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$$XID NIHGUIDE 19960301 V25N06 P1O1 ************************************
X-comment: RFAs described: LM-96-001, HS-96-002, CA-96-005, PAR-96-030
X-URL: gopher://gopher.nih.gov:70/11/res/nih-guide/guide-files/96.03.01

NIH GUIDE - Vol. 25, No. 6 - March 1, 1996

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

                               NOTICES

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

AMENDMENT TO INCLUDE RESEARCH ON THE CO-OCCURRENCE AND HEALTH
CONSEQUENCES OF VIOLENCE, DRUG ABUSE, AND HIV/AIDS
National Institute on Drug Abuse
INDEX:  DRUG ABUSE

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

REVISED PHS 416-1 INDIVIDUAL NRSA APPLICATION FORM
National Institutes of Health
INDEX:  NATIONAL INSTITUTES OF HEALTH

               NOTICES OF AVAILABILITY (RFPs/RFAs/PAs)

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

CONSTRUCTION AND APPLICATION OF A FLOWCELL FOR ATTENUATED TOTAL
REFLECTANCE-FOURIER-TRANSFORM INFRARED (ATR-FTIR)
SPECTROMETER/SCANNING CONFOCAL LASER MICROSCOPE (SCLM) STUDIES OF
ORAL MICROBIAL COMMUNITIES (RFP NLM-96-104/VMS)
National Library of Medicine
INDEX:  NATIONAL LIBRARY OF MEDICINE

$$INDEX R2 05/16/96 *************************************************

INTERNET CONNECTION FOR MEDICAL INSTITUTIONS (RFA LM-96-001)
National Library of Medicine
INDEX:  NATIONAL LIBRARY OF MEDICINE

$$INDEX R3 06/18/96 *************************************************

MEDTEP RESEARCH ON NON-CANCEROUS UTERINE CONDITIONS (RFA HS-96-002)
Agency for Health Care Policy and Research
INDEX:  HEALTH CARE POLICY, RESEARCH

$$INDEX R4 07/19/96 *************************************************

PROGRAM PROJECTS IN NUTRITION AND BASIC BIOLOGY RESEARCH FOR CANCER
PREVENTION (RFA CA-96-005)
National Cancer Institute
INDEX:  CANCER

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

MARC UNDERGRADUATE STUDENT TRAINING IN ACADEMIC RESEARCH (U-STAR)
PROGRAM (PAR-96-030)
National Institute of General Medical Sciences
INDEX:  GENERAL MEDICAL SCIENCES

THE NIH GUIDE 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 VIA MODEM (DATA LINE
301/402-2221); CONTACT DR. JOHN JAMES AT 301/435-2801 FOR DETAILS.

THE PHS STRONGLY ENCOURAGES ALL GRANT AND CONTRACT RECIPIENTS TO
PROVIDE A SMOKE-FREE WORKPLACE AND PROMOTE THE NON-USE OF ALL TOBACCO
PRODUCTS.  IN ADDITION, PUBLIC LAW 103-227, THE PRO-CHILDREN ACT OF
1994, PROHIBITS SMOKING IN CERTAIN FACILITIES (OR IN SOME CASES, ANY
PORTION OF A FACILITY) IN WHICH REGULAR OR ROUTINE EDUCATION,
LIBRARY, DAY CARE, HEALTH CARE OR EARLY CHILDHOOD DEVELOPMENT
SERVICES ARE PROVIDED TO CHILDREN.  THIS IS CONSISTENT WITH THE PHS
MISSION TO PROTECT AND ADVANCE THE PHYSICAL AND MENTAL HEALTH OF THE
AMERICAN PEOPLE.

ALL COMPETING GRANT APPLICATIONS SUBMITTED TO THE NATIONAL INSTITUTES
OF HEALTH MUST BE SENT TO:

DIVISION OF RESEARCH GRANTS
NATIONAL INSTITUTES OF HEALTH
6701 ROCKLEDGE DRIVE, ROOM 1040 - MSC 7710
BETHESDA, MD  20892-7710
BETHESDA, MD  20817 (for express/courier service)

THE GRANTS INFORMATION OFFICE, DRG, HAS BEEN INCORPORATED INTO THE
NEW OFFICE OF EXTRAMURAL OUTREACH & INFORMATION RESOURCES, OFFICE OF
EXTRAMURAL RESEARCH, OFFICE OF THE DIRECTOR, NIH.  REQUESTS FOR
APPLICATION FORMS, PUBLICATIONS, AND OTHER INFORMATION MAY BE
DIRECTED TO THE FOLLOWING:

OFFICE OF EXTRAMURAL OUTREACH & INFORMATION RESOURCES
6701 ROCKLEDGE DRIVE, MSC 7910
BETHESDA, MD  20892-7910
TELEPHONE:  (301) 435-0714
EMAIL:  GIRG@DRGPO.DRG.NIH.GOV

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

                               NOTICES

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

AMENDMENT TO INCLUDE RESEARCH ON THE CO-OCCURRENCE AND HEALTH
CONSEQUENCES OF VIOLENCE, DRUG ABUSE, AND HIV/AIDS

NIH GUIDE, Volume 25, Number 6, March 1, 1996

PA NUMBER:  PA-95-072, International Epidemiology Research on Drug
Abuse
PA-95-060, Drug and Alcohol Use and Abuse in Rural America
PA-95-059, Local Population/Area Epidemiologic Drug Research
PA-95-057, HIV Risk Behaviors, Determinants and Consequences
PA-94-054, Strategies to Reduce HIV Sexual Risk Practices
PA-94-010, Needle Hygiene & Needle Exchange Program Research
PA-94-007, Survey Research on Drug Use/Associated Behaviors
PA-93-111, Partner Notification to HIV-Infected Drug Users
PA-93-046, Drug Abuse in Minority & Underserved Populations

P.T. 34; K.W. 0715008, 0404009, 0404023, 0404000

National Institute on Drug Abuse

PURPOSE

For those investigators applying for new grants or competing
supplements under the program of research sponsored by the National
Institute on Drug Abuse (NIDA) Community Research Branch, this notice
is meant to amend Program Announcements  PA-95-072 (NIH Guide, Vol.
24, No. 2, June 16, 1995), PA-95-060 (NIH Guide, Vol. 24, No. 16, May
12, 1995), PA-95-059 (NIH Guide, Vol. 24, No. 15, May 5, 1995),
PA-95-057 (NIH Guide, Vol. 24, No. 16, May 5, 1995), PA-94-054 (NIH
Guide, Vol. 23, No. 14, April 8, 1994), PA-94-010 (NIH Guide, Vol.
22, No. 40, November 5, 1993),  PA-94-007 (NIH Guide, Vol. 22, No.
39, October 29, 1993), PA-93-111 (NIH Guide, Vol. 22, No. 33,
September 17, 1993), and PA-93-046 (NIH Guide, Vol. 22, No. 5,
February 5, 1993), which are still in effect and should be consulted
in conjunction with this amendment.  (Research on violence has
already been requested under PA-95-083, "Women's HIV Risk and
Protective Behaviors.")  The referenced PAs address rural-, local
area-, and international epidemiologies of drug abuse, including
enhanced survey research on drug use issues; the patterns, causes and
consequences of drug use among minority or underserved populations;
the epidemiologies of drug abuse and HIV/AIDS; and interventions to
reduce behaviors linked to the transmission of HIV among drug users
and their sex partners.

This addendum focuses on the co-occurrence, interrelatedness, and
health consequences of three major public health problems: drug
abuse, violence, and HIV/AIDS.  To this end, NIDA will support the
following kinds of studies: (1) local-level community epidemiology
studies to document and monitor trends in the nature, extent, and
patterns of co-occurring drug use, violence, and HIV/AIDS, as well as
their negative health consequences; (2) studies of the common and
unique risk/protective antecedents and correlates of these phenomena;
(3) studies of reciprocal linkages among drug use, violence, and HIV
risk taking (e.g., the effect of drug use on sexual assault or other
HIV risks; the effect of sexual assault or coercion on HIV infection;
the effect of sexual risk-taking on drug use); (4) studies that
design, implement and evaluate interventions to reduce/prevent
drug-related violence and HIV risk behaviors and their negative
health consequences; and (5) methodological studies to improve the
measurement, data collection, and analysis of drug-related violence
and HIV behaviors, or to extend prevailing research paradigms
thereon. In contrast, this addendum will not support research
focusing exclusively on the criminal behavior/criminal justice
outcomes of drug abuse.

Populations of concern include high-risk male and female drug
injectors and non-injectors from urban and rural communities as well
as subgroups of the population that are disproportionately at risk
for drug abuse, violence, and HIV/AIDS.  Applications must be
submitted on the grant application form PHS 398 (rev. 5/95) using the
receipt dates outlined in the PHS 398 kit.

INQUIRIES

Direct inquiries regarding programmatic issues to:

Richard Needle, Ph.D., M.P.H. or Susan Coyle, Ph.D.
Division of Epidemiology and Prevention Research
National Institute on Drug Abuse
5600 Fishers Lane, Room 9A-42
Rockville, MD  20857
Telephone:  (301) 443-6720
FAX:  (301) 443-2636
Email:  RNEEDLE@AOADA.SSW.DHHS.GOV or SCOYLE@AOADA.SSW.DHHS.GOV

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

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

REVISED PHS 416-1 INDIVIDUAL NRSA APPLICATION FORM

NIH GUIDE, Volume 25, Number 6, March 1, 1996

P.T. 34; K.W. 1014006

National Institutes of Health

The revised (8/95) PHS 416-1 Individual National Research Service
Award application is now available.  The new application forms will
be accepted for the April 5 and August 5, 1996, receipt dates and
must be used for the receipt of December 5, 1996.  The PHS 416-1
(rev. 8/95) supersedes all previous editions.  A major change in the
new PHS 416-1 is the format of the application kit.  The form pages
are not attached to the instruction booklet.  Therefore, applicants
are encouraged to retain the instruction booklet for use with future
applications.

INQUIRIES

To request one copy, contact:

OFFICE OF EXTRAMURAL OUTREACH & INFORMATION RESOURCES
OFFICE OF EXTRAMURAL RESEARCH
NATIONAL INSTITUTES OF HEALTH
6701 ROCKLEDGE DRIVE MSC 7910
BETHESDA, MD  20892-7910
EMAIL:  GIRG@DRGPO.DRG.NIH.GOV

To request two or more copies, contact:

ADMINISTRATIVE SERVICES OFFICE
DIVISION OF RESEARCH GRANTS
NATIONAL INSTITUTES OF HEALTH
6701 ROCKLEDGE DRIVE MSC 7760
BETHESDA, MD  20892-7760
EMAIL:  AMRG@DRGPO.DRG.NIH.GOV

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

               NOTICES OF AVAILABILITY (RFPs/RFAs/PAs)

$$R1 BEGIN NLM-96-104/VMS *******************************************

CONSTRUCTION AND APPLICATION OF A FLOWCELL FOR ATTENUATED TOTAL
REFLECTANCE-FOURIER-TRANSFORM INFRARED (ATR-FTIR)
SPECTROMETER/SCANNING CONFOCAL LASER MICROSCOPE (SCLM) STUDIES OF
ORAL MICROBIAL COMMUNITIES

NIH GUIDE, Volume 25, Number 6, March 1, 1996

RFP AVAILABLE:  NLM-96-104/VMS

P.T. 34; K.W. 1002024

National Library of Medicine

The National Institute of Dental Research (NIDR) has a requirement to
develop a Fourier-Transform-Infrared-Spectroscopy (FTIR) flowcell for
establishment and characterization for various conditioning films on
a substratum appropriate to the oral milieu (e.g., dental enamel),
and to reversibly install this flowcell on a Scanning Confocal Laser
Microscope (SCLM) located at the National Institute of Dental
Research (NIDR), NIH, thereby creating an instrument for on-line
four-dimensional study of microbial attachment to conditioning films.
The successful contractor will be provided access to the Leica TCS-4D
SCLM located at NIDR, to test the suitability of the flowcell for use
on the microscope stage to conduct preliminary tests.  Integration
onto the SCLM, and support to set necessary baseline parameters for
studying orally-relevant biofilms are required.  It is anticipated
that a two-year, cost reimbursement (level of effort) type contract
will be awarded.  The total project effort is estimated at 3,400
labor hours over the two year period of performance.  The skills of
trained and experienced analytical chemists, microbiologists,
microbial ecologists, materials science engineers and access to
laboratory-scale (developmental) and projection-scale prism-coating
facilities as well as analytical facilities (XPS, SIMS, and Auger)
will be essential for the successful completion of this project.

INQUIRIES

Request for Proposals (RFP) No. NLM 96-104/VMS will be available on
or about March 11, 1996, with proposals due on or about April 26,
1996.  All responsible sources may submit a proposal which will be
considered by the NIDR.  This acquisition is being managed for the
National Institute of Dental Research by the Office of Acquisitions
Management at the National Library of Medicine.  Verbal and FAX
requests for the RFP will not be accepted; requests must be submitted
in writing, addressed to:

Valerie M. Syed
Office of Acquisitions Management
National Library of Medicine
8600 Rockville Pike
Building 38A, Room B1N17
Bethesda, MD  20894

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

$$R2 BEGIN LM-96-001 FULL-TEXT **************************************

INTERNET CONNECTION FOR MEDICAL INSTITUTIONS

NIH GUIDE, Volume 25, Number 6, March 1, 1996

RFA AVAILABLE:  LM-96-001

P.T. 34; K.W. 0710078, 1004017

National Library of Medicine

Letter of Intent Receipt Date:  April 17, 1996
Application Receipt Date:  May 16, 1996

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, of transferring files
and images, and of 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 Summary Report:  Stock No.
017-001-00473-1) through the Superintendent of Documents, Government
Printing Office, Washington, DC 20402-9325 (telephone 202-512-1800).

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), the NIH GOPHER (gopher.nih.gov), and
the NIH Website (http://www.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:  FJOHNSON@NLM.NIH.GOV

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

$$R3 BEGIN HS-96-002 FULL-TEXT **************************************

MEDTEP RESEARCH ON NON-CANCEROUS UTERINE CONDITIONS

NIH GUIDE, Volume 25, Number 6, March 1, 1996

RFA AVAILABLE:  HS-96-002

P.T. 34, II; K.W. 0705075, 0755015

Agency for Health Care Policy and Research

Letter of Intent Receipt Date:  May 1, 1996
Application Receipt Date:  June 18, 1996

PURPOSE

The Agency for Health Care Policy and Research (AHCPR) invites
applications for cooperative agreements (U01) to design and conduct
collaborative, multi-site randomized controlled trials to compare the
effectiveness and outcomes of hysterectomy to those of other common
treatments for non-cancerous uterine conditions.  These trials will
emphasize outcomes important to patients.  The conditions of interest
are:  uterine fibroids (leiomyomata), endometriosis, dysfunctional
uterine bleeding, and uterine prolapse.

Each application must be submitted by the institution where the Data
Coordinating Center is located.  The Data Coordinating Center will be
the applicant and control point for project coordination, and for
management and analysis of the data.  The project should include a
consortium or network of Clinical Centers and a Study Chair.

Dependent upon the availability of funds, AHCPR expects to award up
to $3 million to support the first year of approximately three
projects under this Request for Applications (RFA).  Funding beyond
the initial budget period will depend upon annual progress reviews by
AHCPR and the availability of funds.

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,
MEDTEP Research on Non-Cancerous Uterine Conditions, addresses
several of those objectives.  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 202-512-1800).

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), the NIH GOPHER (gopher.nih.gov), and
the NIH Website (http://www.nih.gov), and by mail and email from the
program contact listed below.

Miriam A. Kelly, Ph.D.
Center for Outcomes and Effectiveness Research
Agency for Health Care Policy and Research
2101 East Jefferson Street, Suite 605
Rockville, MD  20852-4908
Telephone:  (301) 594-1485
Email:  COER_RFA@PO4.AHCPR.GOV

$$R3 END ************************************************************

$$R4 BEGIN CA-96-005 FULL-TEXT **************************************

PROGRAM PROJECTS IN NUTRITION AND BASIC BIOLOGY RESEARCH FOR CANCER
PREVENTION

NIH GUIDE, Volume 25, Number 6, March 1, 1996

RFA AVAILABLE:  CA-96-005

P.T. 34; K.W. 0710095, 0715035, 0745027

National Cancer Institute

Letter of Intent Receipt Date:  April 12, 1996
Application Receipt Date:  July 19, 1996

PURPOSE

The Division of Cancer Prevention and Control and the Division of
Cancer Biology, National Cancer Institute (NCI), are reissuing an
invitation for the submission of Program Project Grant (P01)
applications for multidisciplinary nutrition and basic biology
research relevant to the prevention of cancer, with a special
emphasis on breast cancer, prostate cancer, and cancer in women and
minorities.  This RFA seeks to improve understanding of the roles of
dietary patterns, individual dietary constituents, and nutritional
status in the development and prevention of cancer.  The objectives
of this RFA are to increase the pool of quality applications
addressing nutrition and human cancer prevention using
multidisciplinary approaches; to stimulate the use of modern
biological approaches and techniques in order to elucidate the
effects of nutrition on cancer initiation, promotion, progression,
and prevention; and to promote the translation of knowledge of the
impact of nutrition on the basic biology of cancer into dietary
interventions for its prevention.  Up to $2.0 million in total costs
per year for up to four years will be committed specifically to fund
applications that are submitted in response to this RFA.  It is
anticipated that two to three awards will be made.

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 Projects in Nutrition and Basic Biology Research for Cancer
Prevention, is related to the priority areas of nutrition and cancer.
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 202-512-1800).

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), the NIH GOPHER (gopher.nih.gov), and
the NIH Website (http://www.nih.gov), and by mail and email from the
program contact listed below.

Susan M. Pilch, Ph.D.
Division of Cancer Prevention and Control
National Cancer Institute
6130 Executive Boulevard, Room 212, MSC 7328
Bethesda, MD  20892-7328
Telephone:  (301) 496-8573
FAX:  (301) 402-0553
Email:  PilchS@dcpcepn.nci.nih.gov

Victor A. Fung, Ph.D.
Division of Cancer Biology
National Cancer Institute
6130 Executive Boulevard, Suite 700, MSC 7420
Bethesda, MD  20892-7420
Telephone:  (301) 496-5471
FAX:  (301) 496-1040
Email:  FungV@epndce.nci.nih.gov

$$R4 END ************************************************************

$$P1 BEGIN PAR-96-030 FULL-TEXT *************************************

MARC UNDERGRADUATE STUDENT TRAINING IN ACADEMIC RESEARCH (U-STAR)
PROGRAM

NIH GUIDE, Volume 25, Number 6, March 1, 1996

PA AVAILABLE:  PAR-96-030

P.T. 44, FF; K.W. 0720005, 0710030

National Institute of General Medical Sciences

Application Receipt Dates:  January 10 and May 10

PURPOSE

The Minority Access to Research Careers (MARC) Branch of the National
Institute of General Medical Sciences (NIGMS) announces the
Undergraduate Student Training in Academic Research (U-STAR) program,
which replaces the existing Honors Undergraduate Research Training
(HURT) program and supersedes all previous MARC HURT announcements.
Although NIGMS will no longer accept competing applications for the
HURT program, existing policies and provisions will remain in effect
for current MARC HURT recipients until completion of the
non-competitive years of their existing grant period.

NIGMS-MARC provides support for underrepresented minority students to
improve their preparation for graduate training in the biomedical
sciences.  To this end, the objectives of the MARC U-STAR program
are:  to increase the number of competitively trained
underrepresented minority students enrolled in programs that lead to
the research doctorate; to strengthen the faculty, science course
curriculum and research training programs in biomedical sciences at
minority serving institutions; and to aid in the development of
research training infrastructure at minority serving institutions.

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), the NIH GOPHER (gopher.nih.gov), and
the NIH Website (http://www.nih.gov), and by mail and email from the
program contact listed below.

Adolphus P. Toliver, Ph.D.
Minority Access to Research Career Branch
National Institute of General Medical Sciences
45 Center Drive, Room 2AS.37, MSC 6200
Bethesda, MD  20892-6200
Telephone:  (301) 594-3900
FAX:  (301) 480-2753
Email:  ToliverA@GM1.NIGMS.NIH.GOV

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

From owner-sci-resources@net.bio.net Sun Mar 03 22:00:00 1996
Path: biosci!biosci!not-for-mail
From: BIOSCI Administrator <biosci-help@net.bio.net>
Newsgroups: bionet.sci-resources
Subject: NIH GUIDE - RFA CA-96-005 - V25(06) 03/01/96
Date: 3 Mar 1996 16:03:01 -0800
Organization: BIOSCI International Newsgroups for Molecular Biology
Lines: 507
Sender: daemon@net.bio.net
Approved: biosci-help@net.bio.net
Distribution: world
Message-ID: <4hdbvl$3p0@net.bio.net>
NNTP-Posting-Host: net.bio.net

$$XID RFA CA96005 CA-96-005 P1O1 ***************************************

PROGRAM PROJECTS IN NUTRITION AND BASIC BIOLOGY RESEARCH FOR CANCER
PREVENTION

NIH GUIDE, Volume 25, Number 6, February 23, 1996

RFA:  CA-96-005

P.T. 34; K.W. 0710095, 0715035, 0745027

National Cancer Institute

Letter of Intent Receipt Date:  April 12, 1996
Application Receipt Date:  July 19, 1996

PURPOSE

The Division of Cancer Prevention and Control and the Division of
Cancer Biology, National Cancer Institute (NCI), are reissuing an
invitation for Program Project Grant applications for
multidisciplinary nutrition and basic biology research relevant to
the prevention of cancer, with a special emphasis on breast cancer,
prostate cancer, and cancer in women and minorities.  This Request
for Applications (RFA) seeks to improve understanding of the roles of
dietary patterns, individual dietary constituents, and nutritional
status in the development and prevention of cancer.  The objectives
of this RFA are to increase the pool of quality applications
addressing nutrition and human cancer prevention using
multidisciplinary approaches; to stimulate the use of modern
biological approaches and techniques in order to elucidate the
effects of nutrition on cancer initiation, promotion, progression,
and prevention; and to promote the translation of knowledge of the
impact of nutrition on the basic biology of cancer into dietary
interventions for its prevention.

Application of the tools and techniques of the basic biological
sciences in research designed to increase understanding of the
complex role of nutrition in cancer prevention will be enhanced
significantly by a mechanism that promotes collaborations across
disciplines and across institutions.  Therefore, investigators are
encouraged to submit Program Project Grant (P01) applications for a
multidisciplinary research program in nutrition and basic biology for
cancer prevention with a focused theme and a minimum of three
interrelated and synergistic individual component projects that
comprise basic research efforts and at least one component project
involving human subjects or human tissues.

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), Program Projects in Nutrition and Basic
Biology Research for Cancer Prevention, is related to the priority
areas of cancer and nutrition.  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 202-512-1800).

ELIGIBILITY REQUIREMENTS

Applications may be submitted by domestic non-profit and for-profit
organizations, public and private, such as universities, colleges,
hospitals, laboratories, and units of State and local governments.
Applications may be submitted from a single institution or may
include arrangements with several institutions, if appropriate.
Foreign institutions are ineligible to apply.  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) Program
Project Grant (P01).  P01 grant applications must comply with
Guidelines for Program Project Grant of the National Cancer
Institute, as revised in 1995.  Applicants will be responsible for
the planning, direction and execution of the proposed projects.  The
total project period for applications submitted in response to this
RFA must not exceed four years.

Because the nature and scope of the research proposed in response to
this RFA may vary, it is anticipated that the total amount of the
direct cost awards will vary.  This 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

Up to $2 million in total costs per year for up to four years will be
committed specifically to fund applications that are submitted in
response to this RFA.  It is anticipated that two to three awards
will be made.  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.

RESEARCH OBJECTIVES

A.  Background

Associations of dietary patterns, dietary constituents, or
nutritional status with mortality and incidence have been suggested
for a variety of cancers, including breast, prostate, lung, colon,
stomach, esophagus, and cervix. Among these, breast and prostate
cancer are of particular significance because of the large numbers of
persons affected in the United States.  The state of current
knowledge of the role of nutrition in the development and prevention
of breast, prostate, and other cancers is still rudimentary.  It has
been subject to the inherent methodological limitations and
inadequacies of the epidemiologic studies and animal models upon
which it is largely based.

Further significant advances in understanding the role of nutrition
in cancer prevention require answers to questions about the
fundamental mechanism(s) of action of dietary patterns and dietary
constituents in the initiation, promotion, progression, and
prevention of cancer, in the context of nutrient-gene-environmental
interactions. Information is needed regarding nutrient and dietary
non- nutrient microconstituent interactions with and effects on
cellular metabolism, genomic stability, intracellular signal
transduction, the net expression of growth-promoting and
growth-inhibiting genes, and other modulators of gene expression and
carcinogenesis.  More information is also needed about the transport
of nutrients to target tissues and about individual variability in
susceptibility and response to nutrient effects.  Such knowledge of
the basic mechanisms of action of dietary components in cancer
development is needed to provide informed recommendations about the
optimal range of intake of specific dietary constituents and to
refine and individualize dietary guidance for prevention of cancer.
Studies that provide the necessary information would encompass
research on nutrients at the cellular level and the metabolic and
behavioral consequences of food or nutrients in living organisms
including humans.

With the increasing recognition of the invaluable contributions of
the techniques of molecular biology and molecular genetics to all
facets of biomedical research, it is appropriate that their use in
addressing important questions about nutrition and cancer prevention
be encouraged.  These new technologies have the potential to
revolutionize many aspects of the science of nutrition, by increasing
understanding of the nutrient-cell interactions that affect
transition from healthy to diseased cells and by permitting more
reliable determination of the nutrient requirements for optimal
health and functional capacity.  To realize this potential,
nutritional science must encompass a broad range of activities from
basic research through translational research to practical
applications.

B.  Research Areas of Interest

The studies encouraged by this RFA should employ innovative
approaches to examine fundamental effects of nutrients and other food
constituents on initiation, promotion, progression, and prevention of
cancer, as well as individual variability in response, in order to
develop more effective nutrition interventions for prevention of
cancer, especially breast and prostate cancer and other cancers
affecting women and minorities.  A wide variety of potential Program
Projects, comprising individual projects ranging from basic to
translational research and tests of practical applications, may be
considered for support; however, all applications must delineate
clearly the relevance of each proposed individual research project,
especially those with a basic biology focus, for the prevention of
human cancer.

Illustrative, but not exhaustive, examples of research areas relevant
to nutrition and basic biology research for the prevention of cancer
that may be included in proposed Program Projects are studies to:

o  Evaluate nutrient-genome interactions in carcinogenesis and
anticarcinogenesis, e.g., nutrient effects on DNA repair or
modulation of gene expression.

o  Examine the potential for nutrients or other dietary constituents
to influence the activation of oncogenes or inactivation of tumor
suppressor genes.

o  Study nutrient influences on differentiation and on signals
induced by physiological or chemical differentiation in various
tissues.

o  Evaluate nutrient effects on growth factors for cellular
transformation, including the ability to block or prevent the
interaction of growth factors with receptors.

o  Examine nutrient-carcinogen-promoter interactions, including
cellular defense mechanisms against environmental
carcinogens/promoters that may be regulated by dietary factors.

o  Elucidate mechanisms and controls of nutrient transport to target
sites in various tissues.

o  Quantify dose-response relationships for nutrients, nutrient
derivatives, and other bioactive dietary constituents as part of the
evaluation of their absorption, metabolism, and distribution in
target tissues and their effects on molecular and cellular events.

o  Identify biomarkers indicative of early cellular transformation
that may be monitored in nutrition epidemiologic studies and
modulated in dietary intervention trials.

o  Identify biomarkers that will provide improved assessment of
dietary intake and/or nutritional status for use in nutrition
epidemiologic studies and dietary intervention trials.

o  Characterize the nature, extent, and causes of individual
variability in cancer risk and in responses to dietary constituents.

o  Develop dietary intervention strategies to modulate expression of
genetically determined cancer risk, including risk resulting from
loss of response to natural regulators of proliferation and/or risk
resulting from blocked expression of differentiation (maturation)
programs.

o  Conduct small-scale clinical/metabolic intervention studies to
test dietary modifications with potential for cancer prevention
developed on the basis of knowledge of nutrient-genomic interactions.

SPECIAL REQUIREMENTS

The Program Project Grant is intended solely for the support of a
multidisciplinary or multifaceted research program that has a focused
theme.  This grant mechanism builds on the leadership of the
principal investigator and the interaction of the participating
investigators to integrate the individual projects in a way that
accelerates the acquisition of knowledge beyond that expected from
the same projects conducted separately, without combined leadership
or a common theme.

A project within a Program Project is similar to the traditional
research grant application in the sense that each is reviewed for
scientific merit; however, it is evaluated within the context of the
special collaborative interrelationships required for a Program
Project.  In order to be responsive to this RFA, a Program Project
must include basic research efforts and at least one component
project involving studies of human subjects or human tissues.  The
relevance of each component project, especially those projects with a
basic biology focus, to the prevention of human cancer must be
clearly delineated.

A Program Project Grant may contain one or more core component(s),
each with a separate budget, for administrative and/or research
support services that are required for and shared solely within this
particular Program Project.  Each core must provide essential
facilities or services for two or more projects judged to have
substantial merit.  There is no allowance for unspecified
developmental research funds (seed money) in Program Project Grants.

A Program Project should include a sufficient number of
scientifically meritorious projects to promote an effective
collaborative effort among the participating investigators. For this
RFA, Program Projects should be no larger than necessary to achieve
the desired collaboration among basic biology and nutrition
investigators.  To be eligible for an award, a Program Project must
consist of a minimum of three scientifically meritorious projects.
There is no limit for the maximum number of projects to be included
in a Program Project; however, the Program Project should not be so
large that it exceeds the scientific and administrative leadership
capability of the principal investigator, or that it loses a tight
focus.  In the peer review process, components not recommended for
further consideration are considered in the peer review evaluation of
the principal investigator's scientific judgment and program
administration skills.

The principal investigator of the Program Project Grant must be an
established scientist with a strong record of accomplishment, who is
substantially committed to and capable of exercising the
responsibility for the scientific leadership, integration and
administration of the entire Program Project.  Also, the component
projects should be directed by investigators who are experienced in
the conduct of independent research and whose backgrounds and
interests relate sufficiently to one another to allow for integrated
group pursuit of the proposed Program Project goals and objectives.

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 on the Inclusion of Women and Minorities as
Subjects in Clinical Research," which were 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 these sources
or 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 12, 1996 a
letter of intent that includes the names of the principal
investigator and principal collaborators; a descriptive title of the
potential application and a list of titles for the anticipated
components of the P01; identification of the organization(s)
involved; 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, it is requested
in order to provide an indication of the number and scope of
applications to be reviewed and to allow NCI staff to avoid conflict
of interest.

The letter of intent is to be sent to:

Susan M. Pilch, Ph.D.
Division of Cancer Prevention and Control
National Cancer Institute
6130 Executive Boulevard, Room 212 MSC 7328
Bethesda, MD  20892-7328
Telephone:  (301) 496-8573
FAX:  (301) 402-0553
Email:  PilchS@dcpcepn.nci.nih.gov

APPLICATION PROCEDURES

The research grant application form PHS 398 (rev. 5/95) is to be used
in applying for these grants.  Applications kits are available at
most institutional offices of sponsored research and may be obtained
>From the Grants Information Office, Office of Extramural Outreach and
Information Resources, National Institutes of Health, 6701 Rockledge
Drive, MSC 7910, Bethesda, MD 20892-7910, telephone 301/435-0714,
email:  girg@drgpo.drg.nih.gov; and from the NCI program staff listed
under INQUIRIES.

Instructions provided in the PHS 398 (rev. 5/95) application kit are
designed primarily for traditional research project (R01)
applications.  Program Project applications require additional
information and a special format as described in the publication,
"Program Project Grant of the National Cancer Institute:  Guidelines
1995."  Applicants should request a copy of this publication from the
NCI Referral Officer cited below in this section.

If collaborations or subcontracts are involved that require transfer
of funds from the grantee to other institutions, it is necessary to
establish formal subcontract agreements with each collaborating
institution.  A letter of intent from each collaborating institution
should be submitted with the application.

The RFA label available in the PHS 398 (rev. 5/95) 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 2 of the face page of the application form and the YES box must
be marked.  All requirements with regard to type size, page
limitations, appendix material, etc., must be followed or
applications 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
Rockledge 2, Room 1040
6701 ROCKLEDGE DR  MSC 7710
BETHESDA MD  20892-7710 (if using U.S. Postal Service)
Bethesda, MD  20817 (for express/courier service)

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

Ms. Toby Friedberg
Referral Officer
Division of Extramural Activities
National Cancer Institute
Executive Plaza North, Suite 636
6130 EXECUTIVE BLVD  MSC 7405
BETHESDA MD  20892-7405 (if using U.S. Postal Service)
Rockville, MD  20852 (for express/courier service)

Applications must be received by July 19, 1996.  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.

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.  In such a case, a letter of agreement from
either the GCRC program director or principal investigator should be
included with the application.

REVIEW CONSIDERATIONS

Upon receipt, applications will be reviewed for completeness by DRG
and responsiveness, including responsiveness to the special
application procedures, by the NCI.  Incomplete applications will be
returned to the applicant without further consideration.  If NCI
staff find that the application is not responsive to the RFA, it will
be returned without further consideration.

Applications that are complete and responsive to the RFA will be
evaluated for scientific and technical merit by an appropriate peer
review group convened in accordance with NIH peer review procedures.
As part of the initial merit review, all applications will receive a
written critique and undergo a process in which only those
applications deemed to have the highest scientific merit, generally
the top half of applications under review, will be discussed,
assigned a priority score, and receive a second level review by the
National Cancer Advisory Board.

Peer review of the overall scientific and technical merit of each
Program Project application submitted in response to this RFA will
emphasize a synthesis of two major aspects: (1) review of the program
as an integrated research effort focused on a central theme, and (2)
review of the merit of individual research projects and core
components in the context of the proposed program.

Detailed review criteria for the overall program, the program as an
integrated effort, and individual projects and cores in P01 grant
applications are specified in the publication, "Program Project Grant
of the National Cancer Institute:  Guidelines, 1995," which may be
obtained from the NCI Referral Officer cited under the APPLICATION
PROCEDURES section above.

AWARD CRITERIA

The anticipated date of award is March 1, 1997.

Scientific merit of the Program Project, as reflected by the priority
score; availability of funds; and programmatic priorities will be
considered in making awards pursuant to this RFA.

INQUIRIES

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

Direct inquiries regarding programmatic issues to:

Susan M. Pilch, Ph.D.
Division of Cancer Prevention and Control
National Cancer Institute
Executive Plaza North, Room 212
6130 EXECUTIVE BLVD  MSC 7328
BETHESDA MD  20892-7328
Telephone:  (301) 496-8573
FAX:  (301)402-0553
Email:  PilchS@dcpcepn.nci.nih.gov

Victor A. Fung, Ph.D.
Division of Cancer Biology
National Cancer Institute
Executive Plaza North, Suite 700
6130 EXECUTIVE BLVD  MSC 7420
BETHESDA MD  20892-7420
Telephone:  (301) 496-5471
FAX:  (301) 496-1040
Email:  FungV@epndce.nci.nih.gov

Direct inquiries regarding fiscal matters to:

Robert E. Hawkins
Grants Administration Branch
National Cancer Institute
Executive Plaza South, Room 243
6120 EXECUTIVE BLVD  MSC 7150
BETHESDA MD  20892-7150
Telephone:  (301) 496-7800  Ext. 213
FAX: (301) 496-8601
Email: HawkinsR@gab.nci.nih.gov

AUTHORITY AND REGULATIONS

This program is described in the Catalog of Federal Domestic
Assistance No. 93.399, Cancer Control.  Awards will be made under the
authority of the Public Health Services Act, Title IV, (Public Law
78-410, 42 USC 241 and Section 412, as amended by Public Law 99-518,
42 USC 285a-1) and administered under Federal regulations 42 CFR Part
52 and PHS grant policies 45 CFR Part 74 and 92.  This program is not
subject to the intergovernmental review requirements of Executive
Order 12732 or Health Systems Agency review.

The PHS strongly encourages all grant recipients to provide a
smoke-free workplace and promote the non-use of all tobacco products.
In addition, Public Law 103-227, The Pro-children Act of 1994,
prohibits smoking in certain facilities (or in some cases, any
portion of a facility) in which regular or routine education,
library, day care, health care or early childhood development
services are provided to children.  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 HS-96-002 - V25(06) 03/01/96
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$$XID RFA HS96002 HS-96-002 P1O1 ***************************************

MEDTEP RESEARCH ON NON-CANCEROUS UTERINE CONDITIONS

NIH GUIDE, Volume 25, Number 6, February 23, 1996

RFA:  HS-96-002

P.T. 34, II; K.W. 0705075, 0755015

Agency for Health Care Policy and Research

Letter of Intent Receipt Date:  May 1, 1996
Application Receipt Date:  June 18, 1996

PURPOSE

The Agency for Health Care Policy and Research (AHCPR) invites
applications for cooperative agreements to design and conduct
collaborative, multi-site randomized controlled trials to compare the
effectiveness and outcomes of hysterectomy to those of other common
treatments for non-cancerous uterine conditions.  These trials will
emphasize outcomes important to patients.  The conditions of interest
are:  uterine fibroids (leiomyomata), endometriosis, dysfunctional
uterine bleeding, and uterine prolapse.

Each application must be submitted by the institution where the Data
Coordinating Center is located.  The Data Coordinating Center will be
the applicant and control point for project coordination, and for
management and analysis of the data.  The project should include a
consortium or network of Clinical Centers and a Study Chair.

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), MEDTEP Research on Non-Cancerous Uterine
Conditions, addresses several of those objectives.  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 202-512-1800).

ELIGIBILITY REQUIREMENTS

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

MECHANISM OF SUPPORT

The administrative and funding instrument will be the cooperative
agreement (U01) in which substantial AHCPR scientific and
programmatic involvement with the awardee is anticipated during the
performance of the project.  The total project period for each
application submitted in response to this RFA may not exceed five
years.  The earliest anticipated award date is September 1, 1996.

FUNDS AVAILABLE

Dependent upon the availability of funds, AHCPR expects to award up
to $3 million to support the first year of approximately three
projects under this RFA.  The number of awards is dependent on the
number of high quality applications and their individual budget
requirements; it is not the intent of AHCPR that the awards be equal
in size. This is a one time solicitation.  Funding beyond the initial
budget period will depend upon annual progress reviews by AHCPR and
the availability of funds.

RESEARCH OBJECTIVES

Background

This RFA is part of AHCPR's Medical Treatment Effectiveness Program
(MEDTEP), which is a major component of the health services research
agenda of AHCPR.  MEDTEP projects assess the relative effectiveness
and costs of available interventions for the prevention, diagnosis,
treatment, and management of disease, emphasizing a broad set of
outcomes important to patients.  MEDTEP projects are patient-centered
and policy relevant; they focus on common clinical problems and
attempt to determine which clinical services and procedures are most
effective, and for whom.  In all MEDTEP work, the generalizability of
findings is emphasized.

Non-Cancerous Uterine Conditions

This RFA addresses the subject of non-cancerous uterine conditions,
specifically uterine fibroids (leiomyomata), endometriosis,
dysfunctional uterine bleeding, and uterine prolapse.  In May 1994,
AHCPR convened a public meeting to explore the important unanswered
effectiveness questions regarding the proper role of hysterectomy and
to examine research priorities in the management of non-cancerous
uterine conditions.  The meeting provided a forum for critical review
and discussion of the scientific literature and identification of the
important research questions in each of the clinical conditions
listed above.

There was a consensus of the meeting participants that the scientific
literature related to non-cancerous uterine conditions provides
little hard evidence of effectiveness for any of the available
treatments, and that there is a critical need for studies that would
compare the outcomes of hysterectomy to other available treatments.
Prospective applicants are encouraged to obtain a copy of the summary
of the May meeting, which includes recommendations for research and
references (See INQUIRIES).

The management of non-cancerous uterine conditions includes a variety
of invasive and noninvasive treatments:  surgical, pharmacologic, and
other treatments.  There has been little research demonstrating the
effectiveness of these treatments relative to each other or compared
to watchful waiting.

Approximately 530,000 hysterectomies are performed annually for
non-cancerous conditions, at a cost for hospitalization of over $5
billion (Wilcox, 1994).  Most of these procedures are performed for
one of several common, non-cancerous conditions that often produce
pain, discomfort, excessive uterine bleeding, emotional distress, and
related symptoms. National data for 1988-1990 reveal that most women
who undergo hysterectomy are between the ages of 35 and 54, with the
highest age-specific rate for women 35-44 (11.8 per 1,000).  By the
age of 65, over one third of U.S. women have undergone this surgery.
Except for some preliminary studies funded by AHCPR (Carlson, 1993;
Kjerulff, 1993; Kritz-Silverstein, 1994), few studies provide
information about the effects of hysterectomy on the symptoms that
lead to treatment or on the long-term outcomes that contribute to the
patient's quality of life, functional status or satisfaction with the
care received.

Purpose and Scope of the Activity

This RFA solicits studies that will directly compare the
effectiveness of hysterectomy to other common treatments for
non-cancerous uterine conditions.  AHCPR intends to initiate up to
four separate, collaborative, randomized controlled trials (RCTs)
that will compare the outcomes of hysterectomy to those of other
common treatments.  AHCPR is also interested in cost analyses of
effective treatments evaluated in the proposed trial.  Applicants
should pay special attention to defining the outcomes to be measured
and should include outcomes that are of greatest concern to women
seeking care for non-cancerous uterine conditions.  Each application
is to propose an RCT comparing hysterectomy with one or more other
treatment(s), for one of the following conditions:

o  Uterine fibroids
o  Endometriosis
o  Dysfunctional uterine bleeding
o  Uterine prolapse

Applicants may submit one or more applications, each proposing a
different RCT.

For each trial, the application must be submitted by the Principal
Investigator of the Data Coordinating Center, who will have
responsibility for project coordination and for the management and
analysis of the data to be collected by the Clinical Centers.  The
Study Chair will participate in the development of the proposed
study, and will provide clinical leadership to the Data Coordinating
Center and the Clinical Centers throughout the study.  The proposed
Clinical Centers should be identified and should participate in the
development of the proposed protocol, which is to be presented, in
detail, in the application.

The final protocol, sampling plan, and manual of operations will be
developed jointly by the Steering Committee with the assistance of
AHCPR, and will be reviewed by an independent expert group, called
the Policy and Data Monitoring Committee.  The study will move into
its operational phase (Phase 2) only with the concurrence of the
Policy and Data Monitoring Committee and AHCPR.

It is expected that the trials supported under this RFA will be
carried out over a period of five (5) years.  Each trial will
progress through the following phases:

Phase 1:  The planning phase includes the collaborative
development/refinement of the protocol and manual of operations,
including all procedures for data collection and pretesting of
procedures.  The manual of operations will include detailed plans for
the training of all personnel in study procedures.  If the final
sampling plan requires additional or different Clinical Centers to
meet patient enrollment targets, these will be recruited by the Data
Coordinating Center in Phase 1.

Phase 2:  Conduct of the full-scale collaborative clinical trial,
including patient recruitment and all data collection.

Phase 3:  Analysis of data and reporting of results.

SPECIAL REQUIREMENTS

One of the proposed Clinical Centers may be at the same institution
as the Data Coordinating Center provided that the units are
administratively and fiscally distinct.

Study Organization

1. Study Outline.  The proposed study design must include the
rationale for the treatments addressed, detailed
description/explanation of the approach to randomization, clinical
variables and patient outcomes to be studied, and an estimate of the
number of patients required in each study arm to provide convincing
evidence that the results will be statistically and clinically
significant.  Applicants should provide a detailed justification for
whatever strategy is proposed for subject selection, eligibility
requirements, inclusion and exclusion criteria for enrollment, an
estimate of the number of subjects in the source population, approach
to randomization, and an estimate of the necessary time and effort
needed for recruitment.  The approach should allow for subanalyses,
such as socioeconomic status.

All Clinical Centers must agree to implement the protocol and manual
of operations developed cooperatively by the Steering Committee
(defined in section 2d below) during Phase 1, and agree to transmit
all study data to the Data Coordinating Center for aggregation and
analysis.

2.  Study Components

a.  Data Coordinating Center.  The institution where the Data
Coordinating Center and the Principal Investigator are located will
be the applicant.

The Data Coordinating Center will have a major role in study design
and primary responsibility for project coordination, and data
management and analysis.  The Principal Investigator will oversee all
activities of the Data Coordinating Center and will have the
responsibility for the overall management of the project budget and
resource use.

The Data Coordinating Center will maintain a stable core of expertise
for the conduct of data management and analysis. It is desirable to
also have health services research expertise in the core.  The
Principal Investigator will serve as the primary methodologic expert
for the study. This individual should be an experienced
biostatistician, epidemiologist, physician, or other professional
with experience in directing a coordinating center for a large-scale
collaborative clinical trial.

The application should present a complete and detailed preliminary
trial design, including specification of hypotheses to be tested,
discussion of measures and instruments, rationale and inclusion
criteria for subject selection, how surgical versus non-surgical
patients will be managed and by whom, the plans for recruitment and
follow-up of study participants, and a data analysis plan.

The application should include a succinct discussion of previous
relevant experience as a coordinating center for a collaborative
trial or other large-scale epidemiological research projects,
including the implementation of systems for communication and
coordination among investigators and sites.

Responsibilities of the Data Coordinating Center and the Principal
Investigator include monitoring both the quality of the data and the
performance of each Clinical Center in the conduct of the protocol,
as well as ensuring the safety and confidentiality of all data.  The
applicant should discuss in detail the important management and
resource considerations for coordination of the proposed trial.

The Data Coordinating Center will perform interim analyses as needed
to monitor the course of the trial as well as analyses needed for
final reporting.  Preparation of progress reports, final reports, and
articles will be collaborative undertakings by the Principal
Investigator of the Data Coordinating Center, the Study Chair, and
the Clinical Centers.

The Principal Investigator will participate with the Study Chair, the
Clinical Centers, the Steering Committee, and AHCPR staff during the
entire clinical trial.

b.  Study Chair.  The Study Chair will provide clinical leadership
and research direction to the Clinical Centers and the Steering
Committee.  This individual will work actively and collaboratively
with the Principal Investigator regarding the clinical aspects of the
protocol throughout the study.  The application should include a
succinct discussion of previous relevant experience of the Study
Chair in a collaborative trial or other large scale epidemiological
research project.

c.  Clinical Centers.  The Clinical Centers will recruit and follow
study participants.  Each Clinical Center should consist of a core
team of researchers, gynecologists, a Clinical Director, and a
full-time Clinic/Nurse Coordinator.  Each Clinical Director should be
a gynecologist who will oversee the enrollment and follow-up of the
patients in the particular Center and coordinate the activities of
the medical team.  A full-time Clinic/Nurse Coordinator should manage
clinical aspects of the trial including logistical aspects of patient
recruitment, follow-up, survey administration, and data transmittal
to the Data Coordinating Center.

The Clinical Director and treatment team in each Clinical Center
should be skilled in the treatment of non-cancerous uterine
conditions as well as in collaborative clinical investigation.

In order to maximize the generalizability of the study results,
efforts should be made to select Clinical Centers with patient
populations that are adequate for important subanalyses, such as race
and ethnicity, income, and age. Efforts should also be made to
include Clinical Centers that provide a mix in terms of geography and
academic versus non-academic affiliations.

Clinical Centers will be required to submit all data expeditiously to
the Data Coordinating Center for analysis.

The application should describe the experience of each Clinical
Center in recruiting, studying, and treating patients with
non-cancerous uterine conditions, and the ability of each Center to
minimize loss of patients to follow-up during long-term clinical
studies.  There should be evidence of strong institutional support
for each Clinical Center, including documentation of adequate
facilities for clinical and administrative project activity. An
organizational structure for each Clinical Center should be provided
in the application delineating lines of authority and responsibility.
In addition, a statement of agreement to follow the common protocol
developed in Phase 1, and to work cooperatively with the other
Clinical Centers, the Study Chair, and the Data Coordinating Center
should be included.

d.  Steering Committee.  The Steering Committee will be the primary
governing body.  Managing the scientific direction of the study will
be the responsibility of the Steering Committee and its chairman,
i.e., the Study Chair.  The Steering Committee will consist of the
Principal Investigator from the Data Coordinating Center, the
Clinical Directors of each Clinical Center, the Study Chair, and the
AHCPR Project Coordinator (See Terms and Conditions).

e.  Policy and Data Monitoring Committee.  An independent Policy and
Data Monitoring Committee will be appointed by AHCPR.  The purpose of
this committee is to review periodically the progress of the study.
The activities of this committee will not be the responsibility of
the grantee (See Terms and Conditions).

f.  Project Coordinator.  AHCPR will name a staff member from the
Center for Outcomes and Effectiveness Research (COER) as the Project
Coordinator.  The functions of the Project Coordinator will be to
work closely with the Steering Committee and the Policy and Data
Monitoring Committee and provide technical assistance to assure that
the study is carried out in a rigorous and efficient manner
(described in detail under Terms and Conditions).

Study Phases

The protocol completed during the planning phase (Phase 1) will be
reviewed by the Policy and Data Monitoring Committee and AHCPR.
Progression to Phase 2 is dependent on the acceptance of the protocol
by the Policy and Data Monitoring Committee and the concurrence of
AHCPR.

In Phase 2, the Clinical Centers will implement the protocol
according to the manual of operations.  This will include recruiting
and randomizing patients, collecting all data specified in the
protocol, and providing all data to the Data Coordinating Center for
analysis.  All patients must be followed for a minimum of two years.

Phase 3 of the study will be for final data analysis, reporting of
results, and close-out of project activities.

Budget Preparation

Applicants should submit adequately justified budgets for each year
of the anticipated five year project period. Additionally, a separate
detailed budget for each subcontract is required.

The costs of clinical care provided to participants in this clinical
trial will not be paid out of grant funds.

Confidentiality of Data

Information obtained in the course of this study that identifies an
individual or entity must be treated as confidential in accordance
with section 903(c) of the Public Health Service Act.  Applicants
must describe in the Human Subjects section of the application
procedures for ensuring the confidentiality of identifying
information.

Terms and Conditions of Award

1.  Cooperative Activities.  The administrative and funding mechanism
to be used for this program will be the cooperative agreement (U01)
in which substantial AHCPR scientific and programmatic involvement
with the awardee(s) is anticipated during the performance of the
activity. Consistent with this concept, AHCPR will be involved
substantially in the operations and research efforts by working
collaboratively with the awardee in a partner role.

2.  Awardee Responsibilities.  These include development and
refinement of the study protocol and operations manual, patient
recruitment and follow-up, data collection, quality control, data
analysis and interpretation, and preparation of publications.  The
awardee agrees to finalize the common protocol and develop the manual
of operations during Phase 1 of the study.

3.  AHCPR Responsibilities.  AHCPR will name a Project Coordinator
>From within the Center for Outcomes and Effectiveness Research, who
will work closely with the Steering Committee and Policy and Data
Monitoring Committee throughout the project.  In particular, the
AHCPR Project Coordinator will assist in quality control, review of
data analysis plans and interpretation, preparation of publications,
and coordination and monitoring of project performance.

The independent Policy and Data Monitoring Committee, supported by
AHCPR, will consist of individuals with expertise in relevant
medical, surgical, social science, health services research, and
methodological fields who are not directly involved in the study.
The function of this Committee will be to review periodically the
progress of the study.  Specifically, the Committee will oversee
participant safety, evaluate results, monitor data quality, and
provide operational and policy advice to the Steering Committee and
AHCPR regarding the status of the study.  Committee members will be
appointed by the Director of COER in consultation with members of the
Steering Committee.  AHCPR will assume responsibility for logistics
and costs associated with the activities of the Policy and Data
Monitoring Committee.

The AHCPR reserves the right to terminate or curtail the study (or
individual components) in the event of (a) a major breach in the
protocol or substantial changes in the agreed-upon protocol with
which AHCPR does not agree, or (b) unresolved human subjects/ethical
issues.

4.  Governance.  The primary governing body of the study will be the
Steering Committee comprised of each of the Clinical Directors of the
Clinical Centers, the Study Chair, the Principal Investigator of the
Data Coordinating Center and the AHCPR Project Coordinator.  The
Steering Committee has primary responsibility for developing the
common clinical protocol, facilitating the conduct and monitoring of
the study, and reporting the study results.  Each member of the
Steering Committee will have one vote, except for the AHCPR Project
Coordinator, who will be a non-voting member. The Study Chair will
serve as the Chair of the Steering Committee.

It is anticipated that the Steering Committee will meet on a monthly
basis during protocol development (Phase 1), three times a year in
Phase 2, and two times in Phase 3. Subcommittees of the Steering
Committee may be established and will meet as necessary.  The AHCPR
Project Coordinator or designee and the Data Coordinating Center will
be represented on each subcommittee.

5.  Arbitration.  Any disagreement that may arise in scientific
and/or programmatic matters between awardees and AHCPR may be brought
to arbitration.  An arbitration panel will be composed of three
members:  one selected by the Steering Committee (without a vote by
the AHCPR member), a second member selected by AHCPR, and a third
member selected by the preceding two members.  This special
arbitration procedure in no way affects the awardees' right to appeal
an adverse action that is otherwise appealable in accordance with the
PHS regulations at 42 CFR, Part 50, Subpart D, and DHHS regulations
at 45 CFR, Part 16.

The special terms of award described above are in addition to and not
in lieu of otherwise applicable PHS grant policies and Federal
regulations.

INCLUSION OF WOMEN AND MINORITIES IN RESEARCH STUDY POPULATIONS
INVOLVING HUMAN SUBJECTS

Since this RFA deals only with issues affecting women, the following
applies to the inclusion of minorities in the study population.

It is the policy of AHCPR that women and members of minority groups
be included in all AHCPR supported 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.

The 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 provisions that are
substantially different from the 1990 policies.  All investigators
proposing research involving human subjects should read the "NIH
Guidelines on the Inclusion of Women and Minorities as Subjects in
Clinical Research," which was published in the Federal Register of
March 28, 1994 (FR 59 14508-14513), and printed in the NIH GUIDE FOR
GRANTS AND CONTRACTS of March 11, 1994, Volume 23, Number 10.  AHCPR
follows the revised NIH Guidelines, as applicable.

Investigators may obtain copies from those sources or from the AHCPR
contractor, Global Exchange, listed under INQUIRIES.  AHCPR program
staff may also provide information concerning this policy (See
INQUIRIES).

LETTER OF INTENT

Prospective applicants are asked to submit, by May 1, 1996, a letter
of intent that includes the name, address, and telephone number, of
the proposed Principal Investigator and other key personnel; the
identities of proposed consortia members, including any other
participating organizations or institutions; a descriptive title of
the proposed trial(s); 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.  AHCPR will
not provide responses to letters of intent.

Letters of intent are to be addressed to:

Center for Outcomes and Effectiveness Research
Attention:  Ms. Joanne Book
Agency for Health Care Policy and Research
2101 East Jefferson Street, Suite 605
Rockville, MD  20852-4908
Email:  COER_RFA@PO4.AHCPR.GOV

APPLICATION PROCEDURES

The research grant application form PHS 398 (rev. 5/95) is to be used
in applying for these grants.  State and local government applicants
may use form PHS-5161-1, Application for Federal Assistance (rev.
9/92), and follow those requirements for copy submission.  These
forms are available at most institutional offices of sponsored
research and may be obtained from the Office of Extramural Outreach
and Information Resources, National Institutes of Health, 6701
Rockledge Drive, MSC 7910, Bethesda, MD  20892-7910, telephone
301/435-0714, email:  girg@drgpo.drg.nih.gov.

AHCPR applicants are encouraged to obtain application materials from
the AHCPR contractor Global Exchange, Inc., 7910 Woodmont Avenue,
Suite 400, Bethesda, MD  20814-3015; telephone 301/656-3100 or FAX
301/652-5264.

The RFA label available in the form PHS 398 (rev. 5/95) must be
affixed to the bottom of the face page of the original application.
Failure to do so could result in delayed processing of the
application such that it may not reach the review committee in time
for review.  In addition, in item 2 on the face page of the
application, mark the "YES" box and enter "RFA HS-96-002" and the
title.

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
6701 ROCKLEDGE DRIVE, ROOM 1040, MSC 7710
BETHESDA, MD  20892-7710
BETHESDA, MD  20817 (for express/courier service)

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

Miriam A. Kelly, Ph.D.
Center for Outcomes and 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 June 18, 1996.  If an
application is received after that date, it will be returned to the
applicant without review.

Seminar for Prospective Applicants

AHCPR plans to convene a special technical assistance workshop to
assist potential applicants, especially those with limited experience
with the application process.  The purpose of this seminar is to give
background information and respond to any questions about the
preparation of an application in response to this RFA.  The workshop
will be held in the Rockville/Bethesda, Maryland area approximately
one month after the publication of this announcement. Attendance is
not a prerequisite to applying.  Attendees must pay for their own
travel and accommodation costs.  The workshop will be open to any
individual or organization wishing to attend.  A synthesis of
pertinent Questions and Answers discussed at the prospective
applicants meeting will be available from the AHCPR contractor,
Global Exchange, Inc., listed under INQUIRIES.  For further
information contact Dr. Mim A. Kelly, at the mailing/internet address
listed under INQUIRIES.

REVIEW CONSIDERATIONS

Applications that are complete and responsive to the RFA will be
evaluated for scientific and technical merit by an appropriate peer
review group convened in accordance with AHCPR peer review
procedures.  As part of the merit review, all applications will
receive a written critique, and also may undergo a process in which
only those applications deemed to have the highest scientific merit
will be discussed and assigned a priority score.  Recommendations of
the peer review committee may be reviewed subsequently by AHCPR's
National Advisory Council.

General Review Criteria

Review criteria for AHCPR grant applications are: significance and
originality from a scientific and technical viewpoint; adequacy of
the method(s); availability of data or proposed plan to collect data
required for the project; qualifications and experience of the
Principal Investigator and proposed staff; adequacy of the plan for
organizing and carrying out the project; reasonableness of the
proposed budget; and adequacy of the facilities and resources
available to the applicant (See also Special Review Criteria).

Special Review Criteria

In addition to the general criteria above, the reviewers will assess
the application in terms of the SPECIAL REQUIREMENTS of this RFA,
including:

o  adequacy of the proposed study design to address the objectives of
the RFA, including criteria for subject selection, plans for
recruitment of subjects, proposed follow-up assessments and schedule
for data collection during follow-up, proposed diagnostic and
therapeutic modalities, proposed outcomes measures, proposed cost
analyses, and techniques for monitoring and maintaining continued
contact with subjects during the course of the study;

o  ability to recruit and involve Clinical Centers that have the
experience and capacity to select, treat, manage, retain, and follow
a sufficient number of subjects for the study proposed;

o  clinical experience and research expertise of the Study Chair in
the diagnosis, treatment and management of non-cancerous uterine
conditions, and demonstrated leadership ability in the conduct of
large clinical studies;

o  documentation of specific competence and previous experience of
the professional, technical, and administrative staff pertinent to
the operation of the Data Coordinating Center, working in
collaboration with other investigators under a common protocol, and
experience with careful and expeditious handling of study data;

o  prior experience in the collection, management, quality control,
and analysis of data from multiple clinical sites;

o  prior experience in developing a detailed manual of operations and
forms for multicentered clinical trials;

o  evidence of substantive institutional commitment and support for
the proposed project; and

o  willingness to work cooperatively in the manner summarized above.

AWARD CRITERIA

Applications will compete for available funds with all other
applications under this RFA.  The following will be considered in
making the funding decisions:  quality of the proposed project as
determined by peer review, program balance, and availability of
funds.

INQUIRIES

Written and telephone inquiries concerning this RFA are encouraged.
Copies of the RFA, the related background conference summary, and a
bibliography are available from:

Global Exchange Inc.
7910 Woodmont Avenue, Suite 400
Bethesda, MD  20814-3015
Telephone:  (301) 656-3100
FAX:  (301) 652-5264

Copies of the RFA and the background conference summary document
(AHCPR Pub. No. 95-0067, July, 1995) can also be requested through
e-mail at COER_RFA@PO4.AHCPR.GOV and through AHCPR InstantFAX at
301/594-2800.  To use InstantFAX, you must call from a facsimile
(FAX) machine with a telephone handset.  Use the key pad on the
receiver when responding to prompts from InstantFAX.  The RFA will be
sent at the end of the ordering process.  AHCPR InstantFAX operates
24 hours a day, 7 days a week.  For questions about this service,
call AHCPR's Division of Communications at 301/594-1364 ext. 159.

Direct inquiries regarding programmatic issues, including information
on the policy of inclusion of women and minorities in study
populations, to:

Miriam A. Kelly, Ph.D.
Center for Outcomes and Effectiveness Research
Agency for Health Care Policy and Research
2101 East Jefferson Street, Suite 605
Rockville, MD  20852-4908
Telephone:  (301) 594-1485
Email:  COER_RFA@PO4.AHCPR.GOV

Direct inquiries regarding fiscal matters to:

Carol Roache
Acting Chief, Grants Management Staff
Agency for Health Care Policy and Research
2101 East Jefferson Street, Suite 601
Rockville, MD  20852-4908
FAX:  (301) 594-3210

AUTHORITY AND REGULATIONS

This program is described in the Catalog of Federal Domestic
Assistance Number 93.180.  Awards are made under authorization of
Title IX of the Public Health Service Act (42 U.S.C. 299-299c-6) and
Section 1142 of the Social Security Act (42 U.S.C. 1320b-12).  Awards
are administered under the PHS Grants Policy Statement and Federal
regulations 42 CFR 67, Subpart A, and 45 CFR Parts 74 and 92.  This
program is not subject to the intergovernmental review requirements
of Executive Order 12372.

The PHS strongly encourages all grant and contract recipients to
provide a smoke-free workplace and promote the non-use of all tobacco
products.  In addition, Public Law 103-227, The Pro-Children Act of
1994, prohibits smoking in certain facilities (or in some cases, any
portion of a facility) in which regular or routine education,
library, day care, health care, or early childhood development
services are provided to children.  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 LM-96-001 - V25(06) 03/01/96
Date: 3 Mar 1996 16:02:20 -0800
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$$XID RFA LM96001 LM-96-001 P1O1 ***************************************

INTERNET CONNECTION FOR MEDICAL INSTITUTIONS

NIH GUIDE, Volume 25, Number 6, February 23, 1996

RFA:  LM-96-001

P.T. 34; K.W. 0710078, 1004017

National Library of Medicine

Letter of Intent Receipt Date:  April 17, 1996
Application Receipt Date:  May 16, 1996

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, of transferring files
and images, and of 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 Summary Report:  Stock No:
017-001-00473-1) through the Superintendent of Documents, Government
Printing Office, Washington, DC 20402-9325 (telephone 202-512-1800).

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.

Groups (or cooperatives) of health-related institutions are also
eligible to apply.  A single, lead institution must apply on behalf
of the group; 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 20,
1996.

For a single institution, support is available up to $30,000; a group
of institutions may receive up to $50,000 to support development and
enhancement of multi-institution networks including extending
connectivity to outlying sites, or otherwise furthering NLM's goal of
expanding information outreach.  The overall cost of a connection to
the Internet includes:  gateway or router equipment, associated
communication hardware (CSU/DSU), the leased line and its
installation, local network user support staff, and Internet Service
Provider 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 Internet Service Provider.  In some cases
the award may also be used to defray the cost of Internet Service
Provider fees and local network staff.  Institutions will usually be
expected to fund the local area network and support other costs of
the gateway system.  Grant funds may be used to expand access to the
Internet in an institution with an existing 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 NLM budget is expected to
permit support of these projects, funding of any applications
pursuant to this RFA is 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) 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 regional
network in the appropriate geographical area.  The regional 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
regional 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,
hospitals, and professional organizations 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 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 regional 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 17, 1996, 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 groups provide complete lists of key people
who will be associated with the project.  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
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:  FJOHNSON@NLM.NIH.GOV

APPLICATION PROCEDURES

The research grant application form PHS 398 (rev. 5/95) is to be used
in applying for these grants.  Applications kits are available at
most institutional offices of sponsored research and may be obtained
>From the Grants Information Office, Office of Extramural Outreach and
Information Resources, National Institutes of Health, 6701 Rockledge
Drive, MSC 7910, Bethesda, MD 20892-7910, telephone 301/435-0714,
email:  girg@drgpo.drg.nih.gov; 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).  Applicants are
encouraged to substitute applicable headings such as computers,
communications, and networking resources in place of "Resources and
Environment" .

"Biographical Sketch," form page (FF).  Include computer,
communications, and networking skills, including TCP/IP experience.

In Section 4 of the "Research Plan" (read "Project Plan") also
provide:  1) proposed benefits of Internet access to the targeted
population; 2) plans for provision of institution-wide access, user
training and user support and 3) 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. 5/95) 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 2 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
6701 ROCKLEDGE DRIVE, MSC 7710, SUITE 1040
BETHESDA, MD  20892-7710
BETHESDA, MD  20817 (for express/courier service)

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

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

REVIEW CONSIDERATIONS

Upon receipt, applications will be reviewed for completeness by the
NIH Division of Research Grants (DRG) and responsiveness by NLM.
Incomplete 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.

Applications that are complete and will be evaluated for scientific
and technical merit by an appropriate peer review group convened in
accordance with the standard NIH peer review procedures.  As part of
the initial merit review, all applications will receive a written
critique and undergo a process in which only those applications
deemed to have the highest scientific merit, generally the top half
of applications under review, will be discussed, assigned a priority
score, and receive a second level review by the appropriate national
advisory council or board.

Review Criteria

o  Significance of proposed project relative to the services,
programs and personnel expected to benefit from Internet access, and
the nature of the anticipated benefits.

o  Quality of local infrastructure including plans to provide
institution-wide access to the Internet gateway and plans to develop
institution-wide high-speed networks.

o  Quality of user services and proposed training.

o  Technical expertise in computer networking (especially
TCP/IP-based networking) or plans to provide such expertise including
coordination with appropriate Internet service provider.

o  Plans for future support of the network connection.

AWARD CRITERIA

In addition to the review criteria identified above, awards depend
upon available funds and programmatic priorities.

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:

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:  FJOHNSON@NLM.NIH.GOV

Direct inquiries regarding fiscal matters to:

Ms. Ruth Bortz
Grants Management Specialist
Division of Extramural Programs
National Library of Medicine
Telephone:  301-496-4253
FAX:  301-402-0421
Email:  BORTZ@NES.NLM.NIH.GOV

AUTHORITY AND REGULATIONS

The Resource Grant Program is described in the "Catalog of Federal
Domestic Assistance" under Medical Library Assistance, Chapter
93.879.  Grants will be awarded under the authority of the Public
Health Service Act, Section 474(42 USC 286b-5) and administered under
PHS grant policies and Federal Regulations, most specifically at 42
CFR Part 59a and 45 CFR Part 74.  This program is not subject to the
inter-governmental review requirements of Executive Order 12372 or
Health Systems Agency review.

The PHS strongly encourages all grant and contract recipients to
provide a smoke-free workplace and promote the non-use of all tobacco
products.  In addition, Public Law 103-227, the Pro-Children Act of
1994, prohibits smoking in certain facilities (or in some cases, any
portion of a facility) in which regular or routine education,
library, day care, health care or early childhood development
services are provided to children.  This is consistent with the PHS
mission to protect and advance the physical and mental health of the
American people.

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Date: 3 Mar 1996 16:03:22 -0800
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$$XID RFA PAR96030 PAR-96-030 P1O1 *************************************

MARC UNDERGRADUATE STUDENT TRAINING IN ACADEMIC RESEARCH (U-STAR)
PROGRAM

NIH GUIDE, Volume 25, Number 6, February 23, 1996

PA NUMBER:  PAR-96-030

P.T. 44, FF; K.W. 0720005, 0710030

National Institute of General Medical Sciences

Application Receipt Date:  January 10 and May 10

PURPOSE

The Minority Access to Research Careers (MARC) Program Branch of the
Division of Minority Opportunity in Research (MORE) of the National
Institute of General Medical Sciences (NIGMS) provides research
training opportunities for students and faculty from minority groups
who are underrepresented in the biomedical sciences, including
mathematics.  As part of its ongoing commitment to the development of
prospective underrepresented minority researchers and the enhancement
of their training environment, the MARC Program provides support for
underrepresented minority students to improve their preparation for
graduate training in the biomedical sciences.

This program announcement for MARC'S new Undergraduate Student
Training in Academic Research  (U-STAR) program replaces the existing
junior/senior and freshman/sophomore components of the MARC Honors
Undergraduate Research Training (HURT) Program and supersedes all
previous MARC HURT announcements.  The most significant change in the
MARC U-STAR program is the emphasis on the measurable goals and
specific objectives as stated by the applicant institutions in
fulfilling the objectives of this announcement.

Institutions submitting renewal applications must comply with the
submission requirements as set forth in this new announcement.  NIGMS
will no longer accept competing applications for the previous MARC
HURT components. However, existing policies and provisions will
remain in effect for current MARC HURT recipients until completion of
the non-competitive years of their existing grant period.

ELIGIBILITY REQUIREMENTS

Institution

Applications will be accepted from colleges and universities offering
the baccalaureate degree in which students enrollments are drawn
substantially from ethnic minority groups underrepresented in the
biomedical sciences, including mathematics.  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 research.  Nationally, individuals who have been found to
be underrepresented in biomedical research include but are not
limited to US citizens who are African American, Hispanic American,
Native American, and Pacific Islanders.

Student

The MARC  program is open to qualified undergraduate honors students
majoring in the sciences with an expressed interest in a career in
biomedical research and intentions to pursue postgraduate education
leading to a Ph.D., M.D./Ph.D. or other combined professional
degree/Ph.D.  The period of appointment to the MARC U-STAR program is
two years at the junior/senior level. Effective with this program
announcement, freshman and sophomore stipends will no longer be
provided.  Although freshman/sophomore stipends are not provided,
institutional programs may be designed to include pre MARC student
development activities to identify and prepare students for the MARC
U-STAR program.

MECHANISM OF SUPPORT

Awards under this program announcement will use the Institutional
National Research Service Awards (NRSA) T34 mechanism.  The
responsibility for planning, direction and execution of the proposed
project lies solely with the applicant institution.  The maximum
initial grant period is five years, with opportunity for competitive
renewal at the end of that period.

Allowable Costs

The requested budget may include costs for stipends, tuition, and
fees for trainees, and limited travel for trainees and faculty, and
release time for MARC faculty. Funds for trainee-related costs such
as course supplies and equipment essential for research training or
faculty costs for enhancing their professional credentials may be
requested with strong justification.

Stipends:  NRSAs provide funds, in the form of stipends, to MARC
U-STAR students.  A stipend is provided as a subsistence allowance
for trainees to help defray living expenses during their appointment
period.  It is not provided as a condition of employment with either
the Federal Government or the awardee institution.  The current
annual stipend for students in their junior/senior year is $7656.

No departure from the established NIH stipend schedule may be
negotiated by the institution with the trainee.  The sponsoring
institution is allowed to provide funds to an individual in addition
to the stipends paid by the NIH. Such additional amounts may be in
the form of augmented stipends (supplementation).  This
supplementation to offset the cost of living may be provided by the
awardee institution but must not require any additional obligation
>From the trainee.  Federal funds may not be used for supplementation
unless specifically authorized under the terms of the program from
which such supplemental funds are to be received. Under no
circumstances may PHS funds be used for supplementation.

Tuition and Fees:  Tuition and fees, including self-only medical
insurance, for the individual in training, are allowable trainee
costs if such charges are required of all persons in a similar
training status at the institution, without regard to their source of
support.  Family medical insurance coverage is not an appropriate
charge to the MARC U-STAR grant.

Travel:  Trainee/faculty travel including attendance at scientific
meetings that the institution determines to be necessary to the
individual's research training is an allowable expense. However,
there must be a strong justification for faculty travel. In addition,
support for trainee travel to a research training experience away
>From the grantee institution is permitted.

Trainee Related Expenses: Trainee related expenses may be requested
to defray the cost of other research training expenses such as
equipment and research training supplies. However, requests for these
expenses must be strongly justified.

Faculty Related Costs:  MARC U-STAR faculty related costs for
workshops or to take courses to enhance their professional
credentials may be requested.

Evaluation costs:  Costs related to an institution's evaluation of
its MARC U-STAR program may be requested.

Student Development Activities:  Costs related to student development
activities to aid freshman and sophomores may be requested and should
be strongly justified.  However, the MARC U- STAR program will NOT
provide stipends and student travel.

Release Time:  Release time for specifically identified faculty, who
are directly involved in special training activities for MARC
students, and whose responsibilities for training these students
extend beyond what is routinely and normally expected of faculty at
the applicant institution may be requested with significant and
strong justification. In general, the MARC U-STAR program will NOT
provide research support and research release time for faculty.

Indirect costs:  An indirect cost allowance based on eight percent of
total allowable direct costs (this excludes tuition), or actual
indirect costs, whichever is less, will be paid.

Tax Liability

Section 117 of the Internal Revenue Code applies to the tax treatment
of all scholarships and fellowships.  Under that section, non-degree
candidates are required to report all stipends, and any monies paid
on their behalf for course tuition and fees required for attendance
as gross income. Degree candidates may exclude from gross income (for
tax purposes) any amounts used for tuition and related expenses such
as fees, books, supplies, and equipment required for courses of
instruction at a qualified educational institution.

The taxability of stipends, however, in no way alters the
relationship between NRSA trainees and institutions.  NRSA stipends
are not considered salaries.  In addition, trainees supported under
the NRSA are not considered to be in an employee-employer
relationship with the NIH or the awardee institution.

It must be emphasized that the interpretation and implementation of
the tax laws are the domain of the Internal Revenue Service and the
courts.  PHS takes no position on what the status may be for a
particular taxpayer, and it does not have the authority to dispense
tax advice.  Individuals should consult their local IRS office about
the applicability of the law to their situations and for information
on the proper steps to be taken regarding their tax obligations.

SPECIAL REQUIREMENTS

Responsible Conduct of Research

Applicants should describe plans for teaching responsible conduct in
biomedical research to all trainees (attendance mandatory) and
provide progress reports on the type of instruction provided, who
attended, and who taught.The plans will be judged acceptable or
unacceptable separately from the overall merit of the training
program on the appropriateness of the topics, format, participation
of faculty, and the frequency and duration of instruction to the
level and type of training being provided.  If the plan is
unacceptable, the application will not be considered for an award
until an acceptable plan is provided.

Reporting Requirements

A progress report will be required at the end of each fiscal year.  A
final report will be required within 90 days after the termination
date of the award.  All progress reports must include information on
each student participant delineating the student's progress and all
benefits the student derived from the program, as well as the
training plan for the coming year.  This progress report must also
contain information on MARC U-STAR (and where appropriate, MARC HURT)
graduates, their subsequent schooling and/or their careers.  For
applicants submitting competing renewals the progress report in the
competing application may satisfy this requirement.

TRAINING OBJECTIVES

It is the intent of the MARC U-STAR program to address the current
deficiency of, and the anticipated crisis regarding, the paucity of
minority students earning degrees in biomedical sciences, including
mathematics. To this end, the objectives cited below have been
identified.The objectives of the MARC U-STAR Program are: to increase
the number of competitively trained underrepresented minority
students enrolled in programs that lead to the research doctorate; to
strengthen the faculty, science course curriculum and research
training programs in biomedical sciences at minority serving
institutions; and to aid in the development of research training
infrastructure at minority serving institutions.

The MARC Branch recognizes that there are differences in
institutional environments and institutional missions. Therefore, the
emphasis of this program will be on the measurable goals and specific
objectives as stated by the applicant institution in fulfillment of
the objective of this announcement.

Applicants should define the nature and extent of under-represented
minority student participation in the biomedical sciences at the
applicant institution and the previous history of the MARC U-STAR
(formerly, the MARC HURT program) program at the applicant
institution (if applicable) including the uniqueness, coherence and
success of this program at the applicant institution in sending
competitively trained students on to graduate programs that lead to
the research doctorate.

Applicants should define the goals and specific measurable objectives
of the institution's program and how meeting these institutional
goals and objectives will fulfill the goals of this announcement.

Applicants should explain their proposed MARC U-STAR program in
detail.  Discussion should include, but is not limited to, an
explanation of how their MARC U-STAR Program as designed will
significantly strengthen the institutions capability for training
students in the biomedical sciences; the impact of the institutions
proposed program on retention and academic success of students
majoring in the biomedical sciences, including mathematics; how
students will be selected and  specific arrangements for any special
extramural activities; and how student participants will be better
prepared for graduate training.

Applicants who request funds for freshman and sophomore student
development activities must specify why such activities are
appropriate for the overall goals of the institutions MARC U-STAR
program.  These applications should describe how the extension of
preparatory training to the freshman and sophomore levels with a
combination of mentoring, tutoring, science preparatory courses and
laboratory experiences during the academic years and summers is
appropriate for this specific population.  For example, a student
development activity may need additional resources to serve the
academic non-research needs of the students.

Academic institutions with other programs for supporting student
development and research training such as a Minority Biomedical
Research Support (MBRS) grant, Bridges to the Future grants, NRSA
training grants, National Science Foundation grants or Howard Hughes
Medical Institute grants should define the relationship between those
programs and the MARC U-STAR program.  The application should
delineate the manner in which MARC U-STAR trainees will interact with
the programs of these other sources of support.

The applicant institution should describe the institution's plans for
assessing its proposed program, by stating the goals of the
evaluation, the questions that will be addressed by the evaluation
design, and the methods that will be used for analyzing the data.
Tracking of student participants in the institution's program must
extend to determining the careers/postgraduate school outcomes of the
MARC students.The applicant institution should describe specific
arrangements for providing special extramural summer training at
universities and laboratories other than the applicant institution.

The applicant institution should be able to demonstrate the benefits
of this program on recruitment, development, retention, graduation
rates and career outcomes of students in the biomedical sciences at
the applicant institution. These data will be used as a baseline for
future evaluation of the success in meeting the goals and specific
objectives of the proposal.

APPLICATION PROCEDURES

Minority serving institutions wishing to apply for support under this
program should request application forms, guidelines, and additional
information by calling (301) 594-3900, or writing to the MARC Program
Branch Office, National Institute of General Medical Sciences,
National Institute of Health, 45 Center Drive MSC-6200,  Natcher
Building, Room 2As.37D, Bethesda, MD 20892-6200.

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

DIVISION OF RESEARCH GRANTS
NATIONAL INSTITUTES OF HEALTH
6701 ROCKLEDGE DRIVE, ROOM 1040-MSC 7710
BETHESDA, MD 20872-7710
BETHESDA, MD  20817 (for express/courier service)

At the time of submission, two additional copies of the application
should also be sent to the MARC Program Branch at the address given
below.

REVIEW CONSIDERATIONS

Upon receipt, applications will be administratively reviewed by NIH
staff.  Incomplete and/or unresponsive applications will be returned
to the applicant without further consideration.  Those applications
that are complete and responsive will be evaluated in accordance with
the criteria stated below for scientific and technical merit by
appropriate peer review groups.  The second level of review will be
provided by the National Advisory General Medical Sciences Council.

Review Criteria:

o  feasibility of the proposal as defined by the stated goals and
specific measurable objectives;

o  qualifications and experience of the Program Director and faculty
to carry out the proposed program;

o  appropriateness of the program's plan to meet the goals of this
solicitation as well as the goals and specific measurable objectives
of the application;

o  availability of honors undergraduate underrepresented minority
students in the participating science departments who are interested
in graduate study leading to the Ph.D in the biomedical sciences;

o  evidence of graduating underrepresented minority students
progressing to, and completing, higher education in the sciences;

o  feasibility of the student development activity, if proposed;

o  evidence of institutional commitment and strength of the efforts
of the institution to foster professional development of
underrepresented minority faculty and to train underrepresented
minority students in biomedical sciences;

o  appropriateness of the administrative plan for managing the
proposed program, including adequacy of space for research training,
additional courses and/or workshops;

o  the proposed plan for the trainee's off-campus research
experience;

o  appropriateness of the applicant institution's plan for evaluating
the impact of the program, including a system to track the future
course of program participants and their academic and career
outcomes; and

o  acceptability of the Responsible Conduct of Research plan.

AWARD CRITERIA

Award decisions will be based on the merit of the applications, the
applicants' ability to meet the goals and objectives of this program
announcement and an acceptable responsible conduct of research plan.
Awards are made only to institutions with financial management
systems and management capabilities that are acceptable under PHS
policy.  Awards will be administered under the PHS Grants Policy
Statement.

INQUIRIES

Written and telephone inquiries concerning this program announcement
are encouraged.  The opportunity to clarify any issues or questions
>From potential applicants is welcomed.

Direct inquiries regarding programmatic issues to:

Adolphus P. Toliver, Ph.D.
Minority Access to Research Career Branch
National Institute of General Medical Sciences
45 Center Drive, Room 2AS.37, MSC 6200
Bethesda, MD  20892-6200
Telephone:  (301) 594-3900
FAX:  (301) 480-2753
Email:  ToliverA@GM1.NIGMS.NIH.GOV

Direct inquiries regarding fiscal matters to:

Ms. Antoinette Holland
Grants Management Officer
National Institute of General Medical Sciences

45 Center Drive, Room 2AN.50B - MSC 6200
Bethesda, MD  20892-6200
Telephone:  (301) 594-5132
FAX:  (301) 480-3423
Email:  HollandA@GM1.NIGMS.NIH.GOV

AUTHORITY AND REGULATIONS

NRSA Institutional Research Training Grants made under the authority
of Section 487 of the Public Health Service (PHS) Act as amended and
administered under Title 42 of the Code of Federal Regulations, Part
66.  The Catalog of Federal Domestic Assistance 93.880 is applicable
to these awards.

The PHS strongly encourages all grant and contract recipients to
provide a smoke-free workplace and promote the non-use of all tobacco
products.  In addition, Public Law 103-227, the Pro-Children Act of
1994, prohibits smoking in certain facilities (or in some cases, any
portion of a facility) in which regular or routine education,
library, day care, health care or early childhood development
services are provided to children.  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 Mar 04 22:00:00 1996
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 - 3 March 1996
Date: 4 Mar 1996 23:06:40 -0800
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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: Press Release

   Title: NATIONAL SCIENCE BOARD APPROVES RENEWED SUPPORT FOR
          MAGNETIC FIELD LABORATORY IN FLORIDA
               File size (bytes):       3942
               STIS Filename:           pr967.txt

Document Type: Program Guideline

   Title: NSF 96-36 FY 1996/1997 COMBINED RESEARCH-CURRICULUM
          DEVELOPMENT PROGRAM
               File size (bytes):       
               STIS Filename:           nsf9636.txt

Document Type: Recruit

   Title: Physicist (Program Director)
               File size (bytes):       
               STIS Filename:           vex9612.txt

   Title: Physicist (Program Director)
               File size (bytes):       
               STIS Filename:           vex9613.txt

   Title: Secretary (Office Automation)
               File size (bytes):       
               STIS Filename:           vgs9627.txt

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

Document Type: Phone Book

   Title: NSF Alpha Telephone Directory
               File size (bytes):       113588
               STIS Filename:           phnalpha.txt
               Also available:          phnalpha.dlm

   Title: NSF Organization Telephone Directory
               File size (bytes):       122805
               STIS Filename:           phnorg.txt

Document Type: Press Release

   Title: NATIONAL SCIENCE BOARD APPROVES RENEWED SUPPORT FOR
          MAGNETIC FIELD LABORATORY IN FLORIDA
               File size (bytes):       3942
               STIS Filename:           pr967.txt

Document Type: Recruit

   Title: Senior Executive Service Vacancy Listing for the 2 Week
          Period Beginning 02-21-96
               File size (bytes):       48312
               STIS Filename:           sesvac.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 sesvac.txt, the text of your message should be 
     as follows:
                       get sesvac.txt

Anonymous FTP:

     FTP to stis.nsf.gov.  Use the "STIS Filename" shown above to
     retrieve a file.  For example, to retrieve sesvac.txt, you would
     enter:
                       ftp> get sesvac.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 Mar 13 22:00:00 1996
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Newsgroups: bionet.sci-resources
Subject: NIH GUIDE - PA-96-032 - V25(07) 03/08/96
Date: 13 Mar 1996 23:59:46 -0800
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$$XID RFA PA96032 PA-96-032 P1O1 ***************************************

COMMUNICATIVE COMPETENCE OF USERS OF AUGMENTATIVE AND ALTERNATIVE
COMMUNICATION (AAC) SYSTEMS

NIH GUIDE, Volume 25, Number 7, March 8, 1996

PA NUMBER:  PA-96-032

P.T. 34; K.W. 0715055

National Institute on Deafness and Other Communication Disorders

PURPOSE

The National Institute on Deafness and Other Communication Disorders
(NIDCD) invites applications for the support of research studies on
issues related to the communicative competence of users of
augmentative and alternative communication (AAC) systems.  Such
research may lead to a better understanding of the impact of AAC on
the development or restoration of communicative competence of
individuals with the severe communication difficulties commonly seen
in association with developmental or acquired disorders, such as
brain injury, and diseases or disorders affecting the oral motor
system.  It may also define the ways in which augmentative and
alternative strategies can influence all phases of communication
development and activity.  Findings from these studies will direct
the establishment and refinement of tools and intervention strategies
enabling the development or recovery of communicative function.

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,
Communicative Competence of Users of Augmentative and Alternative
Communication (AAC) Systems, is related to the priority area of
diabetes and chronic disabling conditions.  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 202-512-1800).

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 Transitions (FIRST) (R29) awards.  Applications from minority
individuals, women, and individuals with disabilities are encouraged.

MECHANISM OF SUPPORT

The support mechanisms for grants in this area will be the individual
investigator-initiated research project grant (R01) and the FIRST
(R29) award.

RESEARCH OBJECTIVES

Oral speech is not possible for individuals with severe communication
disorders.  Demographic research in several countries reveals that
>From 8 to 12 persons per 1000 have such severe communication
disorders that they cannot meet their daily communication needs using
only natural speech and handwriting.  The 2 to 2.5 million Americans
in this group are all ages and have various disorders.  Some examples
are:  young children with developmental disabilities, teenagers and
young adults with traumatic brain injury, middle-aged adults with
multiple sclerosis and brain stem strokes, and older adults with
amyotrophic lateral sclerosis, Parkinson's disease, and cortical
stroke.

During the past twenty years, many new technologies and intervention
strategies have been used to assist these individuals in
communicating.  The overall effectiveness of AAC interventions has
been documented in a number of anecdotal reports, single case
studies, and few group studies.  It is apparent that following
intervention, many individuals who were previously unable to
communicate are able to communicate much more effectively.  However,
there has been little systematic investigation of the impact of AAC
systems on the development or restoration of communicative competence
of children and adults with severe communication disorders.  The
impact of AAC systems, system features, and intervention strategies
on all phases of communication development and use requires
evaluation.  In addition to these primary research goals, many other
issues related to understanding the communicative competence of AAC
users need to be explored.

Communication and language development studies of children using
augmentative communication have centered largely on alternative modes
of communication used in conjunction with specific instructional
approaches.  This has provided ways of correcting language deficits
and the subsequent or accompanying developmental difficulties often
found in this population.  Several investigations have reported
positive language outcomes, including increases in vocabulary size
and use and production of multi -symbol utterances.  However, the
long-term process of communication, language, and literacy
development through augmented means, as well as the broader
educational and social implications of this process, has not been
analyzed in detail.  It is important to determine how the process of
communication, language, and literacy learning through augmented
means progresses, the theoretical framework underlying this process,
the conditions that best facilitate it, and its broader impact on the
development of children with a wide range of disabilities.

The goal of AAC is to foster and support the development of
communicative competence so that individuals who require AAC can
participate as fully as possible in home, school, work, and community
environments.  Little is known, however, about the communicative
competence of people who use AAC, or about the skills, strategies,
and techniques that contribute to their communicative competence.
For example, there is not an accepted definition of or reliable and
valid method to measure the communicative competence of those using
AAC.  The systematic identification of the communicative variables
that affect perceptions of communicative competence of AAC users from
both the social and personal perspectives, may be a first step.
Identifying such variables has implications for selecting valid
targets for communication intervention, which bear directly on issues
related to quality of life.

Successful AAC use depends on a functional compatibility between the
motor, cognitive, linguistic, and sensory capabilities of the user
and the operational requirements imposed by the AAC system itself.
Many aspects of this user-system interface have not been studied
thoroughly.  These include issues that relate to the special needs
considerations across the life span, such as the needs of a child in
the early stages of communication and motor development, the special
needs of the elderly, the specific requirements of an individual
recovering from injury, or the rapidly changing requirements of a
patient with a degenerative disorder.  For all AAC users, it is
important that techniques be developed by which the AAC system can be
efficiently customized to reflect the changing needs of the
individual.  Related areas of the user-system interface that require
study are the mechanisms by which residual motor gestures may be
recognized by AAC smart systems, 