Research Core B, the Evaluation Core, would target the goals set by the Institute of Medicine: to """"""""focus resources from a variety of disciplines on the important problems of urinary incontinence, autonomic dysfunction, and falls """"""""where"""""""" specialized diagnostic/pathophysiologic units that encourage collaboration between clinical researchers and basic scientists are especially encouraged"""""""". The Evaluation Core would establish three such units -- a Urodynamic Diagnostic Center, an Autonomic Diagnostic Center, and a Gait Diagnostic Center. The key word in each is """"""""center"""""""" since although extensive multidisciplinary investigations are ongoing in each area presently, these efforts are dispersed throughout the city. This often precludes meaningful interactions between investigative groups and results in multiple missed opportunities for training and research. Thus, the overall goal of the Evaluation Core is to centralize resources. This would reduce duplicated effort, standardize evaluations, increase the number and types of patients that can be evaluated (thereby increasing research productivity), foster further collaborations among multiple disciplines from basic science to epidemiology, permit leveraging of considerable resources to capitalize on currently missed research opportunities, and greatly enhance the training of future leaders in geriatrics. Moreover, it would stimulate interest in geriatric incontinence and falls, two areas that have long been neglected and in which research and clinical training is critically needed. Finally, centralization and the establishment of a chargeback mechanism will allow all of these goals to be accomplished in a cost-effective manner.

Agency
National Institute of Health (NIH)
Institute
National Institute on Aging (NIA)
Type
Center Core Grants (P30)
Project #
5P30AG008812-02
Application #
3802850
Study Section
Project Start
Project End
Budget Start
Budget End
Support Year
2
Fiscal Year
1991
Total Cost
Indirect Cost
Name
Harvard University
Department
Type
DUNS #
082359691
City
Boston
State
MA
Country
United States
Zip Code
02115
Chester, Jennifer G; Grande, Laura J; Milberg, William P et al. (2011) Cognitive screening in community-dwelling elders: performance on the clock-in-the-box. Am J Med 124:662-9
Gangavati, Anupama; Hajjar, Ihab; Quach, Lien et al. (2011) Hypertension, orthostatic hypotension, and the risk of falls in a community-dwelling elderly population: the maintenance of balance, independent living, intellect, and zest in the elderly of Boston study. J Am Geriatr Soc 59:383-9
Harrington, Mary Beth; Kraft, Malissa; Grande, Laura J et al. (2011) Independent association between preoperative cognitive status and discharge location after cardiac surgery. Am J Crit Care 20:129-37
Jones, Richard N; Rudolph, James L; Inouye, Sharon K et al. (2010) Development of a unidimensional composite measure of neuropsychological functioning in older cardiac surgery patients with good measurement precision. J Clin Exp Neuropsychol 32:1041-9
Rudolph, J L; Schreiber, K A; Culley, D J et al. (2010) Measurement of post-operative cognitive dysfunction after cardiac surgery: a systematic review. Acta Anaesthesiol Scand 54:663-77
Rudolph, James L; Inouye, Sharon K; Jones, Richard N et al. (2010) Delirium: an independent predictor of functional decline after cardiac surgery. J Am Geriatr Soc 58:643-9
Hajjar, Ihab; Sorond, Farzaneh; Hsu, Yi-Hsiang et al. (2010) Renin angiotensin system gene polymorphisms and cerebral blood flow regulation: the MOBILIZE Boston study. Stroke 41:635-40
Newman, Lori R; Lown, Beth A; Jones, Richard N et al. (2009) Developing a peer assessment of lecturing instrument: lessons learned. Acad Med 84:1104-10
Rudolph, James L; Babikian, Viken L; Treanor, Patrick et al. (2009) Microemboli are not associated with delirium after coronary artery bypass graft surgery. Perfusion 24:409-15
Peng, C-K; Costa, Madalena; Goldberger, Ary L (2009) ADAPTIVE DATA ANALYSIS OF COMPLEX FLUCTUATIONS IN PHYSIOLOGIC TIME SERIES. Adv Adapt Data Anal 1:61-70

Showing the most recent 10 out of 23 publications