Research Project Proposal Form

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