
Path: biosci!biosci!not-for-mail
From: Frank Norman <f-norman@nimr.mrc.ac.uk>
Newsgroups: bionet.announce,bionet.sci-resources
Subject: Medical Research Council (UK) WWW Home Page
Date: 16 Jan 1995 21:05:13 -0800
Organization: MRC Human Genome Resource Centre
Lines: 23
Sender: kristoff@net.bio.net
Approved: bionews-moderator@net.bio.net
Distribution: world
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NNTP-Posting-Host: net.bio.net
Xref: biosci bionet.announce:1690 bionet.sci-resources:1234

A Medical Research Council WWW Home Page is now available:

http://www.nimr.mrc.ac.uk/MRC

The Medical Research Council (MRC) promotes the balanced development 
of medical and related biological research in the UK. The Council receives 
an annual Grant in aid from Parliament via the Office of Science and 
Technology. It also receives funds for or works with a number of 
government departments, industry and charities. It has close links 
with the Health Departments and the other Research Councils. 
   
The Home Page includes information about MRC Institutes and Units, 
Interdisciplinary Research Centres, and about other UK Research 
Councils.  Hyperlinks are provided where available.  

Frank Norman
Deputy Librarian
National Institute for Medical Research
The Ridgeway
Mill Hill
London NW7 1AA

f.norman@nimr.mrc.ac.uk   

From owner-sci-resources@net.bio.net Wed Jan 18 22:00:00 1995
Path: biosci!biosci!not-for-mail
From: BIOSCI Administrator <biosci-help@net.bio.net>
Newsgroups: bionet.sci-resources
Subject: NIH Guide, vol. 24, no. 2, pt. 1of1, 20 January 1995
Date: 18 Jan 1995 17:45:36 -0800
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$$XID NIHGUIDE 19950120 V24N02 P1O1 ************************************
X-comment: RFAS described: DK-95-004, LM-95-001, AR-95-004, PA-95-015, PA-95-
                           021, PA-95-022

NIH GUIDE - Vol. 24, No. 2 - January 20, 1995

$$INDEX BEGIN *******************************************************

                                NOTICES

$$INDEX N1 **********************************************************

PHS GRANTS POLICY STATEMENT:  HIGHLIGHTED CHANGES AND AVAILABILITY ON
THE NIH GOPHER
National Institutes of Health
INDEX:  NATIONAL INSTITUTES OF HEALTH

$$INDEX N2 **********************************************************

SUPPLEMENTAL GUIDANCE ON THE NIH STREAMLINED NONCOMPETING
CONTINUATION PROCESS
National Institutes of Health
INDEX:  NATIONAL INSTITUTES OF HEALTH

$$INDEX N3 **********************************************************

SALARY LIMITATION ON GRANTS AND CONTRACTS
National Institutes of Health
INDEX:  NATIONAL INSTITUTES OF HEALTH

$$INDEX N4 **********************************************************

MODIFICATIONS TO PAR-94-083 AND PAR-94-084
National Center for Research Resources
INDEX:  RESEARCH RESOURCES

$$INDEX N5 **********************************************************

NATIONAL ANIMAL WELFARE EDUCATION WORKSHOPS
National Institutes of Health
INDEX:  NATIONAL INSTITUTES OF HEALTH

                NOTICES OF AVAILABILITY (RFPs/RFAs/PAs)

$$INDEX R1 04/19/95 *************************************************

SUPPORT OF MINORITIES IN DIABETES, DIGESTIVE AND KIDNEY DISEASE
RESEARCH (RFA DK-95-004)
National Institute of Diabetes and Digestive and Kidney Diseases
Office of Research on Minority Health
INDEX:  DIABETES, DIGESTIVE, KIDNEY DISEASES; MINORITY HEALTH

$$INDEX R2 05/18/95 *************************************************

INTERNET CONNECTION FOR MEDICAL INSTITUTIONS (RFA LM-95-001)
National Library of Medicine
INDEX:  NATIONAL LIBRARY OF MEDICINE

$$INDEX R3 07/12/95 *************************************************

PROGRAM ON MECHANISMS OF IMMUNOTHERAPY IN RHEUMATIC DISEASES (RFA AR-
95-004)
National Institute of Arthritis and Musculoskeletal and Skin Diseases
INDEX:  ARTHRITIS, MUSCULOSKELETAL, SKIN DISEASES

$$INDEX P1 **********************************************************

ACADEMIC RESEARCH ENHANCEMENT AWARD (PA-95-015)
National Institutes of Health
INDEX:  NATIONAL INSTITUTES OF HEALTH

$$INDEX P2 **********************************************************

MODELS FOR AIDS AND AIDS-RELATED MALIGNANCIES (PA-95-021)
National Cancer Institute
National Institute of Allergy and Infectious Diseases
INDEX:  CANCER; ALLERGY, INFECTIOUS DISEASES

$$INDEX P3 **********************************************************

DRUG ABUSE HEALTH SERVICES RESEARCH AND HIV/AIDS (PA-95-022)
National Institute on Drug Abuse
INDEX:  DRUG ABUSE

This publication is available electronically via BITNET or INTERNET,
by subscription, and is also on the NIH GOPHER (gopher.nih.gov).
Alternative access is through the NIH Grant Line using a personal
computer (data line 301/402-2221); contact Dr. John James at 301/594-
7270 for details.

THE PUBLIC HEALTH SERVICE (PHS) STRONGLY ENCOURAGES ALL GRANT
RECIPIENTS TO PROVIDE A SMOKE-FREE WORKPLACE AND PROMOTE THE NON-USE
OF ALL TOBACCO PRODUCTS.  THIS IS CONSISTENT WITH THE PHS MISSION TO
PROTECT AND ADVANCE THE PHYSICAL AND MENTAL HEALTH OF THE AMERICAN
PEOPLE.

**THE MAILING ADDRESS GIVEN FOR SENDING APPLICATIONS TO THE DIVISION
OF RESEARCH GRANTS OR CONTACTING PROGRAM STAFF IN THE WESTWOOD
BUILDING IS THE CENTRAL MAILING ADDRESS FOR THE NATIONAL INSTITUTES
OF HEALTH.  APPLICANTS WHO USE EXPRESS MAIL OR A COURIER SERVICE ARE
ADVISED TO FOLLOW THE CARRIER'S REQUIREMENTS FOR SHOWING A STREET
ADDRESS.  THE ADDRESS FOR THE WESTWOOD BUILDING IS:

5333 Westbard Avenue
Bethesda, MD  20816

$$INDEX END *********************************************************

                                NOTICES

$$N1 BEGIN **********************************************************

PHS GRANTS POLICY STATEMENT:  HIGHLIGHTED CHANGES AND AVAILABILITY ON
THE NIH GOPHER

NIH GUIDE, Volume 24, Number 2, January 20, 1995

P.T. 34; K.W; 1014006

National Institutes of Health

In early 1994, a revised PHS Grants Policy Statement was published,
and a single copy was sent to the sponsored projects office (or its
equivalent) of all current PHS grantees.  Only one copy is provided
to each grantee; grantees may photocopy the document as needed.  NIH
grantees who did not receive a copy may contact the NIH Division of
Research Grants, Office of Grants Information, on 301/594-7248 to
request a single copy.  The revised version is effective for all PHS
grants with budget periods beginning on or after April 1, 1994.  It
is recommended that grantees maintain the previous PHS Grants Policy
Statement dated October 1, 1990 and interim update of September 1,
1991, for active awards with budget periods that started prior to
April 1, 1994.

In the near future, the PHS Grants Policy Statement will be available
on the NIH Gopher.  The NIH Gopher contains information about NIH,
including the NIH Guide for Grants and Contracts, and has text-
searching capabilities.  It is possible to "tunnel" to the NIH Gopher
if you have access to a system with Gopher.  Local computer support
staff should be consulted for additional information or assistance.

The information below highlights changes and clarifications appearing
in the April 1, 1994, edition of the PHS Grants Policy Statement.
The page numbers indicate where to find the complete discussion of
the referenced topic.

o  TREATMENT OF PROGRAM INCOME (pp. 8-9 through 8-10):  PHS has
elaborated on the discussion and further defined program income.
Specifically highlighted are general program income; the sale of real
property, equipment, and supplies; and other income, e.g., copyright
income, patent income.  The policy also elaborates on the treatment,
disposition, and reporting of general program income.  Much of the
guidance provided reiterates the NIH GUIDE notice of June 11, 1993 on
the reporting of program income using the long-form Financial Status
Report (SF 269).

o  REVIEW OF UNOBLIGATED BALANCES (p. 8-6):  Discussion has been
added regarding unobligated balances in excess of 25 percent of the
total amount awarded or $250,000, whichever is less.  In such cases,
the Grants Management Officer shall review the circumstances
resulting in the large balance to assure that these funds are
necessary to complete the project.  The GMO may request additional
information including a revised budget, withdraw the unobligated
funds, authorize the grantee to spend the unobligated funds, or leave
the unobligated funds in the grant account in the payment system for
utilization as determined by the PHS awarding office.

o  SIGNIFICANT REBUDGETING (pp. 8-1 and 8-7):  Under Changes in
Project, significant rebudgeting continues to be an indicator for a
possible change in scope.  Significant rebudgeting occurs when the
cumulative amount of transfers among direct cost categories for the
current budget period exceeds 25 percent of the total amount awarded
or $250,000, whichever is less.  When this occurs, the grantee shall
consult with the GMO for a decision as to whether the rebudgeting
constitutes a change of scope.  If it does constitute a change of
scope, prior approval of the awarding component is required.

o  SMOKE-FREE WORKPLACE (p. 4-11):  The Assistant Secretary for
Health, PHS, has put in place a policy that strongly encourages all
grant recipients to provide a smoke-free workplace and promote the
non-use of tobacco products.  PHS will gather information about this
by including a new question in the upcoming revision to the PHS 398
grant application regarding whether or not the applicant institution
provides a smoke-free workplace.  The response to this question will
not affect either the review or funding of the application.

o  GUIDANCE ON EXPENDITURES FOR LOBBYING ACTIVITIES (pp. 4-10 and 7-
9):  Lobbying activities continue to be generally unallowable.

o  THE ESTABLISHMENT OF THE SUBSTANCE ABUSE AND MENTAL HEALTH
SERVICES ADMINISTRATION (SAMHSA) (p.1-1):  Effective October 1, 1992,
NIDA, NIMH, and NIAAA, formerly of the Alcohol Drug Abuse and Mental
Health Administration (ADAMHA), became components of the National
Institutes of Health.  At the same time, SAMHSA was established to
assume the remaining programs of ADAMHA.  The mission of SAMHSA is to
provide leadership and national focus for Federal efforts to reduce
national health problems resulting from the abuse of alcohol and
other drugs and to foster improvements in the mental health of
Americans through increased knowledge and the advancement of
effective strategies for dealing with these health problems.

o  AUDIT REQUIREMENTS FOR FOR-PROFIT RECIPIENTS (p. A6-1):  The
following exception has been added regarding audit requirements for
SBIR Phase I grantees:  Recipients of SBIR Phase I awards receiving
no more than $100,000 in cumulative Federal awards are exempt from
the audit requirements of OMB Circular A-133.  However, the
organization should have its records available for review by the PHS
agency should the agency elect to do so.

o  ALLOWABILITY OF FEE UNDER SMALL BUSINESS INNOVATION RESEARCH
GRANTS (p. A6-1):  Appendix 6 contains the following new information:
Beginning July 1, 1992, PHS awarding offices shall negotiate fixed
fees for competing grants awarded under the Small Business Innovation
Research (SBIR) program when (1) requested by the grantee
organization and (2) the amount of the fixed fee, together with the
direct and indirect costs to be awarded, is within the Phase I and
Phase II award limitations set by the program.  The STTR Program,
although not explicitly identified, is also subject to this
provision.

o  OUTPATIENT DRUG PROVISIONS UNDER THE VETERANS HEALTH CARE ACT OF
1992 (p. 4-11):  Section 602 of the Veterans Health Care Act of 1992
(Public Law 102-585) established section 340B of the Public Health
Service Act, Limitation on Prices of Drugs Purchased by Covered
Entities.  Effective December 1, 1992, certain health services
delivery grantees of PHS ("covered entities") shall receive drug
discounts from drug manufacturers for outpatient drugs.  Grantees
that receive grant funds related to the treatment of sexually
transmitted diseases or tuberculosis, or receive certain assistance
under Title XXVI of the PHS Act, must be certified by the Secretary
of HHS before they become eligible for drug discount prices.  Section
340B contains prohibitions requiring covered entities to develop
alternative drug management systems and identifies potential problem
areas concerning drug diversion.  Information regarding HHS-approved
alternative tracking systems, rebates to State Medicaid agencies
required under the Omnibus Budget Reconciliation Act of 1990, and
mechanisms to prevent double price reductions, is also provided.

o  INSURANCE REQUIREMENTS FOR REAL PROPERTY CONSTRUCTED OR ACQUIRED
WITH PHS GRANT FUNDS (p. 8-12):  The section on insurance
requirements for real property constructed or acquired with PHS grant
funds, and specifically the term "immediately upon acquiring real
property," has been expanded. The policy states that a grantee shall,
at a minimum, provide the same insurance coverage as provided to
other property owned by the recipient at the time the facility is
turned over to the grantee institution, e.g. the date of the final
acceptance of the building, or the point of beneficial occupancy,
whichever comes first.

o  USE OF STATE-CERTIFIED OR LICENSED REAL ESTATE APPRAISERS WHERE
APPRAISALS ARE NEEDED ON REAL PROPERTY (p. 8-13):  All real estate
transactions funded in whole or in part with PHS funds that require
the use of real estate appraisals, including but not limited to
appraisals to determine the Federal share of real property and
appraisals to determine required insurance levels, must by performed
by appraisers certified or licensed by the applicable State in
accordance with the requirements established by Title XI of the
Financial Institutions Reform, Recovery, and Enforcement Act of 1989
(FIRREA) (Public Law 101-73).

o  SEISMIC SAFETY STANDARDS FOR FEDERALLY ASSISTED CONSTRUCTION (p.
A2-1):  A new design requirement has been added to those applicable
to PHS-assisted construction.  Seismic safety standards for federally
assisted construction -- Earthquake Hazard Reduction Act of 1977
(Public Law 95-124), as amended, and Executive Order 12699, Seismic
Safety of Federal and Federally Assisted or Regulated New Building
Construction, dated January 5, 1990, has been added under the design
requirements to be included in the review and evaluation of all
working drawings and specifications.

o  PUBLIC HEALTH SYSTEM REPORTING REQUIREMENTS (p. 4-14):  The
external review process now includes instructions regarding Public
Health System Reporting Requirements for community-based,
nongovernmental organizations applying for health services grants.
These organizations will be notified in the application materials if
the program is subject to these requirements.  Such applicants are
instructed to submit the application face page (SF-424) and a one-
page summary of the project called the Public Health System Impact
Statement (PHSIS).  This summary should include a description of the
population to be served, a summary of the services provided, and a
description of any coordination planned with the appropriate State or
local health agency(ies).

For additional information, contact the grants management specialist
of the NIH awarding component that issued your grant award.

$$N1 END ************************************************************

$$N2 BEGIN **********************************************************

SUPPLEMENTAL GUIDANCE ON THE NIH STREAMLINED NONCOMPETING
CONTINUATION PROCESS

NIH GUIDE, Volume 24, Number 2, January 20, 1995

P.T. 34; K.W. 1014006

National Institutes of Health

On October 28, 1994, an announcement was published in the NIH Guide
for Grants and Contracts (Volume 23, Number 38) which introduced a
streamlined noncompeting continuation award process for certain types
of NIH research grants and career awards.  This notice is to provide
clarification and guidance for submitting the streamlined
noncompeting continuation application (PHS Form 2590) for the grants
covered by the process.  NIH grant recipients are expected to use the
following guidelines (in addition to the October 28 notice) in
submitting the streamlined noncompeting continuation application for
R01, R03, R13, R15, R18, R21, R24, R25, R29, R37, R42, R44, or the
"K" series mechanisms.

The instructions for submitting the streamlined noncompeting grant
application require that three questions be answered at the beginning
of the Progress Report Summary (Form Page 6) of the PHS Form 2590
application.  In responding to the questions, the following guidance
applies.

o  Other support for key personnel:  The format of Form Page 5 (Other
Support) of the noncompeting application (PHS 2590) is to be
completed only when active support has changed.  If a previously
active grant has terminated and/or if a previously pending grant is
now active, the change in support is to be reported.  Submission of
other support information is not necessary when support is pending.
Other support information should be submitted only for the principal
investigator and for those individuals who are considered by the
principal investigator to be key to the project.  Key personnel is
defined as an individual who contributes in a substantive way to the
scientific development or execution of the project, whether or not
salaries are requested.  Key personnel is defined on Form Page 4
(Biographical Sketch) and on Form Page 5 (Other Support) of the PHS
2590.

Changes in level of effort for active support that has been reported
previously does not require the submission of other support pages.

o  Significant rebudgeting:  Significant rebudgeting occurs when the
cumulative amount of transfers among direct cost categories for the
current budget period exceeds 25 percent of the total amount awarded,
or $250,000, whichever is less.  This policy is stated in the PHS
Grants Policy Statement (rev. April 1, 1994), Pages 8-1 and 8-7.

o  A change in the level of effort for key personnel:  A significant
change in level of effort is defined in Federal regulations as a 25
percent reduction in time devoted to the project.  For example, if a
key person on the project is expected to reduce their effort from 40
percent to 30 percent, which represents a 25 percent reduction in the
level of effort, the detailed budget page (Form Page 2) and the
budget justification page (Form Page 3) are to be submitted in the
noncompeting continuation application.  This requirement applies
regardless of whether or not the key person is compensated from the
grant.

o  Estimated unobligated balance:  An estimated unobligated balance
(including prior year carryover) that is greater than 25 percent of
the current year's total budget or more than $250,000 is to be
reported on the Progress Report Summary page (Form Page 6). An
explanation of why there is a significant balance and how it will be
spent if carried forward into the next budget period is to be
provided. Cumulative unobligated balances resulting from prior year
carryover are compared against the current years's authorized total
budget.

The questions regarding other support and significant rebudgeting
and/or change in level of effort must be answered by stating that no
change has occurred or is planned.  If a change has occurred or is
planned, the appropriate forms and/or justification are to be
submitted in the noncompeting continuation application.  The third
question must be answered when it is anticipated that there will be
an unobligated balance (including prior year carryover) of 25 percent
of the current year's total budget or more than $250,000.

The Progress Report Summary (Form Page 6) is to be used to answer the
three questions before the progress report begins.  Blank pages
should be used to begin the progress report if inadequate space
remains on the first page to answer the questions and to report on
the research progress.  As a guideline, the progress report (sections
1-6) should not exceed two pages.  Information about publications
should continue to be submitted as outlined in the Form PHS 2590.

Separate progress reports are required for supplements which were
awarded specifically to support the addition of an individual to the
project.  The Research Supplement for Underrepresented Minorities and
the Research Supplement to Promote the Recruitment of Individuals
with Disabilities into Biomedical Research Careers are examples of
special supplements and require a separate progress report.  A
separate budget for these special supplements is not required unless
there is a significant change as discussed above.

INQUIRIES

questions concerning the simplified noncompeting continuation
application may be directed to the grants management specialist or
program administrator identified on the notice of grant award.

$$N2 END ************************************************************

$$N3 BEGIN **********************************************************

SALARY LIMITATION ON GRANTS AND CONTRACTS

NIH GUIDE, Volume 24, Number 2, January 20, 1995

P.T. 34; K.W. 1014006

National Institutes of Health

The purpose of this notice is to provide updated information
regarding the salary limitation as it relates to NIH grant and
cooperative agreement awards.  This information also applies to
extramural research and development contract awards.  The last notice
in the NIH Guide for Grants and Contracts regarding the salary
limitation was contained in Vol. 23, No. 7, February 18, 1994.  In
addition, this notice reiterates the way that NIH Institutes and
Centers (ICs) are treating salaries in excess of the limit for any
FUTURE years in competing grant awards.

Fiscal Year (FY) 95 is the sixth consecutive year for which there is
a legislatively mandated provision for the limitation of salary.
Specifically, the Department of Health and Human Services (HHS)
Appropriations Act for FY 95, Public Law 103-333, restricts the
amount of direct salary of an individual under a grant or cooperative
agreement (hereafter referred to as grant) or applicable contract to
a RATE of $125,000 per year.  Direct salary is exclusive of fringe
benefits and indirect costs/general and administrative expenses.  The
salary limit of $125,000 has not increased from the FY 94 level.

NIH will continue to apply the limitation to all grant and applicable
contract awards, and to all funding amendments to existing awards,
made with FY 95 funds.  Therefore, NIH grant and applicable contract
awards for applications/ proposals that request direct salaries of
individuals in excess of a RATE of $125,000 per year will be adjusted
in accordance with the legislative salary limitation and will include
a notification such as the following.

According to the HHS Appropriations Act, "None of the funds
appropriated in this title for the National Institutes of Health and
the Substance Abuse and Mental Health Services Administration shall
be used to pay the salary of an individual, through a grant or other
extramural mechanism, at a rate in excess of $125,000 per year."

An individual's institutional base salary is the annual compensation
that the applicant organization pays for an individual's appointment,
whether that individual's time is spent on research, teaching,
patient care, or other activities.  Base salary excludes any income
that an individual may be permitted to earn outside of duties to the
applicant organization.

The following are examples of the adjustments that NIH will make when
salaries exceed the limitation:

EXAMPLE 1.  INDIVIDUAL WITH FULL-TIME APPOINTMENT.

Individual's institutional base salary
  for a FULL-TIME (twelve month) appointment               $150,000
Research effort requested in application/proposal               50%
Direct Salary requested                                     $75,000
Fringe benefits requested (25% of salary)                   $18,750
Subtotal                                                    $93,750
Applicant organization's indirect costs
  at a rate of 45% of subtotal                              $42,188
Amount requested - salary plus fringe benefits
  plus associated indirect costs                            $135,938

If a grant/contract is to be funded, the amount included in the award
for the above individual will be calculated as follows:

Direct salary - restricted to a RATE of
  $125,000 multiplied by effort (50%) to
  be devoted to project                                     $62,500
Fringe benefits (25% of allowable salary)                   $15,625
Subtotal                                                    $78,125
Associated indirect costs at 45% of subtotal                $35,156
Total amount to be awarded due to salary limitation         $113,281

Amount of reduction due to salary limitation
  ($135,938 requested minus $113,281 awarded)               $22,657

EXAMPLE 2.   INDIVIDUAL WITH HALF-TIME APPOINTMENT.

Individual's institutional base salary
  for a HALF-TIME appointment (50% of
  a full-time twelve month appointment)                     $65,000
Research effort requested in application/proposal               30%
Direct Salary requested                                     $19,500
Fringe benefits requested (25% of salary)                    $4,875
Subtotal                                                    $24,375
Applicant organization's indirect costs
  at a rate of 45% of subtotal                              $10,969
Amount requested - salary plus fringe benefits
  plus associated indirect costs                            $35,344

If a grant/contract is to be funded, the amount included in the award
for the above individual will be calculated as follows:

Direct salary - restricted to a RATE of
  $125,000 multiplied by 50% appointment by
  30% effort to be devoted to project                       $18,750
Fringe benefits (25% of allowable salary)                    $4,688
Subtotal                                                    $23,438
Associated indirect costs at 45% of subtotal                $10,547
Total amount to be awarded due to salary
  limitation                                                $33,985

Amount of reduction due to salary limitation
  ($35,344 requested minus $33,985 awarded)                  $1,359

Other important points relating to both NIH grants and contracts are:

o  An individual's base salary, per se, is NOT constrained by the
legislative provision for the limitation of salary.  The rate
limitation simply limits the amount that may be awarded and charged
to NIH grant and applicable contract awards.  An institution may
supplement an individual's salary with non-federal funds.

o  The salary limitation does NOT apply to payments made to
consultants under an NIH grant or contract although, as with all
costs, such payments must meet the test of reasonableness.

o  The salary limitation provision DOES apply to those
subawards/subcontracts for substantive work under an NIH grant or
contract.

In addition, the following three paragraphs apply to GRANT
applications/awards only:

o  COMPETING grant applications submitted to the NIH may continue to
request funding at the regular/actual rates of pay of all individuals
for whom reimbursement is requested, even when these rates exceed the
salary limitation.  NIH staff will make necessary adjustments to
requested salaries prior to award.

o  There was a change in the way that NIH ICs treated salaries in
excess of the limit for any FUTURE years beginning with COMPETING
grant awards funded with FY 94 funds.  NIH competing awards issued in
FY 95 will reflect adjustments to all years of a project, including
future years, so that no funds are awarded or committed for salaries
over the limitation.

o  NON-COMPETING continuation grant applications submitted to NIH
should request funds for salaries at rates of pay that DO NOT exceed
the salary limitation.  If the current committed level includes funds
for salaries at a rate that exceeds the salary limitation, the excess
may not be rebudgeted for any other purpose and NIH staff will delete
it from the award.

INQUIRIES

Questions concerning this notice or other policies relating to grants
or contracts should be directed to the grants management or contracts
management offices in the NIH institutes or centers.

$$N3 END ************************************************************

$$N4 BEGIN **********************************************************

MODIFICATIONS TO PAR-94-083 AND PAR-94-084

NIH GUIDE, Volume 24, Number 2, January 20, 1995

P.T. 34; K.W. 1002002

National Center for Research Resources

The National Center for Research Resources (NCRR) announces the
following modifications to its ongoing Program Announcements
PAR-94-083, "Developing and Improving Institutional Animal Resources"
and PAR-94-084, "Animal Facility Improvement for Small Research
Programs, both of which appeared in the NIH GUIDE, Volume 23, Number
27, July 22, 1994.

The first modification is to reflect the NCRR intent to triage those
applications submitted for the February 1, 1995, and later receipt
dates.  Applicants should substitute the following language for the
first paragraph under "REVIEW CONSIDERATIONS," which appeared in the
July 22, 1994 GUIDE:

"Upon receipt, applications will be reviewed for completeness by DRG
and responsiveness by the NCRR.  Incomplete applications will be
returned to the applicant without further consideration.  If staff
find that the application is not responsive to this program, it will
be returned without further consideration.

Applications that are complete and responsive to this program
announcement will be evaluated for scientific and technical merit by
an appropriate peer review group convened by the NCRR in accordance
with the review criteria stated below.  As part of the initial merit
review, a process (triage) may be used by the initial review group in
which applications will be determined to be competitive or non-
competitive based on their scientific merit relative to other
applications received in response to this program announcement.
Applications judged to be competitive will be discussed and be
assigned a priority score.  Applications determined to be non-
competitive will be withdrawn from further consideration and the
principal investigator/program director and the official signing for
the applicant organization will be notified."

The second modification is a change in the address to which the two
additional copies of applications are to be sent.  Substitute the
following for the address that appeared in each program announcement
under APPLICATION PROCEDURES:

Dr. Jill Carrington
Office of Review
National Center for Research Resources
Westwood Building, Room 10A15
Bethesda, MD  20892-4500

INQUIRIES

If you have any questions regarding these modifications, contact:

Dr. Leo A. Whitehair
Director, Comparative Medicine Program
National Center for Research Resources
Telephone:  (301) 594-7933

$$N4 END ************************************************************

$$N5 BEGIN **********************************************************

NATIONAL ANIMAL WELFARE EDUCATION WORKSHOPS

NIH GUIDE, Volume 24, Number 2, January 20, 1995

P.T. 42; K.W. 0201011, 1014003

National Institutes of Health

The National Institutes of Health, Office for Protection from
Research Risks is continuing to sponsor workshops on implementing the
Public Health Service Policy on Humane Care and Use of Laboratory
Animals.  Each of the workshops scheduled for Fiscal Year 1995 will
focus on a specific theme.  The workshops are open to institutional
administrators, members of Institutional Animal Care and Use
Committees, laboratory animal veterinarians, investigators and other
institutional staff who have responsibility for high-quality
management of sound institutional animal care and use programs.
Ample opportunities will be provided to exchange ideas and interests
through question and answer sessions and informal discussions.

DATES:  March 12-14, 1995

TOPIC:  Animal Care and Research: Challenges and Changes for the
Institutional Animal Care and Use Committee

LOCATION
San Diego Princess
1404 West Vacation Road
San Diego, CA  92109-7994
Telephone:  (619) 274-4630 or (1-800) 344-2626
FAX:  (619) 581-5929

SPONSORS
Tufts University School of Veterinary Medicine
Public Responsibility in Medicine and Research

REGISTRATION
Ms. Danielle Demko
Public Responsibility in Medicine and Research
132 Boylston Street
Boston, MA  02116
Telephone:  (617) 423-4112
FAX:  (617) 423-1185

FEE:  $300

DESCRIPTION:  The Workshop will focus on revisions to the
Institutional Animal Care and Use Committee Guidebook; assessment and
reduction of pain and distress in animal research; occupational
health risks ad biohazards; and a host of other regulatory and
administrative issues that are central to the successful operation of
laboratory animal care and research programs.

Immediately preceding the Tufts University School of Veterinary
Medicine/NIH/OPRR Workshop, Applied Research Ethics National
Association (ARENA) will sponsor its annual animal issues meeting on
Sunday, March 12, also at the San Diego Princess.

INQUIRIES

For further information concerning these workshops and future
NIH/OPRR Animal Welfare Education Workshops, contact:

Mrs. Roberta Sonneborn
Office of Protection from Research Risks
National Institutes of Health
6100 Executive Boulevard, MSC 7507
Bethesda, MD  20892-7507
Telephone:  (301) 496-7163
FAX:  (301) 402-2071

$$N5 END ************************************************************

                NOTICES OF AVAILABILITY (RFPs/RFAs/PAs)

$$R1 BEGIN DK-95-004 FULL-TEXT **************************************

SUPPORT OF MINORITIES IN DIABETES, DIGESTIVE AND KIDNEY DISEASE
RESEARCH

NIH GUIDE, Volume 24, Number 2, January 20, 1995

RFA AVAILABLE:  DK-95-004

P.T.

National Institute of Diabetes and Digestive and Kidney Diseases
Office of Research on Minority Health

Letter of Intent Receipt Date:  March 2, 1995
Application Receipt Date:  April 19, 1995

PURPOSE

The National Institute of Diabetes and Digestive and Kidney Diseases
(NIDDK) and the Office of Research on Minority Health recognizes the
need to increase the number of underrepresented minorities committed
to scientific careers in research areas served by the Institute.
This program will utilize the small research grant (R03) mechanism of
support and will provide up to $50,000 direct costs for up to two
years.  This solicitation is aimed primarily at recently trained M.D.
and/or Ph.D. minority investigators.  The program will enable the
minority applicant to accept a tenure earning position, gain
additional research experience and obtain preliminary data on which
to base a subsequent research grant application in an area of
diabetes, endocrinology, metabolism, digestive diseases and
nutrition, kidney, urology or hematology.

HEALTHY PEOPLE 2000

The Public Health Service (PHS) is committed to achieving the health
promotion and disease prevention objectives of "Healthy People 2000,"
a PHS-led national activity for setting priority areas.  This RFA,
Support of Minorities in Diabetes, Digestive and Kidney Disease
Research, is related to the priority area of increasing
underrepresented minority health scientists.  Potential applicants
may obtain a copy of "Healthy People 2000" (Full Report:  Stock No.
017-001-00474-0 or Summary Report:  Stock No. 017-001-00473-1)
through the Superintendent of Documents, Government Printing Office,
Washington, DC 20402-9325 (telephone 202-783-3238).

INQUIRIES

The RFA, which describes the research objectives, application
procedures, review considerations and award criteria for this
solicitation, may be obtained electronically through the NIH Grant
Line (data line 301-402-2221) and the NIH GOPHER (gopher.nih.gov),
and by email from the program contact listed below.

Charles H. Rodgers, Ph.D.
Division of Kidney, Urologic and Hematologic Diseases
National Institute of Diabetes and Digestive and Kidney Diseases
45 Center Drive, Room 6AS 19J MSC 6600
Bethesda, MD  20892-6600
Telephone:  (301) 594-7716
Email:  chuckr@dvsgate.niddk.nih.gov

$$R1 END ************************************************************

$$R2 BEGIN LM-95-001 FULL-TEXT **************************************

INTERNET CONNECTION FOR MEDICAL INSTITUTIONS

NIH GUIDE, Volume 24, Number 2, January 20, 1995

RFA AVAILABLE:  LM-95-001

P.T.

National Library of Medicine

Letter of Intent Receipt Date:  April 10, 1995
Application Receipt Date:  May 18, 1995

PURPOSE

The National Library of Medicine (NLM) is encouraging the development
of a communications infrastructure to promote the rapid interchange
of medical information nationally and throughout the world.  This
infrastructure is based upon the Internet, a network of networks that
was developed with the support of the National Science Foundation.
The proposed evolution of the Internet into the National Research and
Education Network (NREN) is a key element in important federal
initiatives in High Performance Computing and Communication and a
National Information Infrastructure.  Internet access provides health
professionals engaged in education, research, clinical care, and
administration with a means of accessing remote databases, libraries,
NLM's Grateful Med, DOCLINE and Loansome Doc, transferring files and
images, and interacting with colleagues throughout the world.  To
accelerate the pace with which health-related institutions become
part of the electronic information web, NLM is offering grants to
support Internet connections.  This RFA will use the National Library
of Medicine (NLM) resource grant (G08) mechanism.  Funds available
for this RFA are approximately $600,000; however, expenditure of this
amount is conditional upon the receipt of applications of high merit.
Number of awards to be made is estimated to be between 10 and 16.

HEALTHY PEOPLE 2000

The Public Health Service (PHS) is committed to achieving the health
promotion and disease prevention objectives of "Healthy People 2000,"
a PHS-led national activity for setting priority areas.  This Request
for Applications (RFA), Internet Connection for Medical Institutions,
is related to the priority area of surveillance and data systems.
Potential applicants may obtain a copy of "Healthy People 2000" (Full
Report:  Stock No. 017-001-00474-0) or "Healthy People 2000" (Summary
Report:  Stock No 017-001-00473-1) through the Superintendent of
Documents, Government Printing Office, Washington, DC 20402-9325
(telephone 202-783-3238).

INQUIRIES

The RFA, which describes the research objectives, application
procedures, review considerations, and award criteria for this
solicitation, may be obtained electronically through the NIH Grant
Line (data line 301/402-2221) and the NIH GOPHER (gopher.nih.gov),
and by mail and email from the program contact listed below.

Ms. Frances E. Johnson
Division of Extramural Programs
National Library of Medicine
Building 38A, Room 5S-520
Bethesda, MD  20894
Telephone:  (301) 496-4221
FAX:  (301) 402-0421
Email:  FRANCES_JOHNSON@OCCSHOST.NLM.NIH.GOV

$$R2 END ************************************************************

$$R3 BEGIN AR-95-004 FULL-TEXT **************************************

PROGRAM ON MECHANISMS OF IMMUNOTHERAPY IN RHEUMATIC DISEASES

NIH GUIDE, Volume 24, Number 2, January 20, 1995

RFA AVAILABLE:  AR-95-004

P.T.

National Institute of Arthritis and Musculoskeletal and Skin Diseases

Letter of Intent Receipt Date:  April 12, 1995
Application Receipt Date:  July 12, 1995

APPLICANTS RESPONDING TO THIS RFA WILL BE ASKED TO USE A MODIFIED
(ABBREVIATED) GRANT APPLICATION FORMAT;  SPECIFIC INSTRUCTIONS FOR
COMPLETING THE APPLICATION ARE DESCRIBED IN THE FULL TEXT OF THE RFA.

PURPOSE

The Rheumatic Diseases Branch of the National Institute of Arthritis
and Musculoskeletal and Skin Diseases (NIAMS) invites applications
for small basic research projects linked to separately funded ongoing
or completed clinical trials of new and innovative immunotherapies in
rheumatic diseases.  The aim of the basic research projects will be
to identify the mechanisms related to the efficacy of the therapy or
to demonstrate the relevance of new or known pathogenic mechanisms
leading to target tissue injury.  Projects that apply current basic
science approaches to the study of the mechanisms of immunotherapies
through formal collaborations are strongly encouraged.

HEALTHY PEOPLE 2000

The Public Health Service (PHS) is committed to achieving the health
promotion and disease prevention objectives of "Healthy People 2000,"
a PHS-led national activity for setting priority areas.  This RFA,
Program on Mechanisms of Immunotherapy in Rheumatic Diseases, is
related to the priority area of chronic disabling conditions.
Potential applicants may obtain a copy of "Healthy People 2000" (Full
Report:  Stock No. 017-001-00474-0) or "Healthy People 2000" (Summary
Report:  Stock No. 017-001-00473-1) through the Superintendent of
Documents, Government Printing Office, Washington, DC 20402-9325
(telephone 202-783-3238).

INQUIRIES

The RFA which describes the research objectives, application
procedures, review considerations and award criteria for this
solicitation, may be obtained electronically through the NIH Grant
Line ( data line 301-402-2221) and the NIH GOPHER (gopher.nih.gov)
and by mail and email from the program contact listed below.

Susana A. S. Sztein, M.D.
Rheumatic Diseases Branch
National Institute of Arthritis and Musculoskeletal and Skin Diseases
45 Center Drive, Room 5AS-37G MSC 6500
Bethesda, MD  20892-6500
Telephone:  (301) 594-5032
FAX:  (310) 480-4543
Email:  arthrit@ep.niams.nih.gov

$$R3 END ************************************************************

$$P1 BEGIN PA-95-015 FULL-TEXT **************************************

ACADEMIC RESEARCH ENHANCEMENT AWARD

NIH GUIDE, Volume 24, Number 2, January 20, 1995

PA AVAILABLE:  PA-95-015

P.T. 34; K.W. 1014006

National Institutes of Health

Application Receipt Date:  June 21, 1995

PURPOSE

The National Institutes of Health (NIH) is making a special effort to
stimulate research in educational institutions that provide
baccalaureate training for a significant number of the Nation's
research scientists, but historically have not been major recipients
of NIH support.  Since Fiscal Year (FY) 1985, Congressional
appropriations for the NIH have included funds for this initiative,
the Academic Research Enhancement Award (AREA) program.

The AREA funds are intended to support new research projects or
expand ongoing research activities proposed by faculty members of
eligible institutions in areas related to the health sciences.
Applications received in June 1994 for AREA grants to be awarded this
year (FY 1995) have been reviewed for scientific merit and program
relevance.  Approximately $12.7 million will be available for the NIH
AREA program in FY 1995.  As a result, about 125 AREA grants will be
made from the applications received June 1994.  Since it is
anticipated that additional funds will be available next year, the
NIH is inviting grant applications at this time for AREA grants to be
awarded competitively in FY 1996.

INQUIRIES

Supplemental instructions/application forms

Those individuals and institutions meeting the eligibility
requirements may contact the office listed below to receive the AREA
Program Guidelines and/or form PHS 398 application packages.

Academic Research Enhancement Award
Office of Grants Information
Division of Research Grants
National Institutes of Health
Westwood Building, Room 449
Bethesda, MD  20892
Telephone:  (301) 594-7248
FAX: (301) 594-7045

Questions regarding eligibility, policies, procedures, and other
administrative aspects of the NIH AREA program should be referred
FIRST to the Office of Sponsored Programs at the institution. Issues
that remain AFTER consultation with the institutional Office of
Sponsored Programs and that are NOT ADDRESSED in the AREA Program
Guidelines may be directed to:

Research Training and Special Programs Office
Office of Extramural Research
National Institutes of Health
Building 31, Room 5B44
Bethesda, MD  20892-2186
Telephone:  (301) 496-1968
FAX:  (301) 496-0166
Email:  sk13n@nih.gov

$$P1 END ************************************************************

$$P2 BEGIN PA-95-021 FULL-TEXT **************************************

MODELS FOR AIDS AND AIDS-RELATED MALIGNANCIES

NIH GUIDE, Volume 24, Number 2, January 20, 1995

PA AVAILABLE:  PA-95-021

P.T.

National Cancer Institute
National Institute of Allergy and Infectious Diseases

PURPOSE

This Program Announcement (PA) is a joint effort by the National
Cancer Institute (NCI) and the National Institute of Allergy and
Infectious Diseases (NIAID) to encourage investigators to develop
useful and predictive biochemical, cellular, and in vivo models that
could be used for the preclinical evaluation of new therapies against
HIV disease and AIDS-related malignancies.  The development of well-
characterized in vitro and in vivo models would accelerate and
facilitate the discovery of successful treatments, including drugs,
vaccines, gene therapy, and immune modulators.  Support for the PA
will be by the investigator-initiated research project grant (R01),
FIRST (R29) award, or the Interactive Research Project Grants (IRPG)
mechanisms.  The NCI has set aside approximately $2.0 million total
costs in Fiscal Year 1995 for the first year of funding and NIAID
will give special consideration for the support of applications
received in response to this initiative.

HEALTHY PEOPLE 2000

The Public Health Service (PHS) is committed to achieving the health
promotion and disease prevention objectives of "Healthy People 2000,"
a PHS-led national activity for setting priority areas.  This PA,
Models for AIDS and AIDS-Related Malignancies, is related to the
priority areas of human immunodeficiency virus/AIDS and cancer.
Potential applicants may obtain a copy of "Healthy People 2000" (Full
Report:  Stock No. 017-001-00474-0) or "Healthy People 2000" (Summary
Report:  Stock No. 017-001-00473-1) through the Superintendent of
Documents, Government Printing Office, Washington, DC 20402-9325
(telephone 202-783-3238).

INQUIRIES

The RFA, which describes the research objectives, application
procedures, review considerations, and award criteria for this
solicitation, may be obtained electronically through the NIH Grant
Line (data line 301/402-2221) and the NIH GOPHER (gopher.nih.gov),
and by mail and email from the program contact listed below.

Dr. Nava Sarver
Division of AIDS
National Institute of Allergy and Infectious Diseases
Solar Building, Room 2C01
6003 Executive Boulevard MSC 7620
Bethesda MD  20892-7620
Telephone:  (301) 496-8197
FAX:  (301) 402-3211
Email:  ns18p@nih.gov

Dr. Mary K. Wolpert
Division of Cancer Treatment
National Cancer Institute
Executive Plaza North, Room 832
6130 Executive Boulevard MSC 7450
Bethesda, MD  20892-7450
Telephone:  (301) 496-8783
FAX:  (301) 496-8333
Email:  mkwolper@helix.nih.gov

$$P2 END ************************************************************

$$P3 BEGIN PA-95-022 FULL-TEXT **************************************

DRUG ABUSE HEALTH SERVICES RESEARCH AND HIV/AIDS

NIH GUIDE, Volume 24, Number 2, January 20, 1995

PA AVAILABLE:  PA-95-022

P.T.

National Institute on Drug Abuse

PURPOSE

This Program Announcement will support a program of research on
health services to drug abusers at high risk for HIV/AIDS at the
client, program, and service system level.  This program will use the
NIH research project grant (R01), FIRST Awards (R29), and small
grants (R03).

HEALTHY PEOPLE 2000

The Public Health Service (PHS) is committed to achieving the health
promotion and disease prevention objectives of "Healthy People 2000,"
a PHS-led national activity for setting priority areas.  This PA,
Drug Abuse Health Services Research, is related to the priority area
of alcohol and other drugs.  Potential applicants may obtain a copy
of "Healthy People 2000" (Full Report:  Stock No. 017-001-00474-0 or
Summary Report:  Stock No. 017-001-00473-1) through the
Superintendent of Documents, Government Printing Office, Washington,
DC 20402-9325 (telephone 202-783-3238).

INQUIRIES

The RFA, which describes the research objectives, application
procedures, review considerations, and award criteria for this
solicitation, may be obtained electronically through the NIH Grant
Line (data line 301/402-2221) and the NIH GOPHER (gopher.nih.gov),
and by mail and email from the program contact listed below.

Copies of the full document may also be obtained by calling Grants
Management Branch, OPRM/NIDA, Room 8A-54 5600 Fishers Lane,
Rockville, MD 20857, telephone 301-443-6710.

Direct inquiries regarding programmatic issues to:

Frank M. Tims, Ph.D.
Services Research Branch
National Institute on Drug Abuse
5600 Fishers Lane, Room 10A-30
Rockville, MD  20857
Telephone:  (301) 443-4060
Email:  FTIMS@AOADA.SSW.DHHS.GOV

Direct inquiries regarding fiscal matters to:

Gary Fleming
Grants Management Branch
National Institute on Drug Abuse
5600 Fishers Lane, Room 8A-54
Rockville, MD  20857
Telephone:  (301) 443-6710
Email:  GFLEMING@AOADA.SSW.DHHS.GOV

$$P3 END ************************************************************

From owner-sci-resources@net.bio.net Wed Jan 18 22:00:00 1995
Path: biosci!biosci!not-for-mail
From: BIOSCI Administrator <biosci-help@net.bio.net>
Newsgroups: bionet.sci-resources
Subject: NIH GUIDE - PA-95-015 - V24(02) 01/20/95
Date: 18 Jan 1995 17:45:57 -0800
Organization: BIOSCI International Newsgroups for Molecular Biology
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$$XID RFA PA95015 PA-95-015 P1O1 ***************************************

ACADEMIC RESEARCH ENHANCEMENT AWARD

NIH GUIDE, Volume 24, Number 2, January 20, 1995

PA NUMBER:  PA-95-015

P.T. 34; K.W. 1014006

National Institutes of Health

Application Receipt Date:  June 21, 1995

PURPOSE

The National Institutes of Health (NIH) is making a special effort to
stimulate research in educational institutions that provide
baccalaureate training for a significant number of the Nation's
research scientists, but historically have not been major recipients
of NIH support.  Since Fiscal Year (FY) 1985, Congressional
appropriations for the NIH have included funds for this initiative,
the Academic Research Enhancement Award (AREA) program.

The AREA funds are intended to support new research projects or
expand ongoing research activities proposed by faculty members of
eligible institutions in areas related to the health sciences.
Applications received in June 1994 for AREA grants to be awarded this
year (FY 1995) have been reviewed for scientific merit and program
relevance.  Approximately $12.7 million will be available for the NIH
AREA program in FY 1995.  As a result, about 125 AREA grants will be
made from the applications received June 1994.  Since it is
anticipated that additional funds will be available next year, the
NIH is inviting grant applications at this time for AREA grants to be
awarded competitively in FY 1996.

ELIGIBILITY REQUIREMENTS

Applicant Institutions

o  All domestic health professional schools and other academic
institutions offering baccalaureate or advanced degrees in the
sciences related to health are eligible, EXCEPT those that have
received research grants and/or cooperative agreements from the NIH
totaling more than $2 million per year (direct and indirect costs) in
each of four or more years during the period from FY 1988 through FY
1994.

o  For purposes of eligibility for the AREA program, "research grants
and cooperative agreements" include the following activity codes
ONLY:

K01, K02, K04, K05, K06, K08, K11, K12, K14, K15, K16, K20, K21, P01,
P40, P41, P42, P50, P60, R01, R03, R10, R21, R22,  R23, R24, R29,
R35, R37, R55, U01, U10, U24, U41, U42, and U54.

o  "Health professional schools" (schools of medicine, dentistry,
osteopathy, pharmacy, nursing, veterinary medicine, public health,
optometry, allied health, and podiatry) means an accredited public or
non-profit private school in a State that provides training leading
to a degree granted by that school, for example, a doctor of
medicine, a doctor of dentistry, or equivalent degree.  The term
"accredited" means a school or program that is accredited by a
recognized body or bodies approved for such purpose by the Secretary
of Education.

o  "Other academic institutions" means, as a SINGLE eligible
component, all other schools, departments, colleges and free-standing
institutes of the institution, EXCEPT the health professional
schools.

o  Several applications proposing different research projects may be
submitted by an applicant institution.

Proposed Principal Investigators

o  Must not have active research grant support at the time of award
of an AREA grant.

o  May not submit a regular NIH research grant application for
essentially the same project as a pending AREA application.

o  Are expected to conduct the majority of their research at their
own institution, although limited access to special facilities or
equipment at another institution is permitted.

o  May not be awarded more than one AREA grant at a time nor be
awarded a second AREA grant to continue the research initiated under
the first AREA grant.

APPLICATION PROCEDURES

Applications for the AREA program will be accepted under the
application submission procedures of the Division of Research Grants
(DRG), NIH.  The research grant application form PHS 398 (rev. 9/91)
is to be used in applying for an AREA grant.

Applicants must obtain the AREA Program Guidelines containing
supplemental instructions for AREA applications from the Grants
Information Office, DRG, NIH (see address below).  These instructions
must be followed in preparing an application.

AREA grants are awarded on a competitive basis.  Applicants may
request support for up to $75,000 for direct costs (plus applicable
indirect costs) for a period not to exceed 36 months.  No more than
$35,000 may be requested for direct costs for any one year.  Although
this award is non-renewable, it will enable qualified individual
scientists within the eligible institutions to receive support for
feasibility studies, pilot studies, and other small-scale research
projects preparatory to seeking more substantial funding from the NIH
research grant programs.

REVIEW CONSIDERATIONS

Applications for the AREA program will be subjected to the standard
peer review process involving two sequential levels of review.  The
first level of review is performed by initial review groups composed
primarily of non-Federal scientists selected for their competence in
particular scientific fields.  The second level of review is made by
the National Advisory Council or Board of the NIH awarding component
to which the grant application has been assigned by the DRG for
potential funding.  These groups are composed of both scientific and
lay representatives who are chosen for their expertise, interest, or
activity in matters related to the mission of the individual awarding
component.  Council or Board recommendations are based on both
scientific merit and relevance to awarding component program goals.

AWARD CRITERIA

Funding decisions will be based on the proposed research project's
scientific merit and relevance to NIH programs and the institution's
contribution to the undergraduate preparation of doctoral-level
health professionals.  Among projects of essentially equivalent
scientific merit and program relevance, preference will be given to
those submitted by institutions that have granted baccalaureate
degrees to 25 or more individuals who have obtained academic or
professional doctoral degrees in the health related sciences during
the period 1985-1994.  Scientists working in eligible minority and
women's educational institutions are encouraged to participate in
this program.  Since a primary purpose of the AREA program is to
furnish support to those undergraduate institutions that provide
student training in the sciences, principal investigators are
encouraged to include the participation of students in the proposed
Research Plan to the extent practicable.

INQUIRIES

Supplemental instructions/application forms

Those individuals and institutions meeting the eligibility
requirements may contact the office listed below to receive the AREA
Program Guidelines and/or form PHS 398 application packages.

Academic Research Enhancement Award
Office of Grants Information
Division of Research Grants
National Institutes of Health
Westwood Building, Room 449
Bethesda, MD  20892
Telephone:  (301) 594-7248
FAX: (301) 594-7045

Questions regarding eligibility, policies, procedures, and other
administrative aspects of the NIH AREA program should be referred
FIRST to the Office of Sponsored Programs at the institution. Issues
that remain AFTER consultation with the institutional Office of
Sponsored Programs and that are NOT ADDRESSED in the AREA Program
Guidelines may be directed to:

Research Training and Special Programs Office
Office of Extramural Research
National Institutes of Health
Building 31, Room 5B44
Bethesda, MD  20892-2186
Telephone:  (301) 496-1968
FAX:  (301) 496-0166
Email:  sk13n@nih.gov

AUTHORITY AND REGULATIONS

This program is described in the Catalog of Federal Domestic
Assistance, No. 93.390.  Grants will be awarded under authority of
the Public Health Service Act, Title III, Section 301 (Public Law 78-
410, as amended; 42 USC 241) and administered in accordance with the
PHS Grants Policy Statement and Federal regulations at 42 CFR Part 52
and 45 CFR Part 74.

The Public Health Service (PHS) strongly encourages all grant
recipients to provide a smoke-free workplace and promote the non-use
of all tobacco products.  This is consistent with the PHS mission to
protect and advance the physical and mental health of the American
people.

From owner-sci-resources@net.bio.net Wed Jan 18 22:00:00 1995
Path: biosci!biosci!not-for-mail
From: BIOSCI Administrator <biosci-help@net.bio.net>
Newsgroups: bionet.sci-resources
Subject: NIH GUIDE - PA-95-021 - V24(02) 01/20/95
Date: 18 Jan 1995 17:45:52 -0800
Organization: BIOSCI International Newsgroups for Molecular Biology
Lines: 352
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$$XID RFA PA95021 PA-95-021 P1O1 ***************************************

MODELS FOR AIDS AND AIDS-RELATED MALIGNANCIES

NIH GUIDE, Volume 24, Number 2, January 20, 1995

PA NUMBER:  PA-95-021

P.T.

National Cancer Institute
National Institute of Allergy and Infectious Diseases

PURPOSE

This Program Announcement (PA) is a joint effort by the National
Cancer Institute (NCI) and the National Institute of Allergy and
Infectious Diseases (NIAID) to encourage investigators to develop
useful and predictive biochemical, cellular, and in vivo models that
could be used for the preclinical evaluation of new therapies against
HIV disease and AIDS-related malignancies.  The development of well-
characterized in vitro and in vivo models would accelerate and
facilitate the discovery of successful treatments, including drugs,
vaccines, gene therapy, and immune modulators.

HEALTHY PEOPLE 2000

The Public Health Service (PHS) is committed to achieving the health
promotion and disease prevention objectives of "Healthy People 2000,"
a PHS-led national activity for setting priority areas.  This PA,
Models for AIDS and AIDS-Related Malignancies, is related to the
priority areas of human immunodeficiency virus/AIDS and cancer.
Potential applicants may obtain a copy of "Healthy People 2000" (Full
Report:  Stock No. 017-001-00474-0) or "Healthy People 2000" (Summary
Report:  Stock No. 017-001-00473-1) through the Superintendent of
Documents, Government Printing Office, Washington, DC 20402-9325
(telephone 202-783-3238).

ELIGIBILITY REQUIREMENTS

Applications may be submitted by domestic and foreign for-profit and
non-profit organizations, public and private, such as universities,
colleges, hospitals, laboratories, units of State and Local
governments, and eligible agencies of the Federal government.
Applications may be submitted from one institution or may include
arrangements with several institutions, if appropriate.  Applications
involving minority institutions are encouraged.  Foreign institutions
are not eligible for First Independent Research Support and
Transition (FIRST) (R29) awards.  Racial/ethnic minority individuals,
women, and persons with disabilities are encouraged to apply as
Principal Investigators.

MECHANISM OF SUPPORT

Support for the PA will be by the investigator-initiated research
project grant (R01), FIRST (R29) award, or the Interactive Research
Project Grants (IRPG) mechanisms.  If an IRPG is proposed, it must
consist of a minimum of two independent applications (see PA-94-086,
NIH Guide for Grants and Contracts, Vol. 23, No. 28, July 29, 1994).
An IRPG may consist of a combination of R01s and R29s or R01s only,
but may not consist solely of R29 applications.  An IRPG may also
contain shared interactive resources (Cores), which must serve at
least two of the research projects in order to facilitate achievement
of the Group's common research goals.  Collaborative arrangements
involving more than one institution are especially encouraged,
including participation of the pharmaceutical industry where
appropriate.

FUNDS AVAILABLE

The NCI has set aside approximately $2.0 million total costs in
Fiscal Year 1995 for the first year of funding and NIAID will give
special consideration for the support of applications received in
response to this initiative.  The level of support is dependent on
the receipt of a sufficient number and diversity of applications of
high scientific merit and the availability of funds.  Although the
goal of this PA is to stimulate the development of diverse types of
efficient and predictive biochemical, cellular, and in vivo models
that could be used for the evaluation of new agents for the treatment
of HIV disease and AIDS-related malignancies, priority will be given
to in vivo models if the number of meritorious applications exceeds
funds available.

Because the nature and scope of the research proposed in response to
the PA may vary, it is anticipated that the sizes of awards will vary
also.

The total project period for applications submitted in response to
this PA may not exceed five years.  Although the NCI and NIAID have a
continuing interest in the research areas of this PA, the latest
anticipated award date with set aside funds is September 30, 1995.

RESEARCH OBJECTIVES

Background

Despite advances in our knowledge of the molecular biology of HIV-1
(human immunodeficiency virus) and HIV-2 and increased understanding
of HIV pathogenesis in the development of acquired immunodeficiency
syndrome (AIDS), no cure has been identified for AIDS or AIDS-related
malignancies, including high-grade B cell non-Hodgkin's lymphoma,
Kaposi's sarcoma, Hodgkin's disease, anogenital dysplasia and cancer,
and basal cell carcinoma.  As of mid-1994, the World Health
Organization (WHO) estimated that over four million AIDS cases have
occurred worldwide, and that 16 million people are infected with HIV
as the pandemic continues unabated.

Objectives and Scope

The goal of this PA is to foster the development of useful and
predictive biochemical, cellular, and in vivo models that could be
used for the evaluation of new therapies against HIV disease and
AIDS-related malignancies.  New relevant and cost-effective models
are needed for various stages of preclinical therapy development,
including lead discovery, lead optimization, and final evaluation of
the most promising candidates for clinical trial.  While progress has
been made with cell-based and mechanism-based screens, such as those
for reverse transcriptase and proteases, many other suitable targets
exist but need to be employed in assays.  There is an urgent need for
simpler, safer, more relevant, and less expensive in vivo models to
assess the in vivo efficacy of potential therapeutic candidates.

The research scope encourages applications in the following areas,
which are illustrated by but not limited to the examples provided:

o  Biochemical Assays.  Rapid, resource efficient, and cost effective
assays to block steps in HIV virus replication are encouraged.  Since
considerable effort is being expended on reverse transcriptase and
proteases, applications on these enzymes are not encouraged for this
initiative.  However, applicants should consider high volume screens
which would accommodate the needs of combinatorial chemistry
programs.  For those AIDS-related cancers in which a putative
cofactor may be involved, approaches are sought to identify and
define the precise role of the cofactor in the specific malignancy
and to exploit this information for therapeutic advantage.

o  Cell Culture Assays.  It is desirable that new cell culture models
be developed for HIV replication and AIDS-related malignancies that
more closely simulate the in vivo state.  For example, models that
mimic the three dimensional, multicellular environment or those based
on single cycle replication kinetics would be of utility.  For AIDS-
related cancers, cell culture systems predictive of in vivo events
that allow for studies of the mechanism(s) of action of specific
cofactors and that would be useful for evaluating potential therapies
are highly encouraged.

o  In Vivo Models.  Models that reflect the current state of
knowledge of AIDS pathogenesis and are simpler, safer and less
expensive than currently available models are urgently needed for the
evaluation of therapies for AIDS and AIDS-related malignancies.
Novel approaches using transgenic and gene knockout animals are
especially encouraged.  While the use of small animals such as mice
is most practical because of their availability and low cost, other
animal models can be proposed.  However, non-lentivirus models are
not encouraged.  For the models of both AIDS and AIDS-related
malignancies, the development of valid surrogate endpoints for
survival is favored in the interest of conserving resources and
reducing assay time and animal discomfort.

Applicants are reminded to provide a rationale for their model; to
justify and perhaps demonstrate its potential utility over existing
models, if applicable; and to provide a research plan involving a
testable hypothesis.  Relevance to the in vivo disease state,
reproducibility and other important parameters of the assay should be
documented using appropriate statistical analysis.

Although the intent of this PA is to restrict studies to those which
are preclinical, clinical specimens may be used whenever required for
the appropriate development of in vitro and animal models.

INCLUSION OF WOMEN AND MINORITIES IN RESEARCH INVOLVING HUMAN
SUBJECTS

It is the policy of the NIH that women and members of minority groups
and their subpopulations must be included in all NIH supported
biomedical and behavioral research projects involving human subjects,
unless a clear and compelling rationale and justification is provided
that inclusion is inappropriate with respect to the health of the
subjects or the purpose of the research.  This new policy results
>From the NIH Revitalization Act of 1993 (Section 492B of Public Law
103-43) and supersedes and strengthens the previous policies
(Concerning the Inclusion of Women in Study Populations, and
Concerning the Inclusion of Minorities in Study Populations), which
have been in effect since 1990.  The new policy contains some
provisions that are substantially different from the 1990 policies.

All investigators proposing research involving human subjects should
read the "NIH Guidelines For Inclusion of Women and Minorities as
Subjects in Clinical Research," which have been published in the
Federal Register of March 28, 1994 (FR 59 14508-14513) and reprinted
in the NIH Guide for Grants and Contracts, Volume 23, Number 11,
March 18, 1994.

Investigators also may obtain copies of the policy from the program
staff listed under INQUIRIES.  Program staff may also provide
additional relevant information concerning the policy.

APPLICATION PROCEDURES

Applications are to be submitted on the grant application form PHS
398 (rev. 9/91) and will be accepted at the standard application
deadlines as indicated in the application kit.  Receipt dates for
applications for AIDS-related research are January 2, May 1, and
September 1.  Application kits are available at most institutional
offices of sponsored research and may be obtained from the Office of
Grants Information, Division of Research Grants, National Institutes
of Health, Westwood Building, Room 449, Bethesda, MD 20892, telephone
301/594-7248.  The title and number of the announcement must be typed
in Section 2a on the face page of the application.

FIRST (R29) applications must include at least three sealed letters
of reference attached to the face page of the original application.
FIRST applications submitted without the required number of reference
letters will be considered incomplete and will be returned without
review.

If an IRPG is proposed, each application must be identified along
with the number of the PA and the phrase "Investigator-initiated
IRPG."  All R01 or R29 applications constituting the proposed IRPG
cohort must be submitted in a single package, whether or not the
applications arise from the same institutions.  For detailed
instructions for preparation and submission of IRPG applications,
refer to PA-94-086, NIH Guide for Grants and Contracts, Volume 23,
Number 28, July 29, 1994.

The complete original application and five legible copies must be
sent or delivered to:

Division of Research Grants
National Institutes of Health
Westwood Building, Room 240
Bethesda, MD  20892**

REVIEW CONSIDERATIONS

Applications will be assigned on the basis of established PHS
referral guidelines.  Applications will be reviewed for scientific
and technical merit by study sections of the Division of Research
Grants, NIH, in accordance with the standard NIH peer review
procedures.  Following scientific-technical review, the applications
will receive a second-level review by an appropriate national
advisory board/council.

As part of the initial merit review, a process (triage) may be used
by the initial review group in which applications will be determined
to be competitive or non-competitive based on their scientific merit
relative to other applications.  Applications judged to be
competitive will be discussed and be assigned a priority score.
Applications determined to be non-competitive will be withdrawn from
further consideration and the Principal Investigator and the official
signing for the applicant organization will be notified.

Review Criteria

o  scientific, technical, or medical significance and originality of
proposed research;

o  appropriateness and adequacy of the experimental approach and
methodology proposed to carry out the research;

o  qualifications and research experience of the Principal
Investigator and staff, particularly, but not exclusively, in the
area of the proposed research;

o  availability of the resources necessary to perform the research;

o  appropriateness of the proposed budget and duration in relation to
the proposed research;

o  Adequacy of plans to include both genders and minorities and their
subgroups as appropriate for the scientific goals of the research.
Plans for the recruitment and retention of subjects will also be
evaluated.

The initial review group will also examine the provisions for the
protection of human and animal subjects and the safety of the
research environment.

AWARD CRITERIA

Applications will compete for available funds with all other approved
applications.  For Fiscal Year 1995, the NCI has set aside $2 million
for this initiative.  The following will be considered in making
funding decisions:  quality of the proposed project as determined by
peer review, availability of funds, and program priority.

INQUIRIES

Inquiries are encouraged.  The opportunity to clarify any issues or
questions from potential applicants is welcome.

Direct inquiries regarding programmatic issues to:

Dr. Nava Sarver
Division of AIDS
National Institute of Allergy and Infectious Diseases
Solar Building, Room 2C01
6003 Executive Boulevard MSC 7620
Bethesda MD  20892-7620
Telephone:  (301) 496-8197
FAX:  (301) 402-3211
Email:  ns18p@nih.gov

Dr. Mary K. Wolpert
Division of Cancer Treatment
National Cancer Institute
Executive Plaza North, Room 832
6130 Executive Boulevard MSC 7450
Bethesda, MD  20892-7450
Telephone:  (301) 496-8783
FAX:  (301) 496-8333
Email:  mkwolper@helix.nih.gov

Direct inquiries regarding fiscal matters to:

Ms. Jane Unsworth
Division of Extramural Activities
National Institute of Allergy and Infectious Diseases
Solar Building, Room 4B25
6003 Executive Boulevard, MSC 7610
Bethesda, MD  20892-7610
Telephone:  (301) 496-7075
FAX:  (301) 480-3780
Email:  ju3a@nih.gov

Ms. Michelle Burr
Grants Administration Branch
National Cancer Institute
Executive Plaza South, Suite 242
6120 Executive Boulevard MSC 7150
Bethesda, MD  20892-7150
Telephone:  (301) 496-7800, Ext. 231
FAX:  (301) 496-8601
Email:  MICHELLE BURR@NIH.GOV

AUTHORITY AND REGULATIONS

This program is described in the Catalog of Federal Domestic
Assistance No. 93.395, Cancer Treatment Research and 93.856,
Microbiology and Infectious Diseases Research.  Awards are made under
authorization of the Public Health Service Act, Title IV, Part A
(Public Law 78-410, as amended by Public Law 99-158, 42 USC 241 and
285) and administered under PHS grants policies and Federal
Regulations 42 CFR 52 and 45 CFR Part 74.  This program is not
subject to the intergovernmental review requirements of Executive
Order 12372 or Health System Agency review.

The Public Health Service (PHS) strongly encourages all grant
recipients to provide a smoke-free workplace and promote the non- use
of all tobacco products.  This is consistent with the PHS mission to
protect and advance the physical and mental health of the American
people.

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$$XID RFA DK95004 DK-95-004 P1O1 ***************************************

SUPPORT OF MINORITIES IN DIABETES, DIGESTIVE AND KIDNEY DISEASE
RESEARCH

NIH GUIDE, Volume 24, Number 2, January 20, 1995

RFA:  DK-95-004

P.T.

National Institute of Diabetes and Digestive and Kidney Diseases
Office of Research on Minority Health

Letter of Intent Receipt Date:  March 2, 1995
Application Receipt Date:  April 19, 1995

PURPOSE

The National Institute of Diabetes and Digestive and Kidney Diseases
(NIDDK) and the Office of Research on Minority Health (ORMH)
recognizes the need to increase the number of underrepresented
minorities committed to scientific careers in research areas served
by the Institute.  This program is aimed primarily at recently
trained M.D. and/or Ph.D. minority investigators.  The program will
enable the minority applicant to accept a tenure-earning position,
gain additional research experience and obtain preliminary data on
which to base a subsequent research grant application in an area of
diabetes, endocrinology, metabolism, digestive diseases and
nutrition, kidney, urology or hematology.

HEALTHY PEOPLE 2000

The Public Health Service (PHS) is committed to achieving the health
promotion and disease prevention objectives of "Healthy People 2000,"
a PHS-led national activity for setting priority areas.  This RFA,
Support of Minorities in Diabetes, Digestive and Kidney Disease
Research, is related to the priority area of increasing
underrepresented minority health scientists.  Potential applicants
may obtain a copy of "Healthy People 2000" (Full Report:  Stock No.
017-001-00474-0) or "Healthy People 2000" (Summary Report:  Stock No.
017-001-00473-1) through the Superintendent of Documents, Government
Printing Office, Washington, DC 20402-9325 (telephone 202-783-3238).

ELIGIBILITY REQUIREMENTS

Applications may be submitted by domestic for-profit and non-profit
organizations, public and private, such as universities, colleges,
hospitals, laboratories, units of state and local governments, and
eligible agencies of the Federal government.  The applicant must be
African-American, Hispanic, Native American, Pacific Islander, or
other ethnic or racial group members underrepresented in biomedical
or behavioral research.  To apply, one must be a citizen of, or have
been lawfully admitted to, the United States for permanent residence.

An applicant must have a doctoral degree (M.D., Ph.D., D.O., D.D.S.,
D.V.M.).  He or she should have received at least two years of
postgraduate research training in an area of research applicable to
research supported in this institute, and have direct access to an
expert in the area of the proposed research.

Applicants may not hold, nor apply concurrently for any other PHS
research project grant at the time of this application.  Priority
will be given to those applicants who have not previously been a
Principal Investigator on a major research grant.  Applicants are
encouraged to apply for other research project grants (R01, R29)
during the course of, or following, this award.

MECHANISM OF SUPPORT

This RFA will use the National Institutes of Health (NIH) small
research grant (R03).  Responsibility for the planning, direction,
and execution of the proposed project will be that of the applicant.
Except as otherwise stated in this RFA, awards will be administered
under PHS grants policy as stated in the PHS Grants Policy Statement.

This RFA is a one-time solicitation.  If the NIDDK determines that
there is a sufficient continuing program need, a request for new
applications will be announced.  The total project period for
applications submitted in response to the present RFA may be for one
year, but should not exceed two years.  Direct costs requested must
not exceed $50,000 per year.  A grant cannot be renewed.  The
anticipated award date is September 30, 1995.

FUNDS AVAILABLE

For FY 1995, $250,000 in total direct costs for year 01 will be
committed in each of the three research divisions in the NIDDK.  It
is anticipated that a total of five awards will be made in each of
the three divisions in FY 1995.  This level of support depends on the
receipt of a sufficient number of applications of high scientific
merit.  Although this program is provided for in the financial plans
of the NIDDK, the award of grants pursuant to this RFA is contingent
upon the availability of funds for this purpose.

RESEARCH OBJECTIVES

The primary purpose of this RFA is to increase the number of
underrepresented minority Principal Investigators conducting research
in the areas of research supported by the NIDDK.  Surveys of research
and training programs administered by the NIDDK disclose the need to
increase the access to NIDDK support of recently-trained minority
scientists who are U.S. citizens or permanent residents.

Those who receive several years of training via an individual
postdoctoral fellowship or an institutional training grant funded by
a National Research Service Award, still require research experience
and preliminary data to support an independent research career at
this stage of development.  An additional period of training may not
be feasible for minority individuals with pressing economic burdens.
Such individuals may be lost to academic research through a lack of
opportunity to obtain an additional one or two years of support
essential for establishing a research career.

This program was designed to help alleviate some of the noted
problems experienced by underrepresented minorities who may wish to
pursue a career in academic research.  The program will allow the
minority investigator to hold a tenure-earning position, gain
additional research experience and to obtain preliminary data on
which to base a subsequent research grant application.

SPECIAL REQUIREMENTS

Applicants are required to have available a recognized expert in the
area of proposed research for guidance and consultation.  It is
expected that this expert will assist the applicant in the design and
conduct of his/her research.  It is not necessary that the expert be
at the same institution as the applicant, but he/she should be within
a reasonable proximity to be available for guidance and consultation.

Following the research plan, the applicant is required to provide a
brief summary of his/her long-term career plans and objectives.  The
application should state how this award would make a difference in
and enhance the applicant's development as a scientist.

The department chairman/head should provide a brief paragraph
indicating his/her plans for the applicant.  This official should
indicate the extent to which time, space and other necessary support
will be provided to the applicant to conduct the proposed
investigation(s).

A letter from a recognized expert in the area of the proposed
research should accompany the application packet.  The letter should
attest to his/her willingness to provide counsel and advice to the
applicant, and an initial plan for ongoing contacts with the
applicant.

INCLUSION OF WOMEN AND MINORITIES IN RESEARCH INVOLVING HUMAN
SUBJECTS

It is the policy of the NIH that women and members of minority groups
and their subpopulations must be included in all NIH supported
biomedical and behavioral research projects involving human subjects,
unless a clear and compelling rationale and justification is provided
that inclusion is inappropriate with respect to the health of the
subjects or the purpose of the research.  This new policy results
>From the NIH Revitalization Act of 1993 (Section 492B of Public Law
103-43) and supersedes and strengthens the previous policies
(Concerning the Inclusion of Women in Study Populations, and
Concerning the Inclusion of Minorities in Study Populations), which
have been in effect since 1990. The new policy contains some
provisions that are substantially different from the 1990 policies.

All investigators proposing research involving human subjects should
read the "NIH Guidelines For Inclusion of Women and Minorities as
Subjects in Clinical Research," which have been published in the
Federal Register of March 28, 1994 (FR 59 14508-14513), and reprinted
in the NIH Guide for Grants and Contracts, Volume 23, Number 11,
March 18, 1994.

Investigators also may obtain copies of the policy from the program
staff listed under INQUIRIES.  Program staff may also provide
additional relevant information concerning the policy.

LETTER OF INTENT

Prospective applicants are asked to submit, by March 2, 1995, a
letter of intent that includes a descriptive title of the proposed
research, the name, address, and telephone number of the Principal
Investigator, his/her institution, the name and address of the expert
who has agreed to serve as a consultant and advisor, and the number
and title of this RFA.

A letter of intent is not required, is not binding and is not
considered in the review of applications.  It is used by NIDDK staff
to initiate planning for the review of applications, to estimate the
potential review workload and to avoid possible conflict of interest
in the review.

The letter of intent is to be sent to:

Chief, Review Branch
Division of Extramural Activities
National Institute of Diabetes and Digestive and Kidney Diseases
Natcher Building, Room 6AS 37F
45 Center Drive MSC 6600
Bethesda, MD  20892-6600
Telephone:  (301) 594-8886
FAX:  (301) 480-3505

APPLICATION PROCEDURES

The research grant application form PHS 398 (rev. 9/91) is to be used
in applying for these grants.  The form is available at most
institutional offices of sponsored research and from the Office of
Grants Information, Division of Research Grants, National Institutes
of Health, 5333 Westbard Avenue, Room 449 Bethesda, MD 20892,
telephone 301/594-7248.

The RFA label available in the PHS 398 application form must be
affixed to the bottom of the face page.  Failure to use this label
could result in delayed processing of the application such that it
may not reach the review committee in time for review.  In addition,
on line 2a of the face page of the application check the YES box,
type the RFA number and the following title: "SUPPORT OF MINORITIES
IN DIABETES, DIGESTIVE AND KIDNEY DISEASE RESEARCH."

Submit a signed, typewritten original of the application, including
the Checklist, and three signed, exact photocopies, in one package
to:

Division of Research Grants
National Institutes of Health
Westwood Building, Room 240
Bethesda, MD  20892**

Send two additional copies of the application to:

Robert Hammond, Ph.D.
Division of Extramural Activities
National Institute of Diabetes and Digestive and Kidney Diseases
Natcher Building, Room 6AS 37F
45 Center Drive MSC 6600
Bethesda, MD  20892-6600

Applications must be received by April 19, 1995.  If an application
is received after that date, it will be returned to the applicant
without review.

REVIEW CONSIDERATIONS

Applications for the R03 will receive initial technical merit review
by an initial review committee appointed by the NIDDK, and second
level review by the NIDDK program division to which the application
has been assigned.  Factors to be considered in the review of
applications include:  the applicant's previous research training,
experience and publications; his/her ability to complete the proposed
research plan; the overall scientific merit of the research plan;
whether the aims and scope of the research plan can provide
definitive data within a one or two year period; the potential of the
proposed research to provide the bases for future studies; the
institution's willingness to commit facilities and departmental
support to the applicant; the applicant's plans and career goals; and
the availability of a recognized expert in the area of the proposed
research for counsel and advice as attested to by a letter of
agreement.

AWARD CRITERIA

Applications will compete for available funds with all other
applications submitted in response to this RFA and recommended by the
initial review group.  The following will be considered in making
funding decisions:

o  Quality of the proposed project as determined by peer review
o  Availability of funds
o  Program balance among research areas of the RFA.

INQUIRIES

Inquiries concerning this RFA are encouraged.  The opportunity to
clarify any issues or questions from potential applicants is welcome.

Direct inquiries regarding programmatic issues to:

Charles H. Rodgers, Ph.D.
Division of Kidney, Urologic and Hematologic Diseases
National Institute of Diabetes and Digestive and Kidney Diseases
Natcher Building, Room 6AS 19J
45 Center Drive MSC 6600
Bethesda, MD  20892-6600
Telephone:  (301) 594-7716
Email:  chuckr@dvsgate.niddk.nih.gov

Judith M. Podskalny, Ph.D.
Division of Digestive Diseases and Nutrition
National Institute of Diabetes and Digestive and Kidney Diseases
Natcher Building, Room 6AN 12E
45 Center Drive MSC 6600
Bethesda, MD  20892-6600
Telephone:  (301) 594-8876
Email:  judyp@dvsgate.niddk.nih.gov

Ronald Margolis, Ph.D.
Division of Diabetes, Endocrinology and Metabolism
National Institute of Diabetes and Digestive and Kidney Diseases
Natcher Building, Room 5AN 12J
45 Center Drive MSC 6600
Bethesda, MD  20892-6600
Telephone:  (301) 594-8819
Email:  ronm@dvsgate.niddk.nih.gov

Direct inquiries regarding fiscal matters to:

Ms Nancy C. Dixon
Division of Extramural Activities
National Institute of Diabetes and Digestive and Kidney Diseases
Natcher Building, Room 6AN 44C
45 Center Drive MSC 6600
Bethesda, MD  20892-6600
Telephone:  (301) 594-8854
Email:  nancyd@dvsgate.niddk.nih.gov

Schedule

Letter of Intent Receipt Date:  March 2, 1995
Application Receipt Date:       April 19, 1995
Technical/Scientific Review:    June 1995
Review by Divisions/NIDDK:      September 1995
Anticipated Award Date:         September 30, 1995

AUTHORITY AND REGULATIONS

This program is described in the Catalog of Federal Domestic
Assistance No. 93.849.  Awards are made under authorization of the
Public Health Service Act, Title IV, Part A (Public Law 78-410, as
amended by Public Law 99-158, 42 USC 241 and 285) and administered
under PHS grants policies and Federal Regulations 42 CFR 52 and 45
CFR Part 74.  This program is not subject to the intergovernmental
review requirements of Executive Order 12372 or Health Systems Agency
review.

The Public Health Service (PHS) strongly encourages all grant
recipients to provide a smoke-free workplace and promote the non-use
of all tobacco products.  This is consistent with the PHS mission to
protect and advance the physical and mental health of the American
people.

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$$XID RFA LM95001 LM-95-001 P1O1 ***************************************

INTERNET CONNECTION FOR MEDICAL INSTITUTIONS

NIH GUIDE, Volume 24, Number 2, January 20, 1995

RFA:  LM-95-001

P.T.

National Library of Medicine

Letter of Intent Receipt Date:  April 10, 1995
Application Receipt Date:  May 18, 1995

PURPOSE

The National Library of Medicine (NLM) is encouraging the development
of a communications infrastructure to promote the rapid interchange
of medical information nationally and throughout the world.  This
infrastructure is based upon the Internet, a network of networks that
was developed with the support of the National Science Foundation.
The proposed evolution of the Internet into the National Research and
Education Network (NREN) is a key element in important federal
initiatives in High Performance Computing and Communication and a
National Information Infrastructure.  Internet access provides health
professionals engaged in education, research, clinical care, and
administration with a means of accessing remote databases, libraries,
NLM's Grateful Med, DOCLINE and Loansome Doc, transferring files and
images, and interacting with colleagues throughout the world.  To
accelerate the pace with which health-related institutions become
part of the electronic information web, NLM is offering grants to
support Internet connections.

HEALTHY PEOPLE 2000

The Public Health Service (PHS) is committed to achieving the health
promotion and disease prevention objectives of "Healthy People 2000,"
a PHS-led national activity for setting priority areas.  This Request
for Applications (RFA), Internet Connection for Medical Institutions,
is related to the priority area of surveillance and data systems.
Potential applicants may obtain a copy of "Healthy People 2000" (Full
Report:  Stock No. 017-001-00474-0) or "Healthy People 2000" (Summary
Report:  Stock No 017-001-00473-1) through the Superintendent of
Documents, Government Printing Office, Washington, DC 20402-9325
(telephone 202-783-3238).

ELIGIBILITY REQUIREMENTS

Domestic public and private, non-profit institutions engaged in
health sciences administration, education, research, and/or clinical
care are eligible to apply.  "Health sciences" is defined as
medicine, dentistry, nursing, public health, pharmacy, veterinary
medicine, and other sciences related to health.  Hospitals are
encouraged to apply.  Racial/ethnic minority individuals, women, and
those with disabilities are encouraged to apply as Principal
Investigators.  Domestic applications may not have international
components.

Consortia of health-related institutions are also eligible to apply.
Consortium applications must be submitted by a single, lead
institution; letters of agreement defining mutual responsibilities
must be provided in the application and signed by authorized
officials of each participating institution.

MECHANISM OF SUPPORT

This RFA will use the National Library of Medicine (NLM) resource
grant (G08) mechanism.  Indirect costs are not provided.
Responsibility for the planning, direction, and execution of the
proposed project will be solely that of the applicant.  The total
project period for an application submitted in response to this RFA
may not exceed one year.  The anticipated award date is September 15,
1995.

For single institutions, support is available up to $30,000;
consortia may receive up to $50,000.  Additional funding may be
provided on a case-by-case basis to support development and
enhancement of multi-institution networks including extending
connectivity to outlying hospitals, or otherwise furthering NLM's
goal of expanding information outreach.  The overall cost of a campus
or local connection to the Internet includes:  gateway equipment,
associated communication hardware (CSU/DSU), the leased line and its
installation, local network user support staff, space, air
conditioning, maintenance, and mid-level network management fees.
The NLM grant is expected to support the purchase and installation of
the gateway system and associated connection hardware and to defray
the cost of installation and leasing of communication circuits to
connect to the mid-level network.  In some cases the award may also
be used to defray the cost of mid-level management fees and local
network staff.  Institutions will usually be expected to fund the
local or campus network and support other costs of the gateway
system, although in some instances, NLM will consider use of the
grant funds to expand access to the Internet in an institution that
already has a connection.

FUNDS AVAILABLE

Funds available for this RFA are approximately $600,000; however,
expenditure of this amount is conditional upon the receipt of
applications of high merit.  Number of awards to be made is estimated
to be between 10 and 16.  Although the PHS budget is expected to
permit support of these projects, funding of any applications
pursuant to this RFA are contingent upon the availability of funds at
the appropriate time.

RESEARCH OBJECTIVES

Background

The Internet currently is a collection of interconnected networks
connected by the NSFnet which was developed with the support of the
National Science Foundation (NSF).  The Internet comprises three
types of networks:  (1) a national backbone network, (2) mid-level
regional networks usually based around some geographical region of
the country, and (3) local networks at educational, research and
clinical institutions.  Individual institutions are connected to a
mid-level network in the appropriate geographical region.  The mid-
level network is in turn attached to the high-speed national backbone
network, usually at its network operation center.  The backbone is
connected to other national networks including the Defense Research
Internet, NASA Science Network, and the Energy Sciences Network;
these interconnected networks and many others worldwide comprise the
Internet.  The Internet provides electronic mail service and access
to a variety of scientific facilities including:  digital libraries,
unique databases such as MEDLINE via Grateful Med as well as a host
of federal and private sector databases, supercomputers, and remote
scientific sensing instruments.  The Internet promotes interaction
and collaboration with a single, well-integrated connection to end
users using the Defense Data Network protocols: Transmission Control
Protocol/Internet Protocol referred to as TCP/IP.

Network management and operations services as well as information
services are provided by each of the levels.  The national backbone
network provides for technical and information services to the mid-
level networks which in turn provide technical expertise and
information services, including training and documentation, to local
level network administrators.  Local network officials provide
technical and information services to the overall local network
administration and also provide consultative and liaison services to
end-users of the network.

Objectives and Scope

The purpose of this RFA is to encourage U.S. medical institutions
including medical research institutions, health science schools, and
hospitals to connect to the Internet.  Some institutions may belong
to organizations that are already connected to the Internet, for
example, medical schools adjacent to university campuses.  In such a
case, the NLM grant can be used by a health science school or
hospital to connect to an existing campus network.  In other cases,
the project will aid the institution in connecting directly to the
mid-level regional network.  In general, it is expected that
institutions will use an existing local or campus network to
distribute access to the Internet, or will build a new local or
campus network and connect it to the Internet.  A local or campus
network is connected to the Internet by installing an IP
router/gateway.  This gateway will link the campus or local network
to an appropriate mid-level network by means of leased or dial-up
communication circuits of varying speeds (9600 bits per second to 1.5
million bits per second).  The resultant connections to the Internet
provided by the gateway should be made widely available to all
appropriate health professionals, -- researchers, faculty, students,
clinicians, and administrators.  Ideally the institution will have
installed a high-speed campus or local area network and have adopted
the TCP/IP protocols as the standard communication protocol.  Where
other networking protocols are used, the institution will be
responsible for the installation of any additional network gateway
systems required to resolve the protocol conversion issues so as to
provide connectivity to the Internet gateway.

LETTER OF INTENT

Prospective applicants are asked to submit, by April 10, 1995, a
letter of intent that includes a descriptive title of the proposed
project, the name, address, and telephone number of the Principal
Investigator, the identities of other key personnel in the sponsoring
institution and in participating institutions, the identities of
consultants, and the number and title of this RFA.  It is
particularly helpful if consortia provide complete lists of key
people who will be associated with the project for all participants.
Although a letter of intent is not required, is not binding, and does
not enter into the review of a subsequent application, the
information that it contains allows NLM staff to estimate the
potential review workload and avoid conflict of interest in the
review.

The letter of intent is to be sent to Ms. Frances E. Johnson at the
address listed under INQUIRIES.

APPLICATION PROCEDURES

The research grant application form PHS 398 (rev. 9/91) is to be used
in applying for these grants.  These forms are available at most
institutional offices of sponsored research; from the Office of
Grants Information, Division of Research Grants, National Institutes
of Health, 5333 Westbard Avenue, Room 449, Bethesda, MD 20892,
telephone 301-594-7248; and from the program administrator listed
under INQUIRIES.

Supplemental Application Guidelines

Applicants should not feel constrained by the emphasis on research in
the language used by the forms.  It may be useful for an applicant to
read "project" whenever the form refers to "research".  NLM considers
these grants to be projects, not research applications, and will
evaluate the applications in that spirit.  NLM recommends that those
writing the application keep the "project" concept in mind.  Internet
uses may support administration, education, research and/or patient
care endeavors.  Applicants are encouraged to include their health
science library in the proposed Internet connection.

"Resources and Environment," form page (HH).  Other applicable
headings may be substituted such as computers, communications, and
networking resources in place.

"Biographical Sketch," form page (FF).  Include computer,
communications, and networking skills.

In Section 4 of the "Research Plan" (read "Project Plan") also
provide:  (1) plans for user training and user support and (2) plans
for future support.  The success of an Internet connection depends
upon training users in establishing accounts and passwords and in
teaching Internet capabilities. Describe user training plans
including topics to be covered and the personnel who will provide the
training and follow-up training.  Library involvement in user
training is strongly encouraged.  In regard to future support, the
Internet Connection Grant is intended to provide seed money to
initiate an Internet connection; therefore, plans for budgeting
ongoing costs for Internet access must be described.

All applicants, particularly those relatively unfamiliar with the
application review form and with NIH procedures, are encouraged to
consult Ms. Frances Johnson (address below) for assistance as needed
in completing the application.

Additional Application Procedures

The RFA label available in the PHS 398 (rev. 9/91) application form
must be affixed to the bottom of the face page of the application.
Failure to use this label could result in delayed processing of the
application such that it may not reach the review committee in time
for review.  In addition, the RFA title and number must be typed on
line 2a of the face page of the application form and the YES box must
be marked.

Submit a signed, typewritten original of the application, including
the Checklist, and three signed, photocopies, in one package to:

Division of Research Grants
National Institutes of Health
Westwood Building, Room 240
Bethesda, MD  20892**

At the time of submission, two additional copies of the application
must also be sent to Ms. Frances E. Johnson at the address listed
under INQUIRIES.

REVIEW CONSIDERATIONS

Upon receipt, applications will be reviewed for completeness by the
NIH Division of Research Grants (DRG) and responsiveness by NLM.
Incomplete and/or non-responsive applications will be returned to the
applicant without further consideration.  Applications that are
complete and responsive to the RFA will be evaluated for merit by an
appropriate peer review group convened by the NLM in accordance with
the review criteria stated below.

As part of the review procedure, a triage process will be used by the
initial review group in which applications will be determined to be
competitive or non-competitive based on merit relative to other
applications received in response to the RFA.  Applications
determined to be non-competitive will be withdrawn from further
consideration; the Principal Investigator and the official signing
for the applicant organization will be notified.  Applications judged
to be competi