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I WOULD LIKE TO

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CALL TO ORDER THE OPEN SESSION

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OF THE 88TH MEETING OF THE

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NATIONAL ADVISORY COUNCIL FOR

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COMPLEMENTARY AND INTEGRATIVE

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HEALTH.

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I AM DR. MARTINA SCHMIDT, AND I

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SERVE AS THE EXECUTIVE SECRETARY

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FOR THE NCCIH NATIONAL ADVISORY

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COUNCIL.

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I NOTE FOR THE RECORD THAT THIS

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MEETING IS BEING HELD IN PERSON

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AND IT'S BEING RECORDED AND

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BROADCAST LIVE TO THE PUBLIC VIA

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THE NIH VIDEOCAST.

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THE COUNCIL MEETING IS CONVENED

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AS IS REQUIRED BY TITLE 42 OF

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THE U.S. CODE OF LAWS THAT

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GOVERN THE NIH IN GENERAL AND

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NCCIH SPECIFICALLY IN SECTION

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287C-21.

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AND IN ACCORDANCE WITH THE

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FEDERAL ADVISORY COMMITTEE ACT.

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I NOTE THAT THE CLOSED SESSION

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00:00:50,852 --> 00:00:54,890
TO THIS COUNCIL WAS HELD EARLIER

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THIS MORNING AND WAS CLOSED TO

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THE PUBLIC.

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IN ACCORDANCE WITH THE

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GOVERNMENT OF THE SUNSHINE ACT.

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THOSE BUSINESS ITEMS COVERED,

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I'M NOW GOING OVER TO ASK

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DR. HELENE LANGEVIN TO GO OVER A

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FEW OPENING REMARKS.

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>> THANK YOU SO MUCH,

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DR. SCHMIDT.

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I REALLY WANT TO WELCOME ALL OF

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YOU TO THIS MEETING OF THE NCCIH

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ADVISORY COUNCIL.

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THANK YOU ALL OF YOU WHO ARE

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HERE IN PERSON AS WELL AS THOSE

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THAT ARE ON VIDEOCAST.

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I KNOW THAT WE'RE GOING TO FIRST

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START WITH A FEW ITEMS OF

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BUSINESS TO COMPLETE BEFORE I

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DELIVER MY DIRECTOR'S REPORT.

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>> OKAY, THANK YOU,
HELENE.

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SO FIRST A BRIEF OVERVIEW OF THE

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MEETINGED TO.

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THE OPEN SESSION WILL BEGIN AS

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DR. LANGEVIN POINTED OUT WITH

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HER NCCIH DIRECTOR'S REPORT TO

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COUNCIL, FOLLOWED BY OUR ANNUAL

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INTRAMURAL REPORT, WHICH WILL BE

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GIVEN BY DR. SHURTLEFF.

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WE WILL THEN BREAK FOR LUN OF LH

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AROUND 1220, APPROXIMATELY, AND

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RECONVENE AT 1:20.

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FOLLOWING LUNCH, WE WILL MOVE TO

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A SYMPOSIUM ON THE CONCEPT OF

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THE NUTRITION CONTINUUM.

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AFTER THE SYMPOSIUM, WE WILL

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HAVE A PRESENTATION ON THE NEW

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NIH INITIATIVE WHICH IS FOR

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COMMUNITIES ADVANCING RESEARCH

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EQUITY FOR HEALTH, THE CARE

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PROGRAM.

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AND THEN FINALLY, WE WILL MOVE

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TO CONCEPT CLEARANCE WITH TWO

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CONCEPTS BEING PRESENTED FOR

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COUNCIL CONSIDERATION TODAY.

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SO OUR FIRST ORDER OF BUSINESS

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IS TO APPROVE THE MAY 2024

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COUNCIL MEETING MINUTES WHICH

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WERE PROVIDED TO ALL

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COUNCILMEMBERS VIA THE

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ELECTRONIC COUNCIL BOOK, AND A

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COPY IS CURRENTLY DISPLAYED ON

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THE SCREEN.

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SO ARE THERE ANY CORRECTIONS TO

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THE MAY COUNCIL MEETING MINUTES?

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IF QUESTION  YES, PLEASE RAISE D

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VIRTUALLY OR HERE IN THE ROOM.

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NO?

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IF NOT, THEN MAY I HAVE A MOTION

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TO APPROVE THE MINUTES FOR THE

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MAY 2024 COUNCIL MEETING?

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OKAY.

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SO WITH THAT, ANY DISCUSSION?

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OKAY, SO ALL IN FAVOR OF THE

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ROOM PLEASE RAISE YOUR HANDS AND

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THOSE ON ZOOM PLEASE RAISE YOUR

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DIGITAL HAND SO WE CAN APPROVE

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THE MINUTES.

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I THINK WE HAVE EVERYBODY.

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OKAY, GOOD.

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PERFECT.

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WITH THIS, WE CAN CONFIRM THAT

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THE MOTION HAS BEEN APPROVED.

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ARE THERE ANY QUESTIONS BEFORE

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WE MOVE ON?

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NO?

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EVERYBODY IS GOOD?

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PERFECT.

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SO WITH THIS, I'M HANDING THE

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MEETING BACK OVER TO

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DR. LANGEVIN FOR HER DIRECTOR'S

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REPORT.

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>> GOOD MORNING.

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SO IT'S MY GREAT PLEASURE TO

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PRESENT TO YOU MY DIRECTOR'S

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REPORT.

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FOR THIS COUNCIL.

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AS ALWAYS, I START WITH A FEW

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ITEMS OF NEWS THAT ARE RELEVANT

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EITHER AT NIH-WIDE LEVEL OR FOR

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US AT NCCIH.

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THE FIRST IS OUR ANNOUNCEMENT OF

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A NEW DIRECTOR OF THE NIH OFFICE

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OF STRATEGIC COORDINATION OR

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OSC.

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DR. CAROLYN HUTTER.

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THE OSC OVERSEES THE NIH COMMON

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FUND PROGRAM, WHICH IS QUITE

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SUBSTANTIAL, HAS A $700 MILLION

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BUDGET, AND WE ARE REALLY -- WE

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COLLABORATE QUITE A BIT WITH THE

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COMMON FUND, INCLUDING ONE OF

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THE PROGRAMS THAT IS CURRENTLY

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FUNDED, THE BRIDGE2AI PROGRAM

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WHICH WE PARTICIPATE IN.

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SO THIS IS A VERY -- SO WE

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REALLY LOOK FORWARD TO WORKING

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WITH DR. HUTTER ON THIS.

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FOR THOSE OF YOU THAT ARE NOT

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FAMILIAR, THE COMMON FUND IS A

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PROGRAM WITHIN THE OFFICE OF THE

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NIH DIRECTOR THAT ADDRESSES

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PROGRAMS THAT ARE IMPORTANTLY

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INVOLVE COLLABORATION ACROSS THE

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NIH INSTITUTES.

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AND ADDRESSES HIGH PRIORITY

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CHALLENGES THAT WE ALL NEED TO

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WORK ON TOGETHER.

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ANOTHER BIG NEWS FOR US IS THIS

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YEAR IT IS OUR -- IS GOING TO BE

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OUR 25TH YEAR THAT NCCIH HAS

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EXISTED SO WE ARE GOING TO BE

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CELEBRATING THIS, THE KICKING

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OFF OF OUR ANNIVERSARY YEAR IS

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GOING TO BE A PRESENTATION AS

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PART OF OUR STRAUSS LECTURE

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SERIES ON DECEMBER 2ND.

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THIS IS GOING TO BE AT THE

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LIPSETT AMPHITHEATER AT THE NIH

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CLINICAL CENTER AND WE'RE GOING

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TO START THIS, THIS GG TO BE A

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PRETTY EXTENSIVE PROGRAM WHICH

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I'VE NOT YET ANNOUNCED BUT THE

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KEYNOTE LECTURE IS GOING TO BE

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BY DR. PATRICIA HERMAN AND SHE'S

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GOING TO BE TALKING ABOUT

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EXPLORE THE IMPACT OF WHOLE

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PERSON HEALTH, THE ECONOMIC

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IMPACT OF WHOLE PERSON HEALTH.

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SO I REALLY -- WE'RE REALLY

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LOOKING FORWARD TO THAT.

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THERE'S GOING TO BE MORE DETAILS

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SOON ABOUT THE REST OF THE

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PROGRAM.

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OUR OTHER BIG EVENT GOING ON IN

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THE FALL, NOVEMBER 1ST, IS THE

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FIRST INAUGURAL MEETING OF THE

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NCCIH COALITION FOR WHOLE PERSON

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HEALTH.

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THIS IS A REALLY VERY IMPORTANT

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LANDMARK EVENT FOR US, AS WE

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HAVE BEEN TALKING ABOUT AT

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SEVERAL PRECEDING COUNCIL

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MEETINGS.

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WE HAVE FORMED A COALITION, THIS

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IS A GROUP OF EXTERNAL

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ORGANIZATIONS THAT ARE GETTING

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TOGETHER TO REALLY GET TOGETHER

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AND HELP US TO REALLY BRING THE

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FIELD OF WHOLE PERSON HEALTH

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TOGETHER, AND KIND OF HELP

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ADVANCE THE SCIENCE IN THIS

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AREA, AND MARY BETH KESTER IS

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GOING TO BE -- IS ORGANIZING

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THIS MEETING.

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SHE'S THE CONTACT PERSON.

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AND YOU CAN SEE ON THE RIGHT THE

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STEERING COMMITTEE MEETING WHICH

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IS ORGANIZING THIS COLITION AS

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WELL AS THE EVENT, SO YOU CAN

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SEE HERE DR. AMY MACK AND

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SAMANTHA SIMMONS FROM THE

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INSTITUTE OF FUNCTIONAL MEDICINE

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IN THE ACADEMIC CONSORTIUM FOR

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INTEGRATIVE MEDICINE AND HEALTH

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ARE CO-CHAIRING THE STEERING

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COMMITTEE.

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WE ALSO HAVE REPRESENTATIVES

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FROM THE AMERICAN COLLEGE OF

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LIFESTYLE MEDICINE, HOLISTIC

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NURSES ASSOCIATION, ACADEMY OF

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INTEGRATIVE MEDICINE &
HEALTH,

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CORNERSTONE COLLABORATION,

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INTEGRATIVE HEALTH POLICY

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CONSORTIUM, TEACHING KITCHENS

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AND WHOLE HELD EDUCATION.

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SO THESE ARE PEOPLE ON THE

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STEERING COMMITTEE, BUT WE ARE

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EXPECTING A LARGE NUMBER OF --

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RIGHT NOW WE HAVE ALMOST -- OVER

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45 ORGANIZATIONS THAT ARE

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ALREADY SIGNED UP AND WE REALLY

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HAVE -- AND WE'RE STILL OPEN FOR

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REGISTRATION IN ORDER TO ATTEND

220
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THIS MEETING, THE ORGANIZATIONS

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NEED TO BE REGISTERED AND VERY

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IMPORTANTLY, SO PLEASE CONTACT

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MARY BETH IF YOU ARE AWARE OF AN

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ORGANIZATION THAT WOULD BE

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RELEVANT TO THIS, AND WE NEED

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ONE REPRESENTATIVE PER

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ORGANIZATION.

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NEXT IS AN IMPORTANT INITIATIVE,

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THE CARE FOR HEALTH PROGRAM HERE

230
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AT NIH.

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WE'RE GOING TO BE HEARING MORE

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ABOUT THIS THIS AFTERNOON,

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DR. AMY PATTERSON IS GOING TO BE

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GIVING A PRESENTATION ON THIS.

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THIS IS A REALLY INTERESTING AND

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VERY, VERY IMPORTANT PROGRAM

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THAT IS BEING LAUNCHED AND

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SPEARHEADED BY THE NIH DIRECTOR,

239
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DR. MONICA BERTAGNOLLI.

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AND THIS IS REALLY ABOUT

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EXTENDING OUR CAPACITY TO DO

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RESEARCH IN PRIMARY CARE

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SETTINGS.

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ESPECIALLY IN UNDERSERVED AREAS.

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WE'RE FOCUSING ACTUALLY FIRST ON

246
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RURAL AREAS WHERE A LOT OF THE

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HEALTHCARE IS BEING DELIVERED 

248
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IN PRIMARY CARE SETTINGS.

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INCLUDING FEDERALLY QUALIFIED

250
00:09:38,012 --> 00:09:38,913
HEALTHCARE SYSTEMS.

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AND WHAT DR. BERTAGNOLLI IS

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REALLY KIND OF ADVOCATING VERY,

253
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VERY STRONGLY IS THAT WE NEED TO

254
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MAKE SURE THAT OUR RESEARCH

255
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OCCURS IN THE SETTING WHERE THE

256
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HEALTHCARE IS DELIVERED,

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ESPECIALLY IN PLACES WHERE IT IS

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ACTUALLY CHALLENGING TO DO

259
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RESEARCH.

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WE SHOULDN'T -- NOT ONLY

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SHOULDN'T WE SHY AWAY FROM DOING

262
00:10:01,870 --> 00:10:04,239
RESEARCH IN THESE SETTINGS, WE

263
00:10:04,239 --> 00:10:05,673
SHOULD PROMOTE RESEARCH IN THOSE

264
00:10:05,673 --> 00:10:06,775
SETTINGS AND THAT'S WHAT THIS

265
00:10:06,775 --> 00:10:07,642
CARE NETWORK IS ALL ABOUT.

266
00:10:07,642 --> 00:10:10,712
YOU CAN SEE HOW THIS -- BECAUSE

267
00:10:10,712 --> 00:10:14,315
THIS IS ABOUT CONDUCTING

268
00:10:14,315 --> 00:10:15,750
RESEARCH IN THE REAL WORLD, THIS

269
00:10:15,750 --> 00:10:17,819
HAS A LOT OF RELEVANCE TO OUR

270
00:10:17,819 --> 00:10:18,853
PRAGMATIC TRIALS COLLABORATORY,

271
00:10:18,853 --> 00:10:21,756
BECAUSE WE HAVE BEEN DOING

272
00:10:21,756 --> 00:10:22,791
RESEARCH, WE HAVE BEEN PROMOTING

273
00:10:22,791 --> 00:10:24,259
THIS KIND OF RESEARCH NOW FOR

274
00:10:24,259 --> 00:10:26,461
THE LAST 10 YEARS WITH OUR

275
00:10:26,461 --> 00:10:27,262
PRAGMATIC TRIALS COLLABORATORY,

276
00:10:27,262 --> 00:10:29,631
SO THIS IS ONE OF THE REASONS

277
00:10:29,631 --> 00:10:31,299
WHY WE ARE EXTENSIVELY INVOLVED

278
00:10:31,299 --> 00:10:33,234
IN THE PLANNING OF THIS CARE FOR

279
00:10:33,234 --> 00:10:33,601
HEALTH NETWORK.

280
00:10:33,601 --> 00:10:38,173
I AM ONE OF THE CO-CHAIRS OF THE

281
00:10:38,173 --> 00:10:41,543
OVERSIGHT COMMITTEE, ALONG WITH

282
00:10:41,543 --> 00:10:44,279
DR. JOANIE RUDDER OF NCATS AND

283
00:10:44,279 --> 00:10:48,449
DR. DEB TUCCI OF NIDCD AND

284
00:10:48,449 --> 00:10:52,487
DR. WENDY WEBER, WHO IS OUR

285
00:10:52,487 --> 00:10:54,355
DIRECTOR OF THE DIVISION OF

286
00:10:54,355 --> 00:10:56,191
CLINICAL RESEARCH AT NCCIH IS ON

287
00:10:56,191 --> 00:11:00,929
THE STEERING COMMITTEE FOR CARE.

288
00:11:00,929 --> 00:11:03,765
SO -- EXCUSE ME, NOT STEERING

289
00:11:03,765 --> 00:11:05,600
COMMITTEE, SCIENTIFIC COMMITTEE.

290
00:11:05,600 --> 00:11:06,501
SO IT'S AN INITIATIVE THAT'S

291
00:11:06,501 --> 00:11:10,338
VERY IMPORTANT TO US.

292
00:11:10,338 --> 00:11:11,339
SO YOU'LL BE HEARING MORE ABOUT

293
00:11:11,339 --> 00:11:11,539
THAT.

294
00:11:11,539 --> 00:11:13,041
A QUICK REMINDER ABOUT THE

295
00:11:13,041 --> 00:11:16,544
CHANGE TO GRANT APPLICATION AND

296
00:11:16,544 --> 00:11:18,112
REVIEW CRITERIA AND PROCEDURES

297
00:11:18,112 --> 00:11:23,751
THAT IS GOING TO BE ENACTED

298
00:11:23,751 --> 00:11:24,552
STARTING JANUARY 25TH.

299
00:11:24,552 --> 00:11:25,753
WE'VE BEEN TALKING A LOT ABOUT

300
00:11:25,753 --> 00:11:27,388
THIS, THIS IS A SIMPLIFIED

301
00:11:27,388 --> 00:11:29,357
REVIEW FRAMEWORK FOR MOST

302
00:11:29,357 --> 00:11:30,992
RESEARCH PROJECT GRANTS AND SO

303
00:11:30,992 --> 00:11:33,428
WE ARE BASICALLY NOW ROLLING

304
00:11:33,428 --> 00:11:37,031
THIS OUT.

305
00:11:37,031 --> 00:11:38,199
THIS IS THE USUAL BUDGET TABLE

306
00:11:38,199 --> 00:11:41,169
THAT I SHOW YOU EVERY TIME.

307
00:11:41,169 --> 00:11:42,203
BASICALLY IT'S JUST A LOT OF

308
00:11:42,203 --> 00:11:43,471
NUMBERS BUT THE BOTTOM LINE IS

309
00:11:43,471 --> 00:11:45,440
THAT OUR BUDGET HAS BEEN FLAT

310
00:11:45,440 --> 00:11:45,974
THIS YEAR.

311
00:11:45,974 --> 00:11:49,043
AS YOU ALL KNOW, THIS IS

312
00:11:49,043 --> 00:11:49,911
CHALLENGING BECAUSE THE COST OF

313
00:11:49,911 --> 00:11:52,213
LIVING GOES UP, SALARIES GOES

314
00:11:52,213 --> 00:11:53,514
UP, EVERYTHING GOES UP BUT THE

315
00:11:53,514 --> 00:11:56,584
BUDGET STAYS FLAT SO FAR THIS

316
00:11:56,584 --> 00:11:57,685
YEAR.

317
00:11:57,685 --> 00:12:00,855
WE DON'T KNOW WHAT THE NEXT

318
00:12:00,855 --> 00:12:02,156
FISCAL YEAR WILL COME BUT THE

319
00:12:02,156 --> 00:12:03,191
IMPORTANT THING TO REALIZE IS

320
00:12:03,191 --> 00:12:05,460
THAT EVEN WITH A FLAT BUDGET, WE

321
00:12:05,460 --> 00:12:08,830
MAKE REALLY AS GOOD OF USE OF

322
00:12:08,830 --> 00:12:11,032
OUR RESOURCES AS WE CAN, AND

323
00:12:11,032 --> 00:12:12,567
EVEN THOUGH NCCIH HAS A SMALL

324
00:12:12,567 --> 00:12:15,403
BUDGET, WE GREATLY EXPAND OUR

325
00:12:15,403 --> 00:12:17,906
REACH THROUGH MANY, MANY OF THE

326
00:12:17,906 --> 00:12:19,874
PROGRAMS THAT ARE AVAILABLE THAT

327
00:12:19,874 --> 00:12:21,976
ARE TRANS-NIH PROGRAMS THROUGH

328
00:12:21,976 --> 00:12:22,944
COLLABORATIONS WITH OTHER

329
00:12:22,944 --> 00:12:24,579
INSTITUTES SUCH AS CO-FUNDING OF

330
00:12:24,579 --> 00:12:27,081
PROGRAMS AND APPLICATIONS, AS

331
00:12:27,081 --> 00:12:28,516
WELL AS WE PARTICIPATE IN SO

332
00:12:28,516 --> 00:12:32,020
MANY OF THESE COMMON FUND NIH

333
00:12:32,020 --> 00:12:33,554
HEAL INITIATIVE, THE BRAIN

334
00:12:33,554 --> 00:12:37,492
INITIATIVE, THE NEUROSCIENCE

335
00:12:37,492 --> 00:12:40,561
BLUEPRINT, AND YOU KNOW, MANY

336
00:12:40,561 --> 00:12:42,730
PROGRAMS WHERE WE REALLY TAKE

337
00:12:42,730 --> 00:12:44,933
ADVANTAGE OF THE RESOURCES THAT

338
00:12:44,933 --> 00:12:51,940
NIH AS A WHOLE HAS TO OFFER.

339
00:12:51,940 --> 00:12:53,942
SO -- AND WE'RE VERY FORTUNATE

340
00:12:53,942 --> 00:12:55,543
TO HAVE THE BUDGET THAT WE HAVE

341
00:12:55,543 --> 00:12:57,078
SO WE MAKE THE BEST USE OF IT WE

342
00:12:57,078 --> 00:12:57,278
CAN.

343
00:12:57,278 --> 00:12:59,380
STAFF UPDATES.

344
00:12:59,380 --> 00:13:03,518
JUST SOME -- BITTERSWEET

345
00:13:03,518 --> 00:13:10,191
RETIREMENT OF DR. ROBIN BOINEAU

346
00:13:10,191 --> 00:13:11,492
LEADING OUR OFFICE OF CLINICAL

347
00:13:11,492 --> 00:13:12,927
AND REGULATORY AFFAIRS, WE

348
00:13:12,927 --> 00:13:16,097
REALLY WISH HER WELL.

349
00:13:16,097 --> 00:13:17,732
DR. BOINEAU HAS BEEN PROVIDING

350
00:13:17,732 --> 00:13:19,267
GUIDANCE ON CLINICAL STUDY

351
00:13:19,267 --> 00:13:22,337
DESIGN AT NIB NCCIH NOW FOR MANY

352
00:13:22,337 --> 00:13:22,670
YEARS.

353
00:13:22,670 --> 00:13:24,639
SHE PLAYED A VERY IMPORTANT ROLE

354
00:13:24,639 --> 00:13:28,676
IN A LANDMARK STUDY, THE TACT

355
00:13:28,676 --> 00:13:30,745
2 STUDY, AND I'LL SHOW THE --

356
00:13:30,745 --> 00:13:33,281
THAT LOOKED AT THE EFFECT OF

357
00:13:33,281 --> 00:13:35,550
CHELATION THERAPY THAT HAS

358
00:13:35,550 --> 00:13:37,218
RECENTLY BEEN -- RESULTS HAVE

359
00:13:37,218 --> 00:13:38,953
RECENTLY BEEN PUBLISHED, AND

360
00:13:38,953 --> 00:13:40,488
ALSO SHE PLAYED A VERY IMPORTANT

361
00:13:40,488 --> 00:13:42,690
ROLE IN THE PRAGMATIC TRIALS

362
00:13:42,690 --> 00:13:43,958
COLLABORATORY LAUNCH INITIALLY,

363
00:13:43,958 --> 00:13:48,363
10 YEARS AGO.

364
00:13:48,363 --> 00:13:51,532
AND SHE REALLY HAS BEEN SUCH A

365
00:13:51,532 --> 00:13:53,201
TREASURE AND WE'RE GOING TO MISS

366
00:13:53,201 --> 00:13:56,471
HER GREATLY.

367
00:13:56,471 --> 00:14:01,876
ALSO WE WANT TO CONGRATULATE DR.

368
00:14:01,876 --> 00:14:03,411
DR. NAHIN, I HAVE TO SAY THIS,

369
00:14:03,411 --> 00:14:05,680
HE IS ONE OF I THINK MAYBE

370
00:14:05,680 --> 00:14:07,915
NUMBER ONE OR NUMBER TWO

371
00:14:07,915 --> 00:14:10,051
EMPLOYEE AT NCCIH WAY BACK WHEN

372
00:14:10,051 --> 00:14:12,487
IT USED TO BE THE OFFICE OF

373
00:14:12,487 --> 00:14:14,055
ALTERNATIVE MEDICINE, BEFORE IT

374
00:14:14,055 --> 00:14:18,359
WAS EVEN NCAM, DR. NAHIN WAS MY

375
00:14:18,359 --> 00:14:20,561
VERY FIRST PROGRAM OFFICER BACK

376
00:14:20,561 --> 00:14:20,795
IN 1997.

377
00:14:20,795 --> 00:14:24,699
AND DR. NAHIN HAS BEEN THE CHIEF

378
00:14:24,699 --> 00:14:26,667
EPIDEMIOLOGIST NOW, HE USED TO

379
00:14:26,667 --> 00:14:28,536
BE WITHIN THE EXTRAMURAL

380
00:14:28,536 --> 00:14:29,537
DIVISION BUT NOW HAS RECENTLY

381
00:14:29,537 --> 00:14:31,372
MOVED TO OUR INTRAMURAL PROGRAM,

382
00:14:31,372 --> 00:14:32,473
AND WE'RE VERY EXCITED ABOUT

383
00:14:32,473 --> 00:14:33,908
THAT, BECAUSE IT'S GOING TO

384
00:14:33,908 --> 00:14:36,477
REALLY ALLOW AN EXTENSION OF OUR

385
00:14:36,477 --> 00:14:37,512
INTRAMURAL PROGRAM WHICH YOU'LL

386
00:14:37,512 --> 00:14:39,580
BE HEARING MORE FROM

387
00:14:39,580 --> 00:14:40,882
DR. SHURTLEFF IN A MINUTE, BUT

388
00:14:40,882 --> 00:14:42,650
THAT REALLY, BECAUSE OUR

389
00:14:42,650 --> 00:14:44,085
INTRAMURAL PROGRAM IS ENTIRELY

390
00:14:44,085 --> 00:14:47,588
FOCUSED ON PAIN, AND DR. NAHIN

391
00:14:47,588 --> 00:14:48,990
HAS BEEN REALLY AT THE FOREFRONT

392
00:14:48,990 --> 00:14:51,192
OF REALLY LOOKING AT POPULATION

393
00:14:51,192 --> 00:14:53,594
STUDIES TO LOOK AT THE IMPACT OF

394
00:14:53,594 --> 00:14:56,431
COMPLEMENTARY INTERVENTIONS ON

395
00:14:56,431 --> 00:14:58,399
PAIN, BUT ALSO INCREASINGLY

396
00:14:58,399 --> 00:14:59,500
LOOKING AT THE PAIN IN THE

397
00:14:59,500 --> 00:15:00,802
CONTEXT OF THE WHOLE PERSON

398
00:15:00,802 --> 00:15:01,235
HEALTH.

399
00:15:01,235 --> 00:15:04,639
SO WE'RE VERY EXCITED TO HAVE

400
00:15:04,639 --> 00:15:08,776
DR. NAHIN IN THIS NEW ROLE.

401
00:15:08,776 --> 00:15:16,417
WANT TO WELCOME ALSO -- WE HAD

402
00:15:16,417 --> 00:15:18,986
REIHANEH BAHRAMALI IN THE

403
00:15:18,986 --> 00:15:20,254
DIVISION OF EXTRAMURAL

404
00:15:20,254 --> 00:15:20,788
ACTIVITIES.

405
00:15:20,788 --> 00:15:21,989
SHE BRINGS OVER FIVE YEARS OF

406
00:15:21,989 --> 00:15:23,391
EXPERIENCE INCLUDING THREE YEARS

407
00:15:23,391 --> 00:15:25,393
AT THE NIH, MOST RECENTLY IN THE

408
00:15:25,393 --> 00:15:26,260
OFFICE OF WOMEN'S HEALTH.

409
00:15:26,260 --> 00:15:28,463
SHE HAS A MASTER'S DEGREE IN

410
00:15:28,463 --> 00:15:29,664
HEALTH INFORMATICS AND

411
00:15:29,664 --> 00:15:30,865
ADMINISTRATION AND A BACHELOR'S

412
00:15:30,865 --> 00:15:32,700
IN COMPUTER SOFTWARE TECHNOLOGY

413
00:15:32,700 --> 00:15:36,637
AND ENGINEERING.

414
00:15:36,637 --> 00:15:38,840
SO SHE'S GOING TO BE INVOLVED IN

415
00:15:38,840 --> 00:15:39,941
SOME REVIEW GROUPS.

416
00:15:39,941 --> 00:15:43,678
NOW FOR JURIES A CO JUST A COUPF

417
00:15:43,678 --> 00:15:44,979
RESEARCH SPOTLIGHT, I WANTED TO

418
00:15:44,979 --> 00:15:48,149
HIGHLIGHT A COUPLE OF

419
00:15:48,149 --> 00:15:49,250
INTERESTING PAPERS THAT WERE

420
00:15:49,250 --> 00:15:50,551
PUBLISHED RECENTLY WITH NCCIH

421
00:15:50,551 --> 00:15:51,219
FUNDING.

422
00:15:51,219 --> 00:15:55,790
SO THIS FIRST PAPER WAS QUITE --

423
00:15:55,790 --> 00:15:56,457
CREATED -- GENERATED A LOT OF

424
00:15:56,457 --> 00:15:57,125
INTEREST RECENTLY.

425
00:15:57,125 --> 00:15:59,861
THIS IS THE LAMP RANDOMIZED

426
00:15:59,861 --> 00:16:02,597
CLINICAL TRIAL STUDY RESULTS ON

427
00:16:02,597 --> 00:16:04,465
TELEHEALTH MINDFULNESS-BASED

428
00:16:04,465 --> 00:16:06,434
INTERVENTIONS FOR CHRONIC PAIN.

429
00:16:06,434 --> 00:16:08,870
BY DIANA BURGESS AND COLLEAGUES.

430
00:16:08,870 --> 00:16:09,971
I WANT TO POINT OUT SOMETHING

431
00:16:09,971 --> 00:16:10,905
THAT'S VERY INTERESTING GOING ON

432
00:16:10,905 --> 00:16:11,772
HERE WITH THIS PAPER.

433
00:16:11,772 --> 00:16:16,244
SO AS YOU CAN SEE, SO THIS IS

434
00:16:16,244 --> 00:16:17,345
FIRST OF ALL A VIRTUALLY

435
00:16:17,345 --> 00:16:18,446
DELIVERED INTERVENTION, AND YOU

436
00:16:18,446 --> 00:16:24,685
CAN SEE FROM THE LITTLE TABLE

437
00:16:24,685 --> 00:16:26,888
HERE THAT THEY LOOKED AT A LOT

438
00:16:26,888 --> 00:16:27,622
OF DIFFERENT MEASURES.

439
00:16:27,622 --> 00:16:32,593
THEY LOOKED AT PAIN INTENSITY

440
00:16:32,593 --> 00:16:34,729
RELATED TO PAIN, PAIN RELATED

441
00:16:34,729 --> 00:16:35,730
FUNCTION, BUT ALSO OTHER THINGS

442
00:16:35,730 --> 00:16:38,232
LIKE PHYSICAL FUNCTION, FATIGUE,

443
00:16:38,232 --> 00:16:39,567
SLEEP, SOCIAL ROLES, DEPRESSION

444
00:16:39,567 --> 00:16:40,535
AND ANXIETY.

445
00:16:40,535 --> 00:16:42,837
SO THEY HAD A LOT OF MEASURES.

446
00:16:42,837 --> 00:16:45,306
AND SO MANY DIFFERENT -- OF

447
00:16:45,306 --> 00:16:47,775
THESE DIFFERENT MEASURES WERE

448
00:16:47,775 --> 00:16:48,743
IMPROVED, BUT WHEN YOU LOOK AT

449
00:16:48,743 --> 00:16:52,346
THE PAPER CAREFULLY, YOU CAN SEE

450
00:16:52,346 --> 00:16:56,083
THAT THE MAGNITUDE OF THE

451
00:16:56,083 --> 00:16:57,385
IMPROVEMENTS WAS VERY SMALL IN

452
00:16:57,385 --> 00:17:00,021
EVERY SINGLE ONE OF THESE CASES.

453
00:17:00,021 --> 00:17:01,522
HOWEVER, WHAT WE'RE REALLY

454
00:17:01,522 --> 00:17:02,757
STARTING TO THINK ABOUT IS, IF

455
00:17:02,757 --> 00:17:05,526
YOU HAVE SMALL IMPROVEMENTS IN

456
00:17:05,526 --> 00:17:08,095
10 OR 15 DIFFERENT MEASURES, DO

457
00:17:08,095 --> 00:17:13,467
THESE IMPROVEMENTS ADD UP TO A

458
00:17:13,467 --> 00:17:14,802
MORE INTEGRATED ASSESSMENT OF

459
00:17:14,802 --> 00:17:17,305
WHAT WAS THE IMPROVEMENT OF THE

460
00:17:17,305 --> 00:17:20,474
WHOLE -- OF THE EVENT EFFECT OFT

461
00:17:20,474 --> 00:17:21,108
ON THE WHOLE PERSON.

462
00:17:21,108 --> 00:17:23,978
SO WE'RE REALLY INTERESTED IN

463
00:17:23,978 --> 00:17:24,645
DEVELOPING INSTRUMENTS THAT

464
00:17:24,645 --> 00:17:26,147
WOULD ALLOW TO REALLY GET AT

465
00:17:26,147 --> 00:17:26,781
THAT QUESTION.

466
00:17:26,781 --> 00:17:29,217
WE THINK THAT THIS IS A VERY

467
00:17:29,217 --> 00:17:31,385
IMPORTANT ASPECT OF WHOLE PERSON

468
00:17:31,385 --> 00:17:34,488
RESEARCH THAT WE NEED TO REALLY

469
00:17:34,488 --> 00:17:38,626
GET A GRIP ON.

470
00:17:38,626 --> 00:17:39,927
SO WE REALLY LOOK FORWARD TO

471
00:17:39,927 --> 00:17:41,362
FOLLOWING FURTHER THE WORK OF

472
00:17:41,362 --> 00:17:42,463
THIS GROUP.

473
00:17:42,463 --> 00:17:43,764
THIS IS A DIFFERENT KIND OF

474
00:17:43,764 --> 00:17:44,098
APPLICATION.

475
00:17:44,098 --> 00:17:50,438
IT'S A BASIC STUDY IN ANIMALS BY

476
00:17:50,438 --> 00:17:51,539
DR. DU AND COLLEAGUES LOOKING AT

477
00:17:51,539 --> 00:17:52,740
THE VERY IMPORTANT CONNECTION

478
00:17:52,740 --> 00:17:54,875
BETWEEN WHAT'S GOING ON IN THE

479
00:17:54,875 --> 00:17:56,143
NECK AND WHAT'S GOING ON IN THE

480
00:17:56,143 --> 00:17:56,777
BRAIN.

481
00:17:56,777 --> 00:17:59,614
AND FOR THE LONGEST TIME, YOU

482
00:17:59,614 --> 00:18:01,983
KNOW, EVER SINCE THIS REALLY

483
00:18:01,983 --> 00:18:04,118
GROUNDBREAKING DISCOVERY OF

484
00:18:04,118 --> 00:18:05,019
CEREBROSPINAL FLUID DRAINAGE,

485
00:18:05,019 --> 00:18:09,357
YOU KNOW, FROM THE BRAIN TO THE

486
00:18:09,357 --> 00:18:10,658
LYMPHATIC SYSTEM, THERE WAS

487
00:18:10,658 --> 00:18:13,494
ALWAYS THE THOUGHT, WELL, YOU

488
00:18:13,494 --> 00:18:14,829
KNOW, IF THIS INDEED IS ALL

489
00:18:14,829 --> 00:18:16,430
HAPPENING THROUGH THE LYMPHATIC

490
00:18:16,430 --> 00:18:19,100
VESSELS IN THE BRAIN, CAN YOU

491
00:18:19,100 --> 00:18:23,170
INFLUENCE -- WH WHAT GOES ON INE

492
00:18:23,170 --> 00:18:24,572
BRAIN BY DOING AN INTERVENTION

493
00:18:24,572 --> 00:18:25,006
IN THE NECK?

494
00:18:25,006 --> 00:18:25,773
GOOD QUESTION, RIGHT?

495
00:18:25,773 --> 00:18:26,974
AND THIS IS WHAT THESE

496
00:18:26,974 --> 00:18:27,742
INVESTIGATORS DID.

497
00:18:27,742 --> 00:18:31,779
THEY LOOK AT LYMPHATIC FLOW IN

498
00:18:31,779 --> 00:18:34,849
THE NECK AND THEN MEASURE

499
00:18:34,849 --> 00:18:36,250
CLEARANCE IN THE BRAIN AND THEN

500
00:18:36,250 --> 00:18:37,785
MANIPULATED THE FLOW OF THE

501
00:18:37,785 --> 00:18:41,289
LYMPHATIC VESSELS USING

502
00:18:41,289 --> 00:18:42,189
PROSTAGLANDINS AND THEY FOUND

503
00:18:42,189 --> 00:18:43,791
THAT, INDEED, THERE WAS A

504
00:18:43,791 --> 00:18:45,326
CONNECTION THERE.

505
00:18:45,326 --> 00:18:47,428
SO THIS IS I THINK VERY

506
00:18:47,428 --> 00:18:48,663
IMPORTANT BECAUSE OBVIOUSLY

507
00:18:48,663 --> 00:18:51,565
THERE'S WAYS IN WHICH WE

508
00:18:51,565 --> 00:18:54,368
COULD -- IT'S HARD TO HAVE

509
00:18:54,368 --> 00:18:55,236
ACCESS TO THE BRAIN DIRECTLY

510
00:18:55,236 --> 00:18:57,038
VERY EASILY USING MANUAL

511
00:18:57,038 --> 00:18:58,639
THERAPIES, FOR EXAMPLE, BUT YOU

512
00:18:58,639 --> 00:18:59,407
COULD WITH THE NECK.

513
00:18:59,407 --> 00:19:02,843
SO VERY INTERESTING.

514
00:19:02,843 --> 00:19:08,215
THIS IS A NICE STUDY FROM ONE OF

515
00:19:08,215 --> 00:19:11,052
THE INVESTIGATORS IN OUR FORCED

516
00:19:11,052 --> 00:19:13,988
BASED MANIPULATION GROUP THAT

517
00:19:13,988 --> 00:19:20,361
LOOKED AT A VERY CAREFULLY DONE

518
00:19:20,361 --> 00:19:21,562
MODELING OF BOTH STRESSES AND

519
00:19:21,562 --> 00:19:24,398
STRAINS WITHIN THE LIGAMENTS OF

520
00:19:24,398 --> 00:19:25,366
THE SPINE.

521
00:19:25,366 --> 00:19:26,133
FIRST OF ALL THIS IS AN

522
00:19:26,133 --> 00:19:27,034
INTERESTING STUDY FOR A COUPLE

523
00:19:27,034 --> 00:19:27,902
OF REASONS.

524
00:19:27,902 --> 00:19:28,803
FIRST OF ALL LEG AMOUNTS IS

525
00:19:28,803 --> 00:19:33,140
SOMETHING W --LIGAMENTS IS SOMEY

526
00:19:33,140 --> 00:19:35,343
LESS ATTENTION TO THAN

527
00:19:35,343 --> 00:19:36,610
INTERVERTEBRAL DISKS, HOWEVER

528
00:19:36,610 --> 00:19:37,244
THEY'RE VERY IMPORTANT FOR

529
00:19:37,244 --> 00:19:38,946
KEEPING THE SPINE IN ITS HEALTHY

530
00:19:38,946 --> 00:19:39,480
CONFIGURATION.

531
00:19:39,480 --> 00:19:40,581
AND WHAT THEY WERE ABLE TO MAP

532
00:19:40,581 --> 00:19:42,883
HERE IN THIS MODEL IS NOT JUST

533
00:19:42,883 --> 00:19:45,519
THE STRAIN, WHICH IS THE

534
00:19:45,519 --> 00:19:47,788
DISPLACEMENT, THEY DID MAPPING

535
00:19:47,788 --> 00:19:49,757
OF DEFAMATION THAT OCCURS IN

536
00:19:49,757 --> 00:19:50,858
THESE LIGAMENTS, BUT ALSO THE

537
00:19:50,858 --> 00:19:52,827
LOCAL STRESSES, WHICH IS A LOT

538
00:19:52,827 --> 00:19:55,262
HARDER TO GET A AT, BECAUSE A

539
00:19:55,262 --> 00:19:56,764
LOT OF TIMES WE ASSUME THAT

540
00:19:56,764 --> 00:19:58,065
MECHANICAL FORCES ARE

541
00:19:58,065 --> 00:19:59,166
DISTRIBUTED HOMOGENEOUSLY

542
00:19:59,166 --> 00:19:59,834
THROUGH TISSUES.

543
00:19:59,834 --> 00:20:03,003
THAT'S NOT TRUE.

544
00:20:03,003 --> 00:20:04,305
THE ACTUAL STRESSES ARE NOT

545
00:20:04,305 --> 00:20:06,073
UNIFORM AND VERY OFTEN WE HAVE

546
00:20:06,073 --> 00:20:08,476
TROUBLE IN MODELING THIS.

547
00:20:08,476 --> 00:20:09,677
SO THIS IS AN IMPORTANT I THINK

548
00:20:09,677 --> 00:20:12,079
THAT'S GOING TO HELP US TO MOVE

549
00:20:12,079 --> 00:20:16,117
ALONG IN OUR UNDERSTANDING OF

550
00:20:16,117 --> 00:20:19,420
THESE IMPORTANT PIECES.

551
00:20:19,420 --> 00:20:23,357
THIS PAPER HERE, THIS IS A PAPER

552
00:20:23,357 --> 00:20:25,192
THAT WON AN AWARD OF THE JOURNAL

553
00:20:25,192 --> 00:20:31,265
OF NATIONAL PRODUCTS SCHWARTING

554
00:20:31,265 --> 00:20:32,400
AWARD.

555
00:20:32,400 --> 00:20:34,235
THIS IS DR. VIDAR AND COLLEAGUES

556
00:20:34,235 --> 00:20:37,004
ON THE INTERACTION METABOLOMICS

557
00:20:37,004 --> 00:20:39,407
TO DISCOVER SINNER GISTS IN

558
00:20:39,407 --> 00:20:43,577
NATURAL PRODUCT MIXTURES.

559
00:20:43,577 --> 00:20:48,182
AND WHAT THIS PAPER SHOWS IS

560
00:20:48,182 --> 00:20:50,251
THAT THEY REALLY WERE ABLE TO

561
00:20:50,251 --> 00:20:54,422
CONTRAST THE EVALUATION IN

562
00:20:54,422 --> 00:20:56,657
METABOLOMICS SINGLE COMPOUNDS AS

563
00:20:56,657 --> 00:20:59,226
WELL AS THE INTERACTION BETWEEN

564
00:20:59,226 --> 00:20:59,794
MULTIPLE COMPOUNDS TOGETHER.

565
00:20:59,794 --> 00:21:01,829
AND OF COURSE THIS IS WHAT

566
00:21:01,829 --> 00:21:06,033
HAPPENS WHEN COMPLEX MIXTURES

567
00:21:06,033 --> 00:21:07,968
EITHER WHEN YOU EAT A PLANT OR

568
00:21:07,968 --> 00:21:09,603
HAVE AN EXTRACT DERIVED FROM A

569
00:21:09,603 --> 00:21:10,805
PLANT, WE'RE NOT JUST DEALING

570
00:21:10,805 --> 00:21:11,772
WITH ONE MOLECULE AT A TIME.

571
00:21:11,772 --> 00:21:12,873
SO THIS TYPE OF WORK IS GOING TO

572
00:21:12,873 --> 00:21:14,208
BE VERY IMPORTANT FOR US TO BE

573
00:21:14,208 --> 00:21:17,845
ABLE TO BETTER UNDERSTAND THESE

574
00:21:17,845 --> 00:21:21,749
COMPLEX INTERACTIONS.

575
00:21:21,749 --> 00:21:23,050
MOVING ON TO SOME PROGRAM NEWS,

576
00:21:23,050 --> 00:21:24,151
FOR THOSE OF YOU NOT YET

577
00:21:24,151 --> 00:21:28,522
FAMILIAR WITH OUR LITTLE COLORED

578
00:21:28,522 --> 00:21:30,925
CIRCLE REPRESENTATION HERE, IN

579
00:21:30,925 --> 00:21:32,793
THE COLORED CIRCLE THEY

580
00:21:32,793 --> 00:21:33,861
REPRESENT THE SORT OF FIVE

581
00:21:33,861 --> 00:21:35,429
GENERAL CATEGORIES THAT WE WERE

582
00:21:35,429 --> 00:21:38,499
THINKING ABOUT IN TERMS OF WE'RE

583
00:21:38,499 --> 00:21:39,900
GOING TO USE THIS TO PREPARE FOR

584
00:21:39,900 --> 00:21:42,703
OUR NEXT STRATEGIC PLAN, SO

585
00:21:42,703 --> 00:21:43,971
POSITIVE HEALTH PROCESSES, MIND

586
00:21:43,971 --> 00:21:45,806
AND BODY CONNECTIONS, NUTRITION

587
00:21:45,806 --> 00:21:48,275
AND NATURAL PRODUCTS, PAIN AND

588
00:21:48,275 --> 00:21:49,109
PAIN MANAGEMENT, AND FINALLY

589
00:21:49,109 --> 00:21:50,344
WHOLE PERSON RESEARCH KIND OF IN

590
00:21:50,344 --> 00:21:51,512
THE MIDDLE, TYING EVERYTHING

591
00:21:51,512 --> 00:21:52,046
TOGETHER.

592
00:21:52,046 --> 00:21:54,014
AND THEN AT THE BOTTOM, WE HAVE

593
00:21:54,014 --> 00:21:56,183
OUR WORKFORCE DEVELOPMENT AND

594
00:21:56,183 --> 00:21:56,784
SPECIAL POPULATIONS AS WELL AS

595
00:21:56,784 --> 00:21:59,053
METHODS AND DATA SCIENCES, WHICH

596
00:21:59,053 --> 00:22:02,756
ARE VERY IMPORTANT CROSS-CUTTING

597
00:22:02,756 --> 00:22:10,865
THEMES ACROSS EVERYTHING.

598
00:22:10,865 --> 00:22:12,700
SO YOU CAN SEE WE USE THIS AS A

599
00:22:12,700 --> 00:22:18,072
WAY NOT JUST TO B PIGEONHOLE

600
00:22:18,072 --> 00:22:20,140
INITIATIVES IN ONE CATEGORY, BUT

601
00:22:20,140 --> 00:22:21,909
YOU'LL FIND PROGRAMS AND EVENTS

602
00:22:21,909 --> 00:22:23,110
THAT I'M GOING TO TALK ABOUT

603
00:22:23,110 --> 00:22:25,746
CROSS OVER SEVERAL OF THESE

604
00:22:25,746 --> 00:22:29,216
CATEGORIES, AND THAT MAKES SENSE

605
00:22:29,216 --> 00:22:32,620
BECAUSE WE REALLY ARE THINKING

606
00:22:32,620 --> 00:22:34,355
ABOUT A PROGRAM AS BEING VERY

607
00:22:34,355 --> 00:22:34,922
INTEGRATIVE AND WE'RE VERY

608
00:22:34,922 --> 00:22:36,123
INTERESTED IN LOOKING AT THE

609
00:22:36,123 --> 00:22:37,525
INTERSECTIONS, FOR EXAMPLE,

610
00:22:37,525 --> 00:22:38,859
BETWEEN SOMETHING LIKE SAY

611
00:22:38,859 --> 00:22:41,262
NUTRITION AND NATURAL PRODUCTS

612
00:22:41,262 --> 00:22:42,696
AND POSITIVE HEALTH PROCESSES.

613
00:22:42,696 --> 00:22:46,066
THAT'S ONE AREA OF CONNECTION.

614
00:22:46,066 --> 00:22:47,401
OR BETWEEN MINDS AND BODY

615
00:22:47,401 --> 00:22:48,602
CONNECTIONS AND PAIN AND PAIN

616
00:22:48,602 --> 00:22:48,936
MANAGEMENT.

617
00:22:48,936 --> 00:22:53,541
YOU HAVE THESE CROSS CURRENTS

618
00:22:53,541 --> 00:22:54,942
THAT GO ACROSS OUR ENTIRE

619
00:22:54,942 --> 00:22:57,244
PROGRAM.

620
00:22:57,244 --> 00:22:58,212
SO FIRST WE'LL START WITH WHOLE

621
00:22:58,212 --> 00:23:02,049
PERSON HEALTH.

622
00:23:02,049 --> 00:23:03,117
SO AT THE UPPER RIGHT CORNER OF

623
00:23:03,117 --> 00:23:06,086
THE SLIDE WE PUT THE S CIRCLES D

624
00:23:06,086 --> 00:23:07,187
WHAT AREAS ARE PARTICULARLY

625
00:23:07,187 --> 00:23:08,022
IMPORTANT FOR THIS PARTICULAR

626
00:23:08,022 --> 00:23:08,489
INITIATIVE.

627
00:23:08,489 --> 00:23:12,560
SO THIS IS OUR NEW WHOLE PERSON

628
00:23:12,560 --> 00:23:15,162
RESEARCH AND COORDINATING CENTER

629
00:23:15,162 --> 00:23:15,362
NOFO.

630
00:23:15,362 --> 00:23:16,363
SO FOR THOSE OF WHO YOU ARE NOT

631
00:23:16,363 --> 00:23:19,667
FAMILIAR WITH OUR NEW JARGON,

632
00:23:19,667 --> 00:23:20,935
NOFO MEANS NOTICE OF FUNDING

633
00:23:20,935 --> 00:23:21,235
OPPORTUNITY.

634
00:23:21,235 --> 00:23:22,937
WE USED TO TALK ABOUT ALL KINDS

635
00:23:22,937 --> 00:23:25,339
OF THINGS, RFAs, PARs, BUT

636
00:23:25,339 --> 00:23:27,308
NOW EVERYTHING IS A NOFO.

637
00:23:27,308 --> 00:23:30,411
BUT WE STILL CAN CALL THEM

638
00:23:30,411 --> 00:23:33,647
RFAs IF THE AREA IS A SPECIFIC

639
00:23:33,647 --> 00:23:34,381
SETASIDE FOR THIS PARTICULAR

640
00:23:34,381 --> 00:23:35,182
INITIATIVE AND IN THIS CASE,

641
00:23:35,182 --> 00:23:40,654
THERE IS.

642
00:23:40,654 --> 00:23:43,724
SO -- AND FUNDS, I MEAN, FUNDS

643
00:23:43,724 --> 00:23:44,058
SETASIDE.

644
00:23:44,058 --> 00:23:45,259
SO THIS WHOLE PERSON RESEARCH

645
00:23:45,259 --> 00:23:48,329
AND COORDINATING CENTER --

646
00:23:48,329 --> 00:23:49,430
COORDINATION CENTER IS SOMETHING

647
00:23:49,430 --> 00:23:52,232
WE'VE BEEN TALKING ABOUT A LOT

648
00:23:52,232 --> 00:23:53,767
AND WE'VE HEARD ABOUT THIS MANY

649
00:23:53,767 --> 00:23:57,605
TIMES NOW AT PREVIOUS COUNCIL

650
00:23:57,605 --> 00:23:58,606
MEETINGS.

651
00:23:58,606 --> 00:24:00,441
BUT THIS IS A FLAGSHIP

652
00:24:00,441 --> 00:24:02,309
INITIATIVE FOR US.

653
00:24:02,309 --> 00:24:03,978
THIS IS AN INITIATIVE THAT WAS

654
00:24:03,978 --> 00:24:07,781
PUBLISHED BACK IN JUNE AND IT

655
00:24:07,781 --> 00:24:09,483
INVOLVES COLLABORATION WITH NOW

656
00:24:09,483 --> 00:24:13,020
18 INSTITUTES, CENTERS AND

657
00:24:13,020 --> 00:24:14,555
OFFICES AT NIH, AND NCCIH IS

658
00:24:14,555 --> 00:24:15,122
LEADING THIS.

659
00:24:15,122 --> 00:24:16,724
THIS IS ABOUT CREATING A

660
00:24:16,724 --> 00:24:19,593
FRAMEWORK FOR UNDERSTANDING THE

661
00:24:19,593 --> 00:24:22,663
WHOLE HUMAN PHYSIOME, ALL THE

662
00:24:22,663 --> 00:24:24,865
ORGANS AND SYSTEMS OF THE BODY

663
00:24:24,865 --> 00:24:26,700
INTERACT, AND THIS IS MEANT TO

664
00:24:26,700 --> 00:24:27,935
CREATE A FUNDAMENTAL KNOWLEDGE

665
00:24:27,935 --> 00:24:30,437
BASE THAT WILL BE USED IN FUTURE

666
00:24:30,437 --> 00:24:32,172
STUDIES USING ARTIFICIAL

667
00:24:32,172 --> 00:24:34,141
INTELLIGENCE AND TO REALLY

668
00:24:34,141 --> 00:24:36,010
ORGANIZE AND ANCHOR THE

669
00:24:36,010 --> 00:24:39,279
INFORMATION THAT CAN BE REALLY

670
00:24:39,279 --> 00:24:44,852
FRAGMENTED ACROSS THE DIFFERENT

671
00:24:44,852 --> 00:24:45,452
CARDIOVASCULAR, DIGESTIVE, ET

672
00:24:45,452 --> 00:24:46,387
CETERA, BUT REALLY MAKING THIS

673
00:24:46,387 --> 00:24:47,488
INTO A WHOLE.

674
00:24:47,488 --> 00:24:49,123
SO THE APPLICATION DEADLINE FOR

675
00:24:49,123 --> 00:24:49,957
THIS IS NOVEMBER 1.

676
00:24:49,957 --> 00:24:51,759
WE'RE LOOKING FOR TEAMS OF

677
00:24:51,759 --> 00:24:52,860
INVESTIGATORS, INCLUDING BOTH

678
00:24:52,860 --> 00:24:54,161
DATA SCIENTISTS AS WELL AS

679
00:24:54,161 --> 00:24:57,765
EXPERTS IN EVERY ONE OF THESE

680
00:24:57,765 --> 00:25:02,202
AREAS, ORGANS AND SYSTEMS, SO WE

681
00:25:02,202 --> 00:25:08,909
REALLY ENCOURAGE YOU TO CONTACT

682
00:25:08,909 --> 00:25:11,445
LIZ AND EMRIN, WHO ARE THE LEAD

683
00:25:11,445 --> 00:25:17,251
PROGRAM OFFICERS ON THIS

684
00:25:17,251 --> 00:25:18,452
INITIATIVE.

685
00:25:18,452 --> 00:25:19,753
THERE'S ALSO A TECHNICAL

686
00:25:19,753 --> 00:25:20,954
ASSISTANCE WEBINAR ON THIS IF

687
00:25:20,954 --> 00:25:22,056
YOU'RE INTERESTED THAT'S

688
00:25:22,056 --> 00:25:23,357
VIDEOCAST SO YOU CAN WATCH IT.

689
00:25:23,357 --> 00:25:26,760
AND THERE'S ALSO A LETTER OF

690
00:25:26,760 --> 00:25:30,130
INTENT DUE NOVEMBER 1ST --

691
00:25:30,130 --> 00:25:33,100
OCTOBER 1ST, IT'S NOT COMPULSORY

692
00:25:33,100 --> 00:25:38,572
BUT IT'S RECOMMENDED.

693
00:25:38,572 --> 00:25:39,873
SO WE REALLY HOPE THAT MANY OF

694
00:25:39,873 --> 00:25:42,509
YOU WILL BE SPREADING THE WORD

695
00:25:42,509 --> 00:25:44,111
AMONG PEOPLE WHO ARE INTERESTED

696
00:25:44,111 --> 00:25:49,083
IN FORMING THE TEAMS.

697
00:25:49,083 --> 00:25:51,051
TO SUBMIT THESE APPLICATIONS.

698
00:25:51,051 --> 00:25:55,956
HERE IS ANOTHER EXAMPLE.

699
00:25:55,956 --> 00:25:57,391
THIS TIME IT'S NOT A NOFO, IT'S

700
00:25:57,391 --> 00:25:58,459
A NOSI.

701
00:25:58,459 --> 00:26:00,861
A NOSI IS A NOTICE OF SPECIAL

702
00:26:00,861 --> 00:26:01,995
INTEREST.

703
00:26:01,995 --> 00:26:06,033
THAT'S WHEN WE WANT TO DRAW

704
00:26:06,033 --> 00:26:07,568
ATTENTION TO ANOTHER NOFO,

705
00:26:07,568 --> 00:26:08,969
SOMETHING THAT IS EXISTING

706
00:26:08,969 --> 00:26:13,006
ALREADY, BUT WE WANT TO DRAW

707
00:26:13,006 --> 00:26:14,007
ATTENTION TO IT FROM THE POINT

708
00:26:14,007 --> 00:26:14,675
OF VIEW OF NCCIH.

709
00:26:14,675 --> 00:26:16,944
THIS IS IN THE CLIMATE CHANGE

710
00:26:16,944 --> 00:26:19,480
AND HEALTH SCWEER.

711
00:26:19,480 --> 00:26:21,014
THE NATIONAL INSTITUTE OF

712
00:26:21,014 --> 00:26:22,416
ENVIRONMENTAL HEALTH AND

713
00:26:22,416 --> 00:26:24,084
SCIENCES, NIEHS, THAT WE

714
00:26:24,084 --> 00:26:24,952
COLLABORATE WITH A LOT BECAUSE

715
00:26:24,952 --> 00:26:26,420
THEY'RE REALLY ALSO INTERESTED

716
00:26:26,420 --> 00:26:28,655
IN THE WHOLE PERSON, ESPECIALLY

717
00:26:28,655 --> 00:26:32,826
IN RELATIONSHIP TO THE -- BEYOND

718
00:26:32,826 --> 00:26:34,661
THE PERSON TO SOCIETY AS WELL AS

719
00:26:34,661 --> 00:26:39,166
THE ENVIRONMENT.

720
00:26:39,166 --> 00:26:42,770
THIS PARTICULAR NOTICE IS ABOUT

721
00:26:42,770 --> 00:26:46,607
REALLY THINKING ABOUT HOW TO

722
00:26:46,607 --> 00:26:48,542
PROMOTE WAYS TO MANAGE AND

723
00:26:48,542 --> 00:26:50,077
MITIGATE ENVIRONMENTAL PROBLEMS

724
00:26:50,077 --> 00:26:54,248
LIKE, FOR EXAMPLE, CLIMATE

725
00:26:54,248 --> 00:26:55,549
CHANGE, AND HELP PEOPLE TO DEAL

726
00:26:55,549 --> 00:26:56,416
WITH THE STRESS ASSOCIATED WITH,

727
00:26:56,416 --> 00:26:58,852
YOU KNOW, ANXIETY ABOUT CLIMATE

728
00:26:58,852 --> 00:26:59,620
CHANGE, ABOUT THE NEGATIVE

729
00:26:59,620 --> 00:27:01,488
EFFECTS OF CLIMATE CHANGE,

730
00:27:01,488 --> 00:27:03,190
ESPECIALLY ON VULNERABLE

731
00:27:03,190 --> 00:27:03,490
POPULATIONS.

732
00:27:03,490 --> 00:27:10,430
SO THIS IS -- IT SENDS PEOPLE TO

733
00:27:10,430 --> 00:27:11,398
THIS PARTICULAR FUNDING

734
00:27:11,398 --> 00:27:14,101
OPPORTUNITY FROM NIEHS BUT ADDS

735
00:27:14,101 --> 00:27:20,374
A COMPONENT FROM NCCIH.

736
00:27:20,374 --> 00:27:22,776
NEXT IS PAIN, THE PAIN CATEGORY.

737
00:27:22,776 --> 00:27:28,015
THE FIRST I WANT TO POINT OUT IS

738
00:27:28,015 --> 00:27:36,557
THAT THE NIH DOD VA PAIN

739
00:27:36,557 --> 00:27:37,424
MANAGEMENT COLLABORATORY HAS

740
00:27:37,424 --> 00:27:38,959
ISSUED A NEW ANNOUNCEMENT FOR

741
00:27:38,959 --> 00:27:41,061
PRAGMATIC AND IMPLEMENTATION

742
00:27:41,061 --> 00:27:41,795
SCIENCE DEMONSTRATION PROJECTS.

743
00:27:41,795 --> 00:27:44,464
THIS IS THE NEXT WAVE OF FUNDING

744
00:27:44,464 --> 00:27:45,833
OPPORTUNITIES FROM THE PAIN

745
00:27:45,833 --> 00:27:48,802
MANAGEMENT COLLABORATORY.

746
00:27:48,802 --> 00:27:49,903
IMPORTANTLY, WE HAVE A NEW

747
00:27:49,903 --> 00:27:52,840
COLLABORATION WITH THE HEAL

748
00:27:52,840 --> 00:27:55,242
INITIATIVE, WHICH IS VERY

749
00:27:55,242 --> 00:27:56,009
EXCITING BECAUSE THE HEAL

750
00:27:56,009 --> 00:27:57,444
INITIATIVE IS NOW COFUNDING PART

751
00:27:57,444 --> 00:28:00,948
OF THE PMC COORDINATING CENTER.

752
00:28:00,948 --> 00:28:02,916
WE THINK THIS IS VERY IMPORTANT

753
00:28:02,916 --> 00:28:07,054
TO REALLY CREATE THESE

754
00:28:07,054 --> 00:28:08,288
PARTNERSHIPS BECAUSE THE NCCIH

755
00:28:08,288 --> 00:28:11,925
WAS REALLY A LEAD IN RESEARCH IN

756
00:28:11,925 --> 00:28:13,193
THE PAIN MANAGEMENT IN THE

757
00:28:13,193 --> 00:28:14,828
MILITARY, WHICH IS SO IMPORTANT,

758
00:28:14,828 --> 00:28:17,130
AND TO REALLY UNDERSTAND HOW TO

759
00:28:17,130 --> 00:28:20,434
DO THIS WELL, AND WE'RE JUST

760
00:28:20,434 --> 00:28:24,137
VERY EXCITED THAT WE'RE GOING TO

761
00:28:24,137 --> 00:28:26,406
MOVE INTO CREATING LINKS BETWEEN

762
00:28:26,406 --> 00:28:27,975
THE HEAL INITIATIVE, THE

763
00:28:27,975 --> 00:28:30,043
PRAGMATIC TRIALS COLLABORATORY,

764
00:28:30,043 --> 00:28:31,144
AND THE PAIN MANAGEMENT

765
00:28:31,144 --> 00:28:32,846
COLLABORATORY.

766
00:28:32,846 --> 00:28:33,847
JUST SO THAT EVERYBODY IS

767
00:28:33,847 --> 00:28:37,150
WORKING TOGETHER.

768
00:28:37,150 --> 00:28:38,418
THE APPLICATION DEADLINE FOR

769
00:28:38,418 --> 00:28:40,988
THIS IS NOVEMBER 7TH AND THE

770
00:28:40,988 --> 00:28:43,390
CONTACT IS PETE MURRAY.

771
00:28:43,390 --> 00:28:48,428
THE NEXT IS THE R15 PAIN

772
00:28:48,428 --> 00:28:53,867
RESEARCH ENHANCEMENT PROGRAM, OR

773
00:28:53,867 --> 00:28:54,201
PREP.

774
00:28:54,201 --> 00:28:55,702
THIS IS ALSO A VERY IMPORTANT

775
00:28:55,702 --> 00:28:56,637
INITIATIVE THAT IS ALSO FUNDED

776
00:28:56,637 --> 00:28:59,573
BY THE HEAL INITIATIVE.

777
00:28:59,573 --> 00:29:02,643
AND THIS IS TO SUPPORT BASIC AND

778
00:29:02,643 --> 00:29:06,914
MECHANISTIC PAIN RESEARCH FROM

779
00:29:06,914 --> 00:29:10,717
R15-ELIGIBLE UNDERGRADUATE AT

780
00:29:10,717 --> 00:29:11,551
FOCUSED-SERVING INSTITUTIONS.

781
00:29:11,551 --> 00:29:12,786
SO THIS APPLIES TO MANY

782
00:29:12,786 --> 00:29:14,021
INSTITUTIONS THAT ARE IN THE

783
00:29:14,021 --> 00:29:15,856
KIND OF COMPLEMENTARY AND

784
00:29:15,856 --> 00:29:17,057
INTEGRATIVE HEALTH FIELD.

785
00:29:17,057 --> 00:29:18,492
INCLUDING HEALTH PROFESSIONAL

786
00:29:18,492 --> 00:29:22,663
SKOLSCHOOLS OR GRADUATE SCHOOLS.

787
00:29:22,663 --> 00:29:25,933
SO THIS PARTICULAR INITIATIVE IS

788
00:29:25,933 --> 00:29:27,334
TO REACH OUT TO INSTITUTIONS

789
00:29:27,334 --> 00:29:29,336
THAT HAVE NOT YET BEEN MAJOR

790
00:29:29,336 --> 00:29:31,939
RECIPIENTS OF NIH SUPPORT.

791
00:29:31,939 --> 00:29:33,473
ESPECIALLY RESEARCHERS FROM

792
00:29:33,473 --> 00:29:35,342
DIVERSE BACKGROUNDS, AND GROUPS

793
00:29:35,342 --> 00:29:36,977
THAT ARE UNDERREPRESENTED IN THE

794
00:29:36,977 --> 00:29:44,084
HEALTH SCIENCES.

795
00:29:44,084 --> 00:29:44,952
SO FOR NCCIH SPECIFICALLY, WE

796
00:29:44,952 --> 00:29:48,021
ARE THINKING ABOUT COLLEGES OF

797
00:29:48,021 --> 00:29:50,958
OSTEOPATHY, CHIROPRACTOR,

798
00:29:50,958 --> 00:29:51,525
ACUPUNCTURE, ET CETERA.

799
00:29:51,525 --> 00:29:55,562
AND SO THIS IS A GREAT

800
00:29:55,562 --> 00:29:56,863
OPPORTUNITY, AND I REALLY WANT

801
00:29:56,863 --> 00:29:58,598
TO ENCOURAGE ANY OF YOU WHO ARE

802
00:29:58,598 --> 00:30:01,702
IN CONTACT WITH THESE

803
00:30:01,702 --> 00:30:02,569
ORGANIZATIONS TO PLEASE LET THEM

804
00:30:02,569 --> 00:30:07,174
KNOW.

805
00:30:07,174 --> 00:30:08,141
HERE'S ANOTHER IMPORTANT --

806
00:30:08,141 --> 00:30:15,248
AGAIN, THIS IS WHAT WE CALL A

807
00:30:15,248 --> 00:30:17,217
SIGN-ON, COORDINATED APPROACH TO

808
00:30:17,217 --> 00:30:18,652
PAIN CARE IN HEALTHCARE SYSTEMS.

809
00:30:18,652 --> 00:30:20,721
THIS IS AGAIN FROM THE HEAL

810
00:30:20,721 --> 00:30:21,054
INITIATIVE.

811
00:30:21,054 --> 00:30:25,525
THIS IS PART OF THE PRISSMM

812
00:30:25,525 --> 00:30:26,626
COORDINATING CENTER.

813
00:30:26,626 --> 00:30:29,363
SO PRISSMM, ANOTHER ACRONYM, BUT

814
00:30:29,363 --> 00:30:31,231
THIS IS WITHIN THE HEAL

815
00:30:31,231 --> 00:30:34,167
INITIATIVE, THE PRISSMM PROGRAM

816
00:30:34,167 --> 00:30:35,369
IS SOMETHING THAT NCCIH HAS BEEN

817
00:30:35,369 --> 00:30:36,603
LEADING FOR YEARS AND IT'S ABOUT

818
00:30:36,603 --> 00:30:40,841
DOING PRAK MA PRAGMATIC AND

819
00:30:40,841 --> 00:30:42,676
IMPLEMENTATION TRIALS ON PAIN,

820
00:30:42,676 --> 00:30:45,445
USUALLY INVOLVING

821
00:30:45,445 --> 00:30:46,546
NON-PHARMACOLOGICAL

822
00:30:46,546 --> 00:30:49,816
INTERVENTIONS OR A COMBINATION

823
00:30:49,816 --> 00:30:52,319
OF PHARMACOLOGICAL AND

824
00:30:52,319 --> 00:30:53,086
NON-PHARMACOLOGICAL IN THE AREA

825
00:30:53,086 --> 00:30:54,321
OF THE HEAL INITIATIVE.

826
00:30:54,321 --> 00:30:56,923
SO THIS IS AN AREA WHERE WE'VE

827
00:30:56,923 --> 00:30:57,924
RECEIVED MAJOR ADDITIONAL

828
00:30:57,924 --> 00:30:58,825
FUNDING FOR THIS KIND OF

829
00:30:58,825 --> 00:31:00,093
RESEARCH THROUGH HEAL, SO THESE

830
00:31:00,093 --> 00:31:02,262
COORDINATING APPROACHES TO PAIN

831
00:31:02,262 --> 00:31:03,497
CARE SOLICITS RESEARCH

832
00:31:03,497 --> 00:31:05,465
APPLICATIONS THAT COMPOSE

833
00:31:05,465 --> 00:31:06,333
IMPLEMENTATION SCIENCE

834
00:31:06,333 --> 00:31:09,403
METHODOLOGY TO EMBED EXISTING

835
00:31:09,403 --> 00:31:11,405
EVIDENCE-BASED COORDINATING --

836
00:31:11,405 --> 00:31:12,572
COORDINATED PAIN CARE MODELS

837
00:31:12,572 --> 00:31:14,975
INTO A VARIETY OF PUBLIC AND

838
00:31:14,975 --> 00:31:19,012
PRIVATE HEALTHCARE SYSTEMS.

839
00:31:19,012 --> 00:31:20,147
ESPECIALLY WHERE THIS CARE DOES

840
00:31:20,147 --> 00:31:20,847
NOT CURRENTLY EXIST.

841
00:31:20,847 --> 00:31:25,152
SO THIS IS REALLY ABOUT

842
00:31:25,152 --> 00:31:26,787
IMPLEMENTING PRACTICES AND

843
00:31:26,787 --> 00:31:32,159
THERAPIES THAT WE KNOW WORK, BUT

844
00:31:32,159 --> 00:31:34,127
HOW DO YOU NOW PUT THEM INTO THE

845
00:31:34,127 --> 00:31:36,530
HEALTHCARE SYSTEM AND MAKE THE

846
00:31:36,530 --> 00:31:43,970
IMPLEMENTATION OF IT EFFECTIVE.

847
00:31:43,970 --> 00:31:45,272
NEXT, THE N CREW PROGRAM, AGAIN

848
00:31:45,272 --> 00:31:46,306
A VERY IMPORTANT PROGRAM THROUGH

849
00:31:46,306 --> 00:31:47,908
HEAL.

850
00:31:47,908 --> 00:31:50,544
THIS IS A LARGE NIH PROGRAM TO

851
00:31:50,544 --> 00:31:53,146
ADVANCE RESEARCH LED BY NATIVE

852
00:31:53,146 --> 00:31:56,216
AMERICAN COMMUNITIES ON

853
00:31:56,216 --> 00:31:58,952
SUBSTANCE USE AND PAIN.

854
00:31:58,952 --> 00:32:01,354
NCCIH IS PARTICIPATING IN THIS

855
00:32:01,354 --> 00:32:02,456
PROGRAM.

856
00:32:02,456 --> 00:32:09,996
NCCIH STAFF SEKAI CHIDEYA AND

857
00:32:09,996 --> 00:32:11,531
JENNY BAUMGARTNER.

858
00:32:11,531 --> 00:32:13,366
THIS IS TO ENHANCE THE CAPACITY

859
00:32:13,366 --> 00:32:15,035
FOR RESEARCH THAT IS LED BY THE

860
00:32:15,035 --> 00:32:16,236
TRIBES AND NATIVE AMERICAN

861
00:32:16,236 --> 00:32:16,670
ORGANIZATIONS.

862
00:32:16,670 --> 00:32:18,872
THERE'S A LOT OF EMPHASIS ON

863
00:32:18,872 --> 00:32:20,640
MAKING SURE THAT THIS RESEARCH,

864
00:32:20,640 --> 00:32:22,342
THAT THE ACTUAL RESEARCH

865
00:32:22,342 --> 00:32:24,411
QUESTIONS THAT ARE ASKED COME

866
00:32:24,411 --> 00:32:26,947
FROM THE TRIBES AS OPPOSED TO

867
00:32:26,947 --> 00:32:28,849
THE OTHER WAY AROUND.

868
00:32:28,849 --> 00:32:34,254
SO THIS IS ALSO THE OVERALL

869
00:32:34,254 --> 00:32:35,789
ULTIMATE GAIN -- AIM OF THIS IS

870
00:32:35,789 --> 00:32:39,626
TO IMPROVE ACCESS OF QUALITY OF

871
00:32:39,626 --> 00:32:40,827
DATA ON SUBSTANCE USE, PAIN AND

872
00:32:40,827 --> 00:32:42,162
RELATED FACTORS.

873
00:32:42,162 --> 00:32:45,332
AND PARTICULARLY WE'RE

874
00:32:45,332 --> 00:32:47,067
INTERESTED IN TRADITIONAL

875
00:32:47,067 --> 00:32:49,703
HEALING PRACTICES AS THEY COME

876
00:32:49,703 --> 00:32:54,274
OUT OF THE TRADITIONAL KNOWLEDGE

877
00:32:54,274 --> 00:32:56,810
THAT THE AMERICAN INDIAN AND

878
00:32:56,810 --> 00:32:57,477
ALASKA NATIVE TRIBES HAVE, AND

879
00:32:57,477 --> 00:33:00,680
HOW THEY MANAGE -- HOW TO MANAGE

880
00:33:00,680 --> 00:33:03,917
COMPLEX PROBLEMS LIKE PAIN.

881
00:33:03,917 --> 00:33:06,887
NEXT WE MOVE ON TO OUR MIND AND

882
00:33:06,887 --> 00:33:11,691
BODY CONNECTION.

883
00:33:11,691 --> 00:33:13,660
SO THE FIRST ITEM IS -- THIS WAS

884
00:33:13,660 --> 00:33:16,596
A PAST EVENT THAT WE'VE HAD THIS

885
00:33:16,596 --> 00:33:18,532
SUMMER, ANNUAL FORCE-BASED

886
00:33:18,532 --> 00:33:19,232
MANIPULATION INVESTIGATOR

887
00:33:19,232 --> 00:33:21,835
MEETING.

888
00:33:21,835 --> 00:33:23,403
SO OUR FORCE-BASED MANIPULATION,

889
00:33:23,403 --> 00:33:24,771
THIS IS ONE OF OUR THREE

890
00:33:24,771 --> 00:33:25,772
NETWORKS THAT WE FUND.

891
00:33:25,772 --> 00:33:27,774
WE HAVE ONE ON FORCE-BASED

892
00:33:27,774 --> 00:33:29,075
MANIPULATION, WE HAD ONE ON

893
00:33:29,075 --> 00:33:30,710
MUSIC AND HEALTH, WE HAVE ONE ON

894
00:33:30,710 --> 00:33:31,478
EMOTIONAL WELL-BEING.

895
00:33:31,478 --> 00:33:33,113
THESE NETWORKS HAVE BEEN

896
00:33:33,113 --> 00:33:33,780
FANTASTIC.

897
00:33:33,780 --> 00:33:35,715
REALLY, WE'RE REALLY HAPPY WITH

898
00:33:35,715 --> 00:33:36,716
THESE, WITH THESE -- HOW THESE

899
00:33:36,716 --> 00:33:39,252
NETWORKS ARE GOING.

900
00:33:39,252 --> 00:33:41,655
IN THIS MEETING WE HAD BACK IN

901
00:33:41,655 --> 00:33:43,089
JUNE, IT WAS VIDEOCAST, I

902
00:33:43,089 --> 00:33:45,492
ENCOURAGE ANY OF YOU WHO ARE

903
00:33:45,492 --> 00:33:49,863
INTERESTED IN WATCHING THAT,

904
00:33:49,863 --> 00:33:52,065
WE'VE HAD A LOT OF PEOPLE VIEW

905
00:33:52,065 --> 00:33:53,233
IT.

906
00:33:53,233 --> 00:33:55,202
OVER 300 ATTENDED THE LIVE EVENT

907
00:33:55,202 --> 00:33:56,836
AND 400 VIEWS SINCE.

908
00:33:56,836 --> 00:34:02,642
THERE WAS A RAN F FANTASTIC KEYE

909
00:34:02,642 --> 00:34:05,178
LECTURE LOOKING AT THE EFFECT OF

910
00:34:05,178 --> 00:34:08,348
DIETARY FATTY ACIDS, OMEGA-3

911
00:34:08,348 --> 00:34:09,649
FATTY ACIDS AND OTHER TYPES OF

912
00:34:09,649 --> 00:34:13,253
FATTY ACIDS ON MECHANOSENSATION,

913
00:34:13,253 --> 00:34:15,222
WHICH IS REALLY A VERY, VERY

914
00:34:15,222 --> 00:34:16,089
INTRIGUING TOPIC.

915
00:34:16,089 --> 00:34:19,392
THAT MEETING WAS REALLY --

916
00:34:19,392 --> 00:34:21,361
HIGHLIGHTED THE IMPORTANCE OF

917
00:34:21,361 --> 00:34:22,462
BRINGING DIFFERENT KINDS OF

918
00:34:22,462 --> 00:34:24,631
EXPERTISE IN THE ROOM TOGETHER.

919
00:34:24,631 --> 00:34:27,601
YOU HAD REALLY PAIN RESEARCHERS

920
00:34:27,601 --> 00:34:29,869
AND SCIENTISTS REALLY LOOKING AT

921
00:34:29,869 --> 00:34:33,540
THE SENSORY ASPECTS OF PAIN, FOR

922
00:34:33,540 --> 00:34:36,009
EXAMPLE, BUT ALSO TOGETHER WITH

923
00:34:36,009 --> 00:34:37,110
PEOPLE WHO ARE EXPERIENCED IN

924
00:34:37,110 --> 00:34:38,211
THE BIOMECHANICS OF WHAT HAPPENS

925
00:34:38,211 --> 00:34:40,614
WHEN YOU ACTUALLY APPLY A

926
00:34:40,614 --> 00:34:46,720
MECHANICAL FORCE TO THE BODY,

927
00:34:46,720 --> 00:34:48,588
AND REALLY BRINGING THOSE

928
00:34:48,588 --> 00:34:49,356
DIFFERENT KINDS OF EXPERTISE

929
00:34:49,356 --> 00:34:53,526
TOGETHER TO TRANSLATE ACROSS

930
00:34:53,526 --> 00:34:54,928
COMMON VOCABULARY, COMMON

931
00:34:54,928 --> 00:34:57,097
KNOWLEDGE, BUT IT WAS REALLY

932
00:34:57,097 --> 00:34:57,897
VERY FASCINATING, THIS IS GOING

933
00:34:57,897 --> 00:34:58,765
REALLY WELL.

934
00:34:58,765 --> 00:35:03,336
ANOTHER ONE OF OUR INITIATIVES

935
00:35:03,336 --> 00:35:05,538
THAT'S GOING REALLY WELL IS OUR

936
00:35:05,538 --> 00:35:08,275
MUSIC-BASED INTERVENTION, AND SO

937
00:35:08,275 --> 00:35:09,809
THIS IS A -- NOW A NOTICE OF

938
00:35:09,809 --> 00:35:11,878
FUNDING, A NOFO, AND ALSO

939
00:35:11,878 --> 00:35:13,847
REQUEST FOR INFORMATION OR RFI.

940
00:35:13,847 --> 00:35:16,683
FIRST THE NOFO IS ON FEASIBILITY

941
00:35:16,683 --> 00:35:18,985
TRIALS OF USING THE MUSIC-BASED

942
00:35:18,985 --> 00:35:20,754
INTERVENTION TOOLKIT FOR BRAIN

943
00:35:20,754 --> 00:35:22,389
DISORDERS OF AGING.

944
00:35:22,389 --> 00:35:25,992
AND SO THIS IS FOR EARLY PHASE

945
00:35:25,992 --> 00:35:29,796
CLINICAL TRIAL TO GENERATE

946
00:35:29,796 --> 00:35:30,964
EVIDENCE TO SUPPORT THE VALIDITY

947
00:35:30,964 --> 00:35:32,866
OF THE TOOLKIT.

948
00:35:32,866 --> 00:35:34,100
IT'S ONE THING TO DEVELOP A

949
00:35:34,100 --> 00:35:34,968
TOOLKIT, YOU THEN HAVE TO USE

950
00:35:34,968 --> 00:35:35,335
IT.

951
00:35:35,335 --> 00:35:37,604
SO THIS IS REALLY TO SHOW HOW

952
00:35:37,604 --> 00:35:39,105
HOPEFULLY THIS TOOLKIT WILL BE

953
00:35:39,105 --> 00:35:44,277
USEFUL AND TO DEMONSTRATE THAT.

954
00:35:44,277 --> 00:35:46,012
AND IF NECESSARY, MAKE

955
00:35:46,012 --> 00:35:46,579
MODIFICATIONS.

956
00:35:46,579 --> 00:35:48,748
SO THESE ARE APPLICATIONS THAT

957
00:35:48,748 --> 00:35:50,817
ARE AIMED AT COLLECTING AND

958
00:35:50,817 --> 00:35:52,218
ADDRESSING GAPS IN KNOWLEDGE TO

959
00:35:52,218 --> 00:35:53,219
FACILITATE THE DEVELOPMENT OF

960
00:35:53,219 --> 00:35:55,855
COMPETITIVE LARGER SCALE

961
00:35:55,855 --> 00:35:56,756
CLINICAL TRIALS, AND THE

962
00:35:56,756 --> 00:36:01,528
APPLICATION DEADLINE IS NOVEMBE.

963
00:36:01,528 --> 00:36:03,296
EXCUSE ME, OCTOBER 21ST.

964
00:36:03,296 --> 00:36:04,531
I KEEP GETTING THOSE MONTHS

965
00:36:04,531 --> 00:36:06,466
WRONG.

966
00:36:06,466 --> 00:36:08,435
ALSO WE HAVE A REQUEST FOR

967
00:36:08,435 --> 00:36:10,070
COMMENTS ON MUSIC AND HEALTH

968
00:36:10,070 --> 00:36:11,938
RESEARCH.

969
00:36:11,938 --> 00:36:13,473
AGAIN, THAT IS DUE SOONER.

970
00:36:13,473 --> 00:36:17,510
THAT IS DUE SEPTEMBER 30TH.

971
00:36:17,510 --> 00:36:19,713
AND THIS IS TO REQUEST

972
00:36:19,713 --> 00:36:20,680
INFORMATION TO GUIDE POTENTIAL

973
00:36:20,680 --> 00:36:23,750
EFFORTS TO SUPPORT CAPACITY

974
00:36:23,750 --> 00:36:24,718
BUILDING OF SCIENTISTS

975
00:36:24,718 --> 00:36:26,052
INTERESTED IN UNDERSTANDING THE

976
00:36:26,052 --> 00:36:29,856
RELATIONSHIP BETWEEN MUSIC AND

977
00:36:29,856 --> 00:36:30,857
HEALTH.

978
00:36:30,857 --> 00:36:32,926
SO WE INVITE INPUT FROM STAKE

979
00:36:32,926 --> 00:36:36,796
HOARSTAKEHOLDERS, COMMUNITY MEM,

980
00:36:36,796 --> 00:36:37,297
ET CETERA.

981
00:36:37,297 --> 00:36:39,933
NEXT IS AN UPCOMING CONFERENCE

982
00:36:39,933 --> 00:36:46,272
AT THE SOCIETY FOR NEUROSCIENCE.

983
00:36:46,272 --> 00:36:47,474
NCCIH AS USUAL IS WELL

984
00:36:47,474 --> 00:36:47,807
REPRESENTED.

985
00:36:47,807 --> 00:36:49,776
WE'RE GOING TO HAVE A BOOTH

986
00:36:49,776 --> 00:36:50,977
THERE AND NCCIH PROGRAM

987
00:36:50,977 --> 00:36:51,845
DIRECTORS WILL BE THERE TO

988
00:36:51,845 --> 00:36:52,846
ANSWER ANY QUESTIONS.

989
00:36:52,846 --> 00:36:58,151
THERE'S ALSO GOING TO BE TWO

990
00:36:58,151 --> 00:37:00,387
SESSIONS, ONE ON OCTOBER 5TH, ON

991
00:37:00,387 --> 00:37:01,921
DEVELOPING PROFESSIONAL NETWORKS

992
00:37:01,921 --> 00:37:04,224
FOR NEUROSCIENCE CAREER BY

993
00:37:04,224 --> 00:37:05,959
DR. EDWARDS, AND ON OCTOBER 7TH,

994
00:37:05,959 --> 00:37:09,262
ON EMOTIONAL WELL-BEING,

995
00:37:09,262 --> 00:37:13,400
CO-CHAIRED BY ERIN QUINLAN AND

996
00:37:13,400 --> 00:37:16,269
KUAN HONG WANG FROM NIA.

997
00:37:16,269 --> 00:37:18,471
SO WE REALLY ENCOURAGE YOU, IF

998
00:37:18,471 --> 00:37:20,306
YOU'RE IN NEUROSCIENCE, TO GO

999
00:37:20,306 --> 00:37:20,874
AND ATTEND THESE.

1000
00:37:20,874 --> 00:37:24,144
AND YOU CAN SEE HERE ON THE

1001
00:37:24,144 --> 00:37:25,779
RIGHT THESE SESSIONS RELEVANT TO

1002
00:37:25,779 --> 00:37:26,880
MIND AND BODY CONNECTION, TO

1003
00:37:26,880 --> 00:37:28,181
POSITIVE HEALTH PROCESSES AND

1004
00:37:28,181 --> 00:37:32,552
ALSO WORKFORCE DEVELOPMENT.

1005
00:37:32,552 --> 00:37:33,653
NOW LET'S MOVE ON TO THE

1006
00:37:33,653 --> 00:37:34,654
POSITIVE HEALTH PROCESSES

1007
00:37:34,654 --> 00:37:35,722
THEMSELVES.

1008
00:37:35,722 --> 00:37:38,258
SO THE FIRST, RESILIENCE, IS

1009
00:37:38,258 --> 00:37:40,660
OBVIOUSLY A TOPIC THAT WE TALK A

1010
00:37:40,660 --> 00:37:45,799
LOT ABOUT.

1011
00:37:45,799 --> 00:37:46,900
THIS TIME WE ARE VERY HAPPY THAT

1012
00:37:46,900 --> 00:37:48,635
WE'RE GOING TO BE HAVING, AFTER

1013
00:37:48,635 --> 00:37:50,603
A LOT OF WORK BY THE TRANS-NIH

1014
00:37:50,603 --> 00:37:53,540
RESILIENCE WORKING GROUP THAT WE

1015
00:37:53,540 --> 00:37:54,741
PARTICIPATE IN, THIS IS A

1016
00:37:54,741 --> 00:37:57,477
WORKING GROUP THAT'S LED BY

1017
00:37:57,477 --> 00:37:59,312
DR. LAVERNE BROWN FROM THE

1018
00:37:59,312 --> 00:38:01,781
OFFICE OF DIETARY SUPPLEMENTS,

1019
00:38:01,781 --> 00:38:05,385
AND THIS IS GOING TO BE A

1020
00:38:05,385 --> 00:38:07,887
WORKSHOP ON ADVANCING THE

1021
00:38:07,887 --> 00:38:09,189
BIOMEDICAL SCIENCE OF

1022
00:38:09,189 --> 00:38:10,290
RESILIENCE, A DISCUSSION OF

1023
00:38:10,290 --> 00:38:13,393
MEASURES AND METRICS.

1024
00:38:13,393 --> 00:38:14,794
DEVELOPING MEASUREMENTS OF

1025
00:38:14,794 --> 00:38:15,895
SOMETHING AS COMPLEX AS

1026
00:38:15,895 --> 00:38:16,863
RESILIENCE, YOU CAN IMAGINE HOW

1027
00:38:16,863 --> 00:38:19,599
IMPORTANT THAT IS, AND THIS IS

1028
00:38:19,599 --> 00:38:23,536
GOING TO BE A VERY IMPORTANT

1029
00:38:23,536 --> 00:38:24,971
SESSION THAT WE'D ENCOURAGE YOU.

1030
00:38:24,971 --> 00:38:28,675
THIS IS GOING TO BE, AGAIN,

1031
00:38:28,675 --> 00:38:30,210
WEBCAST SEPTEMBER 24TH AND 25TH.

1032
00:38:30,210 --> 00:38:35,014
SO COMING UP.

1033
00:38:35,014 --> 00:38:36,683
ALSO UPCOMING, A CONFERENCE ON

1034
00:38:36,683 --> 00:38:38,751
THE FUTURE OF MUSIC AND ARTS IN

1035
00:38:38,751 --> 00:38:41,588
MEDICINE AND HEALTH AT THE JOINT

1036
00:38:41,588 --> 00:38:43,189
CONGRESS OF THE INTERNATIONAL

1037
00:38:43,189 --> 00:38:44,757
ASSOCIATION FOR MUSIC AND

1038
00:38:44,757 --> 00:38:46,659
MEDICINE, AND THE INTERNATIONAL

1039
00:38:46,659 --> 00:38:49,028
SOCIETY FOR ARTS AND MEDICINE.

1040
00:38:49,028 --> 00:38:55,602
SO THIS IS GOING TO BE IN --

1041
00:38:55,602 --> 00:38:56,703
SEPTEMBER 18TH TO THE 21ST,

1042
00:38:56,703 --> 00:38:58,137
THERE'S GOING TO BE A ROUNDTABLE

1043
00:38:58,137 --> 00:39:01,508
ON BUILDING BLOCKS FOR

1044
00:39:01,508 --> 00:39:02,175
MUSIC-BASED INTERVENTIONS

1045
00:39:02,175 --> 00:39:03,910
RESEARCH BY DR. EDWARDS AND ALSO

1046
00:39:03,910 --> 00:39:05,778
SHE'S GOING TO GIVE A KEYNOTE ON

1047
00:39:05,778 --> 00:39:08,948
SEPTEMBER 20TH ON MUSIC-BASED

1048
00:39:08,948 --> 00:39:09,516
INTERVENTION TOOLKIT.

1049
00:39:09,516 --> 00:39:12,452
THIS IS IN BERLIN, RIGHT,

1050
00:39:12,452 --> 00:39:12,719
EMMELINE?

1051
00:39:12,719 --> 00:39:13,253
YES, SHOULD MENTION THAT.

1052
00:39:13,253 --> 00:39:14,354
IT'S NOT AROUND THE CORNER FROM

1053
00:39:14,354 --> 00:39:14,888
HERE.

1054
00:39:14,888 --> 00:39:18,391
BERLIN, GERMANY.

1055
00:39:18,391 --> 00:39:20,894
SO WE'RE SO EXCITED BY HOW

1056
00:39:20,894 --> 00:39:22,328
DR. EDWARDS IS BEING OUR

1057
00:39:22,328 --> 00:39:23,730
AMBASSADOR ON MUSIC AND HEALTH

1058
00:39:23,730 --> 00:39:28,034
THROUGHOUT THE WORLD.

1059
00:39:28,034 --> 00:39:31,070
NUTRITION AND NATURAL PRODUCTS.

1060
00:39:31,070 --> 00:39:32,505
THAT'S OUR NEXT BIG CATEGORY BUT

1061
00:39:32,505 --> 00:39:34,207
AS YOU CAN SEE, IT INTERFACES

1062
00:39:34,207 --> 00:39:35,575
WITH A LOT OF OTHER ONES.

1063
00:39:35,575 --> 00:39:38,745
SO THE FIRST IS OUR NOTICE OF

1064
00:39:38,745 --> 00:39:41,781
FUNDING OPPORTUNITY, NOFO, ON

1065
00:39:41,781 --> 00:39:42,982
ENHANCING MECHANISTIC RESEARCH

1066
00:39:42,982 --> 00:39:44,651
ON PRECISION PROBIOTIC

1067
00:39:44,651 --> 00:39:48,354
THERAPIES.

1068
00:39:48,354 --> 00:39:49,455
THIS IS -- THE LEAD CONTACT FOR

1069
00:39:49,455 --> 00:39:52,292
THIS IS HYE-SOOK KIM.

1070
00:39:52,292 --> 00:39:55,061
APPLICATION DEADLINES ARE

1071
00:39:55,061 --> 00:39:55,995
OCTOBER -- THERE'S SEVERAL

1072
00:39:55,995 --> 00:39:57,630
DEADLINES.

1073
00:39:57,630 --> 00:39:58,765
OCTOBER 1ST, JUNE, ET CETERA.

1074
00:39:58,765 --> 00:40:02,368
YOU CAN SEE THEM HERE.

1075
00:40:02,368 --> 00:40:04,904
AND THERE'S NO LETTER OF INTENT

1076
00:40:04,904 --> 00:40:05,772
DUE ON THIS.

1077
00:40:05,772 --> 00:40:07,307
AGAIN, WE'VE PROVIDED THESE QR

1078
00:40:07,307 --> 00:40:10,443
CODES, SO IF YOU WANT, YOU CAN

1079
00:40:10,443 --> 00:40:11,911
GO TO THOSE AND FIND OUT ABOUT

1080
00:40:11,911 --> 00:40:17,283
THEM.

1081
00:40:17,283 --> 00:40:20,219
NOW AN NOI, WHICH IS NOTICE OF

1082
00:40:20,219 --> 00:40:22,855
INTEREST.

1083
00:40:22,855 --> 00:40:23,823
ANOTHER ACRONYM.

1084
00:40:23,823 --> 00:40:25,024
ADDITIONAL FUNDING PRIORITIES

1085
00:40:25,024 --> 00:40:27,093
FOR NCCIH NATURAL PRODUCT

1086
00:40:27,093 --> 00:40:28,094
CLINICAL TRIAL FUNDING

1087
00:40:28,094 --> 00:40:30,029
OPPORTUNITIES.

1088
00:40:30,029 --> 00:40:31,931
SO THIS PARTICULAR ONE IS

1089
00:40:31,931 --> 00:40:35,201
IMPORTANT.

1090
00:40:35,201 --> 00:40:38,938
SO WE ARE ISSUING THIS NOTICE OF

1091
00:40:38,938 --> 00:40:40,673
INFORMATION TO LET PEOPLE KNOW

1092
00:40:40,673 --> 00:40:43,743
OF EXPANDING THE PRIORITIES FOR

1093
00:40:43,743 --> 00:40:45,211
SELECT NATURAL PRODUCT CLINICAL

1094
00:40:45,211 --> 00:40:48,781
TRIALS TO INCLUDE STUDIES THAT

1095
00:40:48,781 --> 00:40:50,083
EXAMINE THE EFFECTS OF NATURAL

1096
00:40:50,083 --> 00:40:51,818
PRODUCTS ACROSS THE CONTINUUM OF

1097
00:40:51,818 --> 00:40:54,354
DIETARY INTAKE.

1098
00:40:54,354 --> 00:40:56,322
AND ALSO STUDIES THAT EVALUATE

1099
00:40:56,322 --> 00:40:59,058
WHETHER NUTRITIONAL STATUS

1100
00:40:59,058 --> 00:41:00,493
MODERATES THE TARGET ENGAGEMENT

1101
00:41:00,493 --> 00:41:02,428
OF CLINICAL OUTCOMES.

1102
00:41:02,428 --> 00:41:03,963
DR. EDWARD WAS MENTIONING THAT

1103
00:41:03,963 --> 00:41:06,165
EARLIER, WE THINK THAT IT'S

1104
00:41:06,165 --> 00:41:10,536
REALLY IMPORTANT THAT WE DON'T

1105
00:41:10,536 --> 00:41:11,738
STUDY NATURAL PRODUCTS, FOR

1106
00:41:11,738 --> 00:41:14,707
EXAMPLE, DIETARY SUPPLEMENT, IN

1107
00:41:14,707 --> 00:41:16,576
ISOLATION FROM WHAT PEOPLE ARE

1108
00:41:16,576 --> 00:41:17,543
EATING, OR WHATEVER ELSE, I

1109
00:41:17,543 --> 00:41:18,978
MEAN, IT'S NOT JUST WHAT THEY'RE

1110
00:41:18,978 --> 00:41:21,481
EATING, WHAT IS GOING ON IN

1111
00:41:21,481 --> 00:41:25,551
THEIR WHOLE PERSON.

1112
00:41:25,551 --> 00:41:29,255
WE'RE GOING TO HAVE A SESSION

1113
00:41:29,255 --> 00:41:31,891
LATER ON TODAY ON WHAT WE CALL

1114
00:41:31,891 --> 00:41:33,426
THE NUTRITION CONTINUUM AND

1115
00:41:33,426 --> 00:41:34,394
WE'RE GOING TO TALK ABOUT THIS

1116
00:41:34,394 --> 00:41:35,528
AGAIN LATER ON.

1117
00:41:35,528 --> 00:41:40,767
BUT THE INTENT OF THIS NOTICE IS

1118
00:41:40,767 --> 00:41:42,201
TO MAKE RESEARCHERS AWARE THAT

1119
00:41:42,201 --> 00:41:43,503
THIS IS SOMETHING THAT WE'RE

1120
00:41:43,503 --> 00:41:46,105
GOING TO BE -- WE ALREADY PAY

1121
00:41:46,105 --> 00:41:48,775
ATTENTION TO IT BUT WE'RE GOING

1122
00:41:48,775 --> 00:41:51,444
TO BE PAYING EVEN MORE ATTENTION

1123
00:41:51,444 --> 00:41:52,378
TO IT GOING FORWARD.

1124
00:41:52,378 --> 00:41:53,479
WORKFORCE DEVELOPMENT AND

1125
00:41:53,479 --> 00:41:56,883
SPECIAL POPULATIONS.

1126
00:41:56,883 --> 00:41:58,885
THIS IS OUR NEXT CATEGORY.

1127
00:41:58,885 --> 00:42:02,855
HERE IS A REISSUE OF A NOTICE OF

1128
00:42:02,855 --> 00:42:03,489
FUNDING OPPORTUNITY MAXIMIZING

1129
00:42:03,489 --> 00:42:06,426
OPPORTUNITIES FOR SCIENTIFIC AND

1130
00:42:06,426 --> 00:42:08,494
ACADEMIC INDEPENDENCE CAREERS OR

1131
00:42:08,494 --> 00:42:08,828
MOSAIC.

1132
00:42:08,828 --> 00:42:14,634
THESE ARE FOR POSTDOCS TO

1133
00:42:14,634 --> 00:42:15,835
TRANSITION TO INDEPENDENT

1134
00:42:15,835 --> 00:42:18,037
CAREER, AND TO ALSO PROMOTE

1135
00:42:18,037 --> 00:42:21,074
DIVERSITY AMONG THE POSTDOCTORAL

1136
00:42:21,074 --> 00:42:24,377
FELLOWS THAT WE ARE FUNDING.

1137
00:42:24,377 --> 00:42:27,980
SO CONTACT ON THIS IS LANAY

1138
00:42:27,980 --> 00:42:30,283
MUDD, AND THIS COVERS BOTH BASIC

1139
00:42:30,283 --> 00:42:32,685
AND CLINICAL RESEARCH,

1140
00:42:32,685 --> 00:42:33,252
IMPORTANTLY.

1141
00:42:33,252 --> 00:42:36,089
AND THIS IS TO SUPPORT A

1142
00:42:36,089 --> 00:42:38,591
CAREER -- A COHORT OF EARLY

1143
00:42:38,591 --> 00:42:40,259
CAREER INDEPENDENT INVESTIGATORS

1144
00:42:40,259 --> 00:42:42,428
TO TRANSITION TO, FOR EXAMPLE,

1145
00:42:42,428 --> 00:42:48,034
AN R01 TYPE GRANT.

1146
00:42:48,034 --> 00:42:50,203
NEXT IS OUR UPCOMING FELLOWS AND

1147
00:42:50,203 --> 00:42:52,305
TRAINEES WORKSHOP.

1148
00:42:52,305 --> 00:42:53,940
WORKSHOP ON NAVIGATING YOUR

1149
00:42:53,940 --> 00:42:56,242
SCIENTIFIC CAREER, EXTREMELY

1150
00:42:56,242 --> 00:42:57,443
IMPORTANT, SEPTEMBER 23RD AND

1151
00:42:57,443 --> 00:42:59,979
24TH.

1152
00:42:59,979 --> 00:43:01,547
AND THIS IS A CLOSED MEETING,

1153
00:43:01,547 --> 00:43:02,815
BUT WE WANTED COUNCIL TO BE

1154
00:43:02,815 --> 00:43:04,016
AWARE OF THEIR RESOURCES THAT

1155
00:43:04,016 --> 00:43:05,685
WE'RE OFFERING TO THE TRAINEES.

1156
00:43:05,685 --> 00:43:08,721
IN GENERAL, THE MEETINGS THAT I

1157
00:43:08,721 --> 00:43:14,093
TALK ABOUT HERE AT THIS -- IN MY

1158
00:43:14,093 --> 00:43:15,428
COUNCIL REPORT AT COUNCIL, WE

1159
00:43:15,428 --> 00:43:16,596
FOCUSED MORE ON THE OPEN

1160
00:43:16,596 --> 00:43:17,363
MEETINGS, THE MEETINGS THAT

1161
00:43:17,363 --> 00:43:19,465
EITHER ARE VIDEOCAST OR WHERE WE

1162
00:43:19,465 --> 00:43:20,900
WELCOME MEMBERS OF THE

1163
00:43:20,900 --> 00:43:22,301
COMMUNITY, BUT AS YOU CAN

1164
00:43:22,301 --> 00:43:26,272
IMAGINE, WE ALSO HOLD A FAIR

1165
00:43:26,272 --> 00:43:27,573
NUMBER OF CLOSED MEETINGS OF

1166
00:43:27,573 --> 00:43:33,813
JUST THE INVESTIGATORS ONLY.

1167
00:43:33,813 --> 00:43:34,013
 WHEN

1168
00:43:34,013 --> 00:43:36,716
IT'S APPROPRIATE, SUCH AS THIS

1169
00:43:36,716 --> 00:43:40,253
ONE.

1170
00:43:40,253 --> 00:43:42,155
WE ALSO WANT TO DRAW YOUR

1171
00:43:42,155 --> 00:43:44,924
ATTENTION TO AN UPCOMING

1172
00:43:44,924 --> 00:43:47,293
CONFERENCE OF THE SOCIETY FOR

1173
00:43:47,293 --> 00:43:50,263
ADVANCEMENT OF

1174
00:43:50,263 --> 00:43:51,030
CHICANOS/HISPANICS AND NATIVE

1175
00:43:51,030 --> 00:43:53,332
AMERICANS IN SCIENCE OR SACNAS.

1176
00:43:53,332 --> 00:43:55,201
THIS PARTICULAR CONFERENCE IS ON

1177
00:43:55,201 --> 00:43:58,137
NATIONAL DIVERSITY IN STEM

1178
00:43:58,137 --> 00:44:02,942
CONFERENCES, IS TO REALLY

1179
00:44:02,942 --> 00:44:07,880
INCREASE THE -- TO BUILD THE

1180
00:44:07,880 --> 00:44:12,718
BASIC FOUNDATION OF -- CADRE OF

1181
00:44:12,718 --> 00:44:13,686
INVESTIGATORS IN THIS VERY

1182
00:44:13,686 --> 00:44:14,687
IMPORTANT FIELD.

1183
00:44:14,687 --> 00:44:16,989
SO THIS IS FOR COLLEGE AGE

1184
00:44:16,989 --> 00:44:19,892
THROUGH PROFESSIONAL ATTENDEES

1185
00:44:19,892 --> 00:44:22,128
THAT WILL BE IMMERSED IN CUTTING

1186
00:44:22,128 --> 00:44:28,601
EDGE STEM RESEARCH,

1187
00:44:28,601 --> 00:44:29,702
PROFESSIONAL -- AND JENNIFER

1188
00:44:29,702 --> 00:44:31,671
BAUMGARTNER FROM NCCIH WILL BE

1189
00:44:31,671 --> 00:44:32,104
AT THE BOOTH.

1190
00:44:32,104 --> 00:44:34,407
THIS IS IN PHOENIX, ARIZONA,

1191
00:44:34,407 --> 00:44:36,275
OCTOBER 31ST TO NOVEMBER 2ND.

1192
00:44:36,275 --> 00:44:39,679
NEXT IS OUR METHODS AND DATA

1193
00:44:39,679 --> 00:44:43,950
SCIENCE, VERY IMPORTANT HERE

1194
00:44:43,950 --> 00:44:46,586
STARTING WITH A.I., HARNESSING

1195
00:44:46,586 --> 00:44:47,653
ARTIFICIAL INTELLIGENCE TO

1196
00:44:47,653 --> 00:44:48,955
EXPLORE HEALTH RESTORATION IN

1197
00:44:48,955 --> 00:44:49,222
DIABETES.

1198
00:44:49,222 --> 00:44:52,058
THIS WAS A VERY NICE LECTURE

1199
00:44:52,058 --> 00:44:53,693
THAT'S PART OF OUR INTEGRATIVE

1200
00:44:53,693 --> 00:44:55,494
MEDICINE AND HEALTH LECTURE

1201
00:44:55,494 --> 00:45:06,672
SERIES THAT WAS VIDEOCAST BY DRN

1202
00:45:08,908 --> 00:45:09,275
SALUTOGENESIS.

1203
00:45:09,275 --> 00:45:10,476
THIS WAS IN JULY, A GREAT

1204
00:45:10,476 --> 00:45:10,943
LECTURE.

1205
00:45:10,943 --> 00:45:12,478
I ENCOURAGE YOU TO CHECK OUT THE

1206
00:45:12,478 --> 00:45:13,312
VIDEOCAST IF YOU'RE INTERESTED.

1207
00:45:13,312 --> 00:45:17,283
AGAIN, THIS IS ONE OF THOSE

1208
00:45:17,283 --> 00:45:18,851
CROSS-CUTTING THAT IMPACTED DATA

1209
00:45:18,851 --> 00:45:19,952
SCIENCE, WHOLE PERSON RESEARCH,

1210
00:45:19,952 --> 00:45:21,220
AS WELL AS POSITIVE HEALTH

1211
00:45:21,220 --> 00:45:24,624
PROCESSES.

1212
00:45:24,624 --> 00:45:28,027
NEXT IS A SIGN-ON, THIS AGAIN,

1213
00:45:28,027 --> 00:45:30,897
THIS IS WHEN WE SIGN ON TO A

1214
00:45:30,897 --> 00:45:32,832
FUNDING OPPORTUNITY FROM ANOTHER

1215
00:45:32,832 --> 00:45:33,733
INSTITUTE, CENTER OR OFFICE.

1216
00:45:33,733 --> 00:45:35,568
IN THIS CASE, THIS IS THE OFFICE

1217
00:45:35,568 --> 00:45:38,004
OF DATA SCIENCE AND STRATEGY OR

1218
00:45:38,004 --> 00:45:38,871
ODSS.

1219
00:45:38,871 --> 00:45:40,973
THIS IS ABOUT OPPORTUNITY FOR

1220
00:45:40,973 --> 00:45:41,941
BUILDING SUSTAINABLE SOFTWARE

1221
00:45:41,941 --> 00:45:44,911
TOOLS FOR OPEN SCIENCE.

1222
00:45:44,911 --> 00:45:46,345
THIS IS IMPORTANT BECAUSE IT'S

1223
00:45:46,345 --> 00:45:48,214
REALLY TO ENCOURAGE PEOPLE TO

1224
00:45:48,214 --> 00:45:50,816
UTILIZE CLOUD SERVICES TO LEARN

1225
00:45:50,816 --> 00:45:53,486
HOW TO PUT YOUR DATA IN THE

1226
00:45:53,486 --> 00:45:55,054
CLOUD, USE IT, INTERACT WITH IT,

1227
00:45:55,054 --> 00:45:57,623
ET CETERA.

1228
00:45:57,623 --> 00:45:59,158
SO -- AND SO ENCOURAGE YOU TO

1229
00:45:59,158 --> 00:46:06,966
CHECK THIS OUT.

1230
00:46:06,966 --> 00:46:10,002
NEXT IS NIH RESEARCH SOFTWARE

1231
00:46:10,002 --> 00:46:10,770
ENGINEER AWARD.

1232
00:46:10,770 --> 00:46:13,839
SO THIS IS AGAIN ANOTHER

1233
00:46:13,839 --> 00:46:15,374
OPPORTUNITY FROM THE OFFICE OF

1234
00:46:15,374 --> 00:46:17,243
DATA SCIENCE AND STRATEGY.

1235
00:46:17,243 --> 00:46:21,080
AND THIS IS TO PROVIDE SALARY

1236
00:46:21,080 --> 00:46:23,282
SUPPORT FOR RESEARCH SOFTWARE

1237
00:46:23,282 --> 00:46:24,717
ENGINEERS INVOLVED IN RESEARCH

1238
00:46:24,717 --> 00:46:25,818
AND POSITIONED TO MAKE

1239
00:46:25,818 --> 00:46:27,553
OUTSTANDING CONTRIBUTION TO NIH

1240
00:46:27,553 --> 00:46:28,087
FUNDED RESEARCH.

1241
00:46:28,087 --> 00:46:30,656
SO THIS IS KIND OF A UNIQUE

1242
00:46:30,656 --> 00:46:31,190
OPPORTUNITY.

1243
00:46:31,190 --> 00:46:32,191
I ENCOURAGE YOU TO CHECK THAT

1244
00:46:32,191 --> 00:46:37,096
OUT AS WELL.

1245
00:46:37,096 --> 00:46:41,033
FINALLY, OUR NEXT MEETING OF OUR

1246
00:46:41,033 --> 00:46:42,902
ADVISORY COUNCIL OF NCCIH WILL

1247
00:46:42,902 --> 00:46:44,103
BE ON JANUARY 24TH.

1248
00:46:44,103 --> 00:46:45,504
THIS WILL BE A VIRTUAL MEETING,

1249
00:46:45,504 --> 00:46:47,406
SO WE HAVE OUR IN-PERSON

1250
00:46:47,406 --> 00:46:49,275
MEETINGS NOW, WE'VE KIND OF

1251
00:46:49,275 --> 00:46:52,244
SETTLED ON THIS CADENCE, WE'RE

1252
00:46:52,244 --> 00:46:54,313
HAVING OUR IN-PERSON MEETINGS IN

1253
00:46:54,313 --> 00:46:55,414
MAY AND SEPTEMBER AS WE'RE

1254
00:46:55,414 --> 00:46:57,049
HAVING TODAY, AND THEN OUR

1255
00:46:57,049 --> 00:47:01,120
MEETING IN JANUARY IS VIRTUAL,

1256
00:47:01,120 --> 00:47:02,421
SO THAT WE DON'T GET INTO SNOW

1257
00:47:02,421 --> 00:47:03,856
PROBLEMS.

1258
00:47:03,856 --> 00:47:06,926
AND SO WE REALLY LOOK FORWARD TO

1259
00:47:06,926 --> 00:47:08,995
SEEING YOU THEN, JANUARY 24TH.

1260
00:47:08,995 --> 00:47:18,437
SO THANK YOU VERY MUCH.

1261
00:47:18,437 --> 00:47:21,340
GDO WE HAVE TIME FOR QUESTIONS?

1262
00:47:21,340 --> 00:47:21,774
WE DO.

1263
00:47:21,774 --> 00:47:22,975
ANY QUESTIONS OR COMMENTS FROM

1264
00:47:22,975 --> 00:47:25,578
OUR COUNCILMEMBERS?

1265
00:47:25,578 --> 00:47:27,046
>> THAT'S A LOT.

1266
00:47:27,046 --> 00:47:28,647
>> WE'VE BEEN WORKING
REALLY

1267
00:47:28,647 --> 00:47:34,920
HARD ON PARRI PARING DOWN MY REO

1268
00:47:34,920 --> 00:47:36,555
THERE'S MORE IN YOUR ELECTRONIC

1269
00:47:36,555 --> 00:47:38,290
COUNCIL BOOK.

1270
00:47:38,290 --> 00:47:39,625
BUT YEAH, YOU'RE RIGHT, IT'S A

1271
00:47:39,625 --> 00:47:40,292
LOT.

1272
00:47:40,292 --> 00:47:40,860
IT'S A LOT.

1273
00:47:40,860 --> 00:47:42,395
>> AND WELL DONE.

1274
00:47:42,395 --> 00:47:45,865
>> THANK YOU.

1275
00:47:45,865 --> 00:47:46,966
IT'S BEEN CHALLENGING TO PRESENT

1276
00:47:46,966 --> 00:47:49,502
ALL OF THIS, AND WE JUST -- WE

1277
00:47:49,502 --> 00:47:50,036
WELCOME COMMENTS.

1278
00:47:50,036 --> 00:47:53,873
I MEAN, WE THINK THAT ORGANIZING

1279
00:47:53,873 --> 00:47:54,840
THE INFORMATION AROUND THE

1280
00:47:54,840 --> 00:47:57,043
THEMES IS GOING TO BE USEFUL

1281
00:47:57,043 --> 00:47:59,445
HOPEFULLY FOR PEOPLE TO

1282
00:47:59,445 --> 00:48:00,246
UNDERSTAND BOTH WHERE WE'RE

1283
00:48:00,246 --> 00:48:02,314
COMING FROM AND WHERE WE'RE

1284
00:48:02,314 --> 00:48:03,849
GOING.

1285
00:48:03,849 --> 00:48:07,920
AND SO YEAH.

1286
00:48:07,920 --> 00:48:12,058
>> SORRY, THIS IS BEN
ONLINE.

1287
00:48:12,058 --> 00:48:14,360
I JUST WANT TO ECHO THAT.

1288
00:48:14,360 --> 00:48:16,328
PARTICULARLY EMPHASIZING THE WAY

1289
00:48:16,328 --> 00:48:18,064
THAT NCCIH IS NOW LEVERAGING SO

1290
00:48:18,064 --> 00:48:20,599
MANY OTHER INITIATIVES AROUND

1291
00:48:20,599 --> 00:48:22,501
NIH, WHETHER IT'S HEAL OR SOME

1292
00:48:22,501 --> 00:48:26,338
OF THESE OTHER MULTI-INSTITUTE

1293
00:48:26,338 --> 00:48:26,972
INITIATIVES.

1294
00:48:26,972 --> 00:48:28,941
I JUST THINK IT'S REALLY

1295
00:48:28,941 --> 00:48:31,043
IMPRESSIVE, THE WAY YOU ALL ARE

1296
00:48:31,043 --> 00:48:32,812
PARLAYING -- I KNOW $170 MILLION

1297
00:48:32,812 --> 00:48:34,013
DOESN'T SEEM SMALL TO MANY

1298
00:48:34,013 --> 00:48:35,714
PEOPLE, BUT WE KNOW THAT NIH AND

1299
00:48:35,714 --> 00:48:37,416
IN THE FEDERAL GOVERNMENT, IT'S

1300
00:48:37,416 --> 00:48:38,417
RELATIVELY SMALL, BUT YOU ALL

1301
00:48:38,417 --> 00:48:41,687
ARE DOING -- I DON'T KNOW IF YOU

1302
00:48:41,687 --> 00:48:43,255
EVEN ADD IT UP HOW MUCH THE

1303
00:48:43,255 --> 00:48:45,124
TOTAL SUM OF THE RESEARCH THAT

1304
00:48:45,124 --> 00:48:45,658
YOU'RE CONTRIBUTING TO.

1305
00:48:45,658 --> 00:48:47,193
DO YOU HAVE A NUMBER ON THAT?

1306
00:48:47,193 --> 00:48:48,894
>> YEAH, I ACTUALLY -- I
USUALLY

1307
00:48:48,894 --> 00:48:50,729
PRESENT THIS ONCE A YEAR, I

1308
00:48:50,729 --> 00:48:52,498
PRESENT THIS TYPICALLY IN MAY

1309
00:48:52,498 --> 00:48:54,400
BECAUSE WE TOTAL THE AMOUNT THAT

1310
00:48:54,400 --> 00:49:00,539
WE GET FROM BOTH F FROM CO-FUND,

1311
00:49:00,539 --> 00:49:01,407
FROM THE OFFICE OF THE DIRECTOR

1312
00:49:01,407 --> 00:49:03,476
AND ALSO FROM INITIATIVES LIKE

1313
00:49:03,476 --> 00:49:06,011
HEAL, AND IT'S REALLY -- USUALLY

1314
00:49:06,011 --> 00:49:07,580
ENDS UP BEING HALF OF OUR

1315
00:49:07,580 --> 00:49:08,881
BUDGET, ANOTHER HALF OF OUR

1316
00:49:08,881 --> 00:49:09,748
BUDGET IN ADDITION TO WHAT WE

1317
00:49:09,748 --> 00:49:11,917
ALREADY HAVE.

1318
00:49:11,917 --> 00:49:14,820
SO IT'S QUITE IMPRESSIVE, AND

1319
00:49:14,820 --> 00:49:16,455
IT'S BEEN PRETTY CONSISTENT OVER

1320
00:49:16,455 --> 00:49:17,456
THE LAST SEVERAL YEARS.

1321
00:49:17,456 --> 00:49:18,691
SO YEAH, WE DO REALLY WELL

1322
00:49:18,691 --> 00:49:20,960
THERE, BUT I HAVE TO SAY, THIS

1323
00:49:20,960 --> 00:49:22,394
IS -- THE CREDIT GOES TO OUR

1324
00:49:22,394 --> 00:49:23,362
STAFF.

1325
00:49:23,362 --> 00:49:27,566
I MEAN, IT HARDER, RIGHT, YOU

1326
00:49:27,566 --> 00:49:29,001
CAN IMAGINE THE EFFORT THAT IT

1327
00:49:29,001 --> 00:49:31,403
TAKES TO REACH OUT TO BOTH --

1328
00:49:31,403 --> 00:49:33,506
IT'S A TREMENDOUS AMOUNT OF WORK

1329
00:49:33,506 --> 00:49:35,808
AND VERY REWARDING AND VERY

1330
00:49:35,808 --> 00:49:37,676
GOOD, BUT IT'S COMPLEX TO WORK

1331
00:49:37,676 --> 00:49:40,746
WITH THE OTHER INSTITUTES, TO

1332
00:49:40,746 --> 00:49:42,615
CREATE -- YOU HAVE TO CREATE

1333
00:49:42,615 --> 00:49:43,616
MEMORANDUMS OF UNDERSTANDING

1334
00:49:43,616 --> 00:49:45,684
EVERY TIME WE DO SOMETHING, TO

1335
00:49:45,684 --> 00:49:46,919
WORK WITH ANOTHER INSTITUTE.

1336
00:49:46,919 --> 00:49:49,455
WE ALSO HAVE TO PARTICIPATE IN

1337
00:49:49,455 --> 00:49:51,757
THESE PROGRAMS LIKE THE HEAL

1338
00:49:51,757 --> 00:49:52,591
INITIATIVE, THERE'S COMPLEX

1339
00:49:52,591 --> 00:49:54,827
ADDITIONAL LAYERS OF

1340
00:49:54,827 --> 00:49:55,828
ADMINISTRATION THAT ARE INVOLVED

1341
00:49:55,828 --> 00:49:57,229
IN THIS THAT WE HAVE TO

1342
00:49:57,229 --> 00:49:58,030
NAVIGATE.

1343
00:49:58,030 --> 00:50:00,566
SO A LOT OF CREDIT GOES TO THE

1344
00:50:00,566 --> 00:50:02,201
STAFF IN HOW WELL THEY'RE DOING

1345
00:50:02,201 --> 00:50:03,502
IN DEALING WITH THESE

1346
00:50:03,502 --> 00:50:04,436
CHALLENGES, AND REALLY THAT'S

1347
00:50:04,436 --> 00:50:07,706
HOW WE ARE ABLE TO REALLY GET

1348
00:50:07,706 --> 00:50:09,241
ALL OF THIS EXCITING RESEARCH TO

1349
00:50:09,241 --> 00:50:11,177
HAPPEN, RIGHT?

1350
00:50:11,177 --> 00:50:12,111
THROUGH ALL OF THAT.

1351
00:50:12,111 --> 00:50:14,513
SO THANK YOU, BEN.

1352
00:50:14,513 --> 00:50:16,582
>> ONE MORE COMMENT TOO.

1353
00:50:16,582 --> 00:50:18,551
IT'S INTERESTING, TOO, TO THINK

1354
00:50:18,551 --> 00:50:20,119
ABOUT NCCIH'S IMPACT, BUT ALSO

1355
00:50:20,119 --> 00:50:22,188
THE INTEGRATIVE THERAPIES AND

1356
00:50:22,188 --> 00:50:22,955
NON-PHARMACOLOGICAL THERAPIES

1357
00:50:22,955 --> 00:50:24,089
HAPPENING ACROSS ALL OF NIH THAT

1358
00:50:24,089 --> 00:50:24,957
AREN'T PART OF YOUR PORTFOLIO.

1359
00:50:24,957 --> 00:50:26,492
IF YOU LOOK AT ALL THOSE

1360
00:50:26,492 --> 00:50:28,160
COMBINED, THAT WOULD BE AN

1361
00:50:28,160 --> 00:50:31,230
AMAZING NUMBER.

1362
00:50:31,230 --> 00:50:32,031
NHLBI, LOOKING AT BLOOD PRESSURE

1363
00:50:32,031 --> 00:50:33,299
AND THINGS LIKE THAT, SO THE

1364
00:50:33,299 --> 00:50:35,568
IMPACT OF NON-PHARM IS REALLY --

1365
00:50:35,568 --> 00:50:37,503
FROM WHERE IT STARTED, IT'S

1366
00:50:37,503 --> 00:50:37,736
AMAZING.

1367
00:50:37,736 --> 00:50:39,205
>> YES, THANK YOU FOR
POINTING

1368
00:50:39,205 --> 00:50:42,875
THIS OUT, BECAUSE THIS IS REALLY

1369
00:50:42,875 --> 00:50:45,277
THE CULTURE CHANGE, RIGHT, THAT

1370
00:50:45,277 --> 00:50:50,883
WE'RE TALKING ABOUT HERE.

1371
00:50:50,883 --> 00:50:52,785
CULTURE CHANGE DOESN'T HAPPEN

1372
00:50:52,785 --> 00:50:53,319
INSTANTLY.

1373
00:50:53,319 --> 00:50:55,387
IT HAPPENS IN MANY DIFFERENT

1374
00:50:55,387 --> 00:50:56,021
WAYS.

1375
00:50:56,021 --> 00:50:57,289
AT NCCIH, WE'VE BEEN TALKING

1376
00:50:57,289 --> 00:50:58,791
ABOUT NON-PHARMACOLOGICAL

1377
00:50:58,791 --> 00:51:00,059
INTERVENTIONS FOR, YOU KNOW, AS

1378
00:51:00,059 --> 00:51:02,294
LONG AS WE'VE BEEN IN EXISTENCE,

1379
00:51:02,294 --> 00:51:04,196
AND IT'S NOT LIKE THERE WAS NOT

1380
00:51:04,196 --> 00:51:07,366
A FOCUS ON THAT AT THE OTHER

1381
00:51:07,366 --> 00:51:12,605
INSTITUTES, BUT NOW I HAVE TO

1382
00:51:12,605 --> 00:51:14,006
SAY ESPECIALLY FOSH PROGRAMS

1383
00:51:14,006 --> 00:51:18,077
FOR PROGRAMS LIKETHE HEAL INITIE

1384
00:51:18,077 --> 00:51:18,978
NON-PHARMACOLOGICAL APPROACHES

1385
00:51:18,978 --> 00:51:20,179
TO MANAGING PAIN ARE NOW ALL

1386
00:51:20,179 --> 00:51:20,479
OVER.

1387
00:51:20,479 --> 00:51:24,650
I MEAN, AND SO I THINK -- I LIKE

1388
00:51:24,650 --> 00:51:32,992
TO SAY THAT, YOU KNOW, WE'VE

1389
00:51:32,992 --> 00:51:34,393
INTRODUCED KIND OF A VOCABULARY

1390
00:51:34,393 --> 00:51:37,363
TO TALK ABOUT THESE TYPES OF

1391
00:51:37,363 --> 00:51:38,430
TREATMENTS.

1392
00:51:38,430 --> 00:51:40,899
THERE'S NO DIFFERENCE IN THE

1393
00:51:40,899 --> 00:51:44,937
RIGOR OF THE SCIENCE THAT GOES

1394
00:51:44,937 --> 00:51:45,804
TOWARDS INVESTIGATING THE

1395
00:51:45,804 --> 00:51:46,805
EFFECTS OR MECHANISMS OF

1396
00:51:46,805 --> 00:51:51,877
SOMETHING LIKE ACUPUNCTURE OR

1397
00:51:51,877 --> 00:51:53,612
MASSAGE OR YOGA, BUT ALSO

1398
00:51:53,612 --> 00:51:56,448
CONVENTIONAL PHYSICAL THERAPY OR

1399
00:51:56,448 --> 00:52:01,854
HEALTH COACHING OR, YOU KNOW,

1400
00:52:01,854 --> 00:52:03,489
THERE'S -- I THINK PEOPLE ARE

1401
00:52:03,489 --> 00:52:04,356
STARTING TO UNDERSTAND THAT

1402
00:52:04,356 --> 00:52:06,025
THERE'S A CONTINUUM OF CARE THAT

1403
00:52:06,025 --> 00:52:08,327
GOES ACROSS ALL OF THESE

1404
00:52:08,327 --> 00:52:11,930
MODALITIES, AND SO IT'S NOT --

1405
00:52:11,930 --> 00:52:14,466
THERE'S NO -- A LINE IN THE SAND

1406
00:52:14,466 --> 00:52:15,000
ANYMORE.

1407
00:52:15,000 --> 00:52:17,236
I THINK THIS INTEGRATION THAT

1408
00:52:17,236 --> 00:52:19,338
WE'RE EXPERIENCING IS HAPPENING

1409
00:52:19,338 --> 00:52:20,839
EVERYWHERE.

1410
00:52:20,839 --> 00:52:22,808
IT'S HAPPENING AT NIH AND IT'S

1411
00:52:22,808 --> 00:52:26,912
ALSO HAPPENING IN HEALTHCARE.

1412
00:52:26,912 --> 00:52:28,314
I THINK IT'S NOT AN ACCIDENT

1413
00:52:28,314 --> 00:52:31,850
THAT BOTH PHENOMENA ARE

1414
00:52:31,850 --> 00:52:32,418
HAPPENING AT THE SAME TIME,

1415
00:52:32,418 --> 00:52:33,719
WHICH IS VERY GOOD.

1416
00:52:33,719 --> 00:52:33,886
YES.

1417
00:52:33,886 --> 00:52:36,455
>> I AGREE THIS IS VERY

1418
00:52:36,455 --> 00:52:38,791
IMPRESSIVE GIVEN THE RESOURCES,

1419
00:52:38,791 --> 00:52:42,861
AND SO I GUESS ONE QUESTION IS,

1420
00:52:42,861 --> 00:52:43,929
SINCE DEMAND AND INTEREST IN

1421
00:52:43,929 --> 00:52:48,400
THIS IS ONLY GOING TO GROW, THE

1422
00:52:48,400 --> 00:52:51,070
COMMUNICATING A LOT OF THESE

1423
00:52:51,070 --> 00:52:53,038
ACCOMPLISHMENTS TO THE GENERAL

1424
00:52:53,038 --> 00:52:55,774
PUBLIC, WHAT TYPES OF MEANS OR

1425
00:52:55,774 --> 00:52:56,709
PLAN IS THERE TO DO THAT?

1426
00:52:56,709 --> 00:53:00,112
BECAUSE I THINK THERE'S A REAL

1427
00:53:00,112 --> 00:53:02,614
OPPORTUNITY TO TAP THESE

1428
00:53:02,614 --> 00:53:02,981
ACCOMPLISHMENTS.

1429
00:53:02,981 --> 00:53:05,150
>> SO ONE OF THEM IS THIS,
THIS

1430
00:53:05,150 --> 00:53:06,585
VIDEOCAST IS ARCHIVED ON OUR

1431
00:53:06,585 --> 00:53:10,422
WEBSITE AND SO I TRY TO GIVE AN

1432
00:53:10,422 --> 00:53:12,091
UPDATE EVERY COUNCIL, I REALLY

1433
00:53:12,091 --> 00:53:13,292
TRY TO SHOW THAT AND PEOPLE CAN

1434
00:53:13,292 --> 00:53:14,727
VIEW IT.

1435
00:53:14,727 --> 00:53:15,694
BUT THE OUTREACH, OF COURSE,

1436
00:53:15,694 --> 00:53:17,062
NEEDS TO BE A LOT MORE THAN

1437
00:53:17,062 --> 00:53:18,297
THIS.

1438
00:53:18,297 --> 00:53:20,366
WE HAVE OUR WEBSITE, WE HAVE

1439
00:53:20,366 --> 00:53:21,700
OUR -- OUR COMMUNICATIONS TEAM

1440
00:53:21,700 --> 00:53:28,374
AT NCCIH IS REALLY VERY, VERY

1441
00:53:28,374 --> 00:53:33,312
ACTIVE, AND TE AT THE FOREFRONTF

1442
00:53:33,312 --> 00:53:34,513
MAKING SURE INFORMATION IS

1443
00:53:34,513 --> 00:53:36,281
DISSEMINATED IN A WAY THAT

1444
00:53:36,281 --> 00:53:39,351
INFORMS RESEARCH AS WELL AS THE

1445
00:53:39,351 --> 00:53:41,320
PUBLIC AND PEOPLE WHO DELIVER

1446
00:53:41,320 --> 00:53:45,591
THE CARE, TO MAKE SURE THAT

1447
00:53:45,591 --> 00:53:50,329
PEOPLE UNDERSTAND THAT

1448
00:53:50,329 --> 00:53:51,663
COMPLEMENTARY THERAPIES ARE --

1449
00:53:51,663 --> 00:53:52,931
WE HAVE A LOT OF EVIDENCE BUT WE

1450
00:53:52,931 --> 00:53:56,001
ALSO HAVE A LOT OF

1451
00:53:56,001 --> 00:53:57,069
MISINFORMATION ABOUT THESE TYPES

1452
00:53:57,069 --> 00:53:58,670
OF THERAPIES THAT WE NEED TO

1453
00:53:58,670 --> 00:54:00,739
MAKE SURE THAT PEOPLE GO TO THE

1454
00:54:00,739 --> 00:54:01,840
RIGHT SOURCES INCLUDING OUR

1455
00:54:01,840 --> 00:54:03,175
WEBSITE TO GET THE INFORMATION

1456
00:54:03,175 --> 00:54:06,378
THAT'S REALLY BASED ON SCIENCE.

1457
00:54:06,378 --> 00:54:09,348
SO THAT'S KIND OF WHERE OUR

1458
00:54:09,348 --> 00:54:10,682
COMMUNICATION STARTED FROM IN

1459
00:54:10,682 --> 00:54:12,885
TERMS OF COMMUNICATING ACCURATE

1460
00:54:12,885 --> 00:54:13,886
FACTORIAL INFORMATION TO PEOPLE,

1461
00:54:13,886 --> 00:54:16,722
BUT IT GOES BEYOND THAT, BECAUSE

1462
00:54:16,722 --> 00:54:18,524
AS YOU'RE POINTING OUT, THE

1463
00:54:18,524 --> 00:54:20,692
WHOLE PHILOSOPHY REGARDING

1464
00:54:20,692 --> 00:54:23,429
UNDERSTANDING A PERSON AS A

1465
00:54:23,429 --> 00:54:24,396
WHOLE IS SOMETHING THAT WE'VE

1466
00:54:24,396 --> 00:54:26,532
BEEN SPEARHEADING THAT IS

1467
00:54:26,532 --> 00:54:27,299
CATCHING ON REALLY FAST.

1468
00:54:27,299 --> 00:54:28,967
WE'RE NOT THE ONLY PEOPLE WHO

1469
00:54:28,967 --> 00:54:31,370
OBVIOUSLY TALK ABOUT WHOLE

1470
00:54:31,370 --> 00:54:32,805
PERSON HEALTH, FOR EXAMPLE, THE

1471
00:54:32,805 --> 00:54:33,906
VA HAS BEEN A LEADER IN THIS

1472
00:54:33,906 --> 00:54:37,376
AREA NOW FOR MANY, MANY YEARS,

1473
00:54:37,376 --> 00:54:38,544
BUT I CAN SAY WE ARE REALLY

1474
00:54:38,544 --> 00:54:42,581
LEADING IN WHOLE PERSON

1475
00:54:42,581 --> 00:54:43,782
RESEARCH, BECAUSE LIKE FOR

1476
00:54:43,782 --> 00:54:45,250
EXAMPLE OUR NOTICE OF FUNDING

1477
00:54:45,250 --> 00:54:48,153
OPPORTUNITY TO DEVELOP A

1478
00:54:48,153 --> 00:54:48,754
FUNDAMENTAL KNOWLEDGE BASE ON

1479
00:54:48,754 --> 00:54:49,755
THE WHOLE PERSON, I THINK THAT'S

1480
00:54:49,755 --> 00:54:54,226
GOING TO BE REALLY IMPORTANT TO

1481
00:54:54,226 --> 00:54:59,198
REALLY ANCHOR RESEARCH IN AN

1482
00:54:59,198 --> 00:55:00,599
INTEGRATIVE MANNER THAT I THINK

1483
00:55:00,599 --> 00:55:03,769
IT'S VERY IMPORTANT THAT WE

1484
00:55:03,769 --> 00:55:05,304
DON'T START DOING WHOLE PERSON

1485
00:55:05,304 --> 00:55:09,074
RESEARCH IN A WAY THAT'S

1486
00:55:09,074 --> 00:55:09,508
DISORGANIZED.

1487
00:55:09,508 --> 00:55:10,676
AND I THINK THERE'S A REAL RISK

1488
00:55:10,676 --> 00:55:11,143
OF THAT.

1489
00:55:11,143 --> 00:55:12,778
SO WHEN WE FIRST STARTED TALKING

1490
00:55:12,778 --> 00:55:14,580
ABOUT WHOLE PERSON RESEARCH, THE

1491
00:55:14,580 --> 00:55:15,881
KINDS OF COMMENTS THAT WE WOULD

1492
00:55:15,881 --> 00:55:17,349
GET WAS PEOPLE LIKE, OH, YOU'RE

1493
00:55:17,349 --> 00:55:19,451
TRYING TO BOIL THE OCEAN, OR,

1494
00:55:19,451 --> 00:55:23,255
THIS IS IMPOSSIBLE, YOU KNOW,

1495
00:55:23,255 --> 00:55:24,890
AND THERE WAS A LOT OF

1496
00:55:24,890 --> 00:55:28,060
SKEPTICISM AROUND THAT.

1497
00:55:28,060 --> 00:55:29,661
I THINK RATE NOW WE'RE STARTING

1498
00:55:29,661 --> 00:55:30,829
WITH OUR WORKSHOP THAT WE HELD

1499
00:55:30,829 --> 00:55:32,264
THREE YEARS AGO ON WHOLE PERSON

1500
00:55:32,264 --> 00:55:34,399
RESEARCH METHODOLOGIES WHERE WE

1501
00:55:34,399 --> 00:55:37,336
CLEARLY LAID A LANDMARK ROAD

1502
00:55:37,336 --> 00:55:38,637
PLAN ESSENTIALLY, WHAT DO WE

1503
00:55:38,637 --> 00:55:38,971
NEED TO DO?

1504
00:55:38,971 --> 00:55:40,439
WE NEED TO DEVELOP THE

1505
00:55:40,439 --> 00:55:41,773
METHODOLOGY, THIS RESEARCH NEEDS

1506
00:55:41,773 --> 00:55:44,142
TO BE RIGOROUS, WE NEED THE

1507
00:55:44,142 --> 00:55:45,944
RIGHT METHODS, WE NEED TO USE A

1508
00:55:45,944 --> 00:55:47,179
SYSTEMS APPROACH THAT USING ALL

1509
00:55:47,179 --> 00:55:49,681
THE CUTTING EDGE TOOLS AND

1510
00:55:49,681 --> 00:55:50,282
TECHNOLOGIES AND UNDERSTANDING

1511
00:55:50,282 --> 00:55:51,717
THAT WE HAVE NOW, IT'S ACTUALLY

1512
00:55:51,717 --> 00:55:52,017
EXPLODING.

1513
00:55:52,017 --> 00:55:54,319
BUT APPLY THAT TO UNDERSTANDING

1514
00:55:54,319 --> 00:55:55,687
THE WHOLE PERSON IN A WAY THAT'S

1515
00:55:55,687 --> 00:55:57,990
THOUGHTFUL.

1516
00:55:57,990 --> 00:55:59,725
AND SO I STILL FEEL, AND

1517
00:55:59,725 --> 00:56:00,592
APPRECIATE YOUR COMMENT BECAUSE

1518
00:56:00,592 --> 00:56:04,396
I REALLY FEEL LIKE WE WANT THE

1519
00:56:04,396 --> 00:56:06,565
WORLD TO KNOW THAT WE'RE LEADING

1520
00:56:06,565 --> 00:56:07,966
THE WORLD IN THIS AREA, AND WE

1521
00:56:07,966 --> 00:56:10,869
WANT THIS TO BE DONE WELL.

1522
00:56:10,869 --> 00:56:11,737
SO WE WELCOME YOUR SUGGESTIONS

1523
00:56:11,737 --> 00:56:15,474
AS TO HOW WE COULD COMMUNICATE

1524
00:56:15,474 --> 00:56:18,310
THIS, AVENUES, I SPEAK A LOT OF

1525
00:56:18,310 --> 00:56:19,344
CONFERENCES BUT WHAT ELSE CAN WE

1526
00:56:19,344 --> 00:56:19,778
DO?

1527
00:56:19,778 --> 00:56:21,213
SO ANY THOUGHTS YOU MIGHT HAVE

1528
00:56:21,213 --> 00:56:24,716
ARE WELCOME.

1529
00:56:24,716 --> 00:56:29,855
>> HELENE, I'M SORRY, CAN
I --

1530
00:56:29,855 --> 00:56:32,291
>> BRUCE, YOUR COMMENT, WE
HAVE

1531
00:56:32,291 --> 00:56:33,792
HELEN AND THEN BEN.

1532
00:56:33,792 --> 00:56:35,294
>> I THINK THERE ARE REAL

1533
00:56:35,294 --> 00:56:36,161
OPPORTUNITIES TO LEVERAGE

1534
00:56:36,161 --> 00:56:39,865
EXISTING TRADITIONAL MEDIA BUT

1535
00:56:39,865 --> 00:56:42,634
ALSO NEWER MEDIA, SOCIAL MEDIA

1536
00:56:42,634 --> 00:56:43,735
AND THINGS LIKE THAT.

1537
00:56:43,735 --> 00:56:45,537
>> SOCIAL MEDIA FOR SURE,
WE DO

1538
00:56:45,537 --> 00:56:47,706
A LOT OF, BUT ANY IDEAS, WE'D

1539
00:56:47,706 --> 00:56:51,510
LOVE TO HEAR BECAUSE YOU KNOW A

1540
00:56:51,510 --> 00:56:54,546
FEW THINGS ABOUT THAT.

1541
00:56:54,546 --> 00:56:54,746
HELEN.

1542
00:56:54,746 --> 00:56:57,382
>> YES, I THINK HAVING A

1543
00:56:57,382 --> 00:56:59,785
CROSS-NIH INITIATIVE OR INTEREST

1544
00:56:59,785 --> 00:57:01,253
GROUPS LIKE RESILIENCE, FOR

1545
00:57:01,253 --> 00:57:02,688
INSTANCE, OR SPIRITUALITY,

1546
00:57:02,688 --> 00:57:05,424
BRINGS IT ALL INTO FOCUS BECAUSE

1547
00:57:05,424 --> 00:57:06,558
EVERYBODY STARTS UNDERSTANDING

1548
00:57:06,558 --> 00:57:10,395
THOSE ARE MULTIFACETED DOMAINS

1549
00:57:10,395 --> 00:57:12,130
OF HEALTH, YOU KNOW, AND

1550
00:57:12,130 --> 00:57:13,332
EVERYBODY STARTS THINKING IN THE

1551
00:57:13,332 --> 00:57:17,336
SAME FRAMEWORK, AND I THINK THAT

1552
00:57:17,336 --> 00:57:18,103
FACILITATES THINKING ABOUT WHOLE

1553
00:57:18,103 --> 00:57:19,738
PERSON HEALTH.

1554
00:57:19,738 --> 00:57:24,042
AND NCCIH CAN HAVE A LIVING OR A

1555
00:57:24,042 --> 00:57:25,477
REALLY SIGNIFICANT CONTRIBUTING

1556
00:57:25,477 --> 00:57:26,178
ROLE IN THAT.

1557
00:57:26,178 --> 00:57:27,279
>> THAT'S A GREAT COMMENT.

1558
00:57:27,279 --> 00:57:32,651
YOU'RE RIGHT, THE TWO -- FOR

1559
00:57:32,651 --> 00:57:36,788
EXAMPLE, THEMES LIKE RESILIENCE,

1560
00:57:36,788 --> 00:57:37,756
IT'S SOMETIMES EASIER FOR PEOPLE

1561
00:57:37,756 --> 00:57:39,057
TO WRAP THEIR HEAD AROUND THAT

1562
00:57:39,057 --> 00:57:40,525
AS IT IS -- IT'S ALMOST A

1563
00:57:40,525 --> 00:57:41,860
GATEWAY TO WHOLE PERSON HEALTH,

1564
00:57:41,860 --> 00:57:42,961
IF I'M FOLLOWING YOUR THOUGHT,

1565
00:57:42,961 --> 00:57:44,162
YOU KNOW?

1566
00:57:44,162 --> 00:57:44,363
RIGHT?

1567
00:57:44,363 --> 00:57:46,598
>> I GAVE A TALK FOR THAT
GROUP

1568
00:57:46,598 --> 00:57:50,202
NOT TOO LONG AGO, AND TO MY

1569
00:57:50,202 --> 00:57:51,303
SURPRISE, THEY'RE NOWHERE NEAR

1570
00:57:51,303 --> 00:57:52,237
UNDERSTANDING WHAT IT IS YET,

1571
00:57:52,237 --> 00:57:55,140
BUT WHAT THEY ARE DOING IS

1572
00:57:55,140 --> 00:57:56,508
LOOKING AT THIS FROM THE

1573
00:57:56,508 --> 00:57:57,609
MULTIPLE SYSTEM PERSPECTIVE.

1574
00:57:57,609 --> 00:58:00,278
>> EXACTLY.

1575
00:58:00,278 --> 00:58:04,316
SO IT GIVES PEOPLE AN ENTRY INTO

1576
00:58:04,316 --> 00:58:05,183
THE WHOLE PERSON THROUGH A

1577
00:58:05,183 --> 00:58:08,920
CONCEPT LIKE RESILIENCE, SO I

1578
00:58:08,920 --> 00:58:10,055
AGREE WITH YOU, IT'S JUST A WAY

1579
00:58:10,055 --> 00:58:12,591
IN, AND THIS IS WHERE I THINK IT

1580
00:58:12,591 --> 00:58:13,892
IMPORTANT AS WE CONTINUE TO

1581
00:58:13,892 --> 00:58:18,530
ANALYZE OUR PORTFOLIO, WE LOOK

1582
00:58:18,530 --> 00:58:19,498
AT THE APPLICATIONS COMING IN

1583
00:58:19,498 --> 00:58:20,699
AND IT'S REALLY ENCOURAGING TO

1584
00:58:20,699 --> 00:58:23,835
SEE HOW MANY PEOPLE ARE

1585
00:58:23,835 --> 00:58:24,703
UTILIZING THOSE TYPES OF

1586
00:58:24,703 --> 00:58:26,438
CONCEPTS AND INTEGRATING, FOR

1587
00:58:26,438 --> 00:58:28,073
EXAMPLE, USING MULTICOMPONENT

1588
00:58:28,073 --> 00:58:29,007
INTERVENTIONS, LOOKING AT

1589
00:58:29,007 --> 00:58:30,008
MULTISYSTEM OUTCOMES, IT'S

1590
00:58:30,008 --> 00:58:33,278
STARTING TO HAPPEN KIND OF

1591
00:58:33,278 --> 00:58:33,712
ORGANICALLY.

1592
00:58:33,712 --> 00:58:35,414
SO YEAH, THAT'S A REALLY

1593
00:58:35,414 --> 00:58:36,481
EXCELLENT COMMENT, THANK YOU.

1594
00:58:36,481 --> 00:58:39,785
WE HAD BEN AND THEN -- YES, ONE

1595
00:58:39,785 --> 00:58:40,452
MORE SECOND.

1596
00:58:40,452 --> 00:58:41,219
WE'LL DO BEN FIRST.

1597
00:58:41,219 --> 00:58:41,820
>> SURE.

1598
00:58:41,820 --> 00:58:43,588
SO THANK YOU, HELENE, AND I

1599
00:58:43,588 --> 00:58:46,425
THINK THIS BUILDS ON HELEN'S

1600
00:58:46,425 --> 00:58:47,793
COMMENTS AND THEN WHAT YOU'RE

1601
00:58:47,793 --> 00:58:48,660
SAYING, IN PARTICULAR IN

1602
00:58:48,660 --> 00:58:50,529
REFERENCE TO THE CENTER FOR THE

1603
00:58:50,529 --> 00:58:53,131
UNDERSTANDING OF THE WHOLE

1604
00:58:53,131 --> 00:58:57,135
PERSON PHYSIOME WHICH I THINK IS

1605
00:58:57,135 --> 00:58:58,637
A BRILLIANT STEP FORWARD AND NOW

1606
00:58:58,637 --> 00:58:59,905
YOU KNOW WHAT I'M GOING TO SAY,

1607
00:58:59,905 --> 00:59:04,276
I HOPE YOU ALL ARE ALREADY

1608
00:59:04,276 --> 00:59:05,377
PLANNING FOR THE NEXT ITERATION

1609
00:59:05,377 --> 00:59:06,845
WHICH IS GOING TO GO BEYOND THE

1610
00:59:06,845 --> 00:59:09,014
KIND OF -- I MEAN, THAT GRANT IS

1611
00:59:09,014 --> 00:59:10,449
WONDERFUL AND VERY MUCH FOCUSED

1612
00:59:10,449 --> 00:59:16,188
ON THE BIOME AND THE PHYSIO IN E

1613
00:59:16,188 --> 00:59:17,823
WHICH WE KNOW ARE CRITICALLY

1614
00:59:17,823 --> 00:59:19,357
IMPORTANT BUT WE ALL KNOW THAT

1615
00:59:19,357 --> 00:59:20,592
SPIRITUAL DIMENSION, KIND OF THE

1616
00:59:20,592 --> 00:59:22,160
DIMENSION WE ARE NOT GOING TO

1617
00:59:22,160 --> 00:59:23,462
CAPTURE IN A CENTER THAT'S

1618
00:59:23,462 --> 00:59:24,996
FOCUSED ON PHYSIOLOGICAL

1619
00:59:24,996 --> 00:59:25,497
PROCESSES.

1620
00:59:25,497 --> 00:59:28,800
WE'RE GOING TO NEED ONE OF THEM

1621
00:59:28,800 --> 00:59:30,769
TOO IN THE NEXT FEW YEARS, AND I

1622
00:59:30,769 --> 00:59:32,070
HOPE THAT -- I MEAN, I KNOW THAT

1623
00:59:32,070 --> 00:59:33,271
YOU ALL ARE ALREADY THINKING

1624
00:59:33,271 --> 00:59:35,307
ABOUT THAT, BUT I HOPE YOU'RE

1625
00:59:35,307 --> 00:59:38,477
ACTUALLY STARTING TO FORMULATE

1626
00:59:38,477 --> 00:59:40,312
WHAT THAT RFA, WHEN IT'S READY,

1627
00:59:40,312 --> 00:59:44,783
IS GOING TO LOOK LIKE, AND ALSO

1628
00:59:44,783 --> 00:59:45,751
JUST BECAUSE I KNOW WE'RE

1629
00:59:45,751 --> 00:59:46,685
GETTING CLOSE TO THINKING ABOUT

1630
00:59:46,685 --> 00:59:48,019
THE NEXT STRATEGIC PLAN, I HOPE

1631
00:59:48,019 --> 00:59:49,221
THAT WHEN WE ITERATE HOW WE'RE

1632
00:59:49,221 --> 00:59:50,322
TALKING ABOUT WHOLE PERSON

1633
00:59:50,322 --> 00:59:52,057
RESEARCH IN THE STRATEGIC PLAN,

1634
00:59:52,057 --> 00:59:53,859
WE REALLY INCLUDE THAT EMPHASIS.

1635
00:59:53,859 --> 00:59:55,627
I MEAN, I THINK WE DID THE LAST

1636
00:59:55,627 --> 00:59:57,129
TIME, YOU DID THE LAST TIME, BUT

1637
00:59:57,129 --> 00:59:58,563
I THINK JUST TO EVEN ELEVATE

1638
00:59:58,563 --> 01:00:02,801
THAT, IT WOULD BE EASY FOR NIH

1639
01:00:02,801 --> 01:00:04,703
TO FEEL IT HAD ADDRESSED THIS

1640
01:00:04,703 --> 01:00:09,641
ISSUE BY ADDRESSING THE

1641
01:00:09,641 --> 01:00:09,908
PHYSIOME.

1642
01:00:09,908 --> 01:00:12,577
>> NO, YOU'RE RIGHT.

1643
01:00:12,577 --> 01:00:15,947
SO THAT'S ALREADY STARTED WE

1644
01:00:15,947 --> 01:00:17,249
JUST HAD A MEETING YESTERDAY

1645
01:00:17,249 --> 01:00:20,318
ABOUT TH THIS WITH OTHER PARTNE.

1646
01:00:20,318 --> 01:00:25,390
SO THE IMPORTANT THING IS THAT

1647
01:00:25,390 --> 01:00:27,259
THE PHYSIOME, WE CONSIDER TO BE

1648
01:00:27,259 --> 01:00:28,960
THIS MIDDLE LAYER, AND THEN

1649
01:00:28,960 --> 01:00:29,928
CONNECTING TO THAT, YOU CAN

1650
01:00:29,928 --> 01:00:31,229
DRILL DOWN TO THE CELLULAR AND

1651
01:00:31,229 --> 01:00:33,765
MOLECULAR LEVEL.

1652
01:00:33,765 --> 01:00:35,033
AND THEN YOU CAN ALSO DRILL UP,

1653
01:00:35,033 --> 01:00:36,902
CAN GO UP TO THE BEHAVIORAL,

1654
01:00:36,902 --> 01:00:39,171
SOCIAL, ENVIRONMENTAL LEVEL.

1655
01:00:39,171 --> 01:00:40,872
BUT IMPORTANTLY, WE DON'T WANT

1656
01:00:40,872 --> 01:00:45,710
OUR EFFORTS IN CELL

1657
01:00:45,710 --> 01:00:47,546
COMMUNICATION AND OUR EFFORTS IN

1658
01:00:47,546 --> 01:00:48,647
SORT OF SOCIAL AND ENVIRONMENTAL

1659
01:00:48,647 --> 01:00:53,952
COULD DMCONNECTIONS TO BE SEPARM

1660
01:00:53,952 --> 01:00:55,187
THE MIDDLE PHYSIOME LAYER, WE

1661
01:00:55,187 --> 01:00:56,221
WANT ALL THIS TO CONNECT.

1662
01:00:56,221 --> 01:00:57,289
SO THE REASON WE STARTED WITH

1663
01:00:57,289 --> 01:00:58,623
THE PHYSIOME IS VERY

1664
01:00:58,623 --> 01:01:00,826
INTENTIONAL, IS BECAUSE IT'S THE

1665
01:01:00,826 --> 01:01:02,394
MIDDLE LAYER OF THE SANDWICH.

1666
01:01:02,394 --> 01:01:05,263
AND THEN WE ARE GOING TO -- YOU

1667
01:01:05,263 --> 01:01:06,765
KNOW, GO FROM THERE IN BOTH

1668
01:01:06,765 --> 01:01:09,634
DIRECTIONS.

1669
01:01:09,634 --> 01:01:11,002
SO IT'S VERY CLEAR THAT WE WANT

1670
01:01:11,002 --> 01:01:14,406
ALL OF THIS TO BE CONNECTED

1671
01:01:14,406 --> 01:01:15,574
TOGETHER, NOT ONLY ACROSS THE

1672
01:01:15,574 --> 01:01:17,309
SYSTEMS BUT ALSO WHAT WE CALL

1673
01:01:17,309 --> 01:01:20,679
ACROSS SCALES.

1674
01:01:20,679 --> 01:01:22,781
BECAUSE IT'S TOO EASY, RIGHT,

1675
01:01:22,781 --> 01:01:24,616
RIGHT NOW WE GOT ALL OF THIS

1676
01:01:24,616 --> 01:01:26,117
STUFF THAT'S GOING ON, ALL OF

1677
01:01:26,117 --> 01:01:28,954
THESE OMIC STUDIES, ALL THE

1678
01:01:28,954 --> 01:01:34,492
STUDIES ON METABOLOMICS AND

1679
01:01:34,492 --> 01:01:36,461
GENOMICS, LIPID OMICS, WHATEVER

1680
01:01:36,461 --> 01:01:38,196
ELSE, ALL CONNECTED AT THE

1681
01:01:38,196 --> 01:01:38,630
CELLULAR LEVEL.

1682
01:01:38,630 --> 01:01:39,931
THEN AT THE OTHER END OF THE

1683
01:01:39,931 --> 01:01:41,233
SPECTRUM, WE HAVE STUDIES ON THE

1684
01:01:41,233 --> 01:01:42,534
WHOLE PERSON GOING ON IN

1685
01:01:42,534 --> 01:01:43,301
ELECTRONIC HEALTH RECORDS AND

1686
01:01:43,301 --> 01:01:44,336
WHOLE PERSON MEASURES AND ALL

1687
01:01:44,336 --> 01:01:47,939
THAT KINE OF SKIND OF STUFF BUTT

1688
01:01:47,939 --> 01:01:48,773
CONNECTED.

1689
01:01:48,773 --> 01:01:49,875
SO THE WAY IT'S GOING TO CONNECT

1690
01:01:49,875 --> 01:01:51,076
IS THROUGH THE MIDDLE.

1691
01:01:51,076 --> 01:01:52,010
SO THAT'S WHY WE'RE STARTING

1692
01:01:52,010 --> 01:01:52,777
WITH THE MIDDLE.

1693
01:01:52,777 --> 01:01:56,181
BUT ABC LIGHT ABSOLUTELY, WE ARY

1694
01:01:56,181 --> 01:01:57,349
STARTING TO THINK ABOUT HOW TO

1695
01:01:57,349 --> 01:01:57,983
INCORPORATE ALL THESE OTHER

1696
01:01:57,983 --> 01:01:59,751
LAYERS AS WELL, FOR SURE.

1697
01:01:59,751 --> 01:02:00,185
JEFF.

1698
01:02:00,185 --> 01:02:06,458
>> I ALSO WANT TO THANK
YOU TO

1699
01:02:06,458 --> 01:02:07,392
ADD MUSIC INTO THE UMBRELLA,

1700
01:02:07,392 --> 01:02:08,660
BECAUSE HAVING STUDIED

1701
01:02:08,660 --> 01:02:12,264
MEDITATION BACK IN 1999 WITH

1702
01:02:12,264 --> 01:02:13,632
HERB BENSON, YOGA AND OTHER

1703
01:02:13,632 --> 01:02:17,035
TYPES OF THINGS, ACUPUNCTURE AS

1704
01:02:17,035 --> 01:02:18,770
WELL, CERTAIN PEOPLE -- THE PART

1705
01:02:18,770 --> 01:02:22,240
OF THE CULTURE WILL GRAVITATE.

1706
01:02:22,240 --> 01:02:25,844
10%, 15% TO MEDITATION, 4% TO

1707
01:02:25,844 --> 01:02:26,811
WHATEVER IT'S GOING TO BE.

1708
01:02:26,811 --> 01:02:28,647
BUT I TALKED ABOUT MY RESEARCH,

1709
01:02:28,647 --> 01:02:30,615
I MENTION MUSIC THERAPY,

1710
01:02:30,615 --> 01:02:31,716
EVERYONE LIGHTS UP REGARDLESS.

1711
01:02:31,716 --> 01:02:34,085
SO IF IT'S NOT 10%, 20%, BUT

1712
01:02:34,085 --> 01:02:34,819
100%.

1713
01:02:34,819 --> 01:02:38,290
SO I THINK LEVERAGING THAT, HOW

1714
01:02:38,290 --> 01:02:39,391
IT INTERACTS WITH RELAXATION AND

1715
01:02:39,391 --> 01:02:39,925
OTHER THINGS.

1716
01:02:39,925 --> 01:02:40,892
SO I WANT TO WELCOME AND THANK

1717
01:02:40,892 --> 01:02:42,694
YOU FOR THAT BECAUSE IT REALLY

1718
01:02:42,694 --> 01:02:44,462
ADDS SOME BREADTH AND I THINK WE

1719
01:02:44,462 --> 01:02:46,665
CAN OPEN OUR TENT EVEN WIDER TO

1720
01:02:46,665 --> 01:02:47,532
PARTICIPANTS AND PATIENTS AND

1721
01:02:47,532 --> 01:02:48,266
FOLKS WHO ARE INTERESTED.

1722
01:02:48,266 --> 01:02:49,467
SO FOR HEALTH AND WELL-BEING.

1723
01:02:49,467 --> 01:02:51,236
SO I RECOMMEND THAT ADDITION.

1724
01:02:51,236 --> 01:02:53,905
>> YEAH, MUSIC IS
UNIVERSAL, AS

1725
01:02:53,905 --> 01:02:55,206
YOU SAY.

1726
01:02:55,206 --> 01:02:57,275
WE AGAIN WANT TO THANK EMMELINE

1727
01:02:57,275 --> 01:02:58,176
FOR HER LEADERSHIP IN THIS.

1728
01:02:58,176 --> 01:02:59,811
WE WERE FORTUNATE, OUR PREVIOUS

1729
01:02:59,811 --> 01:03:02,514
NIH DIRECTOR, DR. COLLINS, WAS

1730
01:03:02,514 --> 01:03:05,116
ALSO A BIG CHAMPION OF MUSIC AND

1731
01:03:05,116 --> 01:03:07,052
HELPED US TO BUILD THIS

1732
01:03:07,052 --> 01:03:08,586
COLLABORATION WITH THE NATIONAL

1733
01:03:08,586 --> 01:03:10,655
ENDOWMENT FOR THE ARTS, RENEE

1734
01:03:10,655 --> 01:03:14,059
FLEMING FOUNDATION, AND NCCIH,

1735
01:03:14,059 --> 01:03:15,860
AND SO -- AND NOW WE HAVE A

1736
01:03:15,860 --> 01:03:17,228
STRONG PARTNERSHIP WITH THE

1737
01:03:17,228 --> 01:03:18,363
NATIONAL INSTITUTE ON AGING

1738
01:03:18,363 --> 01:03:20,999
HERE.

1739
01:03:20,999 --> 01:03:24,569
SO THANK YOU, WE APPRECIATE, WE

1740
01:03:24,569 --> 01:03:26,104
THINK THIS IS A VERY -- AGAIN,

1741
01:03:26,104 --> 01:03:27,105
IT'S ONE OF THOSE GATEWAYS TO

1742
01:03:27,105 --> 01:03:28,173
THE WHOLE PIRN.

1743
01:03:28,173 --> 01:03:31,042
PERSON.I'M GOING TO USE THAT ANY

1744
01:03:31,042 --> 01:03:31,710
ACTUALLY.

1745
01:03:31,710 --> 01:03:31,876
DAN.

1746
01:03:31,876 --> 01:03:33,478
>> YES, THANK YOU SO MUCH
FOR

1747
01:03:33,478 --> 01:03:34,879
THE AMAZING OVERVIEW.

1748
01:03:34,879 --> 01:03:37,182
YOU KNOW, WITH NATIVE AMERICANS,

1749
01:03:37,182 --> 01:03:39,351
I'M REALLY EXCITED ABOUT THE

1750
01:03:39,351 --> 01:03:40,752
RESILIENCY PIECE OF YOUR

1751
01:03:40,752 --> 01:03:41,419
PRESENTATION.

1752
01:03:41,419 --> 01:03:42,954
WITH NATIVE AMERICANS, IT ALWAYS

1753
01:03:42,954 --> 01:03:44,422
BEEN LIKE MAYBE 20, 30 YEARS

1754
01:03:44,422 --> 01:03:45,857
AGO, IT WAS VERY IMPORTANT TO

1755
01:03:45,857 --> 01:03:48,026
SAY WE NATIVE AMERICANS HAVE THE

1756
01:03:48,026 --> 01:03:49,728
HIGHEST RATES OF THIS, THE

1757
01:03:49,728 --> 01:03:51,262
HIGHEST RATES OF THAT,

1758
01:03:51,262 --> 01:03:53,498
HISTORICAL TRAUMA, THE REASONS,

1759
01:03:53,498 --> 01:03:56,468
BLAH, BLAH, BLAH BLAH, BUT NOW

1760
01:03:56,468 --> 01:03:57,469
IT'S IMPORTANT WITH NATIVE

1761
01:03:57,469 --> 01:04:00,839
AMERICAN PROBABLY -- THE GENERAL

1762
01:04:00,839 --> 01:04:02,807
POPULATION, WHAT'S OUR INHERENT

1763
01:04:02,807 --> 01:04:03,241
STRENGTHS?

1764
01:04:03,241 --> 01:04:08,446
WHAT ARE OUR AVENUES TOWARDS

1765
01:04:08,446 --> 01:04:11,616
SOLUTIONS, AND TOWARDS ACHIEVING

1766
01:04:11,616 --> 01:04:12,384
GOOD HEALTH OVERALL.

1767
01:04:12,384 --> 01:04:13,885
SO I'M REALLY EXCITED.

1768
01:04:13,885 --> 01:04:17,922
AND WITH NATIVE AMERICANS, WE

1769
01:04:17,922 --> 01:04:19,357
PROBABLY HAVE -- WE DON'T HAVE

1770
01:04:19,357 --> 01:04:20,792
ENOUGH RESEARCH DRILLING DOWN.

1771
01:04:20,792 --> 01:04:25,997
WE HAVE A LOT OF SOCIAL

1772
01:04:25,997 --> 01:04:27,098
BEHAVIORAL CONCEPTS AND MODELS,

1773
01:04:27,098 --> 01:04:30,802
BUT I THINK WE WANT TO MEET THE

1774
01:04:30,802 --> 01:04:32,270
FIELD KIND OF GOING DOWN AND

1775
01:04:32,270 --> 01:04:36,241
LOOKING AT THE MECHANISMS,

1776
01:04:36,241 --> 01:04:36,808
MECHANISTIC PROCESS.

1777
01:04:36,808 --> 01:04:37,776
>> I SO LOVE THAT.

1778
01:04:37,776 --> 01:04:39,677
I REALLY FEEL LIKE FOCUSING ON

1779
01:04:39,677 --> 01:04:41,446
THE POSITIVE, NOT THAT WE

1780
01:04:41,446 --> 01:04:42,647
DON'T -- WE DON'T WANT TO

1781
01:04:42,647 --> 01:04:44,215
IGNORE, OF COURSE, THE HARMS AND

1782
01:04:44,215 --> 01:04:48,286
THE HURTS, BUT WE FEEL THAT

1783
01:04:48,286 --> 01:04:50,355
WHERE NCCIH BRINGS SOMETHING

1784
01:04:50,355 --> 01:04:51,556
REALLY IMPORTANT HERE IS TO

1785
01:04:51,556 --> 01:04:53,591
FOCUS ON THE POSITIVE.

1786
01:04:53,591 --> 01:04:55,460
WE'VE HAD A LOT OF IMPACT

1787
01:04:55,460 --> 01:04:56,761
ALREADY IN THE CONVERSATION ON

1788
01:04:56,761 --> 01:04:57,095
THIS.

1789
01:04:57,095 --> 01:05:00,799
FOR EXAMPLE, WHEN I MENTIONED

1790
01:05:00,799 --> 01:05:01,666
WITH NATIONAL INSTITUTE ON

1791
01:05:01,666 --> 01:05:03,968
ENVIRONMENTAL HEALTH, THROUGH

1792
01:05:03,968 --> 01:05:06,805
OUR CONVERSATIONS WITH NIEHS, WE

1793
01:05:06,805 --> 01:05:07,872
REALLY CHANGED -- CONTRIBUTE

1794
01:05:07,872 --> 01:05:09,908
TODAY CHANGING THE CONTRIBUTIONS

1795
01:05:09,908 --> 01:05:11,342
OF REALLY THINKING ABOUT

1796
01:05:11,342 --> 01:05:16,748
POSITIVE WAYS TO MITIGATE

1797
01:05:16,748 --> 01:05:17,982
PROBLEMS AND BUILD RESILIENCE

1798
01:05:17,982 --> 01:05:21,920
AND HELP PEOPLE BECAUSE CERTAIN

1799
01:05:21,920 --> 01:05:26,191
THINGS, WE CAN'T CHANGE THERE,

1800
01:05:26,191 --> 01:05:27,292
BUT WHAT CAN WE DO?

1801
01:05:27,292 --> 01:05:28,893
AND WE FEEL A LOT OF WHAT WE CAN

1802
01:05:28,893 --> 01:05:30,095
OFFER HERE IN TERMS OF THE

1803
01:05:30,095 --> 01:05:34,399
UNDERSTANDING OF HOW TO APPLY,

1804
01:05:34,399 --> 01:05:36,000
FOR EXAMPLE, MIND AND BODY

1805
01:05:36,000 --> 01:05:39,037
THERAPIES OR MUSIC OR

1806
01:05:39,037 --> 01:05:40,538
INTERVENTIONS THAT REALLY HELP

1807
01:05:40,538 --> 01:05:43,174
PEOPLE FROM A SPIRITUAL SIDE,

1808
01:05:43,174 --> 01:05:45,210
ANGLE, YOU KNOW, THERE'S A LOT

1809
01:05:45,210 --> 01:05:46,978
HERE THAT WE NEED TO LEARN HOW

1810
01:05:46,978 --> 01:05:48,179
TO DO THAT BETTER AND HOW TO

1811
01:05:48,179 --> 01:05:50,148
SUPPORT PEOPLE IN THEIR JOURNEY

1812
01:05:50,148 --> 01:05:51,616
TOWARDS HEALTH.

1813
01:05:51,616 --> 01:05:52,951
AND WE ARE THRILLED THAT WE'RE

1814
01:05:52,951 --> 01:05:56,921
GOING TO BE LEARNING FROM NATIVE

1815
01:05:56,921 --> 01:06:00,825
AMERICAN COMMUNITIES ON HOW THEY

1816
01:06:00,825 --> 01:06:02,327
VIEW THIS AND DO THIS AND

1817
01:06:02,327 --> 01:06:06,397
HOPEFULLY, YOU KNOW, SOME OF

1818
01:06:06,397 --> 01:06:09,334
THAT WILL HELP PEOPLE IN GENERAL

1819
01:06:09,334 --> 01:06:10,735
BECAUSE WE HAVE SO MUCH TO LEARN

1820
01:06:10,735 --> 01:06:11,836
FROM THOSE COMMUNITIES.

1821
01:06:11,836 --> 01:06:13,771
ESPECIALLY IN RELATIONSHIP TO

1822
01:06:13,771 --> 01:06:14,973
THE ENVIRONMENT.

1823
01:06:14,973 --> 01:06:18,376
I CAN'T THINK HOW MUCH MORE

1824
01:06:18,376 --> 01:06:19,677
IMPORTANT FOR US TO FIGURE OUT

1825
01:06:19,677 --> 01:06:20,111
RIGHT NOW.

1826
01:06:20,111 --> 01:06:20,311
YEAH.

1827
01:06:20,311 --> 01:06:25,917
THANK YOU.

1828
01:06:25,917 --> 01:06:26,117
SUSIE.

1829
01:06:26,117 --> 01:06:28,086
>> SURE.

1830
01:06:28,086 --> 01:06:30,822
ONE, THANKS, IT WAS REALLY

1831
01:06:30,822 --> 01:06:31,289
AWESOME.

1832
01:06:31,289 --> 01:06:33,625
I WANTED TO DRILL DOWN A LITTLE

1833
01:06:33,625 --> 01:06:35,059
BIT ABOUT IMPLEMENTATION AND

1834
01:06:35,059 --> 01:06:37,028
POLICY RESEARCH.

1835
01:06:37,028 --> 01:06:39,397
WHICH I SAW THAT MENTIONED ONCE

1836
01:06:39,397 --> 01:06:40,498
AROUND PAIN, WHICH MAKES A LOT

1837
01:06:40,498 --> 01:06:44,102
OF SENSE BECAUSE OF THE

1838
01:06:44,102 --> 01:06:45,203
STRENGTHS IN PAIN RESEARCH THAT

1839
01:06:45,203 --> 01:06:46,571
HAS BEEN PUSHED FORWARD.

1840
01:06:46,571 --> 01:06:52,510
BUT I'M ALSO WONDERING AROUND

1841
01:06:52,510 --> 01:06:54,145
WHAT THE THOUGHTS ARE AROUND

1842
01:06:54,145 --> 01:06:55,446
IMPLEMENTATION RESEARCH BECAUSE

1843
01:06:55,446 --> 01:06:58,516
WE IN SCIENCE SPECIFICALLY,

1844
01:06:58,516 --> 01:06:59,484
BECAUSE THERE'S SO MUCH THAT WE

1845
01:06:59,484 --> 01:07:03,154
ALREADY KNOW THAT ISN'T HAPP

1846
01:07:03,154 --> 01:07:04,289
HAPPENING BECAUSE OF POLICY

1847
01:07:04,289 --> 01:07:05,990
ISSUES AND BECAUSE OF OTHER

1848
01:07:05,990 --> 01:07:08,393
IMPLEMENTATION SCIENCE, AND THE

1849
01:07:08,393 --> 01:07:10,461
OTHER PART I WANTED TO ALSO ASK

1850
01:07:10,461 --> 01:07:11,663
WAS HOW WE'RE VIEWING THINGS

1851
01:07:11,663 --> 01:07:14,699
LIKE MIXED METHODS, AND

1852
01:07:14,699 --> 01:07:18,069
BRINGING THAT RICHNESS INTO THE

1853
01:07:18,069 --> 01:07:19,103
LANDSCAPE OF THE MANY DIFFERENT

1854
01:07:19,103 --> 01:07:21,039
TYPES OF PROJECTS.

1855
01:07:21,039 --> 01:07:22,774
BECAUSE I OFTEN DON'T SEE IT

1856
01:07:22,774 --> 01:07:24,309
TALKED ABOUT, AND BROUGHT

1857
01:07:24,309 --> 01:07:27,445
FORWARD WHEN WE'RE TALKING ABOUT

1858
01:07:27,445 --> 01:07:28,880
DATA SCIENCE, AND AS YOU SAID

1859
01:07:28,880 --> 01:07:31,916
THE OMICS AGE, BUT ALSO SUCH A

1860
01:07:31,916 --> 01:07:32,684
RICH AREA.

1861
01:07:32,684 --> 01:07:34,118
>> THANK YOU, SUSIE.

1862
01:07:34,118 --> 01:07:36,354
SO FIRST OF ALL, REGARDING

1863
01:07:36,354 --> 01:07:38,556
IMPLEMENTATION SCIENCE, YES, WE

1864
01:07:38,556 --> 01:07:40,525
REALLY -- WE THINK THIS IS

1865
01:07:40,525 --> 01:07:40,825
IMPORTANT.

1866
01:07:40,825 --> 01:07:43,995
WE DON'T DO RESEARCH ON POLICY,

1867
01:07:43,995 --> 01:07:45,296
PER SE, WE CAN'T DO THAT.

1868
01:07:45,296 --> 01:07:46,931
HOWEVER, WHAT WE CAN DO IS THINK

1869
01:07:46,931 --> 01:07:50,401
ABOUT WHAT THE IMPORTANT -- WHAT

1870
01:07:50,401 --> 01:07:52,370
POLICY MAKERS, INSURANCE PAYORS

1871
01:07:52,370 --> 01:07:54,772
AND PEOPLE WHO DECIDE, WHO MAKE

1872
01:07:54,772 --> 01:07:56,708
DECISIONS ABOUT HEALTHCARE LIKE

1873
01:07:56,708 --> 01:07:58,243
REIMBURSEMENT, FOR EXAMPLE, WHAT

1874
01:07:58,243 --> 01:08:00,211
INFORMATION DO THEY NEED, RIGHT?

1875
01:08:00,211 --> 01:08:02,347
IN FACT, OUR STRAUSS LECTURE IS

1876
01:08:02,347 --> 01:08:03,881
GOING TO BE ALL ABOUT THAT.

1877
01:08:03,881 --> 01:08:07,151
SO I REALLY ENCOURAGE YOU TO --

1878
01:08:07,151 --> 01:08:08,786
WE'RE GOING TO HAVE A FANTASTIC

1879
01:08:08,786 --> 01:08:10,855
PANEL DISCUSSION FOLLOWING THAT,

1880
01:08:10,855 --> 01:08:13,091
AND IT'S A VERY, VERY IMPORTANT

1881
01:08:13,091 --> 01:08:13,758
CONVERSATION.

1882
01:08:13,758 --> 01:08:15,760
WE NEED TO KNOW, WE NEED TO

1883
01:08:15,760 --> 01:08:16,828
BETTER UNDERSTAND, YOU KNOW,

1884
01:08:16,828 --> 01:08:19,030
WHAT IS THE KIND OF RESEARCH

1885
01:08:19,030 --> 01:08:23,835
THAT WILL INFLUENCE -- THAT WILL

1886
01:08:23,835 --> 01:08:25,336
GIVE THE RIGHT DATA SO THAT

1887
01:08:25,336 --> 01:08:26,404
POLICY CAN BE THE BEST THAT IT

1888
01:08:26,404 --> 01:08:29,274
CAN BE, RIGHT?

1889
01:08:29,274 --> 01:08:30,575
WE'VE ALREADY DONE A GOOD AMOUNT

1890
01:08:30,575 --> 01:08:34,412
OF PARTNERING WITH, FOR EXAMPLE,

1891
01:08:34,412 --> 01:08:38,983
CENTER FOR MEDICARE SERVICES,

1892
01:08:38,983 --> 01:08:40,451
CMS, AND STUDIES THAT ARE TIED

1893
01:08:40,451 --> 01:08:41,352
TO COVERAGE DETERMINATION.

1894
01:08:41,352 --> 01:08:43,521
OUR LANDMARK STUDY OF

1895
01:08:43,521 --> 01:08:45,290
ACUPUNCTURE AND CHRONIC LOW BACK

1896
01:08:45,290 --> 01:08:46,891
PAIN IN OLDER ADULTS HAS REALLY

1897
01:08:46,891 --> 01:08:47,558
LED THE WAY HERE.

1898
01:08:47,558 --> 01:08:50,028
AND THERE'S A LOT OF -- I HEAR

1899
01:08:50,028 --> 01:08:51,129
THIS BIG CONVERSATION GOING ON

1900
01:08:51,129 --> 01:08:52,764
AT NIH IN GENERAL ABOUT USING

1901
01:08:52,764 --> 01:08:56,034
THIS SAME KIND OF MODEL.

1902
01:08:56,034 --> 01:08:58,236
SO FOR IMPLEMENTATION.

1903
01:08:58,236 --> 01:09:02,273
AND SO IMPLEMENTATION IS VERY,

1904
01:09:02,273 --> 01:09:03,441
VERY IMPORTANT IN SO MANY OF OUR

1905
01:09:03,441 --> 01:09:04,008
PROGRAMS.

1906
01:09:04,008 --> 01:09:07,378
THE PRAGMATIC AND IMPLEMENTATION

1907
01:09:07,378 --> 01:09:08,446
STUDY THAT I MENTIONED, THE

1908
01:09:08,446 --> 01:09:09,647
PRISSMM STUDY WITHIN THE HEAL

1909
01:09:09,647 --> 01:09:09,981
INITIATIVE.

1910
01:09:09,981 --> 01:09:12,450
WE DO A LOT OF IMPLEMENTATION

1911
01:09:12,450 --> 01:09:14,886
STUDIES THERE TO TAKE THERAPIES

1912
01:09:14,886 --> 01:09:17,088
THAT WE KNOW ARE EFFECTIVE AND

1913
01:09:17,088 --> 01:09:18,389
UNDERSTAND HOW IT CAN BE

1914
01:09:18,389 --> 01:09:19,891
DEPLOYED IN HEALTHCARE SYSTEM,

1915
01:09:19,891 --> 01:09:21,292
FOR EXAMPLE, IN UNDERSERVED

1916
01:09:21,292 --> 01:09:22,427
AREAS, THOSE KINDS OF THINGS,

1917
01:09:22,427 --> 01:09:24,362
RURAL AREAS.

1918
01:09:24,362 --> 01:09:26,531
SO THIS IS AN AREA WHERE WE'RE

1919
01:09:26,531 --> 01:09:27,965
VERY, VERY ACTIVE.

1920
01:09:27,965 --> 01:09:29,033
THE SECOND PART OF YOUR QUESTION

1921
01:09:29,033 --> 01:09:30,234
WAS WHAT AGAIN, PLEASE?

1922
01:09:30,234 --> 01:09:30,702
REMIND ME.

1923
01:09:30,702 --> 01:09:33,037
>> IT WAS ABOUT MIXED
METHODS

1924
01:09:33,037 --> 01:09:33,304
RESEARCH.

1925
01:09:33,304 --> 01:09:34,806
>> OH, MIXED METHODS, VERY

1926
01:09:34,806 --> 01:09:35,573
IMPORTANT.

1927
01:09:35,573 --> 01:09:36,741
MIXED METHODS, YOU KNOW, I THINK

1928
01:09:36,741 --> 01:09:41,012
WE'RE AT A POINT NOW WHERE WE

1929
01:09:41,012 --> 01:09:42,847
CAN NOW DO SO MUCH WITH NATURAL

1930
01:09:42,847 --> 01:09:43,948
LANGUAGE MODELS, RIGHT?

1931
01:09:43,948 --> 01:09:46,784
WE CAN TAKE NARRATIVES AND WHAT

1932
01:09:46,784 --> 01:09:50,688
PEOPLE ARE SAYING THAT IS

1933
01:09:50,688 --> 01:09:52,957
QUALITATIVE, BUT THEN EXTRACT

1934
01:09:52,957 --> 01:09:54,392
INFORMATION FROM THEM IN A WAY

1935
01:09:54,392 --> 01:09:56,894
WWERE NEVER, NEVER ABLE TO DO

1936
01:09:56,894 --> 01:09:57,462
BEFORE.

1937
01:09:57,462 --> 01:09:58,830
SO WE SHOULD NOT JUST READ THE

1938
01:09:58,830 --> 01:09:59,731
NARRATIVES FOR THEIR OWN SAKE,

1939
01:09:59,731 --> 01:10:01,165
BUT HOW DO YOU GET DATA FROM IT

1940
01:10:01,165 --> 01:10:02,100
THAT YOU CAN ANALYZE.

1941
01:10:02,100 --> 01:10:03,634
SO I THINK THE MIXED METHOD

1942
01:10:03,634 --> 01:10:06,504
FIELD IS GOING TOE RAOLY EXPLODE

1943
01:10:06,504 --> 01:10:10,007
COMING UP, YOU KNOW, WHEN WE

1944
01:10:10,007 --> 01:10:12,543
START TO REALLY EXTRACT AS MUCH

1945
01:10:12,543 --> 01:10:14,212
AS WE CAN, YOU KNOW, FROM THEM.

1946
01:10:14,212 --> 01:10:15,580
SO THAT'S JUST ONE WAY THAT WE

1947
01:10:15,580 --> 01:10:17,882
CAN USE THE -- BUT THANK YOU,

1948
01:10:17,882 --> 01:10:19,384
THAT'S A GREAT -- ABSOLUTELY

1949
01:10:19,384 --> 01:10:21,953
SOMETHING THAT NEEDS TO HAPPEN.

1950
01:10:21,953 --> 01:10:23,121
THANK YOU.

1951
01:10:23,121 --> 01:10:25,423
ERICA.

1952
01:10:25,423 --> 01:10:27,258
>> I'D JUST LIKE TO FOLLOW
UP ON

1953
01:10:27,258 --> 01:10:30,995
THAT MIXED METHODS EMPHASIS.

1954
01:10:30,995 --> 01:10:33,631
I THINK THERE'S -- FOR ONE THING

1955
01:10:33,631 --> 01:10:36,734
POLICY MAKERS REALLY RELATE TO

1956
01:10:36,734 --> 01:10:39,704
NARRATIVE, SO EVEN IF WE HAVE

1957
01:10:39,704 --> 01:10:42,206
DATA, TO BE ABLE TO HAVE THAT

1958
01:10:42,206 --> 01:10:45,843
RESONATE WITH STORIES, WITH

1959
01:10:45,843 --> 01:10:46,878
PEOPLE'S ACTUAL WORDS IS REALLY

1960
01:10:46,878 --> 01:10:47,445
IMPORTANT.

1961
01:10:47,445 --> 01:10:50,381
AND USING, OF COURSE, RIGOROUS

1962
01:10:50,381 --> 01:10:51,716
QUALITATIVE METHODOLOGIES, WHICH

1963
01:10:51,716 --> 01:10:55,520
GIVE YOU THAT.

1964
01:10:55,520 --> 01:10:57,221
BUT ALSO IT REALLY ADDS TO THE

1965
01:10:57,221 --> 01:10:59,857
NUANCE OF THE WHOLE PERSON

1966
01:10:59,857 --> 01:11:00,291
HEALTH.

1967
01:11:00,291 --> 01:11:01,392
BECAUSE WE KNOW THAT OUR

1968
01:11:01,392 --> 01:11:05,329
MEASURES HAVE FLAWS, AND WE MAY

1969
01:11:05,329 --> 01:11:06,397
HAVE SOME OF THE MOST IMPORTANT

1970
01:11:06,397 --> 01:11:08,466
THINGS THAT WE'RE GRAPPLING WITH

1971
01:11:08,466 --> 01:11:09,767
FOR WHICH WE DON'T HAVE GOOD

1972
01:11:09,767 --> 01:11:12,370
MEASURES OR WHICH WE ARE --

1973
01:11:12,370 --> 01:11:14,138
OBVIOUSLY FEEL LIMITED IN OUR

1974
01:11:14,138 --> 01:11:16,073
MEASUREMENT, BUT THAT CUT ACROSS

1975
01:11:16,073 --> 01:11:20,111
THE WHOLE PERSON HEALTH KIND OF

1976
01:11:20,111 --> 01:11:20,678
CONCEPT.

1977
01:11:20,678 --> 01:11:22,213
AND QUALITATIVE WORK CAN REALLY

1978
01:11:22,213 --> 01:11:25,383
HELP ENRICH OUR UNDERSTANDING OF

1979
01:11:25,383 --> 01:11:30,521
IMPACT AND DATA AND SO I'M JUST

1980
01:11:30,521 --> 01:11:31,489
CLIMBING ON THE TRAIN.

1981
01:11:31,489 --> 01:11:33,024
>> WELL, YOU'RE RIGHT, THE
POWER

1982
01:11:33,024 --> 01:11:36,894
OF A GOOD STORY IS LIKE PAINTING

1983
01:11:36,894 --> 01:11:37,595
A PICTURE, RIGHT?

1984
01:11:37,595 --> 01:11:41,699
AND IT CAN SPEAK TO THE ESSENCE

1985
01:11:41,699 --> 01:11:45,636
OF WHAT'S HAPPENING, AND I MEAN,

1986
01:11:45,636 --> 01:11:47,205
I THINK WE HAVE TO DO BOTH.

1987
01:11:47,205 --> 01:11:48,206
WE HAVE TO DO BOTH.

1988
01:11:48,206 --> 01:11:50,942
WE HAVE TO PAINT THE PICTURE,

1989
01:11:50,942 --> 01:11:52,443
AND THEN WE HAVE TO EXTRACT THE

1990
01:11:52,443 --> 01:11:53,344
BIT OF INFORMATION FROM THE

1991
01:11:53,344 --> 01:11:55,079
PICTURE THAT CAN BE ANALYZABLE

1992
01:11:55,079 --> 01:11:58,015
AND THAT'S WHAT PEOPLE LIKE YOU,

1993
01:11:58,015 --> 01:12:00,051
YOU KNOW, DO.

1994
01:12:00,051 --> 01:12:02,053
AND I THINK THIS IS -- YEAH,

1995
01:12:02,053 --> 01:12:04,655
THIS IS SO IMPORTANT, ESPECIALLY

1996
01:12:04,655 --> 01:12:09,227
WHEN WE'RE TRYING TO INTRODUCE A

1997
01:12:09,227 --> 01:12:13,598
NEW LANGUAGE OF UNDERSTANDING.

1998
01:12:13,598 --> 01:12:15,466
YOU REMEMBER SOME TIME AGO, IT

1999
01:12:15,466 --> 01:12:17,935
WASN'T THAT LONG AGO THAT PEOPLE

2000
01:12:17,935 --> 01:12:20,238
INTRODUCED THE WORD

2001
01:12:20,238 --> 01:12:21,239
PATIENT-CENTERED, RIGHT?

2002
01:12:21,239 --> 01:12:25,476
I MEAN, IT NOT LIKE RESEARCH

2003
01:12:25,476 --> 01:12:27,211
WASN'T PATIENT-CENTERED BEFORE,

2004
01:12:27,211 --> 01:12:31,482
BUT THAT WORD, I THINK,

2005
01:12:31,482 --> 01:12:32,550
PATIENT-CENTERED OR

2006
01:12:32,550 --> 01:12:33,417
PATIENT-REPORTED OUTCOMES, WE

2007
01:12:33,417 --> 01:12:35,152
STARTED TALKING ABOUT THAT, I

2008
01:12:35,152 --> 01:12:36,654
FORGET HOW LONG AGO IT WAS, 20

2009
01:12:36,654 --> 01:12:37,788
YEARS MAYBE, SOMETHING LIKE

2010
01:12:37,788 --> 01:12:38,222
THAT?

2011
01:12:38,222 --> 01:12:40,725
BUT I THINK THAT IS -- IT MADE

2012
01:12:40,725 --> 01:12:41,592
PEOPLE AWARE THAT IT IMPORTANT

2013
01:12:41,592 --> 01:12:44,962
TO LISTEN TO THE PATIENT.

2014
01:12:44,962 --> 01:12:46,931
AND IT SOUNDS VERY SELF-EVIDENT

2015
01:12:46,931 --> 01:12:48,466
NOW, BUT -- AND MAYBE WE WEREN'T

2016
01:12:48,466 --> 01:12:49,901
LISTENING WELL ENOUGH BEFORE FOR

2017
01:12:49,901 --> 01:12:50,668
SURE, RIGHT?

2018
01:12:50,668 --> 01:12:55,473
SO YEAH, I THINK WE NEED TO

2019
01:12:55,473 --> 01:12:57,308
REALLY CONTINUE TO BE AWARE HOW

2020
01:12:57,308 --> 01:12:58,643
IMPORTANT THAT IS.

2021
01:12:58,643 --> 01:13:03,347
YEAH.

2022
01:13:03,347 --> 01:13:05,082
>> OKAY, HELENE, I DON'T
WANT TO

2023
01:13:05,082 --> 01:13:06,517
BE THE BAD GUY HERE, BUT --

2024
01:13:06,517 --> 01:13:08,986
>> WE'RE OUT OF TIME.

2025
01:13:08,986 --> 01:13:11,389
>> I HAVE TO REMIND PEOPLE
WE

2026
01:13:11,389 --> 01:13:11,956
HAVE ONE MORE PRESENTATION

2027
01:13:11,956 --> 01:13:12,290
BEFORE LUNCH.

2028
01:13:12,290 --> 01:13:13,157
>> OH, MY GOSH.

2029
01:13:13,157 --> 01:13:14,225
I'M SO SORRY.

2030
01:13:14,225 --> 01:13:15,760
I WASN'T WATCHING THE CLOCK.

2031
01:13:15,760 --> 01:13:17,495
>> IT CUTS INTO YOUR LUNCH
BREAK

2032
01:13:17,495 --> 01:13:27,905
AND THAT'S THE REALITY.

2033
01:13:33,844 --> 01:13:34,745
>> THAT WAS WONDERFUL.

2034
01:13:34,745 --> 01:13:38,916
I WISH YOU COULD HAVE TALKED

2035
01:13:38,916 --> 01:13:39,784
LONGER.

2036
01:13:39,784 --> 01:13:41,619
ANYWAY, I AM HERE FOR THE ANNUAL

2037
01:13:41,619 --> 01:13:43,821
UPDATE OF THE NCCIH DIVISION OF

2038
01:13:43,821 --> 01:13:45,590
INTRAMURAL RESEARCH, AND MY

2039
01:13:45,590 --> 01:13:49,060
THEME THIS TIME IS BUILDING THE

2040
01:13:49,060 --> 01:13:51,462
NCCIH INTRAMURAL PROGRAM.

2041
01:13:51,462 --> 01:13:53,097
AND THE REASON I SAY THAT IS,

2042
01:13:53,097 --> 01:13:55,032
WE'VE BEEN AROUND FOR 12 YEARS,

2043
01:13:55,032 --> 01:13:57,668
WHICH SEEMS LIKE A LONG TIME.

2044
01:13:57,668 --> 01:13:58,869
ACTUALLY EVEN AFTER 12 YEARS,

2045
01:13:58,869 --> 01:14:00,304
WE'RE STILL GROWING AND

2046
01:14:00,304 --> 01:14:01,105
EVOLVING.

2047
01:14:01,105 --> 01:14:03,874
WE'VE HAD SIGNIFICANT CHANGE IN

2048
01:14:03,874 --> 01:14:05,843
A RELATIVELY SHORT TIME, AND I

2049
01:14:05,843 --> 01:14:06,911
SAY SHORT TIME RELATIVELY

2050
01:14:06,911 --> 01:14:08,112
SPEAKING BECAUSE WE GET A LOT OF

2051
01:14:08,112 --> 01:14:11,015
SUPPORT FROM, FOR EXAMPLE, THE

2052
01:14:11,015 --> 01:14:12,149
NATIONAL INSTITUTE ON

2053
01:14:12,149 --> 01:14:13,017
NEUROLOGICAL DISORDERS AND

2054
01:14:13,017 --> 01:14:14,885
STROKE, AND THEY JUST TURNED 74

2055
01:14:14,885 --> 01:14:16,621
YEARS OLD.

2056
01:14:16,621 --> 01:14:18,022
SO JUST TO PUT THIS IN

2057
01:14:18,022 --> 01:14:20,324
PERSPECTIVE, WE ARE RELATIVELY

2058
01:14:20,324 --> 01:14:20,791
NASCENT.

2059
01:14:20,791 --> 01:14:23,494
AND IT STARTED UNDER THE FORMER

2060
01:14:23,494 --> 01:14:26,864
DIRECTOR, DR. JOSIE BRIGGS, IN

2061
01:14:26,864 --> 01:14:28,165
CONSULTATION AT THE TIME WITH

2062
01:14:28,165 --> 01:14:30,034
DR. STORY LANDIS FROM THE

2063
01:14:30,034 --> 01:14:31,002
NATIONAL INSTITUTE OF

2064
01:14:31,002 --> 01:14:33,304
NEUROLOGICAL DISORDERS AND

2065
01:14:33,304 --> 01:14:35,172
STROKE, AND THEY REALIZED AT

2066
01:14:35,172 --> 01:14:36,307
THAT TIME, AND YOU CAN SEE WHY

2067
01:14:36,307 --> 01:14:37,708
THIS WAS SO IMPORTANT THEN, 12

2068
01:14:37,708 --> 01:14:42,380
YEARS AGO, THEY DECIDED TO FOCUS

2069
01:14:42,380 --> 01:14:43,447
THE ENTIRE RESEARCH PROGRAM ON

2070
01:14:43,447 --> 01:14:43,648
PAIN.

2071
01:14:43,648 --> 01:14:44,982
AND YOU CAN SEE HOW THAT'S

2072
01:14:44,982 --> 01:14:46,617
REALLY FED INTO OUR NARRATIVE

2073
01:14:46,617 --> 01:14:49,787
HERE AT NCCIH, EXTRAMURALLY, AND

2074
01:14:49,787 --> 01:14:53,157
I THINK IT WAS A BRILLIANT IDEA

2075
01:14:53,157 --> 01:14:58,095
TO FOCUS THE PROGRAM ON PAIN

2076
01:14:58,095 --> 01:14:58,863
INTRAMURALLY.

2077
01:14:58,863 --> 01:15:00,164
THE OTHER THING THAT'S IMPORTANT

2078
01:15:00,164 --> 01:15:01,365
ABOUT PAIN AS YOU PROBABLY KNOW,

2079
01:15:01,365 --> 01:15:03,000
THERE'S NO PAIN INSTITUTE AT THE

2080
01:15:03,000 --> 01:15:03,300
NIH.

2081
01:15:03,300 --> 01:15:04,835
BACK TO OUR DISCUSSION ABOUT HOW

2082
01:15:04,835 --> 01:15:06,370
COMPLEMENTARY AND INTEGRATIVE

2083
01:15:06,370 --> 01:15:07,338
APPROACHES ARE USED BY THE

2084
01:15:07,338 --> 01:15:09,974
PUBLIC PRIMARILY OR ONE MAJOR

2085
01:15:09,974 --> 01:15:11,509
REASON IS FOR THE MANAGEMENT OF

2086
01:15:11,509 --> 01:15:11,909
PAIN.

2087
01:15:11,909 --> 01:15:13,044
YOU CAN SEE WHY THIS IS AN

2088
01:15:13,044 --> 01:15:13,477
IMPORTANT AREA.

2089
01:15:13,477 --> 01:15:16,747
AND AGAIN, GETTING BACK TO BASIC

2090
01:15:16,747 --> 01:15:17,615
MECHANISMS AND OUR UNDERSTANDING

2091
01:15:17,615 --> 01:15:19,116
OF PAIN, WHICH IS VERY COMPLEX,

2092
01:15:19,116 --> 01:15:20,885
IT'S JUST NOT NOCICEPTION,

2093
01:15:20,885 --> 01:15:21,919
RIGHT, IT'S MORE COMPLICATED

2094
01:15:21,919 --> 01:15:22,420
THAN THAT.

2095
01:15:22,420 --> 01:15:23,521
BUT WE HAVE VERY LITTLE

2096
01:15:23,521 --> 01:15:23,921
RESEARCH.

2097
01:15:23,921 --> 01:15:24,922
AND THAT'S WHERE THE HEAL

2098
01:15:24,922 --> 01:15:26,624
INITIATIVE COMES IN, AND I'LL

2099
01:15:26,624 --> 01:15:27,958
TALK ABOUT THAT IN A LITTLE BIT,

2100
01:15:27,958 --> 01:15:29,393
HOW OUR INTRAMURAL PROGRAM IS

2101
01:15:29,393 --> 01:15:30,795
GETTING INVOLVED WITH THE HEAL

2102
01:15:30,795 --> 01:15:33,431
INITIATIVE, WITH YOU  BUT ALSO E

2103
01:15:33,431 --> 01:15:34,165
GOING WITH OUR MISSION.

2104
01:15:34,165 --> 01:15:40,738
SO WHAT IS OUR MISSION?

2105
01:15:40,738 --> 01:15:41,806
SO OUR OVER ALL MISSION OF THE

2106
01:15:41,806 --> 01:15:43,774
PROGRAM IS TO CONDUCT BASIC

2107
01:15:43,774 --> 01:15:44,875
CLINICAL AND TRANSLATIONAL

2108
01:15:44,875 --> 01:15:45,976
RESEARCH FOCUSING ON THE ROLE OF

2109
01:15:45,976 --> 01:15:47,478
THE NERVOUS SYSTEM, OTHER

2110
01:15:47,478 --> 01:15:49,346
PHYSIOLOGICAL SYSTEMS,

2111
01:15:49,346 --> 01:15:50,881
PSYCHOLOGICAL FACTORS,

2112
01:15:50,881 --> 01:15:51,515
APPRECIATING THAT PAIN IS,

2113
01:15:51,515 --> 01:15:54,051
AGAIN, NOT JUST NOCICEPTION, IN

2114
01:15:54,051 --> 01:15:55,453
PERCEIVING AND MODIFYING AND

2115
01:15:55,453 --> 01:15:57,088
MANAGING PAIN.

2116
01:15:57,088 --> 01:15:58,489
IMPORTANTLY, THIS IS A MISSION

2117
01:15:58,489 --> 01:15:59,924
OF ALL INTRAMURAL PROGRAMS AT

2118
01:15:59,924 --> 01:16:01,692
THE NIH, WE PROVIDE A RICH

2119
01:16:01,692 --> 01:16:03,728
ENVIRONMENT FOR TRAINING, AND

2120
01:16:03,728 --> 01:16:05,596
DEVELOPMENT OF CLINICAL AND

2121
01:16:05,596 --> 01:16:07,031
BASIC SCIENTISTS.

2122
01:16:07,031 --> 01:16:09,967
SO IN THAT SENSE, WE ARE VERY

2123
01:16:09,967 --> 01:16:11,869
SIMILAR TO OTHER INSTITUTES AT

2124
01:16:11,869 --> 01:16:13,804
THE NIH.

2125
01:16:13,804 --> 01:16:15,539
AND AGAIN, THE REASON WHY WE'RE

2126
01:16:15,539 --> 01:16:17,508
SO INTERESTED IN PAIN, IF YOU

2127
01:16:17,508 --> 01:16:20,010
THINK ABOUT PAIN IN THE UNITED

2128
01:16:20,010 --> 01:16:22,079
STATES, THERE ARE MORE PEOPLE

2129
01:16:22,079 --> 01:16:23,714
SUFFERING WITH CHRONIC PAIN THAN

2130
01:16:23,714 --> 01:16:25,249
CANCER, HEART DISEASE AND

2131
01:16:25,249 --> 01:16:25,683
DIABETES COMBINED.

2132
01:16:25,683 --> 01:16:29,520
IT A MAJOR PUBLIC HEALTH PROBLEM

2133
01:16:29,520 --> 01:16:32,256
AND CHALLENGE, AND AGAIN, OUR

2134
01:16:32,256 --> 01:16:33,224
PROGRAM CAN REALLY HELP.

2135
01:16:33,224 --> 01:16:35,292
SO WHAT IS OUR VISION TO HELP

2136
01:16:35,292 --> 01:16:37,461
ADDRESS THIS MAJOR PUBLIC HEALTH

2137
01:16:37,461 --> 01:16:38,562
CHALLENGE?

2138
01:16:38,562 --> 01:16:41,398
WE REALLY STRIVE TO BE A

2139
01:16:41,398 --> 01:16:42,967
MULTIDISCIPLINARY COLLABORATIVE

2140
01:16:42,967 --> 01:16:43,367
RESEARCH PROGRAM.

2141
01:16:43,367 --> 01:16:44,368
THAT'S REALLY IMPORTANT.

2142
01:16:44,368 --> 01:16:45,970
THE INTRAMURAL ENVIRONMENT AT

2143
01:16:45,970 --> 01:16:49,373
NIH IS QUITE COLLABORATIVE.

2144
01:16:49,373 --> 01:16:52,743
IT NOT SILOED, WE WORK

2145
01:16:52,743 --> 01:16:53,844
COLLABORATIVELY WITH ALL OTHER

2146
01:16:53,844 --> 01:16:54,912
INSTITUTES AND I'LL GET MORE

2147
01:16:54,912 --> 01:16:55,913
INTO THAT WHEN I TALK ABOUT THE

2148
01:16:55,913 --> 01:16:57,448
PAIN RESEARCH CENTER TA WE

2149
01:16:57,448 --> 01:16:58,983
SUPPORT.

2150
01:16:58,983 --> 01:17:00,351
BUT IN OUR OWN PROGRAM, WE HAVE

2151
01:17:00,351 --> 01:17:02,019
A VERY STRONG EPIDEMIOLOGICAL

2152
01:17:02,019 --> 01:17:03,220
PROGRAM, WHICH YOU HEARD ABOUT

2153
01:17:03,220 --> 01:17:05,523
FROM HELENE'S TALK, CLINICAL,

2154
01:17:05,523 --> 01:17:07,358
TRANSLATIONAL, BASIC RESEARCH

2155
01:17:07,358 --> 01:17:08,592
THAT FOCUSES ON ACUTE AND

2156
01:17:08,592 --> 01:17:10,528
CHRONIC PAIN, AND ASSOCIATED

2157
01:17:10,528 --> 01:17:11,495
PROCESSES OR CONDITIONS

2158
01:17:11,495 --> 01:17:12,496
INCLUDING THOSE THAT APPLY TO

2159
01:17:12,496 --> 01:17:14,365
THE CONCEPT OF WHOLE PERSON

2160
01:17:14,365 --> 01:17:16,200
HEALTH AND HEALTH RESTORATION,

2161
01:17:16,200 --> 01:17:17,635
WHICH WE'VE JUST TALKED ABOUT AS

2162
01:17:17,635 --> 01:17:18,269
WELL.

2163
01:17:18,269 --> 01:17:21,138
SO OUR PROGRAM IS REALLY

2164
01:17:21,138 --> 01:17:21,939
MULTIFACETED.

2165
01:17:21,939 --> 01:17:23,707
IT'S INVOLVED IN DOING CUTTING

2166
01:17:23,707 --> 01:17:24,608
EDGE PAIN RESEARCH FROM

2167
01:17:24,608 --> 01:17:28,012
MOLECULES TO HUMANS.

2168
01:17:28,012 --> 01:17:29,847
WE HAVE A ROBUST AND DIVERSE

2169
01:17:29,847 --> 01:17:30,815
ENVIRONMENT THAT TRAINS AND

2170
01:17:30,815 --> 01:17:32,783
SUPPORTS THE NEXT GENERATION OF

2171
01:17:32,783 --> 01:17:35,319
SCIENTISTS, WHICH IS REALLY A

2172
01:17:35,319 --> 01:17:37,054
KEY FACTOR FOR AN INTRAMURAL

2173
01:17:37,054 --> 01:17:37,555
PROGRAM.

2174
01:17:37,555 --> 01:17:38,622
A COMMITMENT TO EXPAND PRESENCE

2175
01:17:38,622 --> 01:17:40,925
OF PAIN AT THE NIH.

2176
01:17:40,925 --> 01:17:42,226
WHILE WE'RE DOING A VERY GOOD

2177
01:17:42,226 --> 01:17:43,861
JOB IN THE EXTRAMURAL COMMUNITY,

2178
01:17:43,861 --> 01:17:44,829
WE HAVE LITTLE -- OR WE'RE

2179
01:17:44,829 --> 01:17:46,163
STARTING TO GROW A MORE

2180
01:17:46,163 --> 01:17:47,331
COLLABORATIVE EFFORT AROUND PAIN

2181
01:17:47,331 --> 01:17:48,666
RESEARCH IN THE INTRAMURAL

2182
01:17:48,666 --> 01:17:50,601
PROGRAM, AND REALLY NCCIH IS

2183
01:17:50,601 --> 01:17:51,602
LEADING THAT EFFORT, WHICH I'M

2184
01:17:51,602 --> 01:17:53,103
VERY PROUD.

2185
01:17:53,103 --> 01:17:55,072
WE HAVE A STRONG COMMITMENT TO

2186
01:17:55,072 --> 01:17:58,042
EQUITY, DIVERSITY AND INCLUSION.

2187
01:17:58,042 --> 01:17:59,143
AND IMPORTANTLY WE ALSO WANT TO

2188
01:17:59,143 --> 01:18:00,211
SERVE THE PATIENTS THAT COME TO

2189
01:18:00,211 --> 01:18:03,480
THE NIH FOR VARIOUS DISORDERS,

2190
01:18:03,480 --> 01:18:05,249
DISEASES, THEY ALSO IN MANY

2191
01:18:05,249 --> 01:18:06,750
CASES HAVE CO-MORBID PAIN AND WE

2192
01:18:06,750 --> 01:18:08,285
DO THAT THROUGH THE PAIN

2193
01:18:08,285 --> 01:18:09,286
RESEARCH CENTER WHICH I'LL TALK

2194
01:18:09,286 --> 01:18:16,126
MORE ABOUT IN A MOMENT.

2195
01:18:16,126 --> 01:18:17,561
SO THIS IS SORT OF WHERE WE LIVE

2196
01:18:17,561 --> 01:18:18,896
ON THE NIH CAMPUS.

2197
01:18:18,896 --> 01:18:21,932
WE HAVE RESEARCH GOING ON IN THE

2198
01:18:21,932 --> 01:18:23,234
CLINICAL CENTER, IN OUR

2199
01:18:23,234 --> 01:18:24,435
OUTPATIENT CLINICS.

2200
01:18:24,435 --> 01:18:26,337
WE HAVE OUR BASIC SCIENCE

2201
01:18:26,337 --> 01:18:30,341
PROGRAM IS HOUSED AT THE PORTER

2202
01:18:30,341 --> 01:18:31,208
NEUROSCIENCE RESEARCH CENTER

2203
01:18:31,208 --> 01:18:33,277
HERE AGAIN ON THE MAIN CAMPUS,

2204
01:18:33,277 --> 01:18:35,813
AND AFTER A FEW YEARS, LET'S

2205
01:18:35,813 --> 01:18:37,715
SAY, WE WERE ABLE TO RENOVATE

2206
01:18:37,715 --> 01:18:41,051
ONE OF THE PUBLIC HEALTH SERVICE

2207
01:18:41,051 --> 01:18:41,552
OFFICER'S QUARTERS.

2208
01:18:41,552 --> 01:18:42,887
I DON'T KNOW IF YOU KNOW, BUT

2209
01:18:42,887 --> 01:18:44,521
PEOPLE ACTUALLY USED TO LIVE ON

2210
01:18:44,521 --> 01:18:45,189
CAMPUS.

2211
01:18:45,189 --> 01:18:46,924
THE SURGEON GENERAL WAS OFFERED

2212
01:18:46,924 --> 01:18:49,526
A HOUSE, THE CURRENT SURGEON

2213
01:18:49,526 --> 01:18:50,294
GENERAL IS OFFERED AN

2214
01:18:50,294 --> 01:18:51,829
OPPORTUNITY TO LIVE ON THE NIH

2215
01:18:51,829 --> 01:18:53,430
CAMPUS, BUT OVER TIME, THE

2216
01:18:53,430 --> 01:18:54,765
HOUSING IS BEING CONVERTED TO

2217
01:18:54,765 --> 01:18:55,232
OFFICE SPACE.

2218
01:18:55,232 --> 01:18:57,935
WE HAVE JUST CONVERTED ONE OF

2219
01:18:57,935 --> 01:19:00,170
THESE PUBLIC HEALTH SERVICE

2220
01:19:00,170 --> 01:19:01,705
OFFICER'S QUARTERS TOWNHOMES TO

2221
01:19:01,705 --> 01:19:04,208
OFFICE SPACE FOR A CLINICAL

2222
01:19:04,208 --> 01:19:05,409
RESEARCH PROGRAM, WHICH IS VERY

2223
01:19:05,409 --> 01:19:07,011
CLOSE TO THE CLINICAL CENTER SO

2224
01:19:07,011 --> 01:19:08,045
IT'S REALLY CONVENIENT FOR OUR

2225
01:19:08,045 --> 01:19:13,183
CLINICAL STAFF.

2226
01:19:13,183 --> 01:19:14,718
THE OTHER THING WE'VE DONE IS

2227
01:19:14,718 --> 01:19:17,755
WE'VE REORGANIZED OUR DIVISION.

2228
01:19:17,755 --> 01:19:18,989
WE'VE DONE THIS TO REALLY BUILD

2229
01:19:18,989 --> 01:19:21,592
OUT THE PROGRAM IN SOME WAYS,

2230
01:19:21,592 --> 01:19:22,793
STARTING IN THE LEFT-HAND CORNER

2231
01:19:22,793 --> 01:19:29,233
OVER HERE WITH THE OFFICE OF

2232
01:19:29,233 --> 01:19:30,868
CLINICAL DIRECTOR HERE, IT'S

2233
01:19:30,868 --> 01:19:31,769
SOMETHING WE JUST ADDED TO OUR

2234
01:19:31,769 --> 01:19:32,002
PROGRAM.

2235
01:19:32,002 --> 01:19:41,345
THIS IS LED BY DR. MISHA

2236
01:19:41,345 --> 01:19:42,546
BEJKONYA, TO DO RESEARCH WITH

2237
01:19:42,546 --> 01:19:43,547
PATIENTS PARTICULARLY WHO HAVE

2238
01:19:43,547 --> 01:19:44,848
COMPLEX PAIN DISORDERS, BUT

2239
01:19:44,848 --> 01:19:46,483
IMPORTANTLY, THEY SERVE AS THE

2240
01:19:46,483 --> 01:19:48,552
OVERSIGHT REGULATORY AND SAFETY

2241
01:19:48,552 --> 01:19:50,220
MONITORING FOR OUR ENTIRE

2242
01:19:50,220 --> 01:19:51,822
CLINICAL PROGRAM, AND THEY DO A

2243
01:19:51,822 --> 01:19:54,892
FABULOUS JOB OF THAT.

2244
01:19:54,892 --> 01:19:56,026
PART OF OUR CLINICAL PROGRAM IN

2245
01:19:56,026 --> 01:19:59,964
THE NEXT BOX IS THE AFFECTIVE

2246
01:19:59,964 --> 01:20:01,031
NEUROSCIENCE AND PAIN LABORATORY

2247
01:20:01,031 --> 01:20:02,766
DIRECTED BY DR. LAUREN ATLAS.

2248
01:20:02,766 --> 01:20:04,268
AGAIN, THEY ARE LOOKING AT PAIN

2249
01:20:04,268 --> 01:20:07,237
AS A COMPLEX

2250
01:20:07,237 --> 01:20:08,205
MULTIDISCIPLINARY -- FROM A

2251
01:20:08,205 --> 01:20:09,406
MULTIDISCIPLINARY APPROACH

2252
01:20:09,406 --> 01:20:12,676
LOOKING AT PAIN FROM BOTH

2253
01:20:12,676 --> 01:20:16,847
EMOTIONAL COGNITIVE MECHANISMS,

2254
01:20:16,847 --> 01:20:18,716
EXPECTATIONS, AFFECT AS WAYS IN

2255
01:20:18,716 --> 01:20:20,784
WHICH PAIN IS BEING INFLUENCED,

2256
01:20:20,784 --> 01:20:22,753
AND BOTH INFLUENCING PAIN BUT

2257
01:20:22,753 --> 01:20:24,488
ALSO EMOTIONAL EXPERIENCE AND

2258
01:20:24,488 --> 01:20:27,224
FOCUSED ON CLINICAL OUTCOMES.

2259
01:20:27,224 --> 01:20:28,092
ANOTHER PROGRAM THAT'S BEEN

2260
01:20:28,092 --> 01:20:30,194
AROUND FOR A WHILE IS THE

2261
01:20:30,194 --> 01:20:32,896
PROGRAM PAIN NEUROCIRCUITRY AND

2262
01:20:32,896 --> 01:20:35,632
CELLULAR PLASTICITY LABORATORY

2263
01:20:35,632 --> 01:20:40,004
LED BY DR. YARMAR CARISTIO.

2264
01:20:40,004 --> 01:20:41,872
A KEY FOCUS OF HER RESEARCH IS

2265
01:20:41,872 --> 01:20:44,408
FOCUSED ON THE CENTRAL AMYGDALA

2266
01:20:44,408 --> 01:20:46,977
AS A PAIN REOSTAT THAT MOD LATES

2267
01:20:46,977 --> 01:20:49,079
PAIN IN THE BRAIN BUT LOOKING

2268
01:20:49,079 --> 01:20:50,314
BROADLY AND DETERMINING HOW SEX

2269
01:20:50,314 --> 01:20:51,749
PLAYS A ROLE IN PERCEPTION OF

2270
01:20:51,749 --> 01:20:54,451
PAIN.

2271
01:20:54,451 --> 01:20:55,085
ANOTHER PROGRAM THAT'S BEEN

2272
01:20:55,085 --> 01:20:56,854
AROUND FOR THE 12 YEARS IS THE

2273
01:20:56,854 --> 01:21:00,624
SENSORY CELLS AND CIRCUITS

2274
01:21:00,624 --> 01:21:01,625
LABORATORY.

2275
01:21:01,625 --> 01:21:04,428
LED BY DR. ALEX CHESS LER, HOW

2276
01:21:04,428 --> 01:21:06,964
SENSORY INPUTS, PARTICULARLY

2277
01:21:06,964 --> 01:21:07,898
MECHANOSENSATION IS DETECTED AT

2278
01:21:07,898 --> 01:21:09,666
THE PERIPHERY, AND THEN IS

2279
01:21:09,666 --> 01:21:11,201
TRANSLATED TO THE BRAUN THAT

2280
01:21:11,201 --> 01:21:12,736
AFFECTS SPECIFIC BEHAVIORS.

2281
01:21:12,736 --> 01:21:16,206
WONDERFUL WORK IN THAT PROGRAM.

2282
01:21:16,206 --> 01:21:17,875
AND THEN I MENTIONED OFFICIALLY

2283
01:21:17,875 --> 01:21:19,710
NOW UNDER THIS REORGANIZATION

2284
01:21:19,710 --> 01:21:20,844
THE PAIN RESEARCH CENTER, AND

2285
01:21:20,844 --> 01:21:24,415
THIS IS REALLY SERVING AS A

2286
01:21:24,415 --> 01:21:25,849
RESEARCH CORE THAT NCCIH LEADS

2287
01:21:25,849 --> 01:21:31,221
TO SERVE AS A RESEARCH HUB FOR

2288
01:21:31,221 --> 01:21:34,058
ALL NIH -- ACTUALLY THE ENTIRE

2289
01:21:34,058 --> 01:21:35,159
INTRAMURAL RESEARCH PROGRAM.

2290
01:21:35,159 --> 01:21:36,360
IT GIVES CLINICAL RESEARCHERS

2291
01:21:36,360 --> 01:21:41,165
THE OPPORTUNITY FROM OUTSIDE THE

2292
01:21:41,165 --> 01:21:42,833
PAIN FIELD, INSIDE THE PAIN

2293
01:21:42,833 --> 01:21:44,368
FIELD BUT PRIMARILY OUTSIDE THE

2294
01:21:44,368 --> 01:21:46,336
PAIN FIELD TO STUDY PAIN AMONG

2295
01:21:46,336 --> 01:21:47,171
DIVERSE PATIENT POPULATIONS

2296
01:21:47,171 --> 01:21:48,939
COMING TO THE NIH.

2297
01:21:48,939 --> 01:21:50,574
SO THIS IS REALLY AN IMPORTANT

2298
01:21:50,574 --> 01:21:53,077
RESEARCH CENTER AT THE NIH

2299
01:21:53,077 --> 01:21:54,511
BECAUSE YOU CAN THINK ABOUT THE

2300
01:21:54,511 --> 01:21:57,581
DIVERSITY OF PATIENTS WITH

2301
01:21:57,581 --> 01:21:59,016
CONDITIONS RANGING FROM CANCER

2302
01:21:59,016 --> 01:22:01,085
TO SICKLE CELL DISEASE TO

2303
01:22:01,085 --> 01:22:01,618
AUTOIMMUNE DISORDERS TO

2304
01:22:01,618 --> 01:22:04,455
PSYCHIATRIC CONDITIONS TO RARE

2305
01:22:04,455 --> 01:22:06,890
GENETIC CONDITIONS, AND MANY IF

2306
01:22:06,890 --> 01:22:09,693
NOT ALL OF THESE CONDITIONS ARE

2307
01:22:09,693 --> 01:22:10,127
CO-MORBID FOR PAIN.

2308
01:22:10,127 --> 01:22:11,795
SO I LIKE TO SAY THAT YOU MAY BE

2309
01:22:11,795 --> 01:22:13,197
A PANE RESEARCHER AND YOU DON'T

2310
01:22:13,197 --> 01:22:14,531
EVEN KNOW IT BECAUSE THE PATIENT

2311
01:22:14,531 --> 01:22:15,399
POPULATION YOU'RE WORKING WITH

2312
01:22:15,399 --> 01:22:18,502
IS PROBABLY -- HAS CO-MORBID

2313
01:22:18,502 --> 01:22:18,769
PAIN.

2314
01:22:18,769 --> 01:22:20,637
THIS IS WHERE THE PAIN RESEARCH

2315
01:22:20,637 --> 01:22:23,674
CENTER CAN PROVIDE THAT

2316
01:22:23,674 --> 01:22:27,811
EXPERTISE AND REA SOURCE TO ANDY

2317
01:22:27,811 --> 01:22:28,846
PAIN AMONG THE PATIENTS THAT

2318
01:22:28,846 --> 01:22:31,081
COME TO THE CLINICAL CENTER.

2319
01:22:31,081 --> 01:22:32,249
SO REALLY EXCITED ABOUT THIS

2320
01:22:32,249 --> 01:22:33,584
OPPORTUNITY TO REALLY BRING PAIN

2321
01:22:33,584 --> 01:22:34,451
RESEARCH TOGETHER WITH THIS

2322
01:22:34,451 --> 01:22:35,752
CENTER.

2323
01:22:35,752 --> 01:22:37,421
FINALLY AS HELENE MENTIONED,

2324
01:22:37,421 --> 01:22:40,457
WE'VE ADDED -- WE'VE BROUGHT

2325
01:22:40,457 --> 01:22:43,760
OVER THE EPIDEMIOLOGY PROGRAM,

2326
01:22:43,760 --> 01:22:45,829
RICHARD NAHIN WHO FOR MANY YEARS

2327
01:22:45,829 --> 01:22:47,798
SERVED UNDER THE OFFICE OF THE

2328
01:22:47,798 --> 01:22:49,133
DIRECTOR UNDER DR. LANGEVIN

2329
01:22:49,133 --> 01:22:50,634
DIRECTLY IS NOW MOVING INTO OUR

2330
01:22:50,634 --> 01:22:52,269
INTRAMURAL PROGRAM, AND HE'S

2331
01:22:52,269 --> 01:22:54,138
RESPONSIBLE FOR THE DESIGN,

2332
01:22:54,138 --> 01:22:57,541
IMPLEMENTATION AND ANALYSIS OF

2333
01:22:57,541 --> 01:22:59,176
HIGH QUALITY SURVEYS AND

2334
01:22:59,176 --> 01:23:00,043
LONGITUDINAL STUDIES THAT WILL

2335
01:23:00,043 --> 01:23:01,578
FURTHER THE UNDERSTANDING OF

2336
01:23:01,578 --> 01:23:02,312
COMPLEMENTARY HEALTH APPROACHES

2337
01:23:02,312 --> 01:23:03,647
AND CHRONIC PAIN AS WELL AS

2338
01:23:03,647 --> 01:23:05,415
FACTORS THAT CONTRIBUTE TO

2339
01:23:05,415 --> 01:23:07,818
RESILIENCE, WELL-BEING AND

2340
01:23:07,818 --> 01:23:09,153
HEALTH RESTORATION.

2341
01:23:09,153 --> 01:23:10,320
IMPORTANTLY BY BEING IN THE

2342
01:23:10,320 --> 01:23:11,088
INTRAMURAL PROGRAM NOW, THIS

2343
01:23:11,088 --> 01:23:13,056
PROGRAM CAN NOW COLLABORATE WITH

2344
01:23:13,056 --> 01:23:14,191
OTHER EPIDEMIOLOGIC PROGRAMS

2345
01:23:14,191 --> 01:23:14,925
ACROSS THE NIH.

2346
01:23:14,925 --> 01:23:18,529
SO IT'S REALLY LEVERAGING THIS

2347
01:23:18,529 --> 01:23:19,963
PROGRAM IN WAYS THAT IT COULDN'T

2348
01:23:19,963 --> 01:23:20,497
DO PREVIOUSLY.

2349
01:23:20,497 --> 01:23:21,698
SO VERY EXCITED.

2350
01:23:21,698 --> 01:23:23,767
THE OTHER THING TO NOTE ABOUT

2351
01:23:23,767 --> 01:23:26,737
THIS NEW REORGANIZATION, WHICH

2352
01:23:26,737 --> 01:23:28,472
IS BECAUSE WE'RE SO SMALL IS

2353
01:23:28,472 --> 01:23:31,241
THAT IT'S A FLAT STRUCTURE.

2354
01:23:31,241 --> 01:23:33,177
SO EVERY SECTION REPORTS

2355
01:23:33,177 --> 01:23:37,147
DIRECTLY TO THE SA SCIENTIFIC

2356
01:23:37,147 --> 01:23:38,315
DIRECTOR, THERE'S NO MIDDLE

2357
01:23:38,315 --> 01:23:39,683
PERSON, THERE'S NO BRANCH,

2358
01:23:39,683 --> 01:23:40,517
THERE'S NO OTHER STRUCTURE.

2359
01:23:40,517 --> 01:23:43,053
SO THAT'S REALLY A NICE WAY THAT

2360
01:23:43,053 --> 01:23:44,354
THERE'S DIRECT ACCESS TO THE

2361
01:23:44,354 --> 01:23:45,455
SCIENTIFIC DIRECTOR, THE

2362
01:23:45,455 --> 01:23:46,523
EXCEPTION BEING UNDER NIH

2363
01:23:46,523 --> 01:23:47,958
POLICY, THE CLINICAL DIRECTOR,

2364
01:23:47,958 --> 01:23:49,726
THE OFFICE OF THE CLINICAL

2365
01:23:49,726 --> 01:23:51,461
DIRECTOR REPORTS DIRECTLY TO THE

2366
01:23:51,461 --> 01:23:52,963
INSTITUTE DIRECTOR FOR REASONS

2367
01:23:52,963 --> 01:23:56,500
RELATED TO POLICY AND SAFETY.

2368
01:23:56,500 --> 01:24:00,437
SO THAT'S OUR REORGANIZATION.

2369
01:24:00,437 --> 01:24:02,272
WE'RE VERY PROUD OF THE MANY

2370
01:24:02,272 --> 01:24:03,373
ACCOMPLISHMENTS WE'VE HAD OVER

2371
01:24:03,373 --> 01:24:04,141
THE YEARS.

2372
01:24:04,141 --> 01:24:05,442
AGAIN AS I MENTIONED, WE'RE 12

2373
01:24:05,442 --> 01:24:07,744
YEARS OLD SO A LOT OF GOOD NEW

2374
01:24:07,744 --> 01:24:10,247
CAREER CHANGING EVENTS HAVE

2375
01:24:10,247 --> 01:24:12,783
HAPPENED WITH OUR INVESTIGATORS.

2376
01:24:12,783 --> 01:24:14,218
DR. LAUREN ATLAS RECEIVED NIH

2377
01:24:14,218 --> 01:24:15,986
TENURE JUST ABOUT A YEAR AGO, A

2378
01:24:15,986 --> 01:24:20,123
LITTLE LESS THAN A YEAR AGO NOW.

2379
01:24:20,123 --> 01:24:24,494
DR. MISHA BACKONJA WAS RECENTLY

2380
01:24:24,494 --> 01:24:25,362
APPOINTED CLINICAL DIRECTOR IN

2381
01:24:25,362 --> 01:24:25,796
FEBRUARY THIS YEAR.

2382
01:24:25,796 --> 01:24:27,164
YOU MENTIONED THE REORGANIZATION

2383
01:24:27,164 --> 01:24:29,199
THAT JUST LITERALLY HAPPENED IN

2384
01:24:29,199 --> 01:24:31,802
APRIL.

2385
01:24:31,802 --> 01:24:34,871
DR. YARIMAR CARRASQUILLO

2386
01:24:34,871 --> 01:24:36,306
RECEIVED NIH TENURE IN MAY OF

2387
01:24:36,306 --> 01:24:37,708
THIS YEAR.

2388
01:24:37,708 --> 01:24:39,343
DR. RICHARD NAHIN APPOINTED

2389
01:24:39,343 --> 01:24:40,911
CHIEF OF THE EPIDEMIOLOGY

2390
01:24:40,911 --> 01:24:42,980
PROGRAM IN JUNE.

2391
01:24:42,980 --> 01:24:47,718
DR. CHESLER RECEI WENT THROUGH S

2392
01:24:47,718 --> 01:24:50,520
THIRD BOARD OF SCIENTIFIC

2393
01:24:50,520 --> 01:24:51,388
COUNCIL'S REVIEW.

2394
01:24:51,388 --> 01:24:52,823
THESE ARE EVERY FOUR YEARS.

2395
01:24:52,823 --> 01:24:55,459
PIs ARE REVIEWED BY OUTSIDE

2396
01:24:55,459 --> 01:24:56,460
EXPERTS AT THEIR SCIENCE.

2397
01:24:56,460 --> 01:24:57,728
HE RECEIVED AN OUTSTANDING

2398
01:24:57,728 --> 01:24:58,929
RATING WHICH SAYS A LOT ABOUT

2399
01:24:58,929 --> 01:25:00,230
HIS RESEARCH BUT ALSO ABOUT OUR

2400
01:25:00,230 --> 01:25:01,231
PROGRAM THAT JUST HAPPENED IN

2401
01:25:01,231 --> 01:25:01,698
JULY.

2402
01:25:01,698 --> 01:25:02,766
WE'RE VERY EXCITED ABOUT MANY

2403
01:25:02,766 --> 01:25:03,967
NEW STAFF HIRES AND PROMOTIONS

2404
01:25:03,967 --> 01:25:05,936
THAT MAY HAVE BEEN MENTIONED AT

2405
01:25:05,936 --> 01:25:07,237
COUNCIL, I THINK THEY'RE IN YOUR

2406
01:25:07,237 --> 01:25:08,038
ELECTRONIC COUNCIL BOOK SO I

2407
01:25:08,038 --> 01:25:11,508
ENCOURAGE UR TO L YOU TO LOOK A.

2408
01:25:11,508 --> 01:25:12,843
AND AGAIN GETTING BACK TO

2409
01:25:12,843 --> 01:25:13,810
BUILDING OUR PAIN RESEARCH

2410
01:25:13,810 --> 01:25:14,845
CENTER, WE'RE JUST IN THE

2411
01:25:14,845 --> 01:25:15,846
PROCESS NOW OF HIRING A FACILITY

2412
01:25:15,846 --> 01:25:16,113
HEAD.

2413
01:25:16,113 --> 01:25:18,615
WE HAVE A TENTATIVE OFFER, AND

2414
01:25:18,615 --> 01:25:20,384
IF ALL GOES WELL, YOU KNOW, IT'S

2415
01:25:20,384 --> 01:25:21,585
THE GOVERNMENT SO YOU NEVER SAY

2416
01:25:21,585 --> 01:25:22,786
IT GOING TO HAPPEN UNTIL IT

2417
01:25:22,786 --> 01:25:24,855
FINALLY HAPPENS, BUT WE'RE

2418
01:25:24,855 --> 01:25:26,390
HOPEFUL THAT OUR NEW FACILITY

2419
01:25:26,390 --> 01:25:28,692
HEAD WILL BE ON BOARD BY

2420
01:25:28,692 --> 01:25:29,559
NOVEMBER OF THIS YEAR.

2421
01:25:29,559 --> 01:25:31,762
SO A LOT OF EXCITING GROWTH AND

2422
01:25:31,762 --> 01:25:32,963
CHANGE AND AGAIN THE THEME OF

2423
01:25:32,963 --> 01:25:37,000
BUILDING THE PROGRAM.

2424
01:25:37,000 --> 01:25:38,435
THIS IS JUST TO GIVE YOU A

2425
01:25:38,435 --> 01:25:39,770
SNAPSHOT OF SOME OF THE REALLY

2426
01:25:39,770 --> 01:25:42,472
EXCITING RA RESEARCH GOING ON IN

2427
01:25:42,472 --> 01:25:43,373
OUR INTRAMURAL PROGRAM.

2428
01:25:43,373 --> 01:25:44,775
I WON'T HAVE TIME TO GO INTO IT,

2429
01:25:44,775 --> 01:25:46,543
BUT IT'S NICELY CAPTURED ON OUR

2430
01:25:46,543 --> 01:25:48,045
WEBSITE, THE RESEARCH

2431
01:25:48,045 --> 01:25:49,146
SPOTLIGHT'S WEBSITE, SO YOU CAN

2432
01:25:49,146 --> 01:25:51,014
SEE THE URL AT THE BOTTOM, BUT

2433
01:25:51,014 --> 01:25:55,285
YOU CAN SEE THIS IS CUTTING EDGE

2434
01:25:55,285 --> 01:26:01,291
RESEARCH FROM DRS. CARRASQUILLO,

2435
01:26:01,291 --> 01:26:04,594
ATLAS, CHESLER, NAHIN, AND I

2436
01:26:04,594 --> 01:26:05,996
HOPE YOU'LL HAVE AN OPPORTUNITY

2437
01:26:05,996 --> 01:26:06,997
TO REVIEW.

2438
01:26:06,997 --> 01:26:07,964
GETTING BACK TO THE HEAL

2439
01:26:07,964 --> 01:26:09,299
INITIATIVE, HELPING END

2440
01:26:09,299 --> 01:26:10,434
ADDICTION LONG TERM, THIS IS A

2441
01:26:10,434 --> 01:26:12,469
PROGRAM THAT CUTS ACROSS MANY

2442
01:26:12,469 --> 01:26:13,870
INSTITUTES AT THE NIH ON THE

2443
01:26:13,870 --> 01:26:15,072
EXTRAMURAL SIDE.

2444
01:26:15,072 --> 01:26:16,506
JUST THIS YEAR ACTUALLY, AGAIN,

2445
01:26:16,506 --> 01:26:18,342
VERY RECENTLY IN MAY AND WE'RE

2446
01:26:18,342 --> 01:26:20,877
ABOUT TO THINK ABOUT FUNDING

2447
01:26:20,877 --> 01:26:23,280
INTRAMURAL INVESTIGATORS UNDER

2448
01:26:23,280 --> 01:26:26,683
HEAL THIS MONTH, WE LAUNCHED THE

2449
01:26:26,683 --> 01:26:30,620
I-HEAL PROGRAM, INTRAMEUR HEAL

2450
01:26:30,620 --> 01:26:31,488
INITIATIVE PAIN RESEARCH

2451
01:26:31,488 --> 01:26:32,155
PROGRAM.

2452
01:26:32,155 --> 01:26:33,590
AND JUST FOR THOSE WHO MAY NOT

2453
01:26:33,590 --> 01:26:36,226
KNOW THE HISTORY OF THE HELPING

2454
01:26:36,226 --> 01:26:37,661
END ADDICTION LONG TERM HEAL

2455
01:26:37,661 --> 01:26:40,297
INITIATIVE, HOW WE GOT HERE, IT

2456
01:26:40,297 --> 01:26:45,769
REALLY STARTED A LONG TIME AGO,

2457
01:26:45,769 --> 01:26:52,008
IN 1999, WITH A FIRST WAVE OF

2458
01:26:52,008 --> 01:26:54,644
OPIOID USE THAT HAPPENED WITH

2459
01:26:54,644 --> 01:26:58,348
THE OVERPRESCRIBING OF OPIOID

2460
01:26:58,348 --> 01:26:59,216
MEDICATIONS, NEW FORMULATIONS

2461
01:26:59,216 --> 01:27:01,318
WERE COMING ON THE MARKET.

2462
01:27:01,318 --> 01:27:04,821
THERE WAS AN ADVOCACY FOR

2463
01:27:04,821 --> 01:27:06,423
PRESCRIBING OPIOID MEDICATIONS

2464
01:27:06,423 --> 01:27:09,626
TO PATIENTS TO TREAT PAIN.

2465
01:27:09,626 --> 01:27:12,062
WE CERTAINLY REALIZED THAT THESE

2466
01:27:12,062 --> 01:27:13,930
NEW FORMULATIONS WERE ADDICTIVE

2467
01:27:13,930 --> 01:27:15,332
AND MANY PEOPLE UNFORTUNATELY

2468
01:27:15,332 --> 01:27:17,734
WERE OVERDOSING ON THESE MED

2469
01:27:17,734 --> 01:27:23,340
KAIGS THAT RESULTED IN DEATHS.

2470
01:27:23,340 --> 01:27:24,641
THAT WAS THE FIRST WAVE.

2471
01:27:24,641 --> 01:27:29,279
AND THEN IN 2010, WE HAD A

2472
01:27:29,279 --> 01:27:31,314
SECOND WAVE WITH THE RISE IN

2473
01:27:31,314 --> 01:27:33,216
HEROIN OVERDOSE AND DEATHS, AND

2474
01:27:33,216 --> 01:27:36,987
THREE YEARS LATER, THE EPIDEMIC

2475
01:27:36,987 --> 01:27:38,388
TOOK A NEW TO THE FORM, THE

2476
01:27:38,388 --> 01:27:40,490
THIRD WAVE, WITH OVERDOSE AND

2477
01:27:40,490 --> 01:27:41,391
DEATHS STARTING WITH THE

2478
01:27:41,391 --> 01:27:43,093
INTRODUCTION OF FENTANYL.

2479
01:27:43,093 --> 01:27:45,629
WHICH IS A SYNTHETIC OPIOID.

2480
01:27:45,629 --> 01:27:47,597
IT'S APPROXIMATELY 100 TIMES

2481
01:27:47,597 --> 01:27:49,232
MORE POTENT.

2482
01:27:49,232 --> 01:27:52,402
 THAN MORPHINE AND 50

2483
01:27:52,402 --> 01:27:53,537
TIMES MORE POTENT THAN HAIR ONE

2484
01:27:53,537 --> 01:27:58,608
ANDHEROINAND THAT REALLY ACCELEE

2485
01:27:58,608 --> 01:28:00,444
PROBLEM OF ADDICTION BUT

2486
01:28:00,444 --> 01:28:00,977
CERTAINLY ACCELERATED THE

2487
01:28:00,977 --> 01:28:02,212
PROBLEM OF OVERDOSE AND DEATH.

2488
01:28:02,212 --> 01:28:05,649
SO IN 2017, HEALTH AND -- THE

2489
01:28:05,649 --> 01:28:06,249
DEPARTMENT OF HEALTH AND HUMAN

2490
01:28:06,249 --> 01:28:07,784
SERVICES DECLARED THE OPIOID

2491
01:28:07,784 --> 01:28:09,219
CRISIS A PUBLIC HEALTH

2492
01:28:09,219 --> 01:28:12,923
EMERGENCY, AND IN 2018, THERE

2493
01:28:12,923 --> 01:28:14,891
WAS A SPECIAL SETASIDE AND

2494
01:28:14,891 --> 01:28:15,892
REPORT FROM THE CONGRESS, THE

2495
01:28:15,892 --> 01:28:17,861
NIH HELPING TO END ADDICTION

2496
01:28:17,861 --> 01:28:20,197
LONG TERM INITIATIVE WAS

2497
01:28:20,197 --> 01:28:21,465
LAUNCHED TO ACCELERATE

2498
01:28:21,465 --> 01:28:23,366
SCIENTIFIC SOLUTIONS FOR OPIOID

2499
01:28:23,366 --> 01:28:25,535
USE DISORDER OVERDOSE, AND

2500
01:28:25,535 --> 01:28:26,403
REALLY GETTING AT SOME OF THE

2501
01:28:26,403 --> 01:28:27,637
ROOT CAUSE OF THESE OVERDOSE

2502
01:28:27,637 --> 01:28:29,506
DEATHS IS TO ACCELERATE THE

2503
01:28:29,506 --> 01:28:34,077
RESEARCH ON MANAGEMENT OF PAIN.

2504
01:28:34,077 --> 01:28:35,412
AND THAT'S BEEN A VERY

2505
01:28:35,412 --> 01:28:35,846
SUCCESSFUL PROGRAM.

2506
01:28:35,846 --> 01:28:37,614
YOU CAN SEE HERE OVER 18,000

2507
01:28:37,614 --> 01:28:40,016
PROJECTS HAVE BEEN SUPPORTED BY

2508
01:28:40,016 --> 01:28:43,420
THE HEAL INITIATIVE IN THE LAST

2509
01:28:43,420 --> 01:28:44,087
FIVE-PLUS YEARS.

2510
01:28:44,087 --> 01:28:48,458
YOU CAN SEE THAT IT COVERS

2511
01:28:48,458 --> 01:28:49,993
EXTRAMURAL SUPPORT ACROSS ALL 50

2512
01:28:49,993 --> 01:28:51,628
STATES.

2513
01:28:51,628 --> 01:28:52,963
IT REALLY IS A GAME CHANGER IN

2514
01:28:52,963 --> 01:28:53,964
TERMS OF HOW WE'RE THINKING

2515
01:28:53,964 --> 01:28:57,234
ABOUT THE TREAT W TREATMENT OF ,

2516
01:28:57,234 --> 01:29:00,537
IMPROVING OUR UNDERSTANDING OF

2517
01:29:00,537 --> 01:29:02,372
MANAGING OPIOID USE DISORDER AND

2518
01:29:02,372 --> 01:29:05,108
PREVENTION AND TREATMENT OF

2519
01:29:05,108 --> 01:29:06,543
OPIOID MISUSE AND ADDICTION.

2520
01:29:06,543 --> 01:29:08,078
SO THIS HAS REALLY BEEN AS I SAY

2521
01:29:08,078 --> 01:29:09,513
A GAME CHANGER FOR THE

2522
01:29:09,513 --> 01:29:10,380
EXTRAMURAL COMMUNITY AND AS WE

2523
01:29:10,380 --> 01:29:11,448
MOVE THE PROGRAM FOR THE OFFICE

2524
01:29:11,448 --> 01:29:13,683
OF THE DIRECTOR BACK TO

2525
01:29:13,683 --> 01:29:16,620
NEUROLOGICAL DISEASES AND STROKE

2526
01:29:16,620 --> 01:29:18,822
INSTITUTE AND NIDA, LEADERSHIP

2527
01:29:18,822 --> 01:29:20,156
HAS RETHOUGHT THE ROLE OF THE

2528
01:29:20,156 --> 01:29:23,193
INTRAMURAL PROGRAM AND HAS

2529
01:29:23,193 --> 01:29:24,828
DECIDED THAT THE INTRAMURAL

2530
01:29:24,828 --> 01:29:26,496
PROGRAM SHOULD BE INVOLVED TOO.

2531
01:29:26,496 --> 01:29:27,797
AND SOME GOOD REASONS FOR THAT

2532
01:29:27,797 --> 01:29:31,101
TO BE THE CASE.

2533
01:29:31,101 --> 01:29:33,103
THERE ARE SOME REALLY UNIQUE

2534
01:29:33,103 --> 01:29:34,037
STRENGTHS WITH THE INTRAMURAL

2535
01:29:34,037 --> 01:29:34,271
PROGRAM.

2536
01:29:34,271 --> 01:29:35,372
WE HAVE THE OPPORTUNITY TO

2537
01:29:35,372 --> 01:29:37,774
LEVERAGE AN EXISTING RESEARCH

2538
01:29:37,774 --> 01:29:38,508
INFRASTRUCTURE THAT'S ALREADY

2539
01:29:38,508 --> 01:29:39,976
PAID FOR.

2540
01:29:39,976 --> 01:29:41,945
WE HAVE CORES TO CUTTING EDGE

2541
01:29:41,945 --> 01:29:43,813
TECHNOLOGY THAT WE CAN

2542
01:29:43,813 --> 01:29:44,915
MAXIMIZITY EFFICIENCY AND IMPACT

2543
01:29:44,915 --> 01:29:46,683
AND FOCUS SOME OF THOSE

2544
01:29:46,683 --> 01:29:48,752
RESOURCES TO THE MISSION OF

2545
01:29:48,752 --> 01:29:50,620
HEAL.

2546
01:29:50,620 --> 01:29:51,721
BUT AT THE SAME TIME, WE WANT TO

2547
01:29:51,721 --> 01:29:54,791
MAKE SURE THAT THE PROCESS IS

2548
01:29:54,791 --> 01:29:56,426
COMPETITIVE AND RIGOROUS SO

2549
01:29:56,426 --> 01:30:00,363
WE'VE ADOPTED THE EXTRAMURAL

2550
01:30:00,363 --> 01:30:01,665
APPROACH TO PEER REVIEW.

2551
01:30:01,665 --> 01:30:03,533
AND OF COURSE ALL PROJECTS

2552
01:30:03,533 --> 01:30:04,868
SHOULD ADDRESS THE KEY ASPECTS

2553
01:30:04,868 --> 01:30:08,805
OF THE HEAL INITIATIVE.

2554
01:30:08,805 --> 01:30:10,774
SO I-HEAL RIGHT NOW IS SOLELY

2555
01:30:10,774 --> 01:30:13,743
DEVOTED FOR PAIN RESEARCH, IT'S

2556
01:30:13,743 --> 01:30:19,416
FLEXIBLE AND SCALABLE AND WE SEE

2557
01:30:19,416 --> 01:30:20,317
THOSE AVAILABLE FUNDS FROM HEAL.

2558
01:30:20,317 --> 01:30:21,818
IT'S REALLY A SMALL PERCENTAGE

2559
01:30:21,818 --> 01:30:22,319
OF THE BUDGET.

2560
01:30:22,319 --> 01:30:23,620
IN THE END, IT WILL BE LESS THAN

2561
01:30:23,620 --> 01:30:24,921
1% OF THE HEAL INITIATIVE

2562
01:30:24,921 --> 01:30:30,393
BUDGET.

2563
01:30:30,393 --> 01:30:32,262
SO JUST TO SUMMARIZE, WE JUST

2564
01:30:32,262 --> 01:30:34,431
LAUNCHED THIS PROGRAM IN APRIL

2565
01:30:34,431 --> 01:30:35,231
FISCAL YEAR '24.

2566
01:30:35,231 --> 01:30:38,635
FOR THIS FIRST PAY L PILOT ROUNT

2567
01:30:38,635 --> 01:30:43,340
WILL BE PRIMARILY FOCUSED ON

2568
01:30:43,340 --> 01:30:45,542
PAIN RELATED RESEARCH WE HOPE AS

2569
01:30:45,542 --> 01:30:46,509
THIS PROGRAM DEVELOPS AND GROWS

2570
01:30:46,509 --> 01:30:50,780
AND EVOLVES, THAT WILL INCLUDE

2571
01:30:50,780 --> 01:30:52,449
NIDA, THE HEAL PORTION THAT'S

2572
01:30:52,449 --> 01:30:54,651
UNDER NIDA TO FOCUS ON OPIOID

2573
01:30:54,651 --> 01:30:55,719
USE DISORDER, SUBSTANCE USE

2574
01:30:55,719 --> 01:30:56,920
DISORDERS AND WE HOPE THAT WILL

2575
01:30:56,920 --> 01:31:01,224
HAPPEN IN FISCAL '25.

2576
01:31:01,224 --> 01:31:06,363
WE ALSO AGAIN HOPE TO --

2577
01:31:06,363 --> 01:31:07,998
INTERESTED IN DOING PAIN

2578
01:31:07,998 --> 01:31:10,200
RESEARCH, WE'VE PROMOTED THE

2579
01:31:10,200 --> 01:31:12,502
PAIN RESEARCH CENTER AS AN

2580
01:31:12,502 --> 01:31:17,007
OPPORTUNITY TO LEVERAGE SO

2581
01:31:17,007 --> 01:31:17,974
PEOPLE OUTSIDE OF THE PAIN

2582
01:31:17,974 --> 01:31:20,510
RESEARCH FIELD CAN GET INVOLVED

2583
01:31:20,510 --> 01:31:26,750
USING THE PAIN RESEARCH CENTER.

2584
01:31:26,750 --> 01:31:30,220
SO THAT'S WHERE YOU'RE GOING

2585
01:31:30,220 --> 01:31:36,159
WITH INCORPORATING HEAL INTO THE

2586
01:31:36,159 --> 01:31:38,361
NCCIH INTRAMURAL PROGRAM BUT

2587
01:31:38,361 --> 01:31:39,896
AGAIN PART OF THIS BUILDING

2588
01:31:39,896 --> 01:31:41,097
THEME, WE'RE HIRING.

2589
01:31:41,097 --> 01:31:42,432
IMPORTANTLY THIS IS REALLY A KEY

2590
01:31:42,432 --> 01:31:45,802
POSITION, I'VE BEEN ACTING

2591
01:31:45,802 --> 01:31:47,003
SCIENTIFIC DIRECTOR FOR 4 1/2

2592
01:31:47,003 --> 01:31:48,738
YEARS BUT WHO'S COUNTING AND

2593
01:31:48,738 --> 01:31:51,074
WE'LL PROBABLY BE DOING IN

2594
01:31:51,074 --> 01:31:53,043
ANOTHER SIX MONTHS OR SO AND I

2595
01:31:53,043 --> 01:31:55,245
REALLY ENJOYED MY TIME WITH THIS

2596
01:31:55,245 --> 01:31:56,880
GROUP, I THINK IT'S JUST A

2597
01:31:56,880 --> 01:31:58,181
FABULOUS DIVISION, REALLY SMART,

2598
01:31:58,181 --> 01:31:59,516
CREATIVE AND ENTHUSIASTIC TEAM

2599
01:31:59,516 --> 01:32:01,818
THAT WE HAVE.

2600
01:32:01,818 --> 01:32:03,820
BUT IT'S TIME TO PASS THE BATON

2601
01:32:03,820 --> 01:32:05,989
SO TO SPEAK.

2602
01:32:05,989 --> 01:32:07,524
SO WE'RE JUST NOW OPENING A

2603
01:32:07,524 --> 01:32:09,292
SEARCH LOOKING FOR AN

2604
01:32:09,292 --> 01:32:11,027
ACCOMPLISHED SCIENTIST WHO HAS A

2605
01:32:11,027 --> 01:32:12,228
DEMONSTRATED TRACK RECORD OF

2606
01:32:12,228 --> 01:32:14,330
INTERNATIONALLY RECOGNIZED BASIC

2607
01:32:14,330 --> 01:32:16,966
TRANSLATIONAL OR CLINICAL

2608
01:32:16,966 --> 01:32:18,068
RESEARCH, WE'RE REALLY BROADLY

2609
01:32:18,068 --> 01:32:20,236
LOOKING FOR ANYONE, THEY REALLY

2610
01:32:20,236 --> 01:32:22,038
DO NEED TO BE IN THE PAIN FIELD,

2611
01:32:22,038 --> 01:32:23,373
BUT ANY ASPECTS OF PAIN RESEARCH

2612
01:32:23,373 --> 01:32:26,109
WILL DO, SPO  SO TO SPEAK.

2613
01:32:26,109 --> 01:32:27,510
OF COURSE BECAUSE THEY WILL BE

2614
01:32:27,510 --> 01:32:29,479
LEADING THE PROGRAM, THEY NEED

2615
01:32:29,479 --> 01:32:31,681
STRONG LEADERSHIP SKILLS TO

2616
01:32:31,681 --> 01:32:33,783
SUSTAIN THIS VIBRANT AND

2617
01:32:33,783 --> 01:32:35,518
COLLABORATIVE TEAM THAT WE'VE

2618
01:32:35,518 --> 01:32:37,153
REALLY BUILT NOW OVER THE LAST

2619
01:32:37,153 --> 01:32:38,955
12 YEARS, AND I THINK IT'S

2620
01:32:38,955 --> 01:32:41,157
REALLY COME A LONG WAY AND READY

2621
01:32:41,157 --> 01:32:43,860
FOR NEW LEADERSHIP.

2622
01:32:43,860 --> 01:32:45,729
SO IF ANY OF YOU OR IF YOU KNOW

2623
01:32:45,729 --> 01:32:48,932
OF ANYONE WHO'S INTERESTED IN

2624
01:32:48,932 --> 01:32:50,900
APPLYING, PLEASE LET THEM KNOW.

2625
01:32:50,900 --> 01:32:53,636
I THINK IT WILL OFFICIALLY COME

2626
01:32:53,636 --> 01:32:54,704
ONLINE PROBABLY BY THE END OF

2627
01:32:54,704 --> 01:32:56,840
THE MONTH, EARLY IN OCTOBER, AND

2628
01:32:56,840 --> 01:32:58,475
WE'LL BE OPEN FOR SOME TIME FOR

2629
01:32:58,475 --> 01:33:04,414
APPLICATIONS TO BE RECEIVED.

2630
01:33:04,414 --> 01:33:05,915
SO IN ADDITION BECAUSE OF MOVING

2631
01:33:05,915 --> 01:33:08,785
THE EPIDEMIOLOGY PROGRAM INTO

2632
01:33:08,785 --> 01:33:10,453
THE DIVISION OF INTRAMURAL

2633
01:33:10,453 --> 01:33:12,422
RESEARCH, WE NOW HAVE NEW

2634
01:33:12,422 --> 01:33:14,824
POSITIONS THAT WE CAN APPLY TO

2635
01:33:14,824 --> 01:33:15,859
THE EPIDEMIOLOGY PROGRAM, IN

2636
01:33:15,859 --> 01:33:21,197
THIS CASE, RESEARCH FELLOWS THAT

2637
01:33:21,197 --> 01:33:22,832
DR. NAHIN IS INTERESTED IN

2638
01:33:22,832 --> 01:33:23,833
HIRING TWO RESEARCH FELLOWS TO

2639
01:33:23,833 --> 01:33:25,935
BUILD OUT THE EPIDEMIOLOGY

2640
01:33:25,935 --> 01:33:27,704
PROGRAM TO A GREATER EXTENT, AND

2641
01:33:27,704 --> 01:33:30,540
THOSE APPLICATIONS ARE NOW BEING

2642
01:33:30,540 --> 01:33:31,374
SOLICITED, THE ANNOUNCEMENT IS

2643
01:33:31,374 --> 01:33:33,943
ON THE WEB, YOU CAN SEE THE QR

2644
01:33:33,943 --> 01:33:34,811
CODE HERE.

2645
01:33:34,811 --> 01:33:36,179
APPLICATIONS ARE DUE

2646
01:33:36,179 --> 01:33:36,713
NOVEMBER 22ND.

2647
01:33:36,713 --> 01:33:39,883
SO IF YOU KNOW ANYONE THAT'S

2648
01:33:39,883 --> 01:33:43,720
DOING EPIDEMIOLOGY RESEARCH, HAS

2649
01:33:43,720 --> 01:33:44,988
POSTDOCTORAL EXPERIENCE OR

2650
01:33:44,988 --> 01:33:50,760
ADVANCED TRAINING, AN M.P.H.,

2651
01:33:50,760 --> 01:33:52,862
PLEASE ENCOURAGE THEM TO APPLY,

2652
01:33:52,862 --> 01:33:54,364
I THINK IT'S A GREAT OPPORTUNITY

2653
01:33:54,364 --> 01:33:55,698
FOR THEM TO COME AS THIS PROGRAM

2654
01:33:55,698 --> 01:33:57,667
IS NOW IN ITS NEXT PHASE OF

2655
01:33:57,667 --> 01:33:59,002
WORKING IN THE INTRAMURAL

2656
01:33:59,002 --> 01:34:00,003
PROGRAM, SO REALLY A GREAT

2657
01:34:00,003 --> 01:34:01,104
OPPORTUNITY FOR PEOPLE TO GET

2658
01:34:01,104 --> 01:34:03,506
INVOLVED.

2659
01:34:03,506 --> 01:34:06,276
IT'S NOT JUST RICHARD WHO'S

2660
01:34:06,276 --> 01:34:09,112
HIRING, WE'RE ALWAYS LOOKING FOR

2661
01:34:09,112 --> 01:34:10,747
TALENTED EARLY CAREER

2662
01:34:10,747 --> 01:34:13,049
INVESTIGATORS.

2663
01:34:13,049 --> 01:34:13,716
DR. BACKONJA THROUGH THE OFFICE

2664
01:34:13,716 --> 01:34:14,818
OF THE CLINICAL DIRECTOR IS

2665
01:34:14,818 --> 01:34:17,453
LOOKING FOR CLINICAL RESEARCHERS

2666
01:34:17,453 --> 01:34:21,324
TO GET INVOLVED IN HIS GROUP.

2667
01:34:21,324 --> 01:34:23,593
WE'RE ALWAYS LOOKING FOR

2668
01:34:23,593 --> 01:34:26,763
TALENTED POSTBAC AND

2669
01:34:26,763 --> 01:34:28,331
POSTDOCTORAL INDIVIDUALS ACROSS

2670
01:34:28,331 --> 01:34:30,099
THE THREE LABORATORIES AT THE

2671
01:34:30,099 --> 01:34:30,300
NIH.

2672
01:34:30,300 --> 01:34:33,136
SO HERE'S THE CONTACT

2673
01:34:33,136 --> 01:34:36,439
INFORMATION, THE QR CODE TO

2674
01:34:36,439 --> 01:34:36,906
LEARN MORE.

2675
01:34:36,906 --> 01:34:39,309
AND TO MAKE IT EVEN EASIER,

2676
01:34:39,309 --> 01:34:42,145
WE'VE REFRESHED OUR DIVISION OF

2677
01:34:42,145 --> 01:34:43,246
INTRAMURAL WEBSITE THAT NOW,

2678
01:34:43,246 --> 01:34:45,682
THANKS TO OUR COMMUNICATIONS

2679
01:34:45,682 --> 01:34:47,984
TEAM, IT'S REALLY EASY TO FIND

2680
01:34:47,984 --> 01:34:51,588
INFORMATION ON EACH OF OUR

2681
01:34:51,588 --> 01:34:52,922
LABORATORIES, CURRENT RESEARCH,

2682
01:34:52,922 --> 01:34:55,225
JOB OPPORTUNITIES, HIRING

2683
01:34:55,225 --> 01:34:55,825
ANNOUNCEMENTS, ET CETERA.

2684
01:34:55,825 --> 01:34:56,993
SO I ENCOURAGE YOU TO TAKE A

2685
01:34:56,993 --> 01:34:58,561
LOOK AT THAT AS WELL, AND I

2686
01:34:58,561 --> 01:34:59,963
THINK THEY'VE DONE A FABULOUS

2687
01:34:59,963 --> 01:35:01,831
JOB OF REFRESHING OUR WEBPAGE

2688
01:35:01,831 --> 01:35:05,468
AND BUILDING IT OUT.

2689
01:35:05,468 --> 01:35:06,336
I JUST WANT TO SPEND THE LAST

2690
01:35:06,336 --> 01:35:08,304
FEW MINUTES SAYING THAT IT'S

2691
01:35:08,304 --> 01:35:12,575
MORE THAN OF COURSE NCCIH, WE'RE

2692
01:35:12,575 --> 01:35:14,677
RELATIVELY SMALL, WE DO BOX

2693
01:35:14,677 --> 01:35:16,312
ABOVE OUR WEIGHT CLASS AND WE DO

2694
01:35:16,312 --> 01:35:19,048
A LOT TO BRING THE PROGRAM

2695
01:35:19,048 --> 01:35:20,383
TOGETHER PRIMARILY AROUND PAIN,

2696
01:35:20,383 --> 01:35:21,918
BUT IF YOU THINK ABOUT WHERE NIH

2697
01:35:21,918 --> 01:35:23,119
WAS WHEN IT FIRST STARTED,

2698
01:35:23,119 --> 01:35:24,220
BEFORE THE MEDICAL SCHOOLS

2699
01:35:24,220 --> 01:35:28,291
AROUND THE COUNTRY BECAME

2700
01:35:28,291 --> 01:35:29,726
MATURE, NIH WAS THE PLACE FOR

2701
01:35:29,726 --> 01:35:32,595
RESEARCH TRAINING, AND IT STILL

2702
01:35:32,595 --> 01:35:33,329
IS.

2703
01:35:33,329 --> 01:35:36,332
AND THERE'S SO MANY WAYS FOR

2704
01:35:36,332 --> 01:35:37,533
PEOPLE TO GET INVOLVED.

2705
01:35:37,533 --> 01:35:39,502
JUST THINK ABOUT, THOUGH, THE

2706
01:35:39,502 --> 01:35:44,540
INFRASTRUCTURE WE HAVE, WHY NIH.

2707
01:35:44,540 --> 01:35:48,378
WE SUPPORT BIOMEDICAL,

2708
01:35:48,378 --> 01:35:49,045
BEHAVIORAL, SOCIAL SCIENCE

2709
01:35:49,045 --> 01:35:51,447
RESEARCH AT ALL LEVELS BASIC AND

2710
01:35:51,447 --> 01:35:52,115
TRANSLATIONAL.

2711
01:35:52,115 --> 01:35:53,883
26 VAI BRANDT PROGRAMS ON CAMPUS

2712
01:35:53,883 --> 01:35:57,820
HERE IN THIS SMALL COMMUNITY

2713
01:35:57,820 --> 01:35:59,789
HERE, WE HAVE A VERY UNIQUE NIH

2714
01:35:59,789 --> 01:36:09,465
CLINICAL CENTER THAT JUST TA THS

2715
01:36:09,465 --> 01:36:10,767
TRANSLATIONAL CLINICAL RESEARCH

2716
01:36:10,767 --> 01:36:12,035
WITH PATIENT CARE, LITERALLY

2717
01:36:12,035 --> 01:36:13,736
LABS RIGHT NEXT DOOR TO THE

2718
01:36:13,736 --> 01:36:15,071
OUTPATIENT AND INPATIENT

2719
01:36:15,071 --> 01:36:18,408
CLINICS.

2720
01:36:18,408 --> 01:36:20,576
WE ALSO PROMOTE PROFESSIONAL

2721
01:36:20,576 --> 01:36:22,445
CAREER AND PERSONAL DEVELOP M.

2722
01:36:22,445 --> 01:36:23,746
AS I MENTIONED WE HAVE

2723
01:36:23,746 --> 01:36:24,948
OUTSTANDING RESOURCES FOR

2724
01:36:24,948 --> 01:36:27,517
SCIENCE AND FOR TRAINING,

2725
01:36:27,517 --> 01:36:28,718
COMPREHENSIVE WELLNESS AND

2726
01:36:28,718 --> 01:36:30,019
RESILIENCE PROGRAMS FOR EARLY

2727
01:36:30,019 --> 01:36:31,087
CAREER INVESTIGATORS,

2728
01:36:31,087 --> 01:36:32,355
OPPORTUNITIES FOR TRAINING AND

2729
01:36:32,355 --> 01:36:33,656
CAREER ADVANCEMENT.

2730
01:36:33,656 --> 01:36:35,858
THIS IS JUST REALLY SORT OF A

2731
01:36:35,858 --> 01:36:37,860
SNAPSHOT OF ALL OF THE PROGRAMS

2732
01:36:37,860 --> 01:36:39,829
FROM EARLY STAGE, SUMMER

2733
01:36:39,829 --> 01:36:41,564
INTERNSHIPS FOR

2734
01:36:41,564 --> 01:36:44,534
COLLEGE/UNDERGRADUATES, POSTBAC,

2735
01:36:44,534 --> 01:36:48,604
WHICH IS -- GRADUATE

2736
01:36:48,604 --> 01:36:49,872
PARTNERSHIPS FOR PH.D. FOR

2737
01:36:49,872 --> 01:36:51,674
GRADUATE STUDENTS, POSTDOC

2738
01:36:51,674 --> 01:36:53,977
PROGRAM, RESEARCH FELLOWS,

2739
01:36:53,977 --> 01:36:57,347
CLINICAL RESEARCH PROGRAMS FOR

2740
01:36:57,347 --> 01:36:59,349
PEOPLE INTERESTED IN BECOMING

2741
01:36:59,349 --> 01:37:00,550
CLINICIAN-SCIENTISTS, SO MANY

2742
01:37:00,550 --> 01:37:06,189
GREAT OPPORTUNITIES AT THE NIH.

2743
01:37:06,189 --> 01:37:07,490
FACULTY LEVEL, I DON'T KNOW IF

2744
01:37:07,490 --> 01:37:11,194
PEOPLE REALIZE, WE HIRE 30 OR

2745
01:37:11,194 --> 01:37:15,164
MORE TENURE AND TENURE TRACK

2746
01:37:15,164 --> 01:37:17,133
POSITIONS EVERY YEAR ON THE NIH

2747
01:37:17,133 --> 01:37:18,468
CAMPUS BUT OTHER SATELLITE

2748
01:37:18,468 --> 01:37:19,335
CAMPUSES AROUND THE COUNTRY,

2749
01:37:19,335 --> 01:37:20,803
AGAIN TO PLAY AN IMPORTANT AND

2750
01:37:20,803 --> 01:37:22,105
MAJOR ROLE IN TRAINING AND

2751
01:37:22,105 --> 01:37:23,406
MENTORING THE NEXT GENERATION OF

2752
01:37:23,406 --> 01:37:23,973
SCIENTISTS.

2753
01:37:23,973 --> 01:37:25,575
WE ALSO HAVE A UNIQUE POSITION

2754
01:37:25,575 --> 01:37:27,377
OF THE STAFF SCIENTISTS.

2755
01:37:27,377 --> 01:37:29,879
THESE ARE -- WE HIRE A LOT OF

2756
01:37:29,879 --> 01:37:31,647
STAFF SCIENTISTS.

2757
01:37:31,647 --> 01:37:33,883
THEY'RE NON-TENURE TRACKED BUT

2758
01:37:33,883 --> 01:37:35,852
THEY HAVE A TREMENDOUS IMPACT

2759
01:37:35,852 --> 01:37:36,953
AND SOME INDEPENDENCE AND

2760
01:37:36,953 --> 01:37:38,955
WORKING ON PROJECTS BUT THEY'RE

2761
01:37:38,955 --> 01:37:39,956
HERE TO SUPPORT SENIOR

2762
01:37:39,956 --> 01:37:40,923
INVESTIGATORS AND RUNNING THE

2763
01:37:40,923 --> 01:37:42,892
LABORATORY OF A SENIOR

2764
01:37:42,892 --> 01:37:43,793
INVESTIGATOR EXISTING IN THAT,

2765
01:37:43,793 --> 01:37:46,429
OR ACTUALLY HEADING SPECIFIC

2766
01:37:46,429 --> 01:37:47,630
CORE FACILITIES AS WE'RE DOING

2767
01:37:47,630 --> 01:37:49,966
WITH THE PRC, THAT WILL BE A

2768
01:37:49,966 --> 01:37:50,967
STAFF SCIENTIST POSITION AT

2769
01:37:50,967 --> 01:37:56,839
NCCIH.

2770
01:37:56,839 --> 01:37:57,840
FINALLY AGAIN THIS IS WHERE I

2771
01:37:57,840 --> 01:37:58,941
THINK OUR COMMUNICATIONS GROUP

2772
01:37:58,941 --> 01:38:00,376
AND THE OFFICE OF THE DIRECTOR

2773
01:38:00,376 --> 01:38:01,044
HAS DONE A GREAT JOB.

2774
01:38:01,044 --> 01:38:02,578
I DON'T KNOW IF ANYBODY HAS

2775
01:38:02,578 --> 01:38:04,280
LOOKED AT THIS VIRTUAL TOUR OF

2776
01:38:04,280 --> 01:38:06,416
THE NIH, BUT IT REALLY GIVES YOU

2777
01:38:06,416 --> 01:38:10,953
A REAL DYNAMIC WAY OF LACKING AT

2778
01:38:10,953 --> 01:38:12,588
WHAT WE'RE DOING HERE ON THE NIH

2779
01:38:12,588 --> 01:38:12,922
CAMPUS.

2780
01:38:12,922 --> 01:38:14,590
ONE OF OUR STEEN YOUR

2781
01:38:14,590 --> 01:38:15,291
INVESTIGATORS, DR. LAUREN ATLAS,

2782
01:38:15,291 --> 01:38:16,893
IS FEATURED IN THIS VIRTUAL TOUR

2783
01:38:16,893 --> 01:38:18,661
AND I ENCOURAGE YOU TO TAKE A

2784
01:38:18,661 --> 01:38:24,801
LOOK AT THAT WEBSITE AS WELL.

2785
01:38:24,801 --> 01:38:26,102
SO WITH THAT I THINK I'LL STOP,

2786
01:38:26,102 --> 01:38:27,170
THANK YOU FOR YOUR TIME AND TAKE

2787
01:38:27,170 --> 01:38:28,037
ANY QUESTIONS YOU MAY HAVE.

2788
01:38:28,037 --> 01:38:36,546
SO THANK YOU.

2789
01:38:36,546 --> 01:38:36,846
YES, BOB.

2790
01:38:36,846 --> 01:38:39,182
>> I JUST WANT TO REALLY
SAY HOW

2791
01:38:39,182 --> 01:38:42,718
GREAT IT IS THAT NCCIH IS -- IT

2792
01:38:42,718 --> 01:38:45,555
HAS BEEN AND IS TAKING LEAD FOR

2793
01:38:45,555 --> 01:38:47,657
PAIN RESEARCH ON THE CAMPUS OF

2794
01:38:47,657 --> 01:38:47,957
NIH.

2795
01:38:47,957 --> 01:38:55,331
I TRAINED HERE AT NIH WITH ROD'S

2796
01:38:55,331 --> 01:38:58,501
GROUP LIKE MANY, MANY, MANY PAIN

2797
01:38:58,501 --> 01:39:00,136
RESEARCH IN THE U.S. I HAVE THIS

2798
01:39:00,136 --> 01:39:01,838
WEIRD CONNECTION WITH DENTAL

2799
01:39:01,838 --> 01:39:04,640
DEPARTMENTS IN THE U.S. BECAUSE

2800
01:39:04,640 --> 01:39:09,245
THAT GROUP WAS IN NI IN.

2801
01:39:09,245 --> 01:39:11,814
DR AND IDCR NOW.

2802
01:39:11,814 --> 01:39:15,418
IT WAS AN ABSOLUTE POWERHOUSE

2803
01:39:15,418 --> 01:39:17,353
AND AFTER DEPARTING THE GROUP

2804
01:39:17,353 --> 01:39:19,922
SORT OF DISSIPATED, I'M GRAD TO

2805
01:39:19,922 --> 01:39:21,257
SEE THE NCCIH HAS SOME REALLY

2806
01:39:21,257 --> 01:39:22,558
GREAT SCIENTISTS AND I LOOK

2807
01:39:22,558 --> 01:39:23,559
FORWARD TO SEEING IT CONTINUE TO

2808
01:39:23,559 --> 01:39:25,261
GROW AND ALSO ESPECIALLY

2809
01:39:25,261 --> 01:39:26,462
CONTINUE TO REACH OUT AND TAP

2810
01:39:26,462 --> 01:39:27,964
INTO THE INCREDIBLY RICH

2811
01:39:27,964 --> 01:39:29,899
RESOURCES THAT ARE HERE, BOTH ON

2812
01:39:29,899 --> 01:39:30,967
THE BASIC SIDE AND ON THE

2813
01:39:30,967 --> 01:39:33,069
CLINICAL SIDE.

2814
01:39:33,069 --> 01:39:34,470
BECAUSE THAT'S DEFINITELY A GAP

2815
01:39:34,470 --> 01:39:36,572
AND I THINK THERE'S A LOT OF

2816
01:39:36,572 --> 01:39:38,875
ROOM FOR GROWTH TOO.

2817
01:39:38,875 --> 01:39:41,811
SO THAT'S ONE COMMENT.

2818
01:39:41,811 --> 01:39:43,045
ANOTHER QUESTION JUST THINKING

2819
01:39:43,045 --> 01:39:44,714
ABOUT NIH AND SOME OF THE

2820
01:39:44,714 --> 01:39:47,884
EXPERIENCES OF PEOPLE THAT I

2821
01:39:47,884 --> 01:39:53,156
KNOW.

2822
01:39:53,156 --> 01:39:54,924
HOW EASY IS TO GO FOR A PATH OF

2823
01:39:54,924 --> 01:39:55,324
COMMERCIALIZATION?

2824
01:39:55,324 --> 01:39:56,659
YOU FIND A COMPOUND THAT LOOKS

2825
01:39:56,659 --> 01:39:59,328
LIKE IT WORKS, YOU GET SOME

2826
01:39:59,328 --> 01:40:00,229
CLINICAL TRIALS DONE IN HOUSE

2827
01:40:00,229 --> 01:40:07,203
AND THEN MOVING TO A FULL BLOWN

2828
01:40:07,203 --> 01:40:10,072
CLINICAL TRIAL OUTSIDE --

2829
01:40:10,072 --> 01:40:13,809
>> WE DO HAVE CRADAs AS

2830
01:40:13,809 --> 01:40:15,778
ANOTHER WAY, THEY'RE NOT WELL

2831
01:40:15,778 --> 01:40:17,146
ADVERTISED BUT THE INTRAMURAL

2832
01:40:17,146 --> 01:40:18,414
PROGRAM IS HEAVILY INVOLVED IN

2833
01:40:18,414 --> 01:40:19,782
THAT KIND OF APPROACH.

2834
01:40:19,782 --> 01:40:24,754
I WILL SAY TOO, WE TEND TO RELY

2835
01:40:24,754 --> 01:40:26,055
ON INDUSTRY TO DO A LOT OF THAT,

2836
01:40:26,055 --> 01:40:27,490
BUT THERE IS ONE COMPOUND THAT I

2837
01:40:27,490 --> 01:40:31,127
THINK I CAN -- YEAH, I CAN TALK

2838
01:40:31,127 --> 01:40:32,695
ABOUT.

2839
01:40:32,695 --> 01:40:41,103
IT'S A DERIVATIVE OF KETAMINE,

2840
01:40:41,103 --> 01:40:43,272
HYDROXYNEUROKETAMINE, THAT WAS

2841
01:40:43,272 --> 01:40:44,974
DEVELOPED AND TAKEN THROUGH

2842
01:40:44,974 --> 01:40:48,911
PHASE ONE BY NIMH BECAUSE ITS

2843
01:40:48,911 --> 01:40:50,646
MAJOR PRIMARY FOCUS IS ON

2844
01:40:50,646 --> 01:40:52,782
DEPRESSION, TREATMENT OF

2845
01:40:52,782 --> 01:40:53,316
DEPRESSIVE DISORDER.

2846
01:40:53,316 --> 01:40:55,184
IT TURNS OUT IN PRE-CLINICAL

2847
01:40:55,184 --> 01:40:56,719
MODELS THERE'S INDICATIONS THAT

2848
01:40:56,719 --> 01:40:58,187
IT'S ANALGESIC.

2849
01:40:58,187 --> 01:40:59,589
SO WHAT WE'RE GOING TO BE DOING

2850
01:40:59,589 --> 01:41:00,690
IN PARTNERSHIP, AGAIN, THIS IS

2851
01:41:00,690 --> 01:41:02,625
WHERE YOU CAN BREAK DOWN SILOS

2852
01:41:02,625 --> 01:41:07,663
PRETTY EASILY AT AN INTRAMURAL

2853
01:41:07,663 --> 01:41:08,064
PROGRAM.

2854
01:41:08,064 --> 01:41:09,165
WORKING WITH THOSE INITIAL

2855
01:41:09,165 --> 01:41:10,032
PROGRAMS THAT COME IN,

2856
01:41:10,032 --> 01:41:12,068
INPATIENTS THAT COME IN TO THE

2857
01:41:12,068 --> 01:41:19,408
NIMH, WE WILL BE ABLE TO DO QST

2858
01:41:19,408 --> 01:41:21,577
TO LOOK AT SOME OF THE ANALGESIC

2859
01:41:21,577 --> 01:41:22,712
PROPERTY OF THIS COMPOUND.

2860
01:41:22,712 --> 01:41:23,713
SO THAT'S JUST AN EXAMPLE OF HOW

2861
01:41:23,713 --> 01:41:24,914
WE'RE LEVERAGING A DRUG

2862
01:41:24,914 --> 01:41:26,115
DEVELOPMENT PIPELINE FOR

2863
01:41:26,115 --> 01:41:28,551
DEPRESSION BUT NOW WE CAN SORT

2864
01:41:28,551 --> 01:41:29,552
OF TAKE IT INTO ANOTHER SPACE

2865
01:41:29,552 --> 01:41:31,954
FOR PAIN.

2866
01:41:31,954 --> 01:41:34,523
JUST BACK TO YOUR COMMENT ABOUT

2867
01:41:34,523 --> 01:41:35,825
NIDCR, I THINK THAT'S EXACTLY

2868
01:41:35,825 --> 01:41:36,826
WAS OUR MINDSET.

2869
01:41:36,826 --> 01:41:38,427
THAT PROGRAM WAS SO SUCCESSFUL,

2870
01:41:38,427 --> 01:41:42,565
IN FACT, OUR FIRST DIRECTOR,

2871
01:41:42,565 --> 01:41:46,168
CATHERINE BUSHNELL, WAS PART OF

2872
01:41:46,168 --> 01:41:47,903
THAT PROGRAM AS A POSTDOC, I

2873
01:41:47,903 --> 01:41:50,906
BELIEVE, BEFORE SHE WENT TO

2874
01:41:50,906 --> 01:41:52,008
MCGILL AND DID GREAT THINGS

2875
01:41:52,008 --> 01:41:54,877
THERE, AND YOU AND OTHERS.

2876
01:41:54,877 --> 01:41:56,612
WE WANT TO RELIVE THAT AN

2877
01:41:56,612 --> 01:41:58,281
REBUILD THAT.

2878
01:41:58,281 --> 01:42:00,483
AND FOR WHATEVER REASON, THINGS

2879
01:42:00,483 --> 01:42:01,684
WAX AND WANE EVERYWHERE, BUT

2880
01:42:01,684 --> 01:42:03,786
THAT'S EXACTLY THE MODEL WE'RE

2881
01:42:03,786 --> 01:42:04,987
TRYING TO BUILD OUT AGAIN, BUT

2882
01:42:04,987 --> 01:42:07,523
EVEN TAKING IT A STEP FURTHER

2883
01:42:07,523 --> 01:42:11,093
AND GOING ALL THE WAY FROM BASIC

2884
01:42:11,093 --> 01:42:15,431
MOLECULAR PRE-CLINICAL

2885
01:42:15,431 --> 01:42:15,998
TRANSLATIONAL CLINICAL, AND

2886
01:42:15,998 --> 01:42:18,267
FINDING A WAY NOT TO JUST SILO

2887
01:42:18,267 --> 01:42:19,535
IN ONE INSTITUTE BUT TO REALLY

2888
01:42:19,535 --> 01:42:22,371
OPEN THIS UP TO THE ENTIRE

2889
01:42:22,371 --> 01:42:23,139
INTRAMURAL PROGRAM, BECAUSE AS I

2890
01:42:23,139 --> 01:42:25,608
MENTIONED, I CAN'T THINK OF A

2891
01:42:25,608 --> 01:42:29,745
DISORDER WHERE PAIN IS NOT

2892
01:42:29,745 --> 01:42:30,946
CO-MORBID.

2893
01:42:30,946 --> 01:42:32,048
IT'S REALLY AN OPPORTUNITY FOR

2894
01:42:32,048 --> 01:42:33,215
US TO THINK THIS THROUGH.

2895
01:42:33,215 --> 01:42:34,517
ONE GOAL IS TO DO A NATURAL

2896
01:42:34,517 --> 01:42:35,518
HISTORY STUDY.

2897
01:42:35,518 --> 01:42:38,020
THERE MAY BE OPPORTUNITIES TO DO

2898
01:42:38,020 --> 01:42:40,289
EXTENSIVE GENOTYPING THROUGH THE

2899
01:42:40,289 --> 01:42:42,591
CLINICAL CENTER, THROUGH NIAID

2900
01:42:42,591 --> 01:42:45,261
THAT MAY BE FUNDED OUTSIDE OF

2901
01:42:45,261 --> 01:42:48,297
NCCIH, BUT COULD YOU IMAGINE

2902
01:42:48,297 --> 01:42:50,733
MARRYING GENOTYPE WITH EXTENSIVE

2903
01:42:50,733 --> 01:42:52,301
PHENOTYPING, QST AND

2904
01:42:52,301 --> 01:42:52,968
PATIENT-REPORTED OUTCOMES AND

2905
01:42:52,968 --> 01:42:54,136
OTHER MEASURES THAT WE COULD

2906
01:42:54,136 --> 01:42:56,138
REALLY START TO LOOK AT IT

2907
01:42:56,138 --> 01:43:00,176
ALMOST AS LAKE LIKE A VIRTUAL GN

2908
01:43:00,176 --> 01:43:00,776
THE FUTURE.

2909
01:43:00,776 --> 01:43:01,777
SO WE'RE VERY EXCITED ABOUT

2910
01:43:01,777 --> 01:43:02,345
THAT.

2911
01:43:02,345 --> 01:43:02,511
YES.

2912
01:43:02,511 --> 01:43:04,680
>> THANK YOU FOR REALLY AN

2913
01:43:04,680 --> 01:43:05,648
INFORMATIVE AND EXCITING TALK.

2914
01:43:05,648 --> 01:43:07,717
IT WAS SO NICE TO SEE ALL THE

2915
01:43:07,717 --> 01:43:08,884
WORK THAT'S GOING ON.

2916
01:43:08,884 --> 01:43:10,753
YOU MENTIONED FOSTERING

2917
01:43:10,753 --> 01:43:11,921
COLLABORATIONS BETWEEN THE

2918
01:43:11,921 --> 01:43:13,255
DIFFERENT INSTITUTES AND I

2919
01:43:13,255 --> 01:43:15,257
WASN'T CLEAR WHETHER THAT ALSO

2920
01:43:15,257 --> 01:43:19,095
WOULD INCLUDE CLAB REAT COLLABOS

2921
01:43:19,095 --> 01:43:19,862
WITH EXTRAMURAL RESEARCHERS.

2922
01:43:19,862 --> 01:43:20,830
>> THERE IS AN OPPORTUNITY
TO

2923
01:43:20,830 --> 01:43:23,966
WORK WITH THE INTRAMURAL.

2924
01:43:23,966 --> 01:43:25,134
WE HAVE THEIR COOPERATIVE

2925
01:43:25,134 --> 01:43:26,001
AGREEMENTS PRIMARILY ARE THE

2926
01:43:26,001 --> 01:43:27,303
WAYS TO BRING IN THE EXTRAMURAL,

2927
01:43:27,303 --> 01:43:28,838
AND THAT'S REALLY -- OVER TIME

2928
01:43:28,838 --> 01:43:30,373
THAT'S WHERE WE WANT TO GO.

2929
01:43:30,373 --> 01:43:33,809
WE DON'T WANT TO KEEP THIS A

2930
01:43:33,809 --> 01:43:35,344
SECRET OR JUST KEEP IT FOR OUR

2931
01:43:35,344 --> 01:43:40,583
OWN USE, BUT I THINK AGAIN JUST

2932
01:43:40,583 --> 01:43:44,954
THINKING ABOUT BUILDING THE

2933
01:43:44,954 --> 01:43:46,989
PROGRAM, 12 YEARS SEEMS LIKE A

2934
01:43:46,989 --> 01:43:48,924
LONG TIME BUT HAVING BEEN ACTING

2935
01:43:48,924 --> 01:43:51,193
SD NOW FOR ALMOST FIVE YEARS, IT

2936
01:43:51,193 --> 01:43:52,161
REALLY TOOK US THAT LONG TO

2937
01:43:52,161 --> 01:43:53,229
BUILD OUT THE PROGRAM.

2938
01:43:53,229 --> 01:43:56,632
I MEAN, JUST THE FRUK TO SUPPORT

2939
01:43:56,632 --> 01:43:57,133
THE RESEARCH.

2940
01:43:57,133 --> 01:43:58,334
THERE'S A LOT OF PEOPLE WORKING

2941
01:43:58,334 --> 01:43:58,868
BEHIND THE SCENES.

2942
01:43:58,868 --> 01:44:00,069
I THINK SOME OF THEM IN THIS

2943
01:44:00,069 --> 01:44:03,506
ROOM AROUND THE PERIPHERY THAT

2944
01:44:03,506 --> 01:44:06,809
WE NEEDED TO BUILD UP AND I WANT

2945
01:44:06,809 --> 01:44:10,312
TO THANK GINGER, ANNE AND OTHERS

2946
01:44:10,312 --> 01:44:11,580
FOR SEEING HOW THAT IS JUST AS

2947
01:44:11,580 --> 01:44:13,149
IMPORTANT AS THE RESEARCH WE DO

2948
01:44:13,149 --> 01:44:15,818
BUILDING OUT THE PROFESSIONAL

2949
01:44:15,818 --> 01:44:17,119
STAFF THAT SUPPORT THE RESEARCH.

2950
01:44:17,119 --> 01:44:18,387
BUT TO YOUR POINT, WE'RE GETTING

2951
01:44:18,387 --> 01:44:19,155
THERE.

2952
01:44:19,155 --> 01:44:23,192
AND WE WILL -- AND THERE ARE

2953
01:44:23,192 --> 01:44:24,527
OPPORTUNITIES, IT'S JUST

2954
01:44:24,527 --> 01:44:25,661
RELATIONSHIPS, MANY OF OUR

2955
01:44:25,661 --> 01:44:27,396
RESEARCHERS HAVE LONG-STANDING

2956
01:44:27,396 --> 01:44:28,397
COLLABORATIONS AND ARE FORMING

2957
01:44:28,397 --> 01:44:30,099
NEW COLLABORATIONS WITH

2958
01:44:30,099 --> 01:44:31,734
EXTRAMURAL SCIENTISTS, SO IT'S

2959
01:44:31,734 --> 01:44:32,935
ALWAYS THOSE PERSONAL CONTEXTS

2960
01:44:32,935 --> 01:44:34,970
THAT GET THINGS GOING, SO IF

2961
01:44:34,970 --> 01:44:36,272
YOU -- AND I'M HAPPY TO

2962
01:44:36,272 --> 01:44:37,907
FACILITATE THOSE CONNECTIONS IF

2963
01:44:37,907 --> 01:44:39,041
YOU'RE INTERESTED IN WORKING

2964
01:44:39,041 --> 01:44:40,976
WITH SOME OF OUR INTRAMURAL

2965
01:44:40,976 --> 01:44:41,777
INVESTIGATORS, I'M HAPPY TO DO

2966
01:44:41,777 --> 01:44:44,213
THAT.

2967
01:44:44,213 --> 01:44:48,150
>> SO THANKS, THAT WAS
VERY

2968
01:44:48,150 --> 01:44:50,886
INSPIRING PRESENTATION AND I

2969
01:44:50,886 --> 01:44:54,023
THINK IT'S REALLY MADE ME THINK

2970
01:44:54,023 --> 01:44:55,424
MANY TIMES WHILE YOU WERE

2971
01:44:55,424 --> 01:44:59,695
SPEAKING ABOUT THE IMPORTANCE OF

2972
01:44:59,695 --> 01:45:01,230
NUTRITION IN PAIN AND PAIN

2973
01:45:01,230 --> 01:45:02,565
MANAGEMENT, AND REALLY

2974
01:45:02,565 --> 01:45:06,936
UNDERSTANDING WHAT PEOPLE ARE

2975
01:45:06,936 --> 01:45:09,705
EATING AND INGESTING EITHER

2976
01:45:09,705 --> 01:45:11,173
INTENTIONALLY OR NOT

2977
01:45:11,173 --> 01:45:12,141
INTENTIONALLY AND THE

2978
01:45:12,141 --> 01:45:13,576
ASSOCIATION WITH PAIN, AND THEN

2979
01:45:13,576 --> 01:45:15,878
PERHAPS SINCE WE KNOW THAT THESE

2980
01:45:15,878 --> 01:45:18,280
MEDICATIONS THAT ARE BEING TAKEN

2981
01:45:18,280 --> 01:45:20,549
FOR PAIN CAN SPEED UP THE

2982
01:45:20,549 --> 01:45:22,418
METABOLISM OF ESSENTIAL

2983
01:45:22,418 --> 01:45:26,121
NUTRIENTS, THEY CAN BLOCK THEIR

2984
01:45:26,121 --> 01:45:28,090
TRANSPORT, OR INTERFERE WITH

2985
01:45:28,090 --> 01:45:29,325
THEIR TRANSPORT IN WAYS AND

2986
01:45:29,325 --> 01:45:32,962
CHANGE THEIR DISTRIBUTION, THAT

2987
01:45:32,962 --> 01:45:36,332
PERHAPS ONE COULD START LOOKING

2988
01:45:36,332 --> 01:45:38,501
AT -- WITH YOUR STUDIES AND

2989
01:45:38,501 --> 01:45:40,903
COLLABORATIONS, HOW COULD WE

2990
01:45:40,903 --> 01:45:43,639
FORMULATE A NUTRIENT COCKTAIL

2991
01:45:43,639 --> 01:45:46,475
THAT WOULD PERHAPS AUGMENT THE

2992
01:45:46,475 --> 01:45:49,178
BENEFITS OF THE DRUG TREATMENTS,

2993
01:45:49,178 --> 01:45:50,379
AND REVERSE SOME OF THE SIDE

2994
01:45:50,379 --> 01:45:51,914
EFFECTS THAT ARE ASSOCIATED WITH

2995
01:45:51,914 --> 01:45:53,983
DRUG TREATMENTS.

2996
01:45:53,983 --> 01:45:55,150
>> THAT'S A BRILLIANT

2997
01:45:55,150 --> 01:45:55,584
SUGGESTION.

2998
01:45:55,584 --> 01:45:57,219
YOU KNOW, AGAIN, THIS IS THE

2999
01:45:57,219 --> 01:45:58,988
VIRTUE OF BEING ON THE NIH

3000
01:45:58,988 --> 01:46:00,456
CAMPUS, WE HAVE A WHOLE

3001
01:46:00,456 --> 01:46:02,324
INSTITUTE, NIDDK, THAT, YOU

3002
01:46:02,324 --> 01:46:07,229
KNOW, IS INTERESTED IN NUTRITION

3003
01:46:07,229 --> 01:46:09,598
AND ROLE IN OBESITY AND

3004
01:46:09,598 --> 01:46:09,932
METABOLISM.

3005
01:46:09,932 --> 01:46:12,768
AGAIN, THROUGH THE PAIN RESEARCH

3006
01:46:12,768 --> 01:46:14,169
CENTER, SOMETHING AS YOU JUST

3007
01:46:14,169 --> 01:46:17,406
PROPOSED COULD BE DONE IN

3008
01:46:17,406 --> 01:46:18,541
COLLABORATION WITH NIDDK, FOR

3009
01:46:18,541 --> 01:46:18,774
EXAMPLE.

3010
01:46:18,774 --> 01:46:20,543
THAT'S A BRILLIANT THOUGHT THAT

3011
01:46:20,543 --> 01:46:21,844
WE SHOULD -- AS SOON AS WE GET

3012
01:46:21,844 --> 01:46:22,711
THAT FACILITY HEAD HERE, YOU

3013
01:46:22,711 --> 01:46:24,113
THINK THAT MIGHT BE ONE OF THE

3014
01:46:24,113 --> 01:46:25,414
FIRST CONVERSATIONS, TO HAVE

3015
01:46:25,414 --> 01:46:28,150
THEM START SPEAKING WITH NIDDK.

3016
01:46:28,150 --> 01:46:33,622
BUT YES, THAT SORT OF TIES IN

3017
01:46:33,622 --> 01:46:35,224
WITH OUR EXTRAMURAL PRIORITY

3018
01:46:35,224 --> 01:46:36,525
AROUND NUTRITION AS DR. LANGEVIN

3019
01:46:36,525 --> 01:46:38,060
MENTIONED IN HER OPENING

3020
01:46:38,060 --> 01:46:38,294
REMARKS.

3021
01:46:38,294 --> 01:46:39,562
SO I THINK THAT'S REALLY A GREAT

3022
01:46:39,562 --> 01:46:40,062
CONNECTION.

3023
01:46:40,062 --> 01:46:42,197
BUT THAT IS THE VIRTUE AGAIN --

3024
01:46:42,197 --> 01:46:44,133
IT'S NOT JUST INDIVIDUAL

3025
01:46:44,133 --> 01:46:47,736
DEPARTMENTS HERE AT NIH, IT'S

3026
01:46:47,736 --> 01:46:49,672
ALMOST LIKE MINI UNIVERSITIES,

3027
01:46:49,672 --> 01:46:51,640
RIGHT, BECAUSE THEY COVER THE

3028
01:46:51,640 --> 01:46:55,544
WATERFRONT, AND THEY'RE ALL

3029
01:46:55,544 --> 01:46:56,946
HERE, 26 OF THEM READY AND ABLE

3030
01:46:56,946 --> 01:46:57,813
TO HELP EACH OTHER.

3031
01:46:57,813 --> 01:47:01,216
SO THAT'S RE REALLY WHAT'S EXCIG

3032
01:47:01,216 --> 01:47:02,418
ABOUT THE INTRAMURAL PROGRAM.

3033
01:47:02,418 --> 01:47:06,422
>> JUST TRYING TO BE
MINDFUL OF

3034
01:47:06,422 --> 01:47:08,223
TIME, IS THERE --

3035
01:47:08,223 --> 01:47:12,261
>>  I JUST WANT TO JUST
MAKE

3036
01:47:12,261 --> 01:47:13,929
SURE TO UNDERSCORE THE AMAZING

3037
01:47:13,929 --> 01:47:16,098
JOB THAT DAVID HAS DONE AS

3038
01:47:16,098 --> 01:47:16,932
SCIENTIFIC DIRECTOR.

3039
01:47:16,932 --> 01:47:20,603
IN ADDITION --

3040
01:47:20,603 --> 01:47:20,970
[APPLAUSE]

3041
01:47:20,970 --> 01:47:25,874
IN ADDITION TO HIS OTHER JOB,

3042
01:47:25,874 --> 01:47:28,043
WHICH IS DEPUTY DIRECTOR, WHICH

3043
01:47:28,043 --> 01:47:31,113
HE IS SO EXCELLENT AT.

3044
01:47:31,113 --> 01:47:34,817
SO I KNOW WHEN FOUR PLUS YEARS

3045
01:47:34,817 --> 01:47:39,488
AGO, WE DECIDED TO TAKE ON THE

3046
01:47:39,488 --> 01:47:42,391
CHALLENGE OF -- HE DIDN'T JUST

3047
01:47:42,391 --> 01:47:43,626
TREAD WATER, RIGHT, JUST REALLY

3048
01:47:43,626 --> 01:47:44,793
BUILT THIS PROGRAM IN A WAY THAT

3049
01:47:44,793 --> 01:47:48,931
IS JUST SO THOUGHTFUL, AND

3050
01:47:48,931 --> 01:47:50,699
ACCOMPLISHED SO MUCH, SO REALLY,

3051
01:47:50,699 --> 01:47:51,734
REALLY WANT TO THANK YOU, AND,

3052
01:47:51,734 --> 01:47:53,602
YOU KNOW, THIS PROGRAM IS GOING

3053
01:47:53,602 --> 01:47:55,571
TO BEAR YOUR STAMP ON IT FOR A

3054
01:47:55,571 --> 01:47:56,905
LONG TIME.

3055
01:47:56,905 --> 01:47:57,406
>> THANK YOU FOR THAT.

3056
01:47:57,406 --> 01:48:01,010
BUT REALLY, I TAKE SOME OF THE

3057
01:48:01,010 --> 01:48:04,013
CREDIT, PROBABLY SOME WHRA BLAM,

3058
01:48:04,013 --> 01:48:05,781
BUT IT'S REALLY EVERYONE, YOU

3059
01:48:05,781 --> 01:48:07,650
KNOW, I THINK I JUST CAN'T SAY

3060
01:48:07,650 --> 01:48:09,918
ENOUGH ABOUT THE TREMENDOUS

3061
01:48:09,918 --> 01:48:11,520
SCIENTISTS WE HAVE IN THE

3062
01:48:11,520 --> 01:48:13,122
PROGRAM, THE PROFESSIONAL STAFF

3063
01:48:13,122 --> 01:48:16,025
THAT REALLY MAKE THE PROGRAM,

3064
01:48:16,025 --> 01:48:17,192
YOU KNOW, IT TAKES ALL OF US TO

3065
01:48:17,192 --> 01:48:18,060
DO THIS.

3066
01:48:18,060 --> 01:48:20,095
AND I THINK WE'RE NOW UP TO LIKE

3067
01:48:20,095 --> 01:48:22,398
50 OR SO STAFF OVERALL IN THE

3068
01:48:22,398 --> 01:48:24,566
PROGRAM.

3069
01:48:24,566 --> 01:48:27,169
WHICH FOR A VERY SMALL CENTER IS

3070
01:48:27,169 --> 01:48:27,636
PRETTY LARGE.

3071
01:48:27,636 --> 01:48:29,138
EVERYONE IS PULLING THEIR WEIGHT

3072
01:48:29,138 --> 01:48:30,539
AND DOING A FABULOUS JOB, SO I'M

3073
01:48:30,539 --> 01:48:31,940
VERY THANKFUL AND GRATEFUL FOR

3074
01:48:31,940 --> 01:48:33,075
EVERYONE AND WHAT WE'VE DONE

3075
01:48:33,075 --> 01:48:35,044
OVER THESE LAST FOUR YEARS BUT

3076
01:48:35,044 --> 01:48:36,178
REALLY OVER THE LAST 12 YEARS.

3077
01:48:36,178 --> 01:48:38,514
SO THANK YOU.

3078
01:48:38,514 --> 01:48:40,349
>> OKAY, THANK YOU SO
MUCH,

3079
01:48:40,349 --> 01:48:41,116
DAVID.

3080
01:48:41,116 --> 01:48:43,585
AND WE ARE NOW MOVING ON TO OUR

3081
01:48:43,585 --> 01:48:47,089
NEXT AGENDA ITEM, LONG EXPECTED,

3082
01:48:47,089 --> 01:48:51,894
WHICH IS OUR LUNCH BREAK.

3083
01:48:51,894 --> 01:48:53,395
SO FOR EVERYBODY EITHER BEING ON

3084
01:48:53,395 --> 01:48:56,098
ZOOM OR ON THE VIDEOCAST, WE ARE

3085
01:48:56,098 --> 01:49:00,502
RECONVENING HERE AT 1:20 EASTERN

3086
01:49:00,502 --> 01:49:00,803
TIME.

3087
01:49:00,803 --> 01:49:02,871
AND THIS IS A HARD START, SO IT

3088
01:49:02,871 --> 01:49:04,473
IS 1:20.

3089
01:49:04,473 --> 01:49:07,242
FOR EVERYBODY HERE IN THE ROOM,

3090
01:49:07,242 --> 01:49:08,944
WE HAVE DOWNSTAIRS THE

3091
01:49:08,944 --> 01:49:09,912
CAFETERIA, CAN GET FOOD THERE,

3092
01:49:09,912 --> 01:49:11,447
YOU CAN EAT DOWN THERE, OR YOU

3093
01:49:11,447 --> 01:49:14,583
CAN BRING THE FOOD UPSTAIRS WITH

3094
01:49:14,583 --> 01:49:15,651
YOU, WE HAVE MEETING ROOMS OVER

3095
01:49:15,651 --> 01:49:17,419
THERE SO YOU CAN EAT IN THERE,

3096
01:49:17,419 --> 01:49:19,488
BUT AGAIN, IT IS 1:20.

3097
01:49:19,488 --> 01:49:20,912
SO HARD START. GOOD. THANK YOU.

3098
01:49:20,912 --> 01:49:24,415
WELCOME BACK, EVERYBODY, FROM

3099
01:49:24,415 --> 01:49:25,817
LUNCH.

3100
01:49:25,817 --> 01:49:27,185
WE ARE NOW GOING TO RESTART THE

3101
01:49:27,185 --> 01:49:27,952
MEETING.

3102
01:49:27,952 --> 01:49:30,488
OUR FIRST ORDER OF BUSINESS WILL

3103
01:49:30,488 --> 01:49:32,857
BE OUR NUTRITION CONTINUUM

3104
01:49:32,857 --> 01:49:34,893
SYMPOSIUM, AND I AM GOING TO

3105
01:49:34,893 --> 01:49:37,428
TURN THINGS OVER TO

3106
01:49:37,428 --> 01:49:39,564
DR. LANGEVIN, WHO WILL INTRODUCE

3107
01:49:39,564 --> 01:49:42,233
OUR GUEST SPEAKERS FOR OUR

3108
01:49:42,233 --> 01:49:43,301
SYMPOSIUM, AS WELL AS OFFER SOME

3109
01:49:43,301 --> 01:49:45,470
OPENING REMARKS TO SET THE STAGE

3110
01:49:45,470 --> 01:49:47,171
FOR TODAY'S PRESENTATION AND

3111
01:49:47,171 --> 01:49:54,212
DISCUSSION.

3112
01:49:54,212 --> 01:49:57,382
THIS JUST TAKES US A SECOND.

3113
01:49:57,382 --> 01:50:05,356
>> THANK YOU VERY MUCH,
MARTINA.

3114
01:50:05,356 --> 01:50:07,625
SO THIS AFTERNOON FOR OUR

3115
01:50:07,625 --> 01:50:09,027
SYMPOSIUM, WE'RE REALLY EXCITED

3116
01:50:09,027 --> 01:50:13,264
TO WELCOME TWO GUEST SPEAKERS.

3117
01:50:13,264 --> 01:50:14,933
DR. STEFAN PASIAKOS, DIRECTOR OF

3118
01:50:14,933 --> 01:50:15,633
THE OFFICE OF DIETARY

3119
01:50:15,633 --> 01:50:17,068
SUPPLEMENTS, AND DR. ANDREW

3120
01:50:17,068 --> 01:50:19,003
BREMER, DIRECTOR OF THE OFFICE

3121
01:50:19,003 --> 01:50:23,174
OF NUTRITION RESEARCH.

3122
01:50:23,174 --> 01:50:25,777
TO US, THIS PARTNERSHIP THAT WE

3123
01:50:25,777 --> 01:50:30,448
HAVE WITH BOTH ODS AND ONR IS

3124
01:50:30,448 --> 01:50:31,983
VERY, VERY IMPORTANT.

3125
01:50:31,983 --> 01:50:35,920
WOVE .WE'VE HAD OBVIOUSLY A

3126
01:50:35,920 --> 01:50:39,691
LONG-STANDING PARTNERSHIP WITH

3127
01:50:39,691 --> 01:50:40,158
THE OFFICE OF DIETARY

3128
01:50:40,158 --> 01:50:41,759
SUPPLEMENTS AND AS I WILL

3129
01:50:41,759 --> 01:50:42,994
EXPLAIN IN A MINUTE, WE'RE

3130
01:50:42,994 --> 01:50:45,063
REALLY EXTENDING NOW OUR VIEW OF

3131
01:50:45,063 --> 01:50:47,532
THE IMPORTANCE OF INTEGRATING

3132
01:50:47,532 --> 01:50:52,070
THE RESEARCH THAT WE DO ON

3133
01:50:52,070 --> 01:50:53,838
DIETARY SUPPLEMENTS WITH A WIDER

3134
01:50:53,838 --> 01:50:56,474
VIEW OF WHERE THE DIETARY

3135
01:50:56,474 --> 01:50:58,242
SUPPLEMENTS FIT IN THE CONTEXT

3136
01:50:58,242 --> 01:50:59,377
OF OVERALL NUTRITION.

3137
01:50:59,377 --> 01:51:00,712
SO THIS IS ONE OF THE REASONS

3138
01:51:00,712 --> 01:51:03,848
WHY THIS IS SO IMPORTANT FOR US

3139
01:51:03,848 --> 01:51:08,186
TO HAVE THIS DISCUSSION TODAY.

3140
01:51:08,186 --> 01:51:09,821
SO I'M JUST GOING TO BRIEFLY

3141
01:51:09,821 --> 01:51:11,889
INTRODUCE OUR TWO SPEAKERS AND

3142
01:51:11,889 --> 01:51:13,091
THEN I'M GOING TO JUST GIVE A

3143
01:51:13,091 --> 01:51:14,492
FEW REMARKS.

3144
01:51:14,492 --> 01:51:18,329
FIRST, DR. PASIAKOS, HE JOINED

3145
01:51:18,329 --> 01:51:21,265
THE NIH'S OFFICE OF DIETARY

3146
01:51:21,265 --> 01:51:24,068
SUPPLEMENTS OR O DS IN

3147
01:51:24,068 --> 01:51:24,402
JULY 2023.

3148
01:51:24,402 --> 01:51:26,204
BEFORE THAT, HE HELD MULTIPLE

3149
01:51:26,204 --> 01:51:31,576
POSITIONS IN THE UNITED STATES

3150
01:51:31,576 --> 01:51:33,778
ARMY RESEARCH INSTITUTE OF

3151
01:51:33,778 --> 01:51:35,513
ENVIRONMENTAL MEDICINE FROM 2008

3152
01:51:35,513 --> 01:51:37,949
TO 2023 AND MOST RECENTLY HE

3153
01:51:37,949 --> 01:51:39,150
SERVED AS CHIEF MILITARY

3154
01:51:39,150 --> 01:51:43,521
PERFORMANCE CA DIVISION TO DEVEP

3155
01:51:43,521 --> 01:51:45,089
EVIDENCE-BASED SOLUTIONS TO

3156
01:51:45,089 --> 01:51:47,125
LIMIT MUSCULOSKELETAL INJURIES

3157
01:51:47,125 --> 01:51:48,826
AND OPTIMIZE PHYSICAL AND

3158
01:51:48,826 --> 01:51:49,460
COGNITIVE PERFORMANCE IN

3159
01:51:49,460 --> 01:51:50,661
MILITARY TRAINING AND

3160
01:51:50,661 --> 01:51:52,363
OPERATIONAL ENVIRONMENTS.

3161
01:51:52,363 --> 01:51:55,566
AND FROM 2012 TO 2021,

3162
01:51:55,566 --> 01:51:57,835
DR. PASIAKOS WAS A RESEARCH

3163
01:51:57,835 --> 01:51:59,771
PHYSIOLOGIST IN THE MILITARY

3164
01:51:59,771 --> 01:52:02,373
NUTRITION DIVISION.

3165
01:52:02,373 --> 01:52:05,610
AND HE'S GOING TO BE JOINING US

3166
01:52:05,610 --> 01:52:07,979
ON ZOOM.

3167
01:52:07,979 --> 01:52:09,881
NOW DR. BREMER WAS NAMED

3168
01:52:09,881 --> 01:52:11,449
DIRECTOR OF THE OFFICE OF

3169
01:52:11,449 --> 01:52:13,918
NUTRITION RESEARCH IN

3170
01:52:13,918 --> 01:52:15,486
SEPTEMBER 2023.

3171
01:52:15,486 --> 01:52:20,058
SO BOTH RELATIVELY RECENT

3172
01:52:20,058 --> 01:52:23,528
ARRIVALS TO THEIR POSITION.

3173
01:52:23,528 --> 01:52:25,063
PRIOR TO THIS APPOINTMENT, HE

3174
01:52:25,063 --> 01:52:27,665
WAS THE ONR -- BEFORE BEING THE

3175
01:52:27,665 --> 01:52:29,700
ONR DIRECTOR, DR. BREMER WAS THE

3176
01:52:29,700 --> 01:52:33,471
CHIEF OF PEDIATRIC GROWTH AND

3177
01:52:33,471 --> 01:52:35,606
NUTRITION BRANCH AT THE EUNICE

3178
01:52:35,606 --> 01:52:36,574
KENNEDY SHRIVER NATIONAL

3179
01:52:36,574 --> 01:52:37,642
INSTITUTE OF CHILD HEALTH AND

3180
01:52:37,642 --> 01:52:39,744
HUMAN DEVELOPMENT.

3181
01:52:39,744 --> 01:52:42,914
DR. BREMER JOINED NIH IN 2013,

3182
01:52:42,914 --> 01:52:45,483
AFTER HOLDING ACADEMIC POSITIONS

3183
01:52:45,483 --> 01:52:46,350
AT UNIVERSITY OF CALIFORNIA

3184
01:52:46,350 --> 01:52:48,119
DAVIS AND VANDERBILT.

3185
01:52:48,119 --> 01:52:51,122
HE'S A CO-CHAIR OF NATIONAL

3186
01:52:51,122 --> 01:52:52,757
COLLABORATIVE ON CHILDHOOD

3187
01:52:52,757 --> 01:52:53,324
OBESITY RESEARCH STEERING

3188
01:52:53,324 --> 01:52:54,725
COMMITTEE, A MEMBER OF THE

3189
01:52:54,725 --> 01:52:55,860
SENIOR LEADERSHIP GROUP OF THE

3190
01:52:55,860 --> 01:52:58,563
NIH OBESITY RESEARCH TASK FORCE,

3191
01:52:58,563 --> 01:53:01,532
THE NIH LIAISON TO THE AMERICAN

3192
01:53:01,532 --> 01:53:02,166
ACADEMY OF PEDIATRICS COMMITTEE

3193
01:53:02,166 --> 01:53:04,535
ON NUTRITION AND SECTION ON

3194
01:53:04,535 --> 01:53:07,638
OBESITY, AND A MEMBER OF THE NIH

3195
01:53:07,638 --> 01:53:09,006
CLIMATE CHANGE AND HEALTH

3196
01:53:09,006 --> 01:53:10,141
RESEARCH INITIATIVE STEERING

3197
01:53:10,141 --> 01:53:10,508
COMMITTEE.

3198
01:53:10,508 --> 01:53:12,844
AS A MEMBER OF THE ONR SENIOR

3199
01:53:12,844 --> 01:53:14,679
LEADERSHIP GROUP, HE HELPED

3200
01:53:14,679 --> 01:53:18,149
DEVELOP THE 2020 TO 2030

3201
01:53:18,149 --> 01:53:19,550
STRATEGIC PLAN FOR NIH NUTRITION

3202
01:53:19,550 --> 01:53:22,854
RESEARCH.

3203
01:53:22,854 --> 01:53:24,322
AND AFTER THEIR PRESENTATIONS,

3204
01:53:24,322 --> 01:53:25,723
WE WILL MOVE TO A Q & A AND

3205
01:53:25,723 --> 01:53:26,657
DISCUSSION AND FOR THIS

3206
01:53:26,657 --> 01:53:28,526
DISCUSSION, WE WILL BE ALSO

3207
01:53:28,526 --> 01:53:30,361
JOINED BY DR. STEPHANIE GEORGE,

3208
01:53:30,361 --> 01:53:32,897
WHO IS A DEPUTY DIRECTOR OF THE

3209
01:53:32,897 --> 01:53:35,166
OFFICE OF DIETARY SUPPLEMENTS.

3210
01:53:35,166 --> 01:53:37,268
PRIOR TO -- OR ORDS.

3211
01:53:37,268 --> 01:53:40,505
PRYING TO JOINING ODS IN 2024,

3212
01:53:40,505 --> 01:53:42,073
DR. GEORGE SERVED AS NATIONAL

3213
01:53:42,073 --> 01:53:44,008
INSTITUTES OF ARTHRITIS AND

3214
01:53:44,008 --> 01:53:46,244
MUSCULOSKELETAL AND SKIN

3215
01:53:46,244 --> 01:53:48,679
DISEASES SINCE 2019, AS AN

3216
01:53:48,679 --> 01:53:50,848
EPIDEMIOLOGIST AND PROGRAM

3217
01:53:50,848 --> 01:53:52,016
DIRECTOR OVERSEEING NIH'S

3218
01:53:52,016 --> 01:53:54,585
LARGEST INVESTMENT IN PHYSICAL

3219
01:53:54,585 --> 01:53:59,624
ACTIVITY RESEARCH, THE MOLECULAR

3220
01:53:59,624 --> 01:54:02,260
TRANSDUCER OF PHYSICAL ACTIVITY

3221
01:54:02,260 --> 01:54:06,998
CONSORTIUM OR MTPAC.

3222
01:54:06,998 --> 01:54:08,499
FOCUSED ON NUTRITION RESEARCH,

3223
01:54:08,499 --> 01:54:10,434
DIETARY SUPPLEMENTS, OBESITY,

3224
01:54:10,434 --> 01:54:11,769
PHYSICAL ACTIVITY, MEDICAL

3225
01:54:11,769 --> 01:54:12,370
REHABILITATION, BEHAVIORAL AND

3226
01:54:12,370 --> 01:54:14,906
SOCIAL SCIENCES, HEALTH

3227
01:54:14,906 --> 01:54:15,806
DISPARITIES, SOCIAL DETERMINANTS

3228
01:54:15,806 --> 01:54:16,340
OF HEALTH AND HEALTH

3229
01:54:16,340 --> 01:54:16,674
COMMUNICATION.

3230
01:54:16,674 --> 01:54:19,610
SO WE HAVE A WEALTH OF EXPERTISE

3231
01:54:19,610 --> 01:54:20,811
IN THIS PANEL.

3232
01:54:20,811 --> 01:54:22,313
I'M VERY, VERY EXCITED.

3233
01:54:22,313 --> 01:54:23,314
SO NOW I'M JUST GOING TO GIVE

3234
01:54:23,314 --> 01:54:27,051
YOU A LITTLE BIT OF CONTEXT

3235
01:54:27,051 --> 01:54:29,353
ABOUT WHY WE ARE SO EXCITED IN

3236
01:54:29,353 --> 01:54:31,455
THIS IDEA OF A NUTRITION

3237
01:54:31,455 --> 01:54:34,959
CONTINUUM.

3238
01:54:34,959 --> 01:54:36,561
WITH A FEW REMARKS.

3239
01:54:36,561 --> 01:54:39,630
AND HOW DOES THE NUTRITION

3240
01:54:39,630 --> 01:54:42,667
CONTINUUM FIT WITH OUR OVERALL

3241
01:54:42,667 --> 01:54:53,211
CONCEPT OF WHOLE PERSON HEALTH.

3242
01:54:57,715 --> 01:54:59,050
SO THIS IS A SLIDE THAT MANY OF

3243
01:54:59,050 --> 01:55:00,618
YOU HAVE SEEN BEFORE.

3244
01:55:00,618 --> 01:55:01,886
THIS IS KIND OF A LITTLE BIT

3245
01:55:01,886 --> 01:55:04,655
LIKE OUR ORGANIZING PRINCIPLE

3246
01:55:04,655 --> 01:55:07,692
FOR WHY LOOKING AT THE WHOLE

3247
01:55:07,692 --> 01:55:08,192
PERSON.

3248
01:55:08,192 --> 01:55:12,196
THIS WHOLE IDEA THAT YOU NEED

3249
01:55:12,196 --> 01:55:14,031
BOTH ANALYSIS AND SYNTHESIS, IT

3250
01:55:14,031 --> 01:55:16,000
DOESN'T MATTER WHAT YOU DO, IN

3251
01:55:16,000 --> 01:55:20,871
SCIENCE OR EVEN IN PHILOSOPHY OR

3252
01:55:20,871 --> 01:55:22,173
MATHEMATICS, THERE'S ALWAYS THIS

3253
01:55:22,173 --> 01:55:22,974
COUNTERCURRENT OF BREAKING

3254
01:55:22,974 --> 01:55:24,342
THINGS DOWN AND THEN PUTTING

3255
01:55:24,342 --> 01:55:25,243
THEM BACK TOGETHER.

3256
01:55:25,243 --> 01:55:29,914
AND IN MEDICINE, AND BIOMEDICAL

3257
01:55:29,914 --> 01:55:32,316
SCIENCES, WE HAVE A STRONG PULL

3258
01:55:32,316 --> 01:55:35,052
TOWARDS ANALYSIS, RIGHT?

3259
01:55:35,052 --> 01:55:38,923
IT'S KIND OF INHERENT IN HOW WE

3260
01:55:38,923 --> 01:55:40,825
DO THINGS, WE BREAK THINGS DOWN,

3261
01:55:40,825 --> 01:55:42,260
WE WANT TO UNDERSTAND, WE WANT

3262
01:55:42,260 --> 01:55:44,061
TO GET TO ROOT CAUSES, PRECISE

3263
01:55:44,061 --> 01:55:45,663
MECHANISMS TO THE CELLS, TO THE

3264
01:55:45,663 --> 01:55:46,631
MOLECULES, ET CETERA, AND THAT'S

3265
01:55:46,631 --> 01:55:47,164
FINE.

3266
01:55:47,164 --> 01:55:49,200
IT'S JUST THAT IT TAKES AN

3267
01:55:49,200 --> 01:55:51,135
EFFORT TO GO THE OTHER WAY, AND

3268
01:55:51,135 --> 01:55:54,739
PUT THE PUZZLE BACK TOGETHER.

3269
01:55:54,739 --> 01:55:57,675
AND THIS IS WHERE -- PUTTING AN

3270
01:55:57,675 --> 01:55:59,744
EMPHASIS ON BEING MINDFUL ABOUT

3271
01:55:59,744 --> 01:56:02,013
THE CHALLENGES OF DOING

3272
01:56:02,013 --> 01:56:03,648
SYNTHESIS, OF DOING INTEGRATION,

3273
01:56:03,648 --> 01:56:05,516
AND THAT'S WHY WE'RE CALLED THE

3274
01:56:05,516 --> 01:56:06,150
NATIONAL CENTERS FOR

3275
01:56:06,150 --> 01:56:07,451
COMPLEMENTARY AND INTEGRATIVE

3276
01:56:07,451 --> 01:56:07,718
HEALTH.

3277
01:56:07,718 --> 01:56:09,020
THAT'S PART OF WHAT WE TRY TO

3278
01:56:09,020 --> 01:56:12,089
DO, IS WE TRY TO PUT THINGS

3279
01:56:12,089 --> 01:56:15,226
TOGETHER.

3280
01:56:15,226 --> 01:56:17,962
SO THE OTHER THING -- THAT'S

3281
01:56:17,962 --> 01:56:19,764
STILL NOT ADVANCING VERY WELL

3282
01:56:19,764 --> 01:56:19,964
HERE.

3283
01:56:19,964 --> 01:56:22,033
THERE.

3284
01:56:22,033 --> 01:56:24,402
PART OF UNDERSTANDING WHY IT'S

3285
01:56:24,402 --> 01:56:25,703
IMPORTANT TO REALLY THINK ABOUT

3286
01:56:25,703 --> 01:56:31,442
ALL OF THE LEVELS STARTING WITH

3287
01:56:31,442 --> 01:56:32,410
THE PERSON BUT THEN GOING DOWN

3288
01:56:32,410 --> 01:56:33,711
TO THE CELLS AND MOLECULES AND

3289
01:56:33,711 --> 01:56:35,746
ALSO GOING BACK UP THE OTHER

3290
01:56:35,746 --> 01:56:36,981
DIRECTION TO, AS WE WERE TALKING

3291
01:56:36,981 --> 01:56:40,251
ABOUT EARLIER TO THE PERSON, TO

3292
01:56:40,251 --> 01:56:41,519
THE SOCIAL ENVIRONMENT, THE

3293
01:56:41,519 --> 01:56:43,387
FAMILY, THE COMMUNITY, AND EVEN

3294
01:56:43,387 --> 01:56:45,489
ALL THE WAY OVER TO THE PLANET,

3295
01:56:45,489 --> 01:56:49,560
TO UNDERSTAND THAT ALL OF THIS

3296
01:56:49,560 --> 01:56:52,129
IS AN INTEGRATED MULTI-SCALE

3297
01:56:52,129 --> 01:56:52,663
INTERRELATED NETWORK.

3298
01:56:52,663 --> 01:56:53,764
ALL OF THIS, EVERYTHING IS

3299
01:56:53,764 --> 01:56:57,168
RELATED TO EVERYTHING ELSE, AND

3300
01:56:57,168 --> 01:56:59,670
EVERYTHING THAT HAPPENS AT A

3301
01:56:59,670 --> 01:57:00,771
SMALL LEVEL INFLUENCES THE WHOLE

3302
01:57:00,771 --> 01:57:02,039
AND THE WHOLE INFLUENCES EVERY

3303
01:57:02,039 --> 01:57:02,239
PART.

3304
01:57:02,239 --> 01:57:03,908
SO THIS IS A FUNDAMENTAL

3305
01:57:03,908 --> 01:57:06,077
PRINCIPLE OF ECOLOGY, THE

3306
01:57:06,077 --> 01:57:08,312
SCIENCE OF ECOLOGY WAS BUILT

3307
01:57:08,312 --> 01:57:11,082
FROM, FROM THE BEGINNING, BUT

3308
01:57:11,082 --> 01:57:12,049
MEDICINE WASN'T BUILT WITH THAT

3309
01:57:12,049 --> 01:57:12,450
PRINCIPLE.

3310
01:57:12,450 --> 01:57:16,020
SO WE HAVE TO LEARN FROM OTHER

3311
01:57:16,020 --> 01:57:19,123
MORE INTEGRATIVE AND

3312
01:57:19,123 --> 01:57:20,157
ECOLOGICAL-MINDED SCIENCES TO

3313
01:57:20,157 --> 01:57:22,927
LEARN HOW TO THINK ABOUT HUMAN

3314
01:57:22,927 --> 01:57:30,368
BEINGS AND HEALTH THAT WAY.

3315
01:57:30,368 --> 01:57:31,569
AND WHAT ABOUT NUTRITION?

3316
01:57:31,569 --> 01:57:32,636
WELL, THE IDEA IS YOU CAN THINK

3317
01:57:32,636 --> 01:57:34,138
ABOUT ALL THE VARIOUS ASPECTS OF

3318
01:57:34,138 --> 01:57:36,107
NUTRITION THE SAME WAY, WITHIN A

3319
01:57:36,107 --> 01:57:37,575
FRAMEWORK OF MULTI-SCALE

3320
01:57:37,575 --> 01:57:39,043
NETWORKS, ALL THE WAY FROM, YOU

3321
01:57:39,043 --> 01:57:41,345
KNOW, GROWING THE FOOD IN THE

3322
01:57:41,345 --> 01:57:42,813
SOIL TO PRODUCING AND

3323
01:57:42,813 --> 01:57:44,115
DISTRIBUTING THE FOOD TO COOKING

3324
01:57:44,115 --> 01:57:45,916
TO EATING TO UNDERSTANDING

3325
01:57:45,916 --> 01:57:48,419
WHAT'S IN THE FOOD AND FINALLY,

3326
01:57:48,419 --> 01:57:49,587
ALL THE LITTLE MOLECULES THAT

3327
01:57:49,587 --> 01:57:54,959
ARE IN THE FOOD.

3328
01:57:54,959 --> 01:57:56,427
THAT WE EAT.

3329
01:57:56,427 --> 01:57:57,395
UNFORTUNATELY, WHAT WE'RE SEEING

3330
01:57:57,395 --> 01:57:59,530
IN THIS NETWORK, IN THIS DAY AND

3331
01:57:59,530 --> 01:58:03,033
AGE, IS UNFORTUNATELY NOT ALWAYS

3332
01:58:03,033 --> 01:58:05,069
VERY GOOD.

3333
01:58:05,069 --> 01:58:06,270
WE SEE A LOT OF PROBLEMS THAT

3334
01:58:06,270 --> 01:58:10,141
ARE INTERRELATED, GOING ALL THE

3335
01:58:10,141 --> 01:58:15,012
WAY FROM OVERUSING FERTILIZERS,

3336
01:58:15,012 --> 01:58:15,980
HERBICIDES, PESTICIDES,

3337
01:58:15,980 --> 01:58:20,351
DEPLETING OUR SOILS TO MASS

3338
01:58:20,351 --> 01:58:22,553
PRODUCED FARMING FOOD DEZ ERTS,

3339
01:58:22,553 --> 01:58:25,189
FAT FOOD, ULTRAPROCESSED FOODS,

3340
01:58:25,189 --> 01:58:30,594
ADDICTING FOODS, POOR NUTRIENT

3341
01:58:30,594 --> 01:58:32,363
QUALITY AND FINALLY USING

3342
01:58:32,363 --> 01:58:33,998
DIETARY SUPPLEMENTS INSTEAD OF

3343
01:58:33,998 --> 01:58:34,198
FOOD.

3344
01:58:34,198 --> 01:58:35,599
THIS IS NOT A GOOD SITUATION.

3345
01:58:35,599 --> 01:58:36,667
IN ORDER TO ADDRESS THIS

3346
01:58:36,667 --> 01:58:37,701
PROBLEM, IT'S CLEAR WE CANNOT

3347
01:58:37,701 --> 01:58:38,936
JUST ADDRESS ALL THESE ISSUES

3348
01:58:38,936 --> 01:58:39,970
ONE AT A TIME, SEPARATELY,

3349
01:58:39,970 --> 01:58:41,105
BECAUSE THEY ARE SO

3350
01:58:41,105 --> 01:58:47,978
INTERRELATED.

3351
01:58:47,978 --> 01:58:52,416
SO HERE I'VE DRAWN KIND OF THE

3352
01:58:52,416 --> 01:58:53,250
NUTRITION CONTINUUM FROM THE

3353
01:58:53,250 --> 01:58:54,752
POINT OF VIEW OF THE RESEARCH

3354
01:58:54,752 --> 01:58:55,553
THAT WE CAN DO.

3355
01:58:55,553 --> 01:58:58,422
YOU CAN SEE THAT FROM UNTIL

3356
01:58:58,422 --> 01:59:00,491
RECENTLY, WHAT NCCIH WAS MAINLY

3357
01:59:00,491 --> 01:59:01,892
CONCERNED ABOUT WAS KIND OF ON

3358
01:59:01,892 --> 01:59:02,860
THE FAR RIGHT CORNER OF THIS,

3359
01:59:02,860 --> 01:59:04,995
MORE LOOKING AT NATURAL PRODUCTS

3360
01:59:04,995 --> 01:59:07,264
FROM THE POINT OF VIEW OF THEIR

3361
01:59:07,264 --> 01:59:09,834
BIOACTIVE CONSTITUENTS, LOOKING

3362
01:59:09,834 --> 01:59:13,704
AT, FOR EXAMPLE, INDIVIDUAL

3363
01:59:13,704 --> 01:59:14,905
COMPOUNDS AND THEIR POTENTIAL

3364
01:59:14,905 --> 01:59:17,374
FOR PERHAPS BEING DEVELOPED INTO

3365
01:59:17,374 --> 01:59:21,445
MEDICINES, DRUGS OR EVEN

3366
01:59:21,445 --> 01:59:22,213
UNDERSTANDING HOW DIFFERENT

3367
01:59:22,213 --> 01:59:23,981
COMPONENTS OF NATURAL PRODUCTS,

3368
01:59:23,981 --> 01:59:25,983
FOR EXAMPLE, INTERACT WITH ONE

3369
01:59:25,983 --> 01:59:27,718
ANOTHER, THE KINDS OF COMPOUNDS

3370
01:59:27,718 --> 01:59:29,820
THAT ARE USED, FOR EXAMPLE, IN

3371
01:59:29,820 --> 01:59:32,656
MMEDICINAL PLANTS, ALL OF THAT

3372
01:59:32,656 --> 01:59:33,457
CONTINUES TO BE OF GREAT

3373
01:59:33,457 --> 01:59:34,225
INTEREST TO US.

3374
01:59:34,225 --> 01:59:38,596
IN ADDITION, WE'VE HAD ALSO AN

3375
01:59:38,596 --> 01:59:40,130
INCREASING INTEREST IN MICROBES,

3376
01:59:40,130 --> 01:59:45,135
IN MICROBIOME, IN PRO AND

3377
01:59:45,135 --> 01:59:46,937
PREBIOTICS, BUT UP UNTIL

3378
01:59:46,937 --> 01:59:48,606
RECENTLY, WE HADN'T REALLY

3379
01:59:48,606 --> 01:59:51,141
INTEGRATED THAT RESEARCH INTO

3380
01:59:51,141 --> 01:59:53,978
THE RESEARCH ON THE ACTUAL --

3381
01:59:53,978 --> 01:59:56,146
WHAT PEOPLE EAT IN THEIR OVERALL

3382
01:59:56,146 --> 01:59:58,449
DIET, BECAUSE THAT WAS KIND OF

3383
01:59:58,449 --> 01:59:59,550
IN A DIFFERENT INSTITUTE,

3384
01:59:59,550 --> 02:00:01,118
DIFFERENT DOMAIN, USUALLY WE'D

3385
02:00:01,118 --> 02:00:03,621
THINK THAT'S THE DOMAIN OF THE

3386
02:00:03,621 --> 02:00:04,655
NIDDK, YOU KNOW.

3387
02:00:04,655 --> 02:00:06,757
RIGHT NOW, WE'RE THINKING THAT

3388
02:00:06,757 --> 02:00:08,592
BECAUSE WE HAVE A LOT OF

3389
02:00:08,592 --> 02:00:10,361
COLLABORATION INCLUDING WITH

3390
02:00:10,361 --> 02:00:11,762
NIDDK, INCLUDING WITH ONR AND

3391
02:00:11,762 --> 02:00:14,465
WITH ODS, WE'RE THINKING THAT WE

3392
02:00:14,465 --> 02:00:15,766
REALLY CAN INTEGRATE THIS

3393
02:00:15,766 --> 02:00:18,869
RESEARCH BETTER.

3394
02:00:18,869 --> 02:00:20,304
AND SO THE IDEA OF

3395
02:00:20,304 --> 02:00:21,138
UNDERSTANDING, FOR EXAMPLE, WHAT

3396
02:00:21,138 --> 02:00:22,439
IS THE IMPACT OF TAKING A

3397
02:00:22,439 --> 02:00:23,641
DIETARY SUPPLEMENT, DEPENDING ON

3398
02:00:23,641 --> 02:00:24,975
WHAT ELSE YOU'RE EATING, THAT'S

3399
02:00:24,975 --> 02:00:26,477
IMPORTANT.

3400
02:00:26,477 --> 02:00:27,912
IT'S NOT JUST WHAT IS THE EFFECT

3401
02:00:27,912 --> 02:00:29,213
OF THE DIETARY SUPPLEMENT IN AND

3402
02:00:29,213 --> 02:00:30,247
OF ITSELF.

3403
02:00:30,247 --> 02:00:34,318
SO THAT'S WHY WE ISSUED THE

3404
02:00:34,318 --> 02:00:36,520
ADDITIONAL REQUEST FOR THE

3405
02:00:36,520 --> 02:00:39,056
NOTICE THAT I TALKED ABOUT

3406
02:00:39,056 --> 02:00:42,259
EARLIER TODAY, ABOUT

3407
02:00:42,259 --> 02:00:45,262
INCORPORATING INFORMATION ON

3408
02:00:45,262 --> 02:00:46,897
DIETARY INFORMATION IN STUDIES

3409
02:00:46,897 --> 02:00:50,534
THAT STUDIED THE EFFECT OF A

3410
02:00:50,534 --> 02:00:52,803
SINGLE COMPONENT, FOR EXAMPLE,

3411
02:00:52,803 --> 02:00:54,104
MEGA 3 FATTY ACIDS, JUST FOR

3412
02:00:54,104 --> 02:00:57,241
USING AN EXAMPLE.

3413
02:00:57,241 --> 02:00:59,243
SO THE WHOLE WORLD OF PRECISION

3414
02:00:59,243 --> 02:01:00,544
NUTRITION, OF FOOD AS MEDICINE,

3415
02:01:00,544 --> 02:01:02,179
OF MEDICALLY TAILORED MEALS,

3416
02:01:02,179 --> 02:01:05,883
THESE ARE ALL AREAS WHERE WE

3417
02:01:05,883 --> 02:01:08,419
FEEL LIKE ALL THIS RESEARCH

3418
02:01:08,419 --> 02:01:11,989
NEEDS TO BE INTEGRATED AND TAKEN

3419
02:01:11,989 --> 02:01:13,357
IN THE CONTEXT OF WHAT WE CALL

3420
02:01:13,357 --> 02:01:15,726
THE NUTRITION CONTINUUM.

3421
02:01:15,726 --> 02:01:19,330
WE ALSO ARE VERY EXCITED ABOUT

3422
02:01:19,330 --> 02:01:22,566
THE SOCIAL AND ENVIRONMENTAL

3423
02:01:22,566 --> 02:01:23,901
ASPECTS OF NUTRITION IN

3424
02:01:23,901 --> 02:01:25,970
COLLABORATION, FOR EXAMPLE, WITH

3425
02:01:25,970 --> 02:01:28,238
THE OFFICE OF NURSING RESEARCH,

3426
02:01:28,238 --> 02:01:30,474
WE WERE VERY FORTUNATE TO HAVE

3427
02:01:30,474 --> 02:01:32,977
DR. ZENK, WHO'S THE DIRECTOR OF

3428
02:01:32,977 --> 02:01:34,044
NINR GIVE OUR STRAUSS LECTURE A

3429
02:01:34,044 --> 02:01:35,346
COUPLE OF YEARS AGO, WHERE SHE

3430
02:01:35,346 --> 02:01:37,247
TALKED ABOUT FOOD DESERTS AND

3431
02:01:37,247 --> 02:01:38,349
FOOD AVAILABILITY AND SOCIAL

3432
02:01:38,349 --> 02:01:39,750
DETERMINANTS OF HEALTH

3433
02:01:39,750 --> 02:01:42,252
REGARDING -- AROUND NUTRITION.

3434
02:01:42,252 --> 02:01:46,190
AND FINALLY, I WANT TO JUST ALSO

3435
02:01:46,190 --> 02:01:48,125
TALK ABOUT THE IMPORTANCE OF

3436
02:01:48,125 --> 02:01:49,893
UNDERSTANDING THAT THE

3437
02:01:49,893 --> 02:01:51,061
RELATIONSHIP BETWEEN WHAT WE EAT

3438
02:01:51,061 --> 02:01:54,231
AND THE PLACES WHERE THE FOOD IS

3439
02:01:54,231 --> 02:02:04,708
GROWN IS VERY -- THERE'S AN

3440
02:02:18,122 --> 02:02:19,757
INTERESTING RELATIONSHIP BETWEEN

3441
02:02:19,757 --> 02:02:24,528
WHAT IS GOING ON, FOR EXAMPLE,

3442
02:02:24,528 --> 02:02:28,699
IN PLANTS THAT THE SAME

3443
02:02:28,699 --> 02:02:30,868
MOLECULE, FOR EXAMPLE,

3444
02:02:30,868 --> 02:02:31,969
FLAVONOIDS, CAN CONTRIBUTE TO

3445
02:02:31,969 --> 02:02:33,837
HOW A PLANT IS ABLE TO BE

3446
02:02:33,837 --> 02:02:37,975
RESILIENT IN THE FACE OF, SAY,

3447
02:02:37,975 --> 02:02:39,476
DROUGHT OR EXTREME TEMPERATURES

3448
02:02:39,476 --> 02:02:42,446
OR OTHER STRESSORS, THE VERY

3449
02:02:42,446 --> 02:02:44,415
SAME MOLECULES CAN BE IMPORTANT

3450
02:02:44,415 --> 02:02:50,554
IN THE RESILIENCE OF HUMANS,

3451
02:02:50,554 --> 02:02:51,922
ANIMALS, I GUESS, WHO CONSUME

3452
02:02:51,922 --> 02:02:54,792
THESE MOLECULES, AND SO IT'S AT

3453
02:02:54,792 --> 02:02:56,427
BOTH ENDS OF THE SPECTRUM.

3454
02:02:56,427 --> 02:02:59,963
AND THE OTHER IMPORTANT THING IS

3455
02:02:59,963 --> 02:03:01,465
THAT WE'RE STARTING TO

3456
02:03:01,465 --> 02:03:04,268
UNDERSTAND, IS THAT THE

3457
02:03:04,268 --> 02:03:05,269
RELATIONSHIP OF MICROBES TO BOTH

3458
02:03:05,269 --> 02:03:08,038
THE SOIL AND, FOR EXAMPLE, THE

3459
02:03:08,038 --> 02:03:09,973
GUT HELP METABOLIZE THESE

3460
02:03:09,973 --> 02:03:12,443
COMPONENTS AND THESE COMPOUNDS

3461
02:03:12,443 --> 02:03:14,244
AND HELP THEM, FOR EXAMPLE, IN

3462
02:03:14,244 --> 02:03:17,981
THE GUT TO METABOLISM INTO

3463
02:03:17,981 --> 02:03:18,816
COMPOUNDS THAT WE ARE BETTER

3464
02:03:18,816 --> 02:03:22,720
ABLE TO AB SORM  ABSORB AND INTT

3465
02:03:22,720 --> 02:03:24,655
WITH, FOR EXAMPLE, OUR BRAINS.

3466
02:03:24,655 --> 02:03:28,058
SO THE IDEA THAT THERE'S THIS

3467
02:03:28,058 --> 02:03:32,229
WONDERFUL CONNECTION BETWEEN THE

3468
02:03:32,229 --> 02:03:36,734
VARIOUS DIFFERENT LEVELS OF THIS

3469
02:03:36,734 --> 02:03:37,901
NUTRITION CONTINUUM ILLUSTRATED

3470
02:03:37,901 --> 02:03:39,670
IN SOME CASES LIKE THIS REALLY

3471
02:03:39,670 --> 02:03:41,505
UNDERSCORES THE FACT THAT --

3472
02:03:41,505 --> 02:03:41,705
SORRY.

3473
02:03:41,705 --> 02:03:44,074
IT WAS WORKING FINE EARLIER.

3474
02:03:44,074 --> 02:03:47,311
WHEN WE TALK ABOUT WHOLE PERSON

3475
02:03:47,311 --> 02:03:49,279
HEALTH, NUTRITION IS NOT

3476
02:03:49,279 --> 02:03:50,914
ISOLATED IN AND OF ITSELF.

3477
02:03:50,914 --> 02:03:54,718
NOT ONLY DO WE HAVE TO

3478
02:03:54,718 --> 02:03:56,019
CONTRIBUTE -- CONSIDER THE

3479
02:03:56,019 --> 02:03:57,221
CONTINUUM OF NUTRITION, BUT ALSO

3480
02:03:57,221 --> 02:03:59,323
THE RELATIONSHIP OF NUTRITION TO

3481
02:03:59,323 --> 02:04:02,025
OTHER ASPECTS OF HEALTH, SUCH AS

3482
02:04:02,025 --> 02:04:03,227
PHYSICAL ACTIVITY, SUCH AS

3483
02:04:03,227 --> 02:04:04,461
STRESS MANAGEMENT, SLEEP, ET

3484
02:04:04,461 --> 02:04:05,729
CETERA.

3485
02:04:05,729 --> 02:04:07,364
IT'S ALL A COMPONENT OF

3486
02:04:07,364 --> 02:04:10,234
SELF-CARE, AND WHAT WE CAN DO TO

3487
02:04:10,234 --> 02:04:16,940
SUPPORT THIS SELF-CARE AND TO

3488
02:04:16,940 --> 02:04:19,943
MAINTAIN THE HEALTH OF THE WHOLE

3489
02:04:19,943 --> 02:04:23,647
PERSON, AND THEN -- NOT ONLY

3490
02:04:23,647 --> 02:04:26,049
PREVENT A HOST OF CHRONIC

3491
02:04:26,049 --> 02:04:28,685
DISEASES, BUT ALSO HELP REVERSE

3492
02:04:28,685 --> 02:04:30,888
SOME OF THESE CONDITIONS IF

3493
02:04:30,888 --> 02:04:36,393
TAKEN AT AN EARLY ENOUGH STAGE.

3494
02:04:36,393 --> 02:04:38,629
INTERESTINGLY ENOUGH, A VERY

3495
02:04:38,629 --> 02:04:43,033
SIMILAR STORY CAN BE PAINTED FOR

3496
02:04:43,033 --> 02:04:43,333
OUR PLANET.

3497
02:04:43,333 --> 02:04:44,701
THE FACT THAT WE CAN -- THERE

3498
02:04:44,701 --> 02:04:46,170
ARE CERTAIN THINGS THAT WE CAN

3499
02:04:46,170 --> 02:04:49,072
DO AND SPECIFICALLY WHICH

3500
02:04:49,072 --> 02:04:50,040
REGARDING TO THE ENVIRONMENT

3501
02:04:50,040 --> 02:04:52,709
WHERE OUR FOOD IS GROWN, OUR

3502
02:04:52,709 --> 02:04:54,144
SOIL, AND SO THE KIND OF

3503
02:04:54,144 --> 02:04:56,647
AGRICULTURE PRACTICES THAT WE

3504
02:04:56,647 --> 02:05:01,919
HAVE CAN CONTRIBUTE TO US

3505
02:05:01,919 --> 02:05:04,288
REVERSING NOT JUST THE EFFECT

3506
02:05:04,288 --> 02:05:05,756
OF -- ESSENTIALLY THE HEALTH OF

3507
02:05:05,756 --> 02:05:06,323
EARTH AS A WHOLE.

3508
02:05:06,323 --> 02:05:07,724
SO WE OFTEN TALK ABOUT CLIMATE

3509
02:05:07,724 --> 02:05:09,059
CHANGE AS SOMETHING WE NEED TO

3510
02:05:09,059 --> 02:05:11,094
ADDRESS URGENTLY, BUT I WOULD

3511
02:05:11,094 --> 02:05:14,164
ARGUE THAT THE HEALTH OF THE

3512
02:05:14,164 --> 02:05:16,033
SOIL OF THE PLANET IS JUST AS

3513
02:05:16,033 --> 02:05:16,533
IMPORTANT.

3514
02:05:16,533 --> 02:05:20,070
AND THIS IS SOMETHING THAT HAS A

3515
02:05:20,070 --> 02:05:28,745
DIRECT LINK TO NUTRITION.

3516
02:05:28,745 --> 02:05:30,113
SO IN CLOSING, THIS IS OUR

3517
02:05:30,113 --> 02:05:31,281
FAMILIAR DIAGRAM WHERE WE TALK

3518
02:05:31,281 --> 02:05:32,549
ABOUT WHOLE PERSON HEALTH AS

3519
02:05:32,549 --> 02:05:35,686
SUPPORTING AND EMPOWERING

3520
02:05:35,686 --> 02:05:36,820
INDIVIDUALS, FAMILIES,

3521
02:05:36,820 --> 02:05:37,921
COMMUNITIES AND POPULATION, AND

3522
02:05:37,921 --> 02:05:40,824
HERE WE'VE ADDED THE PLANET, TO

3523
02:05:40,824 --> 02:05:45,429
IMPROVE HEALTH THROUGH -- IN

3524
02:05:45,429 --> 02:05:48,932
BIOLOGICAL, BEHAVIORAL, SOCIAL

3525
02:05:48,932 --> 02:05:51,301
AND ENVIRONMENTAL DOMAINS IN A

3526
02:05:51,301 --> 02:05:52,402
VERY INTERCONNECTED WAY.

3527
02:05:52,402 --> 02:05:54,571
SO I'M VERY EXCITED TO WELCOME

3528
02:05:54,571 --> 02:06:03,447
OUR FIRST SPEAKER, DR. PASIAKOS.

3529
02:06:03,447 --> 02:06:05,115
WHO IS GOING TO TALK TO US ABOUT

3530
02:06:05,115 --> 02:06:15,525
WHAT IS GOING ON AT ODS.

3531
02:06:19,730 --> 02:06:21,498
>> I AM EXTREMELY EXCITED
TO BE

3532
02:06:21,498 --> 02:06:24,334
PART OF TODAY'S SESSION.

3533
02:06:24,334 --> 02:06:25,435
DR. LANGEVIN, I REALLY

3534
02:06:25,435 --> 02:06:26,837
APPRECIATE THE OPPORTUNITY, THE

3535
02:06:26,837 --> 02:06:29,740
GREAT INTRODUCTION, AND MOST

3536
02:06:29,740 --> 02:06:30,574
IMPORTANTLY FOR THOSE

3537
02:06:30,574 --> 02:06:32,976
OUTSTANDING INTRODUCTORY

3538
02:06:32,976 --> 02:06:34,111
COMMENTS THAT SET THE STAGE FOR

3539
02:06:34,111 --> 02:06:35,646
WHAT YOU'LL HEAR FROM DREW AND I

3540
02:06:35,646 --> 02:06:35,846
TODAY.

3541
02:06:35,846 --> 02:06:38,115
I'M GOING TO DO MY VERY BEST TO

3542
02:06:38,115 --> 02:06:41,818
HARNESS MY INNER DREW BR BREMERO

3543
02:06:41,818 --> 02:06:43,520
MAKE SURE I MATCH HIS ENERGY

3544
02:06:43,520 --> 02:06:44,821
LEVELS BECAUSE YOU'LL SEE WHEN

3545
02:06:44,821 --> 02:06:47,457
HE COMES ON IN A FEW MINUTES HOW

3546
02:06:47,457 --> 02:06:50,127
HIGH ENERGY HE IS, WHICH MEANS

3547
02:06:50,127 --> 02:06:51,662
HE'S STILL ENTHUSIASTIC ABOUT

3548
02:06:51,662 --> 02:06:52,396
THE WORK THAT WE'RE DOING.

3549
02:06:52,396 --> 02:06:53,797
SO THIS IS AN EXCITING SESSION

3550
02:06:53,797 --> 02:06:55,933
FOR US BECAUSE THE WAY I LOOK AT

3551
02:06:55,933 --> 02:06:59,636
SCIENCE ALWAYS THROUGH AN

3552
02:06:59,636 --> 02:07:00,037
INTEGRATED LINE.

3553
02:07:00,037 --> 02:07:02,039
I KNEW THIS WAS SOMETHING I

3554
02:07:02,039 --> 02:07:02,606
WANTED THE OFFICE OF DIETARY

3555
02:07:02,606 --> 02:07:03,774
SUPPLEMENTS TO BE A PART OF, AND

3556
02:07:03,774 --> 02:07:06,310
WHEN THE OPPORTUNITY CAME UP IN

3557
02:07:06,310 --> 02:07:09,012
DISCUSSION WITH DR. LANGEVIN,

3558
02:07:09,012 --> 02:07:10,681
DR. BREMER, AND NINR, I KNEW

3559
02:07:10,681 --> 02:07:11,448
THERE WAS AN OPPORTUNITY FOR US

3560
02:07:11,448 --> 02:07:14,217
TO ACTUALLY MOVE THE NEEDLE HERE

3561
02:07:14,217 --> 02:07:14,785
AND MAKE A MARK.

3562
02:07:14,785 --> 02:07:15,953
SO VERY EXCITED TO BE PART OF

3563
02:07:15,953 --> 02:07:20,490
THIS WORK.

3564
02:07:20,490 --> 02:07:24,061
I'M GOING TO START OFF TELLING

3565
02:07:24,061 --> 02:07:25,095
YOU REALLY WHAT YOU'RE GOING TO

3566
02:07:25,095 --> 02:07:27,030
HEAR OR TAKE AWAY AT THE END OF

3567
02:07:27,030 --> 02:07:29,099
THE PRESENTATION, THAT IS THIS

3568
02:07:29,099 --> 02:07:30,000
NUTRITION CONTINUUM.

3569
02:07:30,000 --> 02:07:31,401
IT'S A MULTI-SCALE NETWORK THAT

3570
02:07:31,401 --> 02:07:32,235
LINKS FOOD AND HEALTH THROUGHOUT

3571
02:07:32,235 --> 02:07:34,638
LIFE.

3572
02:07:34,638 --> 02:07:39,109
YOU'LL SEE THAT I WANT TO MAKE

3573
02:07:39,109 --> 02:07:41,044
IT CLEAR TO YOU THAT THE OFFICE

3574
02:07:41,044 --> 02:07:42,045
OF DIETARY SUPPLEMENTS, AND I'LL

3575
02:07:42,045 --> 02:07:43,447
EXPLAIN TO YOU WHO WE ARE, WHERE

3576
02:07:43,447 --> 02:07:44,648
WE'VE DONE AS AN OFFICE AND

3577
02:07:44,648 --> 02:07:46,416
WHERE WE ARE GOING AND MOST

3578
02:07:46,416 --> 02:07:48,218
IMPORTANTLY, HOW WE LOOK TO GET

3579
02:07:48,218 --> 02:07:49,586
FULLY BEHIND THE CONTINUUM AND

3580
02:07:49,586 --> 02:07:51,188
LOOK TO BUILD UPON OUR

3581
02:07:51,188 --> 02:07:54,257
LONG-STANDING PARTNERSHIP WITH

3582
02:07:54,257 --> 02:07:56,493
NCCIH AND ONR BY ADVANCING WHOLE

3583
02:07:56,493 --> 02:07:56,860
PERSON HEALTH.

3584
02:07:56,860 --> 02:07:57,995
TO DO THAT, I WILL GIVE YOU A

3585
02:07:57,995 --> 02:07:58,862
VERY QUICK OVERVIEW OF THE

3586
02:07:58,862 --> 02:08:01,298
OFFICE, WHO WE ARE, AND FOCUS

3587
02:08:01,298 --> 02:08:03,233
MAINLY ON WHERE WE ARE GOING.

3588
02:08:03,233 --> 02:08:06,470
WE'RE IN A VERY INTERESTING

3589
02:08:06,470 --> 02:08:07,904
TRANSITION PERIOD FOR THE OFFICE

3590
02:08:07,904 --> 02:08:08,572
OF DIETARY SUPPLEMENTS SO I WANT

3591
02:08:08,572 --> 02:08:10,240
TO MAKE SURE IT'S CLEAR TO

3592
02:08:10,240 --> 02:08:11,241
COUNCIL AND OTHERS FROM NCCIH

3593
02:08:11,241 --> 02:08:12,009
WHERE WE ARE GOING.

3594
02:08:12,009 --> 02:08:13,677
I WANT TO HIGHLIGHT OUR HISTORY

3595
02:08:13,677 --> 02:08:15,479
OF RELATIONSHIP WITH NCCIH AND

3596
02:08:15,479 --> 02:08:18,515
ITS PRODUCTIVITY AND END BY

3597
02:08:18,515 --> 02:08:19,616
WHERE I SEE THIS OPPORTUNITY,

3598
02:08:19,616 --> 02:08:20,817
THIS OPPORTUNITY TO MOVE THE

3599
02:08:20,817 --> 02:08:22,853
NEEDLE TO JOIN FORCES HERE, IF

3600
02:08:22,853 --> 02:08:25,188
YOU WILL, AND REALLY ATTACK THE

3601
02:08:25,188 --> 02:08:26,189
CONTINUUM TOGETHER TO ADVANCE

3602
02:08:26,189 --> 02:08:26,690
WHOLE PERSON HEALTH.

3603
02:08:26,690 --> 02:08:28,592
AND AS YOU CAN IMAGINE, GIVEN

3604
02:08:28,592 --> 02:08:36,933
THE HIGH PREVALENCE -- SO THE

3605
02:08:36,933 --> 02:08:37,901
OFFICE WAS ESTABLISHED IN

3606
02:08:37,901 --> 02:08:39,102
RESPONSE TO THE DIETARY

3607
02:08:39,102 --> 02:08:39,836
SUPPLEMENT HEALTH AND EDUCATION

3608
02:08:39,836 --> 02:08:43,540
ACT OF 1994.

3609
02:08:43,540 --> 02:08:46,209
THE OFFICE WAS STOOD UP IN 1995.

3610
02:08:46,209 --> 02:08:48,145
IN THAT LAW, IT SEPARATED OUT

3611
02:08:48,145 --> 02:08:51,114
THE REGULATORY ASPECTS OF

3612
02:08:51,114 --> 02:08:52,282
DIETARY SUPPLEMENTS, GAVE THAT

3613
02:08:52,282 --> 02:08:54,317
TO THE FDA WHEN THEY REALLY PUT

3614
02:08:54,317 --> 02:08:55,952
US IN CHARGE OF THE SCIENCE OF

3615
02:08:55,952 --> 02:08:56,753
DIETARY SUPPLEMENTS.

3616
02:08:56,753 --> 02:08:58,755
THE LAW LAID OUT A FEW KEY

3617
02:08:58,755 --> 02:08:59,656
OBJECTIVES FOR THE OFFICE, AND

3618
02:08:59,656 --> 02:09:01,124
THAT WAS TO EXPLORE THE ROLE OF

3619
02:09:01,124 --> 02:09:02,726
DIETARY SUPPLEMENTS AS AN EFFORT

3620
02:09:02,726 --> 02:09:04,194
TO IMPROVE HEALTHCARE, TO

3621
02:09:04,194 --> 02:09:07,064
PROMOTE DIETARY SUPPLEMENT

3622
02:09:07,064 --> 02:09:09,533
RESEARCH TO CONDUCT, COORDINATE,

3623
02:09:09,533 --> 02:09:11,401
COLLECT, COMPILE DIETARY

3624
02:09:11,401 --> 02:09:12,135
SUPPLEMENT RESEARCH IN THEIR

3625
02:09:12,135 --> 02:09:13,770
RESULTS AND REALLY TO SERVE AS

3626
02:09:13,770 --> 02:09:15,338
AN ADVISOR TO OTHER GOVERNMENT

3627
02:09:15,338 --> 02:09:17,074
AGENCIES AND HERE AT NIH ON

3628
02:09:17,074 --> 02:09:18,175
ISSUES RELATED TO DIETARY

3629
02:09:18,175 --> 02:09:22,446
SUPPLEMENTS.

3630
02:09:22,446 --> 02:09:24,081
THE OFFICE HAS HAD A COMPILATION

3631
02:09:24,081 --> 02:09:25,015
OF PROGRAMS AND ACTIVITIES AND

3632
02:09:25,015 --> 02:09:26,583
MANY OF THOSE HAVE BEEN HERE FOR

3633
02:09:26,583 --> 02:09:27,684
A VERY LONG TIME.

3634
02:09:27,684 --> 02:09:29,186
LONG-STANDING OBJECTIVES,

3635
02:09:29,186 --> 02:09:31,288
DISCRETE MISSIONS AND OUTCOMES,

3636
02:09:31,288 --> 02:09:35,525
AND AS MOST DPCPSI COORDINATING

3637
02:09:35,525 --> 02:09:36,193
OFFICES, OUR PRIMARY FUNCTION IS

3638
02:09:36,193 --> 02:09:38,195
TO BUT SORT RESEARCH.

3639
02:09:38,195 --> 02:09:39,996
WE DO THAT THROUGH GRANTS AND

3640
02:09:39,996 --> 02:09:40,263
COFUNDING.

3641
02:09:40,263 --> 02:09:41,498
WE ALSO DO IT THROUGH A VARIETY

3642
02:09:41,498 --> 02:09:42,866
OF OTHER MECHANISMS VIA

3643
02:09:42,866 --> 02:09:44,034
ADMINISTRATIVE SUPPLEMENTS,

3644
02:09:44,034 --> 02:09:46,069
THROUGH OUR ODS SCHOLARS PROGRAM

3645
02:09:46,069 --> 02:09:47,604
OR THROUGH CONTRIBUTING TO OTHER

3646
02:09:47,604 --> 02:09:48,772
TRANS-NIH INITIATIVES.

3647
02:09:48,772 --> 02:09:51,408
THE MOST RELEVANT AND NOTABLE

3648
02:09:51,408 --> 02:09:52,609
FOR TODAY'S PRESENTATION IS JUST

3649
02:09:52,609 --> 02:09:53,977
A RECOGNITION OF THE CARBON

3650
02:09:53,977 --> 02:09:55,745
PROGRAM, OR THE NIH CONSORTIUM

3651
02:09:55,745 --> 02:09:57,647
FOR ADVANCING RESEARCH ON

3652
02:09:57,647 --> 02:09:58,882
BOTANICALS AND OTHER NATURAL

3653
02:09:58,882 --> 02:10:00,250
PRODUCTS.

3654
02:10:00,250 --> 02:10:02,819
THAT'S A 25, GOING ON 30-YEAR

3655
02:10:02,819 --> 02:10:05,021
PARTNERSHIP WITH NCCIH AMONG

3656
02:10:05,021 --> 02:10:07,057
OTHER ICOs AND I'LL EXPLAIN

3657
02:10:07,057 --> 02:10:08,992
THE ADVANCES THAT WE'VE MADE BUT

3658
02:10:08,992 --> 02:10:09,659
REALLY FOCUS ON THE DIRECTION OF

3659
02:10:09,659 --> 02:10:11,294
WHERE THAT'S GOING AND HOW

3660
02:10:11,294 --> 02:10:12,729
THAT'S GOING TO CONTRIBUTE TO

3661
02:10:12,729 --> 02:10:14,297
WHOLE PERSON HEALTH.

3662
02:10:14,297 --> 02:10:15,465
WE HAVE SEVERAL PUBLICLY

3663
02:10:15,465 --> 02:10:18,101
AVAILABLE RESOURCES TO INCLUDE

3664
02:10:18,101 --> 02:10:19,769
DATABASES FOR ACADEMICS FOR THE

3665
02:10:19,769 --> 02:10:22,072
END USERS, FOR HEALTH

3666
02:10:22,072 --> 02:10:23,073
PROFESSIONALS TO EXPLORE WHAT'S

3667
02:10:23,073 --> 02:10:23,573
ON THE MARKET.

3668
02:10:23,573 --> 02:10:25,976
WE HAVE DATABASES THAT CONTAIN

3669
02:10:25,976 --> 02:10:27,277
ANALYTICAL REPORTS ON WHAT'S

3670
02:10:27,277 --> 02:10:28,378
ACTUALLY IN THE MOST HEAVILY

3671
02:10:28,378 --> 02:10:30,280
USED DIETARY SUPPLEMENTS OR

3672
02:10:30,280 --> 02:10:32,716
DIETARY SUPPLEMENTS WITH KNOWN

3673
02:10:32,716 --> 02:10:34,484
BENEFIT AND REQUIREMENTS SUCH AS

3674
02:10:34,484 --> 02:10:35,418
PRENATAL VITAMINS.

3675
02:10:35,418 --> 02:10:39,089
WE ALSO SUPPORT A VARIETY OF

3676
02:10:39,089 --> 02:10:39,756
EDUCATION MATERIALS AND

3677
02:10:39,756 --> 02:10:40,724
PROFESSIONAL DEVELOPMENT

3678
02:10:40,724 --> 02:10:44,794
ACTIVITY, MOST NOTABLY THE MARY

3679
02:10:44,794 --> 02:10:49,099
FRANCIS PICCIANO DIETARY

3680
02:10:49,099 --> 02:10:50,267
SUPPLEMENT RESEARCH PRACTICUM

3681
02:10:50,267 --> 02:10:51,735
WHICH WE ARE GEARING UP TO RUN

3682
02:10:51,735 --> 02:10:52,869
NEXT IN MAY 2025.

3683
02:10:52,869 --> 02:10:53,970
BEFORE I TRANSITION INTO THE

3684
02:10:53,970 --> 02:10:54,738
FUTURE WORK OF THE OFFICE, I

3685
02:10:54,738 --> 02:10:58,074
JUST WANT FOD GIVED TO GIVE A ST

3686
02:10:58,074 --> 02:11:00,010
TO A WORKSHOP COMING UP IN A

3687
02:11:00,010 --> 02:11:00,477
COUPLE WEEKS.

3688
02:11:00,477 --> 02:11:02,179
LED BY THE OFFICE OF DIETARY

3689
02:11:02,179 --> 02:11:03,647
SUPPLEMENTS, DR. LAVERNE BROWN,

3690
02:11:03,647 --> 02:11:06,049
AS WELL AS ACROSS TRANS-NIH

3691
02:11:06,049 --> 02:11:06,516
EFFORTS.

3692
02:11:06,516 --> 02:11:08,118
THERE'S A TRANS-NIH RESILIENCE

3693
02:11:08,118 --> 02:11:09,619
WORKING GROUP AND THAT INCLUDES

3694
02:11:09,619 --> 02:11:10,654
MANY DIFFERENT ICs ON THIS

3695
02:11:10,654 --> 02:11:12,122
EFFORT.

3696
02:11:12,122 --> 02:11:13,690
AND WHY AM I BRINGING THIS UP?

3697
02:11:13,690 --> 02:11:15,258
I RAISE THE WORKSHOP BECAUSE OF

3698
02:11:15,258 --> 02:11:16,359
ITS DIRECT LINK TO MUCH OF THE

3699
02:11:16,359 --> 02:11:17,994
WORK WE DO BETWEEN NCCIH AND OUR

3700
02:11:17,994 --> 02:11:18,862
OFFICE.

3701
02:11:18,862 --> 02:11:20,263
AND THAT'S THE STUDY OF

3702
02:11:20,263 --> 02:11:21,598
RESILIENCE, AND HOW RESILIENCE

3703
02:11:21,598 --> 02:11:24,000
IS ACTUALLY STUDIED, DEFINED,

3704
02:11:24,000 --> 02:11:25,302
QUALIFIED, AND ACTUALLY

3705
02:11:25,302 --> 02:11:27,070
QUANTIFIED IN RESEARCH.

3706
02:11:27,070 --> 02:11:28,772
THIS IS AN EXCITING EVENT, AND

3707
02:11:28,772 --> 02:11:30,240
IT PAVES THE WAY FOR FUTURE WORK

3708
02:11:30,240 --> 02:11:31,007
ON RESILIENCE.

3709
02:11:31,007 --> 02:11:32,442
IF INTERESTED IN LEARNING MORE

3710
02:11:32,442 --> 02:11:34,010
ABOUT WHAT THE OFFICE OF DIETARY

3711
02:11:34,010 --> 02:11:36,012
SUM PTS AND THE TRANS-NIH

3712
02:11:36,012 --> 02:11:37,314
RESILIENCE WORKING GROUP DOES, I

3713
02:11:37,314 --> 02:11:38,181
POINT TO YOU A SPECIAL ISSUE

3714
02:11:38,181 --> 02:11:40,717
THAT WAS PUBLISHED LAST YEAR IN

3715
02:11:40,717 --> 02:11:41,585
THE JOURNAL OF STRESS AND HEALTH

3716
02:11:41,585 --> 02:11:43,653
THAT REALLY OUTLINES WHERE WE

3717
02:11:43,653 --> 02:11:44,788
THINK RESILIENCE RESEARCH IS

3718
02:11:44,788 --> 02:11:48,191
GOING HERE AT NIH, AND MOST

3719
02:11:48,191 --> 02:11:49,826
IMPORTANTLY IT COMES UP WITH A

3720
02:11:49,826 --> 02:11:51,361
CONSENSUS DEFINITION THAT IS

3721
02:11:51,361 --> 02:11:52,896
AGREED UPON AMONGST INDIVIDUALS

3722
02:11:52,896 --> 02:11:54,764
THAT PARTICIPATED IN THIS EVENT

3723
02:11:54,764 --> 02:11:56,399
ON WHAT RESILIENCE MEANS, AND

3724
02:11:56,399 --> 02:11:58,134
WHAT THE RESEARCH FRAMEWORK

3725
02:11:58,134 --> 02:12:00,770
SHOULD BE ON HOW TO STUDY

3726
02:12:00,770 --> 02:12:01,705
RESILIENCE, ESPECIALLY FOR US IN

3727
02:12:01,705 --> 02:12:02,872
THE CONTEXT OF DIETARY

3728
02:12:02,872 --> 02:12:03,173
SUPPLEMENTS.

3729
02:12:03,173 --> 02:12:04,708
SO THAT IS HAPPENING ON THE 24TH

3730
02:12:04,708 --> 02:12:07,844
AND 25TH, AND IF ANYONE IS

3731
02:12:07,844 --> 02:12:08,778
INTERESTED, I ENCOURAGE YOU TO

3732
02:12:08,778 --> 02:12:09,913
REGISTER AND PARTICIPATE IN THAT

3733
02:12:09,913 --> 02:12:13,283
EVENT.

3734
02:12:13,283 --> 02:12:14,818
MOVING AHEAD, WHEN I CAME ON

3735
02:12:14,818 --> 02:12:16,620
BOARD IN JULY OF 2023, ONE OF

3736
02:12:16,620 --> 02:12:18,088
THE FIRST THINGS THAT I WAS

3737
02:12:18,088 --> 02:12:20,790
CHARGED TO DO WAS TO DEVELOP OR

3738
02:12:20,790 --> 02:12:22,559
REINVIGORATE THE OFFICE, REVAMP

3739
02:12:22,559 --> 02:12:24,127
IT, REALLY HAVE A NEW FRESH

3740
02:12:24,127 --> 02:12:25,762
START AND TO DO THAT THROUGH

3741
02:12:25,762 --> 02:12:28,064
DEVELOPING A NEW STRATEGIC PLAN.

3742
02:12:28,064 --> 02:12:30,233
THE PLAN REFLECTS THE MANY

3743
02:12:30,233 --> 02:12:31,101
STRENGTHS AND ACCOMPLISHMENTS OF

3744
02:12:31,101 --> 02:12:33,470
THE OFFICE, BUT IT ALSO SETS THE

3745
02:12:33,470 --> 02:12:34,738
STAGE AND FOUNDATION FOR NEW

3746
02:12:34,738 --> 02:12:36,940
WORK, AND NEW PRIORITIES.

3747
02:12:36,940 --> 02:12:38,808
THE STRATEGIC PLAN WILL BE

3748
02:12:38,808 --> 02:12:39,409
OFFICIALLY PUBLISHED LIKELY IN

3749
02:12:39,409 --> 02:12:40,744
THE NEXT TWO MONTHS, AND I'M

3750
02:12:40,744 --> 02:12:42,879
ACTUALLY REVIEWING THE FINAL

3751
02:12:42,879 --> 02:12:44,047
DRAFT AS I PREPARE FOR TODAY'S

3752
02:12:44,047 --> 02:12:48,985
MEETING.

3753
02:12:48,985 --> 02:12:50,186
THE FIRST ASPECT OF DEVELOPING

3754
02:12:50,186 --> 02:12:51,755
THE STRATEGIC PLAN WAS REALLY TO

3755
02:12:51,755 --> 02:12:53,056
COME UP WITH OUR VISION.

3756
02:12:53,056 --> 02:12:54,357
OUR MISSION AND REALLY COME UP

3757
02:12:54,357 --> 02:12:56,126
WITH WHAT ARE THE KEY VALUES WE

3758
02:12:56,126 --> 02:12:57,127
BELIEVE ARE IMPORTANT TO ADVANCE

3759
02:12:57,127 --> 02:12:58,762
THE FIELD.

3760
02:12:58,762 --> 02:13:00,163
THE BOTTOM LINE OF THIS SLIDE

3761
02:13:00,163 --> 02:13:01,564
AND WHAT I WANT TO YOU TAKE AWAY

3762
02:13:01,564 --> 02:13:03,700
IS THAT WE WILL PRIORITIZE

3763
02:13:03,700 --> 02:13:05,201
INNOVATION THROUGH

3764
02:13:05,201 --> 02:13:07,203
COLLABORATION, BUILT ON RESPECT,

3765
02:13:07,203 --> 02:13:09,706
CURIOSITY AND SCIENCE AND

3766
02:13:09,706 --> 02:13:11,107
CURIOSITY IN ALL WE DO, AND

3767
02:13:11,107 --> 02:13:12,442
THROUGH ACCOUNTABILITY, BEING

3768
02:13:12,442 --> 02:13:13,510
ACCOUNTABLE FOR WHAT WE DO, WHAT

3769
02:13:13,510 --> 02:13:15,011
WE INVEST IN AND WHAT WE WANT TO

3770
02:13:15,011 --> 02:13:16,746
DO TO MAKE SURE WE CAN ADVANCE

3771
02:13:16,746 --> 02:13:17,080
PUBLIC HEALTH.

3772
02:13:17,080 --> 02:13:18,281
IF YOU KNOW ABOUT THE OFFICE,

3773
02:13:18,281 --> 02:13:19,215
AND YOU'VE HEARD ABOUT WHAT

3774
02:13:19,215 --> 02:13:21,818
WE'VE DONE IN THE PAST, IF YOU

3775
02:13:21,818 --> 02:13:22,852
READ STRATEGIC PLAN, YOU'LL SEE

3776
02:13:22,852 --> 02:13:25,221
THAT IT'S A MAJOR TRANSITION AND

3777
02:13:25,221 --> 02:13:26,089
SHIFT FROM WHAT WE HAVE DONE IN

3778
02:13:26,089 --> 02:13:27,891
THE PAST, FROM DISCRETE PROJECTS

3779
02:13:27,891 --> 02:13:29,426
AND PROGRAMS WITH THEIR OWN

3780
02:13:29,426 --> 02:13:32,262
MISSION SETS, TO A BOLD VISION

3781
02:13:32,262 --> 02:13:33,363
THAT REALLY PULLS THE OFFICE

3782
02:13:33,363 --> 02:13:34,831
TOGETHER TO BE MORE

3783
02:13:34,831 --> 02:13:37,801
INTEROPERABLE AND COLLABORATIVE,

3784
02:13:37,801 --> 02:13:41,037
AND WE HOPE TO USE STRATEGIC

3785
02:13:41,037 --> 02:13:41,805
PRAGMATISM TO REALLY MAKE SURE

3786
02:13:41,805 --> 02:13:43,873
WE CAN ADDRESS CUTTING EDGY

3787
02:13:43,873 --> 02:13:44,774
MERGING PUBLIC HEALTH CONCERNS

3788
02:13:44,774 --> 02:13:45,742
BUT TO DO SO IN A SENSIBLE WAY

3789
02:13:45,742 --> 02:13:47,210
TO REALLY MOVE THE NEEDLE AND

3790
02:13:47,210 --> 02:13:47,977
MAKE A DIFFERENCE IN PUBLIC

3791
02:13:47,977 --> 02:13:53,316
HEALTH.

3792
02:13:53,316 --> 02:13:54,250
TO BUILD UPON THAT, THE OFFICE

3793
02:13:54,250 --> 02:13:55,585
FIRST HAS TO BE CENTERED ON

3794
02:13:55,585 --> 02:13:56,086
RESEARCH PRIORITIES.

3795
02:13:56,086 --> 02:13:57,721
SO WE DEVELOPED THREE

3796
02:13:57,721 --> 02:13:58,221
CROSS-CUTTING RESEARCH

3797
02:13:58,221 --> 02:13:59,422
PRIORITIES OR THEMES THAT

3798
02:13:59,422 --> 02:14:00,557
EMPHASIZE EXPLORING THE ROLE OF

3799
02:14:00,557 --> 02:14:02,559
DIETARY SUPPLEMENTS ON

3800
02:14:02,559 --> 02:14:04,060
RESILIENCE AND HEALTH ACROSS THE

3801
02:14:04,060 --> 02:14:05,929
LIFESPAN IN DIVERSE POPULATIONS.

3802
02:14:05,929 --> 02:14:08,798
IN THIS DIAGRAM, THOSE ARE

3803
02:14:08,798 --> 02:14:09,632
DEMONSTRATED IN THE CENTER AS

3804
02:14:09,632 --> 02:14:11,301
OUR CROSS-CUTTING THEMES, REALLY

3805
02:14:11,301 --> 02:14:13,136
WHAT OUR RESEARCH WILL FOCUS AND

3806
02:14:13,136 --> 02:14:13,970
HONE IN ON.

3807
02:14:13,970 --> 02:14:15,572
WHAT WILL ALLOW US TO BE AGILE

3808
02:14:15,572 --> 02:14:17,006
AND ADDRESSEE MERGING GAPS IN

3809
02:14:17,006 --> 02:14:18,942
THOSE AREAS ARE OUR SCIENTIFIC

3810
02:14:18,942 --> 02:14:19,943
DISCIPLINE PRIORITY AREAS WHICH

3811
02:14:19,943 --> 02:14:22,479
ARE BIOLOGICAL POPULATION AND

3812
02:14:22,479 --> 02:14:23,813
ANALYTICAL SCIENCES AND WE APPLY

3813
02:14:23,813 --> 02:14:24,414
A NUMBER OF OTHER EXPERTISE

3814
02:14:24,414 --> 02:14:25,448
WITHIN THE OFFICE TO REALLY MAKE

3815
02:14:25,448 --> 02:14:27,684
SURE THAT WE CAN DEVELOP NEW

3816
02:14:27,684 --> 02:14:29,085
INITIATIVES AND CONCEPTS THAT

3817
02:14:29,085 --> 02:14:31,488
MOVE DIETARY SUPPLEMENT SCIENCE

3818
02:14:31,488 --> 02:14:37,794
FORWARD AND A WAY FROM LOOKING E

3819
02:14:37,794 --> 02:14:38,928
BROADER PUBLIC HEALTH ISSUE ON

3820
02:14:38,928 --> 02:14:40,330
WHERE DIETARY SUPPLEMENTS MAY OR

3821
02:14:40,330 --> 02:14:41,698
MAY NOT HAVE A ROLE.

3822
02:14:41,698 --> 02:14:42,766
A COUPLE OF KEY THINGS I WANT

3823
02:14:42,766 --> 02:14:44,401
YOU TO TAKE AWAY FROM THE TENETS

3824
02:14:44,401 --> 02:14:45,835
THAT I LIST HERE ON THE

3825
02:14:45,835 --> 02:14:46,936
RIGHT-HAND SIDE IS THAT I WANT

3826
02:14:46,936 --> 02:14:49,105
OUR OFFICE TO BE MORE

3827
02:14:49,105 --> 02:14:52,175
INTRAOPERABLE, SO MORE NOT SO

3828
02:14:52,175 --> 02:14:54,944
SEGMENTED, I WANT US TO BE MORE

3829
02:14:54,944 --> 02:14:55,278
COLLABORATIVE.

3830
02:14:55,278 --> 02:14:56,913
WHAT I MEAN BY THAT IS MORE

3831
02:14:56,913 --> 02:14:58,114
TRANS-NIH ENGAGEMENT AND REALLY

3832
02:14:58,114 --> 02:14:58,882
LEVERAGE THE EXISTING

3833
02:14:58,882 --> 02:14:59,883
PARTNERSHIPS THAT WE ALREADY

3834
02:14:59,883 --> 02:15:00,216
HAVE.

3835
02:15:00,216 --> 02:15:02,485
I WANT TO SHIFT FROM A REACTIVE

3836
02:15:02,485 --> 02:15:03,787
POSTURE TO MORE PROACTIVE

3837
02:15:03,787 --> 02:15:04,854
POSTURE, AND YOU CAN SEE A LOT

3838
02:15:04,854 --> 02:15:06,256
OF THAT IN WHAT WE'VE DONE OVER

3839
02:15:06,256 --> 02:15:08,892
THE PAST YEAR, IN FACT, WE HAVE

3840
02:15:08,892 --> 02:15:10,727
A NUMBER OF NEW I WOULD SAY

3841
02:15:10,727 --> 02:15:11,361
EMERGING CONCEPTS THAT WE ARE

3842
02:15:11,361 --> 02:15:12,929
STARTING TO DEVELOP IN ADVANCE

3843
02:15:12,929 --> 02:15:14,364
OF THE STRATEGIC PLAN EVEN BEING

3844
02:15:14,364 --> 02:15:15,565
PUBLISHED THAT REALLY PUTS US ON

3845
02:15:15,565 --> 02:15:18,635
THAT PATH TO BEING MORE

3846
02:15:18,635 --> 02:15:19,502
PROACTIVE.

3847
02:15:19,502 --> 02:15:20,870
A KEY THING IN DIETARY

3848
02:15:20,870 --> 02:15:22,038
SUPPLEMENT SIZE IS MAKING SURE

3849
02:15:22,038 --> 02:15:23,706
WE FOCUS ON RIGOR,

3850
02:15:23,706 --> 02:15:24,474
REPRODUCIBILITY AND

3851
02:15:24,474 --> 02:15:25,074
TRANSPARENCY, AND THAT'S IN

3852
02:15:25,074 --> 02:15:27,110
EVERYTHING WE DO FROM FUNDING TO

3853
02:15:27,110 --> 02:15:32,315
DECISIONS, EXPERIMENTAL DESIGN

3854
02:15:32,315 --> 02:15:34,250
WHEN EVALUATING EXPERIMENTS ALL

3855
02:15:34,250 --> 02:15:35,718
THE WAY THROUGH REPORTING THE

3856
02:15:35,718 --> 02:15:36,719
SCIENCE IN THE LITERATURE AND

3857
02:15:36,719 --> 02:15:37,821
MAKING SURE THAT'S AS STRONG AS

3858
02:15:37,821 --> 02:15:38,688
IT CAN BE.

3859
02:15:38,688 --> 02:15:40,757
I THINK WHAT REALLY SETS ME --

3860
02:15:40,757 --> 02:15:42,425
WHAT IS ONE OF THE MAIN THINGS

3861
02:15:42,425 --> 02:15:43,626
THAT KIND OF HAS GOTTEN ME

3862
02:15:43,626 --> 02:15:44,961
THROUGH MY CAREER AT THIS POINT

3863
02:15:44,961 --> 02:15:49,432
IS I'M NOT ONE FOR STAGNANCE AND

3864
02:15:49,432 --> 02:15:50,200
STATUS QUO.

3865
02:15:50,200 --> 02:15:54,237
SO I'LL ALWAYS BE LOOKING TO SEE

3866
02:15:54,237 --> 02:15:56,940
WHAT -- THAT'S WHAT WE'RE GOING

3867
02:15:56,940 --> 02:15:58,641
TO BE TRYING TO DO WITH OUR NEW

3868
02:15:58,641 --> 02:15:59,242
STRATEGIC PLAN.

3869
02:15:59,242 --> 02:16:00,977
THIS SLIDE GIVES US A LITTLE

3870
02:16:00,977 --> 02:16:02,645
MORE INFORMATION ABOUT WHAT OUR

3871
02:16:02,645 --> 02:16:03,379
CROSS-CUTTING THEMES ARE.

3872
02:16:03,379 --> 02:16:05,248
I'M NOT GOING TO READ THESE

3873
02:16:05,248 --> 02:16:06,583
VERBATIM BUT WHAT I WILL SAY,

3874
02:16:06,583 --> 02:16:07,817
THESE PRIORITIES WITHIN THESE

3875
02:16:07,817 --> 02:16:09,152
THEMES AS THEY EMERGE, YOU'LL

3876
02:16:09,152 --> 02:16:10,620
START SEEING NEW PARTNERSHIPS

3877
02:16:10,620 --> 02:16:11,921
ACROSS NIH START TO COME

3878
02:16:11,921 --> 02:16:12,255
TOGETHER.

3879
02:16:12,255 --> 02:16:13,356
YOU'LL START SEEING NEW WORKING

3880
02:16:13,356 --> 02:16:15,859
GROUPS OR MORE PARTICIPATION IN

3881
02:16:15,859 --> 02:16:16,759
TRANS-NIH WORKING GROUPS, MORE

3882
02:16:16,759 --> 02:16:18,294
REACHING OUT TO ACADEMIA AND

3883
02:16:18,294 --> 02:16:20,363
OTHER GOVERNMENT AGENCIES TO

3884
02:16:20,363 --> 02:16:21,598
START REALLY PUTTING THE PIECES

3885
02:16:21,598 --> 02:16:22,799
TOGETHER OF NEW INITIATIVES AND

3886
02:16:22,799 --> 02:16:23,666
HOPEFULLY WE CAN START DOING

3887
02:16:23,666 --> 02:16:25,201
THAT IN THE NEXT COUPLE YEARS

3888
02:16:25,201 --> 02:16:27,070
AND I KNOW WITH MY DEPUTY ON

3889
02:16:27,070 --> 02:16:31,341
BOARD, STEPHANIE OVER THERE, HER

3890
02:16:31,341 --> 02:16:34,077
EXPERIENCE WITH MTRPC, WE ARE

3891
02:16:34,077 --> 02:16:35,245
EXCITED TO GET SOME NEW THINGS

3892
02:16:35,245 --> 02:16:36,946
OFF THE GROUND AND THE CONTINUUM

3893
02:16:36,946 --> 02:16:41,451
IS ONE OF THOSE EXAMPLES.

3894
02:16:41,451 --> 02:16:42,886
OVER THE NEXT COUPLE OF SLIDES,

3895
02:16:42,886 --> 02:16:44,521
I'M GOING TO DETAIL AT A VERY

3896
02:16:44,521 --> 02:16:46,022
HIGH LEVEL OUR RELATIONSHIP WITH

3897
02:16:46,022 --> 02:16:48,091
NCCIH, WHICH IS AMONGST OUR

3898
02:16:48,091 --> 02:16:49,459
STRONGEST PARTNERSHIPS HERE

3899
02:16:49,459 --> 02:16:49,926
WITHIN NIH.

3900
02:16:49,926 --> 02:16:51,427
AN AREA OF EMPHASIS FOR OUR

3901
02:16:51,427 --> 02:16:53,796
OFFICE AND FOR NCCIH AS YOU

3902
02:16:53,796 --> 02:16:54,731
HEARD DR. LANGEVIN MENTION IS

3903
02:16:54,731 --> 02:16:56,533
THE HEIGHTENED FOCUS ON

3904
02:16:56,533 --> 02:16:57,200
ANALYTICAL METHOD DEVELOPMENT

3905
02:16:57,200 --> 02:16:59,769
AND THE PROMOTION OF RESEARCH

3906
02:16:59,769 --> 02:17:00,036
INTEGRITY.

3907
02:17:00,036 --> 02:17:01,538
THE NIH CARBON PROGRAM AS I

3908
02:17:01,538 --> 02:17:03,172
MENTIONED IS A 25-YEAR

3909
02:17:03,172 --> 02:17:05,275
PARTNERSHIP WITH NCCIH.

3910
02:17:05,275 --> 02:17:06,576
PROGRAM GOALS HAVE BEEN TO

3911
02:17:06,576 --> 02:17:10,079
ENSURE THE COMPLEX FORMULATION

3912
02:17:10,079 --> 02:17:12,181
AND MECHANISMS OF ACTION OF

3913
02:17:12,181 --> 02:17:13,049
BOTANICALS AND OTHER NATURAL PRO

3914
02:17:13,049 --> 02:17:15,652
KUPRODUCTS CAN BE ANALYZED

3915
02:17:15,652 --> 02:17:17,620
EFFECTIVE SO WE NO HOW AND WHY

3916
02:17:17,620 --> 02:17:21,758
THEY ARE EXERTING TH A BIOLOGICL

3917
02:17:21,758 --> 02:17:24,027
EFFECT FOR THE EVENTUAL DESIGN

3918
02:17:24,027 --> 02:17:24,694
CLINICAL RESEARCH STUDIES ON

3919
02:17:24,694 --> 02:17:25,094
HEALTH.

3920
02:17:25,094 --> 02:17:26,262
THAT'S THE EVENTUAL WAY WE WOULD

3921
02:17:26,262 --> 02:17:27,964
LIKE TO GO WITH CARBON.

3922
02:17:27,964 --> 02:17:29,599
THERE ARE OTHER SUPPORTING

3923
02:17:29,599 --> 02:17:30,400
COMPLEMENTARY EFFORTS WITHIN OUR

3924
02:17:30,400 --> 02:17:32,001
OFFICE NOTABLY THE ANALYTICAL

3925
02:17:32,001 --> 02:17:33,202
METHODS AND REFERENCE MATERIALS

3926
02:17:33,202 --> 02:17:35,071
PROGRAM AND OUR EMPHASIS ON

3927
02:17:35,071 --> 02:17:36,039
PRODUCT INTEGRITY WHEN

3928
02:17:36,039 --> 02:17:37,173
EVALUATING GRANTS FOR COFUNDING.

3929
02:17:37,173 --> 02:17:38,474
WE REALLY WANT TO MAKE SURE

3930
02:17:38,474 --> 02:17:40,109
THESE ASPECTS DEPICTED IN THE

3931
02:17:40,109 --> 02:17:40,977
FIGURE ON THE LEFT-HAND SIDE ARE

3932
02:17:40,977 --> 02:17:42,312
CONSIDERED WHEN WE ARE LOOKING

3933
02:17:42,312 --> 02:17:44,314
AT A GRANT TO ACTUALLY CO-FUND.

3934
02:17:44,314 --> 02:17:46,049
LET ME TAKE YOU THROUGH THIS

3935
02:17:46,049 --> 02:17:46,282
FIGURE.

3936
02:17:46,282 --> 02:17:47,417
THIS IS A FIGURE DEVELOPED BY

3937
02:17:47,417 --> 02:17:50,086
BARBARA SORKIN, WHO LEADS FROM

3938
02:17:50,086 --> 02:17:51,654
THE ODS END THE CARBON PROGRAM.

3939
02:17:51,654 --> 02:17:52,989
I'M GOING TO WALK YOU THROUGH IT

3940
02:17:52,989 --> 02:17:53,890
BACKWARDS TO KIND OF GIVE YOU A

3941
02:17:53,890 --> 02:17:58,361
SENSE OF HOW I FEEL DIETARY SUM

3942
02:17:58,361 --> 02:18:00,830
STUSUPPLEMENT STUDIES SHOULD ALS

3943
02:18:00,830 --> 02:18:01,864
BE CONSIDERED.

3944
02:18:01,864 --> 02:18:04,300
THE BOTTOM LINE IN TERMS OF WHAT

3945
02:18:04,300 --> 02:18:05,368
WE WANT IN TERMS OF THE PUBLIC

3946
02:18:05,368 --> 02:18:08,237
AND WHAT WE WANT TO KNOW AS

3947
02:18:08,237 --> 02:18:10,640
SCIENTISTS OF DIETARY

3948
02:18:10,640 --> 02:18:11,908
SUPPLEMENTS, DO THEY HAVE AN

3949
02:18:11,908 --> 02:18:13,109
ACTUAL EFFECT ON HUMAN HEALTH?

3950
02:18:13,109 --> 02:18:14,844
WHAT ARE THE PHENOTYPIC EFFECTS

3951
02:18:14,844 --> 02:18:16,045
OF DIETARY SUPPLEMENTS?

3952
02:18:16,045 --> 02:18:17,413
YOU CAN'T DO THAT IF YOU DON'T

3953
02:18:17,413 --> 02:18:18,247
KNOW BIOLOGICALLY WHAT IT'S

3954
02:18:18,247 --> 02:18:18,448
DOING.

3955
02:18:18,448 --> 02:18:19,882
YOU CAN'T DO THAT IF YOU DON'T

3956
02:18:19,882 --> 02:18:21,818
KNOW HOW IT'S AFFECTING THE

3957
02:18:21,818 --> 02:18:22,986
CELLS AND KNOWING WHAT'S

3958
02:18:22,986 --> 02:18:23,453
ACTUALLY BIOAVAILABLE.

3959
02:18:23,453 --> 02:18:24,687
YOU CAN'T KNOW BIOAVAILABILITY

3960
02:18:24,687 --> 02:18:25,989
IF YOU DON'T KNOW

3961
02:18:25,989 --> 02:18:26,389
BIOACCESSIBILITY.

3962
02:18:26,389 --> 02:18:28,191
WHAT ARE THE ACTUAL INGREDIENTS

3963
02:18:28,191 --> 02:18:30,226
AND CONSTITUENTS WITHIN DIETARY

3964
02:18:30,226 --> 02:18:30,560
SUPPLEMENTS?

3965
02:18:30,560 --> 02:18:33,563
WHAT ARE THE ACTIVE INGRE INGRE,

3966
02:18:33,563 --> 02:18:36,966
WHAT ARE THE EXCIPIENT

3967
02:18:36,966 --> 02:18:37,934
INGREDIENTS, HOW ARE THEY

3968
02:18:37,934 --> 02:18:39,002
INTERACTING OR INTERFERING WITH

3969
02:18:39,002 --> 02:18:40,136
OTHER PROCESSES WITHIN THE BODY

3970
02:18:40,136 --> 02:18:41,938
TO AUGMENT A CELLULAR PROCESS?

3971
02:18:41,938 --> 02:18:43,139
AND YOU CAN'T DO ANY OF THAT IF

3972
02:18:43,139 --> 02:18:44,641
YOU DON'T KNOW WHAT'S IN THE

3973
02:18:44,641 --> 02:18:46,743
ACTUAL DIETARY SUPPLEMENT ITSELF

3974
02:18:46,743 --> 02:18:47,910
AND THAT'S I WOULD SAY

3975
02:18:47,910 --> 02:18:51,714
REPRESENTED UNDER KNE UNDERNEATD

3976
02:18:51,714 --> 02:18:53,483
THAT'S REALLY WHERE CARBON HAS

3977
02:18:53,483 --> 02:18:55,351
BEEN FOR A GOOD NUMBER OF YEARS,

3978
02:18:55,351 --> 02:18:56,786
REALLY DEVELOPING THOSE TOOLS

3979
02:18:56,786 --> 02:18:58,087
AND THOSE RESOURCES THAT

3980
02:18:58,087 --> 02:19:00,223
UNDERSTAND WHAT'S IN A DIETARY

3981
02:19:00,223 --> 02:19:00,957
SUPPLEMENT.

3982
02:19:00,957 --> 02:19:04,127
NOW YOU CAN'T DO ANALYTICAL

3983
02:19:04,127 --> 02:19:05,762
SCIENCE YOUR ENTIRE CAREER,

3984
02:19:05,762 --> 02:19:06,362
ESPECIALLY AS AN ORGANIZATION

3985
02:19:06,362 --> 02:19:08,197
THE SIZE OF MINE, WE MUST MAKE

3986
02:19:08,197 --> 02:19:09,966
SURE WE HAVE A COMPLETE PROGRAM

3987
02:19:09,966 --> 02:19:12,168
AND WE TRANSITION TO A MORE

3988
02:19:12,168 --> 02:19:13,169
BALANCED APPROACH TOWARDS

3989
02:19:13,169 --> 02:19:14,537
CLINICAL RESEARCH.

3990
02:19:14,537 --> 02:19:17,040
LAST YEAR THE COUNCIL APPROVED

3991
02:19:17,040 --> 02:19:18,708
THE 2025-2029 CARBON CONCEPT,

3992
02:19:18,708 --> 02:19:21,444
WHICH REALLY IS MOVING IN THAT

3993
02:19:21,444 --> 02:19:21,744
DIRECTION.

3994
02:19:21,744 --> 02:19:24,147
LESS OF A FOCUS ON ANALYTICS,

3995
02:19:24,147 --> 02:19:25,548
MORE OF A FOCUS ON DEVELOPING

3996
02:19:25,548 --> 02:19:26,649
CLINICAL AND TRANSLATIONAL WORK

3997
02:19:26,649 --> 02:19:28,151
AND LEVERAGING EXISTING

3998
02:19:28,151 --> 02:19:30,253
DATABASES TO REALLY ADDRESS

3999
02:19:30,253 --> 02:19:32,155
QUESTIONS, LOOK FOR UNIQUE

4000
02:19:32,155 --> 02:19:33,022
PHENOTYPIC SIGNATURES OF

4001
02:19:33,022 --> 02:19:34,490
RESILIENCE AND POTENTIALLY OTHER

4002
02:19:34,490 --> 02:19:35,491
METABOLIC PATHWAYS AFFECTED BY

4003
02:19:35,491 --> 02:19:36,492
NATURAL PRODUCTS AND THAT'S WHAT

4004
02:19:36,492 --> 02:19:38,261
WE LOOK TO TIE TOGETHER WITH

4005
02:19:38,261 --> 02:19:40,797
THESE THREE NOFOs THAT WERE

4006
02:19:40,797 --> 02:19:42,265
RELEASED BACK IN THE SPRING OF

4007
02:19:42,265 --> 02:19:48,004
2024, AND I THINK RIGHT NOW, THE

4008
02:19:48,004 --> 02:19:50,473
CARBON LEADS ARE STARTING TO

4009
02:19:50,473 --> 02:19:52,442
SIFT THROUGH THE NUMBER OF

4010
02:19:52,442 --> 02:19:53,276
APPLICATIONS THAT CAME THROUGH

4011
02:19:53,276 --> 02:19:54,610
IN RESPONSE TO THOSE FUNDING

4012
02:19:54,610 --> 02:19:55,478
ANNOUNCEMENTS.

4013
02:19:55,478 --> 02:19:57,113
OUR RELATIONSHIP WITH NCCIH GOES

4014
02:19:57,113 --> 02:19:58,014
WELL BEYOND CARBON.

4015
02:19:58,014 --> 02:19:59,682
THIS FIGURE I RECEIVED FROM

4016
02:19:59,682 --> 02:20:03,853
PATRICIA HAGERTY.

4017
02:20:03,853 --> 02:20:06,289
IT'S JUST A NUMBER OF COFUNDED

4018
02:20:06,289 --> 02:20:07,890
PROJECTS THAT THE OFFICE HAS

4019
02:20:07,890 --> 02:20:09,826
BEEN A PART OF OVER THE PAST 10

4020
02:20:09,826 --> 02:20:11,928
YEARS, A NUMBER OF PROJECTS, 420

4021
02:20:11,928 --> 02:20:14,163
OR SO WERE FUNDED, AND ABOUT 20%

4022
02:20:14,163 --> 02:20:17,033
OF THOSE HAVE BEEN IN

4023
02:20:17,033 --> 02:20:17,533
PARTNERSHIP WITH NCCIH.

4024
02:20:17,533 --> 02:20:18,835
SO WE HAVE A STRONG PARTNERSHIP,

4025
02:20:18,835 --> 02:20:20,970
AND I'VE BEEN EXCITED TO LEARN

4026
02:20:20,970 --> 02:20:22,805
MORE ABOUT WHAT DR. LANGEVIN

4027
02:20:22,805 --> 02:20:24,006
WANTS AS HER PRIORITIES SO I CAN

4028
02:20:24,006 --> 02:20:29,879
SEE HOW WE ALIGN GOING FORWARD.

4029
02:20:29,879 --> 02:20:35,318
MOST RECENTLY, NCCIH,

4030
02:20:35,318 --> 02:20:37,453
DR. CHIDEYA INVITED THE OFFICE

4031
02:20:37,453 --> 02:20:38,454
OF DIETARY SUPPLEMENTS TO

4032
02:20:38,454 --> 02:20:39,555
PARTICIPATE IN A VERY

4033
02:20:39,555 --> 02:20:39,922
INTERESTING AND

4034
02:20:39,922 --> 02:20:41,023
THOUGHT-PROVOKING WORKSHOP A FEW

4035
02:20:41,023 --> 02:20:45,461
MONTHS BACK.  DIETARY

4036
02:20:45,461 --> 02:20:46,796
SUPPLEMENTS WAS A MAJOR

4037
02:20:46,796 --> 02:20:47,463
COMPONENT OF THAT.

4038
02:20:47,463 --> 02:20:48,364
AND IMPORTANTLY, THE ASPECTS

4039
02:20:48,364 --> 02:20:50,967
THAT WERE PRESENTED IN THIS

4040
02:20:50,967 --> 02:20:52,502
WORKSHOP REALLY GET TO THE HEART

4041
02:20:52,502 --> 02:20:53,970
OF WHAT DR. LANGEVIN WAS SAYING,

4042
02:20:53,970 --> 02:20:55,071
IS THAT WE CAN'T LOOK AT THINGS

4043
02:20:55,071 --> 02:20:55,605
IN ISOLATION.

4044
02:20:55,605 --> 02:20:57,273
THERE ARE A NUMBER OF FACTORS

4045
02:20:57,273 --> 02:20:58,908
THAT AFFECT HUMAN HEALTH OR

4046
02:20:58,908 --> 02:20:59,909
WHOLE PERSON HEALTH AND WE NEED

4047
02:20:59,909 --> 02:21:01,444
TO LOOK AT THAT COLLECTIVELY

4048
02:21:01,444 --> 02:21:02,512
BECAUSE YOU CAN'T LOOK AT THINGS

4049
02:21:02,512 --> 02:21:03,112
IN ISOLATION.

4050
02:21:03,112 --> 02:21:04,447
AND THAT WAS AN IMPORTANT PART

4051
02:21:04,447 --> 02:21:06,415
BECAUSE DIETARY SUPPLEMENTS WERE

4052
02:21:06,415 --> 02:21:08,184
FOCUSED ON DURING ONE OR TWO OF

4053
02:21:08,184 --> 02:21:09,352
THE MAIN SESSIONS DURING THIS

4054
02:21:09,352 --> 02:21:10,253
WORKSHOP, AND I REALLY LOOK

4055
02:21:10,253 --> 02:21:11,621
FORWARD TO SEEING WHAT THE END

4056
02:21:11,621 --> 02:21:13,122
RESULT OF THIS WORKSHOP IS, AND

4057
02:21:13,122 --> 02:21:14,090
I KNOW THAT FINAL REPORT IS

4058
02:21:14,090 --> 02:21:19,595
BEING WORKED ON NOW.

4059
02:21:19,595 --> 02:21:24,100
I WOULD SAY PROBABLY RIGHT NOW

4060
02:21:24,100 --> 02:21:25,301
OUR INITIAL CONVERSATION,

4061
02:21:25,301 --> 02:21:26,803
DR. LANGEVIN AND I WHEN I WAS

4062
02:21:26,803 --> 02:21:28,871
ANNOUNCED AS COMING ON AS THE

4063
02:21:28,871 --> 02:21:29,505
NEW DIRECTOR, I DON'T THINK I

4064
02:21:29,505 --> 02:21:31,507
WAS ACTUALLY ON BOARD YET, WHOLE

4065
02:21:31,507 --> 02:21:32,909
PERSON HEALTH CAME UP AND REALLY

4066
02:21:32,909 --> 02:21:34,777
HER DESIRE TO MOVE AWAY FROM

4067
02:21:34,777 --> 02:21:35,745
ISOLATED RESEARCH IN SILOS TO

4068
02:21:35,745 --> 02:21:37,880
MORE LOOKING AT THE HUMAN

4069
02:21:37,880 --> 02:21:38,714
COLLECTIVELY, AND EVERYTHING

4070
02:21:38,714 --> 02:21:39,282
THAT THAT INVOLVES.

4071
02:21:39,282 --> 02:21:40,616
AND I COULDN'T HAVE BEEN MORE IN

4072
02:21:40,616 --> 02:21:41,918
LINE WITH THAT.

4073
02:21:41,918 --> 02:21:43,920
I LOOK AT MYSELF AS AN

4074
02:21:43,920 --> 02:21:44,954
INTEGRATIVE PHYSIOLOGIST WHO'S

4075
02:21:44,954 --> 02:21:46,856
NOT FOCUSED IN ANY ONE AREA.

4076
02:21:46,856 --> 02:21:48,658
YES, MY RESEARCH WHEN I WAS A

4077
02:21:48,658 --> 02:21:50,426
SCIENTIST WAS REALLY FOCUSED ON

4078
02:21:50,426 --> 02:21:51,561
DIETARY PROTEIN, BUT BECAUSE I

4079
02:21:51,561 --> 02:21:54,330
WAS FOCUSING ON MILITARY AND IN

4080
02:21:54,330 --> 02:21:55,398
THE ENVIRONMENTS THAT THEY

4081
02:21:55,398 --> 02:21:56,365
OPERATED, I HAD TO LOOK AT THE

4082
02:21:56,365 --> 02:21:57,433
COMPLETE PICTURE.

4083
02:21:57,433 --> 02:22:00,303
AND THEY ALSO WERE EATING COMBAT

4084
02:22:00,303 --> 02:22:04,273
RATION, I KNEW I HAD TO CONSIDER

4085
02:22:04,273 --> 02:22:05,374
EXACTLY THAT FOOD SOURCE, HOW

4086
02:22:05,374 --> 02:22:06,943
THAT'S MANUFACTURED, HOW IT'S

4087
02:22:06,943 --> 02:22:08,344
PRODUCED, HOW IT'S METABOLIZED

4088
02:22:08,344 --> 02:22:09,745
IN THE BODY AND HOW THAT

4089
02:22:09,745 --> 02:22:11,781
ACTUALLY IMPACTS A BIOLOGICAL

4090
02:22:11,781 --> 02:22:12,014
EFFECT.

4091
02:22:12,014 --> 02:22:13,216
SO THIS CONCEPT OF WHOLE PERSON

4092
02:22:13,216 --> 02:22:14,450
HEALTH WAS SOMETHING THAT I GOT

4093
02:22:14,450 --> 02:22:18,454
ON BOARD WITH, I WOULD SAY

4094
02:22:18,454 --> 02:22:19,455
WITHIN MONTHS OF COMING HERE,

4095
02:22:19,455 --> 02:22:20,456
AND WHEN THE OPPORTUNITY CAME ON

4096
02:22:20,456 --> 02:22:21,557
TO SIGN ON TO THE INITIATIVE TO

4097
02:22:21,557 --> 02:22:23,759
BE PART OF THE WHOLE PERSON

4098
02:22:23,759 --> 02:22:25,728
HEALTH PROGRAM HERE AT NCCIH, I

4099
02:22:25,728 --> 02:22:33,069
DID SO FOR OUR OFFICE.

4100
02:22:33,069 --> 02:22:33,903
FUNDAMENTALLY AND A TRAINED

4101
02:22:33,903 --> 02:22:35,071
NUTRITION SCIENTIST AND SOMEONE

4102
02:22:35,071 --> 02:22:36,439
WHO HAS LED COMPLEX CLINICAL

4103
02:22:36,439 --> 02:22:38,107
TRIALS ON DIET OR DIETARY

4104
02:22:38,107 --> 02:22:38,941
SUPPLEMENT AND UNDERSTANDING THE

4105
02:22:38,941 --> 02:22:40,910
MANY, MANY WEAKNESSES AND

4106
02:22:40,910 --> 02:22:42,311
CONFOUNDERS IN SUCH STUDIES,

4107
02:22:42,311 --> 02:22:44,747
ESPECIALLY THOSE THAT FAIL TO

4108
02:22:44,747 --> 02:22:45,915
APPRECIATE THE COMPLETE PICTURE

4109
02:22:45,915 --> 02:22:47,083
ON ONE'S HEALTH, I

4110
02:22:47,083 --> 02:22:47,817
WHOLEHEARTEDLY SUPPORT THE

4111
02:22:47,817 --> 02:22:49,018
NUTRITION CONTINUUM.

4112
02:22:49,018 --> 02:22:50,620
IT'S NOT ONLY AN OPPORTUNITY FOR

4113
02:22:50,620 --> 02:22:52,755
NEW RESEARCH, I SEE IT AS A

4114
02:22:52,755 --> 02:22:53,189
NECESSITY.

4115
02:22:53,189 --> 02:22:56,759
I SEE IT AS A NECESSITY FOR US

4116
02:22:56,759 --> 02:22:58,694
AS NIH, AS A NECESSITY FOR OUR

4117
02:22:58,694 --> 02:23:00,463
DIFFERENT ICOs TO REALLY COME

4118
02:23:00,463 --> 02:23:01,831
TOGETHER AND ADDRESS THIS

4119
02:23:01,831 --> 02:23:07,203
CONCEPT FROM A COLLECTIVE.

4120
02:23:07,203 --> 02:23:09,038
AND WHY ARE DIETARY SUPPLEMENTS

4121
02:23:09,038 --> 02:23:11,207
SUCH AN INTEGRAL COMPONENT OF

4122
02:23:11,207 --> 02:23:12,174
THIS NUTRITION CONTINUUM?

4123
02:23:12,174 --> 02:23:13,809
WELL, THAT'S BECAUSE PEOPLE TAKE

4124
02:23:13,809 --> 02:23:15,211
A LOT OF DIETARY SUPPLEMENTS.

4125
02:23:15,211 --> 02:23:17,813
THIS IS NEW DATA.

4126
02:23:17,813 --> 02:23:19,415
IT'S FROM 2017 TO RIGHT BEFORE

4127
02:23:19,415 --> 02:23:21,384
THE PANDEMIC, AND IT JUST

4128
02:23:21,384 --> 02:23:22,251
REPRESENTS THE PERCENTAGE OF

4129
02:23:22,251 --> 02:23:23,586
PEOPLE REPORTING TAKING DIETARY

4130
02:23:23,586 --> 02:23:24,587
SUPPLEMENTS WITHIN THE LAST

4131
02:23:24,587 --> 02:23:25,254
THREE MONTHS.

4132
02:23:25,254 --> 02:23:28,424
AND IT LOOKS AT IT IN ADULTS 20

4133
02:23:28,424 --> 02:23:29,859
YEARS AND OLDER, AND IT BREAKS

4134
02:23:29,859 --> 02:23:31,060
IT DOWN BY SEX AND AGE.

4135
02:23:31,060 --> 02:23:32,261
IF YOU LOOK ALL THE WAY TO THE

4136
02:23:32,261 --> 02:23:33,462
LEFT-HAND SIDE OF THIS FIGURE,

4137
02:23:33,462 --> 02:23:35,164
YOU SEE THAT NEARLY 60% OF THE

4138
02:23:35,164 --> 02:23:36,666
POPULATION OR THE ADULT

4139
02:23:36,666 --> 02:23:40,002
POPULATION WILL REPORT USING

4140
02:23:40,002 --> 02:23:40,569
DIETARY SUPPLEMENTS AT LEAST

4141
02:23:40,569 --> 02:23:41,837
ONE, SOME, MANY DIETARY

4142
02:23:41,837 --> 02:23:42,271
SUPPLEMENTS.

4143
02:23:42,271 --> 02:23:44,173
IF YOU START LOOKING AT IT BY

4144
02:23:44,173 --> 02:23:45,174
SEX AND AGE, YOU CAN SEE WHEN

4145
02:23:45,174 --> 02:23:48,377
YOU GET TO OLDER ADULTS, 60 AND

4146
02:23:48,377 --> 02:23:51,113
OVER, 70% OF MALES AND 80% OF

4147
02:23:51,113 --> 02:23:52,882
FEMALES REPORT USING DIETARY

4148
02:23:52,882 --> 02:23:54,583
SUPPLEMENTS, AND AS I SAID, MANY

4149
02:23:54,583 --> 02:23:56,419
OF THOSE INDIVIDUALS REPORT

4150
02:23:56,419 --> 02:23:57,954
TAKING MANY, MANY MORE.

4151
02:23:57,954 --> 02:24:01,324
SO TO MAKE A LONG STORY SHORE,

4152
02:24:01,324 --> 02:24:02,792
DIETARY SUPPLEMENT USE IS HIGHLY

4153
02:24:02,792 --> 02:24:03,693
PREVALENT, THE INDUSTRY IS NOT

4154
02:24:03,693 --> 02:24:04,994
GOING AWAY, IN FACT, IT

4155
02:24:04,994 --> 02:24:07,330
CONTINUES TO INCREASE YEAR OVER

4156
02:24:07,330 --> 02:24:08,664
YEAR, SO I THINK IT'S FAIR TO

4157
02:24:08,664 --> 02:24:09,966
CONCLUDE THAT DIETARY

4158
02:24:09,966 --> 02:24:12,134
SUPPLEMENTS IS AN IMPORTANT

4159
02:24:12,134 --> 02:24:13,636
PIECE TO LOOK AT COLLECTIVELY.

4160
02:24:13,636 --> 02:24:14,837
DO THEY HAVE A BENEFIT, DO THEY

4161
02:24:14,837 --> 02:24:16,906
HAVE A DETRIMENT, ARE THEY BEING

4162
02:24:16,906 --> 02:24:18,207
USED EFFECTIVELY OR SHOULD THEY

4163
02:24:18,207 --> 02:24:19,842
NOT BE USED, AND THAT'S WHAT

4164
02:24:19,842 --> 02:24:21,911
WE'RE HERE TO HELP ADDRESS IN

4165
02:24:21,911 --> 02:24:25,915
THE NUTRITION CONTINUUM.

4166
02:24:25,915 --> 02:24:27,416
SO WHY A NEW FRAMEWORK FOR

4167
02:24:27,416 --> 02:24:28,217
NUTRITION SCIENCE?

4168
02:24:28,217 --> 02:24:29,418
I POSIT ONE IS NEEDED BECAUSE

4169
02:24:29,418 --> 02:24:30,720
ALL OF THE HARD AND EXCELLENT

4170
02:24:30,720 --> 02:24:31,821
WORK THAT HAS BEEN DONE IN THIS

4171
02:24:31,821 --> 02:24:34,657
FIELD IS NOT REALLY HAVING THAT

4172
02:24:34,657 --> 02:24:35,391
DESIRED OUT COME, AND MAYBE

4173
02:24:35,391 --> 02:24:36,592
BECAUSE OF SOME OF THE

4174
02:24:36,592 --> 02:24:38,127
LIMITATIONS DR. LANGEVIN

4175
02:24:38,127 --> 02:24:40,429
MENTIONED, ABOUT WORKING IN OUR

4176
02:24:40,429 --> 02:24:41,397
POCKETS.

4177
02:24:41,397 --> 02:24:43,632
THIS FIGURE WAS TAKEN FROM A CDC

4178
02:24:43,632 --> 02:24:46,535
REPORT LED BY AN ACTUAL ODS

4179
02:24:46,535 --> 02:24:47,370
SCIENTIST THAT SHOWS THE

4180
02:24:47,370 --> 02:24:48,938
PERCENTAGE OF ADULTS WHO HAVE

4181
02:24:48,938 --> 02:24:50,373
HEARD OF THE FEDERAL NUTRITION

4182
02:24:50,373 --> 02:24:51,874
RECOMMENDATIONS THAT ARE BEING

4183
02:24:51,874 --> 02:24:54,210
VISUALIZED IN THE CONTEXT OF

4184
02:24:54,210 --> 02:24:54,443
MYPLATE.

4185
02:24:54,443 --> 02:24:56,679
YOU CAN SEE HERE THAT 25% OF THE

4186
02:24:56,679 --> 02:25:01,617
ADULT POPULATION REPORT AT LEAST

4187
02:25:01,617 --> 02:25:03,686
SEEN WHAT MYPLATE IS BUT LESS

4188
02:25:03,686 --> 02:25:04,887
THAN 10% HAVE MADE ANY ATTEMPT

4189
02:25:04,887 --> 02:25:06,689
TO FOLLOW FEDERAL NUTRITION

4190
02:25:06,689 --> 02:25:08,391
GUIDELINES, AND THAT'S AN

4191
02:25:08,391 --> 02:25:09,025
ASTONISHING BUT NOT SURPRISING

4192
02:25:09,025 --> 02:25:09,425
NUMBER.

4193
02:25:09,425 --> 02:25:11,861
NOW, WE ALSO ARE WELL AWARE OF

4194
02:25:11,861 --> 02:25:12,294
THIS MAP.

4195
02:25:12,294 --> 02:25:13,796
I THINK EVERYONE HAS SEEN THE

4196
02:25:13,796 --> 02:25:15,031
OBESITY MAP FROM THE CDC AND

4197
02:25:15,031 --> 02:25:16,899
THIS IS THE MOST RECENT ONE.

4198
02:25:16,899 --> 02:25:18,234
NOW OBESITY IS NOT THE ONLY

4199
02:25:18,234 --> 02:25:19,135
REFLECTION OF NUTRITION.

4200
02:25:19,135 --> 02:25:20,603
I WANT TO MAKE SURE THAT'S CLEAR

4201
02:25:20,603 --> 02:25:21,771
AND I'M NOT SAYING THAT IT IS,

4202
02:25:21,771 --> 02:25:23,939
BUT IT IS A GOOD DEPICTION, AND

4203
02:25:23,939 --> 02:25:25,775
IT ALIGNS WITH HOW FEW AMERICANS

4204
02:25:25,775 --> 02:25:26,776
ACTUALLY FOLLOW DIETARY

4205
02:25:26,776 --> 02:25:27,943
GUIDELINES.

4206
02:25:27,943 --> 02:25:30,613
SO ALL OF THAT TO SAY IS THAT

4207
02:25:30,613 --> 02:25:32,381
WHY NOT TRY A NEW APPROACH THAT

4208
02:25:32,381 --> 02:25:33,416
BRINGS US TOGETHER?

4209
02:25:33,416 --> 02:25:35,151
THE TIME IS NOW TO EMPHASIZE

4210
02:25:35,151 --> 02:25:36,252
WHOLE PERSON HEALTH AND THE TIME

4211
02:25:36,252 --> 02:25:37,686
IS NOW TO NOT LOOK AT NUTRITION

4212
02:25:37,686 --> 02:25:45,161
IN SEGMENTED WAYS.

4213
02:25:45,161 --> 02:25:46,729
SO THE NUTRITION CONTINUUM IS

4214
02:25:46,729 --> 02:25:47,997
REALLY BREAKING DOWN SILO, AND

4215
02:25:47,997 --> 02:25:50,199
IT'S KEY TO ME, AT LEAST WHEN WE

4216
02:25:50,199 --> 02:25:52,368
WERE REPORTING TOGETHER THE

4217
02:25:52,368 --> 02:25:53,169
STRATEGIC PLAN IS THAT WITHIN

4218
02:25:53,169 --> 02:25:54,170
THE OFFICE ITSELF, AND AS WE

4219
02:25:54,170 --> 02:25:56,572
LOOK TO BUILD NEW STRATEGIC

4220
02:25:56,572 --> 02:25:57,706
PARTNERSHIPS, I WANT US TO BE

4221
02:25:57,706 --> 02:25:58,074
CONNECTED.

4222
02:25:58,074 --> 02:26:00,076
I WANT US TO BE MANEUVERABLE.

4223
02:26:00,076 --> 02:26:01,911
I DON'T WANT US TO BE LOCKED

4224
02:26:01,911 --> 02:26:04,346
INTO SILOS, SO IT WILL BE REALLY

4225
02:26:04,346 --> 02:26:10,653
HARD FOR US TO REILY M REALLY ME

4226
02:26:10,653 --> 02:26:12,221
NEEDLE FORWARD.

4227
02:26:12,221 --> 02:26:14,723
IF WE ALL WORKED IN OUR OWN

4228
02:26:14,723 --> 02:26:18,227
SILOS, AND LET'S JUST SAY NINR,

4229
02:26:18,227 --> 02:26:19,762
NIDDK, NIA, AND SO ON WORKED

4230
02:26:19,762 --> 02:26:21,030
ALONE AND DIDN'T COME TOGETHER

4231
02:26:21,030 --> 02:26:22,998
TO ADDRESS SHARED INTERESTS AND

4232
02:26:22,998 --> 02:26:23,799
SHARED NEEDS.

4233
02:26:23,799 --> 02:26:25,367
AND THIS SLIDE IS MY FINAL SLIDE

4234
02:26:25,367 --> 02:26:26,735
AND REALLY JUST MAKES THAT POINT

4235
02:26:26,735 --> 02:26:27,036
IN TEXT.

4236
02:26:27,036 --> 02:26:29,004
SO PEOPLE DON'T RESPOND TO

4237
02:26:29,004 --> 02:26:31,474
STIMULI, IN THIS CASE, NUTRITION

4238
02:26:31,474 --> 02:26:34,110
OR A VARIETY OF FACTORS IN THAT

4239
02:26:34,110 --> 02:26:35,177
MULTI-SCALE FRAMEWORK OF

4240
02:26:35,177 --> 02:26:36,545
NUTRITION CONTINUUM IN A VACUUM.

4241
02:26:36,545 --> 02:26:38,614
YET WE ARE STRUCTURED

4242
02:26:38,614 --> 02:26:39,215
ORGANIZATIONALLY, FINANCIALLY

4243
02:26:39,215 --> 02:26:40,749
AND ACADEMICALLY TO STUDY THESE

4244
02:26:40,749 --> 02:26:43,486
ASPECTS OF HEALTH IN ISOLATION.

4245
02:26:43,486 --> 02:26:44,720
FOR EXAMPLE, IF YOU WERE TO

4246
02:26:44,720 --> 02:26:45,921
STUDY DIETARY SUPPLEMENTS, YES,

4247
02:26:45,921 --> 02:26:47,957
OF COURSE WE NEED GOOD

4248
02:26:47,957 --> 02:26:49,291
ANALYTICAL PRE-CLINICAL WORK TO

4249
02:26:49,291 --> 02:26:50,759
UNDERSTAND MECHANISMS FROM

4250
02:26:50,759 --> 02:26:51,994
ACTION AND CHARACTERIZE THE

4251
02:26:51,994 --> 02:26:52,661
SUPPLEMENTS.

4252
02:26:52,661 --> 02:26:56,031
WE NEED GOOD EPIDEMIOLOGICAL

4253
02:26:56,031 --> 02:26:57,600
RESEARCH TO LOOK AT THOSE

4254
02:26:57,600 --> 02:26:58,968
RELATIONSHIPS THAT REALLY HELP

4255
02:26:58,968 --> 02:27:00,603
GENERATE HYPOTHESES FOR CLINICAL

4256
02:27:00,603 --> 02:27:00,936
RESEARCH.

4257
02:27:00,936 --> 02:27:02,738
BUT WHEN YOU GET INTO THAT

4258
02:27:02,738 --> 02:27:03,372
CLINICAL RESEARCH AREA, IF YOU

4259
02:27:03,372 --> 02:27:05,474
FAIL TO LOOK AT THE COLLECTIVE

4260
02:27:05,474 --> 02:27:08,377
AND ACCOUNT FOR EVERYTHING THAT

4261
02:27:08,377 --> 02:27:09,712
GOES ON WITHIN INDIVIDUALS'

4262
02:27:09,712 --> 02:27:11,180
LIVES SUCH AS ENVIRONMENTAL

4263
02:27:11,180 --> 02:27:14,216
FACTORS, THEIR DEMOGRAPHICS,

4264
02:27:14,216 --> 02:27:15,551
AGRICULTURE, FOOD SCIENCE,

4265
02:27:15,551 --> 02:27:17,453
UNDERLYING NUTRITION, I CAN'T

4266
02:27:17,453 --> 02:27:18,020
BELIEVE HOW MANY TIMES I'VE

4267
02:27:18,020 --> 02:27:19,522
HEARD PEOPLE SAY, IS IT REALLY

4268
02:27:19,522 --> 02:27:20,756
IMPORTANT TO CONTROL THE

4269
02:27:20,756 --> 02:27:21,891
UNDERLYING DIET OR KNOW WHAT

4270
02:27:21,891 --> 02:27:23,092
PEOPLE EAT IF YOU DO A DIETARY

4271
02:27:23,092 --> 02:27:24,059
SUPPLEMENT STUDY?

4272
02:27:24,059 --> 02:27:25,661
THAT BLOWS MY MIND.

4273
02:27:25,661 --> 02:27:27,263
YOU HAVE TO KNOW WHAT PEOPLE ARE

4274
02:27:27,263 --> 02:27:29,165
TAKING IN TO STUDY THE EFFECT OF

4275
02:27:29,165 --> 02:27:30,166
DIETARY SUPPLEMENT.

4276
02:27:30,166 --> 02:27:31,834
LIKEWISE, PHYSICAL ACTIVITY AND

4277
02:27:31,834 --> 02:27:32,935
A NUMBER OF OTHER FACTORS THAT

4278
02:27:32,935 --> 02:27:34,503
IF WE FAIL TO LOOK AT THINGS AS

4279
02:27:34,503 --> 02:27:36,672
A COLLECTIVE, AS A CONTINUUM, WE

4280
02:27:36,672 --> 02:27:37,473
REALLY LIMIT THE EXTENSION OF

4281
02:27:37,473 --> 02:27:39,175
THE SCIENCE THAT WE DO.

4282
02:27:39,175 --> 02:27:40,109
SO WE KNOW THAT THESE

4283
02:27:40,109 --> 02:27:42,444
LIMITATIONS ARE NOT JUST

4284
02:27:42,444 --> 02:27:43,979
SPECIFIC TO NUTRITION.

4285
02:27:43,979 --> 02:27:45,648
THEY CAN REALLY AFFECT AND APPLY

4286
02:27:45,648 --> 02:27:47,950
TO ALL BIOMEDICAL AND BEHAVIORAL

4287
02:27:47,950 --> 02:27:48,817
RESEARCH DOMAINS BUT THE

4288
02:27:48,817 --> 02:27:49,585
NUTRITION CONTINUUM IS OUR

4289
02:27:49,585 --> 02:27:51,287
OPPORTUNITY TO COME TOGETHER AND

4290
02:27:51,287 --> 02:27:52,922
I'M REALLY EXCITE TODAY DO THAT,

4291
02:27:52,922 --> 02:27:54,023
AND I KNOW DREW IS TOO, AND I

4292
02:27:54,023 --> 02:27:54,990
LOOK FORWARD TO SEEING WHERE

4293
02:27:54,990 --> 02:27:57,526
THIS GOES IN THE FUTURE.

4294
02:27:57,526 --> 02:27:59,128
SO WITH THAT, I JUST WANT TO

4295
02:27:59,128 --> 02:28:00,362
CLOSE AND THANK YOU ALL FOR YOUR

4296
02:28:00,362 --> 02:28:01,764
ATTENTION AND AGAIN,

4297
02:28:01,764 --> 02:28:04,200
DR. LANGEVIN, FOR THE

4298
02:28:04,200 --> 02:28:05,467
OPPORTUNITY TO SPEAK TO COUNCIL

4299
02:28:05,467 --> 02:28:06,168
TODAY AND COUNCILMEMBERS FOR

4300
02:28:06,168 --> 02:28:07,002
YOUR ATTENTION.

4301
02:28:07,002 --> 02:28:16,779
THANKS A LOT.

4302
02:28:16,779 --> 02:28:18,547
>> THANK YOU SO MUCH, AND
I HOPE

4303
02:28:18,547 --> 02:28:19,648
EVERYBODY CAN SEE WHY I'M SO

4304
02:28:19,648 --> 02:28:22,618
EXCITED TO HAVE DR. PASIAKOS AS

4305
02:28:22,618 --> 02:28:24,053
DIRECTOR OF ODS.

4306
02:28:24,053 --> 02:28:27,990
SO WE'RE GOING TO SAVE QUESTIONS

4307
02:28:27,990 --> 02:28:28,924
FOR OUR PANEL, AND WE'RE GOING

4308
02:28:28,924 --> 02:28:31,126
TO NOW MOVE ON QUICKLY TO

4309
02:28:31,126 --> 02:28:40,069
DR. BREMER.

4310
02:28:40,069 --> 02:28:41,804
>> YOU SET ME UP
BEAUTIFULLY!

4311
02:28:41,804 --> 02:28:43,439
I JUST WANT TO ECHO THE PROFOUND

4312
02:28:43,439 --> 02:28:49,078
THANKS FOR BEING HERE, HELENE,

4313
02:28:49,078 --> 02:28:51,013
STEFAN, AND STEPH GEORGE OVER

4314
02:28:51,013 --> 02:28:51,347
THERE.

4315
02:28:51,347 --> 02:28:54,516
NOW IS THE TIME, THIS IS A SUPER

4316
02:28:54,516 --> 02:28:55,317
EXCITING TIME.

4317
02:28:55,317 --> 02:28:56,585
I PROMISE I'LL KEEP THIS SHORT

4318
02:28:56,585 --> 02:28:59,221
BECAUSE I CAN TALK FOR DAYS

4319
02:28:59,221 --> 02:29:00,723
ABOUT NUTRITION AND I'M GOING TO

4320
02:29:00,723 --> 02:29:03,659
TAKE MY LEAD FROM STEFAN, I'M

4321
02:29:03,659 --> 02:29:05,094
GOING TO START BY HIGHLIGHTING

4322
02:29:05,094 --> 02:29:06,795
THE OFFICE AND REALLY WHERE I

4323
02:29:06,795 --> 02:29:10,532
THINK WE CAN -- WE AS AN OFFICE

4324
02:29:10,532 --> 02:29:12,434
CAN WORK WITH YOU, CAN WORK WITH

4325
02:29:12,434 --> 02:29:14,303
HELENE, AND THE NIH, AND REALLY

4326
02:29:14,303 --> 02:29:17,106
MAKE A DIFFERENCE.

4327
02:29:17,106 --> 02:29:18,240
BECAUSE THIS IS A SUPER EXCITING

4328
02:29:18,240 --> 02:29:18,540
TIME.

4329
02:29:18,540 --> 02:29:19,942
SO HERE WE ARE, AND I ALWAYS

4330
02:29:19,942 --> 02:29:22,011
LIKE STARTING WITH PROFOUND

4331
02:29:22,011 --> 02:29:23,846
GRATITUDE FOR THOSE I WORK WITH.

4332
02:29:23,846 --> 02:29:25,247
AND THAT'S -- AGAIN, I WANT TO

4333
02:29:25,247 --> 02:29:27,850
ECHO STEFAN'S REMARKS ABOUT JUST

4334
02:29:27,850 --> 02:29:29,451
HOW AMAZING IT IS TO HAVE HELENE

4335
02:29:29,451 --> 02:29:32,087
AT THE HEAD HERE.

4336
02:29:32,087 --> 02:29:33,856
I AM PRIVILEGED TO WORK WITH

4337
02:29:33,856 --> 02:29:36,125
A -- I CALL A SMALL BUT MIGHTY

4338
02:29:36,125 --> 02:29:36,425
OFFICE.

4339
02:29:36,425 --> 02:29:38,694
WE'RE AN OFFICE OF NINE.

4340
02:29:38,694 --> 02:29:40,229
BUT WHAT'S INCREDIBLE IS THAT

4341
02:29:40,229 --> 02:29:42,731
EVERYONE BRINGS THEIR OWN GIFTS

4342
02:29:42,731 --> 02:29:43,098
TO THIS OFFICE.

4343
02:29:43,098 --> 02:29:44,867
WE WAKE UP EVERY MORNING WITH

4344
02:29:44,867 --> 02:29:46,835
THE SAME CHARGE, HOW CAN WE

4345
02:29:46,835 --> 02:29:48,337
THINK ABOUT MOVING THE SCIENCE

4346
02:29:48,337 --> 02:29:51,407
FORWARD TO MAKE A DIFFERENCE.

4347
02:29:51,407 --> 02:29:52,274
NUTRITION, YOU'VE HEARD ABOUT,

4348
02:29:52,274 --> 02:29:54,576
WHOLE PERSON HEALTH, OF COURSE,

4349
02:29:54,576 --> 02:29:58,113
IT'S ONE OF THE CROSS-CUTTING

4350
02:29:58,113 --> 02:29:58,747
DISCIPLINES.

4351
02:29:58,747 --> 02:30:00,115
IT AFFECTS EVERYTHING.

4352
02:30:00,115 --> 02:30:02,284
SO WE TRY TO USE OUR COLLECTIVE

4353
02:30:02,284 --> 02:30:03,752
ENERGIES TO THINK ABOUT AGAIN

4354
02:30:03,752 --> 02:30:05,321
HOW CAN WE THINK ABOUT NUTRITION

4355
02:30:05,321 --> 02:30:07,690
IN A WAY THAT'S GOING TO IMPACT

4356
02:30:07,690 --> 02:30:09,458
PUBLIC HEALTH AND REALLY MAKE A

4357
02:30:09,458 --> 02:30:12,027
DIFFERENCE NOT JUST DOMESTICALLY

4358
02:30:12,027 --> 02:30:13,529
BUT INTERNATIONALLY AND AT A

4359
02:30:13,529 --> 02:30:18,367
GLOBAL SCALE.

4360
02:30:18,367 --> 02:30:20,035
SO AS STEFAN MENTIONED, KIND

4361
02:30:20,035 --> 02:30:22,204
ALLUDED TO, BOTH ODS AND OFFICE

4362
02:30:22,204 --> 02:30:23,739
OF NUTRITION RESEARCH DO SIT IN

4363
02:30:23,739 --> 02:30:25,240
THE OFFICE OF THE DIRECTOR, AND

4364
02:30:25,240 --> 02:30:27,276
THAT IS A WONDERFUL PLACE TO BE,

4365
02:30:27,276 --> 02:30:30,212
BECAUSE THAT GIVES US ACCESS TO

4366
02:30:30,212 --> 02:30:31,547
BREAK DOWN SILO, IF YOU WILL,

4367
02:30:31,547 --> 02:30:32,781
AND TO REALLY INTERACT WITH ALL

4368
02:30:32,781 --> 02:30:35,117
OF OUR SISTER INSTITUTES AND

4369
02:30:35,117 --> 02:30:35,617
CENTERS.

4370
02:30:35,617 --> 02:30:39,621
PARTICULARLY IN THIS AREA OF

4371
02:30:39,621 --> 02:30:40,289
NUTRITION, ON A SLIDE YOU'LL SEE

4372
02:30:40,289 --> 02:30:42,491
IN A SECOND, NUTRITION TOUCHES

4373
02:30:42,491 --> 02:30:43,559
EVERYTHING.

4374
02:30:43,559 --> 02:30:45,361
EVERY CELL, EVERY SYSTEM AT

4375
02:30:45,361 --> 02:30:46,995
EVERY AGE AND STAGE OF LIFE,

4376
02:30:46,995 --> 02:30:47,996
NUTRITION IS SOMETHING WE ALL

4377
02:30:47,996 --> 02:30:49,198
SHARE.

4378
02:30:49,198 --> 02:30:51,333
AND SO EVEN THOUGH AS STEFAN

4379
02:30:51,333 --> 02:30:53,969
MENTIONED THE NIH IS ORGANIZED

4380
02:30:53,969 --> 02:30:55,170
AROUND MAYBE DISEASES OR

4381
02:30:55,170 --> 02:30:57,639
DIFFERENT CATEGORIES OF

4382
02:30:57,639 --> 02:30:58,707
MEDICINE, NUTRITION IS SO

4383
02:30:58,707 --> 02:31:00,542
CROSS-CUTTING AND WE HAVE THE

4384
02:31:00,542 --> 02:31:02,511
OPPORTUNITY TO HOPEFULLY USE OUR

4385
02:31:02,511 --> 02:31:04,313
TEAM AND USE OUR OFFICE TO MAKE

4386
02:31:04,313 --> 02:31:06,315
THOSE CONNECTIONS, TO MAKE THOSE

4387
02:31:06,315 --> 02:31:08,384
SYNERGIES, TO REALLY THINK ABOUT

4388
02:31:08,384 --> 02:31:11,153
IN THE DOMAINS OF EACH OF THESE

4389
02:31:11,153 --> 02:31:11,754
INSTITUTES AND CENTER, HOW CAN

4390
02:31:11,754 --> 02:31:13,055
THEY THINK ABOUT NUTRITION TO

4391
02:31:13,055 --> 02:31:14,390
ACHIEVE THEIR MISSION AND

4392
02:31:14,390 --> 02:31:16,859
OUTCOMES.

4393
02:31:16,859 --> 02:31:18,127
AND WE ALSO WORK WITH OUR

4394
02:31:18,127 --> 02:31:18,594
FEDERAL PARTNERS.

4395
02:31:18,594 --> 02:31:19,995
AGAIN, THIS IS SUPER COOL!

4396
02:31:19,995 --> 02:31:22,064
YOU KNOW, WE HAVE THE

4397
02:31:22,064 --> 02:31:25,134
OPPORTUNITY TO WORK BEYOND NIH,

4398
02:31:25,134 --> 02:31:26,969
BECAUSE THE ENERGIES AND THE

4399
02:31:26,969 --> 02:31:29,505
SCIENCE THAT'S DONE HERE, YOU'LL

4400
02:31:29,505 --> 02:31:30,973
SEE THE MINUTES, I FIRMLY

4401
02:31:30,973 --> 02:31:31,907
BELIEVE ONE OF OUR ROLES IS TO

4402
02:31:31,907 --> 02:31:33,008
PROVIDE THE EVIDENCE BASE TO

4403
02:31:33,008 --> 02:31:34,443
INFORM PROGRAMS, PRACTICES AND

4404
02:31:34,443 --> 02:31:36,044
POLICIES THAT ARE GOING TO

4405
02:31:36,044 --> 02:31:36,812
IMPACT PUBLIC HEALTH.

4406
02:31:36,812 --> 02:31:38,147
SO WE ARE THE EVIDENCE

4407
02:31:38,147 --> 02:31:39,248
GENERATORS.

4408
02:31:39,248 --> 02:31:42,084
BUT AS MONICA WILL MENTION IN

4409
02:31:42,084 --> 02:31:44,086
HER TALKS, YOU KNOW, IT DOESN'T

4410
02:31:44,086 --> 02:31:45,387
END WITH DISCOVERY.

4411
02:31:45,387 --> 02:31:46,722
IT'S TAKING THAT DISCOVERY OUT

4412
02:31:46,722 --> 02:31:47,756
TO THE FIELD.

4413
02:31:47,756 --> 02:31:50,292
HOW CAN WE BRING THOSE

4414
02:31:50,292 --> 02:31:51,593
DISCOVERIES TO PATIENTS AND MAKE

4415
02:31:51,593 --> 02:31:52,995
AN IMPACT ON PUBLIC HEALTH, AND

4416
02:31:52,995 --> 02:31:54,296
THEN LEARN FROM OUR PATIENTS TO

4417
02:31:54,296 --> 02:31:55,264
MAKE MORE DISCOVERIES AND KEEP

4418
02:31:55,264 --> 02:31:58,867
THAT GOING.

4419
02:31:58,867 --> 02:32:00,202
WE HAVE THE PRIVILEGE OF WORKING

4420
02:32:00,202 --> 02:32:02,104
WITH A LOT OF OUR PARTNERS IN

4421
02:32:02,104 --> 02:32:03,071
THE FEDERAL SPACE WHO ARE ALL

4422
02:32:03,071 --> 02:32:04,039
REALLY INTERESTED IN DOING THE

4423
02:32:04,039 --> 02:32:06,308
RIGHT THING AND MAKING A PUBLIC

4424
02:32:06,308 --> 02:32:12,581
HEALTH IMPACT.

4425
02:32:12,581 --> 02:32:14,550
 -- MORE SO THAN CIGARETTE

4426
02:32:14,550 --> 02:32:15,818
SMOKING, TOBACCO SMOKING, MORE

4427
02:32:15,818 --> 02:32:17,853
SO THAN AIR POLLUTION AND MORE

4428
02:32:17,853 --> 02:32:20,055
SO THAN HIGH BLOOD PRESSURE.

4429
02:32:20,055 --> 02:32:23,892
A -- DIET IS THE LEADING RISK

4430
02:32:23,892 --> 02:32:24,960
FACTOR FOR DEATH ACROSS THE

4431
02:32:24,960 --> 02:32:25,427
GLOBE.

4432
02:32:25,427 --> 02:32:27,896
SO WHAT IS OUR MISSION?

4433
02:32:27,896 --> 02:32:29,231
JUST LIKE STEFAN, WE ARE IN THE

4434
02:32:29,231 --> 02:32:31,233
PROCESS AS AN OFFICE OF GOING

4435
02:32:31,233 --> 02:32:33,535
THROUGH AND PUTTING TOGETHER AN

4436
02:32:33,535 --> 02:32:34,503
OFFICE-SPECIFIC STRATEGIC PLAN

4437
02:32:34,503 --> 02:32:35,437
TO THINK ABOUT HOW CAN WE MAKE

4438
02:32:35,437 --> 02:32:37,940
THE MOST IMPACT IN THE FIELD OF

4439
02:32:37,940 --> 02:32:39,408
NUTRITION ACROSS THE NIH.

4440
02:32:39,408 --> 02:32:40,976
AND THIS IS A VERY LONG SENTENCE

4441
02:32:40,976 --> 02:32:42,344
WITH A LOT OF ADJECTIVES.

4442
02:32:42,344 --> 02:32:44,279
I KNOW THAT.

4443
02:32:44,279 --> 02:32:46,048
BUT THINK ABOUT EACH ADJECTIVE

4444
02:32:46,048 --> 02:32:47,983
IS SUPER IMPORTANT.

4445
02:32:47,983 --> 02:32:49,451
TO ADVANCE NUTRITION SCIENCE TO

4446
02:32:49,451 --> 02:32:52,221
PROMOTE LI HEALTH ACROSS THE

4447
02:32:52,221 --> 02:32:52,721
LIFESPAN.

4448
02:32:52,721 --> 02:32:55,157
THIS GOES FROM PRECONCEPTION,

4449
02:32:55,157 --> 02:32:58,760
THE FIRST THOUSAND DAYS, THE

4450
02:32:58,760 --> 02:33:03,298
NEXT 7,000 DAYS UNTIL YOU'RE 21,

4451
02:33:03,298 --> 02:33:04,967
EARLY ADOLESCENCE, PRAGUE SEE,

4452
02:33:04,967 --> 02:33:06,535
LACTATION, OLDER ADULTHOOD

4453
02:33:06,535 --> 02:33:07,569
THROUGHOUT THE ENTIRE LIFESPAN.

4454
02:33:07,569 --> 02:33:10,339
TO SUPPORT THE DEVELOPMENT OF

4455
02:33:10,339 --> 02:33:12,808
EVIDENCE-BASED, EQUITABLE,

4456
02:33:12,808 --> 02:33:15,544
CONTEXT-SPECIFIC, CULTURALLY

4457
02:33:15,544 --> 02:33:16,478
APPROPRIATE.

4458
02:33:16,478 --> 02:33:21,717
HELENE MENTIONED FOOD AS

4459
02:33:21,717 --> 02:33:24,186
MEDICINE PROGRAMS.

4460
02:33:24,186 --> 02:33:25,254
RESILIENT AND SUSTAINABLE

4461
02:33:25,254 --> 02:33:25,654
SOLUTIONS.

4462
02:33:25,654 --> 02:33:27,155
JUST LIKE WITH STEFAN'S OFFICE,

4463
02:33:27,155 --> 02:33:28,490
WE'RE LOOKING FOR ACTIONABLE

4464
02:33:28,490 --> 02:33:29,525
RESEARCH THAT'S

4465
02:33:29,525 --> 02:33:29,958
SOLUTION-ORIENTED.

4466
02:33:29,958 --> 02:33:32,160
AND THAT CAN BE DISSEMINATED AND

4467
02:33:32,160 --> 02:33:33,028
IMPLEMENTED AT SCALE.

4468
02:33:33,028 --> 02:33:34,096
SO NOT JUST DISCOVERY FOR THE

4469
02:33:34,096 --> 02:33:36,031
SAKE OF DISCOVERY, BUT DISCOVERY

4470
02:33:36,031 --> 02:33:38,066
THAT'S GOING TO INFORM PROGRAMS,

4471
02:33:38,066 --> 02:33:39,067
PRACTICES AND POLICIES THAT ARE

4472
02:33:39,067 --> 02:33:40,802
GOING TO MITIGATE THE BURDENS.

4473
02:33:40,802 --> 02:33:43,372
I SAY BURDENS AS BOTH ECONOMIC

4474
02:33:43,372 --> 02:33:47,576
BURDENS AND HUMAN BURDENS,

4475
02:33:47,576 --> 02:33:49,177
DIET-RELATED DISEASES AND HEALTH

4476
02:33:49,177 --> 02:33:50,546
DISPARITIES.

4477
02:33:50,546 --> 02:33:52,281
SUPER LONG SENTENCE.

4478
02:33:52,281 --> 02:33:54,883
WHEN I TRIED A SMALLER, SHORTER

4479
02:33:54,883 --> 02:33:57,152
ONE, IT KIND OF GOT THERE, BUT

4480
02:33:57,152 --> 02:33:58,387
THIS LISTS ALL THE COMPLEXITIES

4481
02:33:58,387 --> 02:33:59,354
AND ALL THE DIFFERENT ASPECTS OF

4482
02:33:59,354 --> 02:34:00,522
WHAT OUR OFFICE IS REALLY TRYING

4483
02:34:00,522 --> 02:34:01,390
TO DO.

4484
02:34:01,390 --> 02:34:03,292
AND MUCH LIKE STEFAN MENTIONED,

4485
02:34:03,292 --> 02:34:05,127
HERE INTERNALLY, AND WITH OUR

4486
02:34:05,127 --> 02:34:06,328
FEDERAL PARTNERS, WE'RE REALLY

4487
02:34:06,328 --> 02:34:07,462
HERE TO PROVIDE SERVICE,

4488
02:34:07,462 --> 02:34:09,498
TECHNICAL ASSISTANCE, AND

4489
02:34:09,498 --> 02:34:09,831
COORDINATION.

4490
02:34:09,831 --> 02:34:11,466
AGAIN, WE HAVE THAT PRIVILEGE

4491
02:34:11,466 --> 02:34:13,735
AND I TAKE IT AS A PRIF LEM.

4492
02:34:13,735 --> 02:34:14,836
I GET UP EVERY MORNING, I'M

4493
02:34:14,836 --> 02:34:16,004
JAZZED TO GO TO WORK.

4494
02:34:16,004 --> 02:34:17,406
WHAT A GREAT OPPORTUNITY TO WORK

4495
02:34:17,406 --> 02:34:18,507
WITH PARTNERS AND INDIVIDUALS

4496
02:34:18,507 --> 02:34:19,474
WHO AT THE END OF THE DAY JUST

4497
02:34:19,474 --> 02:34:22,978
WANT TO DO THE RIGHT THING AND

4498
02:34:22,978 --> 02:34:25,380
HELP AND ADVANCE PUBLIC HEALTH.

4499
02:34:25,380 --> 02:34:26,582
ALL RIGHT.

4500
02:34:26,582 --> 02:34:28,550
SO WHAT ARE OUR GUIDING

4501
02:34:28,550 --> 02:34:28,850
PRINCIPLES?

4502
02:34:28,850 --> 02:34:30,052
WHEN I CAME TO THE OFFICE BACK

4503
02:34:30,052 --> 02:34:31,653
IN SEPTEMBER, AGAIN, IT WAS SUCH

4504
02:34:31,653 --> 02:34:33,188
AN HONOR TO JOIN THAT GROUP.

4505
02:34:33,188 --> 02:34:38,427
WE HUDDLED UP AND WE SAID GOSH,

4506
02:34:38,427 --> 02:34:38,827
WHAT'S OUR WHY?

4507
02:34:38,827 --> 02:34:43,665
I LOVE SIMON SINAK WILL HAVE A

4508
02:34:43,665 --> 02:34:46,768
WHY SLIDE IN A SECOND.

4509
02:34:46,768 --> 02:34:47,603
NUTRITION IS NOT FOOD, WE HEAR A

4510
02:34:47,603 --> 02:34:50,172
LOT ABOUT FOOD AND THERE'S A LOT

4511
02:34:50,172 --> 02:34:51,740
OF DISCUSSION ON THE SUPPLY SIDE

4512
02:34:51,740 --> 02:34:54,743
VERSUS WHAT THE BIOLOGY IS.

4513
02:34:54,743 --> 02:34:56,578
BUT NUTRITION -- WHEN I TALKED

4514
02:34:56,578 --> 02:34:58,313
TO MY DAUGHTER'S SCHOOL ABOUT

4515
02:34:58,313 --> 02:34:59,648
NUTRITION AND I SAY, I THINK OF

4516
02:34:59,648 --> 02:35:00,849
NUTRITION AS THE LINK BETWEEN

4517
02:35:00,849 --> 02:35:02,884
WHAT WE PUT IN OUR MOUTH AND OUR

4518
02:35:02,884 --> 02:35:04,886
HEALTH.

4519
02:35:04,886 --> 02:35:07,122
THAT'S THE BIOLOGY.

4520
02:35:07,122 --> 02:35:08,790
AFTER WE EAT, ALL THAT STUFF

4521
02:35:08,790 --> 02:35:12,494
THAT HAPPENS, AS FAR AS RIGOR

4522
02:35:12,494 --> 02:35:13,629
AND REPRODUCIBILITY IN THE

4523
02:35:13,629 --> 02:35:14,630
SCIENCE ARE THE COOL

4524
02:35:14,630 --> 02:35:15,831
OPPORTUNITIES.

4525
02:35:15,831 --> 02:35:17,766
BUT NUTRITION LINKS WHAT WE PUT

4526
02:35:17,766 --> 02:35:19,267
IN OUR MOUTHS TO OUR OVERALL

4527
02:35:19,267 --> 02:35:19,501
HEALTH.

4528
02:35:19,501 --> 02:35:20,869
IT TOUCHES EVERY CELL AND EVERY

4529
02:35:20,869 --> 02:35:22,371
SYSTEM.

4530
02:35:22,371 --> 02:35:24,039
IT'S INEXTRICABLY LINKED TO ALL

4531
02:35:24,039 --> 02:35:25,407
ASPECTS OF BIOLOGY.

4532
02:35:25,407 --> 02:35:26,074
AGAIN, THIS IS WHERE PEOPLE

4533
02:35:26,074 --> 02:35:28,477
THINK ABOUT NUTRITION, ABOUT

4534
02:35:28,477 --> 02:35:29,478
DIETARY PATTERNS AND THAT'S

4535
02:35:29,478 --> 02:35:30,045
IMPORTANT.

4536
02:35:30,045 --> 02:35:31,713
BUT WE THINK ABOUT ALL THE

4537
02:35:31,713 --> 02:35:34,650
BIOCHEMISTRY THAT NUTRIENTS

4538
02:35:34,650 --> 02:35:35,517
AFFECT.

4539
02:35:35,517 --> 02:35:36,818
HELENE'S SLIDE IS BEAUTIFUL.

4540
02:35:36,818 --> 02:35:39,621
NUTRIENTS WORK ACROSS AN ENTIRE

4541
02:35:39,621 --> 02:35:42,791
CONTINUUM, ENTIRE SPECTRUM.

4542
02:35:42,791 --> 02:35:44,259
STEFAN ALLUDED TO THIS IN

4543
02:35:44,259 --> 02:35:45,927
ANOTHER CORE PRINCIPLE,

4544
02:35:45,927 --> 02:35:47,462
NUTRITIONAL STATUS IS A

4545
02:35:47,462 --> 02:35:48,830
FUNDAMENTAL BIOLOGICAL VARIABLE.

4546
02:35:48,830 --> 02:35:49,564
LIKE AGE AND SEX.

4547
02:35:49,564 --> 02:35:50,732
HE MENTIONED IT IN THE COULD BE

4548
02:35:50,732 --> 02:35:53,902
TECONTEXTOF DIETARY SUPPLEMENT ,

4549
02:35:53,902 --> 02:35:59,041
BUT UNDERSTANDING AN

4550
02:35:59,041 --> 02:36:00,308
INDIVIDUAL'S NUTRITIONAL STATUS

4551
02:36:00,308 --> 02:36:02,310
IS PROFOUNDLY IMPORTANT FOR HOW

4552
02:36:02,310 --> 02:36:03,311
ONE INTERPRETS THE SCIENCE AND

4553
02:36:03,311 --> 02:36:05,080
WITHOUT DOING THAT, IT

4554
02:36:05,080 --> 02:36:06,381
DIMINISHES THE RIGOR AND

4555
02:36:06,381 --> 02:36:07,549
REPRODUCIBILITY OF DIETARY

4556
02:36:07,549 --> 02:36:09,584
STUDIES AND NUTRITION SCIENCE.

4557
02:36:09,584 --> 02:36:11,720
NUTRITIONAL STATUS IS REALLY

4558
02:36:11,720 --> 02:36:14,356
BOTH AN INPUT AND AN OUTCOME OF

4559
02:36:14,356 --> 02:36:14,823
HEALTH AND DISEASE.

4560
02:36:14,823 --> 02:36:16,625
IT CAN BE A DISEASE MODIFIER OR

4561
02:36:16,625 --> 02:36:19,194
AN OUTPUT OR OUT COME OF

4562
02:36:19,194 --> 02:36:19,728
PATHOLOGICAL PROCESS.

4563
02:36:19,728 --> 02:36:21,697
I LOVE THIS ONE, NUTRITION, IT'S

4564
02:36:21,697 --> 02:36:23,465
EVERYONE'S BUSINESS.

4565
02:36:23,465 --> 02:36:24,866
SO CROSS-CUTTING, WHY?

4566
02:36:24,866 --> 02:36:26,601
BECAUSE EVERYONE EATS.

4567
02:36:26,601 --> 02:36:27,903
AND WHAT WE EAT IMPACTS OUR

4568
02:36:27,903 --> 02:36:28,670
HEALTH.

4569
02:36:28,670 --> 02:36:30,138
FOOD -- I OFTEN USE THE

4570
02:36:30,138 --> 02:36:31,807
PHRASE -- IS A MAJOR THREAT OF

4571
02:36:31,807 --> 02:36:34,876
THE INTERLOW PEN TAPESTRY OF

4572
02:36:34,876 --> 02:36:36,912
CULTURE, TRADITION, HISTORY,

4573
02:36:36,912 --> 02:36:37,446
FAMILY AND MEMORY.

4574
02:36:37,446 --> 02:36:39,047
IT'S THERE.

4575
02:36:39,047 --> 02:36:40,415
MALNUTRITION IN ALL ITS FORMS IS

4576
02:36:40,415 --> 02:36:42,184
THE LEADING CAUSE OF MORBIDITY

4577
02:36:42,184 --> 02:36:43,418
AND MORTALITY ACROSS THE GLOBE,

4578
02:36:43,418 --> 02:36:43,885
HANDS DOWN.

4579
02:36:43,885 --> 02:36:46,621
SO IT'S EVERYONE'S BUSINESS.

4580
02:36:46,621 --> 02:36:48,156
IT'S ALSO DISEASE AGNOSTIC.

4581
02:36:48,156 --> 02:36:48,690
AGAIN, CROSS-CUTTING.

4582
02:36:48,690 --> 02:36:50,692
IT TOUCHES EVERY ASPECT OF THE

4583
02:36:50,692 --> 02:36:52,561
NIH, AND BEYOND.

4584
02:36:52,561 --> 02:36:59,735
AND AS HELENE AND STEIVE ALLUDED

4585
02:36:59,735 --> 02:37:01,837
TO, IT'S IMPORTANT FOR EVERY

4586
02:37:01,837 --> 02:37:03,872
PERSON, SOCIETY AND THE PLANET.

4587
02:37:03,872 --> 02:37:06,408
WHEN I TRIED TO PUT THE SIX

4588
02:37:06,408 --> 02:37:06,942
GUIDING PRINCIPLES INTO A

4589
02:37:06,942 --> 02:37:08,577
PICTURE FORM, THE BEST I COULD

4590
02:37:08,577 --> 02:37:09,578
DO IS THIS.

4591
02:37:09,578 --> 02:37:11,446
HELENE SET ME UP BEAUTIFULLY.

4592
02:37:11,446 --> 02:37:12,681
ALL THESE THINGS WORK IN

4593
02:37:12,681 --> 02:37:14,349
CONCERT, THEY'RE BIDIRECTIONAL

4594
02:37:14,349 --> 02:37:14,983
AND THEY IMPACT EACH OTHER.

4595
02:37:14,983 --> 02:37:16,518
SO WE THINK ABOUT FOOD SYSTEMS

4596
02:37:16,518 --> 02:37:18,820
WHICH CAN BE A TWO-HOUR LECTURE

4597
02:37:18,820 --> 02:37:20,188
IN AND OF ITSELF, HELENE

4598
02:37:20,188 --> 02:37:21,623
MENTIONED SO MANY ASPECTS OF THE

4599
02:37:21,623 --> 02:37:23,825
FOOD SYSTEMS, EVERY ASPECT HAS

4600
02:37:23,825 --> 02:37:26,261
AN IMPLICATION ON HUMAN HEALTH,

4601
02:37:26,261 --> 02:37:28,330
AND EVERY ASPECT ALSO HAS AN

4602
02:37:28,330 --> 02:37:29,297
IMPLICATION ON ENVIRONMENTAL

4603
02:37:29,297 --> 02:37:30,132
HEALTH AND PLAN TRI HEALTH.

4604
02:37:30,132 --> 02:37:31,666
AND WE HEARD ABOUT THE IMPACT OF

4605
02:37:31,666 --> 02:37:33,301
CLIMATE AND SOIL AND ABSOLUTELY,

4606
02:37:33,301 --> 02:37:35,570
THAT INFLUENCES THE NUTRITIONAL

4607
02:37:35,570 --> 02:37:38,039
QUALITY OF PLANTS AND PRODUCTS

4608
02:37:38,039 --> 02:37:39,941
AND THEN COULD IMPACT HEALTH BY

4609
02:37:39,941 --> 02:37:40,375
INDIVIDUAL PATIENTS.

4610
02:37:40,375 --> 02:37:41,877
SO ALL THESE THINGS ARE

4611
02:37:41,877 --> 02:37:42,978
INTERCOINTERCONNECTED.

4612
02:37:42,978 --> 02:37:45,647
SO AGAIN, STEFAN SET ME UP, WE

4613
02:37:45,647 --> 02:37:47,315
CAME TOGETHER AND SAID THIS

4614
02:37:47,315 --> 02:37:50,485
NUTRITION CONTINUUM, FROM SOIL

4615
02:37:50,485 --> 02:37:53,255
TO PERSON TO THE ENVIRONMENT TO

4616
02:37:53,255 --> 02:37:54,122
THE COMMUNITY TO THE SCHOOL TO

4617
02:37:54,122 --> 02:37:56,491
THE NURSING HOME, ALL THESE

4618
02:37:56,491 --> 02:37:57,793
THINGS ARE IMPORTANT, ALL THESE

4619
02:37:57,793 --> 02:38:00,028
THINGS COME TOGETHER.

4620
02:38:00,028 --> 02:38:02,831
AND WHY DO I CARE?

4621
02:38:02,831 --> 02:38:03,999
WHAT GETS ME UP IN THE MORNING?

4622
02:38:03,999 --> 02:38:06,935
THIS IS NOT NEW.

4623
02:38:06,935 --> 02:38:09,871
WE ARE IN THE MIDST OF AN URGENT

4624
02:38:09,871 --> 02:38:11,173
NUTRITION-RELATED HEALTH CRISIS.

4625
02:38:11,173 --> 02:38:12,340
I'VE ALREADY MENTIONED

4626
02:38:12,340 --> 02:38:14,109
MALNUTRITION IN ALL ITS FORMS,

4627
02:38:14,109 --> 02:38:15,644
THE LEADING CAUSE OF MORBIDITY

4628
02:38:15,644 --> 02:38:16,645
AND MORTALITY IN THE WORLD

4629
02:38:16,645 --> 02:38:17,712
TODAY.

4630
02:38:17,712 --> 02:38:18,513
1 IN 3 INDIVIDUALS ON THIS

4631
02:38:18,513 --> 02:38:20,515
PLANET SUFFERS FROM A FORM OF

4632
02:38:20,515 --> 02:38:21,183
MALNUTRITION.

4633
02:38:21,183 --> 02:38:22,350
MANY SUFFER FROM MULTIPLE FORMS

4634
02:38:22,350 --> 02:38:25,854
AT THE SAME TIME.

4635
02:38:25,854 --> 02:38:28,957
SOMETIMES IF THAT'S NOT ENOUGH,

4636
02:38:28,957 --> 02:38:32,694
NUTRITION IS IMPACTING NOT JUST

4637
02:38:32,694 --> 02:38:33,528
PUBLIC HEALTH BUT ALSO OUR

4638
02:38:33,528 --> 02:38:34,863
ECONOMY AND NATIONAL SECURITY.

4639
02:38:34,863 --> 02:38:37,132
NEARLY 8 IN 10 ADULTS IN THIS

4640
02:38:37,132 --> 02:38:39,167
COUNTRY CANNOT QUALIFY WITH

4641
02:38:39,167 --> 02:38:42,771
MILITARY SERVICE AND OVERWEIGHT

4642
02:38:42,771 --> 02:38:44,005
DISQUALIFIES 11% OF OUR YOUTH

4643
02:38:44,005 --> 02:38:45,140
RIGHT FROM THE GET-GO FROM

4644
02:38:45,140 --> 02:38:46,608
SERVING IN THE MILITARY AND

4645
02:38:46,608 --> 02:38:48,510
CONTRIBUTES TO 44% OF THOSE BHO

4646
02:38:48,510 --> 02:38:49,911
ARE DISQUALIFIED FOR MULTIPLE

4647
02:38:49,911 --> 02:38:50,145
REASONS.

4648
02:38:50,145 --> 02:38:52,414
IF IT'S NOT THE MONEY OR THE

4649
02:38:52,414 --> 02:38:54,883
PUBLIC HEALTH, THE NATIONAL

4650
02:38:54,883 --> 02:38:56,218
SECURITY ISSUE IS ALSO SOMETHING

4651
02:38:56,218 --> 02:38:56,685
THAT'S VERY PROFOUND.

4652
02:38:56,685 --> 02:38:59,387
AS FAR AS THE DOLLAR, MORE THAN

4653
02:38:59,387 --> 02:39:00,522
$1.1 TRILLION IN THIS SPACE IS

4654
02:39:00,522 --> 02:39:02,424
SPENT BECAUSE OF SUBOPTIMAL

4655
02:39:02,424 --> 02:39:02,958
DIETS.

4656
02:39:02,958 --> 02:39:04,292
I'VE ALREADY MENTIONED AS FAR AS

4657
02:39:04,292 --> 02:39:07,128
THE LEADING CAUSE OF DEATH, THE

4658
02:39:07,128 --> 02:39:10,165
HIGHEST RISK FACTOR, THEN THEY

4659
02:39:10,165 --> 02:39:12,367
CAN CONTEXTUALIZE THIS.

4660
02:39:12,367 --> 02:39:14,135
WHEN I MENTION THIS IN CERTAIN

4661
02:39:14,135 --> 02:39:15,303
AUDIENCES, THIS IS THE STAT THAT

4662
02:39:15,303 --> 02:39:21,943
SOMETIMES PEOPLE ARE LIKE, OH.

4663
02:39:21,943 --> 02:39:23,211
AS MANY AMERICANS DIE EACH YEAR

4664
02:39:23,211 --> 02:39:24,980
FROM DIET-RELATED ILLNESSES AS

4665
02:39:24,980 --> 02:39:27,082
DIED DURING THE AMERICAN CIVIL

4666
02:39:27,082 --> 02:39:28,350
WAR AND WORLD WAR II COMBINED.

4667
02:39:28,350 --> 02:39:29,451
THAT'S THE MAGNITUDE OF THE

4668
02:39:29,451 --> 02:39:29,818
ISSUE.

4669
02:39:29,818 --> 02:39:33,722
SO I TOLD YOU I LIKE SIMON

4670
02:39:33,722 --> 02:39:34,122
SINEK.

4671
02:39:34,122 --> 02:39:35,423
WHAT IS OUR WHY?

4672
02:39:35,423 --> 02:39:36,958
JUST LIKE WE HAVE GUIDING

4673
02:39:36,958 --> 02:39:37,826
PRINCIPLES AND THINGS THAT JAZZ

4674
02:39:37,826 --> 02:39:40,595
ME IN THE MORNING WHEN I GET UP,

4675
02:39:40,595 --> 02:39:42,898
I ALWAYS SAY, WHY AM I HERE?

4676
02:39:42,898 --> 02:39:44,499
I GET TO WORK WITH SUPER COOL

4677
02:39:44,499 --> 02:39:45,533
PEOPLE BUT WHY ARE WE HERE?

4678
02:39:45,533 --> 02:39:47,035
I'M NOT GOING TO READ THIS ALL

4679
02:39:47,035 --> 02:39:48,770
TO YOU BECAUSE IT REITERATES A

4680
02:39:48,770 --> 02:39:49,938
LOT OF OUR MISSION, WE WANT TO

4681
02:39:49,938 --> 02:39:52,107
BE THINKING ABOUT ACTIONABLE

4682
02:39:52,107 --> 02:39:52,841
RESEARCH THAT'S

4683
02:39:52,841 --> 02:39:54,175
SOLUTION-ORIENTED THAT CAN BE

4684
02:39:54,175 --> 02:39:55,844
IMPLEMENTED AND SCALED TO MAKE A

4685
02:39:55,844 --> 02:39:56,645
PUBLIC HEALTH DIFFERENCE.

4686
02:39:56,645 --> 02:39:58,546
WE WANT TO TAKE THOSE

4687
02:39:58,546 --> 02:39:59,314
DISCOVERIES AND BRING THEM OUT

4688
02:39:59,314 --> 02:40:03,084
TO THE COMMUNITY, AND AS

4689
02:40:03,084 --> 02:40:04,219
HELENE -- HER PARADIGM IS

4690
02:40:04,219 --> 02:40:04,719
BEAUTIFUL.

4691
02:40:04,719 --> 02:40:06,922
UTS AN ENTIRE CONTINUUM.

4692
02:40:06,922 --> 02:40:08,423
IT'S PRECONCEPTION.

4693
02:40:08,423 --> 02:40:10,158
IT'S PERI CONCEPTION, IT'S

4694
02:40:10,158 --> 02:40:12,794
CHILDHOOD, ADOLESCENCE,

4695
02:40:12,794 --> 02:40:13,895
ADULTHOOD IN THE CONTEXT OF

4696
02:40:13,895 --> 02:40:15,063
WHERE PEOPLE LIVE, IN THE

4697
02:40:15,063 --> 02:40:15,664
CONTEXT OF THEIR ENVIRONMENTS,

4698
02:40:15,664 --> 02:40:17,565
IN THE CONTEXT OF THE PLANET.

4699
02:40:17,565 --> 02:40:18,566
IT ALL WORKS TOGETHER.

4700
02:40:18,566 --> 02:40:19,868
SO THAT'S OUR WHY.

4701
02:40:19,868 --> 02:40:21,536
HOW ARE WE GOING TO DO IT?

4702
02:40:21,536 --> 02:40:23,405
STEFAN, AGAIN, SET ME UP

4703
02:40:23,405 --> 02:40:23,705
BEAUTIFULLY.

4704
02:40:23,705 --> 02:40:25,740
A PART OF THIS AND A LIMITATION

4705
02:40:25,740 --> 02:40:27,509
IN NUTRITION RESEARCH TO DATE

4706
02:40:27,509 --> 02:40:29,277
HAS REALLY BEEN PRECISION.

4707
02:40:29,277 --> 02:40:32,881
HOW DOES ONE DEFINE NUTRITIONAL

4708
02:40:32,881 --> 02:40:33,648
STATUS?

4709
02:40:33,648 --> 02:40:35,617
HOW DO WE KNOW WHAT IS OPTIMAL

4710
02:40:35,617 --> 02:40:39,821
NUTRITION FOR ME, FOR YOU, FOR

4711
02:40:39,821 --> 02:40:40,088
ANYONE?

4712
02:40:40,088 --> 02:40:42,857
WHAT IS OPTAL NUTRITION FOR THE

4713
02:40:42,857 --> 02:40:45,794
26 WEEKER IN THE NICU VERSUS THE

4714
02:40:45,794 --> 02:40:47,996
2-YEAR-OLD AT HOME VERSUS THE

4715
02:40:47,996 --> 02:40:49,531
5-YEAR-OLD AT DAYCARE?

4716
02:40:49,531 --> 02:40:51,199
THOSE ARE SUPER IMPORTANT

4717
02:40:51,199 --> 02:40:52,400
QUESTIONS AND WE DON'T HAVE THE

4718
02:40:52,400 --> 02:40:53,268
ANSWERS YET BUT WE'RE GOING TO

4719
02:40:53,268 --> 02:40:54,135
GET THERE.

4720
02:40:54,135 --> 02:40:56,204
SO OUR HOW IS TO REALLY THINK

4721
02:40:56,204 --> 02:40:59,574
HOLISTICALLY ABOUT ENHANCING

4722
02:40:59,574 --> 02:41:01,343
PRECISION IN NUTRITION SCIENCE

4723
02:41:01,343 --> 02:41:03,378
AND, AGAIN, HELENE SET ME UP,

4724
02:41:03,378 --> 02:41:04,813
HOW DO YOU DO THAT?

4725
02:41:04,813 --> 02:41:08,183
BY LOOKING AT IT HOLISTICALLY

4726
02:41:08,183 --> 02:41:10,251
AND DESILOING NUTRITION FROM A

4727
02:41:10,251 --> 02:41:11,486
RIGOROUS DISCIPLINE THAT'S BASED

4728
02:41:11,486 --> 02:41:13,755
ON BIOCHEMISTRY TO INCORPORATING

4729
02:41:13,755 --> 02:41:16,958
NUTRITION INTO THIS HOLISTIC

4730
02:41:16,958 --> 02:41:19,627
ECOLOGY THAT IS INFLUENCED

4731
02:41:19,627 --> 02:41:20,929
ABSOLUTELY BY SOMEONE'S

4732
02:41:20,929 --> 02:41:22,330
GENETICS, BY SOMEONE'S

4733
02:41:22,330 --> 02:41:23,365
MICROBIOME, BY THEIR

4734
02:41:23,365 --> 02:41:24,499
DEVELOPMENTAL STAGE, THEIR STATE

4735
02:41:24,499 --> 02:41:27,669
OF HEALTH, BUT WE LIVE IN A

4736
02:41:27,669 --> 02:41:29,971
WORLD AND WE CAN'T IGNORE THAT

4737
02:41:29,971 --> 02:41:32,841
AS STEFAN MENTIONED, AND SO

4738
02:41:32,841 --> 02:41:35,010
NUTRITIONAL STATUS IS ALSO --

4739
02:41:35,010 --> 02:41:36,578
IT'S IMPACTED, AND IT'S VERY

4740
02:41:36,578 --> 02:41:39,014
RELEVANT TO THE EXTERNAL

4741
02:41:39,014 --> 02:41:40,115
FACTORS, THE HOUSEHOLD, THE

4742
02:41:40,115 --> 02:41:41,850
SCHOOL, PHYSICAL ENVIRONMENT,

4743
02:41:41,850 --> 02:41:43,018
SOCIAL ENVIRONMENT, ALL THOSE

4744
02:41:43,018 --> 02:41:45,653
FACTORS THAT HELENE MENTIONED

4745
02:41:45,653 --> 02:41:47,555
PLAY INTO OUR ASSESSMENT AND

4746
02:41:47,555 --> 02:41:49,424
NUTRITIONAL STATUS, AND WE DON'T

4747
02:41:49,424 --> 02:41:50,959
EAT JUST NUTRIENTS.

4748
02:41:50,959 --> 02:41:55,330
IN MEDICAL SCHOOL, I WAS TAUGHT

4749
02:41:55,330 --> 02:41:58,299
THAT VITAMIN C EXISTS TO PREVENT

4750
02:41:58,299 --> 02:41:59,034
SCURVY.

4751
02:41:59,034 --> 02:42:00,535
THAT'S THE BOARD QUESTION BUT

4752
02:42:00,535 --> 02:42:02,037
I'M NOT QUITE SURE THAT'S WHY

4753
02:42:02,037 --> 02:42:02,937
VITAMIN C EXISTS.

4754
02:42:02,937 --> 02:42:04,773
SO HOW TO THINK ABOUT FOOD AND

4755
02:42:04,773 --> 02:42:07,942
DIETARY PATTERNS VERSUS ISOLATED

4756
02:42:07,942 --> 02:42:09,778
NUTRIENTS, WHETHER THEY BE MICRO

4757
02:42:09,778 --> 02:42:10,578
OR MACRO NUTRIENTS.

4758
02:42:10,578 --> 02:42:12,347
BECAUSE THE REALITY IS, AS

4759
02:42:12,347 --> 02:42:13,415
STEFAN MENTIONED, WE EAT FOOD

4760
02:42:13,415 --> 02:42:14,816
AND WE HAVE DIETARY PATTERNS,

4761
02:42:14,816 --> 02:42:15,617
AND WE'RE LEARNING MORE AND MORE

4762
02:42:15,617 --> 02:42:17,652
THAT IT'S THE PATTERN OF THE

4763
02:42:17,652 --> 02:42:19,287
FOODS, NOT NECESSARILY THE

4764
02:42:19,287 --> 02:42:20,522
INDIVIDUAL NUTRIENTS THAT MAY

4765
02:42:20,522 --> 02:42:22,057
HAVE BIOLOGICAL IMPACT, AND HOW

4766
02:42:22,057 --> 02:42:23,892
THEY'RE PACKAGED AND HOW THEY'RE

4767
02:42:23,892 --> 02:42:25,293
ORGANIZED IN FOOD MATRICES AND

4768
02:42:25,293 --> 02:42:26,694
SO ON AND SO FORTH.

4769
02:42:26,694 --> 02:42:27,495
THERE'S A LOT OF COOL SCIENCE

4770
02:42:27,495 --> 02:42:28,997
THERE.

4771
02:42:28,997 --> 02:42:33,601
BUT IT ALL WORKS TOGETHER.

4772
02:42:33,601 --> 02:42:35,603
FOR THOSE WHO HEAR ME TALK I

4773
02:42:35,603 --> 02:42:36,838
OFTEN USE THE WORD NUTRITIONAL

4774
02:42:36,838 --> 02:42:38,306
ECOLOGY, BUT AS HELENE MENTIONED

4775
02:42:38,306 --> 02:42:40,208
THIS, IS AN ECOLOGICAL APPROACH

4776
02:42:40,208 --> 02:42:41,209
TO NUTRITION AND ITS IMPACT ON

4777
02:42:41,209 --> 02:42:46,481
HEALTH AND DISEASE.

4778
02:42:46,481 --> 02:42:49,484
WE OFTEN USE -- I USE THE WORD A

4779
02:42:49,484 --> 02:42:50,518
FUNDAMENTAL BIOLOGICAL VARIABLE,

4780
02:42:50,518 --> 02:42:51,653
BECAUSE I THINK UNTIL WE START

4781
02:42:51,653 --> 02:42:53,321
DOING THAT AS STEFAN MENTIONED,

4782
02:42:53,321 --> 02:42:55,790
WE'RE MISSING OPPORTUNITIES TO

4783
02:42:55,790 --> 02:42:58,827
LEARN AND BE INFORMED BY OUR

4784
02:42:58,827 --> 02:43:00,295
SCIENCE.

4785
02:43:00,295 --> 02:43:03,098
WORST-CASE SCENARIO, WE'RE

4786
02:43:03,098 --> 02:43:05,200
MISINTERPRETING THAT AND MAYBE

4787
02:43:05,200 --> 02:43:06,301
PROVIDING RECOMMENDATIONS THAT

4788
02:43:06,301 --> 02:43:07,836
REALLY AREN'T BASED ON SCIENCE.

4789
02:43:07,836 --> 02:43:09,804
I USE ALSO THE TERM NUTRITIONAL

4790
02:43:09,804 --> 02:43:11,005
STATUS AS KIND OF THE

4791
02:43:11,005 --> 02:43:12,006
OPERATIONAL MEASURE OF THE

4792
02:43:12,006 --> 02:43:13,842
ADEQUACY OF THE DIET TO SUPPORT

4793
02:43:13,842 --> 02:43:16,211
HEALTH, AND AGAIN, THIS IS WHERE

4794
02:43:16,211 --> 02:43:21,182
THIS CONTINUUM APPROACH IS SO

4795
02:43:21,182 --> 02:43:22,016
SUPER IMPORTANT BECAUSE PEOPLE

4796
02:43:22,016 --> 02:43:24,219
CHANGE THROUGHOUT THE LIFESPAN.

4797
02:43:24,219 --> 02:43:27,355
THIS IS AGAIN THE 26 WEEKER IN

4798
02:43:27,355 --> 02:43:28,790
THE NICU IS DIFFERENT THAN THE

4799
02:43:28,790 --> 02:43:29,991
2-YEAR-OLD THAN THE 5-YEAR-OLD

4800
02:43:29,991 --> 02:43:31,593
THAN THE 34-YEAR-OLD THAN THE

4801
02:43:31,593 --> 02:43:31,893
85-YEAR-OLD.

4802
02:43:31,893 --> 02:43:33,895
SO AGAIN, WHAT IS OPTIMAL

4803
02:43:33,895 --> 02:43:34,696
NUTRITION FOR EACH INDIVIDUAL

4804
02:43:34,696 --> 02:43:36,264
DEPENDING ON WHICH STAGE OF LIFE

4805
02:43:36,264 --> 02:43:37,832
THEY'RE IN DEPENDING ON WHAT

4806
02:43:37,832 --> 02:43:41,336
ENVIRONMENT THEY'RE IN ARE ALL

4807
02:43:41,336 --> 02:43:44,839
IMPORTANT QUESTIONS.

4808
02:43:44,839 --> 02:43:51,246
SO WHAT ES 'S OSO WHAT'S OUR WH?

4809
02:43:51,246 --> 02:43:52,514
WE'RE A SMALL OFFICE.

4810
02:43:52,514 --> 02:43:54,015
JUST AS STEFAN'S OFFICE WENT

4811
02:43:54,015 --> 02:43:55,083
THROUGH THEIR PROCESS OF BEING

4812
02:43:55,083 --> 02:43:56,317
SUPER INTENTIONAL, WE'RE ALSO

4813
02:43:56,317 --> 02:43:57,552
BEING SUPER INTENTIONAL.

4814
02:43:57,552 --> 02:43:59,254
OUR GOAL IS NOT TO DUPLICATE

4815
02:43:59,254 --> 02:44:00,622
WORK THAT'S ALREADY BEING DONE

4816
02:44:00,622 --> 02:44:02,056
AND BEAUTIFULLY DONE BY OTHERS,

4817
02:44:02,056 --> 02:44:04,192
BUT TO THINK ABOUT HOW WE CAN

4818
02:44:04,192 --> 02:44:05,093
FILL GAPS, MOVE THE NEEDLE

4819
02:44:05,093 --> 02:44:08,563
FORWARD AND BE VERY INTENTIONAL,

4820
02:44:08,563 --> 02:44:10,532
AND AGAIN THAT INTENTION REALLY

4821
02:44:10,532 --> 02:44:13,001
HAS NOW FOCUSED ON BEING

4822
02:44:13,001 --> 02:44:14,135
ACTIONABLE RESEARCH AND

4823
02:44:14,135 --> 02:44:14,936
SOLUTION-ORIENTED IN A

4824
02:44:14,936 --> 02:44:15,703
TRANSLATIONAL WAY.

4825
02:44:15,703 --> 02:44:17,205
WE WANT TO INFORM SOLUTIONS, WE

4826
02:44:17,205 --> 02:44:18,339
WANT TO SUPPORT RESEARCH THAT'S

4827
02:44:18,339 --> 02:44:20,408
GOING TO INFORM SOLUTIONS DOWN

4828
02:44:20,408 --> 02:44:21,843
THE ROAD.

4829
02:44:21,843 --> 02:44:25,747
COMING DOWN THE PIPE, IT WASN'T

4830
02:44:25,747 --> 02:44:27,182
MENTIONED LAST YEAR BUT WE ARE

4831
02:44:27,182 --> 02:44:28,683
AT THE ONE-YEAR AB VERSE REOF

4832
02:44:28,683 --> 02:44:30,218
THE WHITE HOUSE CONFERENCE FOR

4833
02:44:30,218 --> 02:44:31,953
HUNGER, NUTRITION AND HEALTH.

4834
02:44:31,953 --> 02:44:33,388
CAN WE DEVELOP A NATIONAL

4835
02:44:33,388 --> 02:44:34,956
STRATEGY IN NUTRITION SCIENCE

4836
02:44:34,956 --> 02:44:36,724
THAT INCORPORATES ALL THESE

4837
02:44:36,724 --> 02:44:37,759
DIFFERENT ASPECTS OF MEDICINE

4838
02:44:37,759 --> 02:44:39,694
AND HEALTH AND ALL THESE

4839
02:44:39,694 --> 02:44:43,498
DIFFERENT TORES TO RE SECTORS TT

4840
02:44:43,498 --> 02:44:47,735
WHAT ARE THE KEY QUESTIONS TO

4841
02:44:47,735 --> 02:44:51,539
ASK AND HOW CAN WE ASK THEM.

4842
02:44:51,539 --> 02:44:52,273
WHAT MAY COME UP, WHERE WE'RE

4843
02:44:52,273 --> 02:44:54,008
LEVERAGE RG THE ALL-OF-US

4844
02:44:54,008 --> 02:44:54,776
RESEARCH PROGRAM TO KIND OF GET

4845
02:44:54,776 --> 02:44:56,811
IN THE WEEDS ABOUT WHAT ARE

4846
02:44:56,811 --> 02:44:57,845
CERTAIN ASPECTS OF SCIENCE THAT

4847
02:44:57,845 --> 02:45:01,416
WE NEED TO ADDRESS, TO HAVE A

4848
02:45:01,416 --> 02:45:01,950
NATIONAL NUTRITION SCIENCE

4849
02:45:01,950 --> 02:45:03,351
STRATEGY.

4850
02:45:03,351 --> 02:45:04,586
AND THEN THAT THIRD BULLET GOES

4851
02:45:04,586 --> 02:45:07,889
BACK TO PRECISION.

4852
02:45:07,889 --> 02:45:10,158
CAN WE DEVELOP THE METHODOLOGY,

4853
02:45:10,158 --> 02:45:11,726
THE TOOLS, THE CONSISTENCY AND

4854
02:45:11,726 --> 02:45:12,660
THE CONSENSUS FOR THOSE IN THE

4855
02:45:12,660 --> 02:45:15,196
FIELD ABOUT NUTRITIONAL

4856
02:45:15,196 --> 02:45:17,565
ASSESSMENTS, ATTRIBUTION, IF

4857
02:45:17,565 --> 02:45:18,933
SOMEONE IS IRON-DEFICIENT, WHAT

4858
02:45:18,933 --> 02:45:21,436
IS THE ETIOLOGY?

4859
02:45:21,436 --> 02:45:23,605
BECAUSE THAT MAY VERY WELL

4860
02:45:23,605 --> 02:45:24,706
INFORM AN INTERVENTION.

4861
02:45:24,706 --> 02:45:28,476
SO AGAIN, PRECISION AND

4862
02:45:28,476 --> 02:45:30,345
ASSESSMENT, ATTRIBUTION AND

4863
02:45:30,345 --> 02:45:31,546
INTERVENTIONS IS SOMETHING THAT

4864
02:45:31,546 --> 02:45:32,714
OUR OFFICE IS VERY MUCH ENGAGED

4865
02:45:32,714 --> 02:45:33,114
IN.

4866
02:45:33,114 --> 02:45:34,482
I AM WRAPPING UP SOON.

4867
02:45:34,482 --> 02:45:36,551
SO THE TAKE-HOME SLIDE FOR THE

4868
02:45:36,551 --> 02:45:40,388
OFFICE IS REALLY WHAT IS THE

4869
02:45:40,388 --> 02:45:42,357
BIOLOGY.

4870
02:45:42,357 --> 02:45:43,891
STEFAN'S POINT IS SUPER

4871
02:45:43,891 --> 02:45:45,026
IMPORTANT TO KNOW WHAT'S GOING

4872
02:45:45,026 --> 02:45:45,426
IN THE MOUTH.

4873
02:45:45,426 --> 02:45:47,028
WE HAVE LOTS OF INTERACTIONS AND

4874
02:45:47,028 --> 02:45:48,763
COLLABORATIONS WITH OUR FOOD

4875
02:45:48,763 --> 02:45:50,131
SCIENCE FRIENDS AND THE FOOD

4876
02:45:50,131 --> 02:45:54,435
TECHNOLOGISTS AND THE FOOD

4877
02:45:54,435 --> 02:45:55,036
SCIENTISTS BECAUSE THEY'RE IN

4878
02:45:55,036 --> 02:45:55,970
THE BUSINESS OF FEEDING THE

4879
02:45:55,970 --> 02:45:56,738
WORLD.

4880
02:45:56,738 --> 02:45:57,905
QUITE FRANKLY IN 2050, OUR

4881
02:45:57,905 --> 02:45:59,941
PLANET IS GOING TO BE HOME TO

4882
02:45:59,941 --> 02:46:01,342
10 BILLION PEOPLE, AND IT'S A

4883
02:46:01,342 --> 02:46:02,910
LAUDABLE AND IMPORTANT EFFORT TO

4884
02:46:02,910 --> 02:46:06,047
FEED EVERYONE, SO THE INPUT AND

4885
02:46:06,047 --> 02:46:07,282
THE IMPORT OF THE FOOD

4886
02:46:07,282 --> 02:46:08,683
TECHNOLOGISTS CANNOT BE

4887
02:46:08,683 --> 02:46:08,983
OVERLOOKED.

4888
02:46:08,983 --> 02:46:10,852
AND WE'RE INTERESTED IN WHAT'S

4889
02:46:10,852 --> 02:46:11,953
THE BIOLOGICAL IMPACT OF THE

4890
02:46:11,953 --> 02:46:13,554
FOOD THAT PEOPLE ARE EATING,

4891
02:46:13,554 --> 02:46:15,657
WHAT IS THE BIOLOGY THAT AFFECTS

4892
02:46:15,657 --> 02:46:17,058
WHOLE PERSON HEALTH.

4893
02:46:17,058 --> 02:46:21,896
AND SO YOU'VE SEEN THIS --

4894
02:46:21,896 --> 02:46:25,667
YOU -- WHYAM I EXCITED TO BE HE?

4895
02:46:25,667 --> 02:46:29,203
BECAUSE YOU'RE ALL SUPER COOL

4896
02:46:29,203 --> 02:46:30,271
PEOPLE.

4897
02:46:30,271 --> 02:46:32,440
WE SYNERGIZE WITH LOTS OF OTHER

4898
02:46:32,440 --> 02:46:33,541
INSTITUTES AND CENTERS, AND OUR

4899
02:46:33,541 --> 02:46:34,642
PRIVILEGE OF BEING WHERE WHERE

4900
02:46:34,642 --> 02:46:35,910
RE IN THE OFFICE OF THE DIRECTOR

4901
02:46:35,910 --> 02:46:37,412
IS TO HAVE THOSE OPPORTUNITIES

4902
02:46:37,412 --> 02:46:40,415
TO REALLY HAVE INTERACTIONS AND

4903
02:46:40,415 --> 02:46:43,318
MEANINGFUL CONVERSATIONS AND TO

4904
02:46:43,318 --> 02:46:45,253
QUOTE ARISTOTLE, THIS IS A FIELD

4905
02:46:45,253 --> 02:46:46,888
WHERE REALLY THE WHOLE IS MORE

4906
02:46:46,888 --> 02:46:48,523
THAN THE SUM OF ITS PARTS.

4907
02:46:48,523 --> 02:46:49,724
I CAN'T THINK OF ANOTHER

4908
02:46:49,724 --> 02:46:50,591
DISCIPLINE WHERE ALL THESE

4909
02:46:50,591 --> 02:46:51,793
DIFFERENT LENSES AND VISIONS

4910
02:46:51,793 --> 02:46:53,528
REALLY SYNERGIZE TO HAVE A

4911
02:46:53,528 --> 02:46:54,996
UNIFIED VISION OF HOW TO IMPROVE

4912
02:46:54,996 --> 02:46:56,698
NUTRITION.

4913
02:46:56,698 --> 02:46:58,700
AND SO HERE WE ARE, HERE YOU ARE

4914
02:46:58,700 --> 02:46:58,866
ALL.

4915
02:46:58,866 --> 02:46:59,634
THANK YOU AGAIN FOR THE

4916
02:46:59,634 --> 02:47:01,636
OPPORTUNITY TO BE HERE.

4917
02:47:01,636 --> 02:47:02,637
YOU HEARD FROM STEFAN.

4918
02:47:02,637 --> 02:47:05,039
AGAIN, LOTS OF SYNERGIES.

4919
02:47:05,039 --> 02:47:07,642
IT WAS GREAT TO HAVE STEFAN AND

4920
02:47:07,642 --> 02:47:08,843
STEPH IN THAT OFFICE TO WORK

4921
02:47:08,843 --> 02:47:10,044
WITH HELENE.

4922
02:47:10,044 --> 02:47:12,013
YOU'RE STUCK WITH ME TODAY,

4923
02:47:12,013 --> 02:47:13,948
THAT'S HOW DESPERATE THEY WERE,

4924
02:47:13,948 --> 02:47:14,749
BUT WE'RE A PART OF THIS EFFORT

4925
02:47:14,749 --> 02:47:15,917
TOO.

4926
02:47:15,917 --> 02:47:17,218
YOU'VE HEARD ABOUT SHANNON AND

4927
02:47:17,218 --> 02:47:17,585
NURSING.

4928
02:47:17,585 --> 02:47:19,954
AGAIN, HOW DO WE TAKE ALL THIS

4929
02:47:19,954 --> 02:47:21,456
GREAT SCIENCE, HOW DO WE GET IT

4930
02:47:21,456 --> 02:47:26,127
INTO THE FIELD, AND THE NURSING

4931
02:47:26,127 --> 02:47:27,895
INSTITUTE AND BEING A PHYSICIAN,

4932
02:47:27,895 --> 02:47:28,863
I LEARNED THE FIRST DAY OF

4933
02:47:28,863 --> 02:47:30,031
MEDICAL SCHOOL, YOU'RE THE LEAST

4934
02:47:30,031 --> 02:47:31,766
IMPORTANT PERSON ON YOUR TEAM.

4935
02:47:31,766 --> 02:47:33,501
IT'S YOUR NURSE AND YOUR

4936
02:47:33,501 --> 02:47:34,335
DIETITIAN.

4937
02:47:34,335 --> 02:47:35,703
AND THEY RUN THE SHOW, WE SIGN

4938
02:47:35,703 --> 02:47:37,038
THE ORDERS, BUT THEY RUN THE

4939
02:47:37,038 --> 02:47:38,272
SHOW.

4940
02:47:38,272 --> 02:47:41,042
AND I COULDN'T AGREE MORE.

4941
02:47:41,042 --> 02:47:43,244
THE IMPACT OF NURSES BOTH IN

4942
02:47:43,244 --> 02:47:44,979
SCHOOLS AND ON THE COMMUNITY AS

4943
02:47:44,979 --> 02:47:46,514
WE THINK ABOUT WHOLE PERSON

4944
02:47:46,514 --> 02:47:47,815
HEALTH IS EXTRAORDINARILY

4945
02:47:47,815 --> 02:47:48,082
IMPORTANT.

4946
02:47:48,082 --> 02:47:50,451
BUT IT'S NOT JUST THAT.

4947
02:47:50,451 --> 02:47:52,353
IT'S THE ENTIRE NIH AND BEYOND

4948
02:47:52,353 --> 02:47:54,689
AND OTHER FEDERAL AND

4949
02:47:54,689 --> 02:47:56,257
NON-FEDERAL PARTNERS, AND HELENE

4950
02:47:56,257 --> 02:47:59,827
HAS BEEN EXTRAORDINARILY

4951
02:47:59,827 --> 02:48:01,262
SUCCESSFUL IN MAKING THOSE

4952
02:48:01,262 --> 02:48:02,864
CONNECTIONS, INTERACTIONS,

4953
02:48:02,864 --> 02:48:04,232
SYNERGIES, AND WE'RE SUPER GLAD

4954
02:48:04,232 --> 02:48:05,500
TO BE A PART OF IT.

4955
02:48:05,500 --> 02:48:08,302
SO I HAVE FOUR MORE SLIDES, THIS

4956
02:48:08,302 --> 02:48:09,337
GOES BACK TO THE PICTURE I STOLE

4957
02:48:09,337 --> 02:48:09,937
FROM HELENE.

4958
02:48:09,937 --> 02:48:11,506
SHE DIDN'T EVEN NOTICE WHEN I

4959
02:48:11,506 --> 02:48:13,174
SAW THIS, I WAS LIKE, THAT'S

4960
02:48:13,174 --> 02:48:13,674
FANTASTIC!

4961
02:48:13,674 --> 02:48:15,510
I'M SO GOING TO BORROW THAT!

4962
02:48:15,510 --> 02:48:18,379
BECAUSE IT REALLY -- IN A

4963
02:48:18,379 --> 02:48:22,049
GRAPHICAL WAY DEMONSTRATES THIS

4964
02:48:22,049 --> 02:48:22,984
CONTINUITY, THIS CONTINUUM AND

4965
02:48:22,984 --> 02:48:24,252
THE IMPORTANCE ON HOW ALL THESE

4966
02:48:24,252 --> 02:48:26,754
THINGS ARE -- HOW THEY'RE ALL

4967
02:48:26,754 --> 02:48:29,090
INTERACTIVE, AND IT GOES, AGAIN,

4968
02:48:29,090 --> 02:48:30,658
FROM SOIL, BASIC MOLECULE, TO

4969
02:48:30,658 --> 02:48:31,259
THE PLANET.

4970
02:48:31,259 --> 02:48:33,094
I COULD NOT AGREE MORE.

4971
02:48:33,094 --> 02:48:36,497
SO WE KIND OF LANDED ON THAT

4972
02:48:36,497 --> 02:48:37,398
INDEPENDENTLY, BUT IT SYNERGIZES

4973
02:48:37,398 --> 02:48:42,103
SO WELL.

4974
02:48:42,103 --> 02:48:44,539
THEN WE THINK ABOUT FOOD.

4975
02:48:44,539 --> 02:48:45,273
NUTRITION IS EVERYONE'S

4976
02:48:45,273 --> 02:48:46,174
BUSINESS.

4977
02:48:46,174 --> 02:48:46,474
WE ALL EAT.

4978
02:48:46,474 --> 02:48:48,242
WHERE THAT FOOD COMES FROM, WHAT

4979
02:48:48,242 --> 02:48:50,077
ARE THE CONSTITUENTS, WHAT'S THE

4980
02:48:50,077 --> 02:48:53,481
FOOD MATRIX, THERE'S SO MUCH

4981
02:48:53,481 --> 02:48:54,382
RESEARCH JUST AROUND THAT LITTLE

4982
02:48:54,382 --> 02:48:56,951
BUBBLE UP THERE THAT I SHOWED

4983
02:48:56,951 --> 02:48:59,353
ABOUT FOOD, BUT AS HELENE

4984
02:48:59,353 --> 02:49:00,021
MENTIONED, AS WE'VE TRIED TO

4985
02:49:00,021 --> 02:49:03,458
PRESENT, THERE'S SO MANY OTHER

4986
02:49:03,458 --> 02:49:05,426
ASPECTS WHEN WE THINK ABOUT

4987
02:49:05,426 --> 02:49:06,027
NUTRITION ACROSS WHOLE PERSON

4988
02:49:06,027 --> 02:49:08,062
HEALTH.

4989
02:49:08,062 --> 02:49:10,231
AGAIN, THE FARMING ISSUE, THE

4990
02:49:10,231 --> 02:49:11,332
SUPPLY SIDE, ALL THE SCIENCE

4991
02:49:11,332 --> 02:49:12,166
THAT GOES INTO THAT.

4992
02:49:12,166 --> 02:49:15,470
HOW IT'S DISTRIBUTED, ACCESS,

4993
02:49:15,470 --> 02:49:17,071
THERE'S A WHOLE AREA OF SCIENCE

4994
02:49:17,071 --> 02:49:20,408
ABOUT ACCESSIBILITY.

4995
02:49:20,408 --> 02:49:24,011
PRODUCTION, KITCHEN, YOU KNOW, I

4996
02:49:24,011 --> 02:49:25,079
TRY TO COOK WITH MY DAUGHTER,

4997
02:49:25,079 --> 02:49:28,416
IT'S SUPER FUN, BUT THAT'S

4998
02:49:28,416 --> 02:49:30,418
ANOTHER ELEMENT IN SOCIETY, IS

4999
02:49:30,418 --> 02:49:31,486
FOOD PRODUCTION AT THE HOME.

5000
02:49:31,486 --> 02:49:32,620
WHO'S EATING AT HOME, WHO'S

5001
02:49:32,620 --> 02:49:33,287
PREPARING IT?

5002
02:49:33,287 --> 02:49:35,890
DO THEY HAVE LITERACY, COOKING

5003
02:49:35,890 --> 02:49:37,758
LITERACY AND NUTRITION LITERACY?

5004
02:49:37,758 --> 02:49:38,593
THERE'S SO MANY QUESTIONS TO

5005
02:49:38,593 --> 02:49:38,893
ASK.

5006
02:49:38,893 --> 02:49:40,428
BUT ASKING THEM IN ISOLATION

5007
02:49:40,428 --> 02:49:41,262
MISSES THE OPPORTUNITY TO PUT IT

5008
02:49:41,262 --> 02:49:41,896
ALL TOGETHER.

5009
02:49:41,896 --> 02:49:44,065
AND THIS IS WHERE, AGAIN, WHEN I

5010
02:49:44,065 --> 02:49:45,700
TRY TO CONDENSE THAT INTO

5011
02:49:45,700 --> 02:49:48,002
PICTURE FORM, I THINK THERE'S A

5012
02:49:48,002 --> 02:49:52,173
LOT OF SCIENCE ABOUT -- IN FOOD

5013
02:49:52,173 --> 02:49:54,275
SYSTEMS, SO MANY ELEMENTS THERE

5014
02:49:54,275 --> 02:49:55,543
BUT THESE ARE ALL INTEGRATED.

5015
02:49:55,543 --> 02:49:56,544
EVERY TIME THERE'S A

5016
02:49:56,544 --> 02:49:57,645
PERTURBATION OR MOVEMENT IN THE

5017
02:49:57,645 --> 02:50:01,716
FOOD SPACE, IT WILL AFFECT HUMAN

5018
02:50:01,716 --> 02:50:03,684
HEALTH AND IT WILL AFFECT

5019
02:50:03,684 --> 02:50:04,118
PLANETARY HEALTH.

5020
02:50:04,118 --> 02:50:05,653
THE THING THAT GETS ME JAZZED IS

5021
02:50:05,653 --> 02:50:07,355
I THINK WITH THE RIGHT PEOPLE AT

5022
02:50:07,355 --> 02:50:08,022
THE TABLE ASKING THE RIGHT

5023
02:50:08,022 --> 02:50:08,890
QUESTIONS, THIS DOESN'T HAVE TO

5024
02:50:08,890 --> 02:50:09,924
BE DOOM AND GLOOM.

5025
02:50:09,924 --> 02:50:11,559
IT CAN BE SUPER COOL AND IT CAN

5026
02:50:11,559 --> 02:50:13,160
MAKE A DIFFERENCE, AND IT CAN

5027
02:50:13,160 --> 02:50:15,062
SET OUT A TRAJECTORY WHERE

5028
02:50:15,062 --> 02:50:16,130
THERE'S EMPHASIS MORE ON HEALTH

5029
02:50:16,130 --> 02:50:17,431
THAN DISEASE.

5030
02:50:17,431 --> 02:50:19,767
SO WITH THAT, YOU'VE SEEN THIS

5031
02:50:19,767 --> 02:50:22,003
PICTURE BEFORE.

5032
02:50:22,003 --> 02:50:24,539
HELENE HELPED PUT THIS TOGETHER.

5033
02:50:24,539 --> 02:50:26,674
IT ENCOMPASSES THE WHOLE

5034
02:50:26,674 --> 02:50:27,108
CONTINUUM.

5035
02:50:27,108 --> 02:50:30,478
RIGHT NOW WE HAVE REPRESENTATION

5036
02:50:30,478 --> 02:50:32,446
OF FOUR ICs IN THIS SPACE.

5037
02:50:32,446 --> 02:50:33,548
THIS WILL ONLY GROW AS WE

5038
02:50:33,548 --> 02:50:35,616
CONTINUE TO TALK ABOUT IT, AND

5039
02:50:35,616 --> 02:50:36,918
IT'S EXCITING TO TALK ABOUT IT

5040
02:50:36,918 --> 02:50:38,085
WITH INDIVIDUALS BECAUSE PEOPLE

5041
02:50:38,085 --> 02:50:40,755
GET JAZZED AND THEY'RE LIKE,

5042
02:50:40,755 --> 02:50:42,857
YES, NOT JUST THIS MAKES SENSE

5043
02:50:42,857 --> 02:50:43,624
BUT WHERE CAN WE BRING OUR

5044
02:50:43,624 --> 02:50:45,126
SCIENCE INTO THIS PARADIGM.

5045
02:50:45,126 --> 02:50:48,229
AND WITH THAT, THIS IS MY LAST

5046
02:50:48,229 --> 02:50:49,330
SLIDE, I COULD TALK FOR DAYS

5047
02:50:49,330 --> 02:50:52,500
ABOUT THIS BUT I AM SUPER

5048
02:50:52,500 --> 02:50:53,868
EXCITED TO BE HERE, SUPER

5049
02:50:53,868 --> 02:50:55,002
EXCITED TO WORK WITH HELENE AND

5050
02:50:55,002 --> 02:50:56,504
ALL OF YOU.

5051
02:50:56,504 --> 02:50:57,371
BECAUSE AT THE END OF THE DAY,

5052
02:50:57,371 --> 02:50:59,473
WE WANT TO DO THE RIGHT THING,

5053
02:50:59,473 --> 02:51:00,741
AND BRINGING OUR LENSES

5054
02:51:00,741 --> 02:51:02,777
TOGETHER, BRINGING OUR VISIONS

5055
02:51:02,777 --> 02:51:05,012
TOGETHER, PARTICULARLY IN A

5056
02:51:05,012 --> 02:51:06,814
NUTRITION SPACE IS ONLY GOING TO

5057
02:51:06,814 --> 02:51:07,949
ENHANCE RIGOR AND

5058
02:51:07,949 --> 02:51:12,486
REPRODUCIBILITY IN THE SCIENCE

5059
02:51:12,486 --> 02:51:14,155
AND TO LEND ITSELF TO IMPROVING

5060
02:51:14,155 --> 02:51:14,789
PUBLIC HEALTH.

5061
02:51:14,789 --> 02:51:22,396
SO THANK YOU SO MUCH.

5062
02:51:22,396 --> 02:51:24,098
>> NOW YOU SEE HOW MUCH
FUN

5063
02:51:24,098 --> 02:51:25,066
WE'VE BEEN HAVING TALKING ABOUT

5064
02:51:25,066 --> 02:51:25,333
ALL THIS.

5065
02:51:25,333 --> 02:51:26,701
THANK YOU SO MUCH, DREW.

5066
02:51:26,701 --> 02:51:27,935
YOU'RE SUCH A FANTASTIC

5067
02:51:27,935 --> 02:51:30,137
COLLEAGUE.

5068
02:51:30,137 --> 02:51:33,608
AND SO I NOW -- WE'RE GOING TO

5069
02:51:33,608 --> 02:51:35,743
BE OPENING THE CONVERSATION,

5070
02:51:35,743 --> 02:51:38,546
INCLUDING STEPHANIE GEORGE WHO'S

5071
02:51:38,546 --> 02:51:41,215
HERE, DEPUTY DIRECTOR OF ODS,

5072
02:51:41,215 --> 02:51:43,818
AND STEFAN IS ON ZOOM, AND THEN

5073
02:51:43,818 --> 02:51:45,486
OUR OTHER COUNCILMEMBERS ON

5074
02:51:45,486 --> 02:51:48,289
ZOOM, EVERYBODY IS THERE, SO THE

5075
02:51:48,289 --> 02:51:52,126
FLOOR IS OPEN.

5076
02:51:52,126 --> 02:51:54,362
>>  I'LL GO FIRST IF
THAT'S

5077
02:51:54,362 --> 02:51:54,962
OKAY.

5078
02:51:54,962 --> 02:51:56,063
YOU KNEW I'D GET IN THERE RIGHT

5079
02:51:56,063 --> 02:51:56,497
AWAY.

5080
02:51:56,497 --> 02:51:59,634
OKAY.

5081
02:51:59,634 --> 02:52:00,935
SO THIS WAS GREAT PRESENTATIONS.

5082
02:52:00,935 --> 02:52:04,005
I REALLY APPRECIATE THEM AND

5083
02:52:04,005 --> 02:52:06,240
VERY INSIGHTFUL AND EXCITING TO

5084
02:52:06,240 --> 02:52:08,376
THINK OF ALL OF THESE THINGS

5085
02:52:08,376 --> 02:52:09,977
COMING TOGETHER AND TO BE

5086
02:52:09,977 --> 02:52:12,079
STUDYING TOGETHER, AND AS ANDREW

5087
02:52:12,079 --> 02:52:15,816
KNOWS, I'VE BEEN A BIG ADVOCATE

5088
02:52:15,816 --> 02:52:17,585
OF MAKING SURE THAT WE'RE

5089
02:52:17,585 --> 02:52:18,886
LOOKING AT ALL KIND OF THINGS

5090
02:52:18,886 --> 02:52:21,622
THAT ARE AFFECTING US AND

5091
02:52:21,622 --> 02:52:22,590
AFFECTING THESE SMALL MOLECULES

5092
02:52:22,590 --> 02:52:24,058
IN OUR BODIES AND WHAT THEY'RE

5093
02:52:24,058 --> 02:52:26,560
DOING TO OUR NUTRIENTS.

5094
02:52:26,560 --> 02:52:28,396
SO WITH THAT IN MIND, I WANTED

5095
02:52:28,396 --> 02:52:32,500
TO SEE IF YOU HAD SOME THOUGHTS

5096
02:52:32,500 --> 02:52:34,902
ON HOW DO YOU THINK THIS

5097
02:52:34,902 --> 02:52:36,737
HOLISTIC INTEGRATED APPROACH TO

5098
02:52:36,737 --> 02:52:38,706
UNDERSTANDING HUMAN HEALTH AND

5099
02:52:38,706 --> 02:52:45,279
NUTRITIONAL NEEDS MAY END UP

5100
02:52:45,279 --> 02:52:49,717
IMPACTING HOW WE'RE CURRENTLY

5101
02:52:49,717 --> 02:52:51,252
SUPPLEMENTING OR FORTIFYING

5102
02:52:51,252 --> 02:52:51,452
FOODS.

5103
02:52:51,452 --> 02:52:54,288
JUST AS AN EXAMPLE, DO YOU THINK

5104
02:52:54,288 --> 02:52:55,356
THAT THIS MIGHT CHANGE HOW WE

5105
02:52:55,356 --> 02:52:58,025
LOCK AT WHAT WOULD BE THE

5106
02:52:58,025 --> 02:52:59,160
FORTIFICATION NEEDS IN CITIES

5107
02:52:59,160 --> 02:53:01,862
WHERE THERE'S LOTS OF POLLUTION

5108
02:53:01,862 --> 02:53:04,465
COMPARED WITH MORE RURAL

5109
02:53:04,465 --> 02:53:07,435
SETTING, WITH PESTICIDES OR, YOU

5110
02:53:07,435 --> 02:53:09,937
KNOW, MAYBE A VERY CLEAN URBAN

5111
02:53:09,937 --> 02:53:15,009
AREAS THAT WE HAVE, DO WE SEE

5112
02:53:15,009 --> 02:53:16,310
THAT THIS MIGHT CHANGE AND IT'S

5113
02:53:16,310 --> 02:53:19,380
NOT GOING TO BE ONE SIZE FITS

5114
02:53:19,380 --> 02:53:20,481
ALL FOOD FORTIFICATION SWITCH?

5115
02:53:20,481 --> 02:53:21,816
WE DO KNOW THAT THERE'S

5116
02:53:21,816 --> 02:53:23,117
CONTROVERSIES AROUND THOSE ALSO.

5117
02:53:23,117 --> 02:53:28,889
SO WOULD YOU LIKE TO --

5118
02:53:28,889 --> 02:53:30,124
>> YOU KNOW I CAN TALK.

5119
02:53:30,124 --> 02:53:30,891
SUSAN, THANK YOU FOR THE

5120
02:53:30,891 --> 02:53:31,992
QUESTION AND OTHERS, PLEASE,

5121
02:53:31,992 --> 02:53:36,430
PLEASE CHIME IN TOO.

5122
02:53:36,430 --> 02:53:37,131
 TOO AS YOU WANT.

5123
02:53:37,131 --> 02:53:38,165
IT'S A BIG QUESTION AND I THINK

5124
02:53:38,165 --> 02:53:40,701
I'M GOING TO TAKE MAYBE A HALF

5125
02:53:40,701 --> 02:53:43,137
STEP BACK, YOU KNOW, ALL OF US,

5126
02:53:43,137 --> 02:53:46,373
ALL OF US, HELENE, STEFAN AND I

5127
02:53:46,373 --> 02:53:49,710
AND OTHERS HAVE REALLY HAD THE

5128
02:53:49,710 --> 02:53:50,745
CONVERSATION ABOUT, AGAIN,

5129
02:53:50,745 --> 02:53:55,182
ASSESSING GNAW TRITIONAL STATUSD

5130
02:53:55,182 --> 02:53:55,382
NEEDS.

5131
02:53:55,382 --> 02:53:56,150
TO YOUR POINT, THOSE CAN BE

5132
02:53:56,150 --> 02:53:57,184
VERY, VERY DIFFERENT DEPENDING

5133
02:53:57,184 --> 02:53:58,319
NOT JUST ON THE INDIVIDUAL AND

5134
02:53:58,319 --> 02:54:01,689
STAGE OF LIFE CO LIFECOURSE BUTO

5135
02:54:01,689 --> 02:54:04,191
LOCATION AND MYRIAD OTHER

5136
02:54:04,191 --> 02:54:05,493
EXTERNAL FACTORS.

5137
02:54:05,493 --> 02:54:09,530
SO I THINK SCIENTIFICALLY,

5138
02:54:09,530 --> 02:54:13,434
HAVING A BETTER UNDERSTANDING OF

5139
02:54:13,434 --> 02:54:15,503
NUTRITIONAL ASSESSMENT, ALSO A

5140
02:54:15,503 --> 02:54:20,274
BETTER UNDERSTANDING OF WHAT

5141
02:54:20,274 --> 02:54:21,642
FOODS ARE COMING IN MAYBE,

5142
02:54:21,642 --> 02:54:23,544
BECAUSE THAT WILL ALSO BE

5143
02:54:23,544 --> 02:54:26,547
AFFECTED BY GEOGRAPHY AND

5144
02:54:26,547 --> 02:54:28,582
LOCATION.

5145
02:54:28,582 --> 02:54:31,852
I THINK THOSE TWO PIECES OF THE

5146
02:54:31,852 --> 02:54:35,923
PUZZLE I THINK THEN CAN INFORM

5147
02:54:35,923 --> 02:54:37,858
IN HIGHER RISK OR MORE

5148
02:54:37,858 --> 02:54:39,560
VULNERABLE POPULATIONS THE ISSUE

5149
02:54:39,560 --> 02:54:42,062
OF INTENTIONAL FORTIFICATION.

5150
02:54:42,062 --> 02:54:43,864
TO YOUR POINT, I DON'T THINK --

5151
02:54:43,864 --> 02:54:45,366
IT WOULDN'T BE A ONE SIZE FITS

5152
02:54:45,366 --> 02:54:48,736
ALL, BUT LEARNING THAT, AND WE

5153
02:54:48,736 --> 02:54:50,704
USE PRECISION NUTRITION A LOT,

5154
02:54:50,704 --> 02:54:53,474
BUT THAT REALLY IS LOOKING AT

5155
02:54:53,474 --> 02:54:54,441
SUBPOPULATIONS, NOT NECESSARILY

5156
02:54:54,441 --> 02:54:56,243
DOWN TO THE PERSONAL LEVEL, BUT

5157
02:54:56,243 --> 02:54:58,279
USING THAT INFORMATION, CAN

5158
02:54:58,279 --> 02:55:00,147
IDENTIFY AT RISK SUBPOPULATIONS,

5159
02:55:00,147 --> 02:55:03,350
I THINK THAT COULD INFORM

5160
02:55:03,350 --> 02:55:04,919
FORTIFICATION PRACTICES.

5161
02:55:04,919 --> 02:55:05,986
I THINK IT ALSO -- GOING BACK TO

5162
02:55:05,986 --> 02:55:07,421
THE DISCUSSION ABOUT FOOD

5163
02:55:07,421 --> 02:55:08,656
SCIENTISTS, I ALSO THINK THAT

5164
02:55:08,656 --> 02:55:12,259
KIND OF INFORMATION CAN GO

5165
02:55:12,259 --> 02:55:15,196
BACK -- CAN BE BI DIRECTIONAL,

5166
02:55:15,196 --> 02:55:16,397
CAN GO BACK TO THE FOOD

5167
02:55:16,397 --> 02:55:17,498
SCIENTISTS AS THEY'RE

5168
02:55:17,498 --> 02:55:18,132
ENGINEERING TO DIFFERENT TYPES

5169
02:55:18,132 --> 02:55:20,100
OF FOOD PRODUCTS, WHAT ARE THOSE

5170
02:55:20,100 --> 02:55:21,268
NUTRIENTS, WHAT ARE THOSE

5171
02:55:21,268 --> 02:55:22,670
COMPONENTS, WHAT ARE THOSE

5172
02:55:22,670 --> 02:55:23,737
BIOACTIVE ELEMENTS IN THOSE FOOD

5173
02:55:23,737 --> 02:55:25,172
PRODUCTS THAT MAY BE BENEFICIAL

5174
02:55:25,172 --> 02:55:35,182
AS OPPOSED TO HA HARMFUL.

5175
02:55:35,182 --> 02:55:36,750
>> SO I WANT TO THANK ALL
THE

5176
02:55:36,750 --> 02:55:38,219
SPEAKERS FOR REALLY EXCITING

5177
02:55:38,219 --> 02:55:40,387
PRESENTATIONS AND ALSO THIS

5178
02:55:40,387 --> 02:55:41,255
RECOGNITION OF HOW IMPORTANT

5179
02:55:41,255 --> 02:55:42,523
NUTRITION IS, NOT JUST FOR

5180
02:55:42,523 --> 02:55:46,393
HEALTH BUT ALSO ITS INFLUENCE ON

5181
02:55:46,393 --> 02:55:47,928
POTENTIAL HEALTH INTERVENTIONS.

5182
02:55:47,928 --> 02:55:49,997
BUT I HAVE TO SAY THAT AS A

5183
02:55:49,997 --> 02:55:50,998
RESEARCHER, IT'S ALSO MAKING ME

5184
02:55:50,998 --> 02:55:54,902
FEEL A BIT OVERWHELM AND ANXIOUS

5185
02:55:54,902 --> 02:55:56,170
ABOUT HOW THIS IS GOING TO BE

5186
02:55:56,170 --> 02:55:56,570
ACHIEVED.

5187
02:55:56,570 --> 02:55:57,972
EVEN TAKING -- I WORK WITH

5188
02:55:57,972 --> 02:56:01,809
DIETARY SUPPLEMENTS, AND JUST

5189
02:56:01,809 --> 02:56:03,210
THINKING ABOUT HOW ONE MIGHT

5190
02:56:03,210 --> 02:56:04,411
LOOK AT THE EFFECT OF NUTRITION

5191
02:56:04,411 --> 02:56:06,914
ON THE EFFICACY OF A BOTANICAL

5192
02:56:06,914 --> 02:56:08,015
DIETARY SUPPLEMENT, DO WE HAVE

5193
02:56:08,015 --> 02:56:11,085
THE TOOLS THAT WE NEED TO ASSESS

5194
02:56:11,085 --> 02:56:13,020
WHAT PEOPLE'S FOOD INTAKE IS, DO

5195
02:56:13,020 --> 02:56:15,689
WE HAVE THE TOOLS TO ASSESS WHAT

5196
02:56:15,689 --> 02:56:17,491
THEIR CURRENT NUTRITIONAL STATUS

5197
02:56:17,491 --> 02:56:20,094
IS, OR IS THE DEVELOPMENT OF

5198
02:56:20,094 --> 02:56:21,562
THESE TOOLS SEEN AS PART OF THIS

5199
02:56:21,562 --> 02:56:23,264
WHOLE STRATEGY?

5200
02:56:23,264 --> 02:56:25,599
AND THEN FINALLY, DOES THIS MEAN

5201
02:56:25,599 --> 02:56:27,501
THAT THE SCALE OF OUR CLINICAL

5202
02:56:27,501 --> 02:56:28,769
STUDIES WOULD HAVE TO BE

5203
02:56:28,769 --> 02:56:29,637
EXPANDED?

5204
02:56:29,637 --> 02:56:31,305
SO I GUESS I'M JUST LOOKING FOR

5205
02:56:31,305 --> 02:56:32,840
SOME GUIDANCE AND REASSURANCE AS

5206
02:56:32,840 --> 02:56:35,976
TO HOW YOU SEE THIS FIELD

5207
02:56:35,976 --> 02:56:37,578
CHANGING AS A RESULT OF THIS NEW

5208
02:56:37,578 --> 02:56:39,280
DIRECTION, WHICH I AGREE IS A

5209
02:56:39,280 --> 02:56:42,383
REALLY IMPORTANT AND HELPFUL

5210
02:56:42,383 --> 02:56:48,255
ONE?

5211
02:56:48,255 --> 02:56:50,024
>> YOU WANT TO ANSWER
THAT,

5212
02:56:50,024 --> 02:56:50,257
STEFAN?

5213
02:56:50,257 --> 02:56:52,559
>> I WAS WONDERING, I SAW
THE

5214
02:56:52,559 --> 02:56:53,794
CAMERA GO BACK TO DREW SO I

5215
02:56:53,794 --> 02:56:54,662
WASN'T SURE WHO WAS GOING TO

5216
02:56:54,662 --> 02:56:55,329
SPEAK UP.

5217
02:56:55,329 --> 02:56:56,530
LET ME TAKE THAT IN PIECES.

5218
02:56:56,530 --> 02:56:58,165
THAT WAS A VERY, VERY GOOD

5219
02:56:58,165 --> 02:57:00,034
QUESTION, AND IT KIND OF MAKES

5220
02:57:00,034 --> 02:57:02,870
SENSE IF YOU'RE LOOKING AT

5221
02:57:02,870 --> 02:57:03,637
BOTANICALS RIGHT NOW IN THE

5222
02:57:03,637 --> 02:57:04,571
CONTEXT THAT YOU MIGHT BE

5223
02:57:04,571 --> 02:57:07,308
RESEARCHING THAT.

5224
02:57:07,308 --> 02:57:10,411
YES, CONTINUOUS IMPROVEMENT IN

5225
02:57:10,411 --> 02:57:11,245
METHODOLOGIES IS A MUST IN THIS

5226
02:57:11,245 --> 02:57:12,846
AREA, BUT IT DOESN'T HAVE TO BE

5227
02:57:12,846 --> 02:57:14,648
THE END ALL BE ALL.

5228
02:57:14,648 --> 02:57:15,683
IT IS DEFINITELY A PIECE.

5229
02:57:15,683 --> 02:57:18,185
I WOULD SAY NUTRITION STATUS AND

5230
02:57:18,185 --> 02:57:18,886
BIOMARKERS CONTINUE -- NEED TO

5231
02:57:18,886 --> 02:57:22,356
CONTINUE TO EVOLVE AND BECOME

5232
02:57:22,356 --> 02:57:23,090
STRONGER.

5233
02:57:23,090 --> 02:57:24,391
I KNOW THERE ARE LARGE EFFORTS

5234
02:57:24,391 --> 02:57:25,526
HERE ACROSS NIH NOW THAT ARE

5235
02:57:25,526 --> 02:57:27,928
DOING JUST THAT, BUT WE HAVE TO

5236
02:57:27,928 --> 02:57:28,729
CONTINUE TO WORK TO MAKE SURE

5237
02:57:28,729 --> 02:57:32,633
THAT WE CAN ACTUALLY MEASURE THE

5238
02:57:32,633 --> 02:57:35,502
INTENDED OUT COME OF CONSUMING A

5239
02:57:35,502 --> 02:57:36,670
CERTAIN DIETARY SUPPLEMENT.

5240
02:57:36,670 --> 02:57:38,072
I WOULD SAY WE REALLY -- IT'S

5241
02:57:38,072 --> 02:57:39,807
VERY AMBITIOUS FOR US TO PUT

5242
02:57:39,807 --> 02:57:43,744
THIS FORWARD, AND I WOULD SAY I

5243
02:57:43,744 --> 02:57:46,947
REALLY DO THINK PIE IN THE SKY

5244
02:57:46,947 --> 02:57:48,282
IN NUTRITION CONTINUUM AND WHOLE

5245
02:57:48,282 --> 02:57:49,516
PERSON HEALTH IS JUST THAT, BUT

5246
02:57:49,516 --> 02:57:50,918
I THINK IF WE CAN TAKE A

5247
02:57:50,918 --> 02:57:52,586
PRAGMATIC APPROACH AND IDENTIFY

5248
02:57:52,586 --> 02:57:55,189
WHERE THOSE GAPS MIGHT BE AND WE

5249
02:57:55,189 --> 02:57:56,657
PRIORITIZE THEM, WE CAN DO SO IN

5250
02:57:56,657 --> 02:57:58,459
A WAY THAT NOT EVERY NUTRITION

5251
02:57:58,459 --> 02:58:02,196
STUDY BALLOONS TO BE, YOU KNOW,

5252
02:58:02,196 --> 02:58:03,430
LIKE A COMMON FUNDED PROJECT.

5253
02:58:03,430 --> 02:58:04,598
SO WE HAVE TO FIGURE OUT THE

5254
02:58:04,598 --> 02:58:08,268
RIGHT WAY TO KIND OF MARRY ALL

5255
02:58:08,268 --> 02:58:10,337
THIS UP TOGETHER SO IT CAN BE A

5256
02:58:10,337 --> 02:58:11,205
PRODUCTIVE RESEARCH FRAMEWORK

5257
02:58:11,205 --> 02:58:12,806
GOING FORWARD, BUT THIS IS JUST

5258
02:58:12,806 --> 02:58:17,177
THE BEGINNING.

5259
02:58:17,177 --> 02:58:18,445
EXPWR TH

5260
02:58:18,445 --> 02:58:20,080
>> THANK YOU, THAT'S
GREAT, IT'S

5261
02:58:20,080 --> 02:58:21,515
REALLY EXCITING TO BE ABLE TO

5262
02:58:21,515 --> 02:58:22,316
START TO ADDRESS THIS AND I'M

5263
02:58:22,316 --> 02:58:23,617
SURE THE TOOLS WILL EVOLVE AS

5264
02:58:23,617 --> 02:58:28,856
THE CHALLENGE IS TAKEN UP.

5265
02:58:28,856 --> 02:58:30,491
>> HERE I AM AGAIN.

5266
02:58:30,491 --> 02:58:31,759
I SEE OTHER HANDS, I'LL BE

5267
02:58:31,759 --> 02:58:34,328
BRIEF.

5268
02:58:34,328 --> 02:58:38,432
YOUR QUESTION IS SPOT-ON, AND

5269
02:58:38,432 --> 02:58:40,134
STEFAN'S ANSWER IS SPECTACULAR.

5270
02:58:40,134 --> 02:58:41,435
THIS IS A PROCESS, BUT AS MANY

5271
02:58:41,435 --> 02:58:45,906
PEOPLE IN THIS ROOM ARE ENGAGED

5272
02:58:45,906 --> 02:58:47,741
WITH, RIGHT NOW ONE OF THE BIG

5273
02:58:47,741 --> 02:58:50,611
INVESTMENTS THAT THE NIH IS

5274
02:58:50,611 --> 02:58:53,447
DOING IS THE NUTRITION FOR

5275
02:58:53,447 --> 02:58:54,481
PRECISION HEALTH EMPOWERED BY

5276
02:58:54,481 --> 02:58:55,482
THE ALL-OF-US RESEARCH PROGRAM,

5277
02:58:55,482 --> 02:58:59,019
WHICH IS AN INVESTMENT, AGAIN,

5278
02:58:59,019 --> 02:58:59,753
ACROSS THE U.S. THAT'S GETTING

5279
02:58:59,753 --> 02:59:00,754
TO YOUR QUESTIONS.

5280
02:59:00,754 --> 02:59:05,125
IT'S AT SCALE, SO OVER 8,000

5281
02:59:05,125 --> 02:59:06,326
INDIVIDUALS IN THE PRIMARY

5282
02:59:06,326 --> 02:59:09,163
MODULE, BUT IT'S AT SCALE TO ASK

5283
02:59:09,163 --> 02:59:11,732
THE QUESTION HOW DO INDIVIDUALS

5284
02:59:11,732 --> 02:59:13,534
RESPOND TO VARIOUS DIETARY

5285
02:59:13,534 --> 02:59:14,268
CHALLENGES, IF YOU WILL, OR

5286
02:59:14,268 --> 02:59:17,004
DIETARY PATTERNS, AND THEN

5287
02:59:17,004 --> 02:59:18,939
AGAIN, PEOPLE IN THIS ROOM WHO

5288
02:59:18,939 --> 02:59:20,374
ARE MUCH SMARTER THAN I AM DOING

5289
02:59:20,374 --> 02:59:22,476
THE ANALYTICS, HOW TO THEN

5290
02:59:22,476 --> 02:59:24,078
DEVELOP PARTICULAR ALGORITHMS TO

5291
02:59:24,078 --> 02:59:26,113
HELP GUIDE INVESTIGATORS AND

5292
02:59:26,113 --> 02:59:29,516
GUIDE CLINICIANS ABOUT DIETARY

5293
02:59:29,516 --> 02:59:31,018
ASSESSMENTS AND POTENTIAL

5294
02:59:31,018 --> 02:59:32,853
DIETARY GAPS OR NUTRIENT GAPS

5295
02:59:32,853 --> 02:59:34,221
AND DIETARY NEEDS.

5296
02:59:34,221 --> 02:59:36,557
SO IT'S AN EXCITING TIME,

5297
02:59:36,557 --> 02:59:37,624
BECAUSE THESE TOOLS WILL BECOME

5298
02:59:37,624 --> 02:59:38,992
AVAILABLE, THEY WILL BE USED

5299
02:59:38,992 --> 02:59:41,328
PUBLICLY, AND THEY'LL BE USED TO

5300
02:59:41,328 --> 02:59:42,930
DEVELOP NEW QUESTIONS AND

5301
02:59:42,930 --> 02:59:45,999
VALIDATION MODELS TO THEN TAKE

5302
02:59:45,999 --> 02:59:48,035
THE RAW DISCOVERY INTO THE FIELD

5303
02:59:48,035 --> 02:59:49,937
TO WHERE WE CAN MAKE PUBLIC

5304
02:59:49,937 --> 02:59:54,141
HEALTH IMPACT.

5305
02:59:54,141 --> 02:59:55,576
>> FOR BOTH OF THOSE
QUESTIONS,

5306
02:59:55,576 --> 02:59:57,978
THIS IS STEPHANIE GEORGE, OFFICE

5307
02:59:57,978 --> 02:59:59,379
OF DIETARY SUPPLEMENTS, FOR BOTH

5308
02:59:59,379 --> 03:00:01,115
OF THOSE QUESTIONS, BOTH THE

5309
03:00:01,115 --> 03:00:02,316
FORTIFICATION QUESTION AND THE

5310
03:00:02,316 --> 03:00:03,450
METHODS QUESTION, I THINK WE CAN

5311
03:00:03,450 --> 03:00:05,853
ALSO GO BACK TO SOMETHING THAT

5312
03:00:05,853 --> 03:00:07,821
WE HEARD STEFAN AND DREW BOTH

5313
03:00:07,821 --> 03:00:10,290
SAY, WHICH IS A GROUNDING IN THE

5314
03:00:10,290 --> 03:00:13,127
PUBLIC HEALTH CONCERNS.

5315
03:00:13,127 --> 03:00:15,295
SO TAKING WHAT IS THAT PRESSING

5316
03:00:15,295 --> 03:00:16,363
PUBLIC HEALTH ISSUE AND HOW CAN

5317
03:00:16,363 --> 03:00:18,665
WE LOOK ACROSS THE NUTRITION

5318
03:00:18,665 --> 03:00:19,700
CONTINUUM TO BE ABLE TO KIND OF

5319
03:00:19,700 --> 03:00:20,567
ADDRESS THAT SPECIFICALLY.

5320
03:00:20,567 --> 03:00:22,769
AND THAT WILL CERTAINLY HAVE

5321
03:00:22,769 --> 03:00:24,471
METHODS DEVELOPMENT PIECES THAT

5322
03:00:24,471 --> 03:00:26,373
ARE NECESSARY.

5323
03:00:26,373 --> 03:00:30,010
I KNOW A FEW YIERS BA YEARS BACH

5324
03:00:30,010 --> 03:00:31,445
DID AN EXCELLENT JOB AS YOU'RE

5325
03:00:31,445 --> 03:00:32,412
THINKING ABOUT WHOLE PERSON

5326
03:00:32,412 --> 03:00:34,548
HEALTH AND THEN THE METHODS WITH

5327
03:00:34,548 --> 03:00:36,049
WHICH WE'RE GOING TO BE ABLE TO

5328
03:00:36,049 --> 03:00:37,718
STUDY SO YOU'RE COLLECTING, LIKE

5329
03:00:37,718 --> 03:00:38,519
IN HELENE'S PRESENTATION, DATA

5330
03:00:38,519 --> 03:00:40,621
AT SO MANY DIFFERENT LEVELS, AND

5331
03:00:40,621 --> 03:00:42,156
THEN WHAT ARE THOSE ADVANCED

5332
03:00:42,156 --> 03:00:43,457
ANALYTIC METHODS WHERE WE CAN

5333
03:00:43,457 --> 03:00:44,691
TAKE IT -- BREAK IT DOWN AND

5334
03:00:44,691 --> 03:00:46,527
THEN PUT IT BACK TOGETHER LIKE

5335
03:00:46,527 --> 03:00:47,661
YOU SAID IN THAT SYNTHESIS

5336
03:00:47,661 --> 03:00:47,961
PIECE.

5337
03:00:47,961 --> 03:00:50,164
SO I THINK THERE WILL BE LOTS OF

5338
03:00:50,164 --> 03:00:51,732
MOVING PARTS, BUT THERE ARE WAYS

5339
03:00:51,732 --> 03:00:52,399
TO BREAK THAT DOWN.

5340
03:00:52,399 --> 03:00:53,634
AND THEN THE OTHER PIECE I'LL

5341
03:00:53,634 --> 03:00:56,970
COMMENT ON IS THAT THE POWER OF

5342
03:00:56,970 --> 03:01:00,140
ONR AND ODS AS COORDINATING

5343
03:01:00,140 --> 03:01:02,075
OFFICES, WE HAVE THE ABILITY TO

5344
03:01:02,075 --> 03:01:04,645
PULL IN ALL THE PARTNERS TO

5345
03:01:04,645 --> 03:01:06,213
THINK ABOUT WHOLE PERSON HEALTH

5346
03:01:06,213 --> 03:01:08,448
AND THINK ABOUT THE NUTRITION

5347
03:01:08,448 --> 03:01:10,684
CONTINUUM, AND WHERE ARE THOSE

5348
03:01:10,684 --> 03:01:12,452
PIECES OF SYNERGY WHERE WE CAN

5349
03:01:12,452 --> 03:01:13,554
ALL WORK TOGETHER TO TACKLE

5350
03:01:13,554 --> 03:01:15,689
PARTS OF THIS PROBLEM AND START

5351
03:01:15,689 --> 03:01:16,123
SOMEWHERE.

5352
03:01:16,123 --> 03:01:18,592
I ALWAYS TELL STEFAN, WHAT'S THE

5353
03:01:18,592 --> 03:01:19,726
NEXT FIRST STEP THAT WE'RE GOING

5354
03:01:19,726 --> 03:01:20,294
TO TAKE, RIGHT?

5355
03:01:20,294 --> 03:01:22,029
AND SO WHERE ARE THOSE FIRST,

5356
03:01:22,029 --> 03:01:23,130
YOU KNOW, CHUNKS THAT WE CAN

5357
03:01:23,130 --> 03:01:27,367
WORK TOGETHER ACROSS NIH TO

5358
03:01:27,367 --> 03:01:30,571
TACKLE, IMPROVING THIS, WITH THE

5359
03:01:30,571 --> 03:01:31,672
ULTIMATE GOAL OF IMPROVING

5360
03:01:31,672 --> 03:01:33,373
HEALTH FOR THE POPULATION.

5361
03:01:33,373 --> 03:01:35,542
>> I CAN ALSO -- OH, JEFF.

5362
03:01:35,542 --> 03:01:37,644
I JUST WANT TO JUST GIVE A

5363
03:01:37,644 --> 03:01:40,013
CONCRETE EXAMPLE OF ONE WAY, FOR

5364
03:01:40,013 --> 03:01:40,814
EXAMPLE, IMAGINE THAT YOU WANT

5365
03:01:40,814 --> 03:01:45,652
TO STUDY THE IMPACT OF A CERTAIN

5366
03:01:45,652 --> 03:01:45,986
SUPPLEMENT.

5367
03:01:45,986 --> 03:01:47,854
IT TAKES SOMETHING VERY, VERY

5368
03:01:47,854 --> 03:01:53,227
SIMPLE, LIKE, SAY, FISH OIL, AND

5369
03:01:53,227 --> 03:01:55,195
FINDING OUT IN ADDITION TO

5370
03:01:55,195 --> 03:01:57,297
LOOKING AT THE EFFECT OF THE

5371
03:01:57,297 --> 03:01:58,398
SUPPLEMENT, TO SEE HOW MUCH FISH

5372
03:01:58,398 --> 03:02:00,567
PEOPLE ARE EATING, RIGHT, I

5373
03:02:00,567 --> 03:02:01,468
MEAN, IT MAKES PERFECT SENSE

5374
03:02:01,468 --> 03:02:06,373
THAT YOU WOULD WANT TO DO THAT.

5375
03:02:06,373 --> 03:02:07,975
THIS IS JUST THE SIMPLEST

5376
03:02:07,975 --> 03:02:09,009
EXAMPLE YOU COULD THINK OF, BUT

5377
03:02:09,009 --> 03:02:12,379
THERE ARE OTHER MORE COMPLEX,

5378
03:02:12,379 --> 03:02:14,715
FOR EXAMPLE -- THE COMPONENT

5379
03:02:14,715 --> 03:02:17,117
OF -- IN A BOTANICAL, HOW MUCH

5380
03:02:17,117 --> 03:02:18,752
OF THAT COMPOUND IS ALREADY

5381
03:02:18,752 --> 03:02:21,121
PRESENT IN WHAT PEOPLE HAVE ON

5382
03:02:21,121 --> 03:02:22,022
THEIR PLATE.

5383
03:02:22,022 --> 03:02:24,958
SO IT'S JUST A START.

5384
03:02:24,958 --> 03:02:27,694
AND SO WE HAVE TO GO IN STAGES

5385
03:02:27,694 --> 03:02:29,129
LIKE STEPHANIE WAS JUST SAYING.

5386
03:02:29,129 --> 03:02:30,564
WE CAN'T JUST ANSWER EVERYTHING

5387
03:02:30,564 --> 03:02:31,331
ALL AT ONCE.

5388
03:02:31,331 --> 03:02:34,001
IT'S REALLY MOVING IN THE

5389
03:02:34,001 --> 03:02:34,601
INTEGRATIVE DIRECTION.

5390
03:02:34,601 --> 03:02:35,335
THAT'S REALLY -- AND THIS IS A

5391
03:02:35,335 --> 03:02:36,370
QUESTION WE GET ALL THE TIME.

5392
03:02:36,370 --> 03:02:40,440
HOW DO WE GET FROM ZERO TO A

5393
03:02:40,440 --> 03:02:40,707
THOUSAND?

5394
03:02:40,707 --> 03:02:44,144
WELL FIRST YOU GO FROM ZERO TO ,

5395
03:02:44,144 --> 03:02:45,078
SO THAT'S THE IDEA.

5396
03:02:45,078 --> 03:02:46,847
>> I THINK THAT'S A VERY
CLEAR

5397
03:02:46,847 --> 03:02:48,482
ANSWER, AND SO IT'S JUST OBVIOUS

5398
03:02:48,482 --> 03:02:49,916
THAT WE SHOULD ALSO BE PAYING

5399
03:02:49,916 --> 03:02:52,386
ATTENTION TO PEOPLE'S

5400
03:02:52,386 --> 03:02:54,388
NUTRITIONAL STATUS --

5401
03:02:54,388 --> 03:02:56,323
>> YES, AND MEASURING IT.

5402
03:02:56,323 --> 03:02:59,559
>> FOR CLINICAL
RESEARCHERS,

5403
03:02:59,559 --> 03:03:01,495
WHAT'S A BRIEF, USEFUL WAY TO

5404
03:03:01,495 --> 03:03:02,796
MEASURE NUTRITIONAL STATUS?

5405
03:03:02,796 --> 03:03:04,231
I COULD BE REALLY KNEE EVE BUT

5406
03:03:04,231 --> 03:03:06,300
THEY ALL SEEM REALLY LONG, VERY

5407
03:03:06,300 --> 03:03:07,100
ONEROUS AND NOT

5408
03:03:07,100 --> 03:03:07,634
PATIENT-FRIENDLY.

5409
03:03:07,634 --> 03:03:09,736
>> I'LL HOP IN HERE.

5410
03:03:09,736 --> 03:03:10,170
>> NO PRESSURE.

5411
03:03:10,170 --> 03:03:12,472
>> NO, IT'S A SPECTACULAR

5412
03:03:12,472 --> 03:03:12,739
QUESTION.

5413
03:03:12,739 --> 03:03:14,241
HOW DOES ONE DEFINE

5414
03:03:14,241 --> 03:03:14,708
MALNUTRITION?

5415
03:03:14,708 --> 03:03:17,544
THERE IS NO GENERALIZED CON

5416
03:03:17,544 --> 03:03:17,978
CONSENSUS STATEMENT.

5417
03:03:17,978 --> 03:03:19,246
THERE ARE LOTS OF MODELS AND

5418
03:03:19,246 --> 03:03:20,280
PARADIGMS THAT ARE USED.

5419
03:03:20,280 --> 03:03:23,483
SOME VERY CUMBERSOME AND SOME

5420
03:03:23,483 --> 03:03:26,186
NOT VERY PRACTICAL, NONE OF

5421
03:03:26,186 --> 03:03:26,887
WHICH HAVE CONSISTENT

5422
03:03:26,887 --> 03:03:29,222
ENDORSEMENT FROM THE VARIOUS

5423
03:03:29,222 --> 03:03:29,589
AGENCIES.

5424
03:03:29,589 --> 03:03:30,757
THAT IS A -- I'M GLAD YOU CALLED

5425
03:03:30,757 --> 03:03:31,858
OUT THE ELEPHANT IN THE ROOM.

5426
03:03:31,858 --> 03:03:32,759
HOW DO WE DO IT?

5427
03:03:32,759 --> 03:03:35,062
WE DON'T KNOW.

5428
03:03:35,062 --> 03:03:36,363
I HAVE SOME IDEAS.

5429
03:03:36,363 --> 03:03:38,265
SO ONE OF OUR GOALS FOR THE

5430
03:03:38,265 --> 03:03:39,900
OFFICE VERY, VERY SOON IS TO

5431
03:03:39,900 --> 03:03:42,402
DIVE FOO THAT QUESTION.

5432
03:03:42,402 --> 03:03:44,237
AND THAT'S IMPORTANT ON SO MANY

5433
03:03:44,237 --> 03:03:44,905
LEVELS.

5434
03:03:44,905 --> 03:03:47,641
IT'S IMPORTANT FOR THE

5435
03:03:47,641 --> 03:03:50,477
SCIENTIFIC COMMUNITY TO HAVE

5436
03:03:50,477 --> 03:03:51,578
CONSENSUS AND SOME GUARDRAILS,

5437
03:03:51,578 --> 03:03:52,379
IF YOU WILL.

5438
03:03:52,379 --> 03:03:54,314
BUT BY GOLLY, IT'S ALSO SUPER

5439
03:03:54,314 --> 03:03:55,782
IMPORTANT FOR CLINICAL CARE.

5440
03:03:55,782 --> 03:03:58,752
BECAUSE RIGHT NOW, AND I ALWAYS

5441
03:03:58,752 --> 03:04:00,754
TRY TO GIVE A SHOUT OUT TO THE

5442
03:04:00,754 --> 03:04:03,056
RDs AND THE RDNs, EITHER IN

5443
03:04:03,056 --> 03:04:03,590
THE ROOM OR IN THE WORLD,

5444
03:04:03,590 --> 03:04:05,258
BECAUSE THEY'RE THE ONES WHO ARE

5445
03:04:05,258 --> 03:04:06,760
ON THE -- THEY'RE ON THE FRONT

5446
03:04:06,760 --> 03:04:09,763
LINES WHO ARE INTERACTING WITH

5447
03:04:09,763 --> 03:04:10,230
PEOPLE.

5448
03:04:10,230 --> 03:04:13,300
AND YOU KNOW, THEY'RE ALSO

5449
03:04:13,300 --> 03:04:15,569
STRUGGLING WITH HOW DO WE

5450
03:04:15,569 --> 03:04:17,537
IMPLEMENT ALL THESE THINGS WE'RE

5451
03:04:17,537 --> 03:04:18,905
TALKING ABOUT TO ACTUALLY GET TO

5452
03:04:18,905 --> 03:04:20,307
THE PERSON AND HOW DO WE MAKE

5453
03:04:20,307 --> 03:04:21,675
ASSESSMENTS AND HOW DO WE MAKE

5454
03:04:21,675 --> 03:04:22,809
MEASUREMENTS THAT THEN WE CAN

5455
03:04:22,809 --> 03:04:25,379
TRACK OVER TIME TO ACTUALLY

5456
03:04:25,379 --> 03:04:26,480
ASSESS WHETHER INTERVENTIONS ARE

5457
03:04:26,480 --> 03:04:27,681
EFFECTIVE OR NOT.

5458
03:04:27,681 --> 03:04:28,482
>> EXACTLY, BECAUSE
CURRENTLY

5459
03:04:28,482 --> 03:04:29,783
WE'RE IGNORING IT, AND THAT'S

5460
03:04:29,783 --> 03:04:29,983
WRONG.

5461
03:04:29,983 --> 03:04:30,484
>> CORRECT.

5462
03:04:30,484 --> 03:04:34,454
>> SO HOW DO WE GET THERE
TO AT

5463
03:04:34,454 --> 03:04:35,756
LEAST ACKNOWLEDGE IT BUT NOT

5464
03:04:35,756 --> 03:04:37,324
MAKE IT SO PATIENT ONEROUS.

5465
03:04:37,324 --> 03:04:38,525
>> THAT IS THE GOAL OF OUR

5466
03:04:38,525 --> 03:04:40,360
OFFICE, TO HAVE BUY-IN FROM ALL

5467
03:04:40,360 --> 03:04:49,870
THE PARTNERS.

5468
03:04:49,870 --> 03:04:52,172
>> JUST AS A RESPONSE,
EVERY

5469
03:04:52,172 --> 03:04:55,675
TIME YOU TALK, DREW, YOU BRING

5470
03:04:55,675 --> 03:04:56,410
EXCITEMENT TO EVERYTHING, SO

5471
03:04:56,410 --> 03:04:57,077
ALWAYS APPRECIATE THAT.

5472
03:04:57,077 --> 03:04:59,212
THIS IS AN EXAMPLE OF WHERE

5473
03:04:59,212 --> 03:05:00,847
NEWER METHODS, A.I. AND MODELING

5474
03:05:00,847 --> 03:05:01,848
METHODS CAN HELP, BECAUSE WHEN

5475
03:05:01,848 --> 03:05:03,383
YOU'RE TALKING ABOUT NUTRITION

5476
03:05:03,383 --> 03:05:03,917
STATUS, YOU'RE NOT REALLY

5477
03:05:03,917 --> 03:05:05,051
TALKING ABOUT A SLICE IN TIME.

5478
03:05:05,051 --> 03:05:06,586
YOU'RE REALLY TALKING ABOUT HOW

5479
03:05:06,586 --> 03:05:09,022
IT'S ACTUALLY GOING TO IMPACT

5480
03:05:09,022 --> 03:05:10,123
SOMEONE'S HEALTH TRAJECTORY OVER

5481
03:05:10,123 --> 03:05:11,024
TIME, AND THAT'S GOING TO BE

5482
03:05:11,024 --> 03:05:12,592
DIFFERENT FOR DIFFERENT PEOPLE.

5483
03:05:12,592 --> 03:05:14,628
SO IF YOU CAN FIND WAYS OF KIND

5484
03:05:14,628 --> 03:05:16,496
OF PROJECTING AND FORECASTING,

5485
03:05:16,496 --> 03:05:19,199
OKAY, YOU'RE AT THIS CURRENT

5486
03:05:19,199 --> 03:05:20,600
STATUS, BUT FIVE, 10, 15 YEARS,

5487
03:05:20,600 --> 03:05:22,335
YOU'LL BE SUCH AND SUCH, OH,

5488
03:05:22,335 --> 03:05:25,372
THAT'S NOT A GREAT TRAJECTORY

5489
03:05:25,372 --> 03:05:27,707
AND THAT JUST -- WHERE IT SHOULD

5490
03:05:27,707 --> 03:05:29,242
BE VERSUS WHERE IT IS.

5491
03:05:29,242 --> 03:05:31,344
SO I THINK THIS IS REALLY

5492
03:05:31,344 --> 03:05:32,846
EXCITING, AND AGAIN IT'S HARD TO

5493
03:05:32,846 --> 03:05:35,115
ADD MORE EXCITEMENT TO WHAT DREW

5494
03:05:35,115 --> 03:05:37,851
SAID, BUT I THINK THIS HAS EVEN

5495
03:05:37,851 --> 03:05:40,353
A LARGER POTENTIAL EFFECT,

5496
03:05:40,353 --> 03:05:42,155
BECAUSE A LOT OF THIS INVOLVES

5497
03:05:42,155 --> 03:05:43,323
CHANGING THE PARADIGM IN HOW

5498
03:05:43,323 --> 03:05:46,993
SCIENCE IS ACTUALLY DONE.

5499
03:05:46,993 --> 03:05:48,228
FOR MANY YEARS, BECAUSE OF

5500
03:05:48,228 --> 03:05:51,398
HISTORICAL REASONS, THERE'S THE

5501
03:05:51,398 --> 03:05:53,066
CLINICAL TRIAL METHOD, THE

5502
03:05:53,066 --> 03:05:54,000
OBSERVATIONAL STUDY METHOD, ET

5503
03:05:54,000 --> 03:05:55,302
CETERA, BUT YOU REACH THE

5504
03:05:55,302 --> 03:05:56,136
LIMITATIONS, I THINK, WHEN YOU

5505
03:05:56,136 --> 03:05:57,971
HAVE TO INTEGRATE ALL THESE

5506
03:05:57,971 --> 03:05:59,873
DIFFERENT THINGS, ESPECIALLY

5507
03:05:59,873 --> 03:06:01,241
OVER TIME, SO THERE'S A REAL

5508
03:06:01,241 --> 03:06:03,977
OPPORTUNITY TO ACTUALLY

5509
03:06:03,977 --> 03:06:04,578
CHANGE -- INTEGRATE ALL THESE

5510
03:06:04,578 --> 03:06:06,513
DIFFERENT TYPES OF NEW STUDY

5511
03:06:06,513 --> 03:06:07,647
METHODOLOGIES AND APPROACHES IN

5512
03:06:07,647 --> 03:06:09,983
DIFFERENT WAYS, TOO, FOR

5513
03:06:09,983 --> 03:06:11,084
INSTANCE, I'LL JUST SPEAK FOR

5514
03:06:11,084 --> 03:06:12,652
A.I., YOU CAN HAVE A.I.

5515
03:06:12,652 --> 03:06:13,887
APPROACHES HELP GUIDE STUDY

5516
03:06:13,887 --> 03:06:16,389
DESIGN, RIGHT, FOR EXAMPLE, IT'S

5517
03:06:16,389 --> 03:06:19,826
NOT NECESSARY, THE REVERSE,

5518
03:06:19,826 --> 03:06:21,461
WHERE YOU DO THE STUDY AND YOU

5519
03:06:21,461 --> 03:06:24,097
USE A.I. TO EVALUATE THOSE

5520
03:06:24,097 --> 03:06:24,498
THINGS.

5521
03:06:24,498 --> 03:06:28,535
SO I GUESS THE EXCITEMENT BUT

5522
03:06:28,535 --> 03:06:30,170
ALSO THE CHALLENGES THEN YOU'RE

5523
03:06:30,170 --> 03:06:32,005
GOING AGAINST THE EXISTING

5524
03:06:32,005 --> 03:06:33,306
PARADIGMS THAT EVERYONE HAS BEEN

5525
03:06:33,306 --> 03:06:34,407
KIND OF SCHOOLED IN FOR YEARS.

5526
03:06:34,407 --> 03:06:36,610
SO I GUESS I WANTED TO TOSS OUT

5527
03:06:36,610 --> 03:06:38,211
THE QUESTION LIKE HOW DO YOU

5528
03:06:38,211 --> 03:06:40,747
ACHIEVE THIS KIND OF LARGER

5529
03:06:40,747 --> 03:06:41,281
BIGGER PARADIGM SHIFTING

5530
03:06:41,281 --> 03:06:42,616
SITUATION THAT WILL ACTUALLY

5531
03:06:42,616 --> 03:06:44,584
PROBABLY EXTEND BEYOND

5532
03:06:44,584 --> 03:06:45,819
NUTRITION, EXTEND BEYOND

5533
03:06:45,819 --> 03:06:47,087
EVERYTHING, AT THE SAME TIME,

5534
03:06:47,087 --> 03:06:48,021
WITH AN UNDERSTANDING THAT YOU

5535
03:06:48,021 --> 03:06:52,025
ARE MOVING AGAINST MOUNTAINS IN

5536
03:06:52,025 --> 03:06:54,394
SOME CASES AND HOW DOES ONE LAY

5537
03:06:54,394 --> 03:06:56,496
THE GROUNDWORK TO TRY TO MAKE

5538
03:06:56,496 --> 03:06:57,764
THOSE CHANGES.

5539
03:06:57,764 --> 03:07:00,901
>> CAN I JUMP IN FIRST?

5540
03:07:00,901 --> 03:07:02,369
I KNOW YOU PROBABLY HAVE SOME

5541
03:07:02,369 --> 03:07:02,936
STUFF TO SAY TO THIS.

5542
03:07:02,936 --> 03:07:06,373
IS THAT OKAY?

5543
03:07:06,373 --> 03:07:11,411
I WANT TO GIVE AN EXAMPLE.

5544
03:07:11,411 --> 03:07:12,612
WHAT WEAR PROPOSING IS VERY,

5545
03:07:12,612 --> 03:07:14,214
VERY AMBITIOUS, IT IS BIG, AND

5546
03:07:14,214 --> 03:07:15,515
IT'S NOT GOING TO BE EASY TO

5547
03:07:15,515 --> 03:07:17,584
ACHIEVE AND AS HELENE SAID, YOU

5548
03:07:17,584 --> 03:07:19,386
HAVE TO GO STEP BY STEP BY STEP.

5549
03:07:19,386 --> 03:07:21,254
WHEN I WAS WITH THE ARMY, AND I

5550
03:07:21,254 --> 03:07:23,089
WAS AT AN ARMY RESEARCH

5551
03:07:23,089 --> 03:07:25,225
INSTITUTE THAT WAS BROKEN INTO

5552
03:07:25,225 --> 03:07:28,828
FOUR RESEARCH DIVISIONS BASED ON

5553
03:07:28,828 --> 03:07:29,429
DISCIPLINES AND ENVIRONMENTAL

5554
03:07:29,429 --> 03:07:30,964
FACTORS THAT A SOLDIER WOULD BE

5555
03:07:30,964 --> 03:07:32,265
EXPOSED TO, OUR FUNDING LINES

5556
03:07:32,265 --> 03:07:34,067
WERE BROKEN INTO THOSE FOUR

5557
03:07:34,067 --> 03:07:35,035
DIVISIONS.

5558
03:07:35,035 --> 03:07:36,636
THERE WAS VERY LITTLE, IF ANY,

5559
03:07:36,636 --> 03:07:37,470
CONSIDERATION OF THE OTHER

5560
03:07:37,470 --> 03:07:38,805
DIVISIONS WHEN YOU RAN YOUR OWN

5561
03:07:38,805 --> 03:07:41,007
RESEARCH PROGRAM.

5562
03:07:41,007 --> 03:07:43,510
SO NUTRITION IS A LARGE

5563
03:07:43,510 --> 03:07:44,878
COMPONENT OF MUSCULOSKELETAL

5564
03:07:44,878 --> 03:07:46,313
INJURY, ESPECIALLY NUTRITION

5565
03:07:46,313 --> 03:07:47,581
STATUS IF THE CONTEXT OF VITAMIN

5566
03:07:47,581 --> 03:07:50,116
D AND CALCIUM, FRESH FRACTURE

5567
03:07:50,116 --> 03:07:51,918
INCIDENTS IN FEMALES AND YOUNG

5568
03:07:51,918 --> 03:07:52,385
TRAINEES.

5569
03:07:52,385 --> 03:07:53,553
THE NUTRITION DIVISION RARELY

5570
03:07:53,553 --> 03:07:54,721
WAS ENGAGED IN THAT WORK.

5571
03:07:54,721 --> 03:07:56,356
THAT'S JUST SHOWING THAT WE HAVE

5572
03:07:56,356 --> 03:07:57,490
TO CHANGE THIS FRAMEWORK, AND IT

5573
03:07:57,490 --> 03:07:59,926
WAS VERY HARD TO DO THERE

5574
03:07:59,926 --> 03:08:01,027
ORGANIZATIONALLY TO CREATE A

5575
03:08:01,027 --> 03:08:02,429
MORE CROSS FUNCTIONAL EFFORT,

5576
03:08:02,429 --> 03:08:04,130
BUT IT CAN BE DONE AND WE JUST

5577
03:08:04,130 --> 03:08:05,699
HAVE TO START HAVING THESE HARD

5578
03:08:05,699 --> 03:08:08,034
CONVERSATIONS OF HOW DO WE

5579
03:08:08,034 --> 03:08:08,902
CREATE SOMETHING THAT WE CAN

5580
03:08:08,902 --> 03:08:11,204
ACTUALLY BITE OFF, WE CAN'T BITE

5581
03:08:11,204 --> 03:08:12,672
OFF MORE THAN WE CAN CHEW RIGHT

5582
03:08:12,672 --> 03:08:13,873
AWAY, AND START BUILDING TOWARDS

5583
03:08:13,873 --> 03:08:15,175
THIS I WOULD SAY MORE ACCEPTED

5584
03:08:15,175 --> 03:08:16,776
FRAMEWORK OF RUNNING SCIENCE,

5585
03:08:16,776 --> 03:08:20,647
ESPECIALLY IN THIS SPACE.

5586
03:08:20,647 --> 03:08:23,016
SO THAT'S WHY I WANT TO SHARE

5587
03:08:23,016 --> 03:08:24,284
GOING THROUGH THIS ALREADY,

5588
03:08:24,284 --> 03:08:26,319
THERE'S GOING TO BE SOME BUMPS

5589
03:08:26,319 --> 03:08:27,420
AND IT'S GOING TO BE HARD BUT WE

5590
03:08:27,420 --> 03:08:28,655
HAVE TO START SOMEWHERE.

5591
03:08:28,655 --> 03:08:31,057
>> THANK YOU.

5592
03:08:31,057 --> 03:08:31,491
HELEN.

5593
03:08:31,491 --> 03:08:33,493
>> I HAVE SEVERAL PROBLEMS
WITH

5594
03:08:33,493 --> 03:08:34,427
THE WHOLE THING.

5595
03:08:34,427 --> 03:08:41,534
I'M A CLINICIAN, WORK WITH

5596
03:08:41,534 --> 03:08:44,371
PATIENTS WHO TAKE 10 TO 15

5597
03:08:44,371 --> 03:08:45,805
SUPPLEMENTS FROM DIFFERENT

5598
03:08:45,805 --> 03:08:49,476
QUARTERS, ORDERING ONLINE, BU

5599
03:08:49,476 --> 03:08:50,410
BUYING AT THE PHARMACY AND THEN

5600
03:08:50,410 --> 03:08:51,444
TRYING TO EXPLAIN TO THEM WHAT

5601
03:08:51,444 --> 03:08:54,014
IS THE VALUE OF THIS VERSUS

5602
03:08:54,014 --> 03:08:58,051
THAT, BY ADJUSTING NIH

5603
03:08:58,051 --> 03:08:59,886
LITERATURE AND NIH FUNDED TRIALS

5604
03:08:59,886 --> 03:09:01,388
THAT REPORT VERY MISLEADING

5605
03:09:01,388 --> 03:09:04,157
INFORMATION WITHOUT ANY BASELINE

5606
03:09:04,157 --> 03:09:06,192
ASSESSMENT OF NUTRITION AND

5607
03:09:06,192 --> 03:09:09,362
LEVELS, AND THEN I'M RUNNING A

5608
03:09:09,362 --> 03:09:11,831
RISK AND RESILIENCE STUDY

5609
03:09:11,831 --> 03:09:17,137
ASSESSING THE ROLE OF NUTRITION

5610
03:09:17,137 --> 03:09:19,005
AND RISK AND RESILIENCE FOR THE

5611
03:09:19,005 --> 03:09:20,840
NIA FUNDED MULTISITE STUDY.

5612
03:09:20,840 --> 03:09:23,810
AND I RUN INTO A PROBLEM OF

5613
03:09:23,810 --> 03:09:26,079
PEOPLE FILLING OUT DIETARY

5614
03:09:26,079 --> 03:09:27,914
QUESTIONNAIRES, AND THEN TRYING

5615
03:09:27,914 --> 03:09:29,683
TO CORRELATE THEM WITH LEVELS IN

5616
03:09:29,683 --> 03:09:31,017
THE BLOOD AND THERE'S LIKE ZERO

5617
03:09:31,017 --> 03:09:34,020
CORRELATION.

5618
03:09:34,020 --> 03:09:35,922
SO I THINK THE STARTING POINT

5619
03:09:35,922 --> 03:09:38,158
WOULD BE TO ESTABLISH SOME KIND

5620
03:09:38,158 --> 03:09:42,262
OF STANDARD FOR RESEARCH METHODS

5621
03:09:42,262 --> 03:09:43,797
AND REPORTING SO THAT IT

5622
03:09:43,797 --> 03:09:45,098
WOULDN'T BE SUCH A CONFUSING

5623
03:09:45,098 --> 03:09:47,834
MATTER FOR RESEARCHES, FOR

5624
03:09:47,834 --> 03:09:48,768
CONSUMERS, AND EVERYBODY IN

5625
03:09:48,768 --> 03:09:53,506
BETWEEN.

5626
03:09:53,506 --> 03:09:55,075
>> THIS HAS BEEN GREAT.

5627
03:09:55,075 --> 03:09:56,309
I GUESS THE COMMON THEME IS THE

5628
03:09:56,309 --> 03:09:57,544
FRAMEWORK THAT YOU'RE ALL

5629
03:09:57,544 --> 03:09:59,879
ADOPTING AND THE WHOLE PERSON

5630
03:09:59,879 --> 03:10:00,680
FRAMEWORK IS A BEAUTIFUL ONE,

5631
03:10:00,680 --> 03:10:03,216
BUT I'M WONDERING IS THERE ANY

5632
03:10:03,216 --> 03:10:04,250
UTILITY IN THINKING ABOUT THE

5633
03:10:04,250 --> 03:10:06,286
PREVENTION FRAMEWORK OF PRIMARY,

5634
03:10:06,286 --> 03:10:07,921
SECONDARY AND TERTIARY AS WAYS

5635
03:10:07,921 --> 03:10:08,788
TO THINKING ABOUT HOW TO

5636
03:10:08,788 --> 03:10:10,423
INTERVENE AND TO WHAT POPULATION

5637
03:10:10,423 --> 03:10:13,126
OR WHAT GROUP OR WHAT

5638
03:10:13,126 --> 03:10:13,560
INDIVIDUALS.

5639
03:10:13,560 --> 03:10:15,161
FLUORIDE IN THE WATER, OF COURSE

5640
03:10:15,161 --> 03:10:17,497
THAT'S A PRIMARY INTERVENTION,

5641
03:10:17,497 --> 03:10:19,232
SECONDARY, YOU'RE TRYING TO

5642
03:10:19,232 --> 03:10:20,734
DETECT A PROBLEM AND TARGET A

5643
03:10:20,734 --> 03:10:22,335
GROUP THAT MAY BE VULNERABLE AND

5644
03:10:22,335 --> 03:10:24,370
THEN OF COURSE TERTIARY IS

5645
03:10:24,370 --> 03:10:25,171
DEALING WITH INDIVIDUALS WHO

5646
03:10:25,171 --> 03:10:27,807
ALREADY MAY HAVE SYMPTOMS OF THE

5647
03:10:27,807 --> 03:10:28,141
PROBLEM.

5648
03:10:28,141 --> 03:10:29,976
DOES THAT AT ALL RESONATE WITH

5649
03:10:29,976 --> 03:10:35,115
THIS NUTRITION SPACE?

5650
03:10:35,115 --> 03:10:39,586
>> I'LL JUMP IN.

5651
03:10:39,586 --> 03:10:41,488
BUT IT DOES, I THINK -- NOT

5652
03:10:41,488 --> 03:10:43,323
THINK, I'LL USE FOOD AS MEDICINE

5653
03:10:43,323 --> 03:10:44,791
AS AN EXAMPLE TO YOUR QUESTION,

5654
03:10:44,791 --> 03:10:47,160
BUT I WANT TO IF I COPY VOT BACK

5655
03:10:47,160 --> 03:10:48,361
A LITTLE BIT TO WHAT BRUCE WAS

5656
03:10:48,361 --> 03:10:48,962
SAYING.

5657
03:10:48,962 --> 03:10:50,196
HE'S WAY TOO MODEST.

5658
03:10:50,196 --> 03:10:51,898
WHEN WE THINK ABOUT PARADIGM

5659
03:10:51,898 --> 03:10:54,100
SHIFTS AND THE USE OF NOVEL

5660
03:10:54,100 --> 03:10:56,469
METHODOLOGY, YOU KNOW, WE PING

5661
03:10:56,469 --> 03:11:00,473
BRUCE ALL THE TIME FOR HIS BRAIN

5662
03:11:00,473 --> 03:11:01,307
POWER.

5663
03:11:01,307 --> 03:11:02,876
I THINK IT THE INTEGRATION OF

5664
03:11:02,876 --> 03:11:04,410
RECOGNIZING THESE NEW AREAS OF

5665
03:11:04,410 --> 03:11:06,813
SCIENCE AND HOW THEY CAN BE

5666
03:11:06,813 --> 03:11:07,747
BIDIRECTIONAL, AS WE'RE FORWARD

5667
03:11:07,747 --> 03:11:09,082
THINKING ABOUT THE DESIGN AND

5668
03:11:09,082 --> 03:11:11,017
METHODOLOGY.

5669
03:11:11,017 --> 03:11:13,453
SO I THINK THOSE SYNERGIES EXIST

5670
03:11:13,453 --> 03:11:15,388
AND BRUCE YOU'VE BEEN SUPER

5671
03:11:15,388 --> 03:11:16,189
HELPFUL EVERY STEP OF THE WAY,

5672
03:11:16,189 --> 03:11:17,157
SO THANK YOU.

5673
03:11:17,157 --> 03:11:19,659
AND TO THE POINT ABOUT CONSENSUS

5674
03:11:19,659 --> 03:11:20,994
ABOUT BASELINE, YES, TO THE

5675
03:11:20,994 --> 03:11:22,662
QUESTION THAT CAME UP BEFORE, I

5676
03:11:22,662 --> 03:11:25,365
THINK PART OF OUR CHARGE IS CAN

5677
03:11:25,365 --> 03:11:27,200
WE DEVELOP AS A COMMUNITY BOTH

5678
03:11:27,200 --> 03:11:28,802
FOR RESEARCH PURPOSES AND

5679
03:11:28,802 --> 03:11:31,437
CLINICAL CARE, BASELINE ELEMENTS

5680
03:11:31,437 --> 03:11:34,073
THAT CAN BE TRACKABLE AND

5681
03:11:34,073 --> 03:11:37,043
MEASURABLE THAT ARE AGAIN THE --

5682
03:11:37,043 --> 03:11:38,611
IRRESPECTIVE OF WHAT QUESTION IS

5683
03:11:38,611 --> 03:11:39,612
BEING ASKED, SO THAT IS A CHARGE

5684
03:11:39,612 --> 03:11:41,548
AND THAT IS SOMETHING THAT WE'RE

5685
03:11:41,548 --> 03:11:42,081
CONSIDERING.

5686
03:11:42,081 --> 03:11:44,250
IN THIS PARADIGM OF PREVENTION,

5687
03:11:44,250 --> 03:11:46,152
I THINK FOOD AS MEDICINE IS A

5688
03:11:46,152 --> 03:11:49,522
GREAT EXAMPLE, AND FOOD AS

5689
03:11:49,522 --> 03:11:54,027
MEDICINE IS A CONCEPT I THINK TK

5690
03:11:54,027 --> 03:11:55,361
WILL ONLY ACHIEVE ITS MAXIMAL

5691
03:11:55,361 --> 03:11:58,531
EFFICACY IF THE METHODOLOGY, IF

5692
03:11:58,531 --> 03:12:01,134
THE METHODS ARE APPROPRIATE.

5693
03:12:01,134 --> 03:12:02,335
BECAUSE ONE HAS TO HAVE A

5694
03:12:02,335 --> 03:12:03,269
DIAGNOSIS AND UNDERSTANDING OF

5695
03:12:03,269 --> 03:12:06,773
THE ETIOLOGY BEFORE INTERVENTION

5696
03:12:06,773 --> 03:12:07,407
CAN BE MADE SO I THINK THOSE GO

5697
03:12:07,407 --> 03:12:08,074
HAND IN HAND.

5698
03:12:08,074 --> 03:12:10,243
BUT I THINK ON THE FOOD AS

5699
03:12:10,243 --> 03:12:11,811
MEDICINE SCALE GOING FROM PUBLIC

5700
03:12:11,811 --> 03:12:13,246
TO FORTIFICATION OR TARGETING

5701
03:12:13,246 --> 03:12:15,982
POPULATIONS TO THAT PRESCRIPTION

5702
03:12:15,982 --> 03:12:17,750
WHICH MAY BE A LITTLE HIGHER UP

5703
03:12:17,750 --> 03:12:19,385
THE SCALE TO A MEDICALLY

5704
03:12:19,385 --> 03:12:21,721
TAILORED MEAL, THAT'S WHERE THAT

5705
03:12:21,721 --> 03:12:23,156
TRIANGLE, IF YOU WILL, OF FOOD

5706
03:12:23,156 --> 03:12:25,024
AS MEDICINE REALLY DOES, I

5707
03:12:25,024 --> 03:12:27,060
THINK -- I THINK IT INTEGRATES

5708
03:12:27,060 --> 03:12:30,063
BEAUTIFULLY WITH THE CONTINUE C,

5709
03:12:30,063 --> 03:12:32,098
BECAUSE EVERY LEVEL OF THAT FOOD

5710
03:12:32,098 --> 03:12:33,433
AS MEDICINE SCALE IS GOING TO BE

5711
03:12:33,433 --> 03:12:34,067
IMPACTED BY THE ENVIRONMENT AND

5712
03:12:34,067 --> 03:12:34,434
THE CONTINUUM.

5713
03:12:34,434 --> 03:12:37,270
SO I THINK THOSE TWO GO TOGETHER

5714
03:12:37,270 --> 03:12:37,570
BEAUTIFULLY.

5715
03:12:37,570 --> 03:12:38,271
IT'S A GREAT PARADIGM.

5716
03:12:38,271 --> 03:12:39,372
>> YOU NEED MORE THAN NINE

5717
03:12:39,372 --> 03:12:41,474
PEOPLE, I THINK, IN YOUR

5718
03:12:41,474 --> 03:12:41,774
DEPARTMENT.

5719
03:12:41,774 --> 03:12:42,942
>> I'LL PIGGY BACK ON
THAT.

5720
03:12:42,942 --> 03:12:47,513
I THINK ALSO THERE'S OF PIECE OF

5721
03:12:47,513 --> 03:12:48,882
GROUNDING THE RELATIONSHIP

5722
03:12:48,882 --> 03:12:50,083
BETWEEN PUBLIC HEALTH AND

5723
03:12:50,083 --> 03:12:50,683
PREVENTION IN ALL THAT WE'RE

5724
03:12:50,683 --> 03:12:52,852
DOING AT ODS.

5725
03:12:52,852 --> 03:12:54,287
I THINK ESPECIALLY AS YOU

5726
03:12:54,287 --> 03:12:55,388
APPROACH THOSE TOPICS, THERE'S

5727
03:12:55,388 --> 03:12:58,825
ALSO THE OVERLAY OF PREVENTION

5728
03:12:58,825 --> 03:12:59,926
THROUGHOUT THE LIFECOURSE, AND

5729
03:12:59,926 --> 03:13:02,262
SO WE HAVE THAT HEALTHY LIFESPAN

5730
03:13:02,262 --> 03:13:03,363
PIECE THAT STEFAN MENTIONED IN

5731
03:13:03,363 --> 03:13:05,131
OUR STRATEGIC PLAN.

5732
03:13:05,131 --> 03:13:07,467
AND WE ALSO HAVE TO THINK ABOUT

5733
03:13:07,467 --> 03:13:09,469
THE HEALTH DISPARITIES THAT

5734
03:13:09,469 --> 03:13:11,304
EXIST IN PREVENTION IN BOTH

5735
03:13:11,304 --> 03:13:13,206
PRIMARY, SECONDARY AND TERTIARY

5736
03:13:13,206 --> 03:13:13,740
PREVENTION.

5737
03:13:13,740 --> 03:13:16,409
WE MIGHT HAVE VERY EFFICACIOUS

5738
03:13:16,409 --> 03:13:17,143
NUTRITION INTERVENTIONS THAT

5739
03:13:17,143 --> 03:13:19,045
COULD WORK TO PREVENT A CERTAIN

5740
03:13:19,045 --> 03:13:20,880
CONDITION OR DELAY THE ONSET OF

5741
03:13:20,880 --> 03:13:21,948
A CERTAIN CONDITION, BUT IT

5742
03:13:21,948 --> 03:13:24,350
MIGHT NOT BE ACCESSIBLE,

5743
03:13:24,350 --> 03:13:25,018
EQUITABLE, CULTURALLY COMPETENT,

5744
03:13:25,018 --> 03:13:25,952
AND SO WE'RE THINKING ABOUT ALL

5745
03:13:25,952 --> 03:13:30,423
THOSE QUESTIONS TOO.

5746
03:13:30,423 --> 03:13:31,858
>> SO I HAVE TO SAY I'M

5747
03:13:31,858 --> 03:13:33,293
ALWAYS -- OH, SORRY, GO AHEAD.

5748
03:13:33,293 --> 03:13:35,228
>> I JUST WANT TO TAKE ONE
QUICK

5749
03:13:35,228 --> 03:13:38,097
SECOND AND RESPOND TO COMMENT

5750
03:13:38,097 --> 03:13:41,501
ABOUT STANDARDIZATION AND SOME

5751
03:13:41,501 --> 03:13:43,836
OF THE NOISINESS IN DIETARY

5752
03:13:43,836 --> 03:13:44,437
SUPPLEMENT SCIENCE.

5753
03:13:44,437 --> 03:13:48,007
WE FULLY RECOGNIZE THAT AT ODS,

5754
03:13:48,007 --> 03:13:48,641
IT'S ONE OF THE FIRST QUESTIONS

5755
03:13:48,641 --> 03:13:50,209
I ASK MY STAFF, HAVE WE DONE

5756
03:13:50,209 --> 03:13:51,311
ANYTHING TO ADDRESS, I WOULD

5757
03:13:51,311 --> 03:13:54,113
SAY, THE COMPLICATIONS AND

5758
03:13:54,113 --> 03:13:55,949
HETEROGENEITY IN DIETARY

5759
03:13:55,949 --> 03:13:56,516
SUPPLEMENT SCIENCE, AND THE

5760
03:13:56,516 --> 03:13:58,151
ANSWER IS WE HAVE ADDRESSED A

5761
03:13:58,151 --> 03:13:59,352
PART OF IT WITH THE ANALYTICAL

5762
03:13:59,352 --> 03:13:59,719
PIECE.

5763
03:13:59,719 --> 03:14:01,287
THERE'S SO MUCH MORE WE CAN DO,

5764
03:14:01,287 --> 03:14:03,423
AND WE KNOW THAT WE HAVE TO

5765
03:14:03,423 --> 03:14:05,191
IMPROVE OUR TOOLS AND

5766
03:14:05,191 --> 03:14:06,693
METHODOLOGIES FOR UNDERSTANDING

5767
03:14:06,693 --> 03:14:08,728
DIETARY INTACT, NUTRITIONAL

5768
03:14:08,728 --> 03:14:11,297
STATUS, UNDERSTANDING WHAT'S IN

5769
03:14:11,297 --> 03:14:12,031
DIETARY SUPPLEMENTS, HOW TO

5770
03:14:12,031 --> 03:14:14,867
MEASURE THEM BIOLOGICALLY, BUT

5771
03:14:14,867 --> 03:14:17,503
MORE IMPORTANT HOW TO GET

5772
03:14:17,503 --> 03:14:18,404
TRIALS.

5773
03:14:18,404 --> 03:14:21,007
SO IT'S A NEW LIFT, CONCEPT

5774
03:14:21,007 --> 03:14:23,209
WE'RE STARTING TO DEVELOP NOW

5775
03:14:23,209 --> 03:14:25,511
AND IT'S MORE COMPLEMENTARY TO

5776
03:14:25,511 --> 03:14:29,415
THE NUTRITION CONTINUUM BUT AN

5777
03:14:29,415 --> 03:14:30,416
IMPORTANT FOUNDATIONAL PIECE AS

5778
03:14:30,416 --> 03:14:31,751
WE MOVE THIS FORWARD.

5779
03:14:31,751 --> 03:14:33,052
SO FULLY RECOGNIZE THE COMMENTS

5780
03:14:33,052 --> 03:14:33,419
YOU MADE.

5781
03:14:33,419 --> 03:14:33,953
>> THANKS.

5782
03:14:33,953 --> 03:14:36,556
IF WAS JUST GOING TO SAY, IT'S

5783
03:14:36,556 --> 03:14:38,257
ALWAYS WONDERFUL WHEN THERE'S SO

5784
03:14:38,257 --> 03:14:39,659
MUCH ENTHUSIASM IN THIS AREA

5785
03:14:39,659 --> 03:14:40,960
BECAUSE IT'S ALSO PARTIALLY MY

5786
03:14:40,960 --> 03:14:44,397
AREA, BUT I WANTED TO PIGGY BACK

5787
03:14:44,397 --> 03:14:45,131
ON THE PUBLIC HEALTH PIECE, AND

5788
03:14:45,131 --> 03:14:47,500
EVEN ASK, I IS THE FRAMEWORK

5789
03:14:47,500 --> 03:14:49,502
INDEED BIGGER IN THAT IT'S

5790
03:14:49,502 --> 03:14:51,838
PLANETARY AND ECOLOGICAL,

5791
03:14:51,838 --> 03:14:55,041
BECAUSE RIGHT NOW WE HAVE A FOOD

5792
03:14:55,041 --> 03:14:58,411
SYSTEM, I BELIEVE THAT THEY SAID

5793
03:14:58,411 --> 03:15:00,446
IF YOU MET THE USDA FOR

5794
03:15:00,446 --> 03:15:03,282
EVERYBODY EATING GREENS AND

5795
03:15:03,282 --> 03:15:04,984
BEANS, SOME RIDICULOUS AMOUNT --

5796
03:15:04,984 --> 03:15:07,453
LIKE 15% OF PEOPLE WOULD WIPE

5797
03:15:07,453 --> 03:15:09,055
OUT ALL OF OUR GREENS AND BEANS

5798
03:15:09,055 --> 03:15:10,690
THAT WE CURRENTLY GROW.

5799
03:15:10,690 --> 03:15:14,994
AND WE HAVE AN AGRICULTURAL

5800
03:15:14,994 --> 03:15:16,696
SYSTEM THAT CAUSE PROBABLY

5801
03:15:16,696 --> 03:15:18,431
SENTIENT ANIMALS TO SUFFER

5802
03:15:18,431 --> 03:15:19,332
HORRIBLY THROUGH THEIR ENTIRE

5803
03:15:19,332 --> 03:15:23,269
LIFE IN OUR SERVICE FOR THINGS

5804
03:15:23,269 --> 03:15:25,004
THAT SEEM NUTRITIONALLY SOUND.

5805
03:15:25,004 --> 03:15:27,940
WHETHER IT BE A CHICKEN OR FISH

5806
03:15:27,940 --> 03:15:28,708
FARMING.

5807
03:15:28,708 --> 03:15:33,913
SO I MEAN, WHERE'S THE LINE OF

5808
03:15:33,913 --> 03:15:35,114
WHERE YOU GUYS WANT TO PUSH

5809
03:15:35,114 --> 03:15:35,648
THAT?

5810
03:15:35,648 --> 03:15:42,221
BECAUSE I KNOW IT'S BIG.

5811
03:15:42,221 --> 03:15:46,726
>> I CAN'T HOLD MYSELF --
I'M

5812
03:15:46,726 --> 03:15:46,993
DIVING IN.

5813
03:15:46,993 --> 03:15:47,460
I'LL BE FAST.

5814
03:15:47,460 --> 03:15:49,429
YOU'RE SPOT-ON, BECAUSE THE

5815
03:15:49,429 --> 03:15:52,765
CURRENT STATS, RIGHT NOW OUR

5816
03:15:52,765 --> 03:15:54,100
AGRICULTURAL PRACTICES USE 40%

5817
03:15:54,100 --> 03:15:56,269
OF OUR LAND MASS, 70% OF OUR

5818
03:15:56,269 --> 03:15:57,703
FRESHWATER WITHDRAWAL, 25% OF

5819
03:15:57,703 --> 03:15:59,572
OUR GREENHOUSE CARBONS EMISSIONS

5820
03:15:59,572 --> 03:16:00,807
ARE FROM AGRICULTURE, AS WELL AS

5821
03:16:00,807 --> 03:16:03,342
AIR AND WATER POLLUTION.

5822
03:16:03,342 --> 03:16:05,378
THAT'S WHERE WE ARE.

5823
03:16:05,378 --> 03:16:06,646
SO WHERE DOES THIS FIT IN TO THE

5824
03:16:06,646 --> 03:16:07,480
PICTURE?

5825
03:16:07,480 --> 03:16:08,915
THERE'S RECOGNITION THAT OUR

5826
03:16:08,915 --> 03:16:09,715
CURRENT PRACTICES HAVE TO

5827
03:16:09,715 --> 03:16:10,183
CHANGE.

5828
03:16:10,183 --> 03:16:12,251
CAN WE USE SCIENCE TO INFORM THE

5829
03:16:12,251 --> 03:16:14,287
SOLUTIONS, THOUGH, AND THIS IS

5830
03:16:14,287 --> 03:16:18,558
WHERE I SHOWED THE SLIDE WORKING

5831
03:16:18,558 --> 03:16:24,530
WITH THE USDA, I HAVE LOTS OF --

5832
03:16:24,530 --> 03:16:27,166
HOW TO USE A.I. AND OTHER TYPES

5833
03:16:27,166 --> 03:16:32,772
OF METHODS TO IMPROVE FARMING.

5834
03:16:32,772 --> 03:16:34,640
THERE'S MOTION IN ALL THESE

5835
03:16:34,640 --> 03:16:35,608
SPACES, BUT THEY'RE ALL PART OF

5836
03:16:35,608 --> 03:16:37,477
THIS CONTINUUM TOO.

5837
03:16:37,477 --> 03:16:41,314
AND SO I APPRECIATE YOUR COMMENT

5838
03:16:41,314 --> 03:16:43,216
BECAUSE MY LITTLE -- I DREW THAT

5839
03:16:43,216 --> 03:16:44,684
TRIANGLE IN MY HEAD DURING A RUN

5840
03:16:44,684 --> 03:16:46,886
ONE NIGHT, IT'S VERY -- TO ME,

5841
03:16:46,886 --> 03:16:49,055
THEY'RE ALL INTERCONNECTED.

5842
03:16:49,055 --> 03:16:52,925
AND I THINK, AGAIN, THIS IS

5843
03:16:52,925 --> 03:16:54,627
BIGGER THAN JUST THE POPULATION,

5844
03:16:54,627 --> 03:16:58,831
IT IS THE PLANET, BUT HELENE'S

5845
03:16:58,831 --> 03:17:01,534
POINT IS BEAUTIFUL, THAT SOIL

5846
03:17:01,534 --> 03:17:03,302
THAT WE GO OUTSIDE AND PLAY

5847
03:17:03,302 --> 03:17:05,538
SOCCER LATER WITH MY DAUGHTER,

5848
03:17:05,538 --> 03:17:06,973
WE KICK THE SOIL, THAT'S

5849
03:17:06,973 --> 03:17:09,075
IMPACTING WHAT'S BEING GROWN AND

5850
03:17:09,075 --> 03:17:10,877
THAT'S BEING IMPACTED BY THE

5851
03:17:10,877 --> 03:17:11,978
ENVIRONMENT AND THAT COULD BE

5852
03:17:11,978 --> 03:17:12,712
DIFFERENT TOMORROW AND NEXT WEEK

5853
03:17:12,712 --> 03:17:14,113
AND WE NEED TO BE NIMBLE AND

5854
03:17:14,113 --> 03:17:21,921
ADAPT WITH IT.

5855
03:17:21,921 --> 03:17:23,856
>> WE'RE PRETTY MUCH AT
TIME,

5856
03:17:23,856 --> 03:17:24,090
RIGHT?

5857
03:17:24,090 --> 03:17:25,791
IS THERE ONE MORE QUESTION?

5858
03:17:25,791 --> 03:17:30,329
YEAH, BOB.

5859
03:17:30,329 --> 03:17:31,731
NADIA, HAVE YOU BEEN LEFT

5860
03:17:31,731 --> 03:17:31,964
BEHIND?

5861
03:17:31,964 --> 03:17:33,533
>> I HAD A QUESTION BUT
THE

5862
03:17:33,533 --> 03:17:35,268
DISCUSSION ACTUALLY ADDRESSED

5863
03:17:35,268 --> 03:17:37,937
IT, SO THIS HAS BEEN REALLY

5864
03:17:37,937 --> 03:17:38,771
INTERESTING TO LISTEN TO.

5865
03:17:38,771 --> 03:17:43,409
THANK YOU ALL.

5866
03:17:43,409 --> 03:17:45,178
>> I DO HAVE A QUICK
QUESTION,

5867
03:17:45,178 --> 03:17:47,446
IT COMES FROM A TRIP TO THE

5868
03:17:47,446 --> 03:17:49,215
GROCERY STORE TO BUY A WHOLE RAW

5869
03:17:49,215 --> 03:17:49,882
CHICKEN.

5870
03:17:49,882 --> 03:17:51,284
THE INGREDIENT SHOULD BE NOTHING

5871
03:17:51,284 --> 03:17:53,019
BUT CHICKEN, OKAY?

5872
03:17:53,019 --> 03:17:53,986
UNCOOKED RAW CHICKEN.

5873
03:17:53,986 --> 03:17:55,288
I LOOK AT THE LABEL, BECAUSE I

5874
03:17:55,288 --> 03:17:58,157
WANT A RAW CHICKEN, AND WHAT'S

5875
03:17:58,157 --> 03:18:00,326
IN THERE, IT'S LIKE UP TO 15%

5876
03:18:00,326 --> 03:18:03,563
WEIGHT OF CHICKEN BROTH, SALT,

5877
03:18:03,563 --> 03:18:06,966
AND CARE GEENEN, ONE OF THE VERY

5878
03:18:06,966 --> 03:18:09,035
COMMON FOOD ADDITIVES, AND I'M A

5879
03:18:09,035 --> 03:18:10,469
BASIC SCIENTIST OR SOMEWHAT

5880
03:18:10,469 --> 03:18:11,971
BASIC TRANSLATIONAL SCIENTIST

5881
03:18:11,971 --> 03:18:12,805
AND BACK IN THE DAY, PEOPLE

5882
03:18:12,805 --> 03:18:17,476
WOULD INJECT CARAGEENAN INTO THE

5883
03:18:17,476 --> 03:18:19,445
RAT MEAT TO CAUSE A MODEL OF

5884
03:18:19,445 --> 03:18:20,646
INFLAMMATION, AND I'M WONDERING,

5885
03:18:20,646 --> 03:18:26,252
IS THERE A MECHANISM, AND WHOSE

5886
03:18:26,252 --> 03:18:28,387
PURVIEW WOULD A CURRENTLY

5887
03:18:28,387 --> 03:18:34,160
INVOLAPPROVED DIETARY SUPPLEMENT

5888
03:18:34,160 --> 03:18:36,362
MIGHT BE CAUSING SOME MAYBE

5889
03:18:36,362 --> 03:18:37,430
SUBTLE, LONG TERM NEGATIVE

5890
03:18:37,430 --> 03:18:39,398
HEALTH CONSEQUENCES, NOT

5891
03:18:39,398 --> 03:18:42,568
OUTRIGHT TOXICITY, WHOSE EJUS

5892
03:18:42,568 --> 03:18:46,706
WOULD THAT FALL UNDER?

5893
03:18:46,706 --> 03:18:50,710
>>

5894
03:18:50,710 --> 03:18:52,411
>> THIS WHOLE RECOGNIZED

5895
03:18:52,411 --> 03:18:53,846
GENERALLY RECOGNIZED AS SAFE

5896
03:18:53,846 --> 03:18:55,081
DESIGNATION IS THE ISSUE, RIGHT?

5897
03:18:55,081 --> 03:18:57,783
THIS IS NOT JUST IN FOOD, IN

5898
03:18:57,783 --> 03:18:58,484
COST MEDICS.

5899
03:18:58,484 --> 03:19:00,253
WE HAD A BIG DISCUSSION OF THAT

5900
03:19:00,253 --> 03:19:02,622
AT THE ENDOCRINE DISRUPTOR

5901
03:19:02,622 --> 03:19:04,924
CONFERENCE WE ARE RECENTLY, ALL

5902
03:19:04,924 --> 03:19:07,293
THESE THINGS THAT WE CONSUME,

5903
03:19:07,293 --> 03:19:11,564
THAT WE PUT ON OUR SKIN, THAT --

5904
03:19:11,564 --> 03:19:13,065
SO YES, BIG TOPIC.

5905
03:19:13,065 --> 03:19:15,868
AND I THINK THAT THERE'S A FEW

5906
03:19:15,868 --> 03:19:17,270
THINGS THAT ARE BUBBLING UP TO

5907
03:19:17,270 --> 03:19:21,407
THE SURFACE SUCH AS, FOR

5908
03:19:21,407 --> 03:19:22,875
EXAMPLE, THE PFAS SUBSTANCES

5909
03:19:22,875 --> 03:19:26,812
THAT PEOPLE ARE STARTING TO

5910
03:19:26,812 --> 03:19:28,080
BECOME MORE AWARE.

5911
03:19:28,080 --> 03:19:29,715
CAR GEENEN, I TOTALLY AGREE WITH

5912
03:19:29,715 --> 03:19:30,850
YOU, IT'S A SCARY THING.

5913
03:19:30,850 --> 03:19:36,489
I NEVER BUY ICE CREAM THAT HAS

5914
03:19:36,489 --> 03:19:37,823
CARRAGEENAN BUT IT'S HARD TO

5915
03:19:37,823 --> 03:19:38,357
FIND.

5916
03:19:38,357 --> 03:19:39,859
SO YEAH, I MEAN, I DON'T KNOW IF

5917
03:19:39,859 --> 03:19:41,727
YOU HAVE ANY --

5918
03:19:41,727 --> 03:19:43,129
>> I VOLUNTEERED STEFAN
FOR

5919
03:19:43,129 --> 03:19:43,396
THAT.

5920
03:19:43,396 --> 03:19:47,733
KIDDING.

5921
03:19:47,733 --> 03:19:49,468
YOUR POINT IS SPOT ON BUT I WANT

5922
03:19:49,468 --> 03:19:50,870
TO REASSURE YOU THAT THIS IS

5923
03:19:50,870 --> 03:19:52,471
SOMETHING THAT WE HAVE ALMOST

5924
03:19:52,471 --> 03:19:55,174
DAILY DISCUSSIONS WITH OUR FDA

5925
03:19:55,174 --> 03:19:56,409
COLLEAGUES, AND IN THE NEW

5926
03:19:56,409 --> 03:19:57,810
ENGLAND JOURNAL JUST YESTERDAY,

5927
03:19:57,810 --> 03:20:00,379
THERE WAS A NICE PIECE BY EMILY

5928
03:20:00,379 --> 03:20:04,016
LEIB AND HER COLLEAGUES AT

5929
03:20:04,016 --> 03:20:05,418
HARVARD THAT TOUCHED ON THESE

5930
03:20:05,418 --> 03:20:08,754
PRODUCTS IN FOOD.

5931
03:20:08,754 --> 03:20:11,924
AND ROCK CALIFF IS CERTAINLY

5932
03:20:11,924 --> 03:20:13,459
VERY INVESTED IN THIS SPACE, AND

5933
03:20:13,459 --> 03:20:16,395
ONE OF THE CHALLENGES, WHAT IS

5934
03:20:16,395 --> 03:20:18,531
THE EVIDENCE, WHAT IS THE DATA

5935
03:20:18,531 --> 03:20:23,602
AND WHAT IS THE EVIDENTIARY BAR

5936
03:20:23,602 --> 03:20:27,106
FOR REGULATING FOOD.

5937
03:20:27,106 --> 03:20:28,307
NOT TO BE SELF PROMOTING, IN

5938
03:20:28,307 --> 03:20:32,311
DEAS OF DECEMBER OF THIS YEAR, E

5939
03:20:32,311 --> 03:20:34,780
HAVING A JOINT NIH FDA WORKSHOP,

5940
03:20:34,780 --> 03:20:39,985
IT IS FOCUSED ON NUTRITION

5941
03:20:39,985 --> 03:20:40,786
REGULATORY SCIENCE.

5942
03:20:40,786 --> 03:20:42,922
WHAT ARE THE BARS, WHAT IS THE

5943
03:20:42,922 --> 03:20:43,856
EVOLUTIONARY STANDARD AND WHAT

5944
03:20:43,856 --> 03:20:45,791
ARE THE SPECIFIC BIOMARKERS AND

5945
03:20:45,791 --> 03:20:47,993
QUESTIONS THAT FDA CAN THEN

5946
03:20:47,993 --> 03:20:49,762
UTILIZE TO INFORM THESE TYPES OF

5947
03:20:49,762 --> 03:20:50,696
REGULATORY DECISIONS.

5948
03:20:50,696 --> 03:20:55,801
SO HE'LL PROMOT I'LL PROMOTE THT

5949
03:20:55,801 --> 03:20:57,803
THEY RECOGNIZE THE GRASS IS AN

5950
03:20:57,803 --> 03:20:58,404
IMPERFECT SYSTEM AND THEY'RE

5951
03:20:58,404 --> 03:20:59,538
LOOKING FOR SCIENTIFIC GUIDANCE,

5952
03:20:59,538 --> 03:21:01,006
WHAT ARE THE BARS, HOW CAN

5953
03:21:01,006 --> 03:21:03,542
SCIENCE BE DONE TO INFORM

5954
03:21:03,542 --> 03:21:04,944
BIOLOGY BUT ALSO TO INFORM

5955
03:21:04,944 --> 03:21:05,378
REGULATORS.

5956
03:21:05,378 --> 03:21:06,412
SO WE'RE HAVING THOSE

5957
03:21:06,412 --> 03:21:08,914
DISCUSSIONS.

5958
03:21:08,914 --> 03:21:09,749
>> GREAT.

5959
03:21:09,749 --> 03:21:10,416
THANKS VERY MUCH.

5960
03:21:10,416 --> 03:21:11,283
>> WE'RE DEFINITELY --
WE'RE

5961
03:21:11,283 --> 03:21:12,418
JUST A FEW MINUTES PAST TIME.

5962
03:21:12,418 --> 03:21:15,521
I REALLY WANT TO THANK OUR

5963
03:21:15,521 --> 03:21:16,555
DISCUSSANT AND OUR SPEAKERS.

5964
03:21:16,555 --> 03:21:18,224
THIS WAS A REALLY, REALLY

5965
03:21:18,224 --> 03:21:19,325
FASCINATING SESSION.

5966
03:21:19,325 --> 03:21:27,867
SO THANK YOU.

5967
03:21:27,867 --> 03:21:29,301
>> LET'S QUICKLY CHECK IN
WITH

5968
03:21:29,301 --> 03:21:29,835
EVERYBODY.

5969
03:21:29,835 --> 03:21:32,271
HOW ARE WE DOING?

5970
03:21:32,271 --> 03:21:33,672
DO WE NEED A BREAK FOR A FEW

5971
03:21:33,672 --> 03:21:39,478
MINUTES?

5972
03:21:39,478 --> 03:21:41,647
DURING THIS, OR DO WE WANT TO

5973
03:21:41,647 --> 03:21:43,749
PUSH THROUGH -- FIVE MINUTES?

5974
03:21:43,749 --> 03:21:45,050
FIVE MINUTES BREAK, OKAY.

5975
03:21:45,050 --> 03:21:46,585
IT IS DECIDED, FIVE-MINUTE

5976
03:21:46,585 --> 03:21:49,912
BREAK.

5977
03:21:49,912 --> 03:21:50,980
WELCOME BACK, EVERYONE.

5978
03:21:50,980 --> 03:21:52,682
WE ARE GETTING STARTED IN THE

5979
03:21:52,682 --> 03:21:54,117
LAST HOUR OF OUR MEETING WITH

5980
03:21:54,117 --> 03:21:58,788
THE PRESENTATION ON THE NIH CARE

5981
03:21:58,788 --> 03:22:00,023
OF HEALTH INITIATIVE.

5982
03:22:00,023 --> 03:22:00,990
I'M TURNING THE MEETING BACK

5983
03:22:00,990 --> 03:22:02,759
OVER TO DR. LANGEVIN TO

5984
03:22:02,759 --> 03:22:05,395
INTRODUCE OUR SPEAKER.

5985
03:22:05,395 --> 03:22:06,696
>> OKAY.

5986
03:22:06,696 --> 03:22:10,700
SO IT MY GREAT PLEASURE NOW TO

5987
03:22:10,700 --> 03:22:12,402
INTRODUCE OUR NEXT SPEAKER, WHO

5988
03:22:12,402 --> 03:22:14,504
IS GOING TO GIVE US A

5989
03:22:14,504 --> 03:22:16,239
PRESENTATION ON THE NIH CARE FOR

5990
03:22:16,239 --> 03:22:19,008
HEALTH INITIATIVE.

5991
03:22:19,008 --> 03:22:20,209
THIS IS AN INITIATIVE I TALKED

5992
03:22:20,209 --> 03:22:21,778
ABOUT A LITTLE EARLIER TODAY IN

5993
03:22:21,778 --> 03:22:23,980
MY DIRECTOR'S REPORT.

5994
03:22:23,980 --> 03:22:26,049
AND WE ARE SO LUCKY TO HAVE WITH

5995
03:22:26,049 --> 03:22:28,484
US TODAY DR. AMY PATTERSON,

5996
03:22:28,484 --> 03:22:30,086
WHO'S THE INTERIM SCIENTIFIC AND

5997
03:22:30,086 --> 03:22:33,790
MEDICAL DIRECTOR FOR THE -- NO,

5998
03:22:33,790 --> 03:22:35,625
SHE'S NOT INTERIM ANYMORE,

5999
03:22:35,625 --> 03:22:36,392
SCIENTIFIC PED MEDALLION CAL

6000
03:22:36,392 --> 03:22:39,028
DIRECTOR FOR THE NIH COMMUNITIES

6001
03:22:39,028 --> 03:22:40,530
ADVANCING HEALTH RESEARCH EQUITY

6002
03:22:40,530 --> 03:22:41,464
OR CARE FOR HEALTH INITIATIVE,

6003
03:22:41,464 --> 03:22:44,100
WHICH IS A PILOT PROGRAM FOCUSED

6004
03:22:44,100 --> 03:22:45,902
ON INTEGRATING CLINICAL RESEARCH

6005
03:22:45,902 --> 03:22:47,670
IN PRIMARY CARE SETTINGS.

6006
03:22:47,670 --> 03:22:49,439
SHE PREVIOUSLY SERVED FOR

6007
03:22:49,439 --> 03:22:50,873
SEVERAL YEARS AS THE DEPUTY

6008
03:22:50,873 --> 03:22:53,409
DIRECTOR FOR CLINICAL RESEARCH

6009
03:22:53,409 --> 03:22:55,144
AS THE DIRECTOR OF SCIENTIFIC

6010
03:22:55,144 --> 03:22:57,080
RESEARCH PROGRAMS, POLICY AND

6011
03:22:57,080 --> 03:22:58,681
STRATEGIC INITIATIVES AT THE

6012
03:22:58,681 --> 03:22:59,716
NATIONAL HEART, LUNG AND BLOOD

6013
03:22:59,716 --> 03:23:01,317
INSTITUTE.

6014
03:23:01,317 --> 03:23:02,285
DR. PATTERSON ALSO SERVED FOR

6015
03:23:02,285 --> 03:23:04,620
MANY YEARS AS THE NIH ASSOCIATE

6016
03:23:04,620 --> 03:23:07,023
DIRECTOR FOR SCIENCE POLICY.

6017
03:23:07,023 --> 03:23:08,925
SHE HAS A LONG TRACK RECORD OF

6018
03:23:08,925 --> 03:23:10,126
ACCOMPLISHMENT IN SUCH AREAS AS

6019
03:23:10,126 --> 03:23:12,562
THE DEVELOPMENT OF OVERSIGHT TO

6020
03:23:12,562 --> 03:23:13,229
CLINICAL TRIALS, CLINICAL

6021
03:23:13,229 --> 03:23:15,431
RESEARCH POLICY, DEVELOPMENT,

6022
03:23:15,431 --> 03:23:17,100
AND SCIENCE POLICY IMPLICATIONS

6023
03:23:17,100 --> 03:23:18,935
FOR EMERGING NEW TECHNOLOGIES.

6024
03:23:18,935 --> 03:23:22,138
I'M SO EXCITED TO HAVE AMY HERE

6025
03:23:22,138 --> 03:23:22,839
TO PRESENT ABOUT THE IMPORTANT

6026
03:23:22,839 --> 03:23:25,942
WORK OF THE CARE FOR HEALTH

6027
03:23:25,942 --> 03:23:26,376
INITIATIVE.

6028
03:23:26,376 --> 03:23:27,677
AS ONE OF THE THREE CO-CHAIRS OF

6029
03:23:27,677 --> 03:23:29,278
THIS INITIATIVE, I HAVE ENJOYED

6030
03:23:29,278 --> 03:23:32,749
VERY MUCH WORKING WITH AMY AND

6031
03:23:32,749 --> 03:23:34,183
THE TEAM AND THEY'VE GOTTEN

6032
03:23:34,183 --> 03:23:35,852
RIGHT TO WORK IN LAUNCHING THIS

6033
03:23:35,852 --> 03:23:38,654
CARE FOR HEALTH INITIATIVE IN

6034
03:23:38,654 --> 03:23:42,492
ABSOLUTELY RECORD SPEED, AND

6035
03:23:42,492 --> 03:23:43,960
THIS TEAM IS WITHIN THE NIH

6036
03:23:43,960 --> 03:23:45,695
DIVISION OF PROGRAM

6037
03:23:45,695 --> 03:23:46,429
COORDINATION, PLANNING AND

6038
03:23:46,429 --> 03:23:47,764
STRATEGIC INITIATIVES HERE AT

6039
03:23:47,764 --> 03:23:52,402
NIH.

6040
03:23:52,402 --> 03:23:54,036
SO AMY, TAKE IT AWAY.

6041
03:23:54,036 --> 03:23:55,004
>> THANK YOU SO MUCH,

6042
03:23:55,004 --> 03:23:55,705
DR. LANGEVIN, AND GOOD

6043
03:23:55,705 --> 03:23:56,572
AFTERNOON, EVERYONE.

6044
03:23:56,572 --> 03:23:58,508
ON BEHALF OF THE NIH CARE FOR

6045
03:23:58,508 --> 03:23:59,308
HEALTH TEAM, I'M REALLY PLIED TO

6046
03:23:59,308 --> 03:24:02,378
PLEASETODAY HAVE THIS OPPORTUNIO

6047
03:24:02,378 --> 03:24:05,648
INTRODUCE THIS NEW PROGRAM TO

6048
03:24:05,648 --> 03:24:06,849
YOU AND LOOK FORWARD TO HEARING

6049
03:24:06,849 --> 03:24:08,017
YOUR COMMENTS AND QUESTIONS

6050
03:24:08,017 --> 03:24:09,786
BECAUSE WE'RE REALLY AT THE

6051
03:24:09,786 --> 03:24:10,420
BEGINNING STAGES OF DEVELOPING

6052
03:24:10,420 --> 03:24:11,154
THE PROGRAM.

6053
03:24:11,154 --> 03:24:12,855
WE'LL TAKE THE FIRST FEW MINUTES

6054
03:24:12,855 --> 03:24:15,858
TO GO OVER THE OVERARCHING AIMS

6055
03:24:15,858 --> 03:24:16,459
OF THE PROGRAM AND THEN WE'LL

6056
03:24:16,459 --> 03:24:17,760
DRILL DOWN ON THE PROPOSE AID

6057
03:24:17,760 --> 03:24:21,764
PPROPOSEDAPPROACH AND TIMELINE.

6058
03:24:21,764 --> 03:24:23,032
BUT FIRST LET'S START WITH THE

6059
03:24:23,032 --> 03:24:24,333
WHY, WHY THIS PROGRAM AND WHY

6060
03:24:24,333 --> 03:24:25,067
NOW.

6061
03:24:25,067 --> 03:24:29,705
I THINK THIS GROUP IS QUITE WELL

6062
03:24:29,705 --> 03:24:30,406
AWARE THAT THE HEALTH OF THE

6063
03:24:30,406 --> 03:24:31,874
U.S. POPULATION FOR A VARIETY OF

6064
03:24:31,874 --> 03:24:33,643
REASONS IS DECLINING, WITH

6065
03:24:33,643 --> 03:24:35,311
SIGNIFICANT DECLINES IN THE PAST

6066
03:24:35,311 --> 03:24:40,416
SEVERAL YEARS.

6067
03:24:40,416 --> 03:24:42,518
IN FACT, AS ILLUSTRATED IN THIS

6068
03:24:42,518 --> 03:24:43,820
SLIDE, U.S. LIFE EXPECTANCY

6069
03:24:43,820 --> 03:24:46,422
RANKS LOW AMONG OUR OEDC PIERCE.

6070
03:24:46,422 --> 03:24:47,757
THIS IS DESPITE THE FACT THAT WE

6071
03:24:47,757 --> 03:24:52,895
HAVE AMONG THE HIGHEST HEALTH

6072
03:24:52,895 --> 03:24:53,429
EXPENDITURES IN THE WORLD.

6073
03:24:53,429 --> 03:24:55,465
THIS DECLINE IS MOST PRONOUNCED

6074
03:24:55,465 --> 03:24:56,766
IN THE MEDICALLY UNDER KS

6075
03:24:56,766 --> 03:25:01,237
SERVED, AS U.S. HEALTH

6076
03:25:01,237 --> 03:25:02,772
DISPARITIES PERSIST AND GAPS

6077
03:25:02,772 --> 03:25:03,272
WIDEN.

6078
03:25:03,272 --> 03:25:04,974
POPULATIONS THAT ARE MEDICALLY

6079
03:25:04,974 --> 03:25:06,108
UNDERSERVED AND

6080
03:25:06,108 --> 03:25:07,043
DISPROPORTIONATELY IMPACTED BY

6081
03:25:07,043 --> 03:25:09,245
DISEASE AND ILLNESS ARE OFTEN

6082
03:25:09,245 --> 03:25:11,214
THOSE ALSO HISTORICALLY

6083
03:25:11,214 --> 03:25:11,814
UNDERREPRESENTED IN RESEARCH.

6084
03:25:11,814 --> 03:25:14,183
THIS LACK OF REPRESENTATION

6085
03:25:14,183 --> 03:25:17,019
COMPROMISES THE GENERALIZABILITY

6086
03:25:17,019 --> 03:25:19,755
OF OUR RESEARCH FINDINGS, IT

6087
03:25:19,755 --> 03:25:20,823
CREATES EVIDENCE GAPS, AND IT

6088
03:25:20,823 --> 03:25:23,593
FURTHER COMPOUNDS HEALTH

6089
03:25:23,593 --> 03:25:24,894
DISPARITIES.

6090
03:25:24,894 --> 03:25:26,662
SO AS THIS GROUP ALSO PREESHTSZ,

6091
03:25:26,662 --> 03:25:31,200
APPRECIATES, WE HAVE A CRITICAL

6092
03:25:31,200 --> 03:25:32,969
NEED TO EXTEND THE OPPORTUNITIES

6093
03:25:32,969 --> 03:25:34,003
FOR PARTICIPATING IN RESEARCH TO

6094
03:25:34,003 --> 03:25:35,438
UNDERSERVED AND UNDERREPRESENTED

6095
03:25:35,438 --> 03:25:37,139
POPULATIONS AND TO OFFER THOSE

6096
03:25:37,139 --> 03:25:38,274
OPPORTUNITIES FOR INCREASED

6097
03:25:38,274 --> 03:25:41,577
ACCESS TO RESEARCH WHERE PEOPLE

6098
03:25:41,577 --> 03:25:43,846
LIVE, WORK, AND SEEK CLINICAL

6099
03:25:43,846 --> 03:25:44,380
CARE.

6100
03:25:44,380 --> 03:25:46,883
AND TOWARD THIS END, NIH

6101
03:25:46,883 --> 03:25:48,217
RECENTLY ANNOUNCED THE LAUNCH OF

6102
03:25:48,217 --> 03:25:50,653
A PRIMARY CARE-BASED CLINICAL

6103
03:25:50,653 --> 03:25:52,221
RESEARCH NETWORK, OR COMMUNITIES

6104
03:25:52,221 --> 03:25:53,122
ADVANCING RESEARCH EQUITY FOR

6105
03:25:53,122 --> 03:25:54,557
HEALTH.

6106
03:25:54,557 --> 03:25:56,826
OR CARE FOR HEALTH.

6107
03:25:56,826 --> 03:25:58,694
THIS WILL BE A NETWORK OF

6108
03:25:58,694 --> 03:25:59,662
NETWORKS.

6109
03:25:59,662 --> 03:26:01,397
IT'S INTENDED TO BE

6110
03:26:01,397 --> 03:26:02,031
DISEASE-AGNOSTIC FACILITATING

6111
03:26:02,031 --> 03:26:05,001
AND ADVANCING THE MISSION AREAS

6112
03:26:05,001 --> 03:26:08,604
OF ALL OF OUR 27 INSTITUTES AND

6113
03:26:08,604 --> 03:26:12,108
CENTERS AND IT WILL FACILITATE

6114
03:26:12,108 --> 03:26:12,875
RESEARCH ACROSS HEALTH

6115
03:26:12,875 --> 03:26:13,843
CONDITIONS AND ACROSS THE

6116
03:26:13,843 --> 03:26:16,579
LIFESPAN, ADULT AND PEDIATRIC.

6117
03:26:16,579 --> 03:26:18,681
THE OVERARCHING GOAL OF CARE FOR

6118
03:26:18,681 --> 03:26:20,349
HEALTH IS TO WORK TOWARD A

6119
03:26:20,349 --> 03:26:22,652
FUTURE STATE, ONE IN WHICH WE

6120
03:26:22,652 --> 03:26:24,387
HAVE CLINICAL RESEARCH ROUTINELY

6121
03:26:24,387 --> 03:26:26,522
EMBEDDED ALONGSIDE WITH AND FOR

6122
03:26:26,522 --> 03:26:26,856
PRIMARY CARE.

6123
03:26:26,856 --> 03:26:29,425
SUCH THAT THE FRUITS OF THE

6124
03:26:29,425 --> 03:26:31,794
RESEARCH CAN ADVANCE CLINICAL

6125
03:26:31,794 --> 03:26:33,663
CARE AND ITS DELIVERY, AND ARE

6126
03:26:33,663 --> 03:26:37,066
APPLICABLE ACROSS OUR POPULA 

6127
03:26:37,066 --> 03:26:37,366
POPULATION.

6128
03:26:37,366 --> 03:26:38,467
THE CARE FOR HEALTH PROGRAM WILL

6129
03:26:38,467 --> 03:26:40,636
SUPPORT PRIMARY CARE-BASED

6130
03:26:40,636 --> 03:26:43,606
CLINICAL RESEARCH IN MISSION

6131
03:26:43,606 --> 03:26:47,410
AREAS SPANNING PREVENTION TO

6132
03:26:47,410 --> 03:26:49,478
TREATMENT, DISSEMINATION AND

6133
03:26:49,478 --> 03:26:50,580
IMPLEMENTATION, AND IT WILL HAVE

6134
03:26:50,580 --> 03:26:52,281
A FOCUS ON HEALTH EQUITY AND AN

6135
03:26:52,281 --> 03:26:56,285
EMPHASIS ON WHOLE PERSON HEALTH,

6136
03:26:56,285 --> 03:26:57,386
AND BASED ON THE INPUT WE'VE

6137
03:26:57,386 --> 03:26:58,754
RECEIVED SO FAR, WE KNOW THAT TO

6138
03:26:58,754 --> 03:27:00,022
BE SUCCESSFUL, THIS PROGRAM IS

6139
03:27:00,022 --> 03:27:01,057
GOING TO HAVE TO HAVE A NUMBER

6140
03:27:01,057 --> 03:27:03,025
OF KEY CHARACTERISTICS.

6141
03:27:03,025 --> 03:27:05,895
NUMBER ONE, IT'S GOT TO BE

6142
03:27:05,895 --> 03:27:07,129
PRACTICE-BASED AND

6143
03:27:07,129 --> 03:27:08,130
PATIENT-CENTERED, MEANING THAT

6144
03:27:08,130 --> 03:27:10,232
PRACTITIONERS AND PATIENTS ARE

6145
03:27:10,232 --> 03:27:11,834
OUR PARTNERS IN PLANNING THE

6146
03:27:11,834 --> 03:27:12,602
RESEARCH.

6147
03:27:12,602 --> 03:27:15,404
THE PROGRAM WILL ALSO NEED TO

6148
03:27:15,404 --> 03:27:16,439
CREATE A FOUNDATION FOR

6149
03:27:16,439 --> 03:27:19,008
SUSTAINED ENGAGEMENT AND

6150
03:27:19,008 --> 03:27:19,375
INFRASTRUCTURE.

6151
03:27:19,375 --> 03:27:22,845
IT WILL NEED TO FA WI FACILITATE

6152
03:27:22,845 --> 03:27:24,480
INNOVATIVE RESEARCH THAT

6153
03:27:24,480 --> 03:27:25,481
ADDRESSES THE QUESTIONS OF

6154
03:27:25,481 --> 03:27:28,217
IMPORTANCE TO FRONT LINE

6155
03:27:28,217 --> 03:27:29,485
PRACTITIONERS AND THEIR PATIENT

6156
03:27:29,485 --> 03:27:31,120
COMMUNITIES, AND IT WILL NEED TO

6157
03:27:31,120 --> 03:27:33,222
ENHANCE DISSEMINATION AND

6158
03:27:33,222 --> 03:27:34,423
IMPLEMENTATION OF EFFECTIVE CARE

6159
03:27:34,423 --> 03:27:37,426
STRATEGIES.

6160
03:27:37,426 --> 03:27:39,862
AS DR. LANGEVIN ALLUDED TO, SHE

6161
03:27:39,862 --> 03:27:42,064
IS A MEMBER OF A SENIOR NIH

6162
03:27:42,064 --> 03:27:43,933
LEADERSHIP TEAM THAT IS

6163
03:27:43,933 --> 03:27:45,768
PROVIDING OVERSIGHT FOR THE

6164
03:27:45,768 --> 03:27:46,002
PROGRAM.

6165
03:27:46,002 --> 03:27:51,207
SHE'S JOINED BY DR. JONI RUTTER

6166
03:27:51,207 --> 03:27:58,147
OF NCATS AND DR. DEBARA TUCCI

6167
03:27:58,147 --> 03:28:00,616
FROM NIDCD, ALONGSIDE DR. TARA

6168
03:28:00,616 --> 03:28:04,253
SCHWETZ, NIH DEPUTY DIRECTOR FOR

6169
03:28:04,253 --> 03:28:05,655
PROGRAM COORDINATION, PLANNING

6170
03:28:05,655 --> 03:28:06,622
AND STRATEGIC INITIATIVES AT

6171
03:28:06,622 --> 03:28:07,056
NIH.

6172
03:28:07,056 --> 03:28:09,325
THIS REALLY IS A TRANS-NIH

6173
03:28:09,325 --> 03:28:09,625
INITIATIVE.

6174
03:28:09,625 --> 03:28:11,327
AGAIN, THESE EFFORTS WILL TOUCH

6175
03:28:11,327 --> 03:28:13,129
THE MISSION AREAS OF ALL OF OUR

6176
03:28:13,129 --> 03:28:14,930
DIFFERENT INSTITUTES AND CENTERS

6177
03:28:14,930 --> 03:28:16,098
AND WE'RE GRATEFUL FOR MANY OF

6178
03:28:16,098 --> 03:28:18,567
THE STAFF ACROSS THE AGENCY

6179
03:28:18,567 --> 03:28:22,304
BEGINNING TO LEAN IN AND HELP US

6180
03:28:22,304 --> 03:28:26,242
SHAPE THIS EFFORT.

6181
03:28:26,242 --> 03:28:28,978
FORTUNATELY, WE DON'T HAVE TO

6182
03:28:28,978 --> 03:28:29,879
START FROM SCRATCH AT BUILDING

6183
03:28:29,879 --> 03:28:31,147
THE PROGRAM.

6184
03:28:31,147 --> 03:28:32,915
WE RECOGNIZE THERE'S A

6185
03:28:32,915 --> 03:28:34,550
TREMENDOUS AMOUNT OF EXPERTISE

6186
03:28:34,550 --> 03:28:39,388
IN A SUBSTANTIAL BODY OF WORK

6187
03:28:39,388 --> 03:28:41,424
ALREADY SHOWN ON THIS SLIDE, SO

6188
03:28:41,424 --> 03:28:42,091
WE LOOK FORWARD TO LEARNING FROM

6189
03:28:42,091 --> 03:28:44,160
AND WORKING WITH THEM AND OTHER

6190
03:28:44,160 --> 03:28:44,960
PARTNERS AS WE DEVELOP THIS

6191
03:28:44,960 --> 03:28:48,798
PROGRAM.

6192
03:28:48,798 --> 03:28:49,398
NOW PLANNING FOR THE CARE FOR

6193
03:28:49,398 --> 03:28:51,267
HEALTH INITIATIVE BEGAN EARLIER

6194
03:28:51,267 --> 03:28:53,903
THIS YEAR.

6195
03:28:53,903 --> 03:28:55,738
IT BEGAN WITH LISTENING,

6196
03:28:55,738 --> 03:28:57,673
LISTENING TO THOSE ENGAGED IN

6197
03:28:57,673 --> 03:28:59,341
AND WITH PRIMARY CARE CLINICAL

6198
03:28:59,341 --> 03:28:59,608
PRACTICE.

6199
03:28:59,608 --> 03:29:01,310
SO FOR THE FIRST HALF OF THIS

6200
03:29:01,310 --> 03:29:04,013
YEAR, WE HOSTED A SERIES OF

6201
03:29:04,013 --> 03:29:05,047
LISTENING SESSIONS AND A PUBLIC

6202
03:29:05,047 --> 03:29:07,483
WORKSHOP TO HEAR DIRECTLY FROM

6203
03:29:07,483 --> 03:29:08,751
PRIMARY CARE PROVIDERS, PATIENTS

6204
03:29:08,751 --> 03:29:09,919
AND PATIENT COMMUNITIES,

6205
03:29:09,919 --> 03:29:11,153
COMMUNITY HEALTH CENTERS,

6206
03:29:11,153 --> 03:29:16,092
RESEARCH NETWORKS, FEDERAL

6207
03:29:16,092 --> 03:29:16,726
AGENCIES, AND I WANTED TO SHARE

6208
03:29:16,726 --> 03:29:17,860
WITH YOU TODAY SOME OF THE MAJOR

6209
03:29:17,860 --> 03:29:19,628
THEMES THAT EMERGED DURING THESE

6210
03:29:19,628 --> 03:29:20,730
SESSIONS.

6211
03:29:20,730 --> 03:29:21,363
I'LL JUST TOUCH ON A FEW OF

6212
03:29:21,363 --> 03:29:23,099
THEM, BUT THEY'RE SERVING AS

6213
03:29:23,099 --> 03:29:24,767
FOUNDATIONAL CONCEPT TO US AS WE

6214
03:29:24,767 --> 03:29:28,170
DESIGN THIS PROGRAM.

6215
03:29:28,170 --> 03:29:30,973
PARTICIPANTS IN THE LISTENING

6216
03:29:30,973 --> 03:29:31,874
SESSIONS HIGHLIGHT THE

6217
03:29:31,874 --> 03:29:32,541
IMPORTANCE OF BUILDING

6218
03:29:32,541 --> 03:29:34,810
SUSTAINABLE AND EFFECTIVE

6219
03:29:34,810 --> 03:29:36,212
PARTNERSHIPS, TRANSITIONING FROM

6220
03:29:36,212 --> 03:29:38,380
EPISODIC ENGAGEMENT WHERE

6221
03:29:38,380 --> 03:29:44,186
RESEARCH IS PRESENT IN A RURAL

6222
03:29:44,186 --> 03:29:44,854
COMMUNITY FOR MAYBE A SINGLE

6223
03:29:44,854 --> 03:29:45,521
GRANT.

6224
03:29:45,521 --> 03:29:47,590
AND THERE'S A RESEARCH DESERT

6225
03:29:47,590 --> 03:29:48,824
FOR MANY YEARS TO COME.

6226
03:29:48,824 --> 03:29:50,392
SO TRANSITIONING FROM THIS KIND

6227
03:29:50,392 --> 03:29:52,595
OF E EPISODIC MODEL OF ENGAGEMET

6228
03:29:52,595 --> 03:29:54,330
TO MORE CONTINUOUS, WHERE WE

6229
03:29:54,330 --> 03:29:55,164
BUILD AND MAINTAIN CAPACITY

6230
03:29:55,164 --> 03:29:56,632
THROUGH MENTORSHIP,

6231
03:29:56,632 --> 03:29:58,300
ADMINISTRATIVE SUPPORT,

6232
03:29:58,300 --> 03:30:01,203
SUSTAINED STAFFING, AND MAINTAIN

6233
03:30:01,203 --> 03:30:03,005
ONGOING RELATIONSHIPS WITH LOCAL

6234
03:30:03,005 --> 03:30:05,608
COMMUNITY PARTNERS.

6235
03:30:05,608 --> 03:30:06,709
THEY POINTED TO -- WE OFTEN USE

6236
03:30:06,709 --> 03:30:11,747
THE WORD ABOUT BUILDING TRUST.

6237
03:30:11,747 --> 03:30:14,183
THEY POINTED OUT WE REALLY

6238
03:30:14,183 --> 03:30:16,452
SHOULD BE TALKING ABOUT

6239
03:30:16,452 --> 03:30:17,686
DEMONSTRATING TRUSTWORTHINESS,

6240
03:30:17,686 --> 03:30:18,921
TALKING ABOUT CODEVELOPING AND

6241
03:30:18,921 --> 03:30:20,222
CO-CREATING A RESEARCH AGENDA SO

6242
03:30:20,222 --> 03:30:24,226
THAT IT'S REALLY A BALANCED AND

6243
03:30:24,226 --> 03:30:24,760
BIDIRECTIONAL PARTNERSHIP.

6244
03:30:24,760 --> 03:30:25,861
THEY ALSO POINTED OUT THAT WE

6245
03:30:25,861 --> 03:30:27,930
NEEDED TO UNDERSTAND THE NEEDS

6246
03:30:27,930 --> 03:30:29,865
OF DIVERSE COMMUNITIES.

6247
03:30:29,865 --> 03:30:31,867
THAT THERE WOULD BE NO ONE SIZE

6248
03:30:31,867 --> 03:30:33,536
FITS ALL APPROACH THAT WOULD

6249
03:30:33,536 --> 03:30:34,904
WORK ACROSS THE BOARD THAT WE'D

6250
03:30:34,904 --> 03:30:37,406
NEED TO ADAPT THE ENGAGEMENT

6251
03:30:37,406 --> 03:30:38,841
STRATEGY, WE'D NEED TO ADAPT THE

6252
03:30:38,841 --> 03:30:41,043
RESEARCH APPROACHES, THAT WE'D

6253
03:30:41,043 --> 03:30:43,279
NEED TO RAISE PROVIDER AND

6254
03:30:43,279 --> 03:30:45,347
RESEARCHER CULTURAL COMPETENCIES

6255
03:30:45,347 --> 03:30:48,450
IN CERTAIN CONTEXTS, AND WE MAY

6256
03:30:48,450 --> 03:30:50,186
NEED TO ENHANCE COMMUNITY HEALTH

6257
03:30:50,186 --> 03:30:51,187
LITERACY.

6258
03:30:51,187 --> 03:30:52,655
THEY ALSO UNDERSCORED THE

6259
03:30:52,655 --> 03:30:55,591
IMPORTANCE OF ADDRESSING

6260
03:30:55,591 --> 03:30:56,992
PROVIDER NEEDS, AS PRACTICES ARE

6261
03:30:56,992 --> 03:30:58,727
ALREADY STRETCHED TO THE LIMIT

6262
03:30:58,727 --> 03:31:00,529
WITH VERY PRECIOUS MINUTES,

6263
03:31:00,529 --> 03:31:02,431
SCARCE MINUTES SPENT WITH EACH

6264
03:31:02,431 --> 03:31:04,333
PATIENT DURING THE DAY, AND THEN

6265
03:31:04,333 --> 03:31:05,668
TO TRY TO STRETCH THE TIME AND

6266
03:31:05,668 --> 03:31:07,937
HOURS AND EFFORT TO ALSO

6267
03:31:07,937 --> 03:31:09,538
UNDERTAKE RESEARCH IS A MAJOR

6268
03:31:09,538 --> 03:31:10,472
UNDERTAKING.

6269
03:31:10,472 --> 03:31:11,473
AND IN THIS REGARD, THEY ASKED

6270
03:31:11,473 --> 03:31:13,876
US TO CONSIDER THE WORKLOAD OF

6271
03:31:13,876 --> 03:31:14,810
HEALTHCARE PROVIDERS TO CONSIDER

6272
03:31:14,810 --> 03:31:16,812
WHAT THE ROUTINE WORK DAY

6273
03:31:16,812 --> 03:31:19,982
OPERATIONS LOOK LIKE, AND TO

6274
03:31:19,982 --> 03:31:22,585
PROVIDE ADEQUATE SUPPORT FOR

6275
03:31:22,585 --> 03:31:23,219
IMPLEMENTING RESEARCH.

6276
03:31:23,219 --> 03:31:26,088
THEY ALSO ASKED US TO LOOK AT

6277
03:31:26,088 --> 03:31:28,190
STUDIES THAT REDUCE BURDEN TO

6278
03:31:28,190 --> 03:31:29,658
PATIENTS AND PRACTITIONERS, AND

6279
03:31:29,658 --> 03:31:31,493
IN PARTICULAR, THINK ABOUT

6280
03:31:31,493 --> 03:31:33,896
INNOVATIVE STUDY DESIGNS THAT

6281
03:31:33,896 --> 03:31:35,998
LEVERAGE THE POWER OF

6282
03:31:35,998 --> 03:31:36,665
TECHNOLOGY.

6283
03:31:36,665 --> 03:31:38,500
I WAS LISTENING TO THE PREVIOUS

6284
03:31:38,500 --> 03:31:40,236
DISCUSSION THAT MENTIONED

6285
03:31:40,236 --> 03:31:41,337
UTILIZATION OF A.I., NOT ONLY IN

6286
03:31:41,337 --> 03:31:43,639
THE ANALYSIS OF DATA, BUT ALSO

6287
03:31:43,639 --> 03:31:45,441
IN THE DESIGN OF RESEARCH

6288
03:31:45,441 --> 03:31:46,175
STUDIES, AND THAT WAS ONE

6289
03:31:46,175 --> 03:31:47,042
EXAMPLE THAT WAS BROUGHT TO OUR

6290
03:31:47,042 --> 03:31:50,112
ATTENTION.

6291
03:31:50,112 --> 03:31:52,281
OTHER THEMES INCLUDED

6292
03:31:52,281 --> 03:31:53,449
RECOGNIZING THE FINANCIAL

6293
03:31:53,449 --> 03:31:54,049
IMPLICATIONINGS OF A PRACTICE

6294
03:31:54,049 --> 03:31:56,218
PARTICIPATING IN RESEARCH, AND

6295
03:31:56,218 --> 03:31:58,220
TO RECOGNIZE THE CONTRIBUTIONS

6296
03:31:58,220 --> 03:32:03,259
OF PATIENTS IN COMMUNITIES.

6297
03:32:03,259 --> 03:32:04,260
SO THE APPROACH WE'RE TAKING TO

6298
03:32:04,260 --> 03:32:06,161
LAUNCH THIS EFFORT AS

6299
03:32:06,161 --> 03:32:06,762
DR. LANGEVIN SAID, WE'RE VERY

6300
03:32:06,762 --> 03:32:10,900
EAGER TO GET STARTED THIS FISCAL

6301
03:32:10,900 --> 03:32:12,067
YEAR, MOVE FROM IDEA TO

6302
03:32:12,067 --> 03:32:14,270
IMPLEMENTATION IN FY 24, SO

6303
03:32:14,270 --> 03:32:15,905
WE'RE JUMPSTARTING THE EFFORT BY

6304
03:32:15,905 --> 03:32:17,573
PARTNERING WITH EXISTING

6305
03:32:17,573 --> 03:32:22,011
CLINICAL RESEARCH NETWORKS AND

6306
03:32:22,011 --> 03:32:23,412
PROVIDING RESOURCES TO EXPAND

6307
03:32:23,412 --> 03:32:25,147
ENROLLMENT INTO EXISTING NIH

6308
03:32:25,147 --> 03:32:26,282
STUDIES, STUDIES THAT ARE BEING

6309
03:32:26,282 --> 03:32:27,750
SELECTED BECAUSE THEY ALIGN WITH

6310
03:32:27,750 --> 03:32:31,620
THE HEALTH CONDITIONS OF

6311
03:32:31,620 --> 03:32:32,721
IMPORTANCE TO AND WERE

6312
03:32:32,721 --> 03:32:33,822
PRIORITIZED BY PRIMARY CARE

6313
03:32:33,822 --> 03:32:38,861
PRACTICES IN LOCAL COMMUNITIES.

6314
03:32:38,861 --> 03:32:40,362
FOR THE NEXT YEAR OR TWO AS WE

6315
03:32:40,362 --> 03:32:41,463
ESTABLISH THE SUPPORTIVE

6316
03:32:41,463 --> 03:32:43,465
INFRASTRUCTURE, WE'LL ALSO BE

6317
03:32:43,465 --> 03:32:44,900
PILOTING NEW STUDIES AND, AGAIN,

6318
03:32:44,900 --> 03:32:46,535
TO BE TRUE TO OUR WORD ABOUT

6319
03:32:46,535 --> 03:32:50,039
BEING PRACTICE-BASED AND

6320
03:32:50,039 --> 03:32:50,839
PATIENT-CENTERED, THOSE NEW

6321
03:32:50,839 --> 03:32:52,007
STUDIES WILL BE DESIGNED IN

6322
03:32:52,007 --> 03:32:53,142
PARTNERSHIP WITH THE NETWORK

6323
03:32:53,142 --> 03:32:54,910
RESEARCH HUBS, THEIR

6324
03:32:54,910 --> 03:32:55,511
PRACTITIONERS AND PATIENT

6325
03:32:55,511 --> 03:32:59,748
COMMUNITIES.

6326
03:32:59,748 --> 03:33:02,151
SO IN TERMS OF TIMELINE AND

6327
03:33:02,151 --> 03:33:03,953
BUDGET AGAIN, WE GOT A LOT OF

6328
03:33:03,953 --> 03:33:05,521
INPUT THE FIRST HALF OF THIS

6329
03:33:05,521 --> 03:33:07,523
YEAR, MULTI-SECTOR PERSPECTIVES,

6330
03:33:07,523 --> 03:33:09,124
AND THESE REALLY HELPED INFORM

6331
03:33:09,124 --> 03:33:11,860
THE DEVELOPMENT OF A RESEARCH

6332
03:33:11,860 --> 03:33:12,594
OPPORTUNITY ANNOUNCEMENT THAT

6333
03:33:12,594 --> 03:33:13,896
WAS ISSUED IN EARLY MAY.

6334
03:33:13,896 --> 03:33:16,165
IT WAS ON THE STREETS, THROUGH

6335
03:33:16,165 --> 03:33:18,167
MID JUNE.

6336
03:33:18,167 --> 03:33:19,435
AND IT WAS IN SUPPORT OF THE

6337
03:33:19,435 --> 03:33:21,770
EARLY DEVELOPMENT OR PILOT PHASE

6338
03:33:21,770 --> 03:33:23,238
OF THIS PROGRAM, WHICH THE EARLY

6339
03:33:23,238 --> 03:33:24,473
PART OF THE PROGRAM IS A

6340
03:33:24,473 --> 03:33:25,674
TWO-YEAR PILOT.

6341
03:33:25,674 --> 03:33:27,409
THE ANNOUNCEMENT INVITED

6342
03:33:27,409 --> 03:33:29,545
APPLICATIONS FOR ORGANIZATIONS

6343
03:33:29,545 --> 03:33:31,680
TO SERVE AS NETWORK RESEARCH

6344
03:33:31,680 --> 03:33:36,852
HUBS, AND PROVIDE THE CRITICAL

6345
03:33:36,852 --> 03:33:37,753
INFRASTRUCTURE FOR RURAL PRIMARY

6346
03:33:37,753 --> 03:33:40,155
CARE SETTINGS.

6347
03:33:40,155 --> 03:33:42,057
SO THE INITIAL PILOT PHASES

6348
03:33:42,057 --> 03:33:44,259
FOCUSED ON RURAL SETTINGS.

6349
03:33:44,259 --> 03:33:46,195
WE ANTICIPATE MAKING THE INITIAL

6350
03:33:46,195 --> 03:33:47,930
NETWORK RESEARCH HUB AWARDS FOR

6351
03:33:47,930 --> 03:33:49,431
THE FIRST YEAR OF ACTIVITY BY

6352
03:33:49,431 --> 03:33:51,300
THE END OF THIS MONTH.

6353
03:33:51,300 --> 03:33:55,637
AND IT WILL TOTAL APPROXIMATELY

6354
03:33:55,637 --> 03:33:56,538
$5.6 MILLION, AND WE'RE LOOKING

6355
03:33:56,538 --> 03:33:58,640
FORWARD TO MAKING ADDITIONAL

6356
03:33:58,640 --> 03:34:02,444
AWARDS IN EARLY 2025, AND

6357
03:34:02,444 --> 03:34:04,513
LOOKING AHEAD TO 2025 AND

6358
03:34:04,513 --> 03:34:06,348
BEYOND, WE'LL BE LAUNCHING

6359
03:34:06,348 --> 03:34:07,716
ADDITIONAL STUDIES THROUGHOUT

6360
03:34:07,716 --> 03:34:08,017
THE NETWORK.

6361
03:34:08,017 --> 03:34:09,785
WE'LL BE DESIGNING NEW STUDIES,

6362
03:34:09,785 --> 03:34:11,620
AND WE'LL BE FURTHER

6363
03:34:11,620 --> 03:34:12,354
ESTABLISHING THE NETWORK

6364
03:34:12,354 --> 03:34:13,889
INFRASTRUCTURE.

6365
03:34:13,889 --> 03:34:15,524
AND THIS SLIDE GIVES YOU AN IDEA

6366
03:34:15,524 --> 03:34:18,594
OF WHAT THOSE INFRASTRUCTURE

6367
03:34:18,594 --> 03:34:20,562
COMPONENTS ARE IN ADDITION TO

6368
03:34:20,562 --> 03:34:21,563
THE NETWORK RESEARCH HUBS.

6369
03:34:21,563 --> 03:34:23,832
SO THIS WILL BE NIH-BASED

6370
03:34:23,832 --> 03:34:24,767
INFRASTRUCTURE THAT'S INTENDED

6371
03:34:24,767 --> 03:34:28,570
TO REALLY FOSTER, SUPPORT AND

6372
03:34:28,570 --> 03:34:29,638
FACILITATE RESEARCH IN THE

6373
03:34:29,638 --> 03:34:31,340
PRIMARY CARE SETTING,

6374
03:34:31,340 --> 03:34:32,574
UNDERSTANDING HOW CHALLENGING

6375
03:34:32,574 --> 03:34:33,809
THAT CAN BE.

6376
03:34:33,809 --> 03:34:38,047
IT WILL PROVIDE RESOURCES TO

6377
03:34:38,047 --> 03:34:39,615
FACILITATE AND SUPPORT PATIENT

6378
03:34:39,615 --> 03:34:40,215
PRACTICE AND COMMUNITY

6379
03:34:40,215 --> 03:34:41,150
ENGAGEMENT.

6380
03:34:41,150 --> 03:34:42,384
THIS WILL BE DONE IN PART WITH

6381
03:34:42,384 --> 03:34:44,253
SOME PROGRAMS THAT ARE ALREADY

6382
03:34:44,253 --> 03:34:45,487
UNDERWAY WITH SOME ROBUST

6383
03:34:45,487 --> 03:34:48,657
EFFORTS IN THIS SPACE SUCH AS

6384
03:34:48,657 --> 03:34:51,894
THE NIH COMMUNITY ENGAGEMENT

6385
03:34:51,894 --> 03:34:54,363
ALLIANCE AND OTHERS.

6386
03:34:54,363 --> 03:34:55,798
IT WILL ALSO INCLUDE A CLINICAL

6387
03:34:55,798 --> 03:34:57,633
SCIENCE CENTER, WHERE WE WILL BE

6388
03:34:57,633 --> 03:34:58,734
SUPPORTING AND ENABLING THE

6389
03:34:58,734 --> 03:35:00,769
DEVELOPMENT OF INNOVATIVE

6390
03:35:00,769 --> 03:35:03,572
CLINICAL STUDY DESIGNS AND

6391
03:35:03,572 --> 03:35:04,173
IMPLEMENTATION STRATEGIES, AND

6392
03:35:04,173 --> 03:35:05,707
THIS WILL BE DONE IN PART

6393
03:35:05,707 --> 03:35:07,443
THROUGH TAPPING INTO THE

6394
03:35:07,443 --> 03:35:09,278
EXPERTISE OF THE NIH

6395
03:35:09,278 --> 03:35:10,679
COLLABORATORY THAT'S DONE A

6396
03:35:10,679 --> 03:35:12,214
TREMENDOUS AMOUNT OF GREAT WORK

6397
03:35:12,214 --> 03:35:13,849
IN THIS SPACE.

6398
03:35:13,849 --> 03:35:15,684
THE CLINICAL SCIENCE CENTER WILL

6399
03:35:15,684 --> 03:35:17,486
ALSO PROVIDE STATISTICAL AND

6400
03:35:17,486 --> 03:35:21,690
DATA MANAGEMENT SUPPORT.

6401
03:35:21,690 --> 03:35:22,558
INFRASTRUCTURE WILL ALSO INCLUDE

6402
03:35:22,558 --> 03:35:24,193
AN OPERATIONS CENTER TO PROVIDE

6403
03:35:24,193 --> 03:35:26,161
THAT FULL SUITE OF STUDY

6404
03:35:26,161 --> 03:35:30,232
OPERATIONS ACTIVITIES, FROM

6405
03:35:30,232 --> 03:35:35,037
HELPING WITH PROTOCOL REFINEMENT

6406
03:35:35,037 --> 03:35:36,438
TO COMPLIANCE WITH REGULATORY

6407
03:35:36,438 --> 03:35:39,208
REQUIREMENTS, FDA IF APPLICABLE,

6408
03:35:39,208 --> 03:35:40,509
TRAINING, AND DATA MONITORING.

6409
03:35:40,509 --> 03:35:42,644
THE PROGRAM WILL ALSO PROVIDE

6410
03:35:42,644 --> 03:35:44,146
INDEPENDENT REVIEW AND

6411
03:35:44,146 --> 03:35:45,647
MONITORING, SO WILL PROVIDE THE

6412
03:35:45,647 --> 03:35:49,184
CENTRAL IRB, DSM B AND OSMB AS

6413
03:35:49,184 --> 03:35:50,652
NEEDED, AND AS THE PROGRAM

6414
03:35:50,652 --> 03:35:53,322
MATURE, WE'LL ALSO BE PROVIDING

6415
03:35:53,322 --> 03:35:56,725
OPPORTUNITIES TO EXPLORE AND

6416
03:35:56,725 --> 03:35:58,494
THEN AS APPROPRIATE FACILITATE

6417
03:35:58,494 --> 03:35:59,361
PARTNERSHIPS WITH THE PRIVATE

6418
03:35:59,361 --> 03:36:02,464
SECTOR.

6419
03:36:02,464 --> 03:36:03,966
NOW NOTICE WE MENTIONED EARLIER

6420
03:36:03,966 --> 03:36:05,033
THE INITIAL PHASE OF THIS PILOT

6421
03:36:05,033 --> 03:36:07,703
IS FOCUSED ON RURAL COMMUNITIES

6422
03:36:07,703 --> 03:36:11,473
FOR THIS FIRST SOLICITATION.

6423
03:36:11,473 --> 03:36:13,175
BUT WE DO EXPECT THE SCOPE OF

6424
03:36:13,175 --> 03:36:15,210
THE PROGRAM TO EXPAND AS THE

6425
03:36:15,210 --> 03:36:16,712
INFRASTRUCTURE IS DEVELOPED AND

6426
03:36:16,712 --> 03:36:18,947
THE ATTENTION HERE IS TO

6427
03:36:18,947 --> 03:36:20,215
ENCOMPASS THE FULL RANGE OF

6428
03:36:20,215 --> 03:36:22,417
POPULATIONS REGARDLESS OF

6429
03:36:22,417 --> 03:36:23,952
LOCATION, AGAIN WITH A FOCUS ON

6430
03:36:23,952 --> 03:36:25,854
THOSE UNDERREPRESENTED IN

6431
03:36:25,854 --> 03:36:29,958
RESEARCH.

6432
03:36:29,958 --> 03:36:31,326
SO TO WRAP UP DURING THE

6433
03:36:31,326 --> 03:36:32,961
TWO-YEAR PILOT PHASE OF THIS

6434
03:36:32,961 --> 03:36:33,929
PROGRAM, WE HAVE A CRITICAL

6435
03:36:33,929 --> 03:36:36,031
MISSION AND A FAIRLY AMBITIOUS

6436
03:36:36,031 --> 03:36:37,766
TIMELINE DURING THIS FIRST YEAR,

6437
03:36:37,766 --> 03:36:39,701
WE'LL BE FUNDING NETWORK

6438
03:36:39,701 --> 03:36:41,370
RESEARCH HUBS THAT WILL

6439
03:36:41,370 --> 03:36:43,338
PARTICIPATE IN EXISTING STUDIES.

6440
03:36:43,338 --> 03:36:46,508
THEY MAY BE INTERVENTIONAL OR

6441
03:36:46,508 --> 03:36:48,377
OBSERVATIONAL, THEY WILL BE

6442
03:36:48,377 --> 03:36:50,679
SUITABLE FOR RURAL PRIMARY CARE

6443
03:36:50,679 --> 03:36:51,013
SETTINGS.

6444
03:36:51,013 --> 03:36:52,614
AND ALSO OVER THE COURSE OF THIS

6445
03:36:52,614 --> 03:36:55,784
COMING YEAR, WE WILL BE

6446
03:36:55,784 --> 03:36:58,787
DEVELOPING NEW CLINICAL STUDIES,

6447
03:36:58,787 --> 03:37:01,557
LEVERAGING INNOVATIVE DESIGNS

6448
03:37:01,557 --> 03:37:02,424
AND TECHNOLOGIES TO MINIMIZE

6449
03:37:02,424 --> 03:37:04,593
BURDEN TO PATIENTS AND

6450
03:37:04,593 --> 03:37:05,827
PRACTITIONERS IN IMPLEMENTING

6451
03:37:05,827 --> 03:37:07,930
THE STUDIES.

6452
03:37:07,930 --> 03:37:08,697
AND BEFORE THE SECOND YEAR OF

6453
03:37:08,697 --> 03:37:10,532
THE PILOT COMES TO AN END, WE'LL

6454
03:37:10,532 --> 03:37:12,301
BE UNDERTAKING AN EVALUATION OF

6455
03:37:12,301 --> 03:37:14,703
WHICH APPROACHES HAVE WORKED AND

6456
03:37:14,703 --> 03:37:16,705
WOULD BE SUITABLE FOR BROADER

6457
03:37:16,705 --> 03:37:19,274
IMPLEMENTATION.

6458
03:37:19,274 --> 03:37:21,210
SO I'LL WRAP UP HERE AND FOR

6459
03:37:21,210 --> 03:37:21,910
THOSE OF WHO YOU ARE INTERESTED

6460
03:37:21,910 --> 03:37:24,079
IN MORE INFORMATION ON THE

6461
03:37:24,079 --> 03:37:25,280
PROGRAM, I'LL POINT YOU TO OUR

6462
03:37:25,280 --> 03:37:27,249
WEBSITE, BUT I'D BE DELIGHTED TO

6463
03:37:27,249 --> 03:37:28,483
HEAR YOUR COMMENTS AND TRY TO

6464
03:37:28,483 --> 03:37:30,719
ANSWER ANY QUESTIONS YOU MIGHT

6465
03:37:30,719 --> 03:37:31,186
HAVE.

6466
03:37:31,186 --> 03:37:40,662
THANK YOU, BACK OVER TO YOU, DR.

6467
03:37:40,662 --> 03:37:41,563
>> THANK YOU SO MUCH.

6468
03:37:41,563 --> 03:37:43,932
THIS WAS OBVIOUSLY -- REPRESENTS

6469
03:37:43,932 --> 03:37:45,667
JUST THIS ENORMOUS AMOUNT OF

6470
03:37:45,667 --> 03:37:50,939
WORK TO STAND THIS UP.

6471
03:37:50,939 --> 03:37:53,308
I REALLY WANT TO COMMEND YOU,

6472
03:37:53,308 --> 03:37:54,743
AMY, WITH HOW YOU'VE BEEN SUCH A

6473
03:37:54,743 --> 03:37:55,944
FEARLESS LEADER IN THIS PROGRAM.

6474
03:37:55,944 --> 03:37:57,079
IT'S BEEN AMAZING TO WATCH THIS

6475
03:37:57,079 --> 03:37:59,281
ALL HAPPEN.

6476
03:37:59,281 --> 03:38:00,782
IN FRONT OF OUR EYES.

6477
03:38:00,782 --> 03:38:01,316
>> IT'S BEEN A TEAM.

6478
03:38:01,316 --> 03:38:04,353
>> YEAH, FOR SURE.

6479
03:38:04,353 --> 03:38:10,926
SO YES, DAN.

6480
03:38:10,926 --> 03:38:12,828
>> I'D LIKE TO ECHO THOSE

6481
03:38:12,828 --> 03:38:13,528
COMMENTS BECAUSE I'M A

6482
03:38:13,528 --> 03:38:14,796
CLINICIAN, A PSYCHIATRIST AS

6483
03:38:14,796 --> 03:38:18,100
WELL, ADDICTION PSYCHIATRIST,

6484
03:38:18,100 --> 03:38:20,068
AND I THINK THIS ALSO WOULD ALL

6485
03:38:20,068 --> 03:38:21,703
APPLY TO THE BEHAVIORAL HEALTH

6486
03:38:21,703 --> 03:38:23,338
SETTING, THE HUGE BEHAVIORAL

6487
03:38:23,338 --> 03:38:23,772
HEALTH WORLD.

6488
03:38:23,772 --> 03:38:26,008
>> I COULDN'T AGREE MORE,
AND

6489
03:38:26,008 --> 03:38:26,908
BEHAVIORAL HEALTH IS A HUGE

6490
03:38:26,908 --> 03:38:28,977
COMPONENT OF WHAT WE'RE -- YOU

6491
03:38:28,977 --> 03:38:33,515
KNOW, WHAT DOESN'T IT TOUCH.

6492
03:38:33,515 --> 03:38:35,817
AND WE VERY MUCH ANTICIPATE

6493
03:38:35,817 --> 03:38:38,687
BEHAVIORAL INTERVENTIONS BEING

6494
03:38:38,687 --> 03:38:40,155
PARD3 OF THIS PROGRAM, SO STAY

6495
03:38:40,155 --> 03:38:40,822
TUNED.

6496
03:38:40,822 --> 03:38:43,892
>> YES, AND JUST AN
ADDITIONAL

6497
03:38:43,892 --> 03:38:44,293
QUICK COMMENT.

6498
03:38:44,293 --> 03:38:46,061
IT ALSO REALLY HEROIC WORK

6499
03:38:46,061 --> 03:38:48,297
BECAUSE I THINK WITHIN THE

6500
03:38:48,297 --> 03:38:50,265
CLINICAL SETTING, RESEARCH, YOU

6501
03:38:50,265 --> 03:38:51,667
REALLY SEE THE DIVIDE, HOW

6502
03:38:51,667 --> 03:38:54,703
RESEARCH I AND THE CLINICAL WORS

6503
03:38:54,703 --> 03:38:57,039
ARE JUST NOT MERGING, AND A LOT

6504
03:38:57,039 --> 03:38:58,674
OF THE INTERVENTIONS BEING

6505
03:38:58,674 --> 03:39:00,642
PROVIDED, I'LL JUST SPEAK FOR

6506
03:39:00,642 --> 03:39:01,943
MYSELF IN THE BEHAVIORAL HEALTH

6507
03:39:01,943 --> 03:39:03,945
SETTING, JUST AREN'T -- IT'S THE

6508
03:39:03,945 --> 03:39:06,448
SAME BASIC, YOU KNOW, GOOD

6509
03:39:06,448 --> 03:39:07,549
TREATMENTS BUT KIND OF THE SAME

6510
03:39:07,549 --> 03:39:09,184
STUFF AND VERY FEW NEW

6511
03:39:09,184 --> 03:39:09,851
INNOVATIVE STRATEGIES.

6512
03:39:09,851 --> 03:39:15,357
SO THERE'S A HUGE NEED FOR A

6513
03:39:15,357 --> 03:39:18,627
WHOLE -- A BIG, BIG -- WE NEED

6514
03:39:18,627 --> 03:39:23,699
SOME BIG STRIDES TO TRY TO

6515
03:39:23,699 --> 03:39:25,567
INTEGRATE SOME STRUCTURE,

6516
03:39:25,567 --> 03:39:26,368
RESEARCH, KNOWLEDGE AND

6517
03:39:26,368 --> 03:39:26,968
INFRASTRUCTURE RESEARCH WITHIN

6518
03:39:26,968 --> 03:39:27,769
THE CLINICAL SETTING.

6519
03:39:27,769 --> 03:39:31,406
SO THAT'S REALLY COMMENDABLE

6520
03:39:31,406 --> 03:39:34,142
WORK BECAUSE THAT'S A HUGE

6521
03:39:34,142 --> 03:39:34,443
UNDERTAKING.

6522
03:39:34,443 --> 03:39:34,776
>> THANK YOU.

6523
03:39:34,776 --> 03:39:38,847
AND ANY ADVICE YOU HAVE, WE'RE

6524
03:39:38,847 --> 03:39:40,115
VERY WELCOMING OF IT.

6525
03:39:40,115 --> 03:39:42,017
I SHOULD ALSO EMPHASIZE, ONE OF

6526
03:39:42,017 --> 03:39:43,985
THE GOALS OF THE PROGRAM IS TO

6527
03:39:43,985 --> 03:39:45,387
PROVIDE THE INFRASTRUCTURE THAT

6528
03:39:45,387 --> 03:39:47,923
I DESCRIBED, AGAIN TO BE A

6529
03:39:47,923 --> 03:39:51,460
RESOURCE FOR ALL OF THE

6530
03:39:51,460 --> 03:39:52,994
INSTITUTES, AND TO HELP

6531
03:39:52,994 --> 03:39:54,029
FACILITATE TYPES OF RESEARCH

6532
03:39:54,029 --> 03:39:55,697
THAT YOU'VE JUST DESCRIBED

6533
03:39:55,697 --> 03:39:57,032
INCLUDING FOR SOME OF THE

6534
03:39:57,032 --> 03:39:58,333
SMALLER MID SIZED INSTITUTES

6535
03:39:58,333 --> 03:40:00,535
THAT MAY NOT TYPICALLY HAVE

6536
03:40:00,535 --> 03:40:02,170
LARGE NETWORKS AT THEIR

6537
03:40:02,170 --> 03:40:04,673
DISPOSAL.

6538
03:40:04,673 --> 03:40:11,179
IN THIS REGARD.

6539
03:40:11,179 --> 03:40:13,715
>> SO BEING HERE AT NCCIH,
WHAT

6540
03:40:13,715 --> 03:40:19,020
RELATIONSHIP DO YOU SEE --

6541
03:40:19,020 --> 03:40:22,657
INTERVNGINTERVENTIONS IN PRIMAR?

6542
03:40:22,657 --> 03:40:24,426
THEY'RE NOT THAT COMMON.

6543
03:40:24,426 --> 03:40:25,894
JUST UNDERSTANDING HOW YOU'RE

6544
03:40:25,894 --> 03:40:26,261
SEEING THAT.

6545
03:40:26,261 --> 03:40:27,696
I HAVE A SECOND QUESTION AS

6546
03:40:27,696 --> 03:40:29,931
WELL, BUT JUST WHAT'S THE VISION

6547
03:40:29,931 --> 03:40:33,568
OF HOW THAT IS -- WHAT'S THE

6548
03:40:33,568 --> 03:40:33,902
CURRENT STATE?

6549
03:40:33,902 --> 03:40:38,607
>> MEANING COMPLEMENTARY
AND

6550
03:40:38,607 --> 03:40:38,940
ENGINEERING --

6551
03:40:38,940 --> 03:40:39,207
>> YEAH.

6552
03:40:39,207 --> 03:40:40,909
>> THIS PROGRAM, I DON'T
THINK

6553
03:40:40,909 --> 03:40:43,545
THAT WE SEE ANY DIVIDE BETWEEN

6554
03:40:43,545 --> 03:40:44,846
COMPLEMENTARY AND INTEGRATIVE

6555
03:40:44,846 --> 03:40:48,984
AND OTHER INTERVENTIONS, ALL ARE

6556
03:40:48,984 --> 03:40:50,318
WELCOME AND WE'RE WORKING VERY

6557
03:40:50,318 --> 03:40:51,219
CLOSELY WITH ALL OF THE

6558
03:40:51,219 --> 03:40:53,355
INSTITUTES INCLUDING

6559
03:40:53,355 --> 03:40:54,856
DR. LANGEVIN AND OTHERS IN THIS

6560
03:40:54,856 --> 03:40:57,359
ROOM TO IDENTIFY STUDIES THAT

6561
03:40:57,359 --> 03:40:59,327
WOULD BE FIT-FOR-PURPOSE IN A

6562
03:40:59,327 --> 03:41:02,063
PRIMARY CARE SETTING AND MAYBE

6563
03:41:02,063 --> 03:41:04,433
LOW TOUCH MORE PRAGMATIC, AND I

6564
03:41:04,433 --> 03:41:05,534
THINK THAT SOME OF THE

6565
03:41:05,534 --> 03:41:08,036
COMPLEMENTARY AND INTEGRATIVE

6566
03:41:08,036 --> 03:41:09,237
MEDICINE INTERVENTIONS LEND

6567
03:41:09,237 --> 03:41:11,373
THEMSELVES VERY NICELY, AND

6568
03:41:11,373 --> 03:41:14,476
THEY'RE VERY APPEALING TO

6569
03:41:14,476 --> 03:41:17,579
PARTICIPANTS AS WELL, SO --

6570
03:41:17,579 --> 03:41:19,414
>> BUT THEY'RE NOT
AVAILABLE IN

6571
03:41:19,414 --> 03:41:21,216
PRIMARY CARE THAT OFTEN, SO DO

6572
03:41:21,216 --> 03:41:23,351
YOU SEE THAT RELATIONSHIP

6573
03:41:23,351 --> 03:41:23,952
HAPPENING OR --

6574
03:41:23,952 --> 03:41:25,086
>> YES, VERY MUCH SO.

6575
03:41:25,086 --> 03:41:26,221
I THINK WHAT YOU'LL SEE IN THIS

6576
03:41:26,221 --> 03:41:27,155
INITIAL PORTFOLIO OF STUDIES

6577
03:41:27,155 --> 03:41:30,525
WHEN WE CAN ANNOUNCE IT LATER

6578
03:41:30,525 --> 03:41:32,194
THIS MONTH, YOU'LL SEE SOME OF

6579
03:41:32,194 --> 03:41:33,995
THAT PRESENT EVEN IN THE

6580
03:41:33,995 --> 03:41:34,996
BEGINNING PORTFOLIO FOR THIS

6581
03:41:34,996 --> 03:41:36,898
PROGRAM.

6582
03:41:36,898 --> 03:41:39,301
>> SECOND QUESTION IS, HOW
-- IF

6583
03:41:39,301 --> 03:41:41,102
THERE WERE OTHER EXISTING

6584
03:41:41,102 --> 03:41:42,370
NETWORKS, I LEAD A PRACTICE

6585
03:41:42,370 --> 03:41:44,139
BASED RESEARCH NETWORK OF

6586
03:41:44,139 --> 03:41:47,742
INTEGRATIVE THERAPIES BUT IT'S

6587
03:41:47,742 --> 03:41:48,643
ALL -- PRACTICE OR MOSTLY.

6588
03:41:48,643 --> 03:41:50,946
RIGHT NOW WE HAVE 30 MEMBERS AND

6589
03:41:50,946 --> 03:41:52,914
ABOUT -- WE'VE GOT DATA ON LIKE

6590
03:41:52,914 --> 03:41:54,449
15 OF THEM, I JUST ACTUALLY

6591
03:41:54,449 --> 03:41:56,117
COLLECTED IT FOR TODAY, WE SEE

6592
03:41:56,117 --> 03:41:58,987
ON AVERAGE LIKE 327,000 SESSIONS

6593
03:41:58,987 --> 03:42:03,458
PER YEAR ACROSS CHIROPRACTIC,

6594
03:42:03,458 --> 03:42:04,893
ACUPUNCTURE, SO THAT'S ADJACENT

6595
03:42:04,893 --> 03:42:06,928
TO PRIMARY CARE BUT DO YOU SEE

6596
03:42:06,928 --> 03:42:07,863
THAT BEING A PARTNERSHIP, HOW DO

6597
03:42:07,863 --> 03:42:14,503
YOU SEE THAT TOGETHER?

6598
03:42:14,503 --> 03:42:15,537
>> THAT'S A REALLY GREAT

6599
03:42:15,537 --> 03:42:16,037
QUESTION.

6600
03:42:16,037 --> 03:42:17,772
THE NUMBER OF STUDIES, THE

6601
03:42:17,772 --> 03:42:18,940
STRATEGYS THAT WE'VE HEARD FROM

6602
03:42:18,940 --> 03:42:20,842
THE FIELD ARE MORE OF A

6603
03:42:20,842 --> 03:42:22,744
COLLABORATIVE CARE-TYPE MODEL,

6604
03:42:22,744 --> 03:42:25,013
CONSULTATIVE CARE, SO THAT THE

6605
03:42:25,013 --> 03:42:28,083
STUDIES THAT WE UNDERTAKE

6606
03:42:28,083 --> 03:42:31,453
INVOLVE A TEAM THAT IS ACCESSED

6607
03:42:31,453 --> 03:42:33,455
VIRTUALLY, AND CAN COMPLEMENT

6608
03:42:33,455 --> 03:42:37,292
THE CARE ON THE GROUND IN THE

6609
03:42:37,292 --> 03:42:39,761
CLINIC, IN A COST-EFFECTIVE WAY.

6610
03:42:39,761 --> 03:42:44,933
SO I THINK THAT THOSE TYPES OF

6611
03:42:44,933 --> 03:42:49,704
MODELS THAT CAN BRING 360 CARE

6612
03:42:49,704 --> 03:42:52,340
FOR PATIENTS ARE VERY IMPORTANT

6613
03:42:52,340 --> 03:42:57,479
TO THIS INITIATIVE.

6614
03:42:57,479 --> 03:43:00,715
ESPECIALLY IN ROW RURAL SETTINGS

6615
03:43:00,715 --> 03:43:02,050
WHERE WEAR NOT GOING TO BE ABLE

6616
03:43:02,050 --> 03:43:03,585
TO FIND WITHIN A REASONABLE

6617
03:43:03,585 --> 03:43:04,853
GEOGRAPHIC RADIUS THE TYPES OF

6618
03:43:04,853 --> 03:43:07,355
SPECIALTY SERVICES OR EXPERTISE

6619
03:43:07,355 --> 03:43:08,957
TO DELIVER THOSE TYPES

6620
03:43:08,957 --> 03:43:12,193
MODALITIES.

6621
03:43:12,193 --> 03:43:13,428
>> THANK YOU.

6622
03:43:13,428 --> 03:43:16,197
>> WELL, THANK YOU SO MUCH
FOR

6623
03:43:16,197 --> 03:43:16,798
THIS.

6624
03:43:16,798 --> 03:43:18,400
I'LL SELF-REVEAL THAT I'M THE

6625
03:43:18,400 --> 03:43:19,601
ASSOCIATE CHAIR FOR RESEARCH AND

6626
03:43:19,601 --> 03:43:21,002
FAMILY MEDICINE, AT THE

6627
03:43:21,002 --> 03:43:21,736
UNIVERSITY OF MICHIGAN, AND SO

6628
03:43:21,736 --> 03:43:22,871
WHEN THIS CAME OUT, THERE WAS A

6629
03:43:22,871 --> 03:43:24,439
LOT OF EXCITEMENT.

6630
03:43:24,439 --> 03:43:25,740
SO I WANT TO SAY THAT.

6631
03:43:25,740 --> 03:43:28,810
THEN I SAW THE WORD JUST RULE

6632
03:43:28,810 --> 03:43:31,713
AND THE EXCITEMENT DIED.

6633
03:43:31,713 --> 03:43:33,682
I HAVE THREE KIND OF QUESTION

6634
03:43:33,682 --> 03:43:34,282
COMMENTS.

6635
03:43:34,282 --> 03:43:35,884
I'LL TRY TO DO IT REALLY QUICK

6636
03:43:35,884 --> 03:43:37,452
AND IN ORDER TO COMPLEXITY AND

6637
03:43:37,452 --> 03:43:38,920
YOU CAN TELL ME TO STOP, BUT ONE

6638
03:43:38,920 --> 03:43:42,290
OF THEM IS, HAVE YOU

6639
03:43:42,290 --> 03:43:44,159
CONSIDERED -- I DIDN'T SEE LIKE

6640
03:43:44,159 --> 03:43:46,661
THE SWOG MODEL, THE SOUTHWEST

6641
03:43:46,661 --> 03:43:47,729
ONCOLOGY GROUP MODEL, THINKING

6642
03:43:47,729 --> 03:43:49,798
ABOUT THAT IT BRINGS COMMUNITY

6643
03:43:49,798 --> 03:43:51,066
GROUPS, ACADEMIC GROUPS, ET

6644
03:43:51,066 --> 03:43:52,500
CETERA, AND HAS A LOT OF THESE

6645
03:43:52,500 --> 03:43:55,036
OTHER THINGS AS A MODEL.

6646
03:43:55,036 --> 03:43:57,305
SO I WAS CURIOUS AS TO WHY THAT

6647
03:43:57,305 --> 03:43:58,873
WOULD BE CONSIDERED -- I MEAN,

6648
03:43:58,873 --> 03:44:00,175
IT'S NOT ONE TO ONE, BUT IT

6649
03:44:00,175 --> 03:44:01,476
CERTAINLY WOULD BE SOMETHING

6650
03:44:01,476 --> 03:44:04,813
THAT'S BUILT THIS OUT FOR A LONG

6651
03:44:04,813 --> 03:44:05,013
TIME.

6652
03:44:05,013 --> 03:44:06,815
>> ARE YOU ASKING -- I
WANT TO

6653
03:44:06,815 --> 03:44:08,249
MAKE SURE I UNDERSTAND THE

6654
03:44:08,249 --> 03:44:09,618
QUESTION, AND IS THIS THE EASY

6655
03:44:09,618 --> 03:44:09,884
QUESTION?

6656
03:44:09,884 --> 03:44:10,218
>> YEAH.

6657
03:44:10,218 --> 03:44:14,189
>> OKAY.

6658
03:44:14,189 --> 03:44:15,890
>> WELL, MAYBE IT ISN'T.

6659
03:44:15,890 --> 03:44:20,528
>>.I PERCEIVED IT AS WE
HAD OR E

6660
03:44:20,528 --> 03:44:22,397
HADN'T OR IT'S NOT A GOOD MODEL.

6661
03:44:22,397 --> 03:44:22,631
>> RATE.

6662
03:44:22,631 --> 03:44:24,766
I THINK THAT WE DIDN'T

6663
03:44:24,766 --> 03:44:27,936
NECESSARILY PICK THE SPECIFIC

6664
03:44:27,936 --> 03:44:28,236
MODELS.

6665
03:44:28,236 --> 03:44:33,341
WITH OPENED THE PWE OPENED PLATE

6666
03:44:33,341 --> 03:44:35,276
WHO WOULD COME FORWARD HOPING

6667
03:44:35,276 --> 03:44:35,910
FOR BOTH SORT OF TRADITIONAL

6668
03:44:35,910 --> 03:44:37,245
PLAYERS IN THIS AREA AS WELL AS

6669
03:44:37,245 --> 03:44:41,750
WE'RE OPEN TO NEW PLAYERS IN THE

6670
03:44:41,750 --> 03:44:43,485
AREA, AND I'LL ALSO SAY THAT AS

6671
03:44:43,485 --> 03:44:44,853
THE PROGRAM DEVELOP, WE FULLY

6672
03:44:44,853 --> 03:44:46,621
ANTICIPATE BEING A VERY, VERY

6673
03:44:46,621 --> 03:44:48,089
LARGE TENT.

6674
03:44:48,089 --> 03:44:51,693
WE DO IN TERMS OF THE MODEL

6675
03:44:51,693 --> 03:44:53,228
ITSELF ENVISION A VERY

6676
03:44:53,228 --> 03:44:54,195
CONSULTATIVE MODEL, BOTH IN

6677
03:44:54,195 --> 03:44:56,765
TERMS OF JUST AS I TRIED TO

6678
03:44:56,765 --> 03:44:58,667
DESCRIBE THE DESIGN OF THIS

6679
03:44:58,667 --> 03:44:59,934
EARLY CONCEPTUALIZATION, BUT

6680
03:44:59,934 --> 03:45:02,904
THIS WILL BE A WORK IN PROGRESS,

6681
03:45:02,904 --> 03:45:05,206
AND WE WILL BE WORKING, THE

6682
03:45:05,206 --> 03:45:08,076
INFRASTRUCTURE I DESCRIBED IS

6683
03:45:08,076 --> 03:45:09,744
NOT TOP-DOWN OR NOT DEVELOPING

6684
03:45:09,744 --> 03:45:11,513
STUDIES AND THEN SAYING, YOU

6685
03:45:11,513 --> 03:45:12,480
KNOW, WHO'S INTERESTED, WHO

6686
03:45:12,480 --> 03:45:13,748
WANTS TO DO IT.

6687
03:45:13,748 --> 03:45:16,685
THE STUDIES THEMSELVES WILL BE

6688
03:45:16,685 --> 03:45:17,652
DEVELOPED ORGANICALLY IN

6689
03:45:17,652 --> 03:45:19,421
PARTNERSHIP WITH THE NETWORK

6690
03:45:19,421 --> 03:45:21,489
RESEARCH HUBS, THEIR

6691
03:45:21,489 --> 03:45:22,590
PRACTITIONERS AND THEIR

6692
03:45:22,590 --> 03:45:26,161
COMMUNITIES.

6693
03:45:26,161 --> 03:45:29,264
SO I HOPE THAT AT THE END OF THE

6694
03:45:29,264 --> 03:45:32,467
DAY, WE'LL CAPTURE SOME OF THE

6695
03:45:32,467 --> 03:45:33,134
FEATURES OF THE MODEL YOU JUST

6696
03:45:33,134 --> 03:45:34,569
DESCRIBED AND MAYBE WE WILL

6697
03:45:34,569 --> 03:45:35,170
ULTIMATELY INCLUDE THEM.

6698
03:45:35,170 --> 03:45:37,472
DOES THAT HELP?

6699
03:45:37,472 --> 03:45:38,540
>> YES.

6700
03:45:38,540 --> 03:45:42,577
I'M GOING TO SAY GOOD LUCK,

6701
03:45:42,577 --> 03:45:45,280
HAVEN'T SEEN A LOT OF

6702
03:45:45,280 --> 03:45:46,414
PRACTICE-BASED RESEARCH NETWORK

6703
03:45:46,414 --> 03:45:47,982
THAT HAS THAT SORT OF FI PHILOSY

6704
03:45:47,982 --> 03:45:49,050
AND I LOVE IT.

6705
03:45:49,050 --> 03:45:51,086
MY SECOND QUESTION IS, A LOT OF

6706
03:45:51,086 --> 03:45:53,021
NETWORKS, ESPECIALLY WITH

6707
03:45:53,021 --> 03:45:55,190
CONSOLIDATION, HAVE RURAL AND

6708
03:45:55,190 --> 03:45:57,092
NOT RURAL, THEY HAVE PEDIATRICS

6709
03:45:57,092 --> 03:45:59,094
AND NOT -- YOU KNOW, NOT

6710
03:45:59,094 --> 03:46:03,031
PEDIATRICS, ET CETERA, SO HOW

6711
03:46:03,031 --> 03:46:05,867
ARE WE REALLY DEFINING RURAL AND

6712
03:46:05,867 --> 03:46:07,502
HOW IS THAT NOT JUST GETTING RID

6713
03:46:07,502 --> 03:46:08,603
OF THE MORE HETEROJEAN JUST

6714
03:46:08,603 --> 03:46:09,771
GROUPS OF PRIMARY CARE THAT ARE

6715
03:46:09,771 --> 03:46:10,171
OUT THERE?

6716
03:46:10,171 --> 03:46:12,240
>> WELL, AGAIN, THE
INTENTION

6717
03:46:12,240 --> 03:46:13,608
HERE, WE SORT OF HAD TO START

6718
03:46:13,608 --> 03:46:14,743
SOMEWHERE.

6719
03:46:14,743 --> 03:46:19,614
AND WE HAD AN INITIAL BUDGET OF

6720
03:46:19,614 --> 03:46:20,381
5 MILLION FOR FY 24.

6721
03:46:20,381 --> 03:46:22,417
SO AGAIN, THE INTENTION HERE IS

6722
03:46:22,417 --> 03:46:23,985
TO GO MORE BROADLY.

6723
03:46:23,985 --> 03:46:28,156
WHEN WE LOOK AT THE DEMOGRAPHICS

6724
03:46:28,156 --> 03:46:30,592
AND GEE GRAPHICS OF PARTICIPANTS

6725
03:46:30,592 --> 03:46:33,461
IN NIH-FUNDED RESEARCH, I THINK

6726
03:46:33,461 --> 03:46:37,565
AS ALL OF YOU APPRECIATE, THERE

6727
03:46:37,565 --> 03:46:39,334
ARE SEVERAL GROUPS THAT ARE MORE

6728
03:46:39,334 --> 03:46:42,203
CHALLENGING FOR US TO REACH AND

6729
03:46:42,203 --> 03:46:43,705
THE RURAL IS ONE OF THEM.

6730
03:46:43,705 --> 03:46:47,776
WE TYPICALLY DON'T DO VERY WELL

6731
03:46:47,776 --> 03:46:48,810
WITH RURAL POPULATIONS, BUT

6732
03:46:48,810 --> 03:46:50,078
AGAIN I WANT TO EMPHASIZE THAT

6733
03:46:50,078 --> 03:46:52,547
THIS IS JUST FOR THIS EARLY

6734
03:46:52,547 --> 03:46:53,515
PHASE, THIS FIRST YEAR OR SO,

6735
03:46:53,515 --> 03:46:56,251
AND THEN WE WILL BE BROADENING

6736
03:46:56,251 --> 03:46:57,552
OUT.

6737
03:46:57,552 --> 03:46:59,521
SPECIFICALLY AS TO YOUR

6738
03:46:59,521 --> 03:47:02,690
QUESTION, RURAL WAS DEFINED AS

6739
03:47:02,690 --> 03:47:04,392
THE FUNDED ORGANIZATION AND ITS

6740
03:47:04,392 --> 03:47:08,930
CATCHMENT HAVING AT LEAST 25% OF

6741
03:47:08,930 --> 03:47:10,131
ITS CENSUS, THE STATE IT'S IN,

6742
03:47:10,131 --> 03:47:14,702
THE CENSUS TRACTS TO BE THE

6743
03:47:14,702 --> 03:47:18,773
UPDATED RAQQA CODES 4 THROUGH

6744
03:47:18,773 --> 03:47:18,940
10.

6745
03:47:18,940 --> 03:47:19,541
>> I REMEMBER US TALKING
ABOUT

6746
03:47:19,541 --> 03:47:20,542
THAT ACTUALLY, SO THANKS.

6747
03:47:20,542 --> 03:47:24,145
AND MY LAST QUESTION IS ABOUT

6748
03:47:24,145 --> 03:47:26,181
COORDINATING WITH NON-PROFITS,

6749
03:47:26,181 --> 03:47:27,515
IF THERE'S ANY IDEA ABOUT THAT,

6750
03:47:27,515 --> 03:47:28,783
BECAUSE OF COURSE THERE'S A LOT

6751
03:47:28,783 --> 03:47:31,119
OF REPLICATION ACROSS

6752
03:47:31,119 --> 03:47:31,920
NON-PROFITS, ESPECIALLY WITH A

6753
03:47:31,920 --> 03:47:33,488
LOT OF THINGS THAT PRIMARY CARE

6754
03:47:33,488 --> 03:47:34,022
TRIES TO DO.

6755
03:47:34,022 --> 03:47:35,723
ANY THOUGHT ABOUT THAT?

6756
03:47:35,723 --> 03:47:38,626
>> AGAIN, WE ARE OPEN.

6757
03:47:38,626 --> 03:47:41,663
WE KNOW WE NEED TO PARTNER WITH

6758
03:47:41,663 --> 03:47:45,533
A LOT OF DIFFERENT GROUPS, AND I

6759
03:47:45,533 --> 03:47:48,236
THINK WE WOULD VERY MUCH WELCOME

6760
03:47:48,236 --> 03:47:51,306
AND IF YOU HAVE IDEAS ALONG

6761
03:47:51,306 --> 03:47:52,640
THOSE LINES, WE'D CERTAINLY LIKE

6762
03:47:52,640 --> 03:47:53,441
TO TALK TO PEOPLE.

6763
03:47:53,441 --> 03:47:54,242
>> GREAT.

6764
03:47:54,242 --> 03:47:54,642
THANK YOU SO MUCH.

6765
03:47:54,642 --> 03:48:01,149
>> SURE.

6766
03:48:01,149 --> 03:48:05,653
>> ANY OTHER QUESTIONS?

6767
03:48:05,653 --> 03:48:07,455
OKAY.

6768
03:48:07,455 --> 03:48:10,058
WELL, I REALLY WANT TO THANK

6769
03:48:10,058 --> 03:48:10,525
YOU.

6770
03:48:10,525 --> 03:48:12,160
AMY, THIS IS REALLY GREAT AND,

6771
03:48:12,160 --> 03:48:18,600
YOU KNOW, W I HAVE TO SAY WHEN E

6772
03:48:18,600 --> 03:48:19,701
INVITED AMY TO PRESENT TODAY, WE

6773
03:48:19,701 --> 03:48:22,370
WERE HOPING WE WOULD BE ABLE TO

6774
03:48:22,370 --> 03:48:22,837
TALK ABOUT THE AWARDS

6775
03:48:22,837 --> 03:48:23,137
THEMSELVES.

6776
03:48:23,137 --> 03:48:25,540
WE MISSED BY, I DON'T KNOW, NOT

6777
03:48:25,540 --> 03:48:27,408
LONG, NOT MUCH -- PERHAPS IN A

6778
03:48:27,408 --> 03:48:28,076
COUPLE WEEKS, BUT YOU'LL BE

6779
03:48:28,076 --> 03:48:29,944
HEARING ABOUT THAT VERY SOON.

6780
03:48:29,944 --> 03:48:36,050
AND AGAIN, I HAVE TO EMPHASIZE

6781
03:48:36,050 --> 03:48:37,952
THE FACT THAT THIS IS A PILOT,

6782
03:48:37,952 --> 03:48:40,922
AS AMY DESCRIBED, THIS IS REALLY

6783
03:48:40,922 --> 03:48:44,659
THE FIRST STEP, BUT THERE'S SO

6784
03:48:44,659 --> 03:48:46,127
MUCH POTENTIAL FOR THIS PROGRAM

6785
03:48:46,127 --> 03:48:47,729
AND SO WE'RE SO VERY EXCITED TO

6786
03:48:47,729 --> 03:48:50,098
HEAR ABOUT THIS, TO HAVE THE

6787
03:48:50,098 --> 03:48:51,633
OPPORTUNITY TO PRESENT TO ALL,

6788
03:48:51,633 --> 03:48:53,201
AND THANK YOU VERY MUCH FOR THE

6789
03:48:53,201 --> 03:48:54,068
DISCUSSION, THANK YOU FOR COMING

6790
03:48:54,068 --> 03:48:55,670
OVER AND PRESENTING TO US AND WE

6791
03:48:55,670 --> 03:48:58,773
LOOK FORWARD TO HEARING WHAT

6792
03:48:58,773 --> 03:48:59,674
HAPPENS IN THE FUTURE.

6793
03:48:59,674 --> 03:49:01,075
>> THANK YOU ALL SO MUCH,
AND I

6794
03:49:01,075 --> 03:49:02,243
HOPE YOU STAY IN TOUCH BECAUSE

6795
03:49:02,243 --> 03:49:03,578
WE'LL NEED ALL THE HELP WE CAN

6796
03:49:03,578 --> 03:49:03,912
GET.

6797
03:49:03,912 --> 03:49:04,212
>> FOR SURE.

6798
03:49:04,212 --> 03:49:12,854
THANK YOU.

6799
03:49:12,854 --> 03:49:14,489
>> SO THANK YOU, HELENE,
AND

6800
03:49:14,489 --> 03:49:15,456
THANK YOU, DR. PATTERSON.

6801
03:49:15,456 --> 03:49:17,392
WE ARE NOW MOVING ON TO CONCEPT

6802
03:49:17,392 --> 03:49:18,493
CLEARANCE.

6803
03:49:18,493 --> 03:49:21,329
AND WE HAVE TWO CONCEPTS TODAY.

6804
03:49:21,329 --> 03:49:24,065
THE FIRST ONE WILL BE PRESENTED

6805
03:49:24,065 --> 03:49:28,469
BY DR. BEDA JEAN-FRANCOIS, A

6806
03:49:28,469 --> 03:49:31,306
PROGRAM DIRECTOR IN OUR CLINICAL

6807
03:49:31,306 --> 03:49:34,676
RESEARCH -- A BRANCH AND SHE WIL

6808
03:49:34,676 --> 03:49:36,377
PRESENT THE CONCEPT, ADVANCING

6809
03:49:36,377 --> 03:49:38,446
THE SCIENCE OF COMPLEMENTARY AND

6810
03:49:38,446 --> 03:49:40,348
INTEGRATIVE HEALTH APPROACHES TO

6811
03:49:40,348 --> 03:49:41,449
IMPROVE MATERNAL HEALTH

6812
03:49:41,449 --> 03:49:41,716
OUTCOMES.

6813
03:49:41,716 --> 03:49:47,922
THEN WE WILL MOVE ON TO DR. WEN

6814
03:49:47,922 --> 03:49:49,724
CHEN, AND SHE WILL PRESENT THE

6815
03:49:49,724 --> 03:49:52,560
CONCEPT ON ADVANCING AND

6816
03:49:52,560 --> 03:49:53,995
COORDINATING INTEROCEPTION

6817
03:49:53,995 --> 03:49:55,763
RESEARCH ACROSS THE NATIONAL

6818
03:49:55,763 --> 03:49:56,230
INSTITUTES OF HEALTH.

6819
03:49:56,230 --> 03:49:57,966
SO BEDA, I'M HANDING IT OVER TO

6820
03:49:57,966 --> 03:49:58,132
YOU.

6821
03:49:58,132 --> 03:49:58,533
PLEASE GO AHEAD.

6822
03:49:58,533 --> 03:50:01,235
>> THANKS, EVERYBODY.

6823
03:50:01,235 --> 03:50:02,403
GOOD AFTERNOON TO YOU ALL.

6824
03:50:02,403 --> 03:50:03,404
WE'RE HAPPY TO PROVIDE AN

6825
03:50:03,404 --> 03:50:04,739
OVERVIEW OF THE MATERNAL HEALTH

6826
03:50:04,739 --> 03:50:05,373
CONCEPT.

6827
03:50:05,373 --> 03:50:06,507
BEFORE I BEGIN, I JUST WANT TO

6828
03:50:06,507 --> 03:50:09,444
SAY A BIG THANK YOU TO MY TWO

6829
03:50:09,444 --> 03:50:12,747
WONDERFUL COLLABORATORS, DRS.

6830
03:50:12,747 --> 03:50:22,123
LANAY MUDLANAY MUDD AND WHITNEY.

6831
03:50:22,123 --> 03:50:23,224
THE UNITED STATES HAS THE

6832
03:50:23,224 --> 03:50:26,027
HIGHEST MATERNAL MORTALITY RATE

6833
03:50:26,027 --> 03:50:27,662
AMONG HIGH-INCOME COUNTRIES.

6834
03:50:27,662 --> 03:50:28,730
RESPONDING TO THE MATERNAL

6835
03:50:28,730 --> 03:50:30,064
HEALTH CRISIS IN THE UNITED

6836
03:50:30,064 --> 03:50:30,798
STATES IS A NATIONAL PRIORITY

6837
03:50:30,798 --> 03:50:33,568
FOR THE BIDEN HARRIS

6838
03:50:33,568 --> 03:50:34,435
ADMINISTRATION, AS WELL AS

6839
03:50:34,435 --> 03:50:36,371
ENSURING THAT HEALTH ISSUES OF

6840
03:50:36,371 --> 03:50:39,474
WOMEN ACROSS THE LIFESPAN ARE

6841
03:50:39,474 --> 03:50:41,609
INTEGRATED ACROSS THE FEDERAL

6842
03:50:41,609 --> 03:50:43,711
RESEARCH PORTFOLIO IN BUDGET.

6843
03:50:43,711 --> 03:50:45,446
AS A RESULT OF THIS NATIONAL

6844
03:50:45,446 --> 03:50:47,982
FOCUS, NIH IS INVESTING IN

6845
03:50:47,982 --> 03:50:49,617
SEVERAL INITIATIVES TO SUPPORT

6846
03:50:49,617 --> 03:50:50,752
RESEARCH PRIORITIES ON WOMEN'S

6847
03:50:50,752 --> 03:50:56,391
HEALTH.

6848
03:50:56,391 --> 03:50:58,693
ONE NIH RESEARCH EFFORT IS THE

6849
03:50:58,693 --> 03:50:59,794
IMPROVE MULTIPRONG INITIATIVE

6850
03:50:59,794 --> 03:51:02,930
THAT WAS LAUNCHED IN 2019, AND

6851
03:51:02,930 --> 03:51:07,902
RESPONINRESPONSE TO THE MATERNAH

6852
03:51:07,902 --> 03:51:08,936
CRISIS IN THE UNITED STATES.

6853
03:51:08,936 --> 03:51:12,607
IT WAS CREATED TO BUILD THE

6854
03:51:12,607 --> 03:51:14,042
EVIDENCE BASE OF MATERNAL HEALTH

6855
03:51:14,042 --> 03:51:15,443
RELATED SOLUTIONS FOR ALL WOMEN

6856
03:51:15,443 --> 03:51:17,211
TO PROMOTE MATERNAL HEALTH

6857
03:51:17,211 --> 03:51:17,478
EQUITY.

6858
03:51:17,478 --> 03:51:18,713
THE SIX GOALS OF THE IMPROVE

6859
03:51:18,713 --> 03:51:19,647
INITIATIVE ARE LISTED ON THAT

6860
03:51:19,647 --> 03:51:21,149
SLIDE FOR YOU AND YOU CAN SEE

6861
03:51:21,149 --> 03:51:23,551
THERE'S SPECIAL FA CYST ON

6862
03:51:23,551 --> 03:51:24,252
HEALTH DISPARITY POPULATIONS AS

6863
03:51:24,252 --> 03:51:25,653
WELL AS THE USE OF INNOVATIVE

6864
03:51:25,653 --> 03:51:28,089
TECHNOLOGY TO PROMOTE ACCESS TO

6865
03:51:28,089 --> 03:51:36,164
MATERNAL HEALTHCARE.

6866
03:51:36,164 --> 03:51:38,032
AS CAN BE SEEN ON THAT SLIDE,

6867
03:51:38,032 --> 03:51:39,967
THE IMPROVE INITIATIVE

6868
03:51:39,967 --> 03:51:41,269
ENCOMPASSES SEVERAL INTEGRATED

6869
03:51:41,269 --> 03:51:42,170
PROGRAMS WHICH ARE

6870
03:51:42,170 --> 03:51:43,237
GEOGRAPHICALLY DISTRIBUTED

6871
03:51:43,237 --> 03:51:44,605
THROUGHOUT THE COUNTRY.

6872
03:51:44,605 --> 03:51:48,576
ONE PROGRAM THAT I WANT TO FOCUS

6873
03:51:48,576 --> 03:51:49,077
YOUR ATTENTION ON THAT'S

6874
03:51:49,077 --> 03:51:50,044
RELEVANT FOR THE PROPOSED

6875
03:51:50,044 --> 03:51:51,746
CONCEPT IS THE MATERNAL HEALTH

6876
03:51:51,746 --> 03:51:58,920
RESEARCH CENTERS OF EXCELLENCE.

6877
03:51:58,920 --> 03:52:00,955
THE GOAL OF THESE CENTERS IS TO

6878
03:52:00,955 --> 03:52:02,557
REDUCE PREVENTABLE CAUSES OF

6879
03:52:02,557 --> 03:52:03,691
MATERNAL DEATHS AND IMPROVE

6880
03:52:03,691 --> 03:52:06,060
HEALTH FOR WOMEN BEFORE, DURING

6881
03:52:06,060 --> 03:52:08,129
AND AFTER PREGNANCY BY

6882
03:52:08,129 --> 03:52:09,197
PARTNERING WITH COMMUNITIES MOST

6883
03:52:09,197 --> 03:52:11,232
AFFECTED.

6884
03:52:11,232 --> 03:52:12,667
WITH SUPPORT FROM A DATA

6885
03:52:12,667 --> 03:52:14,001
INNOVATION AND COORDINATION HUB

6886
03:52:14,001 --> 03:52:16,704
AND AN IMPLEMENTATION SCIENCE

6887
03:52:16,704 --> 03:52:18,272
HUB, THE CENTERS WILL SHARE

6888
03:52:18,272 --> 03:52:19,874
LESSONS LEARNED, PARTICIPATE IN

6889
03:52:19,874 --> 03:52:21,742
TRAININGS AND RESEARCH, AND

6890
03:52:21,742 --> 03:52:23,678
DISSEMINATE THEIR RESULTS.

6891
03:52:23,678 --> 03:52:25,546
ADDITIONALLY, THE CENTERS HAVE A

6892
03:52:25,546 --> 03:52:28,049
ROBUST TRAINING AND PROFESSIONAL

6893
03:52:28,049 --> 03:52:29,550
DEVELOPMENT TO GROW THE MATERNAL

6894
03:52:29,550 --> 03:52:30,384
HEALTH WORKFORCE.

6895
03:52:30,384 --> 03:52:33,488
THE CENTERS ARE FUNDED FOR SEVEN

6896
03:52:33,488 --> 03:52:33,688
YEARS.

6897
03:52:33,688 --> 03:52:35,289
THEY HAVE RECENTLY COMPLETED

6898
03:52:35,289 --> 03:52:36,357
THEIR PLANNING YEAR AND THEY

6899
03:52:36,357 --> 03:52:38,092
WILL BEGIN IMPLEMENTING THEIR

6900
03:52:38,092 --> 03:52:40,061
RESEARCH PROJECTS FOR THE NEXT

6901
03:52:40,061 --> 03:52:41,362
FOUR YEARS.

6902
03:52:41,362 --> 03:52:44,065
WITH THE REMAINING YEARS' FOCUS

6903
03:52:44,065 --> 03:52:46,701
ON TRANSLATING THEIR RESULTS AND

6904
03:52:46,701 --> 03:52:50,238
SUSTAINING THEIR FINDINGS.

6905
03:52:50,238 --> 03:52:53,741
CURRENTLY THERE'S 12 CENTERS,

6906
03:52:53,741 --> 03:52:55,109
INCLUDING TWO THAT WERE RECENTLY

6907
03:52:55,109 --> 03:52:56,644
ADDED THIS JUNE AND THERE'S OVER

6908
03:52:56,644 --> 03:53:01,315
20 RESEARCH PROJECTS.

6909
03:53:01,315 --> 03:53:03,284
AS YOU CAN TELL ON THIS SLIDE,

6910
03:53:03,284 --> 03:53:05,386
ALTHOUGH THE CENTERS ARE

6911
03:53:05,386 --> 03:53:06,821
EXPLORING A WIDE DIVERSITY OF

6912
03:53:06,821 --> 03:53:08,856
TOPICS AND CONDITIONS THAT

6913
03:53:08,856 --> 03:53:11,159
IMPACT MATERNAL HEALTH,

6914
03:53:11,159 --> 03:53:12,493
COMPLEMENTARY INTEGRATIVE HEALTH

6915
03:53:12,493 --> 03:53:14,228
APPROACHES ARE NOT INCLUDED IN

6916
03:53:14,228 --> 03:53:15,229
THE INTERVENTIONS PROPOSED BY

6917
03:53:15,229 --> 03:53:16,130
THE CENTERS.

6918
03:53:16,130 --> 03:53:17,398
SO THUS THIS PROVIDES AN

6919
03:53:17,398 --> 03:53:18,966
OPPORTUNITY TO EXPAND THE

6920
03:53:18,966 --> 03:53:21,302
SCIENCE OF THE CENTERS TO

6921
03:53:21,302 --> 03:53:22,670
INCLUDE THESE APPROACHES AND

6922
03:53:22,670 --> 03:53:25,039
BUILD THE EVIDENCE BASE OF

6923
03:53:25,039 --> 03:53:25,873
COMPLEMENTARY INTEGRATIVE

6924
03:53:25,873 --> 03:53:28,209
APPROACHES TO PROMOTE A HEALTHY

6925
03:53:28,209 --> 03:53:29,744
PREGNANCY AND ENHANCE MATERNAL

6926
03:53:29,744 --> 03:53:35,983
HEALTH OUTCOMES.

6927
03:53:35,983 --> 03:53:37,718
AND IN FACT, COMPLEMENTARY

6928
03:53:37,718 --> 03:53:39,253
INTEGRATIVE HEALTH APPROACHES

6929
03:53:39,253 --> 03:53:41,789
FOR MATERNAL HEALTH IS

6930
03:53:41,789 --> 03:53:42,924
UNDERSTUDIED AT NIH.

6931
03:53:42,924 --> 03:53:45,526
FROM FISCAL YEAR 2010 TO 2023,

6932
03:53:45,526 --> 03:53:49,630
NIH HAS FUNDED 62 AWARDS ON THIS

6933
03:53:49,630 --> 03:53:49,830
TOPIC.

6934
03:53:49,830 --> 03:53:52,233
THE TOP 3ICs WHO ARE FUNDING

6935
03:53:52,233 --> 03:53:53,701
GRANTS FOCUSED ON THIS CONTENT

6936
03:53:53,701 --> 03:53:59,073
ARE NIMH, FOLLOWED BY NICHD AND

6937
03:53:59,073 --> 03:54:00,975
NCCIH.

6938
03:54:00,975 --> 03:54:02,310
ADDITIONALLY, SYSTEMATIC REVIEWS

6939
03:54:02,310 --> 03:54:03,277
AND META-ANALYSIS ALSO SUPPORT

6940
03:54:03,277 --> 03:54:05,246
THE NEED FOR MORE RIGOROUS

6941
03:54:05,246 --> 03:54:06,547
STUDIES TO STRENGTHEN THE

6942
03:54:06,547 --> 03:54:08,983
EVIDENCE BASE OF THESE

6943
03:54:08,983 --> 03:54:09,417
NON-PHARMACOLOGICAL

6944
03:54:09,417 --> 03:54:13,888
INTERVENTIONS TO ENHANCE

6945
03:54:13,888 --> 03:54:18,626
MATERNAL HEALTH OUTCOMES.

6946
03:54:18,626 --> 03:54:21,629
AND THAT REALLY IS THE PURPOSE

6947
03:54:21,629 --> 03:54:22,530
OF OUR INITIATIVE.

6948
03:54:22,530 --> 03:54:25,333
WE WANT TO DEVELOP A FUNDING

6949
03:54:25,333 --> 03:54:26,701
OPPORTUNITY TO IMPROVE THE

6950
03:54:26,701 --> 03:54:28,536
EVIDENCE BASE OF COMPLEMENTARY

6951
03:54:28,536 --> 03:54:29,503
INTEGRATIVE HEALTH APPROACHES TO

6952
03:54:29,503 --> 03:54:32,406
PROMOTE A HEALTHY PREGNANCY AND

6953
03:54:32,406 --> 03:54:34,742
OPTIMIZE IMPLEMENTATION OF

6954
03:54:34,742 --> 03:54:36,844
PSYCHOLOGICAL PHYSICAL AND

6955
03:54:36,844 --> 03:54:38,346
NUTRITIONAL INTERVENTIONS TO

6956
03:54:38,346 --> 03:54:39,780
ENHANCE MATERNAL HEALTH OUTCOMES

6957
03:54:39,780 --> 03:54:42,149
IN AREAS, FOR EXAMPLE, AS

6958
03:54:42,149 --> 03:54:45,319
STRESS, SLEEP, DEPRESSION, PAIN,

6959
03:54:45,319 --> 03:54:47,121
OBESITY, THE INITIATIVE ALIGNS

6960
03:54:47,121 --> 03:54:49,123
WELL WITH NCCIH'S STRATEGIC

6961
03:54:49,123 --> 03:54:50,891
PRIORITY ON WHOLE PERSON HEALTH,

6962
03:54:50,891 --> 03:54:59,967
AND HEALTH DISPARITIES.

6963
03:54:59,967 --> 03:55:00,735
SO SPECIFICALLY WHAT WE'RE

6964
03:55:00,735 --> 03:55:02,270
PROPOSING TO DO IS LEVERAGE THE

6965
03:55:02,270 --> 03:55:04,105
RICH INFRASTRUCTURE OF THE

6966
03:55:04,105 --> 03:55:05,873
IMPROVE CENTERS OF EXCELLENCE TO

6967
03:55:05,873 --> 03:55:08,109
TEST THE FEASIBILITY OF

6968
03:55:08,109 --> 03:55:10,611
EMBEDDING AND EVALUATING

6969
03:55:10,611 --> 03:55:11,679
COMPLEMENTARY INTEGRATIVE HEALTH

6970
03:55:11,679 --> 03:55:13,447
APPROACHES TO PROMOTE A HEALTHY

6971
03:55:13,447 --> 03:55:14,482
PREGNANCY AND ENHANCE MATERNAL

6972
03:55:14,482 --> 03:55:15,182
HEALTH OUTCOMES.

6973
03:55:15,182 --> 03:55:17,318
WE ALSO WOULD LIKE TO STIMULATE

6974
03:55:17,318 --> 03:55:18,986
THE NCCIH MATERNAL HEALTH

6975
03:55:18,986 --> 03:55:21,222
PORTFOLIO BY DEVELOPING A CADRE

6976
03:55:21,222 --> 03:55:23,524
OF INVESTIGATORS TO CONDUCT

6977
03:55:23,524 --> 03:55:25,159
RESEARCH ON MATERNAL HEALTH

6978
03:55:25,159 --> 03:55:27,628
OUTCOMES IN THE PREPREGNANCY,

6979
03:55:27,628 --> 03:55:29,463
PREGNANCY OR POSTPARTUM PERIOD.

6980
03:55:29,463 --> 03:55:30,431
OUR POTENTIAL PARTNERS ARE

6981
03:55:30,431 --> 03:55:31,165
LISTED HERE.

6982
03:55:31,165 --> 03:55:34,168
WE CONTINUE OUR CONVERSATIONS

6983
03:55:34,168 --> 03:55:34,769
WITH THEM.

6984
03:55:34,769 --> 03:55:36,137
THE LEADS OF IMPROVE, FOR

6985
03:55:36,137 --> 03:55:38,272
EXAMPLE, THEY'RE VERY EXCITED

6986
03:55:38,272 --> 03:55:40,408
ABOUT OUR EFFORT, AND THEY SEE

6987
03:55:40,408 --> 03:55:42,176
THE VALUE ADDED OF THESE

6988
03:55:42,176 --> 03:55:43,277
NON-PHARMACOLOGICAL APPROACHES

6989
03:55:43,277 --> 03:55:45,846
WITHIN THE CENTERS TO ADDRESS

6990
03:55:45,846 --> 03:55:46,714
THIS MULTIFACETED PROBLEM OF

6991
03:55:46,714 --> 03:55:49,116
MATERNAL HEALTH CRISIS.

6992
03:55:49,116 --> 03:55:50,084
THANK YOU SO MUCH.

6993
03:55:50,084 --> 03:55:51,252
I'M HAPPY TO TAKE YOUR QUESTIONS

6994
03:55:51,252 --> 03:56:01,329
NOW.

6995
03:56:06,901 --> 03:56:09,303
>> A REALLY IMPORTANT
RESEARCH

6996
03:56:09,303 --> 03:56:09,737
DIRECTION.

6997
03:56:09,737 --> 03:56:11,038
AND I'M WONDERING, GIVEN SOME OF

6998
03:56:11,038 --> 03:56:12,707
THE HEAL WORK THAT'S GOING ON

6999
03:56:12,707 --> 03:56:15,476
WITH SUBSTANCE-EXPOSED FEE OWE

7000
03:56:15,476 --> 03:56:16,844
NATES, IS THERE ANY WAY THAT

7001
03:56:16,844 --> 03:56:20,448
PART OF THIS COULD BE TIED INTO

7002
03:56:20,448 --> 03:56:24,185
THAT BY LOOKING AT THE

7003
03:56:24,185 --> 03:56:25,419
MOTHERS -- THE SUBSTANCE USING

7004
03:56:25,419 --> 03:56:28,723
MOTHERS AND FANNI FACTORS THAT D

7005
03:56:28,723 --> 03:56:29,523
MINIMIZE THEIR SUBSTANCE USE,

7006
03:56:29,523 --> 03:56:30,157
DEPRESSION OR ANYTHING LIKE

7007
03:56:30,157 --> 03:56:30,358
THAT?

7008
03:56:30,358 --> 03:56:31,492
>> THANK YOU SO MUCH FOR
THAT

7009
03:56:31,492 --> 03:56:31,759
QUESTION.

7010
03:56:31,759 --> 03:56:34,095
IN FACT, YES, THE IMPROVE EFFORT

7011
03:56:34,095 --> 03:56:36,030
CONNECTS WITH OTHER EXISTING

7012
03:56:36,030 --> 03:56:37,865
NETWORKS, AND HEAL IS ONE OF THE

7013
03:56:37,865 --> 03:56:38,966
INITIATIVES THAT THEY ARE

7014
03:56:38,966 --> 03:56:39,800
CONNECTED WITH.

7015
03:56:39,800 --> 03:56:41,335
SO INVESTIGATORS THERE AS WELL

7016
03:56:41,335 --> 03:56:44,672
CAN APPLY AND BE PART OF THE

7017
03:56:44,672 --> 03:56:45,139
IMPROVE NETWORK, YES.

7018
03:56:45,139 --> 03:56:46,674
SO WE GET TO CAPITALIZE ON THAT

7019
03:56:46,674 --> 03:56:56,817
AS WELL.

7020
03:56:57,885 --> 03:57:01,555
>> THERE ARE NO MORE
QUESTIONS.

7021
03:57:01,555 --> 03:57:03,057
THEN I WOULD LIKE TO -- DO WE

7022
03:57:03,057 --> 03:57:04,358
HAVE A MOTION TO APPROVE THE

7023
03:57:04,358 --> 03:57:06,694
CONCEPT?

7024
03:57:06,694 --> 03:57:07,261
OKAY.

7025
03:57:07,261 --> 03:57:10,598
WE HAVE A SECOND?

7026
03:57:10,598 --> 03:57:13,367
ALL IN FAVOR, RAISE YOUR HAND.

7027
03:57:13,367 --> 03:57:23,077
IN THE ROOM AS WELL AS ON ZOOM.

7028
03:57:23,077 --> 03:57:33,487
SO DO WE HAVE EVERYBODY?

7029
03:57:35,389 --> 03:57:36,724
DR. CECH, DID WE GET YOUR HAND?

7030
03:57:36,724 --> 03:57:40,294
YOU KNOW BY NOW -- OKAY, SO WE

7031
03:57:40,294 --> 03:57:40,961
HAVE EVERYBODY?

7032
03:57:40,961 --> 03:57:42,963
OKAY, GOOD.

7033
03:57:42,963 --> 03:57:44,665
SO THE CONCEPT HAS BEEN

7034
03:57:44,665 --> 03:57:45,433
APPROVED.

7035
03:57:45,433 --> 03:57:48,669
THANK YOU SO MUCH, BEDA.

7036
03:57:48,669 --> 03:57:56,844
>> THANK YOU, EVERYONE!

7037
03:57:56,844 --> 03:57:59,346
>> HI, GOOD AFTERNOON.

7038
03:57:59,346 --> 03:58:02,082
I'M WEN CHEN FROM NCCIH.

7039
03:58:02,082 --> 03:58:06,353
TODAY I AM PRESENTING THE

7040
03:58:06,353 --> 03:58:08,189
CONCEPT ADVANCING AND

7041
03:58:08,189 --> 03:58:09,323
COORDINATING INTEROCEPTION

7042
03:58:09,323 --> 03:58:11,091
RESEARCH ACROSS THE NIH.

7043
03:58:11,091 --> 03:58:14,495
THIS CONCEPT IS A TIMELY AND

7044
03:58:14,495 --> 03:58:16,697
NECESSARY EXPANSION OF THE NIH

7045
03:58:16,697 --> 03:58:18,799
BLUEPRINT FOR NEUROSCIENCE

7046
03:58:18,799 --> 03:58:20,868
INITIATIVE ON INTEROCEPTION, AND

7047
03:58:20,868 --> 03:58:23,938
AIMING TO TRANSFORM BOTH OUR

7048
03:58:23,938 --> 03:58:25,506
SCIENTIFIC UNDERSTANDING AND THE

7049
03:58:25,506 --> 03:58:27,808
FUTURE OF PATIENT CARE.

7050
03:58:27,808 --> 03:58:30,878
IMAGINE THE PATIENT WITH CHRONIC

7051
03:58:30,878 --> 03:58:32,947
PAIN OR SUBSTANCE USE ABUSE

7052
03:58:32,947 --> 03:58:37,351
DISORDER OR ANXIETY, DISORDERS

7053
03:58:37,351 --> 03:58:38,352
IMPACT MILLIONS OF AMERICANS AND

7054
03:58:38,352 --> 03:58:42,456
PEOPLE AROUND THE WORLD TODAY.

7055
03:58:42,456 --> 03:58:47,828
DESPITE COUNTLESS TREATMENTS,

7056
03:58:47,828 --> 03:58:48,562
COUNTLESS INTERVENTIONS,

7057
03:58:48,562 --> 03:58:50,598
TREATMENT OFTEN FELL SHORT FOR

7058
03:58:50,598 --> 03:58:54,401
THESE PATIENTS BECAUSE WE DO NOT

7059
03:58:54,401 --> 03:58:56,203
UNDERSTAND, AND THESE

7060
03:58:56,203 --> 03:58:56,837
INTERVENTIONS DO NOT ADDRESS THE

7061
03:58:56,837 --> 03:58:58,205
FUNDAMENTAL QUESTIONS OF HOW THE

7062
03:58:58,205 --> 03:58:59,607
BRAIN INTERPRETERS AND REGULATES

7063
03:58:59,607 --> 03:59:01,408
THE SIGNALS FROM THE BODY

7064
03:59:01,408 --> 03:59:03,511
ITSELF.

7065
03:59:03,511 --> 03:59:05,479
INTEROCEPTION, WHICH IS DEFINED

7066
03:59:05,479 --> 03:59:10,851
AS THE BRAIN'S ABILITY TO SENSE,

7067
03:59:10,851 --> 03:59:13,954
INTEGRATE, INTERPRE INTERPRET AD

7068
03:59:13,954 --> 03:59:15,856
REGULATE THESE INTERNAL SIGNALS

7069
03:59:15,856 --> 03:59:17,291
HOLDS THE KEY TO ANSWER THIS

7070
03:59:17,291 --> 03:59:18,759
QUESTION.

7071
03:59:18,759 --> 03:59:21,061
INTEROCEPTION INFLUENCES OUR

7072
03:59:21,061 --> 03:59:22,429
EMOTIONS, DECISION-MAKING AND

7073
03:59:22,429 --> 03:59:24,465
PHYSICAL WELL-BEING.

7074
03:59:24,465 --> 03:59:27,801
DYSFUNCTION IN THIS SYSTEM ARE

7075
03:59:27,801 --> 03:59:33,173
OFTEN LINKED TO DISEASES FROM

7076
03:59:33,173 --> 03:59:34,174
DEPRESSION AND PAIN TO SYSTEMIC

7077
03:59:34,174 --> 03:59:35,376
DISEASE SUCH AS HYPERTENSION AND

7078
03:59:35,376 --> 03:59:37,077
DIABETES.

7079
03:59:37,077 --> 03:59:41,649
SO THIS CONCEPT AIMS TO FOSTER A

7080
03:59:41,649 --> 03:59:46,153
STRONGER AND MORE COORDINATED

7081
03:59:46,153 --> 03:59:48,055
RESEARCH COMMUNITY, EXPAND NIH'S

7082
03:59:48,055 --> 03:59:49,390
INTEROCEPTION RESEARCH PORTFOLIO

7083
03:59:49,390 --> 03:59:50,190
AND ULTIMATELY PAVE THE WAY FOR

7084
03:59:50,190 --> 03:59:51,325
MORE EFFECTIVE INTERVENTIONS

7085
03:59:51,325 --> 03:59:52,693
THAT CAN SAVE LIVES AND PROMOTE

7086
03:59:52,693 --> 03:59:55,829
HEALTH.

7087
03:59:55,829 --> 03:59:58,966
SO OUR CONCERTED EFFORT TO

7088
03:59:58,966 --> 04:00:00,267
ADVANCE INTEROCEPTION RESEARCH

7089
04:00:00,267 --> 04:00:03,137
BEGAN WITH THE FIRST EVER NIH

7090
04:00:03,137 --> 04:00:06,674
WORKSHOP ON THIS TOPIC HELD IN

7091
04:00:06,674 --> 04:00:07,474
2019.

7092
04:00:07,474 --> 04:00:10,377
IT FEATURES KEYNOTE SPEAKER WHO

7093
04:00:10,377 --> 04:00:12,346
WENT ON TO WIN THE NOBEL PRIZE

7094
04:00:12,346 --> 04:00:15,516
IN PHYSIOLOGY AND MEDICINE TWO

7095
04:00:15,516 --> 04:00:16,951
YEARS LATER.

7096
04:00:16,951 --> 04:00:18,519
THE LANDMARK EVENT BROUGHT

7097
04:00:18,519 --> 04:00:20,654
TOGETHER LEADING EXPERTS TO

7098
04:00:20,654 --> 04:00:23,257
DISCUSS KEY ISSUES, INCLUDING

7099
04:00:23,257 --> 04:00:26,160
BRAIN-BODY CONNECTIONS,

7100
04:00:26,160 --> 04:00:27,861
INTEROCEPTIVE NEUROCIRCUITRY,

7101
04:00:27,861 --> 04:00:30,397
DISEASE MECHANISMS, POTENTIAL --

7102
04:00:30,397 --> 04:00:31,932
AND COMPUTATIONAL MODELS.

7103
04:00:31,932 --> 04:00:33,400
THE WORKSHOP ALSO IDENTIFIED ONE

7104
04:00:33,400 --> 04:00:36,337
CLEAR MESSAGE, UNDERSTANDING

7105
04:00:36,337 --> 04:00:38,105
INTEROCEPTION IS ESSENTIAL FOR

7106
04:00:38,105 --> 04:00:39,540
ADDRESSING SOME OF THE MOST

7107
04:00:39,540 --> 04:00:42,543
PRESSING MEDICAL CHALLENGES OF

7108
04:00:42,543 --> 04:00:44,278
OUR TIME FROM BRAIN HEALTH TO

7109
04:00:44,278 --> 04:00:45,045
CHRONIC ILLNESS.

7110
04:00:45,045 --> 04:00:48,382
THE MOMENTUM FROM THIS WORKSHOP

7111
04:00:48,382 --> 04:00:49,883
LAID THE GROUNDWORK FOR BROADER

7112
04:00:49,883 --> 04:00:54,021
EFFORT WE SEE TODAY.

7113
04:00:54,021 --> 04:00:56,256
ONE OF THE KEY PRODUCTS FROM THE

7114
04:00:56,256 --> 04:00:59,460
2019 WORKSHOP WAS THE SPECIAL

7115
04:00:59,460 --> 04:01:02,663
ISSUE PUBLISHED IN TRENDS IN

7116
04:01:02,663 --> 04:01:04,531
NEUROSCIENCE IN 2020 WHICH

7117
04:01:04,531 --> 04:01:07,201
FEATURED SIX ARTICLES REFLECTING

7118
04:01:07,201 --> 04:01:09,536
THE MAJOR THEMES OF THE

7119
04:01:09,536 --> 04:01:09,803
WORKSHOP.

7120
04:01:09,803 --> 04:01:11,171
ONE OF THE MOST SIGNIFICANT GAPS

7121
04:01:11,171 --> 04:01:12,873
IDENTIFIED WAS OUR LIMITED

7122
04:01:12,873 --> 04:01:15,909
UNDERSTANDING OF THE NEURAL

7123
04:01:15,909 --> 04:01:16,977
CIRCUITS CONNECTING THE BRAIN TO

7124
04:01:16,977 --> 04:01:18,879
THE BODY AT A FUNDAMENTAL LEVEL.

7125
04:01:18,879 --> 04:01:24,485
SO THE LACK OF -- AND

7126
04:01:24,485 --> 04:01:26,086
UNDERSTANDING OF -- HAVE

7127
04:01:26,086 --> 04:01:29,089
HINDERED  OUR PROGRESS,

7128
04:01:29,089 --> 04:01:34,695
UNDERSTANDING HOW IT INNUNESES

7129
04:01:34,695 --> 04:01:41,101
DIIN -- LEDBY NCCIH LAUNCHED A L

7130
04:01:41,101 --> 04:01:44,905
FUNDING OPPORTUNITY.

7131
04:01:44,905 --> 04:01:46,707
FOCUSING ON THE FUNCTIONAL

7132
04:01:46,707 --> 04:01:48,208
NEURAL CIRCUITS OF INTEROCEPTION

7133
04:01:48,208 --> 04:01:50,511
IN MAMMALIAN MODELS.

7134
04:01:50,511 --> 04:01:57,785
THIS INITIATIVE LED TO SEVEN R0G

7135
04:01:57,785 --> 04:01:59,753
OVER $18 MILLION FOR FIVE YEARS.

7136
04:01:59,753 --> 04:02:02,423
THE PROJECTS ARE BEGINNING TO

7137
04:02:02,423 --> 04:02:04,792
UNCOVER SOME VERY UNEXPECTED

7138
04:02:04,792 --> 04:02:05,793
CONNECTIONS THROUGH VAGAL AND

7139
04:02:05,793 --> 04:02:08,262
SPINAL PATHWAYS BETWEEN INTERNAL

7140
04:02:08,262 --> 04:02:10,964
ORGANS, INCLUDING THE STOMACH,

7141
04:02:10,964 --> 04:02:17,504
LUNG, ADIPOSE TISSUE, TRACHEA,

7142
04:02:17,504 --> 04:02:19,373
LIVER, AND SPECIFIC BRAIN AREAS

7143
04:02:19,373 --> 04:02:21,909
INCLUDING MOTOR CORTEX AND

7144
04:02:21,909 --> 04:02:22,910
ORBITOFRONTAL CORTEX.

7145
04:02:22,910 --> 04:02:25,145
THESE DISCOVERIES ARE REDEFINING

7146
04:02:25,145 --> 04:02:27,915
OUR UNDERSTANDING OF HOW

7147
04:02:27,915 --> 04:02:29,283
INTEROCEPTION SIGNALS REGULATE

7148
04:02:29,283 --> 04:02:30,184
BOTH THE PHYSICAL AND EMOTIONAL

7149
04:02:30,184 --> 04:02:31,685
HEALTH.

7150
04:02:31,685 --> 04:02:34,688
THE GROWING BODY OF RESEARCH

7151
04:02:34,688 --> 04:02:36,824
ALSO GATHERED INTEREST FROM

7152
04:02:36,824 --> 04:02:39,526
OTHER NIH INSTITUTES, BROADENING

7153
04:02:39,526 --> 04:02:41,528
THE SCOPE OF THE RESEARCH WITHIN

7154
04:02:41,528 --> 04:02:44,665
NIH.

7155
04:02:44,665 --> 04:02:46,900
FOR INSTANCE, THE NATIONAL

7156
04:02:46,900 --> 04:02:49,103
CANCER INSTITUTE ARE EXPLORING

7157
04:02:49,103 --> 04:02:51,872
HOW INTEROCEPTION MAY REGULATE

7158
04:02:51,872 --> 04:02:54,341
CANCER CONTROL, AND OTHER NIH

7159
04:02:54,341 --> 04:02:56,844
INSTITUTES ARE BEGINNING TO LOOK

7160
04:02:56,844 --> 04:02:59,279
AT INTEROCEPTION'S ROLE IN

7161
04:02:59,279 --> 04:03:01,715
SUBSTANCE USE DISORDERS AND

7162
04:03:01,715 --> 04:03:05,686
CHRONIC PAIN MANAGEMENT.

7163
04:03:05,686 --> 04:03:06,320
THIS INTERDISCIPLINARY INTEREST

7164
04:03:06,320 --> 04:03:07,788
POINTS TO THE WIDE REACHING

7165
04:03:07,788 --> 04:03:09,189
IMPLICATION OF INTEROCEPTION NOT

7166
04:03:09,189 --> 04:03:12,126
ONLY FOR NEUROSCIENCE BUT ALSO

7167
04:03:12,126 --> 04:03:13,961
FOR UNDERSTANDING AND TREATING A

7168
04:03:13,961 --> 04:03:18,332
VARIETY OF SYSTEMIC DISEASES.

7169
04:03:18,332 --> 04:03:20,601
OVER THE LAST DECADE, THE NUMBER

7170
04:03:20,601 --> 04:03:22,669
OF NIH-FUNDED GRANTS ON

7171
04:03:22,669 --> 04:03:24,037
INTEROCEPTION HAS NEARLY

7172
04:03:24,037 --> 04:03:25,339
TRIPLED.

7173
04:03:25,339 --> 04:03:26,874
THE GROWTH REFLECTS AN

7174
04:03:26,874 --> 04:03:29,743
INCREASING RECOGNITION OF HOW

7175
04:03:29,743 --> 04:03:30,978
INTEROCEPTION MAY SHAPE HEALTH

7176
04:03:30,978 --> 04:03:33,380
AND DISEASE, HOWEVER, THE

7177
04:03:33,380 --> 04:03:35,282
TRIPLING LIKELY UNDERESTIMATE

7178
04:03:35,282 --> 04:03:38,752
THE ACTUAL GROWTH BECAUSE

7179
04:03:38,752 --> 04:03:39,453
INTEROCEPTION RELATED RESEARCH

7180
04:03:39,453 --> 04:03:41,221
IS OFTEN EMBEDDED IN BROADER

7181
04:03:41,221 --> 04:03:44,625
RESEARCH FIELDS.

7182
04:03:44,625 --> 04:03:47,227
AS INTEROCEPTION RESEARCH GAINS

7183
04:03:47,227 --> 04:03:48,896
MOMENTUM, WE EXPECT EVEN MORE

7184
04:03:48,896 --> 04:03:50,731
RAPID EXPANSION UNDERSCORING THE

7185
04:03:50,731 --> 04:03:52,032
NEED FOR COORDINATION AND

7186
04:03:52,032 --> 04:03:53,433
FOCUSED SUPPORT.

7187
04:03:53,433 --> 04:03:56,770
SO THIS INCREASE FUNDING IS ALSO

7188
04:03:56,770 --> 04:03:58,806
DISTRIBUTED ACROSS DIVERSE NIH

7189
04:03:58,806 --> 04:04:03,310
INSTITUTES AND CENTERS.

7190
04:04:03,310 --> 04:04:05,712
SECONDLY, A SIGNIFICANT SHIFT IN

7191
04:04:05,712 --> 04:04:06,747
THINKING, FOR EXAMPLE, SOME OF

7192
04:04:06,747 --> 04:04:09,883
THE BODY CENTRIC SUCH AS THE

7193
04:04:09,883 --> 04:04:13,020
NIDDK AND NHLBI RL NOW EXPLORING

7194
04:04:13,020 --> 04:04:14,755
THE BRAIN SWELL IN REGULATING

7195
04:04:14,755 --> 04:04:17,324
ORGAN FUNCTIONS WHILE THE MORE

7196
04:04:17,324 --> 04:04:18,125
TRADITIONAL BRAIN CENTRIC

7197
04:04:18,125 --> 04:04:21,195
INSTITUTES SUCH AS NINDS AND

7198
04:04:21,195 --> 04:04:23,030
NIMH ARE INVESTIGATING HOW

7199
04:04:23,030 --> 04:04:24,932
ORGANS LIKE THE HEART, GUT, AND

7200
04:04:24,932 --> 04:04:26,099
LUNGS ARE INFLUENCING BRAIN

7201
04:04:26,099 --> 04:04:29,336
HEALTH.

7202
04:04:29,336 --> 04:04:30,337
EVEN ALZHEIMER'S DISEASE

7203
04:04:30,337 --> 04:04:32,206
RESEARCH IS BEGINNING TO EXAMINE

7204
04:04:32,206 --> 04:04:34,541
THE ROLE OF INTERNAL ORGANS IN

7205
04:04:34,541 --> 04:04:36,109
THE DISEASE PROGRESSION,

7206
04:04:36,109 --> 04:04:40,681
HIGHLIGHTING THE IP

7207
04:04:40,681 --> 04:04:41,415
INTERCONNECTEDNESS BETWEEN BRAIN

7208
04:04:41,415 --> 04:04:42,549
AND BODY.

7209
04:04:42,549 --> 04:04:45,085
THE IMPORTANCE OF INTEROCEPTION

7210
04:04:45,085 --> 04:04:45,986
RESEARCH IS ALSO REFLECTED IN

7211
04:04:45,986 --> 04:04:48,255
THE GROWING NUMBER OF

7212
04:04:48,255 --> 04:04:49,823
PUBLICATIONS IN THE LITERATURE,

7213
04:04:49,823 --> 04:04:51,792
ESPECIALLY IN HIGH IMPACT

7214
04:04:51,792 --> 04:04:53,160
JOURNALS SUCH AS NATURE, SCIENCE

7215
04:04:53,160 --> 04:04:55,762
AND CELL.

7216
04:04:55,762 --> 04:04:58,332
THOSE PAPERS REPORT

7217
04:04:58,332 --> 04:04:59,600
GROUNDBREAKING DISCOVERIES,

7218
04:04:59,600 --> 04:05:00,434
INCLUDING NOVEL CONNECTIONS

7219
04:05:00,434 --> 04:05:02,369
BETWEEN THE HEART AND BRAIN, THE

7220
04:05:02,369 --> 04:05:05,072
GUT AND BRAIN, AND THE ROLE OF

7221
04:05:05,072 --> 04:05:07,274
BREATHING AND EMOTIONAL

7222
04:05:07,274 --> 04:05:07,774
REGULATION.

7223
04:05:07,774 --> 04:05:09,643
THESE STUDIES ARE CHANGING HOW

7224
04:05:09,643 --> 04:05:11,812
WE UNDERSTAND BRAIN REGULATION

7225
04:05:11,812 --> 04:05:13,213
OF PHYSICAL AND EMOTIONAL HEALTH

7226
04:05:13,213 --> 04:05:14,781
AND CREATING NEW OPPORTUNITIES

7227
04:05:14,781 --> 04:05:19,887
FOR THERAPEUTIC DEVELOPMENT.

7228
04:05:19,887 --> 04:05:22,089
ALONGSIDE THOSE ACHIEVEMENTS,

7229
04:05:22,089 --> 04:05:23,223
TWO HIGHLY SUCCESSFUL

7230
04:05:23,223 --> 04:05:24,524
INVESTIGATOR MEETINGS WERE HELD

7231
04:05:24,524 --> 04:05:25,826
IN THE LAST TWO YEARS.

7232
04:05:25,826 --> 04:05:26,793
BOTH WELL ATTENDED BY THE

7233
04:05:26,793 --> 04:05:30,430
RESEARCH COMMUNITY.

7234
04:05:30,430 --> 04:05:32,099
THE FIRST MEETING FOCUSED ON THE

7235
04:05:32,099 --> 04:05:34,101
BASIC SCIENCE OF CIRCUITS, WHILE

7236
04:05:34,101 --> 04:05:35,469
THE SECOND ONE WAS EXPANDED INTO

7237
04:05:35,469 --> 04:05:37,437
CLINICAL RESEARCH.

7238
04:05:37,437 --> 04:05:41,842
THOSE MEETINGS FEATURE CLOSE TO

7239
04:05:41,842 --> 04:05:45,746
30 -- TALKS AND OVER 80 POSTER

7240
04:05:45,746 --> 04:05:46,880
PRESENTATIONS, AND REPRESENT A

7241
04:05:46,880 --> 04:05:51,118
MAJOR PLATFORM FOR -- INTO

7242
04:05:51,118 --> 04:05:52,853
DISCIPLINARY COLLABORATION.

7243
04:05:52,853 --> 04:05:56,957
PARTICIPANTS INCLUDE NARROW

7244
04:05:56,957 --> 04:05:59,192
SCIENTISTS, THE MEETING ALSO

7245
04:05:59,192 --> 04:06:01,094
PROVIDED CRITICAL SUPPORT FOR

7246
04:06:01,094 --> 04:06:04,097
JUNIOR INVESTIGATORS, INCLUDING

7247
04:06:04,097 --> 04:06:05,432
STUDENTS, POSTDOCS AND EARLY

7248
04:06:05,432 --> 04:06:06,867
STAGE INVESTIGATORS HELPING TO

7249
04:06:06,867 --> 04:06:10,637
CULTIVATE THE NEXT GENERATION OF

7250
04:06:10,637 --> 04:06:11,405
RESEARCHERS.

7251
04:06:11,405 --> 04:06:13,240
IT HIGHLIGHTED NEED FOR A

7252
04:06:13,240 --> 04:06:14,808
SIMILAR SCALED COMMUNITY EVENT

7253
04:06:14,808 --> 04:06:16,076
THAT CAN CONTINUE IN THE LONG

7254
04:06:16,076 --> 04:06:17,811
TERM.

7255
04:06:17,811 --> 04:06:20,113
DESPITE MOMENTUM, SIGNIFICANT

7256
04:06:20,113 --> 04:06:22,749
CHALLENGES REMAIN.

7257
04:06:22,749 --> 04:06:23,984
THE COMMUNITY HAS VOICED CONCERN

7258
04:06:23,984 --> 04:06:26,253
ABOUT THE LACK OF A PROFESSIONAL

7259
04:06:26,253 --> 04:06:28,355
SOCIETY OR ESTABLISHED NETWORK,

7260
04:06:28,355 --> 04:06:30,924
TO BRING TOGETHER THE DIVERSE

7261
04:06:30,924 --> 04:06:32,125
GROUPS INTERESTED IN

7262
04:06:32,125 --> 04:06:32,726
INTEROCEPTION RESEARCH.

7263
04:06:32,726 --> 04:06:34,328
WHILE INVESTIGATOR MEETINGS

7264
04:06:34,328 --> 04:06:37,097
WHICH ARE ORGANIZED BY NIH HAVE

7265
04:06:37,097 --> 04:06:39,066
GROWN WELL BEYOND OUR

7266
04:06:39,066 --> 04:06:41,068
EXPECTATIONS, THERE'S NO FORMAL

7267
04:06:41,068 --> 04:06:44,004
STRUCTURE TO SUPPORT REGULAR

7268
04:06:44,004 --> 04:06:45,672
LARGE SCALE INTERACTIONS.

7269
04:06:45,672 --> 04:06:50,744
IN ADDITION, NIH INSTITUTES AND

7270
04:06:50,744 --> 04:06:51,478
CENTERS ORGANIZATIONAL

7271
04:06:51,478 --> 04:06:56,083
STRUCTURE, WHICH IS LARGELY --

7272
04:06:56,083 --> 04:06:58,352
IT NOT VERY CONDUCIVE FOR

7273
04:06:58,352 --> 04:06:59,686
COORDINATED RESEARCH, ACROSS

7274
04:06:59,686 --> 04:07:01,321
BRAIN AND BODY.

7275
04:07:01,321 --> 04:07:04,925
ON A SCIENTIFIC FRONT, STUDYING

7276
04:07:04,925 --> 04:07:07,694
BRAIN-BODY CONNECTION IN HUMANS

7277
04:07:07,694 --> 04:07:10,831
REMAINS A CHALLENGE, ESPECIALLY

7278
04:07:10,831 --> 04:07:14,634
TRYING TO TRANSLATING THOSE

7279
04:07:14,634 --> 04:07:18,572
EXCITING BASIC FINDINGS INTO

7280
04:07:18,572 --> 04:07:19,806
EXCITING CLINICAL SCIENCE.

7281
04:07:19,806 --> 04:07:23,210
THE COMPLEXITY OF THOSE

7282
04:07:23,210 --> 04:07:24,978
CONNECTIONS OFTEN REQUIRE NOVEL

7283
04:07:24,978 --> 04:07:26,446
TECHNOLOGICAL INNOVATIONS AND

7284
04:07:26,446 --> 04:07:28,248
COMPUTATIONAL MODELS.

7285
04:07:28,248 --> 04:07:32,819
SO TO ADDRESS THOSE CHALLENGES,

7286
04:07:32,819 --> 04:07:34,121
WE PROPOSE TWO KEY INITIATIVES

7287
04:07:34,121 --> 04:07:34,321
HERE.

7288
04:07:34,321 --> 04:07:36,957
THE FIRST ONE IS TO ESTABLISH AN

7289
04:07:36,957 --> 04:07:38,492
NIH BLUEPRINT COORDINATION

7290
04:07:38,492 --> 04:07:42,662
CENTER FOR INTEROCEPTION

7291
04:07:42,662 --> 04:07:43,096
RESEARCH.

7292
04:07:43,096 --> 04:07:45,098
THIS CENTER WILL SERVE AS A

7293
04:07:45,098 --> 04:07:45,899
GOVERNING BODY TO BRING TOGETHER

7294
04:07:45,899 --> 04:07:48,435
EXPERTS TO LEAD THE FIELD AS FAR

7295
04:07:48,435 --> 04:07:50,237
AS COMMUNITY BUILDING AND

7296
04:07:50,237 --> 04:07:52,839
SUPPORT, LONG TERM

7297
04:07:52,839 --> 04:07:53,473
COLLABORATIONS AND INTERACTIONS,

7298
04:07:53,473 --> 04:07:55,842
AND WILL FACILITATE ANY

7299
04:07:55,842 --> 04:07:57,778
INVESTIGATOR MEETINGS, CROW ATE

7300
04:07:57,778 --> 04:07:59,946
A DIGITAL PLATFORM TO ENHANCE

7301
04:07:59,946 --> 04:08:01,748
COMMUNICATION AND COLLABORATION

7302
04:08:01,748 --> 04:08:04,017
AND PUBLISH WHITE PAPERS ON

7303
04:08:04,017 --> 04:08:06,420
TAXONOMY, RESEARCH STANDARDS AND

7304
04:08:06,420 --> 04:08:07,120
TECHNOLOGICAL OPPORTUNITIES.

7305
04:08:07,120 --> 04:08:08,822
THE ULTIMATE GOAL OF THIS CENTER

7306
04:08:08,822 --> 04:08:11,725
IS TO BUILD A SUSTAINABLE

7307
04:08:11,725 --> 04:08:13,994
RESEARCH ECOSYSTEM THAT WILL

7308
04:08:13,994 --> 04:08:14,895
ACCELERATE PROGRESS IN THE

7309
04:08:14,895 --> 04:08:16,963
FIELD.

7310
04:08:16,963 --> 04:08:20,901
THE SECOND INITIATIVE IS TO --

7311
04:08:20,901 --> 04:08:23,303
THE SECOND TYPE OF INITIATIVE IS

7312
04:08:23,303 --> 04:08:25,839
TO DEVELOP AS SUITE OF

7313
04:08:25,839 --> 04:08:26,773
MULTIDISCIPLINARY RESEARCH

7314
04:08:26,773 --> 04:08:28,475
FUNDING OPPORTUNITIES TA WILL

7315
04:08:28,475 --> 04:08:31,111
SUPPORT THE MULTIDISCIPLINARY

7316
04:08:31,111 --> 04:08:32,712
RESEARCH WITH AN EMPHASIS ON

7317
04:08:32,712 --> 04:08:34,548
TECHNOLOGICAL INNOVATION BY

7318
04:08:34,548 --> 04:08:35,549
DIRECTIONAL TRANSLATIONAL

7319
04:08:35,549 --> 04:08:37,684
RESEARCH AND THEORETICAL AND

7320
04:08:37,684 --> 04:08:41,254
COMPUTATIONAL MODEL DEVELOP M.

7321
04:08:41,254 --> 04:08:43,123
WE HOPE THIS INITIATIVE WILL

7322
04:08:43,123 --> 04:08:45,392
ENABLE STUDY OF THE COMPLEXITY

7323
04:08:45,392 --> 04:08:46,960
OF THE BRAIN-BODY CONNECTION AND

7324
04:08:46,960 --> 04:08:51,531
ENSURE THAT BASIC SCIENCE, BASIC

7325
04:08:51,531 --> 04:08:52,833
SCIENTIFIC DISCOVERIES CAN BE

7326
04:08:52,833 --> 04:08:53,834
EFFECTIVELY TRANSLATED INTO

7327
04:08:53,834 --> 04:08:54,434
CLINICAL PRACTICE.

7328
04:08:54,434 --> 04:08:57,003
SO IN CONCLUSION, BY ADDRESSING

7329
04:08:57,003 --> 04:08:58,438
THESE CHALLENGES AND BUILDING

7330
04:08:58,438 --> 04:09:02,476
STRONGER, MORE COORDINATED

7331
04:09:02,476 --> 04:09:03,677
RESEARCH COMMUNITY, WE'RE HOPING

7332
04:09:03,677 --> 04:09:08,014
TO UNLOCK MORE DISCOVERIES THAT

7333
04:09:08,014 --> 04:09:09,716
WILL TRANSFORM OUR UNDERSTANDING

7334
04:09:09,716 --> 04:09:13,153
OF HOW BRAIN BODY COMMUNICATE,

7335
04:09:13,153 --> 04:09:14,688
AND ALSO I BELIEVE THAT THIS HAS

7336
04:09:14,688 --> 04:09:19,126
FAR REACHING IMPLICATIONS TO

7337
04:09:19,126 --> 04:09:20,393
IMPROVE HEALTH IN GENERAL, AND

7338
04:09:20,393 --> 04:09:22,596
IN PARTICULAR, FITTING INTO

7339
04:09:22,596 --> 04:09:23,497
NCCIH'S VISION OF WHOLE PERSON

7340
04:09:23,497 --> 04:09:23,797
HEALTH.

7341
04:09:23,797 --> 04:09:26,333
SO WITH THAT, I THANK YOU FOR

7342
04:09:26,333 --> 04:09:28,668
YOUR ATTENTION, AND WELCOME YOUR

7343
04:09:28,668 --> 04:09:30,770
FEEDBACK AND QUESTIONS.

7344
04:09:30,770 --> 04:09:31,204
 ON THIS

7345
04:09:31,204 --> 04:09:41,348
CONCEPT.

7346
04:09:48,788 --> 04:09:50,357
>> ANY COMMENTS, QUESTIONS
ON

7347
04:09:50,357 --> 04:09:53,760
IT?

7348
04:09:53,760 --> 04:09:56,997
>> WELL DONE.

7349
04:09:56,997 --> 04:09:58,131
>> THAT'S WHAT I WAS GOING
TO

7350
04:09:58,131 --> 04:09:59,866
SAY, AND I'M ALWAYS JUST BLOWN

7351
04:09:59,866 --> 04:10:02,202
AWAY THAT PEOPLE THINK, LIKE,

7352
04:10:02,202 --> 04:10:03,970
THE BRAIN ISN'T THE BODY AND

7353
04:10:03,970 --> 04:10:05,372
THAT IT ISN'T AN ORGAN THAT

7354
04:10:05,372 --> 04:10:06,273
WOULD COMMUNICATE WITH OTHERS,

7355
04:10:06,273 --> 04:10:08,108
AND IT TOOK US THIS LONG.

7356
04:10:08,108 --> 04:10:13,747
SO THANK YOU.

7357
04:10:13,747 --> 04:10:19,953
>> I WANT TO JUST
UNDERSCORE HOW

7358
04:10:19,953 --> 04:10:22,222
DR. CHEN'S WORK WITH THE

7359
04:10:22,222 --> 04:10:22,856
BLUEPRINT, THE NEUROSCIENCE

7360
04:10:22,856 --> 04:10:24,224
BLUEPRINT THAT SHE SHOWED ON ONE

7361
04:10:24,224 --> 04:10:25,158
OF THE SLIDES, IT'S A COLLECTION

7362
04:10:25,158 --> 04:10:27,661
OF MANY, MANY DIFFERENT

7363
04:10:27,661 --> 04:10:30,330
INSTITUTES AT NIH, INSTITUTES

7364
04:10:30,330 --> 04:10:36,770
AND CENTERS, AND SHE'S BEEN

7365
04:10:36,770 --> 04:10:41,341
RELENTLESS AT INSPIRING THIS

7366
04:10:41,341 --> 04:10:43,643
ENTIRE GROUP OF COMMUNITY AS TO

7367
04:10:43,643 --> 04:10:45,045
THE IMPORTANCE OF INTEROCEPTION,

7368
04:10:45,045 --> 04:10:48,248
AND IT PAID OFF, BECAUSE -- BUT

7369
04:10:48,248 --> 04:10:50,083
REALLY, YOUR WORK HAS BEEN

7370
04:10:50,083 --> 04:10:50,417
SUPERB.

7371
04:10:50,417 --> 04:10:55,021
SO REALLY WANT TO THANK YOU.

7372
04:10:55,021 --> 04:10:55,255
OKAY.

7373
04:10:55,255 --> 04:10:57,290
THANK YOU.

7374
04:10:57,290 --> 04:10:59,726
>> WITH THIS, MAY I HAVE A

7375
04:10:59,726 --> 04:11:01,161
MOTION TO APPROVE THE CONCEPT?

7376
04:11:01,161 --> 04:11:02,362
I'M PAYING ATTENTION THIS TIME

7377
04:11:02,362 --> 04:11:04,631
NOT TO THE SCREEN, SO WHOEVER IS

7378
04:11:04,631 --> 04:11:08,602
RAISING THEIR HANDS THERE --

7379
04:11:08,602 --> 04:11:15,041
OKAY.

7380
04:11:15,041 --> 04:11:15,742
YOU'RE GOOD?

7381
04:11:15,742 --> 04:11:16,643
OKAY.

7382
04:11:16,643 --> 04:11:17,410
YOU'RE GOOD?

7383
04:11:17,410 --> 04:11:17,978
OKAY.

7384
04:11:17,978 --> 04:11:18,812
PERFECT.

7385
04:11:18,812 --> 04:11:19,346
THANK YOU.

7386
04:11:19,346 --> 04:11:22,549
GOOD.

7387
04:11:22,549 --> 04:11:24,117
AND THEN WITH THIS, I WOULD NOW

7388
04:11:24,117 --> 04:11:27,887
LIKE TO THANK YOU SO MUCH, WEN

7389
04:11:27,887 --> 04:11:28,922
AND ALSO BEDA.

7390
04:11:28,922 --> 04:11:29,956
FOR THIS, I WOULD LIKE TO MOVE

7391
04:11:29,956 --> 04:11:33,627
ON NOW AND WELCOME TO DR. WENDY

7392
04:11:33,627 --> 04:11:34,661
WEBER, CHIEF OF OUR CLINICAL

7393
04:11:34,661 --> 04:11:36,463
RESEARCH IN COMPLEMENTARY AND

7394
04:11:36,463 --> 04:11:39,032
INTEGRATIVE HEALTH BRANCH TO THE

7395
04:11:39,032 --> 04:11:40,500
PODIUM HERE.

7396
04:11:40,500 --> 04:11:42,936
WENDY IS GOING TO BRIEFLY

7397
04:11:42,936 --> 04:11:46,439
PRESENT ON THE REISSUE OF

7398
04:11:46,439 --> 04:11:48,141
NCCIH'S U24 FUNDING

7399
04:11:48,141 --> 04:11:49,376
OPPORTUNITIES.

7400
04:11:49,376 --> 04:11:51,111
WENDY, GO AHEAD.

7401
04:11:51,111 --> 04:11:51,378
>> GREAT.

7402
04:11:51,378 --> 04:11:51,745
WELL, THANK YOU.

7403
04:11:51,745 --> 04:11:53,179
AND I RECOGNIZE I'M OUR LAST

7404
04:11:53,179 --> 04:11:55,382
TALK BEFORE WE GO, SO THIS

7405
04:11:55,382 --> 04:11:58,184
REALLY IS JUST A BRIEF UPDATE,

7406
04:11:58,184 --> 04:11:59,619
REALLY A TECHNICAL ISSUE THAT WE

7407
04:11:59,619 --> 04:12:06,693
NEED TO ALERT YOU TO IN TERMS OF

7408
04:12:06,693 --> 04:12:07,927
REISSUING.

7409
04:12:07,927 --> 04:12:09,429
SO WE ARE IN THE PROCESS, AS YOU

7410
04:12:09,429 --> 04:12:12,299
HEARD EARLIER IN DR. LANGEVIN'S

7411
04:12:12,299 --> 04:12:15,802
TALK,' KROTION, ACROSS ALL OF NE

7412
04:12:15,802 --> 04:12:17,504
GOING TO SEE EVERY SINGLE

7413
04:12:17,504 --> 04:12:19,506
FUNDING OPPORTUNITY GET REISSUED

7414
04:12:19,506 --> 04:12:22,242
FOR THE MOST PART, AND THIS IS

7415
04:12:22,242 --> 04:12:24,577
TRUE FOR ALL -- LIKE EVERY R01,

7416
04:12:24,577 --> 04:12:26,246
EVERY R21, EVERY SINGLE ONE OF

7417
04:12:26,246 --> 04:12:27,647
THEM HAS TO BE REISSUED BECAUSE

7418
04:12:27,647 --> 04:12:31,918
WE'RE USING NEW RA REVIEW CRITE.

7419
04:12:31,918 --> 04:12:33,353
AND IT'S NO LONGER CRITERIA,

7420
04:12:33,353 --> 04:12:35,655
THEY'RE FACTORS, AND SO THAT'S

7421
04:12:35,655 --> 04:12:36,389
ONE OF THE THINGS THAT'S

7422
04:12:36,389 --> 04:12:37,057
CHANGING GOING FORWARD.

7423
04:12:37,057 --> 04:12:38,391
SO WE'RE GOING THROUGH THAT

7424
04:12:38,391 --> 04:12:41,861
PROCESS FOR ALL OF OUR CLINICAL

7425
04:12:41,861 --> 04:12:42,429
TRIAL NOTICE OF FUNDING

7426
04:12:42,429 --> 04:12:43,163
OPPORTUNITIES.

7427
04:12:43,163 --> 04:12:46,132
THE TECHNICALITY IS, THIS IS

7428
04:12:46,132 --> 04:12:47,567
TRUE FOR EVERYTHING WE HAVE ON

7429
04:12:47,567 --> 04:12:50,370
OUR -- IN OUR PORTFOLIO OF

7430
04:12:50,370 --> 04:12:51,371
FUNDING OPPORTUNITIES.

7431
04:12:51,371 --> 04:12:53,573
EXCEPT FOR THESE U24s THAT WE

7432
04:12:53,573 --> 04:12:55,375
HAVE, WHICH DON'T GET THE NEW

7433
04:12:55,375 --> 04:12:56,676
REVIEW FRAMEWORK AS PART OF

7434
04:12:56,676 --> 04:12:58,712
THEM.

7435
04:12:58,712 --> 04:13:02,716
AND SO WE HAVE TO STILL REESHOO

7436
04:13:02,716 --> 04:13:05,085
THEM, AND I WILL TELL YOU THE

7437
04:13:05,085 --> 04:13:05,618
LITTLE NUANCE THAT'S HERE.

7438
04:13:05,618 --> 04:13:07,053
SO THIS IS HAPPENING FOR JANUARY

7439
04:13:07,053 --> 04:13:08,488
AN WE JUST NEED TO GIVE YOU AN

7440
04:13:08,488 --> 04:13:10,490
UPDATE THAT WE'RE PLANNING TO

7441
04:13:10,490 --> 04:13:12,192
ALSO REISSUE OUR U24s AT THE

7442
04:13:12,192 --> 04:13:13,259
SAME TIME SO THAT THEY GO

7443
04:13:13,259 --> 04:13:16,463
TOGETHER.

7444
04:13:16,463 --> 04:13:18,365
SO AS YOU KNOW, I'VE PRESENTED

7445
04:13:18,365 --> 04:13:19,299
TO THIS GROUP BEFORE, WE HAVE A

7446
04:13:19,299 --> 04:13:20,233
WHOLE SUITE OF FUNDING

7447
04:13:20,233 --> 04:13:21,501
OPPORTUNITIES FOR CLINICAL

7448
04:13:21,501 --> 04:13:22,135
TRIALS.

7449
04:13:22,135 --> 04:13:23,837
EVERYTHING FROM VERY EARLY

7450
04:13:23,837 --> 04:13:25,038
FEASIBILITY STUDIES IN SINGLE

7451
04:13:25,038 --> 04:13:27,607
SITES TO MULTISITE FEASIBILITY

7452
04:13:27,607 --> 04:13:31,411
TO FULL SCALE EFFICACY

7453
04:13:31,411 --> 04:13:32,645
EFFECTIVENESS IN PRAGMATIC

7454
04:13:32,645 --> 04:13:32,879
TRIALS.

7455
04:13:32,879 --> 04:13:35,648
WE HAVE A SET OF COMPANION

7456
04:13:35,648 --> 04:13:36,750
FUNDING OPPORTUNITIES FOR THOSE

7457
04:13:36,750 --> 04:13:39,018
LARGER SCALE STUDIES THAT

7458
04:13:39,018 --> 04:13:41,554
REQUIRE AN INDEPENDENT CLINICAL

7459
04:13:41,554 --> 04:13:42,555
COORDINATING CENTER AND AN

7460
04:13:42,555 --> 04:13:44,090
INDEPENDENT DATA COORDINATING

7461
04:13:44,090 --> 04:13:45,258
CENTER.

7462
04:13:45,258 --> 04:13:45,959
THOSE TWO APPLICATIONS MUST COME

7463
04:13:45,959 --> 04:13:50,497
IN TOGETHER.

7464
04:13:50,497 --> 04:13:53,633
 SO FOR THE FIRST,

7465
04:13:53,633 --> 04:13:56,035
THEY'RE ALL UNDER THE SIMPLIFIED

7466
04:13:56,035 --> 04:13:56,669
REVIEW FRAMEWORK AND SO ALL OF

7467
04:13:56,669 --> 04:13:58,405
THOSE ARE BEING UPDATED IN THIS

7468
04:13:58,405 --> 04:14:00,039
EXPEDITED PROCESS THAT WE HAVE

7469
04:14:00,039 --> 04:14:03,176
HERE AT NIH TO DO THAT.

7470
04:14:03,176 --> 04:14:08,081
THE U24 IS GIVING THE UPDATED

7471
04:14:08,081 --> 04:14:12,585
PEDP, PLAN FOR ENHANCING DIVERSE

7472
04:14:12,585 --> 04:14:14,354
PERSPECTIVES THAT I TALKED

7473
04:14:14,354 --> 04:14:14,721
ABOUT.

7474
04:14:14,721 --> 04:14:16,990
AND IF WE DIDN'T REISSUE WITH

7475
04:14:16,990 --> 04:14:23,763
THE U24 ALONG WITH THE UG33 --

7476
04:14:23,763 --> 04:14:26,299
WE'VE GOT TO REISSUE EVERYTHING

7477
04:14:26,299 --> 04:14:26,800
ALL AT THE SAME TIME.

7478
04:14:26,800 --> 04:14:29,135
SO I'M JUST HERE TO ALERT EACH

7479
04:14:29,135 --> 04:14:31,237
OF THE TO THE FACT THAT WE ARE

7480
04:14:31,237 --> 04:14:34,841
REISSUING THIS AND SIMILARLY FOR

7481
04:14:34,841 --> 04:14:36,543
OUR NATURAL PRODUCT SUITE OF

7482
04:14:36,543 --> 04:14:37,277
FUNDING OPPORTUNITIES, WE HAVE

7483
04:14:37,277 --> 04:14:39,579
EARLY STAGE STUDIES, SORT OF

7484
04:14:39,579 --> 04:14:42,515
LIKE PHASE 1, PHASE 2 TRIALS,

7485
04:14:42,515 --> 04:14:43,917
AND WE HAVE THINGS TO LOOK AT

7486
04:14:43,917 --> 04:14:45,018
DOSING AND THEN WE HAVE OUR

7487
04:14:45,018 --> 04:14:46,820
LARGER SCALE STUDIES, AND THEY

7488
04:14:46,820 --> 04:14:51,124
WILL ALSO BE UPDATING BOTH OUR

7489
04:14:51,124 --> 04:14:52,692
UG3, UH3 AND OUR U24.

7490
04:14:52,692 --> 04:14:54,794
SO THAT IS THE UPDATE.

7491
04:14:54,794 --> 04:14:56,496
WE WANTED TO MAKE SURE YOU WERE

7492
04:14:56,496 --> 04:14:59,365
AWARE OF THIS, AND I'M SURE IN

7493
04:14:59,365 --> 04:15:03,236
THE NOT TOO DISTANT FUTURE,

7494
04:15:03,236 --> 04:15:04,370
PROBABLY UPCOMING WE'LL GIVE YOU

7495
04:15:04,370 --> 04:15:06,272
AN UPDATE ON HOW THIS WHOLE

7496
04:15:06,272 --> 04:15:07,073
SUITE OF FUNDING OPPORTUNITIES

7497
04:15:07,073 --> 04:15:08,041
IS WORKING FOR US.

7498
04:15:08,041 --> 04:15:09,476
WE REALLY LIKE THEM, AND THEY'RE

7499
04:15:09,476 --> 04:15:11,644
WORKING WELL, BUT WE NEEDED TO

7500
04:15:11,644 --> 04:15:13,213
ALERT TO YOU THE FACT THAT WE

7501
04:15:13,213 --> 04:15:17,250
WERE GOING TO DO THIS UPDATED

7502
04:15:17,250 --> 04:15:18,184
VERSION OF THE PROGRAM.

7503
04:15:18,184 --> 04:15:19,619
I'M HAPPY TO TAKE ANY QUESTIONS

7504
04:15:19,619 --> 04:15:21,387
AND APOLOGIZE THAT WE HAVE TO GO

7505
04:15:21,387 --> 04:15:24,357
INTO THE DETAILS OF THE

7506
04:15:24,357 --> 04:15:25,091
TECHNICALITIES ON ALL OF THESE

7507
04:15:25,091 --> 04:15:25,992
THINGS.

7508
04:15:25,992 --> 04:15:29,062
HAPPY TO TAKE QUESTIONS.

7509
04:15:29,062 --> 04:15:30,763
>> THERE R WILL THERE BE A
LOT

7510
04:15:30,763 --> 04:15:34,534
OF TRAINING, BECAUSE I DO A LOT

7511
04:15:34,534 --> 04:15:36,636
OF REVIEW PANEL WORK, I'M AN

7512
04:15:36,636 --> 04:15:37,537
INVESTIGATOR, I MEAN, THAT'S A

7513
04:15:37,537 --> 04:15:38,771
LOT OF MOVING PARTS AND IT'S

7514
04:15:38,771 --> 04:15:40,673
GOING TO BE MATCHING THE RUBRIC

7515
04:15:40,673 --> 04:15:42,475
CRITERIA TO REVIEWERS KNOWING

7516
04:15:42,475 --> 04:15:43,843
THAT THEY'VE CHANGED.

7517
04:15:43,843 --> 04:15:45,879
I KNOW JESSICA IS PROBABLY ON IT

7518
04:15:45,879 --> 04:15:47,080
ALREADY, BUT KIND OF A BIG ASK,

7519
04:15:47,080 --> 04:15:49,482
RIGHT, IF THEY CHANGE THEIR

7520
04:15:49,482 --> 04:15:50,116
MINDS?

7521
04:15:50,116 --> 04:15:51,518
>> MARTINA, DO YOU WANT TO
TAKE

7522
04:15:51,518 --> 04:15:53,486
THE QUESTION ABOUT HOW WE'RE

7523
04:15:53,486 --> 04:15:55,688
RE-EDUCATING REVIEWERS ABOUT THE

7524
04:15:55,688 --> 04:15:56,890
UPDATED REVIEW FRAMEWORK?

7525
04:15:56,890 --> 04:15:57,957
THERE'S LOTS OF INFORMATION

7526
04:15:57,957 --> 04:15:59,626
ALREADY ONLINE, AND ALL OF THE

7527
04:15:59,626 --> 04:16:01,494
NEW APPLICATIONS COMING IN IN

7528
04:16:01,494 --> 04:16:02,729
JANUARY WILL HAVE THIS.

7529
04:16:02,729 --> 04:16:04,531
SO IT'S NOT GOING TO HIT PEER

7530
04:16:04,531 --> 04:16:06,232
REVIEW FOR A LITTLE BIT, BUT

7531
04:16:06,232 --> 04:16:07,500
JESSICA, I KNOW YOU GUYS ALREADY

7532
04:16:07,500 --> 04:16:08,935
HAVE A PLAN.

7533
04:16:08,935 --> 04:16:11,671
>> JESSICA IS OUR CHIEF IN
THE

7534
04:16:11,671 --> 04:16:13,172
OFFICE OF SCIENTIFIC REVIEW, SO

7535
04:16:13,172 --> 04:16:15,608
SHE'S THE EXPERT.

7536
04:16:15,608 --> 04:16:18,511
>> THAT WILL BE HAPPENING
AND

7537
04:16:18,511 --> 04:16:19,712
TAKING EFFECT IN SUMMER MEETINGS

7538
04:16:19,712 --> 04:16:23,383
FOR NEXT YEAR, AND SO WE ARE

7539
04:16:23,383 --> 04:16:24,784
WORKING HARD ON DEVELOPING

7540
04:16:24,784 --> 04:16:28,154
MATERIAL AND GUIDANCE FOR

7541
04:16:28,154 --> 04:16:28,988
REVIEWERS.

7542
04:16:28,988 --> 04:16:30,790
THERE ARE A NUMBER OF PUBLIC

7543
04:16:30,790 --> 04:16:31,558
WEBINARS AVAILABLE THAT EXPLAIN

7544
04:16:31,558 --> 04:16:32,759
THE CHANGES THAT ARE COMING, SO

7545
04:16:32,759 --> 04:16:33,660
MUCH MORE TO COME.

7546
04:16:33,660 --> 04:16:37,163
WE'LL MAKE SURE EVERYONE IS WELL

7547
04:16:37,163 --> 04:16:39,599
PREPARED.

7548
04:16:39,599 --> 04:16:40,433
>> OKAY.

7549
04:16:40,433 --> 04:16:41,868
IF THERE ARE NO MORE QUESTIONS,

7550
04:16:41,868 --> 04:16:43,803
THEN THANK YOU SO MUCH, WENDY,

7551
04:16:43,803 --> 04:16:47,540
AND AS THIS WAS MORE A FYI KIND

7552
04:16:47,540 --> 04:16:49,175
OF ACTION, SO WE DON'T HAVE TO

7553
04:16:49,175 --> 04:16:51,578
VOTE ON THAT ONE.

7554
04:16:51,578 --> 04:16:51,945
SO THAT'S GOOD.

7555
04:16:51,945 --> 04:16:52,145
OKAY.

7556
04:16:52,145 --> 04:16:53,212
WITH THIS, WE ARE NOW COMING TO

7557
04:16:53,212 --> 04:16:56,316
THE LAST AGENDA ITEM FOR OUR

7558
04:16:56,316 --> 04:16:59,218
OPEN SESSION, AND THIS IS THE

7559
04:16:59,218 --> 04:17:00,153
PUBLIC COMMENT SESSION.

7560
04:17:00,153 --> 04:17:01,854
A REMINDER THAT ANY MEMBER OF

7561
04:17:01,854 --> 04:17:03,890
THE PUBLIC WHO WISHES TO MAKE A

7562
04:17:03,890 --> 04:17:05,124
COMMENT MAY DO SO BY SENDING ME

7563
04:17:05,124 --> 04:17:07,160
YOUR WRITTEN COMMENTS NO LATER

7564
04:17:07,160 --> 04:17:08,728
THAN 15 DAYS BEFORE THE COUNCIL

7565
04:17:08,728 --> 04:17:10,496
MEETING IS HELD.

7566
04:17:10,496 --> 04:17:11,931
THESE COMMENTS SHOULD BE SENT

7567
04:17:11,931 --> 04:17:14,000
EITHER BY EMAIL OR THROUGH A

7568
04:17:14,000 --> 04:17:14,968
HARD COPY LETTER.

7569
04:17:14,968 --> 04:17:17,203
YOUR WRITTEN COMMENTS SHOULD BE

7570
04:17:17,203 --> 04:17:19,172
LESS THAN 700 WORDS IN LENGTH,

7571
04:17:19,172 --> 04:17:20,540
WHICH IS APPROXIMATELY

7572
04:17:20,540 --> 04:17:22,675
CONSISTENT WITH A FIVE-MINUTE

7573
04:17:22,675 --> 04:17:24,143
ORAL PRESENTATION.

7574
04:17:24,143 --> 04:17:25,178
YOUR WRITTEN COMMENTS WILL BE

7575
04:17:25,178 --> 04:17:27,580
PROVIDED TO THE MEMBERS OF THE

7576
04:17:27,580 --> 04:17:29,082
COUNCIL.

7577
04:17:29,082 --> 04:17:31,818
VIA OUR ELECTRONIC COUNCIL BOOK,

7578
04:17:31,818 --> 04:17:32,986
IN ADVANCE OF THE LAST MEETING.

7579
04:17:32,986 --> 04:17:34,654
I WILL ACKNOWLEDGE THE RECEIPT

7580
04:17:34,654 --> 04:17:35,421
OF THESE COMMENTS DURING THE

7581
04:17:35,421 --> 04:17:36,723
OPEN SESSION.

7582
04:17:36,723 --> 04:17:38,391
NOW, FOR THIS MEETING, WE DID

7583
04:17:38,391 --> 04:17:42,362
NOT RECEIVE ANY PUBLIC COMMENTS

7584
04:17:42,362 --> 04:17:42,962
FOR THE MEETING TODAY.

7585
04:17:42,962 --> 04:17:43,196
OKAY.

7586
04:17:43,196 --> 04:17:44,530
WITH THIS, WE ARE GETTING CLOSE

7587
04:17:44,530 --> 04:17:47,900
TO THE END NOW, SO WITH THIS,

7588
04:17:47,900 --> 04:17:50,203
THE MEETING IS CLOSED, I WOULD

7589
04:17:50,203 --> 04:17:52,505
OFFER MY SINCERE THANKS TO NCCIH

7590
04:17:52,505 --> 04:17:54,340
STAFF, WHOSE HELP AND WORK MADE

7591
04:17:54,340 --> 04:17:56,476
THIS MEETING POSSIBLE.

7592
04:17:56,476 --> 04:17:58,044
IT REALLY TRULY TAKES A VILLAGE

7593
04:17:58,044 --> 04:17:59,712
TO MAKE ALL OF THIS WORK.

7594
04:17:59,712 --> 04:18:02,215
I WOULD ALSO LIKE TO THANK OUR

7595
04:18:02,215 --> 04:18:03,316
COUNCILMEMBERS FOR THEIR HARD

7596
04:18:03,316 --> 04:18:05,084
WORK AND PARTICIPATION IN

7597
04:18:05,084 --> 04:18:07,020
TODAY'S MEETING, AND A SPECIAL

7598
04:18:07,020 --> 04:18:11,224
THANK YOU GOES TO OUR AD HOC

7599
04:18:11,224 --> 04:18:12,859
COUNCILMEMBERS WHO WERE WILLING

7600
04:18:12,859 --> 04:18:14,527
TO COME TO THIS MEETING, LEARN

7601
04:18:14,527 --> 04:18:16,529
MORE ABOUT COUNCIL 40 SES AND

7602
04:18:16,529 --> 04:18:19,599
HEPROCESS ANDEXPERTISE.

7603
04:18:19,599 --> 04:18:21,668
WITH THIS, I WOULD LIKE TO

7604
04:18:21,668 --> 04:18:25,138
INVITE DR. LAN LANGEVIN TO PROVE

7605
04:18:25,138 --> 04:18:26,005
ANY CONCLUDING REMARKS.

7606
04:18:26,005 --> 04:18:27,440
>> WELL, THANK YOU, ERCH,
FOR

7607
04:18:27,440 --> 04:18:28,841
STAYING UNTIL THE END.

7608
04:18:28,841 --> 04:18:29,909
WE'RE SO HAPPY THAT SO MANY OF

7609
04:18:29,909 --> 04:18:33,813
YOU WERE ABLE TO COME IN PERSON

7610
04:18:33,813 --> 04:18:34,013
TODAY.

7611
04:18:34,013 --> 04:18:35,214
WE REALLY WANT TO CONTINUE THIS,

7612
04:18:35,214 --> 04:18:37,684
WE THINK THAT IT'S GREAT, AND

7613
04:18:37,684 --> 04:18:39,752
IT'S ALSO NICE TO HAVE THE

7614
04:18:39,752 --> 04:18:41,287
OPTION OF BEING ON ZOOM BECAUSE

7615
04:18:41,287 --> 04:18:43,790
WE UNDERSTAND THAT NOT --

7616
04:18:43,790 --> 04:18:44,757
SOMETIMES THERE ARE

7617
04:18:44,757 --> 04:18:46,492
CIRCUMSTANCES THAT DON'T ALLOW

7618
04:18:46,492 --> 04:18:46,826
US TO TRAVEL.

7619
04:18:46,826 --> 04:18:48,261
SO I THINK WE HAVE THE BEST OF

7620
04:18:48,261 --> 04:18:49,462
BOTH WORLDS HERE, AND I THINK

7621
04:18:49,462 --> 04:18:52,065
WE'RE LEARNING HOW TO PERFORM

7622
04:18:52,065 --> 04:18:53,232
THESE HYBRID MEETINGS IN WAYS

7623
04:18:53,232 --> 04:18:57,904
THAT ARE PRETTY, YOU KNOW,

7624
04:18:57,904 --> 04:18:59,772
SMOOTH, CONSIDERING, YOU KNOW,

7625
04:18:59,772 --> 04:19:00,339
FIRST COUPLE OF TIMES WE DID

7626
04:19:00,339 --> 04:19:02,075
THIS, WE WERE ALL KIND OF

7627
04:19:02,075 --> 04:19:04,010
NERVOUS, BUT I THINK TODAY I

7628
04:19:04,010 --> 04:19:05,278
DIDN'T FEEL NERVOUS.

7629
04:19:05,278 --> 04:19:07,447
I THINK WE DID PRETTY WELL.

7630
04:19:07,447 --> 04:19:10,249
SO I WANT TO REALLY THANK

7631
04:19:10,249 --> 04:19:12,118
MARTINA FOR LEADING MEETING SO

7632
04:19:12,118 --> 04:19:13,953
ABLY, AND ALL THAT HAVE

7633
04:19:13,953 --> 04:19:16,355
CONTRIBUTED TO MAKING THIS

7634
04:19:16,355 --> 04:19:19,726
MEETING A SUCCESS, ESPECIALLY

7635
04:19:19,726 --> 04:19:20,326
THE TEAM THAT TAKE CARE OF ALL

7636
04:19:20,326 --> 04:19:22,228
OF THE DETAILS, MAKE SURE THAT

7637
04:19:22,228 --> 04:19:24,897
WE DON'T RUN AFOUL OF OURSELVES.

7638
04:19:24,897 --> 04:19:26,899
SO YOU KNOW, THANK YOU, THANK

7639
04:19:26,899 --> 04:19:29,235
YOU, EVERYONE, AND WE WILL SEE

7640
04:19:29,235 --> 04:19:33,473
YOU NEXT TIME IN JANUARY, ALL

7641
04:19:33,473 --> 04:19:36,876
VIRTUAL BECAUSE OUR NEXT MEETING

7642
04:19:36,876 --> 04:19:38,845
IN WINTERTIME, WE DECIDED WE'RE

7643
04:19:38,845 --> 04:19:43,116
NOT TRYING TO DO THIS IN PERSON.

7644
04:19:43,116 --> 04:19:45,184
AND THEN BACK IN PERSON IN MAY.

7645
04:19:45,184 --> 04:19:48,020
SO THANK YOU AGAIN, AND HAVE A

7646
04:19:48,020 --> 04:19:49,255
GOOD SAFE TRIP HOME, THOSE OF

7647
04:19:49,255 --> 04:19:52,558
YOU GOING BACK HOME, AND WE'LL

7648
04:19:52,558 --> 04:19:53,493
SEE YOU NEXT TIME.

7649
04:19:53,493 --> 04:19:57,663
>> IF THERE ARE NO FURTHER

7650
04:19:57,663 --> 04:20:02,668
COMMENTS, THE 88TH MEETING OF

7651
04:20:02,668 --> 04:20:04,170
THE NCCIH ADVISORY COUNCIL IS

7652
04:20:04,170 --> 04:20:04,937
NOW ADJOURNED AND I'M GETTING TO

7653
04:20:04,937 --> 04:20:05,338
DO THIS.

7654
04:20:05,338 --> 04:20:15,515
THANK YOU.