Form - BBMRI-NL

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BBMRI-RP3 Data Access
Application Form for Access to BBMRI-RP3 Data
PLEASE SUBMIT COMPLETED, SIGNED AND DATED FORM BY EMAIL TO: Ri.Jansen@ggzingeest.nl
1. Name and position of the Applicant(s), including employment or affiliation with any
organization
Please ensure that a full postal and email address is included for each applicant.
2. Title of the study
In less than 30 words.
3. Research Question
Please describe the study in no more than 750 words. Include:
a. outline of the study design;
b. an indication of the methodologies to be used;
c.
proposed use of the Project Data;
d. preceding peer-reviews of the study (if any present);
e. specific details of what you plan to do with the Project Data;
f.
timeline;
g. key references.
4. Consent and Approvals
If your proposed use of Project Data involves use of your own data, please confirm that you have
obtained all approvals required by the rules and regulations of your jurisdiction, including your
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BBMRI-RP3 Data Access
institution’s institutional rules, and the consent of your data subjects, for your use of your own data
in the study, by ticking the following box: Yes, we have □.
5. The nature and amount of Project Data applied for
Please specify the RNA sequencing data you request access to.
Please specify the methylation data you request access to.
Please specify the genotype data you request access to.
Please specify the phenotype data you request access to (see appendix A for available
phenotypes).
Please specify the GONL RNA sequencing data you request access to
Please specify the GONL RNA methylation data you request access to
Please specify the Complete Genomics RNA sequencing data you request access to
Please specify the Complete Genomics methylation data you request access to
6. Resources, Feasibility & Expertise
Please confirm that you have secured funding for your proposed use of the Project Data and that
you will carry out your research within a reasonable period of time after the granting of this
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BBMRI-RP3 Data Access
application: by ticking the following box: Yes, we will □.
Please describe your experience and expertise, and that of your collaborators, and how this will
be applied to the proposed study (in 250 words).
Please provide a list of recent publications (max. 10).
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BBMRI-RP3 Data Access
Appendix A: Available phenotypes
Anthropometry:
Anthropometry_Age xx.x (i.e. years + 1 decimal)
Height(cm)
Weight(kg)
Lipid phenotypes:
Lipids_BloodSampling_Age
Lipids_BloodSampling_Date
Lipids_BloodSampling_Time
Lipids_BloodSampling_Fasting
TotChol(mmol/L)
HDLchol(mmol/L)
Triglycerides(mmol/L)
LipidsMed_Age
LipidMed
Technical covariates:
Subject_id
Ascertainment_criterion Inclusion criterion biobank/selected samples
GWAS_ChipType(s)
GWAS_DataGeneration_Date
DNA_BloodSampling_Age
DNA_BloodSampling_Date
DNA_BloodSampling_Time
DNA_Source Whole blood, other
DNA_Extraction_Method
DNA_Extraction_Date
DNA_QuantificationMethod
DNA_A260/A280
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BBMRI-RP3 Data Access
RNA_BloodSampling_Age
RNA_Sampling_Date
RNA_Sampling_Time
RNA_Source Pax gene, other
RNA_Extraction_Date
RNA_Extraction_Method
RNA_RIN
RNA_A260/280
BirthYear xxxx (e.g. 1969)
Sex 0=male/1=female
Smoking
Blood parameters:
CRP_BloodSampling_Age
CRP_BloodSampling_Date
CRP_BloodSampling_Time
hsCRP(mg/L)
CellCount_BloodSampling_Age
CellCount_BloodSampling_Date
CellCount_BloodSampling_Time
WhiteBloodcellCount-WBC(x10^9cells/L)
RedBloodcellCount-RBC(x10^12cells/L)
Hemoglobulin-HGB(mmol/L)
Hematocrit-HCT(L/L)
MeanCorpuscularVolume-MCV(fL)
MeanCorpuscularHemoglobin-MCH(fmol)
MeanCorpuscularHemoglobineConcentrationMCHC(mmol/L)
CorpuscularHemoglobinConcentrationMeanCHCM(mmol/L)
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BBMRI-RP3 Data Access
CorpuscularHemoglobinContent-CH(fmol/L)
RedCellVolumeDistributionWidth-RDW(%)
HemoglobinConcentrationDistributionWidthHDW(mmol/L)
PlateletCount-PLT(x10^9cells/L)
MeanPlateletVolume-MPV(fL)
NeutrophilCount(10^9/L)
LymphocyteCount(10^9/
MonocyteCount(10^9/L
EosinophilCount(10^9/L)
BasophilCount(10^9/L)
LargeUnstainedCells-LUC(10^9/L)
Neut(%)
Lymph(%)
Mono(%)
Eos(%)
Baso(%)
LargeUnstainedCells-LUC(%)
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