Research Project Proposal Form

Research Project Proposal Form

<p>Reynolds Cardiovascular Research Center Dallas Heart Study</p><p>Research Project Proposal Form Reynolds Cardiovascular Research Center – Dallas Heart Study</p><p>Date: </p><p>Investigator (your name): </p><p>Project Title (max 300 characters) *: </p><p>Project Summary (max 4200 characters). State the project’s broad objectives and aims, and describe concisely the research design and methods for achieving these goals. This is meant to be a stand-alone description of the project when separated from this proposal form. If the project is approved, as is, will be made available to the entire Reynolds Center investigator community: </p><p>Project Description:</p><p>Hypothesis (Max 1200 characters) *: </p><p>Aims of Proposal (Max 3000 characters) *: </p><p>Significance & Relevance *: </p><p>Method & Analysis Plan *: </p><p>Writing Group Members (List proposal senior author last) *: </p><p>Planned date for submission of completed manuscripts to Reynolds Center for pre-publication review *: </p><p>Keywords (Check all that applies) *:</p><p>Research Fields: Coronary Artery Women’s Health Arrhythmias Disease Diet & Nutrition Minority Health: LVH Hispanics Alcohol Use Hyperlipidemia Health Beliefs CHF/ Cardiomyopathy Obesity Acculturation</p><p>Form Version: 03/09/2006 Reynolds Cardiovascular Research Center Dallas Heart Study</p><p>Other: Congenital Heart Minority Health: African Diabetes Disease Americans Smoking, Tobacco Use Exercise, Physical Hypertension Activity Polycystic Ovary Other Syndrome</p><p>Data Types: Survey DNA Sequence Aortic MRI Variants Blood Pressure ECG Pelvic MRI Readings Lab: Blood Chemistries Abdominal Fat MRI Coronary Lab: Urine Chemistries Liver MR Spectroscopy Lab: Lipids Lab: Cardiac MRI Lab: Biomarkers/ Glucose/Chemistries Proteins Other </p><p>Reynolds Resource Access Requested (Check all that applies) *: Original Reynolds Data Request Lab Specimen/DNA Request New Image Analysis Request Cohort Study</p><p>NDA & Technology Transfer Disclosures:</p><p>Identify all funding sources to be used in the study (external and internal sources) *: </p><p>Identify all sources of materials to be used in conjunction with the study (external sources and internal) *: </p><p>Identify any known relationships between the proposed project and patents, patents pending, or any intellectual property which may be on file with UT Southwestern *: </p><p>Form Version: 03/09/2006 Reynolds Cardiovascular Research Center Dallas Heart Study</p><p>Identify all contracts or relationships you have with other third parties that might gain access to the results of the study *: </p><p>Other comments or information: * Required Information</p><p>Form Version: 03/09/2006</p>

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