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

Public Health Relevance

The most recent data indicates that non-communicable chronic diseases account for about 90% of all deaths in Romania. Although there are high rates of non-communicable chronic diseases in countries throughout the Central and Eastern European region, Romania provides a unique opportunity to have a large impact on these diseases and to have a """"""""spillover"""""""" effect on neighboring countries in the region.

Agency
National Institute of Health (NIH)
Institute
Fogarty International Center (FIC)
Type
International Research Training Grants (D43)
Project #
5D43TW008308-05
Application #
8690196
Study Section
Special Emphasis Panel (ZRG1-BDA-L (51))
Program Officer
Michels, Kathleen M
Project Start
2010-07-01
Project End
2015-06-30
Budget Start
2014-07-01
Budget End
2015-06-30
Support Year
5
Fiscal Year
2014
Total Cost
$227,680
Indirect Cost
$14,637
Name
University of Iowa
Department
Public Health & Prev Medicine
Type
Schools of Public Health
DUNS #
062761671
City
Iowa City
State
IA
Country
United States
Zip Code
52242
Blaga, Oana M; Vasilescu, Livia; Chereches, Razvan M (2018) Use and effectiveness of behavioural economics in interventions for lifestyle risk factors of non-communicable diseases: a systematic review with policy implications. Perspect Public Health 138:100-110
Wang, Xianwei; Wang, Yilong; Patel, Uptal D et al. (2017) Comparison of Associations of Reduced Estimated Glomerular Filtration Rate With Stroke Outcomes Between Hypertension and No Hypertension. Stroke 48:1691-1694
Sidor, Alexandra; Baba, Catalin Ovidiu; Marton-Vasarhelyi, Emanuela et al. (2015) Gender differences in the magnitude of the associations between eating disorders symptoms and depression and anxiety symptoms. Results from a community sample of adolescents. J Ment Health 24:294-8
Xie, Gaoqiang; Myint, Phyo Kyaw; Voora, Deepak et al. (2015) Genome-wide association study on progression of carotid artery intima media thickness over 10 years in a Chinese cohort. Atherosclerosis 243:30-7
Xie, Gaoqiang; Laskowitz, Daniel T; Turner, Elizabeth L et al. (2014) Baseline health-related quality of life and 10-year all-cause mortality among 1739 Chinese adults. PLoS One 9:e101527
Sun, Weiping; Pan, Wenqin; Kranz, Peter G et al. (2013) Predictors of late neurological deterioration after spontaneous intracerebral hemorrhage. Neurocrit Care 19:299-305
El Husseini, Nada; Laskowitz, Daniel T; Zimmer, Louise O et al. (2012) Letter by El Husseini et al regarding article, ""What causes disability after transient ischemic attack and minor stroke?"". Stroke 43:e180
Sun, Wei; Peacock, Amanda; Becker, Jane et al. (2012) Correlation of leukocytosis with early neurological deterioration following supratentorial intracerebral hemorrhage. J Clin Neurosci 19:1096-100
He, Liu; Tang, Xun; Song, Yan et al. (2012) Prevalence of cardiovascular disease and risk factors in a rural district of Beijing, China: a population-based survey of 58,308 residents. BMC Public Health 12:34
Rusu, Adriana; Todea, Doina; Rosca, Loredana et al. (2012) The development of a sleep apnea screening program in Romanian type 2 diabetic patients: a pilot study. Acta Diabetol 49:105-9