1 00:00:05,960 --> 00:00:08,840 I WOULD LIKE TO CALL TO ORDER THE 2 00:00:08,840 --> 00:00:11,880 OPEN SESSION FOR COUNCIL FOR 3 00:00:11,880 --> 00:00:14,960 COMPLEMENTARY INTEGRATIVE 4 00:00:14,960 --> 00:00:16,480 HEALTH. THIS MEETING IS 5 00:00:16,480 --> 00:00:19,120 CONDUCTED VIRTUALLY FOR ALL 6 00:00:19,120 --> 00:00:21,240 PARTICIPANTS AND NIH STAFF AND 7 00:00:21,240 --> 00:00:22,760 COUNCIL MEMBERS. THIS MEETING 8 00:00:22,760 --> 00:00:26,800 IS RECORDED AND BROADCAST TO THE 9 00:00:26,800 --> 00:00:27,720 PUBLIC. FIRST ORDER OF BUSINESS 10 00:00:27,720 --> 00:00:31,160 IS TO APPROVE THE SEPTEMBER 22 11 00:00:31,160 --> 00:00:33,040 COUNCIL MINUTES WHICH WAS 12 00:00:33,040 --> 00:00:39,120 PROVIDED TO ALL OF THE COUNCIL 13 00:00:39,120 --> 00:00:39,640 MEMB 14 00:00:39,640 --> 00:00:41,160 MEMBERS [INDISCERNIBLE]. ARE 15 00:00:41,160 --> 00:00:44,720 THERE CORRECTIONS OR REVISIONS 16 00:00:44,720 --> 00:00:49,680 FOR THIS SEPTEMBER 22 COUNCIL 17 00:00:49,680 --> 00:00:51,280 MEETING? PLEASE RAISE YOUR HAND 18 00:00:51,280 --> 00:00:54,960 IF -- NO? 19 00:00:54,960 --> 00:00:57,400 THEN MAY I HAVE A MOTION TO 20 00:00:57,400 --> 00:01:00,360 APPROVE THE MEETING MINUTES FOR 21 00:01:00,360 --> 00:01:05,880 THE SEPTEMBER 22 COUNCIL 22 00:01:05,880 --> 00:01:08,400 MEETING? PLEASE UNMUTE 23 00:01:08,400 --> 00:01:11,400 YOURSELF. I DON'T HEAR 24 00:01:11,400 --> 00:01:19,160 ANYTHING. SFWL MOVED TO ACCEPT 25 00:01:19,160 --> 00:01:22,480 THE MINUTES. THIS IS NAJA. 26 00:01:22,480 --> 00:01:26,440 >>OKAY. THANK YOU. ANY OTHER 27 00:01:26,440 --> 00:01:31,760 DISCUSSION OR CONCERNS? 28 00:01:31,760 --> 00:01:37,840 OKAY. IT IS -- DO WE HAVE A 29 00:01:37,840 --> 00:01:40,800 VOTING SCREEN ON THIS ONE TOO? 30 00:01:40,800 --> 00:01:44,160 PERFECT. PLEASE, EVERYBODY, IF 31 00:01:44,160 --> 00:01:54,440 YOU WOULD VOTE. 32 00:01:56,360 --> 00:02:00,680 OKAY. THE MOTION HAS PASSED AND 33 00:02:00,680 --> 00:02:09,040 IS MADE. 34 00:02:09,040 --> 00:02:10,960 OKAY. MEETING MINUTES HAVE BEEN 35 00:02:10,960 --> 00:02:13,400 PASSED AND APPROVED. WE CAN 36 00:02:13,400 --> 00:02:15,280 MOVE ON. NEXT THING WE HAVE TO 37 00:02:15,280 --> 00:02:21,200 DO FOR THIS COUNCIL MEETING IS 38 00:02:21,200 --> 00:02:22,720 TO APPROVE OUR OPERATING 39 00:02:22,720 --> 00:02:23,040 PROCEDURES. 40 00:02:23,040 --> 00:02:24,880 WE HAVE TO GO OVER THESE FIRST. 41 00:02:24,880 --> 00:02:29,960 I WILL BE DOING SO. LET ME JUST 42 00:02:29,960 --> 00:02:40,360 SHARE MY SCREEN HERE. 43 00:02:42,080 --> 00:02:46,800 OKAY. CAN YOU SEE THE SLIDES? 44 00:02:46,800 --> 00:02:51,280 OKAY. PERFECT. SO, THIS -- 45 00:02:51,280 --> 00:02:53,720 OKAY. COUNCIL IS REQUIRED TO 46 00:02:53,720 --> 00:02:56,200 ANNUALLY REVIEW ITS OPERATING 47 00:02:56,200 --> 00:02:57,400 PROCEDURES TO DETERMINE WHETHER 48 00:02:57,400 --> 00:02:59,440 THEY CONTINUE TO SERVICE THE 49 00:02:59,440 --> 00:03:04,160 NEEDS OF NCCIH. WE GENERALLY DO 50 00:03:04,160 --> 00:03:11,640 SO AT OUR JANUARY COUNCILS. 51 00:03:11,640 --> 00:03:15,320 LET'S SEE. OKAY. NCCIH AND ALL 52 00:03:15,320 --> 00:03:19,160 OF THE NIH AWARDING ICS ARE 53 00:03:19,160 --> 00:03:21,400 REQUIRED TO BY POLICY ESTABLISH 54 00:03:21,400 --> 00:03:24,880 STANDARD OPERATING PROCEDURES 55 00:03:24,880 --> 00:03:25,880 FOR INTERACTIONS THAT ARE 56 00:03:25,880 --> 00:03:27,840 BETWEEN THE ADVISORY COUNCIL AND 57 00:03:27,840 --> 00:03:29,520 STAFF THAT IS RESPONSIBLE FOR 58 00:03:29,520 --> 00:03:33,640 THE DAY-TO-DAY MANAGEMENT OF 59 00:03:33,640 --> 00:03:34,320 EXTRAMURAL PORTFOLIOS. 60 00:03:34,320 --> 00:03:37,400 WHAT YOU SEE LISTED HERE ON THE 61 00:03:37,400 --> 00:03:38,920 SLIDE IS ALL OF THE 62 00:03:38,920 --> 00:03:41,600 RESPONSIBILITIES OF NCCIH AND 63 00:03:41,600 --> 00:03:44,240 COUNCIL IN REGARDS TO MATTERS AS 64 00:03:44,240 --> 00:03:47,040 THEY RELATE TO RESEARCH 65 00:03:47,040 --> 00:03:49,200 ACTIVITIES AND FUNCTIONS OF 66 00:03:49,200 --> 00:03:49,560 NCCIH. 67 00:03:49,560 --> 00:03:54,800 SO, FOR EXAMPLE, IT IS NCCIH'S 68 00:03:54,800 --> 00:03:56,400 RESPONSIBILITY TO INFORM COUNCIL 69 00:03:56,400 --> 00:03:59,040 OF CURRENT SCIENTIFIC BUDGETARY 70 00:03:59,040 --> 00:04:00,640 AND LEGISLATIVE ISSUES THAT 71 00:04:00,640 --> 00:04:04,400 MIGHT HAVE AN IMPACT ON NCCIH AS 72 00:04:04,400 --> 00:04:07,240 WELL AS SIGNIFICANT CHANGES TO 73 00:04:07,240 --> 00:04:12,920 NCCIH AND NIH THAT IS INCLUDING 74 00:04:12,920 --> 00:04:13,720 PERSONNEL CHANGES. 75 00:04:13,720 --> 00:04:16,440 COUNCIL CONDUBLTHS THE SECONDARY 76 00:04:16,440 --> 00:04:18,000 REVIEW OF APPLICATIONS FOCUSING 77 00:04:18,000 --> 00:04:20,760 ON AND CONSIDERING THE ASPECTS 78 00:04:20,760 --> 00:04:23,840 AND SITUATIONS THAT YOU HAVE 79 00:04:23,840 --> 00:04:24,680 LISTED HERE. 80 00:04:24,680 --> 00:04:28,120 BY GOING A LITTLE BIT MORE INTO 81 00:04:28,120 --> 00:04:29,000 DETAIL. 82 00:04:29,000 --> 00:04:33,040 FOR EXAMPLE, IN REGARDS TO GRANT 83 00:04:33,040 --> 00:04:34,760 APPLICATIONS WHERE THERE IS NO 84 00:04:34,760 --> 00:04:38,480 SPECIAL CONCERNS, THEY COULD BE 85 00:04:38,480 --> 00:04:41,080 APPROVED ON BLOCK. 86 00:04:41,080 --> 00:04:43,840 ON BLOCK MEANS THERE IS NO 87 00:04:43,840 --> 00:04:45,080 DISCUSSION OF INDIVIDUAL 88 00:04:45,080 --> 00:04:45,920 APPLICATIONS AND APPLICATIONS 89 00:04:45,920 --> 00:04:48,320 THAT MIGHT BE APPROVED ON BLOCK 90 00:04:48,320 --> 00:04:52,840 ARE THOSE THAT ARE A RELEVANT TO 91 00:04:52,840 --> 00:04:56,400 NCCIH'S MISSION AND THEY HAVE NO 92 00:04:56,400 --> 00:04:57,720 CONCERNS RELATED TO HUMAN 93 00:04:57,720 --> 00:05:00,920 PARTICIPANTS, ANIMALS OR 94 00:05:00,920 --> 00:05:06,440 BIOHAZARDS AND NO CONCERNS 95 00:05:06,440 --> 00:05:08,840 REGARDING INCLUSION. 96 00:05:08,840 --> 00:05:10,480 APPLICANT COULD NOT HAVE 97 00:05:10,480 --> 00:05:12,880 SUBMITTED APPEAL FOR REVIEW OF 98 00:05:12,880 --> 00:05:15,920 APPLICATION AND FOR GRANTS THAT 99 00:05:15,920 --> 00:05:17,880 NEED SPECIAL CONSIDERATION BY 100 00:05:17,880 --> 00:05:21,000 COUNCIL WOULD BE THOSE WHO ARE 101 00:05:21,000 --> 00:05:22,440 NOMINATED FOR HIGH OR LOW 102 00:05:22,440 --> 00:05:25,040 PROFILE PRIORITIES AND WOULD 103 00:05:25,040 --> 00:05:25,800 OBVIOUSLY BE THOSE WHO HAVE 104 00:05:25,800 --> 00:05:28,800 CONCERNS RELATED TO HUMAN 105 00:05:28,800 --> 00:05:32,080 SUBJECTS ANIMALS AND BIOHAZARDS 106 00:05:32,080 --> 00:05:33,840 WITH FOREIGN INCLUSION THAT ARE 107 00:05:33,840 --> 00:05:34,520 FOREIGN APPLICATIONS THAT WE 108 00:05:34,520 --> 00:05:36,360 HAVE RECEIVED AND APPEALED FOR 109 00:05:36,360 --> 00:05:40,520 BY THE APPLICANT. ALSO, FOR 110 00:05:40,520 --> 00:05:45,040 APPLICATIONS, WE ARE DPI THAT 111 00:05:45,040 --> 00:05:46,920 RECEIVES MORE THAN 2 MILLION 112 00:05:46,920 --> 00:05:49,720 DOLLARS IN COST TO SUPPORT THAT 113 00:05:49,720 --> 00:05:51,720 REQUIRES SPECIAL COUNCIL REVIEW. 114 00:05:51,720 --> 00:05:54,480 OPTIONS THAT ARE AVAILABLE TO 115 00:05:54,480 --> 00:05:57,560 COUNCIL WOULD BE EITHER CONCUR 116 00:05:57,560 --> 00:06:03,320 WITH THE PRIMARY REVIEW AND PRO 117 00:06:03,320 --> 00:06:06,800 -- LOW OR HIGH PRIORITY AND 118 00:06:06,800 --> 00:06:08,120 ACTIONS CATEGORIZING OTHERS AND 119 00:06:08,120 --> 00:06:11,040 CHANGES IN BUDGET AND RANGE OF 120 00:06:11,040 --> 00:06:12,760 SUPPORT APPLICATION COULD BE 121 00:06:12,760 --> 00:06:13,840 DEFERRED UNTIL ADDITIONAL 122 00:06:13,840 --> 00:06:15,200 INFORMATION HAS BEEN RECEIVED 123 00:06:15,200 --> 00:06:18,480 AND MEANING THAT IT HAS TO GO TO 124 00:06:18,480 --> 00:06:21,880 DIFFERENT COUNCIL AROUND OR 125 00:06:21,880 --> 00:06:24,360 DEFER IT FOR ADDITIONAL INPUT 126 00:06:24,360 --> 00:06:26,720 FROM THE PRIMARY REVIEW AND 127 00:06:26,720 --> 00:06:29,400 OFTEN THAT INVOLVES REVIEW OF 128 00:06:29,400 --> 00:06:31,160 THE APPLICATION OR COUNCIL CAN 129 00:06:31,160 --> 00:06:33,880 RECOMMEND CHANGES IN THE SCOPE, 130 00:06:33,880 --> 00:06:35,760 BUDGET OR DURATION OF SUPPORT 131 00:06:35,760 --> 00:06:38,200 AND COUNCIL CAN RECOMMEND ALSO 132 00:06:38,200 --> 00:06:41,640 TO RECOMMEND NOT TO RECOMMEND AN 133 00:06:41,640 --> 00:06:45,440 APPLICATION FOR FUNDING. 134 00:06:45,440 --> 00:06:52,520 SOME SITUATIONS -- NCCIH WOULD 135 00:06:52,520 --> 00:06:54,400 FOLLOW UP AFTER COUNCIL THAT 136 00:06:54,400 --> 00:06:55,920 WOULD NOT REQUIRE COUNCIL 137 00:06:55,920 --> 00:06:56,760 RECOMMENDATIONS AND THIS WOULD 138 00:06:56,760 --> 00:06:59,280 BE, FOR EXAMPLE, IF THERE IS A 139 00:06:59,280 --> 00:07:01,080 CHANGE IN THE PRINCIPLE 140 00:07:01,080 --> 00:07:02,440 INVESTIGATOR OF AN APPLICATION 141 00:07:02,440 --> 00:07:04,000 AND IF THERE IS A CHANGE IN 142 00:07:04,000 --> 00:07:07,160 INSTITUTION BY THE PI OR 143 00:07:07,160 --> 00:07:09,200 APPLICATIONS DEFERRED FOR 144 00:07:09,200 --> 00:07:10,440 REREVIEW BEFORE THEY GO TO 145 00:07:10,440 --> 00:07:12,840 KROUNLS CRIMINAL AND 146 00:07:12,840 --> 00:07:14,640 ADMINISTRATIVE SUPPLEMENTS WE 147 00:07:14,640 --> 00:07:16,240 GENERALLY DON'T BRING TO 148 00:07:16,240 --> 00:07:18,480 COUNCIL'S CONSIDERATION. 149 00:07:18,480 --> 00:07:23,640 NCCIH HAS RECENTLY STARTED TO 150 00:07:23,640 --> 00:07:25,760 USE EXPEDITED ON BLOCK 151 00:07:25,760 --> 00:07:29,560 CONCURRENCE PER NIH POLICY AND 152 00:07:29,560 --> 00:07:32,560 ALSO ON BLOCK CONCURRENCE IS 153 00:07:32,560 --> 00:07:34,720 SUPPOSED TO EXPEDITE FUNDING 154 00:07:34,720 --> 00:07:36,720 ACTIONS. 155 00:07:36,720 --> 00:07:38,720 APPLICATIONS THAT WOULD BE 156 00:07:38,720 --> 00:07:40,160 ILLEGIBLE FOR ON BLOCK 157 00:07:40,160 --> 00:07:43,760 CONCURRENCE, EEC, WOULD BE THESE 158 00:07:43,760 --> 00:07:49,160 THAT ARE PEER REVIEW THE AND 159 00:07:49,160 --> 00:07:52,040 RECEIVED MERITORIOUS SCORE 160 00:07:52,040 --> 00:07:54,240 DOMESTIC APPLICATIONS THAT ARE 161 00:07:54,240 --> 00:07:57,040 RELEVANT TO NCCIH'S MISSION THAT 162 00:07:57,040 --> 00:07:59,840 IT OCCURS GENERALLY 6 TO 7 WEEKS 163 00:07:59,840 --> 00:08:02,280 PRIOR TO REGULAR MEETING OF 164 00:08:02,280 --> 00:08:04,520 COUNCIL AND ALL REGULAR MEMBERS 165 00:08:04,520 --> 00:08:06,800 OF COUNCIL MAY VOTE AND 166 00:08:06,800 --> 00:08:09,400 APPLICATIONS MUST RECEIVE AT 167 00:08:09,400 --> 00:08:14,600 LEAST TWO VOTES FOR AND NO VOTES 168 00:08:14,600 --> 00:08:16,360 TO RECEIVE CONCURRENCE THAT ARE 169 00:08:16,360 --> 00:08:18,680 LEGIBLE FOR FUNDING DECISIONS BY 170 00:08:18,680 --> 00:08:20,800 DIRECTOR AND SUBSEQUENT 171 00:08:20,800 --> 00:08:22,600 PROCESSING. ALL EEC ACTIONS 172 00:08:22,600 --> 00:08:26,600 WILL BE COMMUNICATED TO COUNCIL 173 00:08:26,600 --> 00:08:29,720 DURING THE REGULAR COUNCIL 174 00:08:29,720 --> 00:08:30,000 MEETING. 175 00:08:30,000 --> 00:08:32,200 THERE ARE EXCEPTIONAL SITUATIONS 176 00:08:32,200 --> 00:08:34,360 THAT THESE WOULD BE 177 00:08:34,360 --> 00:08:36,000 CIRCUMSTANCES THAT REQUIRE 178 00:08:36,000 --> 00:08:36,800 SPECIAL ACTIONS. 179 00:08:36,800 --> 00:08:38,960 BASED ON PROGRAMATIC 180 00:08:38,960 --> 00:08:41,640 CONSIDERATIONS AND NCCIH 181 00:08:41,640 --> 00:08:44,120 DIRECTOR AFTER CONSULTATION WITH 182 00:08:44,120 --> 00:08:45,880 COUNCIL MAY MAKE EXCEPTIONS TO 183 00:08:45,880 --> 00:08:47,600 GUIDELINES THAT WE JUST OUTLINED 184 00:08:47,600 --> 00:08:49,880 AND ALL ACTIONS TAKEN WILL BE 185 00:08:49,880 --> 00:08:51,920 DOCUMENTED AND REPORTED TO 186 00:08:51,920 --> 00:08:55,560 COUNCIL AT ITS NEXT MEETING IF 187 00:08:55,560 --> 00:08:58,080 THIS WOULD BE NECESSARY. 188 00:08:58,080 --> 00:09:00,440 WHEN DECIDING ON RESEARCH 189 00:09:00,440 --> 00:09:03,880 PRIORITIES, NCCIH IS SEEKING AND 190 00:09:03,880 --> 00:09:06,080 RECEIVING INPUT FROM A WHOLE 191 00:09:06,080 --> 00:09:08,680 VARIETY OF SOURCES LIKE, FOR 192 00:09:08,680 --> 00:09:11,280 EXAMPLE, OBVIOUSLY SCIENTIFIC 193 00:09:11,280 --> 00:09:14,720 COMMUNITY AND ORGANIZATIONS AND 194 00:09:14,720 --> 00:09:16,120 CONQUEST AND THIS FEEDBACK LEADS 195 00:09:16,120 --> 00:09:19,160 YOU OFTEN TO THE DEVELOPMENT OF 196 00:09:19,160 --> 00:09:21,080 CONCEPTS THAT ARE BEING BROUGHT 197 00:09:21,080 --> 00:09:23,520 TO COUNCIL'S ATTENTION. 198 00:09:23,520 --> 00:09:25,760 COUNCIL MAY EITHER RECOMMEND 199 00:09:25,760 --> 00:09:27,920 APPROVAL, MODIFICATION, DEFERRAL 200 00:09:27,920 --> 00:09:32,240 OR DISAPPROVAL OF A CONCEPT. IF 201 00:09:32,240 --> 00:09:34,800 A CONCEPT HAS BEEN APPROVED, IT 202 00:09:34,800 --> 00:09:37,120 MAY LEAD TO ONE OR MORE FUNDING 203 00:09:37,120 --> 00:09:40,800 OPPORTUNITY ANNOUNCEMENTS. 204 00:09:40,800 --> 00:09:42,680 OKAY. IF AN APPLICANT MAY 205 00:09:42,680 --> 00:09:45,840 APPEAL THE ASSESSMENT OF THE 206 00:09:45,840 --> 00:09:47,800 GRANT APPLICATION BY A 207 00:09:47,800 --> 00:09:50,520 SCIENTIFIC REVIEW GROUP, WE HAVE 208 00:09:50,520 --> 00:09:53,600 TO ASSESS THESE APPEALS. 209 00:09:53,600 --> 00:09:54,800 RELEVANT CRITERIA FOR ASSESSING 210 00:09:54,800 --> 00:09:58,920 THESE WOULD BE FOR EXAMPLE THAT 211 00:09:58,920 --> 00:10:01,160 THEY HAVE TO BE EFFECT YOU'LL 212 00:10:01,160 --> 00:10:03,240 ERROR DURING PRIMARY REVIEW THAT 213 00:10:03,240 --> 00:10:04,480 WOULD SIGNIFICANTLY CHANGE THE 214 00:10:04,480 --> 00:10:07,120 SCORE OF AN APPLICATION. FOR 215 00:10:07,120 --> 00:10:10,280 EXAMPLE IF A REVIEWER WRITES 216 00:10:10,280 --> 00:10:13,880 ADPI HAS 10 PUBLICATIONS AND IN 217 00:10:13,880 --> 00:10:15,960 REALITY DPI HAD 11 PUBLICATIONS, 218 00:10:15,960 --> 00:10:19,120 YOU KNOW, THIS MAY NOT 219 00:10:19,120 --> 00:10:21,120 NECESSARILY -- IT IS EFFECT 220 00:10:21,120 --> 00:10:22,760 YOU'LL ERROR BUT ONE THAT 221 00:10:22,760 --> 00:10:25,880 WOULDN'T HAVE SIGNIFICANTLY 222 00:10:25,880 --> 00:10:28,640 CHANGED THE SCORE. 223 00:10:28,640 --> 00:10:32,000 THEY ARE LOOKING IF REVIEWER IS 224 00:10:32,000 --> 00:10:33,880 BIASED OR HAD CONFLICT OF 225 00:10:33,880 --> 00:10:36,960 INTEREST AND IF THERE IS 226 00:10:36,960 --> 00:10:37,680 SCIENTIFIC EXPERTISE ON THE 227 00:10:37,680 --> 00:10:39,720 PANEL AND CRITERIA THAT WOULDN'T 228 00:10:39,720 --> 00:10:43,240 BE RELEVANT WOULD BE ERRORS OF 229 00:10:43,240 --> 00:10:46,480 OMISSION. FOR EXAMPLE, IF 230 00:10:46,480 --> 00:10:47,880 REVIEWERS WOULDN'T COMMENT ON 231 00:10:47,880 --> 00:10:51,080 CERTAIN ASPECTS OF APPLICATION 232 00:10:51,080 --> 00:10:54,480 THAT IN ITSELF IS NOT CRITERIA 233 00:10:54,480 --> 00:10:57,880 FOR APPEAL AND COMING DOWN TO 234 00:10:57,880 --> 00:11:01,160 ISSUES GENERALLY CONSIDERED TO 235 00:11:01,160 --> 00:11:03,280 BE DIFFER CENSUS IN SCIENTIFIC 236 00:11:03,280 --> 00:11:05,560 OPINION AND WHAT ARE OPTIONS 237 00:11:05,560 --> 00:11:09,120 THAT ONE CAN DO WHEN NCCIH HAS 238 00:11:09,120 --> 00:11:11,000 RECEIVED APPEAL. LEGIBLE 239 00:11:11,000 --> 00:11:12,640 APPEALS FOR PROGRAMS AND 240 00:11:12,640 --> 00:11:16,240 REVIEWING THAT APPEALS ARE 241 00:11:16,240 --> 00:11:17,840 JUSTIFIED. 242 00:11:17,840 --> 00:11:21,480 APPEALS OFFICER AGREES AND THEN 243 00:11:21,480 --> 00:11:24,200 THESE APPLICATIONS HAVE -- THEY 244 00:11:24,200 --> 00:11:26,480 ARE BEING SENT TO REREVIEW 245 00:11:26,480 --> 00:11:29,040 BEFORE IT EVEN COMES TO COUNCIL. 246 00:11:29,040 --> 00:11:32,400 IF, HOWEVER, THE STAFF DISAGREES 247 00:11:32,400 --> 00:11:35,760 AND CENSUS APPEALS AGREES OR 248 00:11:35,760 --> 00:11:38,080 SUPPORTS THE APPEAL, THIS APPEAL 249 00:11:38,080 --> 00:11:41,840 IS COMING TO THE COUNCIL'S 250 00:11:41,840 --> 00:11:47,360 ATTENTION FOR RESOLUTION APPEALS 251 00:11:47,360 --> 00:11:50,520 CONSIDER THE TO BE ILLEGIBLE 252 00:11:50,520 --> 00:11:53,200 BASED ON RELEVANT CRITERIA WOULD 253 00:11:53,200 --> 00:11:56,720 APPLY AND LETTER IS APPEARING TO 254 00:11:56,720 --> 00:11:59,520 COUNCIL MEMBERS VIA ELECTRONIC 255 00:11:59,520 --> 00:12:01,520 COUNCIL BOOK AS AN INFORMATION 256 00:12:01,520 --> 00:12:03,560 ITEM ONLY AND COUNCIL MEMBERS 257 00:12:03,560 --> 00:12:05,560 SEFB AS A RESOURCE IN 258 00:12:05,560 --> 00:12:06,360 DEVELOPING, RECOMMENDING AND 259 00:12:06,360 --> 00:12:09,360 SETTING OF NCCIH'S POLICY AS 260 00:12:09,360 --> 00:12:12,000 WELL AS RESEARCH PRIORITIES AND 261 00:12:12,000 --> 00:12:13,960 ON OCCASION, SPECIAL WORKING 262 00:12:13,960 --> 00:12:15,760 GROUPS MAY BE FORMED BY OR AT 263 00:12:15,760 --> 00:12:17,840 REQUEST TO EXAMINE AND ADDRESS 264 00:12:17,840 --> 00:12:19,600 CRITICAL SCIENTIFIC POLICY 265 00:12:19,600 --> 00:12:22,040 ISSUES THAT ARE OF IMPORTANCE TO 266 00:12:22,040 --> 00:12:31,720 NCCIH AND ITS CONSTITUENTS. 267 00:12:31,720 --> 00:12:34,320 WITH THIS LET ME SEE. DO WE 268 00:12:34,320 --> 00:12:37,120 HAVE A MOTION TO APPROVE THE 269 00:12:37,120 --> 00:12:38,920 COUNCIL OPERATING PROCEDURES? 270 00:12:38,920 --> 00:12:39,560 >>SO MOVED. 271 00:12:39,560 --> 00:12:44,920 >>OKAY. DO WE HAVE A SECOND? 272 00:12:44,920 --> 00:12:45,520 >>SECOND. 273 00:12:45,520 --> 00:12:49,160 >>OKAY. THANK YOU. ANY 274 00:12:49,160 --> 00:12:55,240 FURTHER COMMENTS TO OUR COUNCIL 275 00:12:55,240 --> 00:12:57,120 OPERATING PROCEDURES? 276 00:12:57,120 --> 00:13:01,120 IF NOT, CAN WE PLEASE HAVE THE 277 00:13:01,120 --> 00:13:11,400 VOTING SCREEN? 278 00:13:17,880 --> 00:13:20,480 OKAY. AGAIN, WE DO ONLY HAVE 279 00:13:20,480 --> 00:13:22,080 VOTES FOR AND NOT AGAINST. WITH 280 00:13:22,080 --> 00:13:24,280 THIS, WE APPROVE THE COUNCIL 281 00:13:24,280 --> 00:13:26,360 OPERATING PROCEDURES AND WITH 282 00:13:26,360 --> 00:13:29,640 THIS, LET ME JUST END THIS 283 00:13:29,640 --> 00:13:30,440 SHARING HERE. 284 00:13:30,440 --> 00:13:40,920 I WILL GET THIS BACK TO YOU. 285 00:13:51,640 --> 00:13:53,520 OKAY. WE HAVE THIS. WE ARE 286 00:13:53,520 --> 00:13:56,000 MOVING ON AND I'M HANDING THE 287 00:13:56,000 --> 00:14:00,760 MEETING TO DR. LUNGIVAN FOR HER 288 00:14:00,760 --> 00:14:02,360 DIRECTOR'S REMARKS. THANK YOU. 289 00:14:02,360 --> 00:14:06,120 >>THANK YOU SO MUCH, DR. 290 00:14:06,120 --> 00:14:08,800 SCHMIDT. MY GREAT PLEASURE TO 291 00:14:08,800 --> 00:14:12,440 PRESENT YOU TO MY DIRECTOR'S 292 00:14:12,440 --> 00:14:18,280 REPORT TO COUNCIL. ONE SECOND. 293 00:14:18,280 --> 00:14:22,960 OO 294 00:14:22,960 --> 00:14:23,160 OOPS. 295 00:14:23,160 --> 00:14:27,480 I'M SORRY. LY HAVE TO PERHAPS 296 00:14:27,480 --> 00:14:37,960 DISCONNECT FORONE SECOND. 297 00:14:45,800 --> 00:14:49,120 GIVE ME ONE LITTLE GLITCH HERE 298 00:14:49,120 --> 00:14:59,600 BUT IT SHOULDN'T BE LONG. 299 00:15:03,720 --> 00:15:13,800 OKAY. 300 00:15:20,280 --> 00:15:21,880 CAN YOU SEE MY SCREEN NOW? 301 00:15:21,880 --> 00:15:22,640 >>YES. 302 00:15:22,640 --> 00:15:24,800 >>OKAY. I WILL PRESENT MY 303 00:15:24,800 --> 00:15:26,720 DIRECTOR'S REPORT AND AS USUAL I 304 00:15:26,720 --> 00:15:28,760 WILL START WITH NEWS RELEVANT TO 305 00:15:28,760 --> 00:15:33,720 NIH AS A WHOLE AND NCCIH. 306 00:15:33,720 --> 00:15:35,120 WE -- OUR FIRST -- WE ARE 307 00:15:35,120 --> 00:15:37,800 THRILLED TO WELCOME OUR NEW 308 00:15:37,800 --> 00:15:43,680 COUNCIL MEMBER, DR. AMALA 309 00:15:43,680 --> 00:15:46,680 SUMIANAS WHO IS A PROFESSOR IN 310 00:15:46,680 --> 00:15:48,080 THE NEUROLOGY DEPARTMENT AT 311 00:15:48,080 --> 00:15:50,880 OREGON HEALTH AND SCIENCE 312 00:15:50,880 --> 00:15:53,560 UNIVERSITY IN PORTLAND, OREGON 313 00:15:53,560 --> 00:15:55,400 AND SHE RECEIVED HER PHARMACY 314 00:15:55,400 --> 00:15:57,880 DEGREE AND PHD FROM THE 315 00:15:57,880 --> 00:16:00,000 UNIVERSITY OF LONDON IN THE UK 316 00:16:00,000 --> 00:16:02,600 AND RESEARCH INVESTIGATES 317 00:16:02,600 --> 00:16:04,200 TRADITIONAL MEDICINE EXPLORING 318 00:16:04,200 --> 00:16:06,000 POTENTIAL USE FOR EVIDENCE-BASED 319 00:16:06,000 --> 00:16:08,520 THERAPY AND AS A SOURCE OF NOVEL 320 00:16:08,520 --> 00:16:09,880 CHEMICAL LEADS FOR DRUG 321 00:16:09,880 --> 00:16:11,200 DEVELOPMENTS AND SHE IS DIRECTOR 322 00:16:11,200 --> 00:16:19,000 OF NCCIH FUNDED BENFRA AND 323 00:16:19,000 --> 00:16:21,680 BOTANICAL DIETARY 324 00:16:21,680 --> 00:16:23,760 [INDISCERNIBLE] INVESTIGATES 325 00:16:23,760 --> 00:16:25,120 BOTANICALS NEUROLOGICAL AND 326 00:16:25,120 --> 00:16:26,640 FUNCTIONAL RESILIENCE ENGAGING 327 00:16:26,640 --> 00:16:33,040 AND IS CO-DIRECTOR OF NCCIHT32 328 00:16:33,040 --> 00:16:34,960 GRANT ON NEUROSCIENCE IN STRESS 329 00:16:34,960 --> 00:16:40,560 AND WOULD LIKE TO WELCOME SORRY. 330 00:16:40,560 --> 00:16:42,360 WE HAVE A SLIDE HERE AND WE HAVE 331 00:16:42,360 --> 00:16:44,880 A NUMBER OF ADDITIONAL AD HOC 332 00:16:44,880 --> 00:16:47,640 MEMBERS THAT ARE WITH US TODAY. 333 00:16:47,640 --> 00:16:48,840 WE ANTICIPATE THAT THEY WILL 334 00:16:48,840 --> 00:16:50,880 JOIN US AS COUNCIL MEMBERS AT 335 00:16:50,880 --> 00:16:53,160 OUR NEXT MEETING IN MAY. I WILL 336 00:16:53,160 --> 00:16:55,240 FULLY INTRODUCE THEM AT THAT 337 00:16:55,240 --> 00:16:57,480 TIME. THESE ADDITIONAL AD HOC 338 00:16:57,480 --> 00:17:04,920 MEMBERS ARE DR. ALAN BENAVITI 339 00:17:04,920 --> 00:17:06,440 PROFESSOR IN THE DEPARTMENT OF 340 00:17:06,440 --> 00:17:08,000 [INDISCERNIBLE] AT YALE SCHOOL 341 00:17:08,000 --> 00:17:10,760 OF MEDICINE AND [INDISCERNIBLE] 342 00:17:10,760 --> 00:17:13,160 WHO IS VICE PROVOST FOR RESEARCH 343 00:17:13,160 --> 00:17:16,000 AT COLLEGE OF OSTEOPATHIC 344 00:17:16,000 --> 00:17:21,840 MEDICINE AND DR. DANIEL 345 00:17:21,840 --> 00:17:25,240 DICKERSON ASSOCIATE PSYCHIATRIST 346 00:17:25,240 --> 00:17:29,080 -- AND PROFESSOR OF LAW AT 347 00:17:29,080 --> 00:17:30,560 UNIVERSITY OF SAN FRANCISCO AND 348 00:17:30,560 --> 00:17:33,240 ERICA WHO IS ASSOCIATE PROFESSOR 349 00:17:33,240 --> 00:17:36,800 IN PEDIATRICS AT JOHN HOPKINS 350 00:17:36,800 --> 00:17:37,880 UNIVERSITY SCHOOL OF MEDICINE 351 00:17:37,880 --> 00:17:39,680 AND WELCOME TO ALL OF NUT 352 00:17:39,680 --> 00:17:40,080 MEMBERS. 353 00:17:40,080 --> 00:17:44,240 WE HAVE A LOT OF NEW ARRIVALS 354 00:17:44,240 --> 00:17:46,400 AND WELL MOSTLY DEPARTURES AT 355 00:17:46,400 --> 00:17:48,520 THE MOMENT AT NCCIH. LOTS OF 356 00:17:48,520 --> 00:17:50,680 PEOPLE ARE RETIRING AND IT IS MY 357 00:17:50,680 --> 00:17:54,240 GREAT PLEASURE TO ANNOUNCE THAT 358 00:17:54,240 --> 00:17:57,560 DR. JOANEE RUTTER HAS BEEN 359 00:17:57,560 --> 00:18:01,120 APPOINTED NEW DIRECTOR OF NCAPS 360 00:18:01,120 --> 00:18:04,080 NATIONAL CENTER TO ADVANCE 361 00:18:04,080 --> 00:18:05,320 TRANSLATIONAL SCIENCE AND DR. 362 00:18:05,320 --> 00:18:09,520 RUDER JOINED N CATS IN 2019 AS 363 00:18:09,520 --> 00:18:12,080 DEPUTY DIRECTOR AND SERVED AS 364 00:18:12,080 --> 00:18:13,840 NCATS ACTING DIRECTOR SINCE 365 00:18:13,840 --> 00:18:15,960 APRIL OF 2021 AND PRIOR TO 366 00:18:15,960 --> 00:18:18,320 JOINING NCATS DR. RUDER 367 00:18:18,320 --> 00:18:20,160 ESTABLISHED SCIENTIFIC PROGRAMS 368 00:18:20,160 --> 00:18:22,680 WITHIN NIH ALL OF US INITIATIVE 369 00:18:22,680 --> 00:18:25,440 WE WILL HEAR ABOUT LATER THIS 370 00:18:25,440 --> 00:18:28,840 AFTERNOON. WE OF COURSE ALL 371 00:18:28,840 --> 00:18:31,920 KNOW THAT DR. ANTHONY FAUCI 372 00:18:31,920 --> 00:18:33,200 ANNOUNCED EARLIER THIS YEAR HE 373 00:18:33,200 --> 00:18:35,680 IS STEPPING DOWN AS DIRECTOR OF 374 00:18:35,680 --> 00:18:38,600 NIAD. OF COURSE, YOU KNOW, HIS 375 00:18:38,600 --> 00:18:43,120 ILUFT TREOUS CAREER AT NIH IS 376 00:18:43,120 --> 00:18:44,760 WELL-KNOWN SERVING AS NIAD 377 00:18:44,760 --> 00:18:47,920 DIRECTOR FROM 1984 TO 2022. 378 00:18:47,920 --> 00:18:51,320 THAT IS 38 YEARS AND ADVISING 7 379 00:18:51,320 --> 00:18:56,000 PRESIDENTS ON HIV/AIDES AND 380 00:18:56,000 --> 00:18:57,480 DOMESTIC AND GLOBAL HEALTH 381 00:18:57,480 --> 00:19:00,160 ISSUES INCLUDING COVID-19 AND 382 00:19:00,160 --> 00:19:01,920 CAN'T THANK HIM ENOUGH TO HIS 383 00:19:01,920 --> 00:19:05,800 SERVICE AND HEALTH OF AMERICANS 384 00:19:05,800 --> 00:19:07,880 AROUND THE GLOBE. WE WILL MISS 385 00:19:07,880 --> 00:19:10,160 YOU DR. FAUCI AND RETIRING AFTER 386 00:19:10,160 --> 00:19:17,320 A LONG CAREER AT NIH IS DR. JOHN 387 00:19:17,320 --> 00:19:20,560 GALEY. HE IS THE NIH ASSOCIATE 388 00:19:20,560 --> 00:19:22,000 DIRECTOR FOR CLINICAL RESEARCH 389 00:19:22,000 --> 00:19:25,080 AND DR. GALEN HAS HAD A LONG AND 390 00:19:25,080 --> 00:19:26,720 DISTINGUISHED CAREER AT NIH 391 00:19:26,720 --> 00:19:29,040 PREVIOUSLY ALSO AS SCIENTIFIC 392 00:19:29,040 --> 00:19:31,600 DIRECTOR FOR INTRAMURAL RESEARCH 393 00:19:31,600 --> 00:19:36,040 ACTIVITIES AT NIAID. 394 00:19:36,040 --> 00:19:39,680 ANDREA NORRIS IS RETIRING AS NIH 395 00:19:39,680 --> 00:19:41,440 CHIEF INFORMATION OFFICER AND 396 00:19:41,440 --> 00:19:43,120 DIRECTOR OF CENTER FOR 397 00:19:43,120 --> 00:19:45,560 INFORMATION TECHNOLOGY OR CIT. 398 00:19:45,560 --> 00:19:47,360 AFTER SERVING IN ROLES FOR MORE 399 00:19:47,360 --> 00:19:52,080 THAN A DECADE, SHE LED A $1.6 400 00:19:52,080 --> 00:19:53,600 BILLION TECHNOLOGY PORTFOLIO 401 00:19:53,600 --> 00:19:56,160 SUPPORTING RESEARCH OF NIH'S 27 402 00:19:56,160 --> 00:19:59,960 INSTITUTES AND CENTERS INCLUDING 403 00:19:59,960 --> 00:20:02,040 NICCIH AND SERVES AS RESEARCH OR 404 00:20:02,040 --> 00:20:03,680 SERVED RESEARCH ERRS AT MORE 405 00:20:03,680 --> 00:20:06,520 THAN 2500 UNIVERSITIES AND 406 00:20:06,520 --> 00:20:08,280 MEDICAL CENTERS ACROSS THE 407 00:20:08,280 --> 00:20:11,480 COUNTRY RECEIVING NIH FUNDING 408 00:20:11,480 --> 00:20:11,800 SUPPORT. 409 00:20:11,800 --> 00:20:13,760 DR. ROGER GLASS WILL BE RETIRING 410 00:20:13,760 --> 00:20:16,920 FROM NIH AFTER MORE THAN 16 411 00:20:16,920 --> 00:20:20,040 YEARS AS DIRECTOR OF FOGARTY 412 00:20:20,040 --> 00:20:22,320 INTERNATIONAL CENTER AT FIC. 413 00:20:22,320 --> 00:20:25,120 AND ALSO AT NIH ASSOCIATE 414 00:20:25,120 --> 00:20:26,760 DIRECTOR FOR INTERNATIONAL 415 00:20:26,760 --> 00:20:29,560 RESEARCH. PRIOR TO JOINING NIH, 416 00:20:29,560 --> 00:20:33,560 DR. GLAS WAS A CHIEF OF VIRAL 417 00:20:33,560 --> 00:20:35,200 GASTROENTERITIS UNIT AT THE 418 00:20:35,200 --> 00:20:37,560 NATIONAL CENTER FOR INFECTIOUS 419 00:20:37,560 --> 00:20:41,320 DISEASE AT CDC. HIS REMARKABLE 420 00:20:41,320 --> 00:20:42,800 CAREER IN GLOBAL HEALTH 421 00:20:42,800 --> 00:20:44,840 STRETCHES ACROSS 5 DECADES WITH 422 00:20:44,840 --> 00:20:46,520 EXTENDED STAYS IN MORE THAN HALF 423 00:20:46,520 --> 00:20:48,040 A DOZEN COUNTRIES. 424 00:20:48,040 --> 00:20:49,880 WE WILL REALLY MISS ALL -- THIS 425 00:20:49,880 --> 00:20:52,960 IS A LOT OF DEPARTURES IN A LOT 426 00:20:52,960 --> 00:20:56,920 OF SENIOR LEADERSHIP AT NIH AND 427 00:20:56,920 --> 00:20:59,800 WE WISH ALL OF THEM A FAREWELL 428 00:20:59,800 --> 00:21:03,680 AND A LOT OF THEM RETIRING AND 429 00:21:03,680 --> 00:21:05,840 GOOD HEALTH AND HAPPINESS IN 430 00:21:05,840 --> 00:21:08,160 THEIR RETIREMENT AND WE WANT TO 431 00:21:08,160 --> 00:21:12,200 ALSO RECOGNIZE A NUMBER OF NCCIH 432 00:21:12,200 --> 00:21:15,400 AWARD STAFF FOR THEIR 2022NIH 433 00:21:15,400 --> 00:21:21,320 DIRECTOR'S AWARDS AND DR. ALICE 434 00:21:21,320 --> 00:21:29,240 CHESLER ANDTORI WILSON AND DAVID 435 00:21:29,240 --> 00:21:30,640 SHURTLEFF FOR THEIR REMARKABLE 436 00:21:30,640 --> 00:21:34,200 SERVICE IN THE PAST YEAR. WE 437 00:21:34,200 --> 00:21:36,200 ALSO WANT TO MENTION THAT NIH 438 00:21:36,200 --> 00:21:39,840 HAS ISSUED DATA MANAGEMENT AND 439 00:21:39,840 --> 00:21:41,720 SHARING POLICY. WE HAVE BEEN 440 00:21:41,720 --> 00:21:43,080 TALKING ABOUT THIS NOW FOR QUITE 441 00:21:43,080 --> 00:21:46,440 A LONG TIME. NOW, IT IS HERE. 442 00:21:46,440 --> 00:21:49,560 IT WILL BE EFFECTIVE JANUARY 443 00:21:49,560 --> 00:21:52,680 25TH 2023. SO, JUST NEXT WEEK. 444 00:21:52,680 --> 00:21:56,840 TO PROMOTE SHARING OF SCIENTIFIC 445 00:21:56,840 --> 00:21:57,040 DATA. 446 00:21:57,040 --> 00:22:01,120 UNDER THIS POLICY, NIH EXPECTS 447 00:22:01,120 --> 00:22:02,480 THAT INVESTIGATORS AND 448 00:22:02,480 --> 00:22:03,920 INSTITUTIONS, NO. 1, THEY WILL 449 00:22:03,920 --> 00:22:06,160 PLAN AND BUDGET MANAGING AND 450 00:22:06,160 --> 00:22:09,000 SHARING OF DATA AND SUBMIT DATA 451 00:22:09,000 --> 00:22:11,160 SHARING PLAN FOR REVIEW WHEN 452 00:22:11,160 --> 00:22:13,720 APPLYING FOR FUNDING. COMPLY 453 00:22:13,720 --> 00:22:17,000 WITH THE APPROVED DATA SHARING 454 00:22:17,000 --> 00:22:19,720 AND MANAGEMENT PLAN AND THAT THE 455 00:22:19,720 --> 00:22:23,040 NIH INDIVIDUAL NIH INSTITUTE 456 00:22:23,040 --> 00:22:25,120 CENTERS AND OFFICES MAY HAVE 457 00:22:25,120 --> 00:22:26,480 ADDITIONAL POLICIES AND 458 00:22:26,480 --> 00:22:28,960 EXPECTATIONS AND THIS IS ALL 459 00:22:28,960 --> 00:22:32,000 GOING TO BE ROLLED OUT. 460 00:22:32,000 --> 00:22:33,280 I'M EXPECTING THAT PEOPLE ARE -- 461 00:22:33,280 --> 00:22:36,880 THEY HAVE HAD A FAIR AMOUNT OF 462 00:22:36,880 --> 00:22:38,240 ADVANCED NOTICE ABOUT THIS. 463 00:22:38,240 --> 00:22:39,400 IT REALLY THERE HAS BEEN A LOT 464 00:22:39,400 --> 00:22:41,880 OF ATTENTION TO THE DETAILS OF 465 00:22:41,880 --> 00:22:44,840 IMPLEMENTING THIS PLAN. I'M 466 00:22:44,840 --> 00:22:48,200 FULLY EXPECTING THAT IT ALL GOES 467 00:22:48,200 --> 00:22:48,560 SMOOTHLY. 468 00:22:48,560 --> 00:22:51,800 WE HAVE NOW SOME IMPORTANT STAFF 469 00:22:51,800 --> 00:22:52,040 UPDATES. 470 00:22:52,040 --> 00:22:54,840 IT IS, OF COURSE, WITH 471 00:22:54,840 --> 00:22:56,560 TREMENDOUSLY MIXED EMOTIONS THAT 472 00:22:56,560 --> 00:22:59,880 WE ANNOUNCE THE RETIREMENT OF 473 00:22:59,880 --> 00:23:04,280 DR. PATEC ALSO. DR. KELSA HAS 474 00:23:04,280 --> 00:23:07,120 BEEN A HUGELY IMPORTANT PART OF 475 00:23:07,120 --> 00:23:09,440 NIH'S SCIENTIFIC AND SENIOR 476 00:23:09,440 --> 00:23:11,520 STAFF SINCE HE JOINED THE CENTER 477 00:23:11,520 --> 00:23:14,280 IN JANUARY OF 2006 AND HE BEGAN 478 00:23:14,280 --> 00:23:17,360 NIH AND NCCIH CAREER AS PROGRAM 479 00:23:17,360 --> 00:23:20,600 OFFICER IN DIVISION OF 480 00:23:20,600 --> 00:23:21,480 EXTRAMURAL RESEARCH BRINGING 481 00:23:21,480 --> 00:23:23,480 WITH HIM A WEALTH OF KNOWLEDGE 482 00:23:23,480 --> 00:23:26,920 AND EXPERIENCE AS AN 483 00:23:26,920 --> 00:23:29,840 INVESTIGATOR IN SENSORY 484 00:23:29,840 --> 00:23:33,040 PHYSIOLOGY AND HE WAS MY PAIN 485 00:23:33,040 --> 00:23:35,560 OFFICER WAY BACK WHEN I WAS AT 486 00:23:35,560 --> 00:23:37,880 UNIVERSITY OF VERMONT AND 2013 487 00:23:37,880 --> 00:23:41,440 BECAME DEPUTY DIRECTOR OF 488 00:23:41,440 --> 00:23:43,880 EXTRAMURAL RESEARCH AND 27 489 00:23:43,880 --> 00:23:46,480 TAENTOOK OVER RANGE AS DIRECTOR 490 00:23:46,480 --> 00:23:49,840 OF THE DA OR DIVISION OF 491 00:23:49,840 --> 00:23:52,400 EXTRAMURAL ACTIVITIES AND 492 00:23:52,400 --> 00:23:54,720 EXECUTIVE SECRETARY OF NCCIH'S 493 00:23:54,720 --> 00:23:56,040 COUNCIL AS MANY OF YOU KNOW HIM 494 00:23:56,040 --> 00:23:57,840 IN THAT ACTIVITY. FOR NEW 495 00:23:57,840 --> 00:24:00,200 COUNCIL MEMBERS THIS IS THE 496 00:24:00,200 --> 00:24:05,880 FIRST COUNCIL MEETING THAT PATAK 497 00:24:05,880 --> 00:24:11,080 HAS NOT BEEN THE SECRETARY. AS 498 00:24:11,080 --> 00:24:13,280 DIRECTOR HE HAS SUCCESSFULLY LED 499 00:24:13,280 --> 00:24:16,160 REVIEW AND GRANTS MANAGEMENT 500 00:24:16,160 --> 00:24:16,960 ACTIVITIES APPLYING KEY 501 00:24:16,960 --> 00:24:19,400 ATTENTION TO DETAIL AND IN-DEPTH 502 00:24:19,400 --> 00:24:21,240 KNOWLEDGE OF THE GRANT PROCESS. 503 00:24:21,240 --> 00:24:22,560 WE WILL ALL MISS HIM VERY MUCH 504 00:24:22,560 --> 00:24:25,160 AND I'M THRILLED TO ANNOUNCE 505 00:24:25,160 --> 00:24:29,840 THAT AFTER A THOROUGH SEARCH, 506 00:24:29,840 --> 00:24:31,800 DR. MARTINA SCHMIDT IS APPOINTED 507 00:24:31,800 --> 00:24:37,840 AS NCCIH'S NEXT DIRECTOR. SHE 508 00:24:37,840 --> 00:24:38,760 IS AN EXCELLENT CHOICE FOR THE 509 00:24:38,760 --> 00:24:43,000 ROLE AND SHE RECEIVED PHD IN 510 00:24:43,000 --> 00:24:46,360 MICROBIOLOGY IN GERMANY IN 1997 511 00:24:46,360 --> 00:24:48,640 FOLLOWED BY POST DOCTORAL 512 00:24:48,640 --> 00:24:50,880 FELLOWSHIP AT NCI AND 2004 513 00:24:50,880 --> 00:24:54,280 JOINED CENTER FOR SCIENTIFIC 514 00:24:54,280 --> 00:24:57,160 REVIEW AS INTERN IN ONCOLOGY 515 00:24:57,160 --> 00:24:59,640 [INDISCERNIBLE] AND JOINED NCCIH 516 00:24:59,640 --> 00:25:02,200 IN 2005 AS A SCIENTIFIC REVIEW 517 00:25:02,200 --> 00:25:04,200 OFFICER AND HAS BEEN SERVING AS 518 00:25:04,200 --> 00:25:08,080 DIRECTOR OF OFFICE OF SCIENTIFIC 519 00:25:08,080 --> 00:25:09,760 REVIEW SINCE 2016 AND 520 00:25:09,760 --> 00:25:11,120 EFFECTIVELY LEADING AND 521 00:25:11,120 --> 00:25:13,880 COORDINATING ALL ACTIVITIES 522 00:25:13,880 --> 00:25:16,200 RELATED TO PEER REVIEW. 523 00:25:16,200 --> 00:25:20,160 WELCOME, MARTINA. I ALSO VERY 524 00:25:20,160 --> 00:25:23,520 PLEASED TO ANNOUNCE DR. JESSICA 525 00:25:23,520 --> 00:25:25,800 M. HAS BEEN PROMOTED TO ACTING 526 00:25:25,800 --> 00:25:28,560 DIRECTOR OF OFFICE OF SCIENTIFIC 527 00:25:28,560 --> 00:25:31,400 REVIEW AND JESSICA SERVED AS A 528 00:25:31,400 --> 00:25:34,760 SCIENTIFIC REVIEW OFFICER WITH 529 00:25:34,760 --> 00:25:38,080 NCCIH FROM 2018 TO 2021. AFTER 530 00:25:38,080 --> 00:25:40,880 WORKING AT THE DEPARTMENT OF 531 00:25:40,880 --> 00:25:41,160 DEFENSE. 532 00:25:41,160 --> 00:25:43,440 SHE RECENTLY RETURNED TO NCCIH 533 00:25:43,440 --> 00:25:48,040 IN MAY OF 2022. JESSICA HAS A 534 00:25:48,040 --> 00:25:51,480 PHD IN NEUROSCIENCE FROM THE 535 00:25:51,480 --> 00:25:53,360 UNIVERSITY OF CINCINNATI 536 00:25:53,360 --> 00:25:55,680 FOLLOWED BY POST DOCTORAL 537 00:25:55,680 --> 00:25:59,360 FELLOWSHIP AT UNIVERSITY OF 538 00:25:59,360 --> 00:26:01,160 NORTH CAROLINA CHAPEL HILL AND 539 00:26:01,160 --> 00:26:05,400 ALCOHOL CONSUMPTION ON SYNAPTIC 540 00:26:05,400 --> 00:26:08,000 PLASTICITY AND [INDISCERNIBLE] 541 00:26:08,000 --> 00:26:16,880 AND ARE THRILLED TO WELCOME HER 542 00:26:16,880 --> 00:26:20,480 TO NE HER NEW ROLE WELCOMING DR. 543 00:26:20,480 --> 00:26:23,000 KEVIN MCBRIDE AS MEDICAL OFFICER 544 00:26:23,000 --> 00:26:25,160 IN CLINICAL AND REGULATORY 545 00:26:25,160 --> 00:26:30,160 AFFAIRS AT OKRA AT NCCIH. DR. 546 00:26:30,160 --> 00:26:33,880 MCBRIDE HAS MD AT UNIVERSITY 547 00:26:33,880 --> 00:26:36,840 COMPLETING RESIDENCY IN 548 00:26:36,840 --> 00:26:39,880 PEDIATRICS AT ST. CHRISTOPHER'S 549 00:26:39,880 --> 00:26:42,400 HOSPITAL AND [INDISCERNIBLE] AT 550 00:26:42,400 --> 00:26:43,160 UNIVERSITY OF MICHIGAN. PRIOR 551 00:26:43,160 --> 00:26:46,440 TO JOINING NCCIH DR. MCBRIDE 552 00:26:46,440 --> 00:26:48,680 COMES WITH A WEALTH OF 553 00:26:48,680 --> 00:26:51,400 EXPERIENCE FROM WORK AT NIDDCR 554 00:26:51,400 --> 00:26:54,680 AND NIDDK AND AT THE FDA AND WE 555 00:26:54,680 --> 00:26:56,240 ARE VERY HAPPY TO HAVE HIM ON 556 00:26:56,240 --> 00:26:58,160 BOARD WITH US AT NIH AND WOULD 557 00:26:58,160 --> 00:27:02,680 LIKE TO ALSO WELCOME DR. 558 00:27:02,680 --> 00:27:04,480 JENNIFER GARDENER AS NEW PROGRAM 559 00:27:04,480 --> 00:27:07,040 DIRECTOR IN CLINICAL RESEARCH IN 560 00:27:07,040 --> 00:27:09,560 COMPLEMENTARY AND INTEGRATIVE 561 00:27:09,560 --> 00:27:11,840 HEALTH GRANT IN DIVISION OF 562 00:27:11,840 --> 00:27:13,160 EXTRAMURAL RESEARCH WITH A 563 00:27:13,160 --> 00:27:15,400 BACKGROUND IN PSYCHOLOGY AND 564 00:27:15,400 --> 00:27:16,840 COGNITIVE NEUROSCIENCE THAT IS A 565 00:27:16,840 --> 00:27:21,320 WONDERFUL ADDITION TO PROGRAMS. 566 00:27:21,320 --> 00:27:22,080 WELCOME. 567 00:27:22,080 --> 00:27:24,600 WE ALSO HAVE NEW STAFF TO 568 00:27:24,600 --> 00:27:26,680 WELCOME AS WE OFTEN DO AND IN 569 00:27:26,680 --> 00:27:29,400 THE DIRECTOR AND ADMINISTRATIVE 570 00:27:29,400 --> 00:27:32,520 OPERATIONS AND OKRA AND 571 00:27:32,520 --> 00:27:33,880 INTRAMURAL RESEARCH AND WELCOME 572 00:27:33,880 --> 00:27:38,520 TO NCCIH TO OUR NCCIH FAMILY AND 573 00:27:38,520 --> 00:27:39,880 ALWAYS WELCOMING NEW PEOPLE. WE 574 00:27:39,880 --> 00:27:41,880 HAVE SOME DEPARTURES IN ALL OF 575 00:27:41,880 --> 00:27:44,000 THE VARIOUS ACTIVITIES. 576 00:27:44,000 --> 00:27:47,040 WE WISH ALL OF THESE STAFF 577 00:27:47,040 --> 00:27:50,800 MEMBERS WELL IN THEIR NEW 578 00:27:50,800 --> 00:27:52,200 ENDEAVORS. 579 00:27:52,200 --> 00:27:53,800 NOW, FOR BUDGET UPDATES. 580 00:27:53,800 --> 00:27:55,160 WE DON'T HAVE NEW NUMBERS TO 581 00:27:55,160 --> 00:27:58,800 SHARE WITH YOU FOR OUR FY23 582 00:27:58,800 --> 00:28:02,280 BUDGET. I WILL PRESENT THEM TO 583 00:28:02,280 --> 00:28:03,480 YOU AT OUR MAY COUNCIL. 584 00:28:03,480 --> 00:28:10,400 HOWEVER, WE CAN SAY THAT WE HAVE 585 00:28:10,400 --> 00:28:13,880 RECEIVED OUR BUDGET. THIS 586 00:28:13,880 --> 00:28:15,520 CONSOLIDATED APROPRIATION ACT 587 00:28:15,520 --> 00:28:18,600 FOR 2023 WAS SIGNED IN LATE 588 00:28:18,600 --> 00:28:22,360 DECEMBER BY PRESIDENT BIDEN THAT 589 00:28:22,360 --> 00:28:24,200 PROVIDED 170 MILLION 384 DOLLARS 590 00:28:24,200 --> 00:28:28,040 FOR NCCIH THAT WAS AN INCREASE 591 00:28:28,040 --> 00:28:33,880 IN APPROXIMATELY 6.9% OR 592 00:28:33,880 --> 00:28:35,200 APPROXIMATELY $11 MILLION OVER 593 00:28:35,200 --> 00:28:37,160 OUR PREVIOUS BUDGET THAT IS A 594 00:28:37,160 --> 00:28:40,400 NICE INCREASE FOR US. 5 MILLION 595 00:28:40,400 --> 00:28:42,880 OF THE 11 MILLION DOLLARS HAVE 596 00:28:42,880 --> 00:28:45,040 BEEN SPECIFICALLY DESIGNATED FOR 597 00:28:45,040 --> 00:28:48,120 PAIN RESEARCH. I THINK IT IS AN 598 00:28:48,120 --> 00:28:50,560 IMPORTANT THING THAT IS -- IT 599 00:28:50,560 --> 00:28:51,720 REALLY RECOGNIZES OUR LEADERSHIP 600 00:28:51,720 --> 00:28:58,200 IN THIS AREA OF PAIN. 601 00:28:58,200 --> 00:29:00,320 WE WILL OF COURSE BE WATCHING 602 00:29:00,320 --> 00:29:01,280 VERY CAREFULLY AND WHAT HAPPENS 603 00:29:01,280 --> 00:29:03,760 OVER THE COURSE OF THE FISCAL 604 00:29:03,760 --> 00:29:07,080 YEAR WITH BUDGET SITUATION IN 605 00:29:07,080 --> 00:29:09,040 THE FEDERAL GOVERNMENT. IF IN 606 00:29:09,040 --> 00:29:12,000 THE MEANTIME, WE ARE VERY HAPPY 607 00:29:12,000 --> 00:29:14,400 TO HAVE RECEIVED THIS INCREASE 608 00:29:14,400 --> 00:29:19,640 OVER OUR PREVIOUS YEAR'S BUDGET. 609 00:29:19,640 --> 00:29:21,800 NOW, FOR SOME PROGRAM NEWS. 610 00:29:21,800 --> 00:29:25,760 SO, I'M REALLY THRILLED TO 611 00:29:25,760 --> 00:29:28,320 ANNOUNCE THAT A BRIDGE TO AI 612 00:29:28,320 --> 00:29:29,600 PROGRAM HAS MADE ITS FIRST 613 00:29:29,600 --> 00:29:33,840 AWARD. THIS IS A PROGRAM AND 614 00:29:33,840 --> 00:29:37,840 FOR BUILDING OUR CAPACITY TO DO 615 00:29:37,840 --> 00:29:40,480 VERY IMPORTANT AND 616 00:29:40,480 --> 00:29:41,600 TRANSFORMATIVE RESEARCH 617 00:29:41,600 --> 00:29:42,600 INVOLVING ARTIFICIAL 618 00:29:42,600 --> 00:29:44,440 INTELLIGENCE. THIS IS A VERY 619 00:29:44,440 --> 00:29:45,880 IMPORTANT AREA FOR US ESPECIALLY 620 00:29:45,880 --> 00:29:50,240 AS WE ENGAGE IN MORE COMPLEX 621 00:29:50,240 --> 00:29:52,720 PROJECTS THAT ARE INVOLVING THE 622 00:29:52,720 --> 00:29:54,760 WHOLE PERSON HAS ARTIFICIAL 623 00:29:54,760 --> 00:29:56,360 INTELLIGENCE AND TEACHING TO 624 00:29:56,360 --> 00:29:59,000 DEAL WITH LARGE DATA SETS IS 625 00:29:59,000 --> 00:30:03,120 VERY, VERY IMPORTANT FOR NCCIH. 626 00:30:03,120 --> 00:30:05,840 SO, THESE AWARDS AND NCCIH IS 627 00:30:05,840 --> 00:30:09,400 ONE OF FIVE INSTITUTES AND 628 00:30:09,400 --> 00:30:11,920 CENTERS AT NIH LEADING BRIDGE TO 629 00:30:11,920 --> 00:30:15,120 PROGRAM AND DR. LANAY MUD IS ONE 630 00:30:15,120 --> 00:30:17,280 OF THE PROGRAM COORDINATORS FOR 631 00:30:17,280 --> 00:30:18,880 THIS PROJECT. SHE HAS BEEN 632 00:30:18,880 --> 00:30:21,360 DOING A FANTASTIC JOB AT 633 00:30:21,360 --> 00:30:22,440 CO-LEADING THIS. 634 00:30:22,440 --> 00:30:25,200 SO, THESE ARE THE 5 DATA -- WE 635 00:30:25,200 --> 00:30:27,160 CALL THEM DATA GENERATION 636 00:30:27,160 --> 00:30:28,480 PROJECTS THAT HAVE BEEN 637 00:30:28,480 --> 00:30:30,920 FUNNELEDED AND THEY ARE TO 638 00:30:30,920 --> 00:30:33,360 GENERATE FLAGSHIP DATA SETS TO 639 00:30:33,360 --> 00:30:35,440 EXAMINE A VARIETY OF DIFFERENT 640 00:30:35,440 --> 00:30:36,160 AREAS OF FOCUS. 641 00:30:36,160 --> 00:30:38,160 ONE AREA THAT I WANT TO POINT 642 00:30:38,160 --> 00:30:40,960 OUT TO YOU OR AWARDED TO 643 00:30:40,960 --> 00:30:45,040 UNIVERSITY OF WASHINGTON IS A 644 00:30:45,040 --> 00:30:49,200 PROJECT ON SOLUCO GENESIS THAT 645 00:30:49,200 --> 00:30:53,880 IS GENERATING A DATA SET TO 646 00:30:53,880 --> 00:30:57,480 UNDERSTAND THE PROGRESS OF BOTH 647 00:30:57,480 --> 00:30:58,920 SOLUCO GENESIS MEANING RETURNING 648 00:30:58,920 --> 00:31:01,960 TO HEALTH IN PATIENTS THAT ARE 649 00:31:01,960 --> 00:31:03,960 PREDIAGNOSED WITH DIABETES. 650 00:31:03,960 --> 00:31:05,840 THIS IS VERY INTERESTING. WE 651 00:31:05,840 --> 00:31:08,680 WILL BE VERY EXCITED TO FALL 652 00:31:08,680 --> 00:31:11,160 UNDER THE REALM OF ALL THESE 653 00:31:11,160 --> 00:31:14,680 PROJECTS AND IN PARTICULAR THIS 654 00:31:14,680 --> 00:31:16,120 LEUKO GENESIS PROJECT AND IN 655 00:31:16,120 --> 00:31:17,840 ADDITION THREE CENTER AWARDS 656 00:31:17,840 --> 00:31:20,200 RESPONSIBLE FOR INTEGRATING 657 00:31:20,200 --> 00:31:21,360 ACTIVITIES AND KNOWLEDGE ACROSS 658 00:31:21,360 --> 00:31:24,400 DATA GENERATION PROJECTS AND 659 00:31:24,400 --> 00:31:26,760 DISSEMINATING PRODUCTS BEST 660 00:31:26,760 --> 00:31:28,040 PRACTICES AND TRAINING FOR 661 00:31:28,040 --> 00:31:31,760 MATERIALS THAT ARE GOING TO BE 662 00:31:31,760 --> 00:31:33,720 GENERATED FROM THIS BRIDGE TO AI 663 00:31:33,720 --> 00:31:34,800 OVERALL INITIATIVE. 664 00:31:34,800 --> 00:31:37,160 THIS IS REALLY MEANT TO BUILD 665 00:31:37,160 --> 00:31:39,960 THE CAPACITY OF THE RESEARCH 666 00:31:39,960 --> 00:31:44,160 ENTERPRISE AS A WHOLE TO REALLY 667 00:31:44,160 --> 00:31:47,000 ALLOW US TO DO CAREFULLY 668 00:31:47,000 --> 00:31:48,840 ANNOTATED AND COLLECT DATA SETS 669 00:31:48,840 --> 00:31:51,440 THAT ARE NOT ONLY, YOU KNOW, 670 00:31:51,440 --> 00:31:53,360 FOUND BUT ALSO PROPERLY 671 00:31:53,360 --> 00:31:57,280 ANNOTATED TO BE USED TO DO 672 00:31:57,280 --> 00:31:59,280 ARTIFICIAL INTELLIGENCE. 673 00:31:59,280 --> 00:32:01,720 ALSO, I'M VERY EXCITED TO -- 674 00:32:01,720 --> 00:32:05,880 THAT THE AWARDS HAVE BEEN MADE 675 00:32:05,880 --> 00:32:08,440 FOR THE HEAL INITIATIVE PROJECT 676 00:32:08,440 --> 00:32:10,120 PROGRAM ON DEVELOPING 677 00:32:10,120 --> 00:32:13,200 QUANTITATIVE IMAGING AND 678 00:32:13,200 --> 00:32:17,200 RELEVANT BIOMARKERS OF MIOFACIAL 679 00:32:17,200 --> 00:32:19,400 TISSUES OF CLINICAL PAIN 680 00:32:19,400 --> 00:32:21,680 MANAGEMENT. THIS IS SOMETHING 681 00:32:21,680 --> 00:32:23,240 LEADING COMPLETELY FUNDED BY 682 00:32:23,240 --> 00:32:24,560 HEAL INITIATIVE AND THESE AWARDS 683 00:32:24,560 --> 00:32:26,200 AS YOU CAN SEE HERE, THEY ARE 684 00:32:26,200 --> 00:32:28,280 REALLY GOING TO BE -- THIS IS 685 00:32:28,280 --> 00:32:31,200 ALL GROUNDBREAKING TO LOOK AT 686 00:32:31,200 --> 00:32:34,320 MIOFACIAL TISSUES USING A 687 00:32:34,320 --> 00:32:35,840 VARIETY OF DIFFERENT METHODS 688 00:32:35,840 --> 00:32:39,080 INCLUDING NEW TYPES OF METHODS 689 00:32:39,080 --> 00:32:44,720 USING IMAGING, MRI, ULTRASOUND 690 00:32:44,720 --> 00:32:47,120 POSITIVE TRANSMITTING 691 00:32:47,120 --> 00:32:49,240 LOAMOGRAPHY AND FOR EXAMPLE 692 00:32:49,240 --> 00:32:51,400 SPECTROSCOPY AND IN VARIOUS 693 00:32:51,400 --> 00:32:53,240 COMBINING DIFFERENT TYPES OF 694 00:32:53,240 --> 00:32:53,640 VARIOUS MEASURES. 695 00:32:53,640 --> 00:32:56,880 WE ARE VERY EXCITED THAT THIS IS 696 00:32:56,880 --> 00:32:58,320 A VERY NEW DIRECTION FOR THE 697 00:32:58,320 --> 00:33:01,200 HEAL INITIATIVE TO REALLY BE 698 00:33:01,200 --> 00:33:04,680 TAKING A LOOK AT SOME MIOFACIAL 699 00:33:04,680 --> 00:33:07,400 TISSUES THAT HAVE VERY MUCH BEEN 700 00:33:07,400 --> 00:33:08,720 NEGLECTED IN PREVIOUS RESEARCH. 701 00:33:08,720 --> 00:33:10,720 WE ARE VERY HAPPY ABOUT THAT. 702 00:33:10,720 --> 00:33:13,840 ALSO, AWARDS HAVE BEEN MADE FOR 703 00:33:13,840 --> 00:33:16,800 AN INITIATIVE ALSO WITHIN FIELD 704 00:33:16,800 --> 00:33:18,480 FOR RESTORING JOINT HEALTH AND 705 00:33:18,480 --> 00:33:20,600 FUNCTIONING TO REDUCE PAIN OR 706 00:33:20,600 --> 00:33:24,920 REJOIN. THESE AWARDS YOU WILL 707 00:33:24,920 --> 00:33:27,720 SEE THEY ARE DISCUSSED CHARACTER 708 00:33:27,720 --> 00:33:29,960 RISING NEURONAL INNOVATION OF 709 00:33:29,960 --> 00:33:35,560 HEALTHY AND INJURED JOINTS 710 00:33:35,560 --> 00:33:37,240 SPECIFICALLY TEMPORAL MAN 711 00:33:37,240 --> 00:33:39,080 DIBULAR JOINT AND COUNCIL 712 00:33:39,080 --> 00:33:41,920 MEETINGS DISCUSSING AT NCCIH 713 00:33:41,920 --> 00:33:43,120 UNDERSTANDING THE JOINT AS A 714 00:33:43,120 --> 00:33:44,680 WHOLE IS VERY IMPORTANT. 715 00:33:44,680 --> 00:33:47,080 INCLUDING THE ARTICULAR AND 716 00:33:47,080 --> 00:33:50,720 PERIARTICULAR TISSUES INCLUDING 717 00:33:50,720 --> 00:33:53,200 BIO MIOFACIAL TISSUES AND 718 00:33:53,200 --> 00:33:54,880 UNDERSTANDING HOW INNERVATION OF 719 00:33:54,880 --> 00:33:56,640 TISSUES CONTINUES TO DEVELOPMENT 720 00:33:56,640 --> 00:33:58,120 OF PAIN AND LOSS OF FUNCTION AND 721 00:33:58,120 --> 00:34:02,320 ALSO THE POTENTIAL TO RESTORE 722 00:34:02,320 --> 00:34:03,840 FUNCTION AND PREVENT THE 723 00:34:03,840 --> 00:34:06,880 DEVELOPMENT OF CHRONIC PAIN AND 724 00:34:06,880 --> 00:34:09,680 WE FEEL THAT THESE ARE -- THIS 725 00:34:09,680 --> 00:34:11,480 INITIATIVE IS VERY RELEVANT. I 726 00:34:11,480 --> 00:34:13,760 WILL TALK A BIT LATER TO A 727 00:34:13,760 --> 00:34:16,960 WORKSHOP WE WILL HOLD LATER ON 728 00:34:16,960 --> 00:34:19,120 IN THE YEAR ON WHOLE JOINT HEAL 729 00:34:19,120 --> 00:34:20,960 MG AND I'M VERY PLEASED TO LET 730 00:34:20,960 --> 00:34:23,440 YOU KNOW THAT NIH SUPPORTED 731 00:34:23,440 --> 00:34:27,520 RESEARCH ON CANNABIS, CAN 732 00:34:27,520 --> 00:34:29,600 ABINNOIDS AND RELATED COMPOUND 733 00:34:29,600 --> 00:34:32,480 WEBSITE WAS PUBLISHED IN EARLY 734 00:34:32,480 --> 00:34:33,640 JANUARY. GIVEN THIS 735 00:34:33,640 --> 00:34:36,520 CONSIDERABLE INTEREST IN 736 00:34:36,520 --> 00:34:37,160 RESEARCH COMMUNITY ON RESEARCH 737 00:34:37,160 --> 00:34:41,880 ON CANNABIS AND THERAPEUTIC USES 738 00:34:41,880 --> 00:34:44,360 OF CANNABIS AND CONSTITUENT 739 00:34:44,360 --> 00:34:45,880 COMPOUNDS THESE NEW RESOURCES 740 00:34:45,880 --> 00:34:48,120 OFFERS INVESTIGATORS LOTS OF 741 00:34:48,120 --> 00:34:50,040 RESOURCES TO HELP TO EXAMINE 742 00:34:50,040 --> 00:34:52,720 CHEMICAL, PHYSIOLOGICAL AND 743 00:34:52,720 --> 00:34:54,800 THERAPEUTIC PROPERTIES OF CAN 744 00:34:54,800 --> 00:34:57,400 ABINNOIDS AND ALSO THE 745 00:34:57,400 --> 00:34:58,080 PHYSIOLOGICAL SYSTEMS THAT THESE 746 00:34:58,080 --> 00:35:00,200 EFFECT. I INVITE YOU IF YOU ARE 747 00:35:00,200 --> 00:35:01,920 INTERESTED IN THIS FIELD TO 748 00:35:01,920 --> 00:35:02,880 CHECK OUT THIS WEBSITE. 749 00:35:02,880 --> 00:35:05,520 I ALSO WANT TO MENTION SOME 750 00:35:05,520 --> 00:35:07,200 UPDATES ON SOUND HEALTH 751 00:35:07,200 --> 00:35:09,040 INITIATIVE THAT YOU HEARD A FAIR 752 00:35:09,040 --> 00:35:10,840 AMOUNT ABOUT IN PRIOR COUNCIL 753 00:35:10,840 --> 00:35:13,040 MEETINGS, PARTNERSHIPS AMONG AND 754 00:35:13,040 --> 00:35:15,840 BETWEEN NIH AND NATIONAL 755 00:35:15,840 --> 00:35:18,720 ENDOWMENT FOR THE ARTS AND 756 00:35:18,720 --> 00:35:20,560 KENNEDY CENTER FOR PERFORMING 757 00:35:20,560 --> 00:35:23,920 ARTS AND NATIONAL SYMPHONY 758 00:35:23,920 --> 00:35:24,920 ORCHESTRA OCTOBER SECOND AND 759 00:35:24,920 --> 00:35:28,240 THIRD AT KENNEDY CENTER DR. 760 00:35:28,240 --> 00:35:30,520 COLLINS HOSTED EVENT FEATURING 761 00:35:30,520 --> 00:35:33,200 ROSTER OF WORLD CLASS ARTISTS 762 00:35:33,200 --> 00:35:34,840 PERFORMANCE AND CONVERSATION 763 00:35:34,840 --> 00:35:36,440 WITH MUSIC THERAPISTS 764 00:35:36,440 --> 00:35:37,840 RESEARCHERS AND SCIENTISTS 765 00:35:37,840 --> 00:35:40,360 INCLUDING DR. EDWARDS AND DR. 766 00:35:40,360 --> 00:35:44,480 CHEN FROM NCCIH AND DR. EDWARDS 767 00:35:44,480 --> 00:35:47,920 AND CHEN WERE PART OF SOCIETY 768 00:35:47,920 --> 00:35:49,880 FOR NEUROSCIENCE SYMPOSIUM LAST 769 00:35:49,880 --> 00:35:53,880 NOVEMBER CALLED MUSIC AND BRAIN 770 00:35:53,880 --> 00:35:56,160 CIRCUITRY STRATEGIES FOR 771 00:35:56,160 --> 00:35:57,840 STRENGTHENING EVIDENCE BASED 772 00:35:57,840 --> 00:35:58,920 BRAIN RESEARCH AND WE HAVE 773 00:35:58,920 --> 00:36:00,800 [INDISCERNIBLE] THAT RECENTLY 774 00:36:00,800 --> 00:36:01,880 CLOSED BACK IN DECEMBER ON 775 00:36:01,880 --> 00:36:05,840 RESEARCH NETWORKS TO PROMOTE 776 00:36:05,840 --> 00:36:07,720 MULTI-DISCIPLINARY MECHANISTIC 777 00:36:07,720 --> 00:36:10,320 STUDIES ON MUSIC FOR PAIN AND 778 00:36:10,320 --> 00:36:12,120 ALZHEIMER'S DISEASE AND 779 00:36:12,120 --> 00:36:14,360 ALZHEIMER'S DISEASE RELATED 780 00:36:14,360 --> 00:36:15,720 DEMENTIA AND WE WILL BE 781 00:36:15,720 --> 00:36:17,840 REVIEWING THE APPLICATIONS IN 782 00:36:17,840 --> 00:36:20,640 UPCOMING MONTHS. 783 00:36:20,640 --> 00:36:22,600 NOW, SOME IMPORTANT NEWS AND 784 00:36:22,600 --> 00:36:25,320 UPDATES REGARDING OUR EFFORTS 785 00:36:25,320 --> 00:36:29,560 TOWARDS DIVERSITY AT NIH. 786 00:36:29,560 --> 00:36:33,920 SO, THE -- ON SEPTEMBER 29TH, 787 00:36:33,920 --> 00:36:37,200 2022, THE NIH PUBLISHED THE 788 00:36:37,200 --> 00:36:41,240 FIRST PROGRESS REPORT OF THE 789 00:36:41,240 --> 00:36:41,640 UNITE INITIATIVE. 790 00:36:41,640 --> 00:36:48,160 AND IT WAS LAUNCHED IN FEBRUARY 791 00:36:48,160 --> 00:36:48,400 2021. 792 00:36:48,400 --> 00:36:49,840 AND UNIT IS A VERY, VERY 793 00:36:49,840 --> 00:36:52,080 IMPORTANT PROGRAM AT NIH THAT 794 00:36:52,080 --> 00:36:55,320 ACTS AS A THINK TANK TO PROMOTE 795 00:36:55,320 --> 00:36:57,880 EQUITY, GENERATE BOLD IDEAS AND 796 00:36:57,880 --> 00:37:00,240 INITIATE ACTIONS TO IDENTIFY AND 797 00:37:00,240 --> 00:37:02,480 ADDRESS STRUCTURAL RACISM. 798 00:37:02,480 --> 00:37:05,560 PROGRESS REPORT FOR UNITE IS -- 799 00:37:05,560 --> 00:37:07,160 IT CAN BE FOUND AT THE LINK 800 00:37:07,160 --> 00:37:10,800 SHOWN OR BY SEARCHING FOR UNITE 801 00:37:10,800 --> 00:37:12,680 PROGRESS REPORT AT NIH WEBSITE 802 00:37:12,680 --> 00:37:15,080 AND I STRONGLY ADVISE YOU TO 803 00:37:15,080 --> 00:37:16,360 CHECK OUT THIS REPORT AND WE 804 00:37:16,360 --> 00:37:20,240 WILL BE UPDATING THIS 805 00:37:20,240 --> 00:37:22,000 FREQUENTLY. 806 00:37:22,000 --> 00:37:25,600 I ALSO WANT TO DRAW YOUR 807 00:37:25,600 --> 00:37:29,280 ATTENTION TO A NEW -- AN 808 00:37:29,280 --> 00:37:30,880 INITIATIVE SPEARHEADED BY THE 809 00:37:30,880 --> 00:37:32,600 NIH OFFICE OF DISEASE 810 00:37:32,600 --> 00:37:35,480 PREVENTION, ODP, THAT PERTAINS 811 00:37:35,480 --> 00:37:39,240 TO THE CURRENT US MENTAL HEALTH 812 00:37:39,240 --> 00:37:41,840 CRISIS THAT DISPROPORTIONATELY 813 00:37:41,840 --> 00:37:43,560 IS EFFECTING UNDERSERVED 814 00:37:43,560 --> 00:37:47,200 COMMUNITY ON THIS NIH INITIATIVE 815 00:37:47,200 --> 00:37:49,480 IS CALLED ADVANCE OR ADVANCING 816 00:37:49,480 --> 00:37:51,120 RESEARCH FOR HEALTH EQUITY. 817 00:37:51,120 --> 00:37:53,400 THERE HAS BEEN RECENTLY A 818 00:37:53,400 --> 00:37:55,480 PUBLISHED RFI OR REQUEST FOR 819 00:37:55,480 --> 00:37:57,840 INFORMATION TO SEEK INPUT FROM 820 00:37:57,840 --> 00:38:00,080 THE COMMUNITY ABOUT PREVENTION 821 00:38:00,080 --> 00:38:03,680 AND PREVENTIVE INTERVENTION 822 00:38:03,680 --> 00:38:04,880 STRATEGIES ADDRESSING SOCIAL 823 00:38:04,880 --> 00:38:06,680 DETERMINANTS OF HEALTH TO 824 00:38:06,680 --> 00:38:08,600 PREVENT MENTAL HEALTH 825 00:38:08,600 --> 00:38:10,320 POPULATIONS THAT ARE 826 00:38:10,320 --> 00:38:11,880 EXPERIENCING HEALTH DISPARITIES 827 00:38:11,880 --> 00:38:13,920 AND DUE DATES PROVIDING FEEDBACK 828 00:38:13,920 --> 00:38:16,760 ON THIS RFI IS MARCH FIRST. 829 00:38:16,760 --> 00:38:19,600 I WANT TO ALSO BRING TO YOUR 830 00:38:19,600 --> 00:38:21,400 ATTENTION A COMMENTARY PAPER IN 831 00:38:21,400 --> 00:38:24,320 THE JOURNAL TRANSLATIONAL 832 00:38:24,320 --> 00:38:25,560 BEHAVIOR MEDICINE THAT IS BY 833 00:38:25,560 --> 00:38:30,680 STAFF FROM OBSSR AND NIMHD AND 834 00:38:30,680 --> 00:38:35,640 NIDA AND NICCH CALLING FOR 835 00:38:35,640 --> 00:38:36,840 COMPREHENSIVE RESEARCH TO 836 00:38:36,840 --> 00:38:38,680 PROMOTE DIGITAL EQUITY AND 837 00:38:38,680 --> 00:38:40,720 JUSTICE AND AUTHORS MAKE FIVE 838 00:38:40,720 --> 00:38:42,480 SPECIFIC RECOMMENDATIONS THAT 839 00:38:42,480 --> 00:38:45,720 HAVE A NUMBER OF PRACTICE, 840 00:38:45,720 --> 00:38:47,200 POLICY, AND RESEARCH 841 00:38:47,200 --> 00:38:47,760 IMPLICATIONS. 842 00:38:47,760 --> 00:38:50,880 FIRST, CENTERING EQUITY IN 843 00:38:50,880 --> 00:38:52,840 RESEARCH TEAMS AND THEORETICAL 844 00:38:52,840 --> 00:38:55,120 APPROACHES. SECOND, FOCUSING ON 845 00:38:55,120 --> 00:38:57,480 ISSUES OF DIGITAL HEALTH 846 00:38:57,480 --> 00:38:59,480 LITERACY ENGAGEMENT. THIRD, 847 00:38:59,480 --> 00:39:01,200 USING METHODS ELEVATING 848 00:39:01,200 --> 00:39:02,880 PERSPECTIVES AND NEEDS OF 849 00:39:02,880 --> 00:39:04,240 UNDERSERVED POPULATIONS. 850 00:39:04,240 --> 00:39:06,160 4TH, ENSURING ETHICAL 851 00:39:06,160 --> 00:39:07,520 APPROACHES FOR COLLECTING AND 852 00:39:07,520 --> 00:39:09,520 USING DIGITAL HEALTH DATA. 853 00:39:09,520 --> 00:39:11,880 FINALLY, DEVELOPING STRATEGIES 854 00:39:11,880 --> 00:39:15,360 FOR INTEGRATING DIGITAL HEALTH 855 00:39:15,360 --> 00:39:17,320 TOOLS WITHIN AND ACROSS SYSTEMS 856 00:39:17,320 --> 00:39:17,960 AND SETTINGS. 857 00:39:17,960 --> 00:39:24,640 NOW, LET'S TAKE A LOOK AT SOME 858 00:39:24,640 --> 00:39:25,680 RECENT HIGHLIGHTS. 859 00:39:25,680 --> 00:39:26,080 OOPS. 860 00:39:26,080 --> 00:39:30,160 MY SLIDES ARE NOT ADVANCING 861 00:39:30,160 --> 00:39:33,840 ANYMORE. WHAT IS HAPPENING? 862 00:39:33,840 --> 00:39:35,720 THERE. SOME RESEARCH HIGHLIGHTS 863 00:39:35,720 --> 00:39:38,240 AND RESEARCH THAT NCCIH HAS 864 00:39:38,240 --> 00:39:39,720 EITHER FUNDED OR CO-FUNDED. 865 00:39:39,720 --> 00:39:43,000 FIRST, THIS IS A STUDY FROM THE 866 00:39:43,000 --> 00:39:43,920 UNIVERSITY OF TEXAS THAT IS 867 00:39:43,920 --> 00:39:48,440 SUPPORTED ABOUT I U41 GRANT. 868 00:39:48,440 --> 00:39:51,040 AND BY DR. JOHN MCMULLIN'S GROUP 869 00:39:51,040 --> 00:39:54,080 FROM UNIVERSITY OF TEXAS AND DR. 870 00:39:54,080 --> 00:39:56,480 MCMULIN USED TO BE ON THIS 871 00:39:56,480 --> 00:39:57,840 COUNCIL. THIS IS A VERY 872 00:39:57,840 --> 00:39:59,960 INTERESTING STUDY LOOKING AT 873 00:39:59,960 --> 00:40:04,000 MECHANISMS OF DEVELOPING REALLY 874 00:40:04,000 --> 00:40:05,840 IMPORTANT METHODS TO STUDY THE 875 00:40:05,840 --> 00:40:08,560 MECHANISMS OF ACTIONS OF NATURAL 876 00:40:08,560 --> 00:40:09,840 PRODUCTS THAT IS VERY 877 00:40:09,840 --> 00:40:12,280 CHALLENGING WHEN YOU ARE DOING 878 00:40:12,280 --> 00:40:14,480 HIGH THROUGHPUT SCREENING AND 879 00:40:14,480 --> 00:40:16,040 NATURAL PRODUCTS TO COMBINE THIS 880 00:40:16,040 --> 00:40:18,560 WITH SORT OF LOOKING AT WHAT THE 881 00:40:18,560 --> 00:40:21,040 TYPES OF MECHANISMS THAT THESE 882 00:40:21,040 --> 00:40:22,920 PRODUCTS MIGHT BE CONNECTED TO. 883 00:40:22,920 --> 00:40:25,880 THIS RESEARCH TEAM DEVELOPED A 884 00:40:25,880 --> 00:40:29,840 COMPREHENSIVE PLATFORM THAT USES 885 00:40:29,840 --> 00:40:34,000 A VERY NOVEL COMBINATION OF GENE 886 00:40:34,000 --> 00:40:36,800 EXPRESSION PROFILING AND 887 00:40:36,800 --> 00:40:39,200 IMAGE-BASED PHENOTYPIC SCREENING 888 00:40:39,200 --> 00:40:41,240 AND MASS SPECK ANALYSIS. WHAT 889 00:40:41,240 --> 00:40:42,840 THEY HAVE DONE IS BY COMBINING 890 00:40:42,840 --> 00:40:45,240 ALL THESE EFFORTS TOGETHER AND 891 00:40:45,240 --> 00:40:46,880 TECHNIQUES TOGETHER, THEY ARE 892 00:40:46,880 --> 00:40:51,280 ABLE TO MAP, FOR EXAMPLE, 893 00:40:51,280 --> 00:40:54,320 UNKNOWN SUBSTANCES ON TO A SORT 894 00:40:54,320 --> 00:40:58,720 OF A LIST OF COMPOUNDS AND SORT 895 00:40:58,720 --> 00:41:01,040 OF DETERMINE THE WHERE -- THE 896 00:41:01,040 --> 00:41:02,160 PROPERTIES FOR THEM -- THE 897 00:41:02,160 --> 00:41:05,320 COMBINED PROPERTIES FOR AN 898 00:41:05,320 --> 00:41:07,160 UNKNOWN SUBSTANCE IN 899 00:41:07,160 --> 00:41:09,640 RELATIONSHIP TO UNKNOWN MET 900 00:41:09,640 --> 00:41:11,400 ABOLOITS. THIS IS VERY 901 00:41:11,400 --> 00:41:14,000 INTERESTING AND IS A VERY NOVEL 902 00:41:14,000 --> 00:41:15,640 METHOD THAT HOPEFULLY WILL BE OR 903 00:41:15,640 --> 00:41:19,200 HAVE BROAD APPLICATIONS. 904 00:41:19,200 --> 00:41:21,800 THIS OTHER STUDY, A VERY 905 00:41:21,800 --> 00:41:23,800 INTERESTING STUDY BY THE GROUP 906 00:41:23,800 --> 00:41:26,360 LED BY CHRISTINE GERTZ. IT IS 907 00:41:26,360 --> 00:41:31,280 VERY -- IT IS A SECONDARY 908 00:41:31,280 --> 00:41:33,840 EXAMINATION OF MULTI-SITE 909 00:41:33,840 --> 00:41:35,440 PRAGMATIC CLINICAL TRIAL 910 00:41:35,440 --> 00:41:38,040 COMPARING USUAL MEDICAL CARE TO 911 00:41:38,040 --> 00:41:41,840 USUAL CARE PLUS CHIROPRACTIC 912 00:41:41,840 --> 00:41:43,720 CARE. IN THE PREVIOUS 913 00:41:43,720 --> 00:41:45,760 PUBLICATION, THERE HAD ALREADY 914 00:41:45,760 --> 00:41:47,800 BEEN A REPORT THERE WERE 915 00:41:47,800 --> 00:41:49,080 BENEFICIAL EFFECTS OF THIS 916 00:41:49,080 --> 00:41:51,520 COMBINATION ON PAIN AND THESE 917 00:41:51,520 --> 00:41:53,880 ARE PATIENTS WITH LOW BACK PAIN 918 00:41:53,880 --> 00:41:55,320 AND SO LOW BACK PAIN AND 919 00:41:55,320 --> 00:41:57,880 DISABILITY AND THIS NEW STUDY 920 00:41:57,880 --> 00:42:00,520 EXTENDED THIS BY SHOWING 921 00:42:00,520 --> 00:42:02,520 BENEFICIAL IMPACTS OF 922 00:42:02,520 --> 00:42:03,320 CHIROPRACTIC CARE EXTENDS 923 00:42:03,320 --> 00:42:06,880 THROUGH MULTIPLE ASPECTS OF 924 00:42:06,880 --> 00:42:09,080 HEALTH INCLUDING PHYSICAL 925 00:42:09,080 --> 00:42:11,960 FUNCTION PAIN INTERFERENCE SLEEP 926 00:42:11,960 --> 00:42:12,960 DISTURBANCE ANXIETY AND 927 00:42:12,960 --> 00:42:14,440 DEPRESSION WITH SOCIAL ROLES. 928 00:42:14,440 --> 00:42:15,720 THIS IS VERY, VERY IMPORTANT AS 929 00:42:15,720 --> 00:42:17,800 WE ARE STARTING TO LOOK AT 930 00:42:17,800 --> 00:42:19,560 EFFECTS OF DIFFERENT 931 00:42:19,560 --> 00:42:22,680 INTERVENTIONS ON MULTICOMPONENT 932 00:42:22,680 --> 00:42:27,680 AND ALSO MULTISYSTEM OUTCOMES 933 00:42:27,680 --> 00:42:29,680 AND THIS NEXT STUDY IS VERY 934 00:42:29,680 --> 00:42:30,840 INTERESTING AND IMPORTANT. IT 935 00:42:30,840 --> 00:42:34,040 LOOKS -- IT IS -- IT IS A -- ONE 936 00:42:34,040 --> 00:42:37,120 -- A NEW -- TWO RECENT 937 00:42:37,120 --> 00:42:38,600 PUBLICATIONS FROM THE VITAL 938 00:42:38,600 --> 00:42:40,880 TRIAL THAT IS A VERY LARGE 939 00:42:40,880 --> 00:42:43,120 CLINICAL TRIAL THAT IS INVOLVING 940 00:42:43,120 --> 00:42:46,560 MORE THAN 20,000 PARTICIPANTS 941 00:42:46,560 --> 00:42:49,800 LOOKING AT VITAMIN D AND O-MEGA 942 00:42:49,800 --> 00:42:53,160 3 FATTY ACIDS. THE PRINCIPLE 943 00:42:53,160 --> 00:42:57,040 USE OF ESPECIALLY VITAMIN D IS 944 00:42:57,040 --> 00:42:59,640 ESTIMATED THAT 60 YEARS -- AT 945 00:42:59,640 --> 00:43:03,360 LEAST 1/3 OF US ADULTS OVER 60 946 00:43:03,360 --> 00:43:05,480 YEARS OF AGE TAKE VITAMIN D 947 00:43:05,480 --> 00:43:08,360 SUPPLEMENTS AND ONE OF THE MAJOR 948 00:43:08,360 --> 00:43:10,640 REASONS PEOPLE TAKE VITAMIN D 949 00:43:10,640 --> 00:43:12,800 SUPPLEMENTS IS TO PREVENT 950 00:43:12,800 --> 00:43:15,160 FRACTURES THAT HAS BEEN SO 951 00:43:15,160 --> 00:43:17,480 ENGRAINED AND SUCH AN ACCEPTED 952 00:43:17,480 --> 00:43:19,640 PART OF OUR RECOMMENDATIONS TO 953 00:43:19,640 --> 00:43:20,200 PATIENTS. 954 00:43:20,200 --> 00:43:22,720 AND SO MUCH SO THAT IN THE PAST 955 00:43:22,720 --> 00:43:28,320 YEARS, WE HAVE ACTUALLY RISEN 956 00:43:28,320 --> 00:43:29,880 OUR RANGE WHAT IS CONSIDERED TO 957 00:43:29,880 --> 00:43:33,200 BE A HEALTHY VITAMIN D LEVEL. 958 00:43:33,200 --> 00:43:35,600 WHAT THIS STUDY HAS SHOWN IS IN 959 00:43:35,600 --> 00:43:37,880 FACT THERE IS NO DIFFERENCE OR 960 00:43:37,880 --> 00:43:41,880 BENEFICIAL EFFECTS OF VITAMIN D 961 00:43:41,880 --> 00:43:43,200 ON FRACTURES. 962 00:43:43,200 --> 00:43:45,360 AND ALSO IN THE MOST RECENT 963 00:43:45,360 --> 00:43:48,000 STUDY ON FRAILTY IN OLDER 964 00:43:48,000 --> 00:43:49,560 ADULTS. THIS IS CONCERNING 965 00:43:49,560 --> 00:43:52,560 BECAUSE WE -- THIS IS VERY 966 00:43:52,560 --> 00:43:56,400 IMPORTANT TO KNOW THAT AT -- 967 00:43:56,400 --> 00:43:57,560 THIS IS QUITE A DEFINITIVE STUDY 968 00:43:57,560 --> 00:43:59,160 AND IS EXTREMELY 969 00:43:59,160 --> 00:44:00,560 WELL-CONTROLLED. WE HAVE TO 970 00:44:00,560 --> 00:44:03,600 THINK ABOUT THIS CAREFULLY ABOUT 971 00:44:03,600 --> 00:44:07,640 OUR PERHAPS RECOMMENDATIONS AS 972 00:44:07,640 --> 00:44:09,680 TO WHETHER VITAMIN D SHOULD BE 973 00:44:09,680 --> 00:44:13,880 RECOMMENDED FOR PREVENTION OF 974 00:44:13,880 --> 00:44:17,520 FRACTURES SPECIFICALLY. 975 00:44:17,520 --> 00:44:19,640 LET'S SEE. 976 00:44:19,640 --> 00:44:24,320 NOW, SOME FUNDING OPPORTUNITIES. 977 00:44:24,320 --> 00:44:26,520 FIRST, WE HAVE A NOTICE OF 978 00:44:26,520 --> 00:44:28,320 SPECIAL INTEREST OR NO SEE FROM 979 00:44:28,320 --> 00:44:30,160 THE BRAIN INITIATIVE THAT IS A 980 00:44:30,160 --> 00:44:33,880 NOTICE OF SUPPORT FOR RESEARCH 981 00:44:33,880 --> 00:44:35,320 ON INTERRECEPTION CIRCUITS WITH 982 00:44:35,320 --> 00:44:38,040 MULTIPLE DUE DATES BEFORE THE 983 00:44:38,040 --> 00:44:41,120 EXPIRATION DATE OF OCTOBER 3RD, 984 00:44:41,120 --> 00:44:42,040 2024. 985 00:44:42,040 --> 00:44:44,920 NEXT, WE HAVE A HEAL INITIATIVE 986 00:44:44,920 --> 00:44:48,920 RFA FOR SLEEP PROTECH TORS OF 987 00:44:48,920 --> 00:44:49,520 OPIOID USE DISORDER AND 988 00:44:49,520 --> 00:44:52,040 TREATMENT OUTCOMES PROING GRACHL 989 00:44:52,040 --> 00:44:55,600 WITH DUE DATE OF FEBRUARY 10TH, 990 00:44:55,600 --> 00:44:56,280 2023. 991 00:44:56,280 --> 00:44:58,120 HERE IS ANOTHER HEAL INITIATIVE 992 00:44:58,120 --> 00:45:01,200 RFA FOR INTEGRATED BASIC AND 993 00:45:01,200 --> 00:45:03,200 CLINICAL TEAMS BASED RESEARCH IN 994 00:45:03,200 --> 00:45:05,400 PAIN WITH MULTIPLE DUE DATES 995 00:45:05,400 --> 00:45:08,480 BEFORE THE EXPIRATION DATE OF 996 00:45:08,480 --> 00:45:10,320 MARCH 12TH, 2024. 997 00:45:10,320 --> 00:45:12,880 I ALSO WANT TO BRING YOUR 998 00:45:12,880 --> 00:45:14,440 ATTENTION TO THE ALL OF US 999 00:45:14,440 --> 00:45:16,680 PROGRAM WITH AN RFA ENHANCING 1000 00:45:16,680 --> 00:45:18,720 THE USE OF ALL OF US RESEARCH 1001 00:45:18,720 --> 00:45:20,880 PROGRAM DATA WITH A DUE DATE OF 1002 00:45:20,880 --> 00:45:21,480 MARCH 1ST. 1003 00:45:21,480 --> 00:45:23,560 WE WILL BE HEARING MORE ABOUT 1004 00:45:23,560 --> 00:45:26,400 THE ALL OF US INITIATIVE AND 1005 00:45:26,400 --> 00:45:28,440 OPPORTUNITIES TO PARTICIPATE 1006 00:45:28,440 --> 00:45:31,560 THIS AFTERNOON. 1007 00:45:31,560 --> 00:45:33,880 ALSO, THERE IS A -- ANOTHER RFA 1008 00:45:33,880 --> 00:45:35,960 FOR SMALL GRANTS TO ENHANCE THE 1009 00:45:35,960 --> 00:45:38,280 USE OF THE ALL OF US RESEARCH 1010 00:45:38,280 --> 00:45:44,840 PROGRAM DATA THAT ARE CALLEDANCE 1011 00:45:44,840 --> 00:45:46,520 ILLARY STUDIES. I WANT TO 1012 00:45:46,520 --> 00:45:49,800 MENTION PAST ACTIVITIES AND 1013 00:45:49,800 --> 00:45:50,280 EVENTS. 1014 00:45:50,280 --> 00:45:52,040 WE HELD FIRST STAKEHOLDER 1015 00:45:52,040 --> 00:45:54,520 MEETING ON RESEARCH FOR PERSON 1016 00:45:54,520 --> 00:45:56,200 WITH [INDISCERNIBLE] HEALTH 1017 00:45:56,200 --> 00:45:59,920 2,000 PARTICIPANTS WIDE VARIETY 1018 00:45:59,920 --> 00:46:01,560 OF COMPLEMENTIVE APPROACHES AND 1019 00:46:01,560 --> 00:46:04,160 HEALTH CARE PROVIDERS 1020 00:46:04,160 --> 00:46:06,120 RESEARCHERS POLICY MAKERS 1021 00:46:06,120 --> 00:46:07,000 ADVOCATES AND BUSINESS COMMUNITY 1022 00:46:07,000 --> 00:46:09,920 AS WELL AS PATIENTS A TRULY 1023 00:46:09,920 --> 00:46:12,600 OUTSTANDING MEETING CLEARLY 1024 00:46:12,600 --> 00:46:14,680 DEMONSTRATING CONCEPT OLD PERSON 1025 00:46:14,680 --> 00:46:17,160 HEALTH CAN BRING COMPLEMENTARY 1026 00:46:17,160 --> 00:46:18,960 AND INTEGRATED HEALTH COMMUNITY 1027 00:46:18,960 --> 00:46:20,760 TOGETHER. THIS IS A SNAPSHOT OF 1028 00:46:20,760 --> 00:46:22,520 ORGANIZATIONS REPRESENTED. 1029 00:46:22,520 --> 00:46:24,040 CLEARLY TRULY REMARKABLE. WE 1030 00:46:24,040 --> 00:46:27,680 HAD NOT ONLY REPRESENTATIVES OF 1031 00:46:27,680 --> 00:46:29,520 COMPLEMENTARY INTEGRATIVE HEALTH 1032 00:46:29,520 --> 00:46:31,920 AND PREVENTION SUCH ASSACU 1033 00:46:31,920 --> 00:46:37,680 PUNCTURE OSTEOPATHY CHIROPRACTIC 1034 00:46:37,680 --> 00:46:39,880 MASSAGE MUSIC THERAPY AND ENERGY 1035 00:46:39,880 --> 00:46:45,760 PSYCHOLOGY AND ALSO A VARIETY OF 1036 00:46:45,760 --> 00:46:47,240 ORGANIZATIONS THAT ARE -- THEY 1037 00:46:47,240 --> 00:46:48,880 ARE REALLY CONCERNED ABOUT OLD 1038 00:46:48,880 --> 00:46:53,880 PERSON HEALTH ALREADY SUCH AS 1039 00:46:53,880 --> 00:46:57,080 THE WHOLE HEALTH INSTITUTE 1040 00:46:57,080 --> 00:46:59,360 INTEGRATED POLICY CONSORTIUM AND 1041 00:46:59,360 --> 00:47:02,880 INTEGRATED MEDICINE AND NOEFA 1042 00:47:02,880 --> 00:47:03,920 INSTITUTE AND AMERICAN COLLEGE 1043 00:47:03,920 --> 00:47:09,000 OF LIFESTYLE MEDICINE AND KAISER 1044 00:47:09,000 --> 00:47:11,960 PERM AN ENTEE AND LIST GOES ON 1045 00:47:11,960 --> 00:47:13,880 AND PATIENT ADVOCACY 1046 00:47:13,880 --> 00:47:14,800 ORGANIZATIONS AND GOVERNMENT 1047 00:47:14,800 --> 00:47:18,800 ORGANIZATION SUCH AS VA, CDC, 1048 00:47:18,800 --> 00:47:21,840 CHAMP, NEA. THIS WAS A TRULY 1049 00:47:21,840 --> 00:47:23,520 REMARKABLE MEETING THAT WE 1050 00:47:23,520 --> 00:47:25,600 REALLY LOOK FORWARD TO FOAL 1051 00:47:25,600 --> 00:47:27,280 OWING UP WITH ALL THESE 1052 00:47:27,280 --> 00:47:29,800 ORGANIZATIONS AS THEY COME 1053 00:47:29,800 --> 00:47:32,480 TOGETHER AND REALLY SORT OF CAN 1054 00:47:32,480 --> 00:47:36,520 COALESCE AROUND THE CONCEPT OF 1055 00:47:36,520 --> 00:47:40,360 WHOLE PERSON HEALTH. 1056 00:47:40,360 --> 00:47:43,720 LET'S SEE. WE ARE ALSO HOSTING 1057 00:47:43,720 --> 00:47:46,280 A NUMBER OF EVENTS FOR 1058 00:47:46,280 --> 00:47:47,920 INVESTIGATORS OR TRAINEES ONLY 1059 00:47:47,920 --> 00:47:50,680 SUCH AS OUR FELLOWS AND TRAINEES 1060 00:47:50,680 --> 00:47:54,360 WORKSHOP IN SEPTEMBER. 1061 00:47:54,360 --> 00:47:58,240 ALSO, OUR -- LET'S SEEIN VEST 1062 00:47:58,240 --> 00:48:04,320 GATOR'S MEETING ON FUNCTIONAL 1063 00:48:04,320 --> 00:48:05,480 NEUROCIRCUITS OF INTERCEPTION 1064 00:48:05,480 --> 00:48:06,880 AND TECHNICAL ASSISTANCE WEBINAR 1065 00:48:06,880 --> 00:48:09,880 FOR REPOSITORY AND DATABASE FOR 1066 00:48:09,880 --> 00:48:13,240 AN TOM CAL AND PHYSIOLOGICALACU 1067 00:48:13,240 --> 00:48:14,960 PUNCTURE POINTS AND PROGRAMS. 1068 00:48:14,960 --> 00:48:17,040 THIS WAS AN OPEN MEETING, THIS 1069 00:48:17,040 --> 00:48:18,560 PARTICULAR ONE. IF INTERESTED 1070 00:48:18,560 --> 00:48:21,200 IN THIS AND YOU WERE NOT ABLE TO 1071 00:48:21,200 --> 00:48:23,040 ATTEND A SUMMARY OF THE MEETING 1072 00:48:23,040 --> 00:48:27,240 IS AVAILABLE AND ALSO ON OUR 1073 00:48:27,240 --> 00:48:29,520 WEBSITE. 1074 00:48:29,520 --> 00:48:34,400 OUR 2022 STEVE STRAUSS LECTURE 1075 00:48:34,400 --> 00:48:37,200 WE WERE PLEASED TO HAVE LAURA 1076 00:48:37,200 --> 00:48:38,680 PRESENT FROM HER TITLE OF MOUTHS 1077 00:48:38,680 --> 00:48:41,720 OF THE BABES AND RESEARCH ON 1078 00:48:41,720 --> 00:48:43,520 BABIES MOMS STRESS AND SUBSTANCE 1079 00:48:43,520 --> 00:48:45,280 USE TELL ABOUT RESILIENCE AND WE 1080 00:48:45,280 --> 00:48:51,400 HAD OVER 500 ATTENDEES. IT WAS 1081 00:48:51,400 --> 00:48:53,400 A GREAT SUCCESS AND RECORDING IS 1082 00:48:53,400 --> 00:48:57,200 AVAILABLE ON OUR WEBSITE AND 1083 00:48:57,200 --> 00:49:00,000 UPCOMING EVENTS WE HAVE HEAL 1084 00:49:00,000 --> 00:49:01,840 GRANT MEETING AND PEOPLE WITH 1085 00:49:01,840 --> 00:49:04,000 LIVED EXPERIENCE AND OTHER 1086 00:49:04,000 --> 00:49:05,520 STAKEHOLDERS TO SHARE RESEARCH 1087 00:49:05,520 --> 00:49:06,800 FINDINGS EXPLORED TRENDS AND 1088 00:49:06,800 --> 00:49:09,160 SHARED INTERESTS AND IDENTIFYING 1089 00:49:09,160 --> 00:49:10,800 OPPORTUNITIES TO ADVANCE THE 1090 00:49:10,800 --> 00:49:13,760 GOALS OF THIS INITIATIVE THAT IS 1091 00:49:13,760 --> 00:49:16,160 FEBRUARY 21ST AND 22ND. WE WILL 1092 00:49:16,160 --> 00:49:19,000 HOST THE SECOND ANNUAL EMOTIONAL 1093 00:49:19,000 --> 00:49:21,680 WELLBEING INVESTIGATOR MEETING 1094 00:49:21,680 --> 00:49:24,200 MARCH 27TH FOR INVESTIGATORS 1095 00:49:24,200 --> 00:49:26,520 ONLY AND PAIN MANAGEMENT 1096 00:49:26,520 --> 00:49:28,480 COLLABORATORY MEETING ALSO FOR 1097 00:49:28,480 --> 00:49:29,880 INVESTIGATOR. WHOOPS. SORRY. 1098 00:49:29,880 --> 00:49:34,960 I DON'T KNOW WHAT HAPPENED HERE. 1099 00:49:34,960 --> 00:49:37,320 ALSO, FOR INVEST GAITIOR ONLY IN 1100 00:49:37,320 --> 00:49:41,280 MAY 9TH AND 10TH. NOW, THESE 1101 00:49:41,280 --> 00:49:42,720 INVESTIGATOR MEETINGS ARE VERY 1102 00:49:42,720 --> 00:49:44,080 IMPORTANT AND REASON I MENTIONED 1103 00:49:44,080 --> 00:49:45,880 THEM IS BECAUSE WHENEVER WE HAVE 1104 00:49:45,880 --> 00:49:48,360 A GROUP OF INVESTIGATORS WHO ARE 1105 00:49:48,360 --> 00:49:50,120 WORKING IN A COMMON INITIATIVE, 1106 00:49:50,120 --> 00:49:51,520 IT IS VERY IMPORTANT THEY HAVE 1107 00:49:51,520 --> 00:49:53,160 AN OPPORTUNITY TO GET TOGETHER 1108 00:49:53,160 --> 00:49:55,560 AND SHARE FINDINGS AND REALLY 1109 00:49:55,560 --> 00:49:59,040 FORM A, YOU KNOW, A CLEEJIAL 1110 00:49:59,040 --> 00:50:01,240 GROUP SO THEY CAN EXCHANGE AND 1111 00:50:01,240 --> 00:50:03,000 -- INFORMATION AND IDEAS AND 1112 00:50:03,000 --> 00:50:04,520 ISSUES THEY ARE HAVING. SO, WE 1113 00:50:04,520 --> 00:50:06,360 ARE FINDING THIS IS A VERY 1114 00:50:06,360 --> 00:50:08,440 IMPORTANT PART OF FUNDING AWARDS 1115 00:50:08,440 --> 00:50:12,720 IS TO CONTINUE AND FACILITATE 1116 00:50:12,720 --> 00:50:16,120 MEETINGS AMONG INVESTIGATORS AND 1117 00:50:16,120 --> 00:50:18,920 COLLABORATORY HAS MEETING OF 1118 00:50:18,920 --> 00:50:20,680 INVESTIGATORS OF PRISM PROJECTS 1119 00:50:20,680 --> 00:50:24,240 IN MAY. ALSO, I WANT YOU AS I 1120 00:50:24,240 --> 00:50:26,440 MENTIONED EARLIER, WE WILL HOLD 1121 00:50:26,440 --> 00:50:31,200 A WORKSHOP IN JULY 25TH AND 6TH. 1122 00:50:31,200 --> 00:50:32,840 PLEASE SAVE THE DATE FOR THIS ON 1123 00:50:32,840 --> 00:50:34,800 WHOLE JOINT HEALTH THAT IS 1124 00:50:34,800 --> 00:50:37,000 REALLY THE NEXT STEP FOLLOWING 1125 00:50:37,000 --> 00:50:38,560 THE REJOIN INITIATIVE THAT 1126 00:50:38,560 --> 00:50:40,000 REALLY KIND OF STARTED BY 1127 00:50:40,000 --> 00:50:42,160 LOOKING AT SENSORY INNERVATION 1128 00:50:42,160 --> 00:50:44,840 OF THE JOINTS AND WE WANT TO NOW 1129 00:50:44,840 --> 00:50:47,680 EXTEND THIS TO UNDERSTAND 1130 00:50:47,680 --> 00:50:48,880 PATHOPHYSIOLOGY HOW A JOINT GOES 1131 00:50:48,880 --> 00:50:50,760 FROM BEING HEALTHY TO LESS 1132 00:50:50,760 --> 00:50:52,480 HEALTHY AND EVENTUALLY TO 1133 00:50:52,480 --> 00:50:53,440 GENERATE; RIGHT? 1134 00:50:53,440 --> 00:50:56,120 WE WANT TO REALLY LOOK AT THAT 1135 00:50:56,120 --> 00:50:57,640 ENTIRE SPECTRUM LOOKING AT THE 1136 00:50:57,640 --> 00:50:59,320 WHOLE JOINT AND IN THE CONTEXT 1137 00:50:59,320 --> 00:51:00,760 OF THE WHOLE PERSON AND WE 1138 00:51:00,760 --> 00:51:04,280 ENCOURAGE YOU TO REALLY CHECK 1139 00:51:04,280 --> 00:51:08,040 OUT THIS WORKSHOP AS INFORMATION 1140 00:51:08,040 --> 00:51:10,000 BECOME AS VAILABLE TO OUR 1141 00:51:10,000 --> 00:51:13,200 WEBSITE. NIH CONSORTIUM FOR 1142 00:51:13,200 --> 00:51:15,520 ADVANCING RESEARCH ON BOTANICALS 1143 00:51:15,520 --> 00:51:17,680 AND NATURAL PRODUCTS CARBON 1144 00:51:17,680 --> 00:51:23,560 MEETING THAT WILL BE JULY 27TH. 1145 00:51:23,560 --> 00:51:26,680 OUR NEXT MEETING OF NCCIH 1146 00:51:26,680 --> 00:51:29,120 COUNCIL WILL BE MAY 12TH 2023. 1147 00:51:29,120 --> 00:51:30,920 PLEASE SAVE THE DATE FOR THAT. 1148 00:51:30,920 --> 00:51:33,040 I WILL STOP HERE. LY STOP 1149 00:51:33,040 --> 00:51:35,720 SHARING MY SLIDES. 1150 00:51:35,720 --> 00:51:41,880 WELCOME ANY COMMENTS OR 1151 00:51:41,880 --> 00:51:52,080 QUESTIONS. 1152 00:51:52,440 --> 00:51:55,240 >>THIS IS A TINY PIECE OF WHAT 1153 00:51:55,240 --> 00:51:57,880 YOU SPOKE ABOUT. I AM CURIOUS 1154 00:51:57,880 --> 00:52:01,720 ABOUT THE STUDY WITH THE 1155 00:52:01,720 --> 00:52:02,840 CHIROPRACTOR VERSUS NO VISIT 1156 00:52:02,840 --> 00:52:04,640 WITH THE CHIROPRACTOR AND WONDER 1157 00:52:04,640 --> 00:52:07,680 IF THEY CONTROL FOR IN-PERSON 1158 00:52:07,680 --> 00:52:08,880 VISITS WITH ANYBODY IN THAT 1159 00:52:08,880 --> 00:52:12,040 STUDY. LOOKS LIKE IT HAD A 1160 00:52:12,040 --> 00:52:13,800 REALLY PRETTY DECENT IMPACT AND 1161 00:52:13,800 --> 00:52:14,240 NOT SURE. 1162 00:52:14,240 --> 00:52:15,960 >>YEAH. RIGHT. THIS -- THERE 1163 00:52:15,960 --> 00:52:17,800 WAS NO CONTROL FOR THE -- IF 1164 00:52:17,800 --> 00:52:20,360 ASKING FOR THE ADDITIONAL 1165 00:52:20,360 --> 00:52:20,640 ATTENTION. 1166 00:52:20,640 --> 00:52:21,160 >>EXACTLY. 1167 00:52:21,160 --> 00:52:24,080 >>IS THAT WHAT YOU ARE SAYING? 1168 00:52:24,080 --> 00:52:25,720 NO. THIS IS NOT THE INTENT OF 1169 00:52:25,720 --> 00:52:27,760 THAT. YOU KNOW, THIS IS REALLY 1170 00:52:27,760 --> 00:52:30,240 TO SEE -- THIS IS VERY PRAGMATIC 1171 00:52:30,240 --> 00:52:33,880 IN DESIGN. TO SEE IF YOU JUST 1172 00:52:33,880 --> 00:52:35,720 ADD CHIROPRACTIC CARE IN THE 1173 00:52:35,720 --> 00:52:38,440 REAL WORLD, YOU KNOW, TO, YOU 1174 00:52:38,440 --> 00:52:40,280 KNOW, FIRST OF ALL, IS THIS -- 1175 00:52:40,280 --> 00:52:42,280 DOES THIS HAPPEN? HOW DOES THIS 1176 00:52:42,280 --> 00:52:42,960 HAPPEN? 1177 00:52:42,960 --> 00:52:45,480 IS IT FEASIBLE, ET CETERA? 1178 00:52:45,480 --> 00:52:47,200 THE NEXT STEP IS DOES IT 1179 00:52:47,200 --> 00:52:48,200 ACTUALLY HELP? 1180 00:52:48,200 --> 00:52:51,960 SO, IT IS NOT MEANT TO LOOK FOR 1181 00:52:51,960 --> 00:52:54,840 WHAT IS IT ABOUT THE 1182 00:52:54,840 --> 00:52:56,240 CHIROPRACTIC CARE THAT IS MAKING 1183 00:52:56,240 --> 00:52:57,920 THE DIFFERENCE? YOU KNOW? 1184 00:52:57,920 --> 00:52:59,840 THERE IS A LOT OF REPORTS. 1185 00:52:59,840 --> 00:53:03,360 THIS IS NOT A MYSTERY THAT 1186 00:53:03,360 --> 00:53:06,920 PATIENTS WHO SEE A CHIROPRACTOR 1187 00:53:06,920 --> 00:53:09,880 REPORT BETTER SATISFACTION WITH 1188 00:53:09,880 --> 00:53:12,200 CARE THAT THEY RECEIVE. 1189 00:53:12,200 --> 00:53:14,360 THEN WITH CONVENTIONAL CARE AND 1190 00:53:14,360 --> 00:53:15,960 IS SOMETHING THAT HAS BEEN 1191 00:53:15,960 --> 00:53:17,240 PUBLISHED SO I THINK THIS COULD 1192 00:53:17,240 --> 00:53:18,880 BE A BIG PART OF THIS. YOU 1193 00:53:18,880 --> 00:53:19,960 KNOW? 1194 00:53:19,960 --> 00:53:22,000 BUT, IT IS PART OF CARE AND WHAT 1195 00:53:22,000 --> 00:53:24,520 HAPPENS WHEN YOU SEE A 1196 00:53:24,520 --> 00:53:24,840 PRACTITIONER. 1197 00:53:24,840 --> 00:53:29,120 IT IS VERY INTERESTING, I THINK. 1198 00:53:29,120 --> 00:53:33,600 YES. DR. MCGEE? 1199 00:53:33,600 --> 00:53:35,840 >>THANK YOU, MY DEAR. I REALLY 1200 00:53:35,840 --> 00:53:38,440 APPRECIATE IT, THIS PART OF THE 1201 00:53:38,440 --> 00:53:40,240 PROGRAM AND YOUR REPORT. I'M 1202 00:53:40,240 --> 00:53:43,240 CURIOUS. I HAVE NOT HAD A 1203 00:53:43,240 --> 00:53:45,720 CHANCE TO READ THE PROGRESS 1204 00:53:45,720 --> 00:53:48,360 REPORT ON THE UNITE PROJECT. 1205 00:53:48,360 --> 00:53:50,240 I'M EXCITED AND LOOK FORWARD TO 1206 00:53:50,240 --> 00:53:50,960 READING IT. 1207 00:53:50,960 --> 00:53:53,600 I'M JUST CURIOUS IF THERE ARE 1208 00:53:53,600 --> 00:53:56,080 ANY HIGHLIGHTS FROM THAT SUMMARY 1209 00:53:56,080 --> 00:53:57,880 REPORT THAT ARE KIND OF TOP OF 1210 00:53:57,880 --> 00:53:59,480 MIND OR YOU WOULD LIKE US TO 1211 00:53:59,480 --> 00:54:01,560 THINK ABOUT IN TERMS OF, YOU 1212 00:54:01,560 --> 00:54:04,240 KNOW, THE -- THE SUMMARY AND THE 1213 00:54:04,240 --> 00:54:07,240 PROGRESS REPORTS THAT ARE 1214 00:54:07,240 --> 00:54:09,400 INDICATIONS FOR WHAT THIS 1215 00:54:09,400 --> 00:54:10,040 PARTICULAR ORGANIZATION MIGHT 1216 00:54:10,040 --> 00:54:15,120 KEEP IN MIND AND FOCUS ON OR 1217 00:54:15,120 --> 00:54:17,000 CELEBRATE. I AM JUST WONDERING 1218 00:54:17,000 --> 00:54:18,320 IF THERE IS ANY PARTICULAR WAY 1219 00:54:18,320 --> 00:54:20,680 THAT YOU WOULD LIKE US TO KIND 1220 00:54:20,680 --> 00:54:22,240 OF PICK OFF SOME OF WHAT YOU 1221 00:54:22,240 --> 00:54:24,360 LEARN WHEN YOU TOOK IN THE 1222 00:54:24,360 --> 00:54:25,920 PROGRESS REPORT AS IT APPLIES TO 1223 00:54:25,920 --> 00:54:27,960 OUR WORK. THANK YOU MUCH. 1224 00:54:27,960 --> 00:54:29,880 >>WELL, THANK YOU. WE HAVE 1225 00:54:29,880 --> 00:54:32,240 BEEN TALKING ABOUT THE UNITE 1226 00:54:32,240 --> 00:54:33,480 INITIATIVE FOR MANY PREVIOUS 1227 00:54:33,480 --> 00:54:34,680 COUNCILS, YOU KNOW? 1228 00:54:34,680 --> 00:54:36,440 THIS IS -- THIS IS -- THIS IS 1229 00:54:36,440 --> 00:54:37,880 SOMETHING THAT WE HAVE BEEN 1230 00:54:37,880 --> 00:54:39,840 BUILDING ON THROUGHOUT THE YEAR. 1231 00:54:39,840 --> 00:54:41,600 THERE IS VARIOUS COMPONENTS TO 1232 00:54:41,600 --> 00:54:44,920 THIS UNITE INITIATIVE. I CAN 1233 00:54:44,920 --> 00:54:46,600 HIGHLIGHT, PERHAPS, TOO, THAT I 1234 00:54:46,600 --> 00:54:48,920 FIND OUT ARE REALLY KEY. ONE, 1235 00:54:48,920 --> 00:54:52,400 THIS REALLY ADDRESSES BOTH THE 1236 00:54:52,400 --> 00:54:53,880 EXTRAMURAL ENVIRONMENT AS WELL 1237 00:54:53,880 --> 00:54:56,440 AS INTRA-NIH ENVIRONMENT. WE 1238 00:54:56,440 --> 00:54:58,280 ARE TAKING THIS TWO-PRONGED 1239 00:54:58,280 --> 00:55:01,240 APPROACH TO KIND OF LOOKING AT 1240 00:55:01,240 --> 00:55:04,920 ADDRESSING EQUITY AND IN BOTH 1241 00:55:04,920 --> 00:55:06,600 THE RESEARCH THAT WE FUND TO 1242 00:55:06,600 --> 00:55:09,600 MAKING SURE THAT THE GRANT 1243 00:55:09,600 --> 00:55:12,760 DOLLARS IT THAT WE FUND ARE 1244 00:55:12,760 --> 00:55:16,680 DISTRIBUTED IN A WAY THAT 1245 00:55:16,680 --> 00:55:17,240 MAXIMIZES EQUITY. 1246 00:55:17,240 --> 00:55:19,880 AND WITH SPECIFIC ATTENTION TO 1247 00:55:19,880 --> 00:55:21,880 UNDERSERVED COMMUNITIES AND 1248 00:55:21,880 --> 00:55:24,120 UNDERSERVED INSTITUTIONS AND 1249 00:55:24,120 --> 00:55:24,560 UNDERSERVED GROUPS. 1250 00:55:24,560 --> 00:55:27,000 THE OTHER THING WE ARE DOING IS 1251 00:55:27,000 --> 00:55:29,120 LOOKING AT INTERNAL NIH 1252 00:55:29,120 --> 00:55:31,720 ENVIRONMENT TO MAKE SURE WE ARE 1253 00:55:31,720 --> 00:55:35,040 APPLYING. YOU KNOW, DIVERSITY, 1254 00:55:35,040 --> 00:55:37,240 EQUITY, INCLUSION AND 1255 00:55:37,240 --> 00:55:38,760 ACCESSIBILITY PRINCIPLES TO 1256 00:55:38,760 --> 00:55:40,800 HIRING PRACTICES AND OUR 1257 00:55:40,800 --> 00:55:42,840 PROMOTION AND, YOU KNOW, MAKING 1258 00:55:42,840 --> 00:55:44,480 SURE THAT PEOPLE HAVE EQUAL 1259 00:55:44,480 --> 00:55:46,640 ACCESS TO PROGRESSING IN THEIR 1260 00:55:46,640 --> 00:55:47,640 CAREERS AT NIH. 1261 00:55:47,640 --> 00:55:49,880 SO, THIS IS LOOKING AT THE 1262 00:55:49,880 --> 00:55:55,160 ENTIRE ENVIRONMENT OF HOW WE 1263 00:55:55,160 --> 00:55:55,960 FUNCTIONA 1264 00:55:55,960 --> 00:55:57,160 FUNCTION AT NIH. THERE IS MORE 1265 00:55:57,160 --> 00:55:58,960 TO THE UNITE INITIATIVE, BUT 1266 00:55:58,960 --> 00:56:01,760 THIS IS REALLY, I THINK, TWO 1267 00:56:01,760 --> 00:56:03,840 ASPECTS WE HAVE BEEN ABLE TO 1268 00:56:03,840 --> 00:56:04,760 MAKE CONSIDERABLE PROGRESS 1269 00:56:04,760 --> 00:56:05,360 ALREADY. 1270 00:56:05,360 --> 00:56:08,480 BOTH AT NIH AS A FULL AND I'M 1271 00:56:08,480 --> 00:56:12,320 PROUD TO SAY AT NCCIH 1272 00:56:12,320 --> 00:56:13,960 INTERNALLY. WE ARE CONSTANTLY 1273 00:56:13,960 --> 00:56:18,800 -- YOU KNOW, WE HAVE A -- A -- 1274 00:56:18,800 --> 00:56:20,840 WHAT WE CALL A REAP, YOU KNOW, 1275 00:56:20,840 --> 00:56:24,480 KIND OF PLAN THAT WE HAVE PUT 1276 00:56:24,480 --> 00:56:28,520 TOGETHER TO -- TO IMPLEMENT OUR 1277 00:56:28,520 --> 00:56:30,320 -- OUR PRINCIPLES OF HOW WE WILL 1278 00:56:30,320 --> 00:56:33,120 MAKE SURE THAT THESE ARE NOT 1279 00:56:33,120 --> 00:56:35,160 JUST IDEAS AND GREAT PLANS BUT 1280 00:56:35,160 --> 00:56:36,160 ALSO ACTIONS. 1281 00:56:36,160 --> 00:56:39,400 AND ALSO TO MAKE SURE THAT WE 1282 00:56:39,400 --> 00:56:41,120 HOLD OURSELVES ACCOUNTABLE FOR 1283 00:56:41,120 --> 00:56:43,000 THESE ACTIONS. WE MAKE SURE 1284 00:56:43,000 --> 00:56:47,240 THAT -- THAT THE ACTIONS BEAR 1285 00:56:47,240 --> 00:56:49,080 FRUIT AND RESULT IN SUSTAINED 1286 00:56:49,080 --> 00:56:49,680 CHANGE. 1287 00:56:49,680 --> 00:56:52,920 SO, THAT IS WHAT I WOULD 1288 00:56:52,920 --> 00:56:53,240 HIGHLIGHT. 1289 00:56:53,240 --> 00:56:54,880 >>YES. ONE QUICK FOLLOWUP. 1290 00:56:54,880 --> 00:56:55,240 >>SURE. 1291 00:56:55,240 --> 00:56:58,080 >>THANKS SO MUCH FOR THOSE 1292 00:56:58,080 --> 00:56:58,440 HIGHLIGHTS. 1293 00:56:58,440 --> 00:57:00,080 I'M JUST CURIOUS GIVEN YOUR 1294 00:57:00,080 --> 00:57:02,040 EXPERIENCE SO FAR AND WHAT IS TO 1295 00:57:02,040 --> 00:57:03,880 COME. IF THERE MIGHT BE ONE OR 1296 00:57:03,880 --> 00:57:07,360 TWO AREAS OF CONCERN THAT HAVE 1297 00:57:07,360 --> 00:57:09,120 ALREADY BUBBLED UP FROM THE 1298 00:57:09,120 --> 00:57:10,920 COMMUNITY OR TO INTEGRATE OR 1299 00:57:10,920 --> 00:57:13,520 APPLY AND IMPLEMENT ANY OF THE 1300 00:57:13,520 --> 00:57:14,720 PLANS AND GOALS. 1301 00:57:14,720 --> 00:57:17,000 >>WELL, THE CONCERNS, I MEAN, I 1302 00:57:17,000 --> 00:57:19,200 CAN SAY THAT THE AREAS WHERE 1303 00:57:19,200 --> 00:57:21,760 THERE HAS BEEN DEBATE. 1304 00:57:21,760 --> 00:57:23,520 SO, I THINK THAT ONE AREA THAT 1305 00:57:23,520 --> 00:57:28,920 WE ARE REALLY LOOKING AT VERY 1306 00:57:28,920 --> 00:57:31,000 CAREFULLY IS MAKING SURE EFFORTS 1307 00:57:31,000 --> 00:57:33,360 TO PROMOTE DIVERSITY ARE 1308 00:57:33,360 --> 00:57:35,040 DISTRIBUTED ACROSS, YOU KNOW, 1309 00:57:35,040 --> 00:57:37,200 THE VARIOUS AREAS THAT NEED 1310 00:57:37,200 --> 00:57:38,200 ATTENTION; RIGHT? 1311 00:57:38,200 --> 00:57:40,320 WE STARTED A FEW YEARS AGO AND 1312 00:57:40,320 --> 00:57:43,240 PEOPLE AND LOTS OF FOCUS WAS ON 1313 00:57:43,240 --> 00:57:45,120 GENDER EQUITY; RIGHT? 1314 00:57:45,120 --> 00:57:49,400 IT WAS A BIG FOCUS AT FIRST. 1315 00:57:49,400 --> 00:57:52,920 THEN WITH THE GEORGE FLOYD 1316 00:57:52,920 --> 00:57:53,720 INCIDENT BROUGHT GREAT ATTENTION 1317 00:57:53,720 --> 00:57:55,640 TO RACE; RIGHT? 1318 00:57:55,640 --> 00:57:57,400 THIS WAS SOMETHING THAT WAS 1319 00:57:57,400 --> 00:57:58,800 OVERDUE AND WE KIND OF BROUGHT 1320 00:57:58,800 --> 00:58:00,440 TO THE ATTENTION. THERE IS A 1321 00:58:00,440 --> 00:58:02,280 LOT OF OTHER AREAS WHERE WE NEED 1322 00:58:02,280 --> 00:58:05,880 TO PAY ATTENTION TO EQUITY AND 1323 00:58:05,880 --> 00:58:07,240 THAT PEOPLE WITH DISABILITIES, 1324 00:58:07,240 --> 00:58:08,320 FOR EXAMPLE. 1325 00:58:08,320 --> 00:58:08,840 RIGHT? 1326 00:58:08,840 --> 00:58:11,000 SO, I THINK THAT THIS IS AN AREA 1327 00:58:11,000 --> 00:58:13,920 WHERE WE HAVE TO REALLY BE VERY 1328 00:58:13,920 --> 00:58:17,400 THOUGHTFUL AND IN MAKING SURE 1329 00:58:17,400 --> 00:58:19,520 THAT OUR EF ORTS TOWARDS 1330 00:58:19,520 --> 00:58:22,680 ENSURING DIVERSE, YOU KNOW, 1331 00:58:22,680 --> 00:58:24,640 EQUITY AND -- AND IS -- PAYS 1332 00:58:24,640 --> 00:58:26,880 ATTENTION TO ALL OF THESE AND 1333 00:58:26,880 --> 00:58:28,680 DOESN'T CREATE INEQUITIES. 1334 00:58:28,680 --> 00:58:29,280 RIGHT? 1335 00:58:29,280 --> 00:58:31,920 SO, THAT IS AN AREA THAT HAS -- 1336 00:58:31,920 --> 00:58:33,840 WHERE THERE HAS BEEN A LOT OF 1337 00:58:33,840 --> 00:58:35,640 DEBATE AND HEALTHY DEBATE, I 1338 00:58:35,640 --> 00:58:35,920 WOULD SAY. 1339 00:58:35,920 --> 00:58:39,560 >>WONDERFUL. THE INCLUDING ALL 1340 00:58:39,560 --> 00:58:41,680 OF US MAKES MY HEART SINK. 1341 00:58:41,680 --> 00:58:42,440 THANKS SO MUCH. 1342 00:58:42,440 --> 00:58:47,240 >>GREAT. THANK YOU. DR. 1343 00:58:47,240 --> 00:58:48,160 HELEN? YES? 1344 00:58:48,160 --> 00:58:50,560 >>YES. I HAVE TWO QUESTIONS. 1345 00:58:50,560 --> 00:58:52,760 ONE IS ON WHERE DO YOU THINK 1346 00:58:52,760 --> 00:58:56,440 THAT THIS STAKEHOLDER MEETING 1347 00:58:56,440 --> 00:58:58,520 WILL GO FORWARD? YOU KNOW, WHAT 1348 00:58:58,520 --> 00:59:00,760 ARE THE LESSONS AND WHAT ARE THE 1349 00:59:00,760 --> 00:59:02,240 CONSEQUENCES OF THAT MEETING? 1350 00:59:02,240 --> 00:59:04,760 >>THANK YOU FOR THE QUESTION. 1351 00:59:04,760 --> 00:59:08,000 SO, THE STAKEHOLDER MEETING WAS 1352 00:59:08,000 --> 00:59:11,960 THE MOTIVATION FOR THE 1353 00:59:11,960 --> 00:59:15,360 STAKEHOLDER MEETING WAS THAT 1354 00:59:15,360 --> 00:59:17,800 THERE IS A LOT INSTITUTES AT NIH 1355 00:59:17,800 --> 00:59:20,280 THAT ARE COALITIONS OR FRIENDS 1356 00:59:20,280 --> 00:59:21,400 GROUPS; RIGHT? 1357 00:59:21,400 --> 00:59:23,600 THESE ARE GROUPS OF PEOPLE WHO 1358 00:59:23,600 --> 00:59:25,000 HAVE INTEREST IN RESEARCH 1359 00:59:25,000 --> 00:59:26,560 CONDUCTED AT THAT INSTITUTE AND 1360 00:59:26,560 --> 00:59:28,640 MEET AND DO VARIOUS FORMS OF, 1361 00:59:28,640 --> 00:59:30,720 YOU KNOW, ADVOCACY AND, YOU 1362 00:59:30,720 --> 00:59:33,920 KNOW, NCCIH NEVER HAD A GROUP 1363 00:59:33,920 --> 00:59:37,240 LIKE THAT. WE FELT THAT ONE OF 1364 00:59:37,240 --> 00:59:40,240 THE REASONS FOR THAT IS THAT 1365 00:59:40,240 --> 00:59:42,920 THERE -- THE -- THE KINDS OF -- 1366 00:59:42,920 --> 00:59:44,680 THE STAKEHOLDERS, YOU KNOW, IN 1367 00:59:44,680 --> 00:59:46,520 THE COMMUNITY, THEY WERE KIND OF 1368 00:59:46,520 --> 00:59:49,240 FRAGMENTED AND YOU HAD VARIOUS 1369 00:59:49,240 --> 00:59:51,360 PROFESSIONS AND YOU HAD 1370 00:59:51,360 --> 00:59:53,600 ACUPUNCTURES AND CHIROPRACTORS 1371 00:59:53,600 --> 00:59:55,200 AND MASSAGE THERAPISTS AND 1372 00:59:55,200 --> 00:59:58,320 PEOPLE WHO DID MINDFULNESS AND 1373 00:59:58,320 --> 01:00:00,120 MEDITATION. IT WAS KIND OF NOT 1374 01:00:00,120 --> 01:00:03,280 UNITED AND NOT -- THERE WAS NO 1375 01:00:03,280 --> 01:00:05,680 COMMON GOALS TO ALL OF THE 1376 01:00:05,680 --> 01:00:07,200 VARIOUS GROUPS OF PEOPLE. AND 1377 01:00:07,200 --> 01:00:11,240 WHEN WE EMBARKED ON OUR NEW 1378 01:00:11,240 --> 01:00:12,560 STRATEGIC DIRECTION TOWARDS 1379 01:00:12,560 --> 01:00:14,280 WHOLE PERSON HEALTH, WE ACTUALLY 1380 01:00:14,280 --> 01:00:17,160 HAD A BIT OF A HYPOTHESIS THAT 1381 01:00:17,160 --> 01:00:18,920 -- THE THEME OF WHOLE PERSON 1382 01:00:18,920 --> 01:00:20,160 HEALTH MIGHT BE SOMETHING THAT 1383 01:00:20,160 --> 01:00:23,280 ALL OF THE VARIOUS PEOPLE MIGHT 1384 01:00:23,280 --> 01:00:25,240 AGREE IS A UNIFYING THEME THAT 1385 01:00:25,240 --> 01:00:27,000 THEY COULD ALL GET BEHIND. 1386 01:00:27,000 --> 01:00:29,400 AND -- AND -- SO, THE 1387 01:00:29,400 --> 01:00:30,560 STAKEHOLDER MEETING WAS ACTUALLY 1388 01:00:30,560 --> 01:00:32,840 TESTING THAT HYPOTHESIS. WE 1389 01:00:32,840 --> 01:00:34,640 INVITED ALL THESE VARIOUS GROUPS 1390 01:00:34,640 --> 01:00:37,520 AND ACTUALLY IT WAS AN OPEN 1391 01:00:37,520 --> 01:00:37,840 INVITATION. 1392 01:00:37,840 --> 01:00:39,600 WE WERE QUITE PLEASED BY THE 1393 01:00:39,600 --> 01:00:41,360 RESPONSE THAT WE HAD. NOT ONLY 1394 01:00:41,360 --> 01:00:43,240 WE HAD ALL THESE GROUPS THAT 1395 01:00:43,240 --> 01:00:44,920 JOINED INCLUDING LOTS OF GROUPS 1396 01:00:44,920 --> 01:00:46,640 THAT ARE ALREADY INTERESTED IN 1397 01:00:46,640 --> 01:00:48,160 WHOLE PERSON HEALTH BUT NOT ALL 1398 01:00:48,160 --> 01:00:50,280 OF THEM. AT THE END OF THE 1399 01:00:50,280 --> 01:00:51,640 MEETING, QUESTION WE ASK PEOPLE 1400 01:00:51,640 --> 01:00:54,280 IS WHAT DO YOU THINK? YOU KNOW? 1401 01:00:54,280 --> 01:00:56,440 IS THIS -- IS WHOLE PERSON 1402 01:00:56,440 --> 01:00:57,600 HEALTH SOMETHING THAT YOU CAN 1403 01:00:57,600 --> 01:00:59,320 ALL GET BEHIND? 1404 01:00:59,320 --> 01:01:03,680 THE ANSWER WAS OVERWHELMINGLY 1405 01:01:03,680 --> 01:01:05,560 NEXT. WHAT WILL HAPPEN NEXT IS 1406 01:01:05,560 --> 01:01:08,360 UP TO THE GROUP OR UP TO THE 1407 01:01:08,360 --> 01:01:09,680 STAKEHOLDER GROUP. WE WILL MEET 1408 01:01:09,680 --> 01:01:11,080 WITH THEM AND THEIR 1409 01:01:11,080 --> 01:01:11,960 REPRESENTATIVES AND FIND OUT 1410 01:01:11,960 --> 01:01:14,000 WHAT THEY WANT TO DO. SO, WE 1411 01:01:14,000 --> 01:01:16,120 ARE VERY PLEASED WITH THAT. IT 1412 01:01:16,120 --> 01:01:17,960 IS JUST A FIRST STEP. YOU KNOW, 1413 01:01:17,960 --> 01:01:20,040 I WILL BE REPORTING BACK TO THIS 1414 01:01:20,040 --> 01:01:24,000 COUNCIL AS TO WHAT HAPPENS NEXT. 1415 01:01:24,000 --> 01:01:27,000 >>OKAY. MY SECOND QUESTION IS 1416 01:01:27,000 --> 01:01:30,400 THE STATE OF THE AFFAIRS WAS THE 1417 01:01:30,400 --> 01:01:32,000 LONG COVID FUNDING AND REASON 1418 01:01:32,000 --> 01:01:33,600 I'M ASKING IS THAT FOR THE PAST 1419 01:01:33,600 --> 01:01:35,880 YEAR I HAVE BEEN WORKING WITH 1420 01:01:35,880 --> 01:01:41,080 THIS. I FIND THAT FUNDING IS 1421 01:01:41,080 --> 01:01:42,840 NON-EXISTENT OR VERY LOW TO 1422 01:01:42,840 --> 01:01:44,320 EXIST FOR FUNDING ACROSS 1423 01:01:44,320 --> 01:01:49,080 DIFFERENT NIH INSTITUTES. 1424 01:01:49,080 --> 01:01:53,240 YET INTEGRATIVE MEDICINE CAN 1425 01:01:53,240 --> 01:01:55,280 ACTUALLY LEAD THAT DIRECTION 1426 01:01:55,280 --> 01:01:57,800 BECAUSE IT IS ABOUT 1427 01:01:57,800 --> 01:01:58,680 COMPLEMENTARY INTEGRATIVE WHOLE 1428 01:01:58,680 --> 01:01:59,280 PERSON HEALTH. 1429 01:01:59,280 --> 01:02:01,880 >>THAT IS RIGHT. I -- I -- WE 1430 01:02:01,880 --> 01:02:04,120 HAVE ALL BEEN WAITING PATIENTLY 1431 01:02:04,120 --> 01:02:09,120 FOR THE RECOVER INITIATIVE TO 1432 01:02:09,120 --> 01:02:12,000 ISSUE OPPORTUNITIES FOR TESTING 1433 01:02:12,000 --> 01:02:13,760 COMPLEMENTARY AND INTEGRATIVE 1434 01:02:13,760 --> 01:02:15,040 INTERVENTIONS THAT IS PART OF 1435 01:02:15,040 --> 01:02:16,360 THE PLAN. 1436 01:02:16,360 --> 01:02:19,600 BUT, IT HAS BEEN DIFFICULT 1437 01:02:19,600 --> 01:02:22,400 GETTING THE RECOVERED COHORT OFF 1438 01:02:22,400 --> 01:02:28,000 THE GROUND TO SAY THE LEAST. 1439 01:02:28,000 --> 01:02:30,280 ONE PROBLEM WITH THIS IS WE ARE 1440 01:02:30,280 --> 01:02:34,120 WORKING WITH A MOVING TARGET AND 1441 01:02:34,120 --> 01:02:37,920 THE PANDEMIC HAS CHANGED AND 1442 01:02:37,920 --> 01:02:39,840 EVOLVED SO DYNAMICALLY AS ITS 1443 01:02:39,840 --> 01:02:41,600 START AND YOU NEVER KNOW WHAT 1444 01:02:41,600 --> 01:02:43,240 WILL COME NEXT AND FACT THAT WE 1445 01:02:43,240 --> 01:02:45,880 ARE FINDING THAT THE PHENOTYPE 1446 01:02:45,880 --> 01:02:49,200 OR PHENOTYPIC MANIFESTATION OF 1447 01:02:49,200 --> 01:02:51,400 LONG COVID SEEMS TO BE MOVING 1448 01:02:51,400 --> 01:02:53,480 ALONG WITH THE PANDEMIC THAT IS 1449 01:02:53,480 --> 01:02:54,920 MAKING THIS TASK VERY COMPLEX. 1450 01:02:54,920 --> 01:02:56,760 I SHARE YOUR FRUSTRATION. I -- 1451 01:02:56,760 --> 01:02:59,280 WE WILL JUST HAVE TO WAIT AND 1452 01:02:59,280 --> 01:03:00,480 SEE UNTIL THESE BECOME AVAILABLE 1453 01:03:00,480 --> 01:03:02,800 IS ALL I HAVE TO SAY RIGHT NOW. 1454 01:03:02,800 --> 01:03:03,480 >>THANK YOU. 1455 01:03:03,480 --> 01:03:06,480 >>DR. SUMIANA? 1456 01:03:06,480 --> 01:03:08,560 >>YES. HI. THANK YOU. THANK 1457 01:03:08,560 --> 01:03:10,720 YOU AGAIN FOR THAT REALLY NICE 1458 01:03:10,720 --> 01:03:12,160 REPORT AND VERY RECENT 1459 01:03:12,160 --> 01:03:13,880 DISCUSSION YOU JUST HAD. MY 1460 01:03:13,880 --> 01:03:15,880 QUESTION ACTUALLY RELATES TO 1461 01:03:15,880 --> 01:03:17,200 THIS INITIATIVE WITH WHOLE 1462 01:03:17,200 --> 01:03:18,920 PERSON HEALTH AND THINK WE ALL 1463 01:03:18,920 --> 01:03:19,960 AGREE IT IS REALLY IMPORTANT AND 1464 01:03:19,960 --> 01:03:21,880 THE WAY TO GO. THAT IS 1465 01:03:21,880 --> 01:03:22,880 REFLECTED BY THE INTEREST IN THE 1466 01:03:22,880 --> 01:03:25,000 DID SHALL THAT YOU HAVE HAD. 1467 01:03:25,000 --> 01:03:27,240 MY -- SO, I WOULD LIKE TO 1468 01:03:27,240 --> 01:03:29,200 UNDERSTAND A BIT MORE ABOUT HOW 1469 01:03:29,200 --> 01:03:31,240 YOU SEE NATURAL PRODUCTS GOING 1470 01:03:31,240 --> 01:03:33,640 INTO THE WHOLE PERSON HEALTH 1471 01:03:33,640 --> 01:03:33,960 INITIATIVE. 1472 01:03:33,960 --> 01:03:36,960 IN A WAY THAT -- YOU KNOW, THE 1473 01:03:36,960 --> 01:03:38,880 FORMER DIVISION INTO MIND, BODY 1474 01:03:38,880 --> 01:03:41,480 AND NATURAL PRODUCTS. THE MIND 1475 01:03:41,480 --> 01:03:43,800 BODY MIGHT BE SEEN AS BEING MORE 1476 01:03:43,800 --> 01:03:46,200 IN TUNE WITH WHOLE PERSON HEALTH 1477 01:03:46,200 --> 01:03:48,680 BECAUSE OF MORE WHOLE PERSON 1478 01:03:48,680 --> 01:03:50,520 BENEFIT WE EXPECT WHERE NATURAL 1479 01:03:50,520 --> 01:03:52,520 PRODUCTS TEND TO HAVE MORE VERY 1480 01:03:52,520 --> 01:03:53,640 DIRECTED SPECIFIC EFFECTS ON 1481 01:03:53,640 --> 01:03:54,920 PARTICULAR PARTS OF THE BODY AND 1482 01:03:54,920 --> 01:03:56,360 WHERE DO YOU SEE NATURAL 1483 01:03:56,360 --> 01:03:57,920 PRODUCTS FITTING INTO THE WHOLE 1484 01:03:57,920 --> 01:03:59,440 PERSON HEALTH STUDY? 1485 01:03:59,440 --> 01:04:01,280 WOULD YOU SEE THEM MORE AS BEING 1486 01:04:01,280 --> 01:04:04,840 PART OF MULTI-INTERVENTION 1487 01:04:04,840 --> 01:04:05,440 APPROACHES? 1488 01:04:05,440 --> 01:04:07,680 >>WELL, GREAT QUESTION. THAT 1489 01:04:07,680 --> 01:04:10,200 IS A GREAT QUESTION. AND, THE 1490 01:04:10,200 --> 01:04:12,000 ANSWER MIGHT SURPRISE YOU. SO, 1491 01:04:12,000 --> 01:04:13,880 WHEN WE -- A COUPLE YEARS AGO WE 1492 01:04:13,880 --> 01:04:16,560 DID A PORTFOLIO ANALYSIS ON 1493 01:04:16,560 --> 01:04:18,200 GRANTS THAT WE WERE ALREADY 1494 01:04:18,200 --> 01:04:21,240 FUNDING AND BOTH ON THE MIENLD 1495 01:04:21,240 --> 01:04:22,240 AND BODY AND THE NATURAL 1496 01:04:22,240 --> 01:04:23,680 PRODUCTS AND WE WANTED TO SEE 1497 01:04:23,680 --> 01:04:26,440 HOW MANY OF THESE -- OF THESE 1498 01:04:26,440 --> 01:04:29,000 PROJECTS ADDRESS MULTISYSTEMS. 1499 01:04:29,000 --> 01:04:30,800 A BIG IMPORTANT PART OF WHOLE 1500 01:04:30,800 --> 01:04:32,520 PERSON HEALTH IS TO STUDY 1501 01:04:32,520 --> 01:04:34,200 INTERCONNECTIONS OF SYSTEM IT'S 1502 01:04:34,200 --> 01:04:37,240 HAS NOT JUST MULTICOMPONENT 1503 01:04:37,240 --> 01:04:37,920 INTERVENTIONS BUT UNDERSTANDING 1504 01:04:37,920 --> 01:04:40,000 HOW DIFFERENT SYSTEMS OF THE 1505 01:04:40,000 --> 01:04:41,120 BODY INTERACT WITH EACH OTHER SO 1506 01:04:41,120 --> 01:04:43,080 WE ARE NOT JUST LOOKING AT ONE 1507 01:04:43,080 --> 01:04:44,640 ORGAN AT A TIME. TO OUR 1508 01:04:44,640 --> 01:04:48,000 SURPRISE, WE FOUND A LOT OF 1509 01:04:48,000 --> 01:04:49,720 ACTUALLY MORE OF OUR NATURAL 1510 01:04:49,720 --> 01:04:52,240 PRODUCTS PORTFOLIO THAT WAS 1511 01:04:52,240 --> 01:04:53,600 ADDRESSING MULTIPLE SYSTEMS AND 1512 01:04:53,600 --> 01:04:55,160 THEY WERE LOOKING AT -- SOME 1513 01:04:55,160 --> 01:04:56,880 WERE LOOKING AT THE GUT AND 1514 01:04:56,880 --> 01:04:58,440 IMMUNE SYSTEM OR THE BRAIN OR, 1515 01:04:58,440 --> 01:05:01,040 YOU KNOW, BUT A LOT OF THEM WERE 1516 01:05:01,040 --> 01:05:02,000 ACTUALLY LOOKING AT MORE THAN 1517 01:05:02,000 --> 01:05:02,760 ONE. 1518 01:05:02,760 --> 01:05:07,240 SO, TO US, THIS INDICATED THAT 1519 01:05:07,240 --> 01:05:09,760 THIS ACTUALLY THIS IS A NICE WAY 1520 01:05:09,760 --> 01:05:12,320 THAT OUR NATURAL PRODUCTS 1521 01:05:12,320 --> 01:05:14,320 PORTFOLIO COULD BE INCORPORATED 1522 01:05:14,320 --> 01:05:19,040 INTO OUR OVERALL PRIORITIES FOR 1523 01:05:19,040 --> 01:05:21,920 LOOKING AT MULTISYSTEMS OUTCOMES 1524 01:05:21,920 --> 01:05:23,720 AND THE OTHER IMPORTANT WAY THAT 1525 01:05:23,720 --> 01:05:25,440 NATURAL PRODUCTS COULD BE 1526 01:05:25,440 --> 01:05:28,000 INCORPORATED IS LOOKING AT WHEN 1527 01:05:28,000 --> 01:05:30,160 PEOPLE TAKE FOR EXAMPLE A 1528 01:05:30,160 --> 01:05:31,320 DIETARY SUPPLEMENT IN THE 1529 01:05:31,320 --> 01:05:33,880 CONTEXT OF THE PERSON'S DIET, 1530 01:05:33,880 --> 01:05:37,200 SEE -- SEE, I THINK THAT LOTS OF 1531 01:05:37,200 --> 01:05:39,760 TIMES THAT DOESN'T HAPPEN. WE 1532 01:05:39,760 --> 01:05:41,000 ARE STUDYING DIETARY SUPPLEMENTS 1533 01:05:41,000 --> 01:05:44,240 ON ITS OWN. BUT, THEIR EXAMPLES 1534 01:05:44,240 --> 01:05:45,920 ARE OUT THERE SO FAR THAT ARE 1535 01:05:45,920 --> 01:05:47,800 STARTING TO COME OUT WHERE IT IS 1536 01:05:47,800 --> 01:05:51,160 PRETTY CLEAR THAT THE EFFECT OF 1537 01:05:51,160 --> 01:05:52,360 THE NUTRITIONAL DIETARY 1538 01:05:52,360 --> 01:05:53,800 SUPPLEMENT IS VERY DEPENDENT ON 1539 01:05:53,800 --> 01:05:57,240 WHAT YOU ARE ACTUALLY EATING. 1540 01:05:57,240 --> 01:06:01,080 SO, THIS IS ANOTHER AREA THERE 1541 01:06:01,080 --> 01:06:03,000 COULD BE INTEGRATION IN THE AREA 1542 01:06:03,000 --> 01:06:05,360 OF NUTRITION AND OF COURSE 1543 01:06:05,360 --> 01:06:07,240 LOOKING AT MULTICOMPONENT 1544 01:06:07,240 --> 01:06:08,600 INTERVENTIONS INCLUDING 1545 01:06:08,600 --> 01:06:11,040 NUTRITIONAL, PSYCHOLOGICAL, AND 1546 01:06:11,040 --> 01:06:12,080 PHYSICAL INTERVENTIONS AND 1547 01:06:12,080 --> 01:06:13,800 NUTRITIONAL INTERVENTIONS COULD 1548 01:06:13,800 --> 01:06:16,000 INCLUDE NATURAL PRODUCTS; RIGHT? 1549 01:06:16,000 --> 01:06:17,680 SO, I THINK THERE IS LOTS OF 1550 01:06:17,680 --> 01:06:20,080 WAYS IN WHICH IT CAN BE 1551 01:06:20,080 --> 01:06:21,200 INTEGRATED, ABSOLUTELY. 1552 01:06:21,200 --> 01:06:23,320 >>YEAH. NO. THOSE ARE GREAT 1553 01:06:23,320 --> 01:06:23,680 POINTS. 1554 01:06:23,680 --> 01:06:25,280 I THINK THAT IS DEFINITELY TRUE 1555 01:06:25,280 --> 01:06:27,560 THAT SOME OF THE BIOLOGICAL 1556 01:06:27,560 --> 01:06:29,520 EFFECTS IT THAT WE SEE WITH 1557 01:06:29,520 --> 01:06:31,480 NATURAL PRODUCTS ARE ACTUALLY 1558 01:06:31,480 --> 01:06:33,240 APPLICABLE TO MULTIPLE ORGANS 1559 01:06:33,240 --> 01:06:36,520 AND LIKE ANTIOXIDANT EFFECTS TO 1560 01:06:36,520 --> 01:06:38,440 PICK A VERY BROAD EXAMPLE SFWL 1561 01:06:38,440 --> 01:06:38,960 YEAH. 1562 01:06:38,960 --> 01:06:42,600 >>GOING BACK TO DR. NADIA'S 1563 01:06:42,600 --> 01:06:44,520 QUESTION IT MIGHT BE NICE TO SEE 1564 01:06:44,520 --> 01:06:47,080 RFAS RELATED TO FINDING THE ROLE 1565 01:06:47,080 --> 01:06:49,840 OF NATURAL PRODUCTS LOOKING AT 1566 01:06:49,840 --> 01:06:50,480 INTERACTIONS BETWEEN SUPPLEMENTS 1567 01:06:50,480 --> 01:06:52,920 AND DIETS AND SO ON COMING UP. 1568 01:06:52,920 --> 01:06:55,320 >>YEAH. POINT VERY WELL TAKEN. 1569 01:06:55,320 --> 01:06:55,920 YEAH. THANKS. 1570 01:06:55,920 --> 01:06:56,480 >>OKAY. 1571 01:06:56,480 --> 01:06:58,880 >>SO, HOW ARE WE DOING FOR 1572 01:06:58,880 --> 01:07:01,880 TIME, REGINA? 1573 01:07:01,880 --> 01:07:06,200 >>I JUST WANTED TO HAVE A VOICE 1574 01:07:06,200 --> 01:07:09,240 THAT WE ARE ESSENTIALLY -- WE 1575 01:07:09,240 --> 01:07:11,200 STARTED OUR LUNCH BREAK AT 12:45 1576 01:07:11,200 --> 01:07:14,120 IS WHAT WE WERE SCHEDULED. 1577 01:07:14,120 --> 01:07:16,800 >>ALREADY HAVING LUNCH, OKAY. 1578 01:07:16,800 --> 01:07:19,000 >>THIS WAS AN INTERESTING 1579 01:07:19,000 --> 01:07:20,280 DISCUSSION AND CERTAINLY DIDN'T 1580 01:07:20,280 --> 01:07:23,760 WANT TO INTERRUPT. I WOULD 1581 01:07:23,760 --> 01:07:24,880 SUGGEST WE ARE BREAKING FOR 1582 01:07:24,880 --> 01:07:26,880 LUNCH NOW. I WOULD LIKE TO 1583 01:07:26,880 --> 01:07:28,400 INVITE COUNCIL MEMBERS AS WELL 1584 01:07:28,400 --> 01:07:31,760 AS NCCIH STAFF TO JOIN US IN OUR 1585 01:07:31,760 --> 01:07:34,920 VIRTUAL BREAKOUT ROOM. WE WILL 1586 01:07:34,920 --> 01:07:41,040 RECONVENE AT 1:30. 1587 01:07:41,040 --> 01:07:42,320 I WOULD LIKE TO WELCOME EVERYONE 1588 01:07:42,320 --> 01:07:44,920 BACK TO THE SECOND PART OF THE 1589 01:07:44,920 --> 01:07:46,200 SESSION AND HOPE EVERYBODY WAS 1590 01:07:46,200 --> 01:07:48,920 ABLE TO HAVE A NICE AND RELAXING 1591 01:07:48,920 --> 01:07:51,800 LUNCH BREAK. FIRST, ON THE 1592 01:07:51,800 --> 01:07:55,680 AGENDA THIS AFTERNOON, WE HAVE A 1593 01:07:55,680 --> 01:08:01,240 PRESENTATION BY DR. LANGEVIN AND 1594 01:08:01,240 --> 01:08:05,560 I'M HANDING IT OVER TO DR. 1595 01:08:05,560 --> 01:08:08,200 LANGEVIN WHO WILL INTRODUCE OUR 1596 01:08:08,200 --> 01:08:09,440 SPEAKER. THANK YOU. 1597 01:08:09,440 --> 01:08:15,440 >>THANK YOU VERY MUCH, MARTINA. 1598 01:08:15,440 --> 01:08:18,280 IT IS MY GREAT PLEASURE WE HAVE 1599 01:08:18,280 --> 01:08:19,720 TWO INTERESTING TALKS THIS 1600 01:08:19,720 --> 01:08:22,080 AFTERNOON ON TWO PROGRAMS THAT 1601 01:08:22,080 --> 01:08:24,280 ARE RELEVANT IN EFFORTS IN WHOLE 1602 01:08:24,280 --> 01:08:26,320 PERSON HEALTH. ONE IS THE ALL 1603 01:08:26,320 --> 01:08:29,120 OF US PROGRAM AND OTHER IS ECHO 1604 01:08:29,120 --> 01:08:32,320 PROGRAM ENVIRONMENTAL INFLUENCES 1605 01:08:32,320 --> 01:08:34,840 ON CHILD HEALTH OUTCOME. IT IS 1606 01:08:34,840 --> 01:08:37,760 MY GREAT PLEASURE TO INTRODUCE 1607 01:08:37,760 --> 01:08:39,400 OUR FIRST SPEAKER WHO IS THE 1608 01:08:39,400 --> 01:08:42,320 CHIEF EXECUTIVE OFFICER OF 1609 01:08:42,320 --> 01:08:42,920 NATIONAL INSTITUTES OF HEALTH 1610 01:08:42,920 --> 01:08:44,600 ALL OF US RESEARCH PROGRAM. ALL 1611 01:08:44,600 --> 01:08:47,440 OF US SEEKS TO ENROLL AT 1 1612 01:08:47,440 --> 01:08:49,520 MILLION DIVERSE PARTICIPANTS TO 1613 01:08:49,520 --> 01:08:53,880 BUILD AN INDEPENCIBLE RESOURCE 1614 01:08:53,880 --> 01:08:55,640 ACCELERATING PRECISION MEDICINE 1615 01:08:55,640 --> 01:08:57,480 FOR ALL POPULATIONS. JOSH HAS 1616 01:08:57,480 --> 01:08:59,240 BEEN INVOLVED SINCE THE 1617 01:08:59,240 --> 01:09:01,720 PROGRAM'S INCEPTION AND MEMBER 1618 01:09:01,720 --> 01:09:06,320 OF NIH PRECISION MEDICINE 1619 01:09:06,320 --> 01:09:08,040 INITIATIVE THAT DEVELOPED 1620 01:09:08,040 --> 01:09:10,480 PROGRAM'S INITIAL SCIENTIFIC 1621 01:09:10,480 --> 01:09:13,760 [INDISCERNIBLE] AND LED INITIAL 1622 01:09:13,760 --> 01:09:15,840 PROTOTYPING PROJECTS AND ALL OF 1623 01:09:15,840 --> 01:09:17,800 US DATA AND RESEARCH CENTER. 1624 01:09:17,800 --> 01:09:20,240 JOSH IS NAMED CEO OF ALL OF US 1625 01:09:20,240 --> 01:09:23,880 IN JANUARY OF 2020. BEFORE 1626 01:09:23,880 --> 01:09:29,000 JOINING NIH HE WAS A PRACTICING 1627 01:09:29,000 --> 01:09:30,320 PHYSICIAN AT VANDERBILT 1628 01:09:30,320 --> 01:09:34,200 UNIVERSITY PROFESSOR OF 1629 01:09:34,200 --> 01:09:36,880 BIOINFORMATICS IN MEDICINE AND 1630 01:09:36,880 --> 01:09:38,320 VICE PRESIDENT FOR 1631 01:09:38,320 --> 01:09:40,720 [INDISCERNIBLE]. AT VANDERBILT 1632 01:09:40,720 --> 01:09:43,760 HE LED DISCOVERY AND 1633 01:09:43,760 --> 01:09:46,200 IMPLEMENTATION PROJECTS IN 1634 01:09:46,200 --> 01:09:50,360 FARMICO GIN ETICS AND HE WAS A 1635 01:09:50,360 --> 01:09:54,320 -- INCLUDING THE INITIAL 1636 01:09:54,320 --> 01:09:57,440 DESCRIPTIONS OF FEEN OHMWIDE 1637 01:09:57,440 --> 01:10:01,200 ASSOCIATION STUDIES AND 1638 01:10:01,200 --> 01:10:05,600 PHENOTYPIC SCORES AND -- TITLE 1639 01:10:05,600 --> 01:10:07,840 OF THE TALK TOED IS ALL OF US 1640 01:10:07,840 --> 01:10:10,360 RESEARCH PROGRAM IMPROVING 1641 01:10:10,360 --> 01:10:12,040 HEALTH THROUGH DIVERSE 1642 01:10:12,040 --> 01:10:13,760 TECHNOLOGY HUGE COHORTS AND 1643 01:10:13,760 --> 01:10:15,320 PRECISION MEDICINE AND THANKS SO 1644 01:10:15,320 --> 01:10:20,080 MUCH FOR JOINING US, JOSH. 1645 01:10:20,080 --> 01:10:21,840 >>YEAH. I'M MUTED HERE. 1646 01:10:21,840 --> 01:10:23,960 THANKS SO MUCH FOR THE WARM 1647 01:10:23,960 --> 01:10:25,320 INTRODUCTION. PLEASURE TO BE 1648 01:10:25,320 --> 01:10:27,000 WITH ALL OF YOU TODAY. 1649 01:10:27,000 --> 01:10:27,920 REALLY, I APPRECIATE THE 1650 01:10:27,920 --> 01:10:29,120 OPPORTUNITY TO SPEAK WITH YOU 1651 01:10:29,120 --> 01:10:31,240 ABOUT THE ALL OF US RESEARCH 1652 01:10:31,240 --> 01:10:32,720 PROGRAM AND THINK ABOUT, YOU 1653 01:10:32,720 --> 01:10:34,960 KNOW, THE BROAD SET OF USE CASES 1654 01:10:34,960 --> 01:10:37,760 AND THAT ALL OF US COULD APPLY 1655 01:10:37,760 --> 01:10:40,840 TO TOWARDS HOLISTIC HEALTH AND 1656 01:10:40,840 --> 01:10:42,200 ALL OUR INDIVIDUAL HEALTH 1657 01:10:42,200 --> 01:10:43,520 JOURNEYS THAT IS REALLY TOWARDS 1658 01:10:43,520 --> 01:10:47,360 ALL POPULATIONS THAT IS A REAL 1659 01:10:47,360 --> 01:10:49,760 PLEASURE TO HEAR THE DISCUSSION 1660 01:10:49,760 --> 01:10:52,160 EARLIER THAT IS AROUND UNITE AND 1661 01:10:52,160 --> 01:10:55,400 HOW WE CAN THINK ABOUT DIFFERENT 1662 01:10:55,400 --> 01:10:57,200 ELEMENTS PLAYING OUT AND 1663 01:10:57,200 --> 01:10:58,840 CERTAINLY ALL OF US THAT IS 1664 01:10:58,840 --> 01:11:00,680 REALLY SOFT FROM THE BEGINNING 1665 01:11:00,680 --> 01:11:02,040 TO BROADEN APPLICABILITY OF 1666 01:11:02,040 --> 01:11:04,600 RESEARCH. I'M GOING TO GO 1667 01:11:04,600 --> 01:11:06,680 THROUGH HERE AND TALK SOME ABOUT 1668 01:11:06,680 --> 01:11:09,000 ALL OF US RESEARCH PROGRAM AND 1669 01:11:09,000 --> 01:11:10,960 FRAME IT AND WE WILL HAVE PLENTY 1670 01:11:10,960 --> 01:11:12,640 OF TIME FOR DISCUSSION IN THE 1671 01:11:12,640 --> 01:11:12,920 END. 1672 01:11:12,920 --> 01:11:14,560 THINKING ABOUT ALL OF US BACK IN 1673 01:11:14,560 --> 01:11:16,440 REALLY THE INITIATION OF THE 1674 01:11:16,440 --> 01:11:20,760 THOUGHTS IN 2014 AND 2015 REALLY 1675 01:11:20,760 --> 01:11:22,640 RIDING OUT THE BLUEPRINT OF THE 1676 01:11:22,640 --> 01:11:25,280 PROGRAM, WE THOUGHT A LOT ABOUT 1677 01:11:25,280 --> 01:11:27,480 HOW OBSERVATIONAL COHORTS HAVE 1678 01:11:27,480 --> 01:11:30,240 REALLY BEEN FOUNDATIONAL AND 1679 01:11:30,240 --> 01:11:31,360 TRANSFORMATIONAL TOWARDS OUR 1680 01:11:31,360 --> 01:11:34,000 UNDERSTANDING OF HEALTH AND 1681 01:11:34,000 --> 01:11:35,640 DISEASE AND FRAMING HAM PART 1682 01:11:35,640 --> 01:11:37,280 STUDY IS ONE OF SO MANY AND THEY 1683 01:11:37,280 --> 01:11:38,960 HAD COMMONALITIES THAT IN THIS 1684 01:11:38,960 --> 01:11:41,080 CASE IS A RELATIVELY SMALL 1685 01:11:41,080 --> 01:11:43,440 NUMBER OF MEN AND WOMEN WHO ARE 1686 01:11:43,440 --> 01:11:46,080 RECRUITED IN 1948 INITIALLY. 1687 01:11:46,080 --> 01:11:49,120 AND, YOU KNOW, REALLY HAS BEEN 1688 01:11:49,120 --> 01:11:51,920 TRANSFORMATIONAL TOWARDS THINGS 1689 01:11:51,920 --> 01:11:53,000 LIKE CHOLESTEROL AND BLOOD 1690 01:11:53,000 --> 01:11:54,840 PRESSURE AND HABITS LIKE SMOKING 1691 01:11:54,840 --> 01:11:56,560 AND EXERCISE AND HOW THESE 1692 01:11:56,560 --> 01:12:00,240 THINGS CAN EFFECT HEALTH. WITH 1693 01:12:00,240 --> 01:12:03,920 COHORTS AND INTERVENABLE RISK 1694 01:12:03,920 --> 01:12:06,360 FACTORS SEEN CONCOMMITANT 1695 01:12:06,360 --> 01:12:07,760 REDUCTIONS FROM CONDITIONS LIKE 1696 01:12:07,760 --> 01:12:09,880 HEART DISEASE AND CANCER AND SO 1697 01:12:09,880 --> 01:12:11,280 MANY THINGS AS WE DEVELOPED 1698 01:12:11,280 --> 01:12:13,080 TREATMENTS AND INTERVENTIONS IT 1699 01:12:13,080 --> 01:12:15,640 THAT HELPED US IN THESE 1700 01:12:15,640 --> 01:12:15,920 THERAPIES. 1701 01:12:15,920 --> 01:12:17,680 WE WANTED TO THINK ABOUT THIS 1702 01:12:17,680 --> 01:12:19,640 BROADLY AND COHORTS LIKE THIS 1703 01:12:19,640 --> 01:12:23,200 STARTED WITH THINGS LIKE CUSTOM 1704 01:12:23,200 --> 01:12:27,000 SURVEY INSTRUMENTS AND CUSTOM 1705 01:12:27,000 --> 01:12:30,640 EXAMS AND BIOSPECIMENS THAT HAVE 1706 01:12:30,640 --> 01:12:34,360 DRAWN AND -- DEVELOPMENT OF 1707 01:12:34,360 --> 01:12:36,600 GENOMEWIDE ASSOCIATION STUEDDY 1708 01:12:36,600 --> 01:12:39,040 AND GENOTYPING ARRAYS AND 1709 01:12:39,040 --> 01:12:41,320 ELECTRONIC HEALTH RECORDS BECAME 1710 01:12:41,320 --> 01:12:44,680 TO BE A MORE COMMON PART OF ANAL 1711 01:12:44,680 --> 01:12:46,680 CEASE SINCE 2010 AND WIDER 1712 01:12:46,680 --> 01:12:49,560 ADOPTION OF ELECTRONIC HEALTH 1713 01:12:49,560 --> 01:12:50,760 RECORDS ACROSS THE UNITED STATES 1714 01:12:50,760 --> 01:12:52,200 AND MOBILE TECHNOLOGIES THAT 1715 01:12:52,200 --> 01:12:53,440 HAVE BEEN SOMETHING THAT IS 1716 01:12:53,440 --> 01:12:54,920 THOUGHT ABOUT MORE RECENTLY AND 1717 01:12:54,920 --> 01:12:57,160 IS SO MANY OTHER WAYS WE CAN 1718 01:12:57,160 --> 01:12:58,560 LOOK AT INDIVIDUAL HEALTH. 1719 01:12:58,560 --> 01:13:00,280 OF COURSE, WE DON'T THINK ABOUT 1720 01:13:00,280 --> 01:13:03,360 THIS JUST AS, YOU KNOW, 1721 01:13:03,360 --> 01:13:04,640 PERSONALIZED MEDICINE OR 1722 01:13:04,640 --> 01:13:06,280 PRECISION MEDICINE BUT REALLY 1723 01:13:06,280 --> 01:13:07,760 HEALTH AND HOLISTIC APPROACH TO 1724 01:13:07,760 --> 01:13:10,360 HOW WE CAN IMPROVE OUR JOURNEYS 1725 01:13:10,360 --> 01:13:16,960 OF WLI LIFE AND HEALTH OF LIFE 1726 01:13:16,960 --> 01:13:19,280 ENVIRONMENT AND GENE ENVIRONMENT 1727 01:13:19,280 --> 01:13:20,800 INTERACTIONS AND GENOME SPATIAL 1728 01:13:20,800 --> 01:13:24,280 DATA AND THINGS TO ASSESS OTHER 1729 01:13:24,280 --> 01:13:25,760 SOCIO DEMOGRAPHIC AND SOCIO 1730 01:13:25,760 --> 01:13:27,680 DETERMINANTS OF HEALTH AND FOOD 1731 01:13:27,680 --> 01:13:29,440 DESERT ARE IMPORTANT PARTS OF 1732 01:13:29,440 --> 01:13:30,920 THE HEALTH PICTURE AND RESEARCH 1733 01:13:30,920 --> 01:13:33,720 PROGRAM IS BUILT WITH THAT IN 1734 01:13:33,720 --> 01:13:35,640 MIND TOWARDS ACCELERATING HEALTH 1735 01:13:35,640 --> 01:13:40,280 RESEARCH AND BREAKTHROUGHS AND 1736 01:13:40,280 --> 01:13:42,200 PREVENTIBLE HEALTH AND STARTS 1737 01:13:42,200 --> 01:13:43,760 WITH PARTNERSHIP OF PARTICIPANTS 1738 01:13:43,760 --> 01:13:45,320 AND A MILLION PARTICIPANTS 1739 01:13:45,320 --> 01:13:47,240 REFLECTING DIVERSITY OF THE 1740 01:13:47,240 --> 01:13:49,200 UNITED STATES THAT IS 1741 01:13:49,200 --> 01:13:50,280 LONGITUDINAL AND WE TELL 1742 01:13:50,280 --> 01:13:51,680 PARTICIPANTS TO EXPECT PROGRAM 1743 01:13:51,680 --> 01:13:53,480 TO LAST FOR DECADES AND HOPE YOU 1744 01:13:53,480 --> 01:13:55,760 ARE WITH USING IN FOR THE LONG 1745 01:13:55,760 --> 01:13:58,080 HALL AND WE HAVE TO TAKE 1746 01:13:58,080 --> 01:13:59,560 BIOMEDICAL DATA SET DELIVERING 1747 01:13:59,560 --> 01:14:03,360 TO AS MANY RESEARCHERS HAND ASS 1748 01:14:03,360 --> 01:14:05,360 AS WE CAN AND SECURE WAYS THAT 1749 01:14:05,360 --> 01:14:07,160 WE CAN ENSURE TRUST WITH 1750 01:14:07,160 --> 01:14:08,560 PARTICIPANTS AND HOW DATA IS 1751 01:14:08,560 --> 01:14:12,160 BEING USED AND WE HAVE TO REALLY 1752 01:14:12,160 --> 01:14:14,280 FACILITATE EXERCISE GETTING 1753 01:14:14,280 --> 01:14:15,400 RESEARCHERS ABLE TO USE DATA AND 1754 01:14:15,400 --> 01:14:18,360 THINK OF IT AS AN ECOSYSTEM OF 1755 01:14:18,360 --> 01:14:19,760 COMMUNITIES RESEARCHERS AND 1756 01:14:19,760 --> 01:14:22,520 FUNDERS MAKING DATA 1757 01:14:22,520 --> 01:14:23,560 INDISPENSABLE PART OF HEALTH 1758 01:14:23,560 --> 01:14:25,640 RESEARCH AND WE HAVE A SET OF 1759 01:14:25,640 --> 01:14:27,480 CORE VALUES WE ESTABLISHED FROM 1760 01:14:27,480 --> 01:14:29,240 THE BEGINNING OF THE PROGRAM AND 1761 01:14:29,240 --> 01:14:31,080 PARTICIPATION THAT IS OPEN TO 1762 01:14:31,080 --> 01:14:32,320 ALL UNITED STATES AND 1763 01:14:32,320 --> 01:14:34,120 PARTICIPANTS REFLECT DIVERSITY 1764 01:14:34,120 --> 01:14:35,200 OF THE UNITED STATES AND 1765 01:14:35,200 --> 01:14:36,520 PARTICIPANTS ARE PARTNERS WITH 1766 01:14:36,520 --> 01:14:39,440 US THAT IS AN IMPORTANT ONE AND 1767 01:14:39,440 --> 01:14:40,840 PARTICIPANTS AND POTENTIAL 1768 01:14:40,840 --> 01:14:42,360 PARENTANTS HAVE BEEN PART OF 1769 01:14:42,360 --> 01:14:43,880 PROGRAMS FROM THE BEGINNING IN 1770 01:14:43,880 --> 01:14:46,360 ALL LEVELS OF GOVERNANCE HELPING 1771 01:14:46,360 --> 01:14:49,480 SET FOUNDATION HOW ENGAGE 1772 01:14:49,480 --> 01:14:50,360 PARTICIPANTS AND IMPORTANT TO 1773 01:14:50,360 --> 01:14:52,560 THEM AND RETURNING VALUE AND 1774 01:14:52,560 --> 01:14:53,880 WANT PARTICIPANTS TO HAVE ACCESS 1775 01:14:53,880 --> 01:14:55,760 OF INFORMATION WE GAIN WHEN IT 1776 01:14:55,760 --> 01:14:57,240 IS CLINICALLY RELEVANT AND WANT 1777 01:14:57,240 --> 01:14:59,960 IT TO BE DAH I TO DAY ACCESSIBLE 1778 01:14:59,960 --> 01:15:02,360 BROADLY AND SECURITY AS WE CAN 1779 01:15:02,360 --> 01:15:04,840 SECURITY PRIVACY ARE THINGS WE 1780 01:15:04,840 --> 01:15:07,080 PERSISTENTLY HEAR AS ISSUES WITH 1781 01:15:07,080 --> 01:15:09,080 PARTICIPANTS AND WANT TO BE 1782 01:15:09,080 --> 01:15:11,320 POSITIVE CHANGE WRIT LARGE FOR 1783 01:15:11,320 --> 01:15:13,080 RESEARCH AND STARTED TO LAUNCH 1784 01:15:13,080 --> 01:15:16,160 ORIGINALLY IN 2018 NATIONALLY 1785 01:15:16,160 --> 01:15:18,760 AND ENROLLED 580,000 1786 01:15:18,760 --> 01:15:20,200 PARTICIPANTS AND PEOPLE AS THEY 1787 01:15:20,200 --> 01:15:23,520 JOIN CAN JOIN ANYWHERE IN THE US 1788 01:15:23,520 --> 01:15:26,560 OR US TERRITORIES AND IN THAT 1789 01:15:26,560 --> 01:15:27,240 CONDITION PEOPLE PARTICIPATE IN 1790 01:15:27,240 --> 01:15:33,680 DIFFERENT WAYS AND TIMES COMMON 1791 01:15:33,680 --> 01:15:35,160 CONSENT PROGRAM THEY WORK 1792 01:15:35,160 --> 01:15:36,400 THROUGH IF NOT LARGE MEDICAL 1793 01:15:36,400 --> 01:15:40,080 CENTER PART OF THE PROGRAM OR 1794 01:15:40,080 --> 01:15:41,920 ANOTHER FACILITIES YOU MAY NOT 1795 01:15:41,920 --> 01:15:43,760 HAVE SAME ABILITY TO DONATE A 1796 01:15:43,760 --> 01:15:46,760 BIO SAMPLE WE CAN REACH ALL 50 1797 01:15:46,760 --> 01:15:48,120 STATES IN US TERRITORIES THROUGH 1798 01:15:48,120 --> 01:15:52,240 A VARIETY OF MEANS IT THAT WE 1799 01:15:52,240 --> 01:15:53,520 DIDN'T ADDITIONALLY HAVE BEFORE 1800 01:15:53,520 --> 01:15:59,080 THIS POINT AND COVID BROUGHT 1801 01:15:59,080 --> 01:16:00,440 BIOSPECIMEN COLLECTION TO A 1802 01:16:00,440 --> 01:16:00,640 HALT. 1803 01:16:00,640 --> 01:16:03,240 WE CAME OUT OF COVID IN A WAY 1804 01:16:03,240 --> 01:16:05,240 THAT IS MORE MATURE AND IN 1805 01:16:05,240 --> 01:16:08,480 ABILITY TO REACH PEOPLE IN MORE 1806 01:16:08,480 --> 01:16:09,800 WAYS ACROSS THE UNITED STATES. 1807 01:16:09,800 --> 01:16:13,760 AS I MENTIONED, WE HAVE HAD 1808 01:16:13,760 --> 01:16:15,400 LONGSTANDING FOCUS ON DIVERSITY 1809 01:16:15,400 --> 01:16:17,640 AND ONE WAY TO THINK OF IT IS 1810 01:16:17,640 --> 01:16:19,400 RACE AND ETHNICITY 1811 01:16:19,400 --> 01:16:20,960 SELF-IDENTIFIED RACE AND 1812 01:16:20,960 --> 01:16:24,880 ETHNICITY AND 50% RACE AND 1813 01:16:24,880 --> 01:16:25,920 ETHNICITIES IDENTIFYING AS OTHER 1814 01:16:25,920 --> 01:16:27,800 THAN WHITE AND SO MANY 1815 01:16:27,800 --> 01:16:29,240 CATEGORIES OF DIVERSITY THINKING 1816 01:16:29,240 --> 01:16:31,800 ABOUT AGE AND SEX AT BIRTH AND 1817 01:16:31,800 --> 01:16:34,200 GENDER IDENTITY SEXUAL 1818 01:16:34,200 --> 01:16:35,320 ORIENTATION AND EDUCATION AND 1819 01:16:35,320 --> 01:16:37,000 ONE OF THE MOST COMMONLY AND ONE 1820 01:16:37,000 --> 01:16:39,360 THAT WE ADDED RECENTLY WAS 1821 01:16:39,360 --> 01:16:41,360 DISABILITY AND THAT IS A 1822 01:16:41,360 --> 01:16:43,640 LONGITUDINAL COHORT AND ABILITY 1823 01:16:43,640 --> 01:16:45,320 TO RECONTACT PARTICIPANTS WE 1824 01:16:45,320 --> 01:16:47,000 DIDN'T HAVE A GOOD QUESTIONNAIRE 1825 01:16:47,000 --> 01:16:49,040 OUT THERE TO ASSESS DISABILITY. 1826 01:16:49,040 --> 01:16:51,520 ONE THING WE DID AS WE ADDED NEW 1827 01:16:51,520 --> 01:16:55,080 METRIC WE RELAUNCHED A SURVEY 1828 01:16:55,080 --> 01:16:56,680 THAT CAUGHT PEOPLE WHO HADN'T 1829 01:16:56,680 --> 01:16:58,720 ORIGINALLY FILLED OUT METRICS ON 1830 01:16:58,720 --> 01:16:59,600 DISABILITY. 1831 01:16:59,600 --> 01:17:02,360 OVERALL, MORE THAN 80% OF 1832 01:17:02,360 --> 01:17:04,000 PARTICIPANTS ARE 1833 01:17:04,000 --> 01:17:05,400 UNDER-REPRESENTED IN BIOMEDICAL 1834 01:17:05,400 --> 01:17:07,120 RESEARCH. IN SOME CASES WE 1835 01:17:07,120 --> 01:17:08,880 DON'T ACTUALLY KNOW IF THE 1836 01:17:08,880 --> 01:17:09,920 POPULATIONS ARE IN MEDICAL 1837 01:17:09,920 --> 01:17:10,960 RESEARCH COMMONLY. QUESTIONS 1838 01:17:10,960 --> 01:17:13,680 ARE NOT ASKED. IN SOME CASES, 1839 01:17:13,680 --> 01:17:15,360 WE KNOW THEY ARE NOT WELL 1840 01:17:15,360 --> 01:17:17,240 REPRESENTED THAT IS ESPECIALLY 1841 01:17:17,240 --> 01:17:19,960 TRUE FOR DEMOGRAPHIC 1842 01:17:19,960 --> 01:17:20,320 INFORMATION. 1843 01:17:20,320 --> 01:17:23,080 ONE REASON WE HAVE BEEN SO 1844 01:17:23,080 --> 01:17:25,160 SUCCESSFUL IN ENROLLING DIVERSE 1845 01:17:25,160 --> 01:17:28,560 POPULATIONS IS OUR PARTNERS AND 1846 01:17:28,560 --> 01:17:29,840 MENTION BEGINNING WITH 1847 01:17:29,840 --> 01:17:30,400 PARTICIPANT ENGAGEMENT AND 1848 01:17:30,400 --> 01:17:32,240 NUMBER OF MEDICAL CENTERS ACROSS 1849 01:17:32,240 --> 01:17:34,360 THE UNITED STATES AND NUMBER OF 1850 01:17:34,360 --> 01:17:36,040 PARTNERS REPRESENTING INDUSTRY 1851 01:17:36,040 --> 01:17:37,600 CONNECTIONS IN THE HEALTH SPACE 1852 01:17:37,600 --> 01:17:39,040 AS WELL AS PARTICIPANT GROUPS 1853 01:17:39,040 --> 01:17:40,800 YOU WILL SEE ON THE NEXT SLIDE 1854 01:17:40,800 --> 01:17:43,960 AND IN A NUMBER OF PEOPLE THAT 1855 01:17:43,960 --> 01:17:47,680 HELP TO COLLECT BIOSMES MENS AND 1856 01:17:47,680 --> 01:17:48,320 INCREDIBLE LOGISTICS ENTERPRISE 1857 01:17:48,320 --> 01:17:50,920 TO GET SAMPLES TO BIOBANK R 1858 01:17:50,920 --> 01:17:53,160 REALLY IN THE SAME-DAY PROCESS 1859 01:17:53,160 --> 01:17:54,920 TO START PROCESSING IN RAPID 1860 01:17:54,920 --> 01:17:56,720 FASHION FROM MORE THAN AT SOME 1861 01:17:56,720 --> 01:17:59,280 POINT MORE THAN 400 DIFFERENT 1862 01:17:59,280 --> 01:18:00,720 CLINICS ACROSS THE COUNTRY AND 1863 01:18:00,720 --> 01:18:02,680 GENOME AND DATA PARTNERS ARE 1864 01:18:02,680 --> 01:18:04,560 CRITICAL AND THEY ARE ENGAGEMENT 1865 01:18:04,560 --> 01:18:06,080 PARTNERS THAT ARE SO CRITICAL IN 1866 01:18:06,080 --> 01:18:07,960 DELIVERING MESSAGES AND BECOMING 1867 01:18:07,960 --> 01:18:12,680 TRUSTED ENTITIES TO OUR 1868 01:18:12,680 --> 01:18:14,040 PARTICIPANTS AND POTENTIAL 1869 01:18:14,040 --> 01:18:15,240 PARTICIPANTS THAT ARE VALIDATING 1870 01:18:15,240 --> 01:18:17,560 THE IMPORTANCE OF OUR MISSION TO 1871 01:18:17,560 --> 01:18:18,920 REACH TO THEM. AND BECOMING 1872 01:18:18,920 --> 01:18:20,480 PART OF THE COMMUNITY AND 1873 01:18:20,480 --> 01:18:21,880 GETTING US REALLY IMPORTANT 1874 01:18:21,880 --> 01:18:23,680 ADVICE HOW WE THINK ABOUT THINGS 1875 01:18:23,680 --> 01:18:27,000 LIKE EXPANDING ACCESS. 1876 01:18:27,000 --> 01:18:29,800 THE DATA COLLECTOR INVOLVES BEST 1877 01:18:29,800 --> 01:18:31,320 PARTICIPANTS IS SIMILAR NO 1878 01:18:31,320 --> 01:18:32,680 MATTER HOW YOU COME INTO THE 1879 01:18:32,680 --> 01:18:35,120 SYSTEM AND STARTS WITH A COMMON 1880 01:18:35,120 --> 01:18:37,560 CONSENT PROCESS THAT IS BASED ON 1881 01:18:37,560 --> 01:18:40,000 VIDEO AS WELL AS ABILITY TO READ 1882 01:18:40,000 --> 01:18:41,960 OF COURSE LONG-FORM DOCUMENTS 1883 01:18:41,960 --> 01:18:44,200 AND WE INCLUDE ACCESS TO 1884 01:18:44,200 --> 01:18:45,160 ELECTRONIC HEALTH RECORDS AS 1885 01:18:45,160 --> 01:18:47,640 PART OF THAT AND THERE IS 1886 01:18:47,640 --> 01:18:48,880 DIFFERENT CONSENTS THAT HAPPEN 1887 01:18:48,880 --> 01:18:52,160 ALONG THE WAY GENOMICS CONSENT 1888 01:18:52,160 --> 01:18:53,520 PROCESSES AS WELL. WE HAVE A 1889 01:18:53,520 --> 01:18:56,280 SET OF SURVEYS IN INITIAL 1890 01:18:56,280 --> 01:18:57,760 COMPONENT AND RELEASE 1891 01:18:57,760 --> 01:18:58,880 APPROXIMATELY A NEW SURVEY EACH 1892 01:18:58,880 --> 01:19:01,360 YEAR. WE HAVE A SET OF PHYSICAL 1893 01:19:01,360 --> 01:19:03,360 MEASURES THAT IS FAIRLY LIMITED 1894 01:19:03,360 --> 01:19:05,640 IN THE IN-PERSON SETTING BECAUSE 1895 01:19:05,640 --> 01:19:07,000 LOTS OF THESE INFORMATION WILL 1896 01:19:07,000 --> 01:19:09,560 COME FROM THINGS LIKE ELECTRONIC 1897 01:19:09,560 --> 01:19:12,200 HEALTH RECORDS. WE COLLECT 1898 01:19:12,200 --> 01:19:15,760 BIOSAMPLES THAT IS DNA AT A 1899 01:19:15,760 --> 01:19:18,000 MINIMUM. IN PERSON FOR BLOOD 1900 01:19:18,000 --> 01:19:21,280 COLLECTION INCLUDES RNA, 1901 01:19:21,280 --> 01:19:24,680 [INDISCERNIBLE] DNA SERUM PLASMA 1902 01:19:24,680 --> 01:19:28,320 AS WELL AND YOU'RIN AND WE HAVE 1903 01:19:28,320 --> 01:19:29,720 SALIVA KITS OUT AND WEARABLE AND 1904 01:19:29,720 --> 01:19:31,760 MOBILE TECHNOLOGIES PEOPLE CAN 1905 01:19:31,760 --> 01:19:34,360 LINK IN OWN FITBIT AND OTHER 1906 01:19:34,360 --> 01:19:36,000 DEVICES THROUGH APPLE HEALTH FOR 1907 01:19:36,000 --> 01:19:38,240 INSTANCE AND WE ALSO STARTED A 1908 01:19:38,240 --> 01:19:40,960 PILOT WHERE WE GIVE OUT 20,000 1909 01:19:40,960 --> 01:19:42,800 FIT BIT DEVICES AND ON THE RIGHT 1910 01:19:42,800 --> 01:19:44,680 YOU SEE ONE OF THE SCREENSHOTS 1911 01:19:44,680 --> 01:19:48,160 OF ONE OF THE PARTICIPANT FACING 1912 01:19:48,160 --> 01:19:49,360 APPLICATIONS. WE HAVE 1913 01:19:49,360 --> 01:19:51,120 SMARTPHONE APPS AS WELL AS 1914 01:19:51,120 --> 01:19:52,400 WEBSITES THAT IS ACTUALLY 1915 01:19:52,400 --> 01:19:54,640 LINKAGE OF MY HEALTH RECORD FROM 1916 01:19:54,640 --> 01:19:59,400 TWO OF MY PROVIDERS THAT I WAS 1917 01:19:59,400 --> 01:20:01,160 FORMALLY AS AT VANDERBILT AND 1918 01:20:01,160 --> 01:20:04,520 NOW GET DATA FROM HOPKINS 1919 01:20:04,520 --> 01:20:06,280 AFFILIATED INSTITUTIONS AND SO 1920 01:20:06,280 --> 01:20:07,760 OUR PROVIDERS AND SO I CAN LINK 1921 01:20:07,760 --> 01:20:10,040 THEM IN AND VISUALIZE THOSE 1922 01:20:10,040 --> 01:20:11,360 INFORMATION. IN ADDITION TO 1923 01:20:11,360 --> 01:20:14,360 MEDICAL CENTERS DIRECTLY 1924 01:20:14,360 --> 01:20:16,440 DONATING DATA INTO OUR DATA AND 1925 01:20:16,440 --> 01:20:18,360 RESEARCH CENTER IN HARMONIZED 1926 01:20:18,360 --> 01:20:20,600 FORMATS WE PULL TOGETHER, WE 1927 01:20:20,600 --> 01:20:22,360 ALLOW ALSO PARTICIPANTS TO LINK 1928 01:20:22,360 --> 01:20:25,440 IN OWN MEDICAL RECORDS AND 1929 01:20:25,440 --> 01:20:26,600 PROVIDERS THAT MAY NOT BE PART 1930 01:20:26,600 --> 01:20:28,680 OF THAT THAT IS A RELATIVELY NEW 1931 01:20:28,680 --> 01:20:30,360 TECHNOLOGY AND WE ARE FRANKLY 1932 01:20:30,360 --> 01:20:32,800 SEEING GREATER ADOPTION THAN I 1933 01:20:32,800 --> 01:20:33,880 EXPECTED WITH THAT. 1934 01:20:33,880 --> 01:20:35,560 WHEN WE TALK TO PARTICIPANTS, 1935 01:20:35,560 --> 01:20:37,760 ONE OF THE KEY VALUES WE SAW WAS 1936 01:20:37,760 --> 01:20:39,480 HOW TO RETURN VALUE TO THEM THAT 1937 01:20:39,480 --> 01:20:41,080 WAS IMPORTANT TO THEM. THERE 1938 01:20:41,080 --> 01:20:42,800 ARE MANY WAYS AND MANY REASONS 1939 01:20:42,800 --> 01:20:43,920 THAT PEOPLE JOINED. 1940 01:20:43,920 --> 01:20:47,360 THE FIRST IS ALTRUISTIC. HOW 1941 01:20:47,360 --> 01:20:49,640 CAN WE FURTHER HEALTH OR, YOU 1942 01:20:49,640 --> 01:20:51,200 KNOW, FOR OURSELVES AND OUR 1943 01:20:51,200 --> 01:20:53,360 FAMILIES AND COMMUNITIES FOR THE 1944 01:20:53,360 --> 01:20:54,360 WORLD? 1945 01:20:54,360 --> 01:20:55,600 HOW CAN WE RETURN INFORMATION 1946 01:20:55,600 --> 01:20:57,880 AND MAKE THEIR TIME VALUABLE AND 1947 01:20:57,880 --> 01:21:00,160 OF THAT KIND OF INFORMATION THE 1948 01:21:00,160 --> 01:21:01,840 MOST IMPORTANT CONSISTENTLY HAS 1949 01:21:01,840 --> 01:21:04,240 BEEN GENETIC INFORMATION THAT 1950 01:21:04,240 --> 01:21:06,400 ESPECIALLY IS HEALTH RELATED 1951 01:21:06,400 --> 01:21:07,680 GENETIC INFORMATION AND OTHER 1952 01:21:07,680 --> 01:21:08,720 KINDS OF INFORMATION YOU KNOW 1953 01:21:08,720 --> 01:21:10,560 SUCH AS LISTED HERE WE ARE 1954 01:21:10,560 --> 01:21:12,960 RETURNING AS WELL. YOU SAW A 1955 01:21:12,960 --> 01:21:15,040 PICTURE OF HR DATA WE ARE 1956 01:21:15,040 --> 01:21:16,720 RETURNING IN LIMITED FASHIONS 1957 01:21:16,720 --> 01:21:18,320 NOW THAT WE HOPE TO EXPAND AND 1958 01:21:18,320 --> 01:21:20,120 SURVEY DATA THAT YOU CAN SEE 1959 01:21:20,120 --> 01:21:21,760 COMPARES TO OTHERS AND SENDING 1960 01:21:21,760 --> 01:21:23,360 INFORMATION ABOUT STUDIES TO 1961 01:21:23,360 --> 01:21:24,480 PARTICIPANTS AND WHAT HAS 1962 01:21:24,480 --> 01:21:26,280 HAPPENED IN THE PROGRAM. FIRST 1963 01:21:26,280 --> 01:21:28,600 THING WE LAUNCHED ON GENETICS 1964 01:21:28,600 --> 01:21:31,760 WERE NON-HEALTH RELATED GENETIC 1965 01:21:31,760 --> 01:21:34,040 TRAITS RELATED AROUND GENETIC 1966 01:21:34,040 --> 01:21:35,520 ANCESTRY NOT HEALTH TRAITS YOU 1967 01:21:35,520 --> 01:21:37,400 CAN SEE IN THE FIRST BAR HERE. 1968 01:21:37,400 --> 01:21:41,040 THOSE LAUNCH THE IN THE END OF 1969 01:21:41,040 --> 01:21:41,520 2020. 1970 01:21:41,520 --> 01:21:43,040 WE DEVELOPED HEALTH INFORMATION 1971 01:21:43,040 --> 01:21:46,320 RETURN. THIS IS AN FDA APPROVED 1972 01:21:46,320 --> 01:21:48,440 PROCESS THROUGH INVESTIGATIONAL 1973 01:21:48,440 --> 01:21:49,640 DEVICE EXCEPTION THAT WE WORKED 1974 01:21:49,640 --> 01:21:51,040 OUT THROUGH THEM AND WE HAVE A 1975 01:21:51,040 --> 01:21:52,720 NUMBER OF PARTNERS IN THE 1976 01:21:52,720 --> 01:21:54,880 PROCESS THAT STARTS WITH BOTH 1977 01:21:54,880 --> 01:21:56,320 GENERATION OF HEREDITARY DISEASE 1978 01:21:56,320 --> 01:21:59,560 REPORTS AND MEDICINE IN DNA OR 1979 01:21:59,560 --> 01:22:00,800 FARMICO GENETIC REPORTS THAT 1980 01:22:00,800 --> 01:22:03,480 GIVES YOU A SENSE OF WHAT THE 1981 01:22:03,480 --> 01:22:04,840 GENETIC ANCESTRY AND TRAITS 1982 01:22:04,840 --> 01:22:06,440 LOOKS LIKE. WE HAVE GIVEN 1983 01:22:06,440 --> 01:22:09,240 NOTIFICATION OF ANCESTRY AND 1984 01:22:09,240 --> 01:22:12,160 TRAITS TO NEARLY 190,000 1985 01:22:12,160 --> 01:22:13,640 PARTICIPANTS SO FAR AND 70% OF 1986 01:22:13,640 --> 01:22:16,160 FOLKS GOING THROUGH THE PROCESS 1987 01:22:16,160 --> 01:22:18,200 TO VIEW THESE AND OF COURSE NO. 1988 01:22:18,200 --> 01:22:19,760 WE GIVE EVERYONE THE OPTION 1989 01:22:19,760 --> 01:22:21,720 WHETHER THEY WANT THIS KIND OF 1990 01:22:21,720 --> 01:22:25,760 INFORMATION BACK FIRST OF ALL. 1991 01:22:25,760 --> 01:22:27,520 NOT EVERYONE CHOOSES TO RECEIVE 1992 01:22:27,520 --> 01:22:28,560 SUFFICIENT INFORMATION AND 1993 01:22:28,560 --> 01:22:29,760 COMMONLY VIEWED OF THIS IF THEY 1994 01:22:29,760 --> 01:22:31,840 VIEW SOMETHING IS GENETIC 1995 01:22:31,840 --> 01:22:34,080 ANCESTRY THAT IS 10% MORE OR 1996 01:22:34,080 --> 01:22:36,200 NEARLY 100% OF PEOPLE THAT VIEW 1997 01:22:36,200 --> 01:22:39,400 SOMETHING VIEW GENETIC ANCESTRY. 1998 01:22:39,400 --> 01:22:41,880 ON TO HEALTH RELATED WE 1999 01:22:41,880 --> 01:22:43,760 ANNOUNCED THE LAUNCH OF THIS IN 2000 01:22:43,760 --> 01:22:46,880 DECEMBER OF 2022. AFTER 2001 01:22:46,880 --> 01:22:50,080 PILOTING FOR A COUPLE OF MONTHS 2002 01:22:50,080 --> 01:22:52,920 WITH OUR EARLIEST PARTICIPANTS 2003 01:22:52,920 --> 01:22:55,520 AND RIGOROUS TESTS OF THE 2004 01:22:55,520 --> 01:22:56,520 SYSTEM. 2005 01:22:56,520 --> 01:23:01,960 YOU CAN SEE A SCREENSHOT OF AN 2006 01:23:01,960 --> 01:23:03,600 ACMG59 DISEASE RISK REPORT FOR 2007 01:23:03,600 --> 01:23:05,360 BACKA 1 THAT IS PART OF THAT. 2008 01:23:05,360 --> 01:23:07,400 WE HAVE A VERSION THAT IS BOTH 2009 01:23:07,400 --> 01:23:09,800 MORE FRIENDLY TOWARDS PROVIDERS 2010 01:23:09,800 --> 01:23:11,600 AND ONE MORE FOR PARTICIPANTS 2011 01:23:11,600 --> 01:23:13,760 AND THEN A FARMICO GENETIC 2012 01:23:13,760 --> 01:23:15,440 REPORT THERE. PARTICIPANTS 2013 01:23:15,440 --> 01:23:16,440 IMPORTANTLY CAN CHOOSE WHAT THEY 2014 01:23:16,440 --> 01:23:18,640 WANT TO SEE IF THEY WANT TO SEE 2015 01:23:18,640 --> 01:23:20,280 ANYTHING. ONCE THEY CHOOSE THAT 2016 01:23:20,280 --> 01:23:24,560 THEY WANT RESULTS, THEN WE 2017 01:23:24,560 --> 01:23:26,320 INTERPRET THEIR GENOME. 2018 01:23:26,320 --> 01:23:29,720 FOR ACMG59 RESULTS WE VALIDATE 2019 01:23:29,720 --> 01:23:32,320 FROM A SECOND SAMPLE PULLED FROM 2020 01:23:32,320 --> 01:23:33,840 BIOBANK AND CLINICAL 2021 01:23:33,840 --> 01:23:36,720 LABORATORIES AND ESSENTIALLY 2022 01:23:36,720 --> 01:23:38,000 ORTHOGONAL APPROACHES ALL THOSE 2023 01:23:38,000 --> 01:23:39,800 APPROACHES ARE RETURNED THROUGH 2024 01:23:39,800 --> 01:23:41,880 GENETIC COUNSELORS AND SO FAR WE 2025 01:23:41,880 --> 01:23:44,600 HAVE NOTIFIED OVER 10,000 2026 01:23:44,600 --> 01:23:46,360 PARTICIPANTS THAT THEY CAN 2027 01:23:46,360 --> 01:23:48,640 CHOOSE THIS PROCESS AND OVER 2028 01:23:48,640 --> 01:23:50,800 4,000 HAVE SEEN THEIR RESULTS. 2029 01:23:50,800 --> 01:23:54,160 WE TELL ABOUT ANOTHER 1,000 2030 01:23:54,160 --> 01:23:55,200 PARTICIPANTS OR SO EVERY WEEK 2031 01:23:55,200 --> 01:23:56,520 THAT THEY CAN CHOOSE THIS. WE 2032 01:23:56,520 --> 01:23:58,480 BEGIN THIS PROCESS OF 2033 01:23:58,480 --> 01:24:01,520 INTERPRETING THEIR GENOMES AND 2034 01:24:01,520 --> 01:24:01,960 RELEASING REPORTS. 2035 01:24:01,960 --> 01:24:04,600 THIS GIVES YOU A SENSE OF HOW WE 2036 01:24:04,600 --> 01:24:06,560 THINK ABOUT RESEARCHER DATA 2037 01:24:06,560 --> 01:24:06,800 ACCESS. 2038 01:24:06,800 --> 01:24:09,120 WE GET A TON OF DATA COMING IF 2039 01:24:09,120 --> 01:24:11,360 IN FROM MANY DIFFERENT POINTS OF 2040 01:24:11,360 --> 01:24:13,800 PHYSICIANS THAT ARE AROUND RAW 2041 01:24:13,800 --> 01:24:16,800 DATA REPOSITORIES. 2042 01:24:16,800 --> 01:24:19,240 AND THE -- AS DATA COMES IN, 2043 01:24:19,240 --> 01:24:22,080 THEY ARE ALL HARMONIZE THE 2044 01:24:22,080 --> 01:24:23,480 AGAINST DIFFERENT COMPONENTS AND 2045 01:24:23,480 --> 01:24:27,680 WE OF COURSE PRESERVE OR APPLY 2046 01:24:27,680 --> 01:24:29,400 PRIVACY METHODOLOGIES DOING QA 2047 01:24:29,400 --> 01:24:31,440 AND QC EFFORTS ON THOSE AND HAVE 2048 01:24:31,440 --> 01:24:33,520 DIFFERENT TIERS OF ACCESS 2049 01:24:33,520 --> 01:24:34,800 STARTING WITH PUBLIC TIERS 2050 01:24:34,800 --> 01:24:36,520 ANYONE CAN ACCESS THROUGH WHAT 2051 01:24:36,520 --> 01:24:38,400 WE CALL DATA BROWSER THAT ALLOWS 2052 01:24:38,400 --> 01:24:41,240 YOU TO GET ESSENCES OF COUNTS ON 2053 01:24:41,240 --> 01:24:43,280 DISEASES OR MEDICATIONS OR 2054 01:24:43,280 --> 01:24:45,560 DISTRIBUTION OF LAB VALUES OR 2055 01:24:45,560 --> 01:24:46,200 SURVEY RESPONSES. 2056 01:24:46,200 --> 01:24:48,920 YOU COULD DIVE INTO, YOU KNOW, 2057 01:24:48,920 --> 01:24:50,360 SUBSTANCE USE AND OTHER 2058 01:24:50,360 --> 01:24:51,800 COMPONENTS THROUGH THESE KINDS 2059 01:24:51,800 --> 01:24:53,800 OF THINGS AND THERE IS ELEMENTS 2060 01:24:53,800 --> 01:24:55,240 AROUND TRAVEL HISTORY AND A 2061 01:24:55,240 --> 01:24:56,800 NUMBER OF COMPONENTS GIVING A 2062 01:24:56,800 --> 01:24:58,680 SENSE OF WHAT DATA IS THERE OR 2063 01:24:58,680 --> 01:25:00,040 WHETHER OR NOT YOU HAVE ENOUGH 2064 01:25:00,040 --> 01:25:00,880 PEOPLE TO BEGIN TO ANSWER A 2065 01:25:00,880 --> 01:25:02,040 QUESTION YOU MIGHT BE INTERESTED 2066 01:25:02,040 --> 01:25:05,720 IN. YOU CAN COME IN AND GET 2067 01:25:05,720 --> 01:25:07,200 INDIVIDUAL DATA ACCESS THROUGH 2068 01:25:07,200 --> 01:25:10,120 STUDY WORK RESEARCHERS BENCH IN 2069 01:25:10,120 --> 01:25:13,040 ALL CASES WE REMOVE OBVIOUS 2070 01:25:13,040 --> 01:25:13,560 PERSONALLY IDENTIFYING 2071 01:25:13,560 --> 01:25:15,400 INFORMATION AND WE HAVE GENOMIC 2072 01:25:15,400 --> 01:25:16,480 DATA, OF COURSE. 2073 01:25:16,480 --> 01:25:18,480 AND OTHER MORE IDENTIFYING DATA 2074 01:25:18,480 --> 01:25:20,200 IN THE CONTROLLED TIER. OVER 2075 01:25:20,200 --> 01:25:23,600 TIME I WILL TALK IN THE END A 2076 01:25:23,600 --> 01:25:25,760 LITTLE ABOUT SUPPORTING MORE 2077 01:25:25,760 --> 01:25:28,160 ANCILLARY STUDIES INVOLVING 2078 01:25:28,160 --> 01:25:30,360 ACTUAL INDIVIDUAL PARTICIPANT 2079 01:25:30,360 --> 01:25:32,760 RECONTACT BY BIOSPECIMEN 2080 01:25:32,760 --> 01:25:34,440 RESEARCH AND PUBLIC DATA LOOKING 2081 01:25:34,440 --> 01:25:36,280 LIKE ANYONE CAN USE NOW 2082 01:25:36,280 --> 01:25:37,680 FOLLOWING THIS Q.R. CODE THAT 2083 01:25:37,680 --> 01:25:39,560 GIVES A SENSE WHAT WE DO TO PULL 2084 01:25:39,560 --> 01:25:40,240 DATA TOGETHER. 2085 01:25:40,240 --> 01:25:42,240 MANY ARE FAMILIAR WITH THE 2086 01:25:42,240 --> 01:25:43,720 CLINICAL WORLD THAT KNOWS A LOT 2087 01:25:43,720 --> 01:25:47,480 OF CODES COMING IN ICD9 CODES 2088 01:25:47,480 --> 01:25:50,360 TRANSITIONED TO ICD10 AND 2015 2089 01:25:50,360 --> 01:25:53,920 AND WE HAVE PROBLEM ES CODES AND 2090 01:25:53,920 --> 01:25:55,360 NOMED AND TERMINOLOGIES THAT 2091 01:25:55,360 --> 01:25:57,920 DATA IS ENTERED IN AND HARMONIZE 2092 01:25:57,920 --> 01:26:00,160 THEM INTO DIFFERENT APPROACHES. 2093 01:26:00,160 --> 01:26:01,760 FOR INSTANCE SEARCHING FOR 2094 01:26:01,760 --> 01:26:03,520 CANCER YOU GET THOSE DATA MAPPED 2095 01:26:03,520 --> 01:26:06,360 INTO A HIERARCHY ACROSS THE 2096 01:26:06,360 --> 01:26:08,640 DIFFERENT TERMINOLOGIES AND DIVE 2097 01:26:08,640 --> 01:26:10,640 INTO BREAST CANCER AND DIFFERENT 2098 01:26:10,640 --> 01:26:12,960 UNDERLYING SYSTEMS ARE PULLED 2099 01:26:12,960 --> 01:26:15,520 TOGETHER YOU CAN SEE THOSE 2100 01:26:15,520 --> 01:26:16,720 AMALGAMATIONS OF COUNTS THERE 2101 01:26:16,720 --> 01:26:18,320 AND THIS REQUIRES OF COURSE NO 2102 01:26:18,320 --> 01:26:20,800 LOG IN TO GET IN. IF YOU APPLY 2103 01:26:20,800 --> 01:26:24,320 FOR DATA ACCESS YOU HAVE ACCESS 2104 01:26:24,320 --> 01:26:25,840 TO RESEARCH ERR WORK BENCH WHERE 2105 01:26:25,840 --> 01:26:29,480 YOU DO ANALYSIS AND STUDIES AND 2106 01:26:29,480 --> 01:26:31,760 DATA NOT AGGREGATED HIGHER 2107 01:26:31,760 --> 01:26:33,480 LEVELS ACROSS TABULATIONS YOU 2108 01:26:33,480 --> 01:26:35,840 MIGHT WANT TO DO IN A PROTECTED 2109 01:26:35,840 --> 01:26:37,800 SECURE SPACE AND ALL ANALYSIS IS 2110 01:26:37,800 --> 01:26:40,760 DONE IN OUR CLOUD AND WE -- YOU 2111 01:26:40,760 --> 01:26:43,440 DON'T DOWNLOAD DATA IN HERE AND 2112 01:26:43,440 --> 01:26:44,880 DO ANALYSIS AND TOOLS TO SUPPORT 2113 01:26:44,880 --> 01:26:46,840 THIS AND I WILL WALK THROUGH A 2114 01:26:46,840 --> 01:26:48,640 LITTLE IN DETAILED FUTURE THAT 2115 01:26:48,640 --> 01:26:51,720 IS A PASSPORT ACCESS MODEL. AS 2116 01:26:51,720 --> 01:26:53,800 USERS COME IN THEY ARE 2117 01:26:53,800 --> 01:26:55,400 AUTHENTICATED WITH SPONSORING 2118 01:26:55,400 --> 01:26:56,760 INSTITUTION AND THEY CAN 2119 01:26:56,760 --> 01:26:58,200 GENERATE NEW WORK SPACES ON THE 2120 01:26:58,200 --> 01:26:59,920 FLY FOR NEW STUDIES THEY WANT TO 2121 01:26:59,920 --> 01:27:01,600 DO. YOU CAN SEE EXAMPLES ON THE 2122 01:27:01,600 --> 01:27:04,280 TOP AND DO A STUDY ON DEMENTIA 2123 01:27:04,280 --> 01:27:06,360 AND SWITCH TO DO STUDY ON 2124 01:27:06,360 --> 01:27:07,440 DIABETES AND DESCRIBE PROCESS 2125 01:27:07,440 --> 01:27:09,200 WHY YOU ARE DOG AND WHAT YOU ARE 2126 01:27:09,200 --> 01:27:11,440 LOOKING AT AND POTENTIAL 2127 01:27:11,440 --> 01:27:12,840 OUTCOMES ARE AND THOSE ARE 2128 01:27:12,840 --> 01:27:14,360 POSTED -- INFORMATION THAT IS 2129 01:27:14,360 --> 01:27:15,560 POSTED ONLINE AND OTHER ELEMENTS 2130 01:27:15,560 --> 01:27:18,960 ON THAT ARE AVAILABLE FOR REVIEW 2131 01:27:18,960 --> 01:27:20,800 BIORESOURCE ACCESS PORTAL. WHEN 2132 01:27:20,800 --> 01:27:22,880 YOU CREATE THAT SPACE YOU CAN 2133 01:27:22,880 --> 01:27:24,400 START WORK IMMEDIATELY AND CAN 2134 01:27:24,400 --> 01:27:26,960 START A NEW PROJECT IN 20 2135 01:27:26,960 --> 01:27:29,400 MINUTES. THERE IS NO IRB 2136 01:27:29,400 --> 01:27:30,960 APPROVAL REQUIRED. WE HAVE DONE 2137 01:27:30,960 --> 01:27:33,240 THE IRB APPROVAL FOR THE PROGRAM 2138 01:27:33,240 --> 01:27:35,440 IN GENERAL. YOU CAN JUST GET 2139 01:27:35,440 --> 01:27:37,200 STARTED WORKING THAT IS 2140 01:27:37,200 --> 01:27:39,160 CURRENTLY OPEN TO US NON-PROFITS 2141 01:27:39,160 --> 01:27:41,040 AND OTHER ACADEMIC AND HEALTH 2142 01:27:41,040 --> 01:27:42,040 CARE INSTITUTIONS. 2143 01:27:42,040 --> 01:27:46,360 WE ARE WORKING TO EXPAND THIS TO 2144 01:27:46,360 --> 01:27:47,880 BROADER AUDIENCES RIGHT NOW. 2145 01:27:47,880 --> 01:27:51,920 AND HOPE TO BE ABLE TO DO THAT 2146 01:27:51,920 --> 01:27:53,800 WITHIN THE NEAR FUTURE. 2147 01:27:53,800 --> 01:27:55,640 AS WE THINK ABOUT THE DATA THAT 2148 01:27:55,640 --> 01:27:59,360 WE HAVE AND THE RESEARCHER WORK 2149 01:27:59,360 --> 01:28:02,360 BENCH, AS WE PULL IN THINGS LIKE 2150 01:28:02,360 --> 01:28:04,120 ELECTRONIC HEALTH RECORD AND 2151 01:28:04,120 --> 01:28:05,760 SURPRISING FITBIT DATA THERE IS 2152 01:28:05,760 --> 01:28:08,040 A BIT OF LONGITUDENALITY TO THAT 2153 01:28:08,040 --> 01:28:10,200 DATA. PARTICIPANTS STARTED TO 2154 01:28:10,200 --> 01:28:13,560 ROLL IN EARLY PILOT FASHION IN 2155 01:28:13,560 --> 01:28:15,480 2017 AND LARGER NUMBERS IN 2018 2156 01:28:15,480 --> 01:28:18,000 AND HR DATA GOING BACK 40 YEARS 2157 01:28:18,000 --> 01:28:20,520 ON SOME PARTICIPANTS AND FITBIT 2158 01:28:20,520 --> 01:28:22,600 DATA GOING BACK A BIT OF A 2159 01:28:22,600 --> 01:28:24,120 DECADE OR MORE ON PARTICIPANTS 2160 01:28:24,120 --> 01:28:25,640 AS WELL. YOU CAN SEE A QUANTITY 2161 01:28:25,640 --> 01:28:27,560 OF DATA THAT WE HAVE HERE. OF 2162 01:28:27,560 --> 01:28:30,480 COURSE, DATA AND RESEARCH 2163 01:28:30,480 --> 01:28:32,120 WORKBENCH LAGS SOME BEHIND AND 2164 01:28:32,120 --> 01:28:34,120 DATA SOURCES THAT WE HAVE 2165 01:28:34,120 --> 01:28:36,120 ACTUALLY A NUMBER OF 2166 01:28:36,120 --> 01:28:36,600 PARTICIPANTS ENROLLED. 2167 01:28:36,600 --> 01:28:39,560 IN 2022, WE LAUNCHED THE FIRST 2168 01:28:39,560 --> 01:28:41,800 CONTROL TIER AND FIRST SET OF 2169 01:28:41,800 --> 01:28:44,360 GENOMIC DATA THAT INCLUDES 2170 01:28:44,360 --> 01:28:48,120 100,000 GENOME SEQUENCES AND 2171 01:28:48,120 --> 01:28:50,080 165,000 ARRAYS IT THAT IS 2172 01:28:50,080 --> 01:28:51,600 AVAILABLE NOW AND IN THIS DATA 2173 01:28:51,600 --> 01:28:54,160 SET WE OBSERVED 600 MILLION 2174 01:28:54,160 --> 01:28:57,240 APPROXIMATELY UNIQUE VARIANTS. 2175 01:28:57,240 --> 01:29:00,120 OF THOSE 400 MILLION VARIANTS WE 2176 01:29:00,120 --> 01:29:02,880 OBSERVED OCCURRED AT LEAST ONE 2177 01:29:02,880 --> 01:29:04,160 PARTICIPANT NOT IN NOMAD THAT 2178 01:29:04,160 --> 01:29:07,280 YOU KNOW IS A COMMONLY USE THE 2179 01:29:07,280 --> 01:29:09,200 CLINICALLY AND RESEARCHWISE 2180 01:29:09,200 --> 01:29:10,920 AGGREGATION SERVICE OF LOTS OF 2181 01:29:10,920 --> 01:29:13,640 SEQUENCE DATA. 400 MILLION 2182 01:29:13,640 --> 01:29:14,400 VARIANTS ESSENTIALLY HAD NO THE 2183 01:29:14,400 --> 01:29:16,000 BEEN PRACTICALLY SEEN IN A WAY 2184 01:29:16,000 --> 01:29:18,560 THAT WE CAN USE THEM IN OTHERS 2185 01:29:18,560 --> 01:29:20,760 AND KNOW MUCH ABOUT THEM. 100 2186 01:29:20,760 --> 01:29:22,840 MILLION OF THOSE VARIANTS OCCUR 2187 01:29:22,840 --> 01:29:25,760 IN AT LEAST THREE PEOPLE IN OUR 2188 01:29:25,760 --> 01:29:27,040 PARTICIPANT DATA SET AND 2189 01:29:27,040 --> 01:29:28,120 IMPORTANTLY WE ARE WORKING ON 2190 01:29:28,120 --> 01:29:31,760 THE NEXT RELEASE THAT WILL BE 2191 01:29:31,760 --> 01:29:32,600 230,000 GENOMES. 2192 01:29:32,600 --> 01:29:35,520 AND INVITE YOU TO SIGN UP FOR 2193 01:29:35,520 --> 01:29:37,920 UPDATES FROM OUR PROGRAM. VIA 2194 01:29:37,920 --> 01:29:40,160 THIS URL IF YOU ARE INTERESTED 2195 01:29:40,160 --> 01:29:41,680 IN LEARNING MORE ABOUT THAT. 2196 01:29:41,680 --> 01:29:43,960 SO, YOU WILL HEAR AS THAT COMES 2197 01:29:43,960 --> 01:29:44,200 OUT. 2198 01:29:44,200 --> 01:29:45,760 I THINK THAT ONE OF THE REASONS 2199 01:29:45,760 --> 01:29:48,400 WHY WE ARE SEEING SO MANY NEW 2200 01:29:48,400 --> 01:29:49,760 VARIANTS THAT HAVEN'T BEEN 2201 01:29:49,760 --> 01:29:51,040 STUDIED BEFORE IS THE DIVERSITY 2202 01:29:51,040 --> 01:29:54,440 OF OUR SAMPLE AND MANY PROBABLY 2203 01:29:54,440 --> 01:29:55,840 KNOW GLOBAL GENOMEWIDE 2204 01:29:55,840 --> 01:29:58,800 ASSOCIATION STUDIES HAVE HEAVILY 2205 01:29:58,800 --> 01:30:00,640 BIASED PEOPLE TOWARDS EUROPEAN 2206 01:30:00,640 --> 01:30:03,480 ANCESTRY AND OVERALL IS 2207 01:30:03,480 --> 01:30:05,880 CONSISTENTLY OVER 90% THAT IS 2208 01:30:05,880 --> 01:30:07,880 GENERALLY OVER THE LAST DECADE 2209 01:30:07,880 --> 01:30:11,080 GROWN MORE BIASED OF PEOPLE OF 2210 01:30:11,080 --> 01:30:13,120 ANCESTRY IN GENOMIC STUDIES AND 2211 01:30:13,120 --> 01:30:14,360 YOU SEE DIVERSITY HERE, YOU 2212 01:30:14,360 --> 01:30:16,920 KNOW, OVERALL, YOU KNOW, 2213 01:30:16,920 --> 01:30:19,280 WORLDWIDE IS SPENDING LESS THAN 2214 01:30:19,280 --> 01:30:20,840 1% REPRESENTING BLACK AND 2215 01:30:20,840 --> 01:30:23,360 AFRICAN AMERICAN AND 1% LATINO 2216 01:30:23,360 --> 01:30:26,320 AND SPANISH AND IS AROUND 20% OF 2217 01:30:26,320 --> 01:30:28,360 EACH OF THOSE IN OUR POPULATION. 2218 01:30:28,360 --> 01:30:31,000 WE HOPE TO CONTINUE TO ADD AND 2219 01:30:31,000 --> 01:30:32,920 DIVERSIFY GLOBAL GENOMIC 2220 01:30:32,920 --> 01:30:35,160 RESEARCH BY VIRTUE OF THE STUDY 2221 01:30:35,160 --> 01:30:37,080 AND 4,000 RESEARCHERS SIGNED UP 2222 01:30:37,080 --> 01:30:38,880 TO JOIN THE PROGRAM AND ACTIVELY 2223 01:30:38,880 --> 01:30:41,240 ARE DOING WORK ON -- WITHIN ALL 2224 01:30:41,240 --> 01:30:44,200 THIS DATA AND OF REPRESENTING 2225 01:30:44,200 --> 01:30:46,840 AND COMING FROM 460 2226 01:30:46,840 --> 01:30:47,200 ORGANIZATIONS. 2227 01:30:47,200 --> 01:30:51,200 THAT INCLUDES 30HBCUS AT THIS 2228 01:30:51,200 --> 01:30:54,520 POINT AND 39 HISPANIC SERVING 2229 01:30:54,520 --> 01:30:55,040 INSTITUTIONS. 2230 01:30:55,040 --> 01:30:57,200 AND THEY ARE ALSO ANOTHER 2231 01:30:57,200 --> 01:30:58,280 NON-PROFITS IN THAT SETTING. 2232 01:30:58,280 --> 01:31:01,360 SO, I WANTED TO JUST GIVE YOU A 2233 01:31:01,360 --> 01:31:04,000 EXAMPLE WHAT IT LOOKS LIKE TO DO 2234 01:31:04,000 --> 01:31:04,680 GENOMEWIDE ASSOCIATION STUDY 2235 01:31:04,680 --> 01:31:07,480 THAT IS WALKING THROUGH TYPE 2 2236 01:31:07,480 --> 01:31:07,720 DIABETES. 2237 01:31:07,720 --> 01:31:09,640 SO, YOU KNOW, I -- I WAS PART OF 2238 01:31:09,640 --> 01:31:13,560 A NETWORK CALLED THE EMERGED 2239 01:31:13,560 --> 01:31:15,840 NETWORK SPONSORED BY NHDRI. ONE 2240 01:31:15,840 --> 01:31:19,360 OF THE EARLY PHENOTIECHS WE DID 2241 01:31:19,360 --> 01:31:21,840 AROUND EMERGE WAS TYPE 2 2242 01:31:21,840 --> 01:31:22,880 DIABETES TAKING US BETWEEN 2 AND 2243 01:31:22,880 --> 01:31:25,760 3 YEARS TO EXECUTE ALGORITHM 2244 01:31:25,760 --> 01:31:29,680 WITHIN EHR ACROSS 5 DIFFERENT 2245 01:31:29,680 --> 01:31:31,960 SITES TO EMAL GAMMATE DATA AND 2246 01:31:31,960 --> 01:31:37,160 WHEN I DID GWASS I BUILT 2247 01:31:37,160 --> 01:31:38,040 INFRASTRUCTURE AND SENSITIVITY 2248 01:31:38,040 --> 01:31:40,200 OF THE DATA AND COUPLE OF NODES 2249 01:31:40,200 --> 01:31:44,480 THAT COSTS $100,000 FOR ME TO 2250 01:31:44,480 --> 01:31:46,320 BUILD THAT WAS EXPENSIVE 2251 01:31:46,320 --> 01:31:47,560 UNDERTAKING TAKING A LONG TIME 2252 01:31:47,560 --> 01:31:49,120 TO WORK THROUGH THIS AND WAS 2253 01:31:49,120 --> 01:31:51,000 LOTS OF CODING BY LOTS OF PEOPLE 2254 01:31:51,000 --> 01:31:53,560 TO ACTUALLY WRITE QUERIES AND 2255 01:31:53,560 --> 01:31:55,560 PULL DATA AND HARMONIZE THEM 2256 01:31:55,560 --> 01:31:56,760 ACROSS DIFFERENT EHR AND YOU HAD 2257 01:31:56,760 --> 01:32:00,280 TO DO THINGS LIKE MANUALLY 2258 01:32:00,280 --> 01:32:02,000 CODING MISSPELLINGS OF WORDS 2259 01:32:02,000 --> 01:32:03,200 INTO OUR QUERIES. 2260 01:32:03,200 --> 01:32:04,920 NOW WE HAVE A NUMBER OF TOOLS 2261 01:32:04,920 --> 01:32:06,760 FOR THIS. IN THIS CASE, YOU 2262 01:32:06,760 --> 01:32:08,440 COME IN AND DESCRIBE YOUR WORK 2263 01:32:08,440 --> 01:32:10,040 SPACE YOU WANT TO DO IN ALL OF 2264 01:32:10,040 --> 01:32:12,640 US IN THIS CASE IN TYPE 2 2265 01:32:12,640 --> 01:32:15,000 DIABETES THAT TAKES 20 OR 30 2266 01:32:15,000 --> 01:32:17,120 MINUTES AND THEN YOU -- YOU GET 2267 01:32:17,120 --> 01:32:19,120 STARTED AND SO YOU ACTUALLY HAVE 2268 01:32:19,120 --> 01:32:22,320 WEB-BASED TOOLS THAT YOU CAN 2269 01:32:22,320 --> 01:32:24,320 BUILD COHORTS USING COMMON 2270 01:32:24,320 --> 01:32:26,080 BOOLEAN AND/OR NOT COUNTING 2271 01:32:26,080 --> 01:32:28,440 LOGIC AND THINGS LIKE THAT. 2272 01:32:28,440 --> 01:32:30,840 YOU CAN BUILD THIS TYPE 2 2273 01:32:30,840 --> 01:32:32,080 DIABETES ALGORITHM THAT IS 2274 01:32:32,080 --> 01:32:33,480 THERE. THEY ARE TOO SMALL TO 2275 01:32:33,480 --> 01:32:35,440 READ ON THE BOTTOM LEFT. YOU 2276 01:32:35,440 --> 01:32:37,320 CAN BUILD IT IN THE INTERFACE 2277 01:32:37,320 --> 01:32:39,080 POINTING AND CLICKING AND YOU 2278 01:32:39,080 --> 01:32:41,040 CAN ACTUALLY BUILD A DATA SET 2279 01:32:41,040 --> 01:32:42,720 THAT YOU WANT WITH A KEY 2280 01:32:42,720 --> 01:32:43,760 VARIABLES THAT YOU WANT TO 2281 01:32:43,760 --> 01:32:46,360 EXPORT AND ANALYZE IN YOUR 2282 01:32:46,360 --> 01:32:48,000 NOTEBOOK THAT IS WITH POINT AND 2283 01:32:48,000 --> 01:32:49,280 CLICK TOOLS AS WELL. WHEN YOU 2284 01:32:49,280 --> 01:32:51,480 WANT TO ACTUALLY DO ANALYSIS AT 2285 01:32:51,480 --> 01:32:54,320 THIS POINT YOU ARE DROPPED INTO 2286 01:32:54,320 --> 01:32:57,040 A JUPITER NOTEBOOK USING R OR 2287 01:32:57,040 --> 01:32:58,880 PYTHON AND WE ARE LOOKING TO 2288 01:32:58,880 --> 01:33:00,320 EXPAND TOOLS OVERTIME AND WE 2289 01:33:00,320 --> 01:33:02,360 HAVE A NUMBER OF DEMONSTRATION 2290 01:33:02,360 --> 01:33:04,400 NOTEBOOKS AS WELL INCLUDING ONES 2291 01:33:04,400 --> 01:33:09,000 HOW TO DO A GWAS. YOU CAN TAKE 2292 01:33:09,000 --> 01:33:11,200 GWAS NOTEBOOK WE BUILT AND TAKE 2293 01:33:11,200 --> 01:33:13,280 DATA SETS AND COHORTS AND CODE 2294 01:33:13,280 --> 01:33:15,040 IS WRITTEN THERE FORYOU AND YOU 2295 01:33:15,040 --> 01:33:16,920 CAN INSERT PIECES IN THE RIGHT 2296 01:33:16,920 --> 01:33:18,840 PLACES AND DO GWAS. 2297 01:33:18,840 --> 01:33:21,080 IN THIS CASE, WE HAVE BUILT THAT 2298 01:33:21,080 --> 01:33:22,880 COHORT AND WE HAVE BUILT DATA 2299 01:33:22,880 --> 01:33:25,800 SETS AND HAVE DONE ANALYSIS IN A 2300 01:33:25,800 --> 01:33:27,320 JUPITER NOTEBOOK AND IF FAMILIAR 2301 01:33:27,320 --> 01:33:30,320 WITH TYPE 2 DIABETES ONE OF THE 2302 01:33:30,320 --> 01:33:33,640 STRONGEST SIGNALS EARLY 2303 01:33:33,640 --> 01:33:36,400 IDENTIFIED WAS TCL702 YOU SEE 2304 01:33:36,400 --> 01:33:38,360 THAT THERE AND 23 MILLION SNIPS 2305 01:33:38,360 --> 01:33:41,200 IN THIS ANALYSIS AND 20,000 2306 01:33:41,200 --> 01:33:42,800 PARTICIPANTS AND CASES AND 2307 01:33:42,800 --> 01:33:44,720 CONTROLS TAKING TWENTD MINUTES 2308 01:33:44,720 --> 01:33:46,360 TO RUN AND TAKE POINT AND CLICK 2309 01:33:46,360 --> 01:33:48,840 AND SCALE UP TO A COUPLE HUNDRED 2310 01:33:48,840 --> 01:33:50,360 CPUS IF YOU WANT AND PICK THAT 2311 01:33:50,360 --> 01:33:52,240 AND TELLS YOU HOW MUCH IT COSTS 2312 01:33:52,240 --> 01:33:54,880 AND THIS ANALYSIS COSTS $3 SEVEN 2313 01:33:54,880 --> 01:33:56,880 TO RUN AND THIS WHOLE PROCESS 2314 01:33:56,880 --> 01:33:58,840 FROM START TO END TOOK THREE 2315 01:33:58,840 --> 01:33:59,200 DAYS. 2316 01:33:59,200 --> 01:34:00,920 SO, ONE PERSON THAT I HAVE IN MY 2317 01:34:00,920 --> 01:34:02,800 LAB THAT I CHARGED TO GO DO THIS 2318 01:34:02,800 --> 01:34:05,800 TO SEE HOW LONG IT WOULD TAKE 2319 01:34:05,800 --> 01:34:07,480 DIDN'T ACTUALLY -- DIDN'T TELL 2320 01:34:07,480 --> 01:34:09,800 HIM I WAS TIMING CAME BACK SO 2321 01:34:09,800 --> 01:34:11,640 FAST I KEPT TRACK HOW LONG IT 2322 01:34:11,640 --> 01:34:13,760 TOOK HIM TO DO AND DID IN 3 DAY 2323 01:34:13,760 --> 01:34:14,920 AND FASTER THAN BEFORE AND 2324 01:34:14,920 --> 01:34:16,680 DIDN'T HAVE TO MAP IT ACROSS ALL 2325 01:34:16,680 --> 01:34:19,000 THESE DIFFERENT YOU KNOW 2326 01:34:19,000 --> 01:34:20,640 ELECTRONIC HEALTH RECORD SETS. 2327 01:34:20,640 --> 01:34:22,800 SO, HERE IS JUST COUNTS OF 2328 01:34:22,800 --> 01:34:24,800 DIFFERENT DISEASES THAT ARE IN 2329 01:34:24,800 --> 01:34:27,120 ALL OF US THAT YOU CAN SEE HERE 2330 01:34:27,120 --> 01:34:29,080 JUST HOW MANY PARTICIPANTS WE 2331 01:34:29,080 --> 01:34:30,960 HAVE. SOME ARE MAYBE BROADER 2332 01:34:30,960 --> 01:34:33,280 AND WOW DO HEART DISEASE OF 2333 01:34:33,280 --> 01:34:35,160 73,000 PEOPLE AND YOU WOULD WANT 2334 01:34:35,160 --> 01:34:37,080 TO PROBABLY SUBTYPE THAT 20,000 2335 01:34:37,080 --> 01:34:39,600 PEOPLE WITH COPD AND THINGS LIKE 2336 01:34:39,600 --> 01:34:41,880 HEARING LOSS AND 30,000 PEOPLE 2337 01:34:41,880 --> 01:34:43,440 HAVE THAT IN THE RECORD AND 2338 01:34:43,440 --> 01:34:46,000 FALLS 25,000 PEOPLE HAVE THAT 2339 01:34:46,000 --> 01:34:48,200 NOTED AND COVID CAN BE ATTRACTED 2340 01:34:48,200 --> 01:34:49,800 MANY DIFFERENT WAYS AND WILL 2341 01:34:49,800 --> 01:34:52,080 TALK MORE ABOUT COVID LATER. 2342 01:34:52,080 --> 01:34:54,000 IN THIS SLIDE, ACTUALLY. 2343 01:34:54,000 --> 01:34:55,400 WE PARTNERED WITH RECOVER AND 2344 01:34:55,400 --> 01:34:57,360 HEARD THAT CAME UP IN THE 2345 01:34:57,360 --> 01:34:58,440 EARLIER QUESTION AND ANSWER 2346 01:34:58,440 --> 01:35:00,520 PERIOD. I JUST PULLED SOME OF 2347 01:35:00,520 --> 01:35:02,400 THIS. WE PARTNERED WITH RECOVER 2348 01:35:02,400 --> 01:35:05,480 AND THEY HAD DEVELOPED THROUGH 2349 01:35:05,480 --> 01:35:09,720 N3C NODE OF RECOVER AN ALGORITHM 2350 01:35:09,720 --> 01:35:11,840 TO IDENTIFY PARTICIPANTS OR 2351 01:35:11,840 --> 01:35:13,760 PATIENTS IN THEIR SYSTEM USING 2352 01:35:13,760 --> 01:35:15,080 MACHINE LEARNING APPROACHES THAT 2353 01:35:15,080 --> 01:35:16,640 MIGHT HAVE LONG COVID AND 2354 01:35:16,640 --> 01:35:19,160 TRAINED IT BASED ON SUBSET OF 2355 01:35:19,160 --> 01:35:23,200 LONG COVID PATIENTS THAT GED 2356 01:35:23,200 --> 01:35:25,200 ICD10 CODE FOR LONG COVID. WE 2357 01:35:25,200 --> 01:35:27,000 PARTNERED WITH THEM AND THEY 2358 01:35:27,000 --> 01:35:28,440 ADAPTED THEIR ALGORITHM FOR ALL 2359 01:35:28,440 --> 01:35:30,480 OF US. FORTUNATELY WE USE THE 2360 01:35:30,480 --> 01:35:34,720 SAME BASIC UNDERLYING DATA MODEL 2361 01:35:34,720 --> 01:35:37,880 AS N3C AND AMONGST PARTICIPANTS 2362 01:35:37,880 --> 01:35:41,680 AT TIME THAT HAS RUN ON 15,000 2363 01:35:41,680 --> 01:35:43,360 COVID POSITIVE PATIENTS THAT 2364 01:35:43,360 --> 01:35:46,680 COUNT THE AS POSITIVE BASED ON 2365 01:35:46,680 --> 01:35:48,520 DEFINITION AND OF THOSE ABOUT 2366 01:35:48,520 --> 01:35:50,400 1800 IDENTIFIED AS POSSIBLY 2367 01:35:50,400 --> 01:35:52,520 HAVING LONG COVID. I WILL 2368 01:35:52,520 --> 01:35:55,000 HIGHLIGHT HOOER AS MANY OF YOU 2369 01:35:55,000 --> 01:35:57,400 KNOW WITH LONG COVID THAT ICD10 2370 01:35:57,400 --> 01:35:59,320 CODE THAT IS ACTUALLY RELATIVELY 2371 01:35:59,320 --> 01:36:00,960 NEW. 2372 01:36:00,960 --> 01:36:02,960 AND IT TURNED OUT WHEN THIS 2373 01:36:02,960 --> 01:36:04,720 ANALYSIS WAS DONE 30 PEOPLE HAD 2374 01:36:04,720 --> 01:36:07,320 THAT ICD10 CODE AND MANY PEOPLE 2375 01:36:07,320 --> 01:36:08,800 OF COURSE THE VAST MAJORITY OF 2376 01:36:08,800 --> 01:36:10,320 PEOPLE THAT LOOK LIKE THEY HAVE 2377 01:36:10,320 --> 01:36:12,640 LONG COVID DON'T HAVE ICD10 CODE 2378 01:36:12,640 --> 01:36:14,800 IN OUR DATA SET THAT IS REALLY 2379 01:36:14,800 --> 01:36:16,400 NOT THAT SURPRISING. 2380 01:36:16,400 --> 01:36:18,320 WE DO SEE TIME FOR THINGS TO 2381 01:36:18,320 --> 01:36:20,280 BECOME ADOPTED AND BECOME PART 2382 01:36:20,280 --> 01:36:21,120 OF BILLING PRACTICE. 2383 01:36:21,120 --> 01:36:24,640 AND ADDITIONALLY, YOU KNOW, 2384 01:36:24,640 --> 01:36:26,640 ICD10 CODES HAVE FALSE POSITIVE 2385 01:36:26,640 --> 01:36:28,760 AS WELL AS FALSE NEGATIVE. THIS 2386 01:36:28,760 --> 01:36:30,040 HAS BECOME A DEMONSTRATION 2387 01:36:30,040 --> 01:36:31,640 WORKSPACE THAT WE CALL IT. IF 2388 01:36:31,640 --> 01:36:34,120 YOU ARE A USER YOU CAN GO RIGHT 2389 01:36:34,120 --> 01:36:35,920 THROUGH THIS HERE AND GET ANYONE 2390 01:36:35,920 --> 01:36:38,360 WHO IS A -- WHO IS OF THOSE 2391 01:36:38,360 --> 01:36:39,680 4,000 RESEARCHERS THAT ARE 2392 01:36:39,680 --> 01:36:42,200 CURRENTLY ON THE SYSTEM IT THAT 2393 01:36:42,200 --> 01:36:45,800 CAN GO GRAB THIS NOTEBOOK 2394 01:36:45,800 --> 01:36:47,360 BUILDING OFF IT AND DOING 2395 01:36:47,360 --> 01:36:48,880 RESEARCH ON LONG COVID THAT IS 2396 01:36:48,880 --> 01:36:51,880 THERE TO BE USED, CLONED, 2397 01:36:51,880 --> 01:36:52,920 COPIED, MODIFIED FOR YOUR 2398 01:36:52,920 --> 01:36:53,240 RESEARCH. 2399 01:36:53,240 --> 01:36:54,960 WHAT DOES IT LOOK LIKE TO GAIN 2400 01:36:54,960 --> 01:36:56,200 ACCESS TO THE SYSTEM? 2401 01:36:56,200 --> 01:36:58,760 SO, THERE IS A -- THERE IS A FEW 2402 01:36:58,760 --> 01:37:00,200 STEPS HERE THAT STARTS WITH YOU 2403 01:37:00,200 --> 01:37:03,040 KNOW LIKE I TALKED TO YOU ABOUT 2404 01:37:03,040 --> 01:37:04,920 USING A DATA BROWSER AND SEEING 2405 01:37:04,920 --> 01:37:05,880 WHAT IS THERE AND AFTER THAT 2406 01:37:05,880 --> 01:37:08,280 YOUR INSTITUTION HAS TO HAVE AN 2407 01:37:08,280 --> 01:37:09,400 AGREEMENT WITH US AND VAST 2408 01:37:09,400 --> 01:37:10,960 MAJORITY OF INSTITUTIONS SIGN 2409 01:37:10,960 --> 01:37:13,360 MASTER AGREEMENTS MEANING THAT 2410 01:37:13,360 --> 01:37:15,240 ANY NEW USER HOWEVER THEY WANT 2411 01:37:15,240 --> 01:37:16,800 TO VALIDATE THAT USER CAN GET 2412 01:37:16,800 --> 01:37:18,800 STARTED IMMEDIATELY. THEY HAVE 2413 01:37:18,800 --> 01:37:20,920 A BLANKET AGREEMENT FOR THAT NEW 2414 01:37:20,920 --> 01:37:26,400 USER THAT TAKES A MEETING OF A 2415 01:37:26,400 --> 01:37:28,520 MONTH TO ONBOARD A NEW 2416 01:37:28,520 --> 01:37:29,920 INSTITUTION GOING THROUGH THAT 2417 01:37:29,920 --> 01:37:31,320 MASTER AGREEMENT PROCESS. IT IS 2418 01:37:31,320 --> 01:37:34,360 FAST AS FAR ASS THEY THIENGS GO 2419 01:37:34,360 --> 01:37:37,040 AND FROM A NEW RESEARCHER COMING 2420 01:37:37,040 --> 01:37:40,040 FROM THAT INSTITUTION THEY COME 2421 01:37:40,040 --> 01:37:42,720 ON AND APPLY FOR WORK RESEARCHER 2422 01:37:42,720 --> 01:37:44,480 BENCH ACCOUNT AND GO THROUGH 2423 01:37:44,480 --> 01:37:45,840 THAT PROCESS VALIDATE THEIR 2424 01:37:45,840 --> 01:37:47,720 IDENTITY AND COMPLETE TRAINING 2425 01:37:47,720 --> 01:37:49,800 THAT TAKES 1 TO 2 HOURS OF 2426 01:37:49,800 --> 01:37:51,680 SPECIFIC TRAINING AS WELL AS 2427 01:37:51,680 --> 01:37:53,520 GENERAL HUMAN SUNTS TRAINING AND 2428 01:37:53,520 --> 01:37:55,520 CAUGHT UP IN STUFF THEY NEED TO 2429 01:37:55,520 --> 01:37:58,320 KNOW RELEVANT TO USING ALL OF US 2430 01:37:58,320 --> 01:38:00,000 AND SIGN A CODE OF CONDUCT HOW 2431 01:38:00,000 --> 01:38:01,760 THEY WILL WORK WITH THAT SYSTEM 2432 01:38:01,760 --> 01:38:03,720 AND FOR INSTANCE NOT 2433 01:38:03,720 --> 01:38:05,160 RE-IDENTIFYING WITH PEOPLE AND 2434 01:38:05,160 --> 01:38:06,280 UNDERSTANDING THEIR DATA OR 2435 01:38:06,280 --> 01:38:07,600 WORKSPACES COULD BE AUDITED IF 2436 01:38:07,600 --> 01:38:13,800 THEY SEE OR IF WE SEE TYPES OF 2437 01:38:13,800 --> 01:38:15,320 ACTIVITY THAT SEEMS SUSPICIOUS 2438 01:38:15,320 --> 01:38:16,880 AND THINGS LIKE THAT. THEY ARE 2439 01:38:16,880 --> 01:38:18,800 READY TO GET STARTED AND CREATE 2440 01:38:18,800 --> 01:38:21,120 A NEW WORK SPACE AND DO WORK. A 2441 01:38:21,120 --> 01:38:23,640 NEW USER THAT COMES TO THE WORK 2442 01:38:23,640 --> 01:38:25,240 BENCH FOR THE VERY FIRST TIME 2443 01:38:25,240 --> 01:38:28,640 FROM ONE OF THE 430 INSTITUTIONS 2444 01:38:28,640 --> 01:38:30,640 CAN ACTUALLY SIGN IN FOR THE 2445 01:38:30,640 --> 01:38:32,840 FIRST TIME. THEY CAN BILL THEIR 2446 01:38:32,840 --> 01:38:34,360 FIRST ANALYSIS IN ABOUT TWO 2447 01:38:34,360 --> 01:38:36,600 HOURS AND GO THROUGH THIS WHOLE 2448 01:38:36,600 --> 01:38:38,280 PROGRAM AND WILL HAVE BEEN 2449 01:38:38,280 --> 01:38:39,840 APPROVED AS A NEW RESEARCHER. 2450 01:38:39,840 --> 01:38:41,560 THEY CAN START TO DO WORK. I 2451 01:38:41,560 --> 01:38:44,240 HAD A FORMER PHD STUDENT WHO WAS 2452 01:38:44,240 --> 01:38:46,640 ABLE TO REPLICATE ANALYSIS HE 2453 01:38:46,640 --> 01:38:49,440 SPENT A COUPLE YEARS WORKING ON 2454 01:38:49,440 --> 01:38:52,040 IT AT VANDERBILT AND PRODUCED 2455 01:38:52,040 --> 01:38:54,360 RESULT REPLICATING IT IN ALL OF 2456 01:38:54,360 --> 01:38:56,640 US FROM START OR FROM FIRST 2457 01:38:56,640 --> 01:38:58,120 APPLICATION TO FIGURE THAT WAS 2458 01:38:58,120 --> 01:39:00,000 READY FOR A MANUSCRIPT IN ABOUT 2459 01:39:00,000 --> 01:39:00,640 A WEEK. 2460 01:39:00,640 --> 01:39:02,400 SO, WHAT KINDS OF RESEARCH CAN 2461 01:39:02,400 --> 01:39:04,240 ALL OF US SUPPORT? 2462 01:39:04,240 --> 01:39:05,680 YOU CAN'T SUPPORT EVERYTHING. 2463 01:39:05,680 --> 01:39:08,120 WE ARE NOT A REPRESENTATIVE US 2464 01:39:08,120 --> 01:39:08,720 SAMPLE. 2465 01:39:08,720 --> 01:39:10,960 WE DON'T HAVE UNIFORM FOLLOW UP 2466 01:39:10,960 --> 01:39:12,080 OF ALL VARIABLES. 2467 01:39:12,080 --> 01:39:13,760 WITHIN THAT CONTEXT THERE IS ALL 2468 01:39:13,760 --> 01:39:17,080 SORTS OF THINGS WE CAN SUPPORT 2469 01:39:17,080 --> 01:39:18,360 AND ASSOCIATIONS BETWEEN 2470 01:39:18,360 --> 01:39:19,800 DISEASES MEDICATIONS BEHAVIORS 2471 01:39:19,800 --> 01:39:22,120 AND MANY OTHER FACTORS SOCIAL 2472 01:39:22,120 --> 01:39:23,840 DETERMINANTS OF HEALTH RECENT 2473 01:39:23,840 --> 01:39:25,040 MODULE WE LAUNCH ABOUT THAT. 2474 01:39:25,040 --> 01:39:27,680 HEALTH DISPARITIES WE ARE VERY 2475 01:39:27,680 --> 01:39:29,680 INTERESTED IN PROMOTING HEALTH 2476 01:39:29,680 --> 01:39:31,800 EQUITY THROUGH OUR SYSTEM AND 2477 01:39:31,800 --> 01:39:34,320 ACROSS HISTORICALLY 2478 01:39:34,320 --> 01:39:35,520 UNDER-REPRESENTED POPULATIONS 2479 01:39:35,520 --> 01:39:37,000 THINKING ABOUT BROADLY WHAT 2480 01:39:37,000 --> 01:39:39,720 TERMS MIGHT MEAN ASSESSING IT 2481 01:39:39,720 --> 01:39:42,360 BROADLY WITHIN OUR POPULATION 2482 01:39:42,360 --> 01:39:45,240 GENOMICS FARMICO GENOMICS 2483 01:39:45,240 --> 01:39:46,080 MEDICATIONS OVER TIME DRUG 2484 01:39:46,080 --> 01:39:47,840 RESPONSE PHENOTYPE AS PART OF 2485 01:39:47,840 --> 01:39:51,600 THAT MAPPING GENOMICS ON DRUG 2486 01:39:51,600 --> 01:39:52,960 TARGET DISCOVERY AND PREVENTION 2487 01:39:52,960 --> 01:39:55,360 AND HEALTH SCREENING EFFORTS 2488 01:39:55,360 --> 01:39:58,320 LOOKING AT COMPARING HOW SOME 2489 01:39:58,320 --> 01:40:00,440 DATA AND COMPARING TO IN HANES 2490 01:40:00,440 --> 01:40:02,240 FOR INSTANCE AND CIRCUMSTANCES 2491 01:40:02,240 --> 01:40:04,960 SOME OTHER PUBLISHED ON OTHER 2492 01:40:04,960 --> 01:40:07,800 TOPICS AND GEOSPATIAL LINKAGES 2493 01:40:07,800 --> 01:40:12,160 RIGHT NOW AVAILABLE 3 DIGIT -- 2494 01:40:12,160 --> 01:40:15,440 YOU CAN DO WIDE VARIETY OF 2495 01:40:15,440 --> 01:40:17,440 ANALYSIS FROM BASIC STATISTICS 2496 01:40:17,440 --> 01:40:21,640 TO PREDICTIVE ANALYSTICS TO 2497 01:40:21,640 --> 01:40:23,000 ARTIFICIAL INTELLIGENCE 2498 01:40:23,000 --> 01:40:25,360 STATISTICS AND MANY MOR AND 2499 01:40:25,360 --> 01:40:26,000 SCATTERED PUBLICATIONS IT THAT 2500 01:40:26,000 --> 01:40:27,280 HAVE HAPPENED MORE RECENTLY IT 2501 01:40:27,280 --> 01:40:29,160 THAT I WILL TALK ABOUT A FEW IN 2502 01:40:29,160 --> 01:40:30,640 MORE DETAIL. YOU SEE A NUMBER 2503 01:40:30,640 --> 01:40:32,240 OF DIFFERENT THINGS BEING DONE 2504 01:40:32,240 --> 01:40:34,520 ACROSS THE PROGRAM. THIS IS ONE 2505 01:40:34,520 --> 01:40:40,400 LOOKING AT THE SO-CALLED LATINO 2506 01:40:40,400 --> 01:40:41,720 EPIDEMIOLOGICAL PARADOX WHERE 2507 01:40:41,720 --> 01:40:43,760 THERE IS OR HAS BEEN SOME 2508 01:40:43,760 --> 01:40:45,600 EVIDENCE THAT IS OF THAT 2509 01:40:45,600 --> 01:40:48,080 PARTICIPANTS WHO IDENTIFY AS 2510 01:40:48,080 --> 01:40:49,800 HISPANIC LATINO AND WHO HAVE 2511 01:40:49,800 --> 01:40:53,480 LOWER INCIDENTS OF 2512 01:40:53,480 --> 01:40:54,360 CARDIOVASCULAR DISEASE IN 2513 01:40:54,360 --> 01:40:55,840 CERTAIN CIRCUMSTANCES AND IN 2514 01:40:55,840 --> 01:40:59,880 THIS CASE FOUND HIGHER INSTANCES 2515 01:40:59,880 --> 01:41:01,760 OF CARDIOVASCULAR DISEASE TO 2516 01:41:01,760 --> 01:41:03,400 WHITE PARTICIPANTS AND SOMETIMES 2517 01:41:03,400 --> 01:41:04,360 BLACK PARTICIPANTS IN CASES AND 2518 01:41:04,360 --> 01:41:05,880 WERE ABLE TO DO THIS. ONE THING 2519 01:41:05,880 --> 01:41:08,200 I LIKED ABOUT THIS IS IT WAS LED 2520 01:41:08,200 --> 01:41:11,080 BY A RESIDENT AT MIAMI. SO, 2521 01:41:11,080 --> 01:41:13,000 JUST SHOWING ABILITY TO INVOLVE 2522 01:41:13,000 --> 01:41:14,800 PEOPLE IN EARLIER STAGES OF THE 2523 01:41:14,800 --> 01:41:18,360 CAREER. IN FACT, THERE IS A 2524 01:41:18,360 --> 01:41:21,920 RECENT HIGH SCHOOL SCIENCE 2525 01:41:21,920 --> 01:41:24,120 COMPETITION AWARDEE WHO USED ALL 2526 01:41:24,120 --> 01:41:25,520 OF US. WE ARE EXCITED TO SEE 2527 01:41:25,520 --> 01:41:27,800 SOME OF THE EARLIER ENGAGEMENTS 2528 01:41:27,800 --> 01:41:30,160 OF PEOPLE ALONG THE TRAINING 2529 01:41:30,160 --> 01:41:30,400 STAGES. 2530 01:41:30,400 --> 01:41:33,600 THIS HAS BEEN ONE OF THE MORE 2531 01:41:33,600 --> 01:41:35,440 RECENT PAPERS OUT LOOKING AT 2532 01:41:35,440 --> 01:41:37,000 STEP COUNT AND INFLUENCE ON 2533 01:41:37,000 --> 01:41:37,440 HEALTH. 2534 01:41:37,440 --> 01:41:41,000 WHAT THEY DID IS LOOKED AT STEP 2535 01:41:41,000 --> 01:41:42,320 COUNT AND QUANTITY FICTION OF 2536 01:41:42,320 --> 01:41:46,320 THAT OF COURSE FROM FITBIT DATA 2537 01:41:46,320 --> 01:41:48,640 AND INCIDENT DIAGNOSIS OVER TIME 2538 01:41:48,640 --> 01:41:50,320 STARTING AT 6 MONTHS FOLLOWING 2539 01:41:50,320 --> 01:41:53,560 THAT AND DID THIS THROUGH A 2540 01:41:53,560 --> 01:41:59,680 NUMBER OF COX MODELING HAZARD 2541 01:41:59,680 --> 01:42:01,800 RATIOS OVER TIME YOU SEE HERE 2542 01:42:01,800 --> 01:42:03,400 NOT SURPRISINGLY A NUMBER OF 2543 01:42:03,400 --> 01:42:04,920 DISEASES HAVE A PROTECTIVE 2544 01:42:04,920 --> 01:42:06,360 EFFECT. SOME OF THE BIGGEST 2545 01:42:06,360 --> 01:42:08,320 ONES SO BASICALLY MORE STEPS 2546 01:42:08,320 --> 01:42:11,040 EQUAL LESS LIKELIHOOD OF 2547 01:42:11,040 --> 01:42:13,240 OCCURRING ARE THINGS LIKE 2548 01:42:13,240 --> 01:42:15,760 OBSTRUCTIVE SLEEP APP KNEE AH 2549 01:42:15,760 --> 01:42:17,720 OBESITY AND TYPE 2 DIABETES AND 2550 01:42:17,720 --> 01:42:21,440 THINGS LIKE THAT. THEM FASIZES 2551 01:42:21,440 --> 01:42:23,480 FEN OHMWIDE APPROACH AVAILABLE 2552 01:42:23,480 --> 01:42:25,640 THROUGH RESOURCES IT THAT 2553 01:42:25,640 --> 01:42:26,840 CAPTURE COMPREHENSIVE PHENOTYPIC 2554 01:42:26,840 --> 01:42:29,080 DATA ACROSS A NUMBER OF DOMAINS 2555 01:42:29,080 --> 01:42:31,760 BOTH IN THIS CASE SURVEY AND 2556 01:42:31,760 --> 01:42:32,680 ELECTRONIC HEALTH RECORD AND IN 2557 01:42:32,680 --> 01:42:35,880 THIS ANALYSIS THEY USE 2558 01:42:35,880 --> 01:42:36,880 ELECTRONIC HEALTH RECORD AND 2559 01:42:36,880 --> 01:42:38,680 BOTH ARE OF COURSE AVAILABLE. 2560 01:42:38,680 --> 01:42:41,800 ONE THING REASSURING TO ME AS A 2561 01:42:41,800 --> 01:42:43,120 PRIMARY CARE PROVIDER ONCE UPON 2562 01:42:43,120 --> 01:42:48,120 A TIME WAS THAT YOU SEE THAT YOU 2563 01:42:48,120 --> 01:42:50,480 DON'T NECESSARILY HAVE TO GET TO 2564 01:42:50,480 --> 01:42:52,200 10,000 TO SEE INFLUENCES ON 2565 01:42:52,200 --> 01:42:53,880 HEALTH. YOU LOOK AT THE RIGHT 2566 01:42:53,880 --> 01:42:55,640 FIGURE. YOU KNOW? 2567 01:42:55,640 --> 01:42:57,400 DOUBLING YOUR ACCOUNT FROM 2,000 2568 01:42:57,400 --> 01:42:59,920 TO 4,000 A DAY AND ACTUALLY HAS 2569 01:42:59,920 --> 01:43:02,360 AN EFFECT ON A NUMBER OF HEALTH 2570 01:43:02,360 --> 01:43:03,920 OUTCOMES AND YOU CAN IMAGINE 2571 01:43:03,920 --> 01:43:05,920 THIS IN ANY CONTINUOUS FASHION. 2572 01:43:05,920 --> 01:43:07,680 ACTUALLY, WE NEED MORE DATA LIKE 2573 01:43:07,680 --> 01:43:10,360 THESE TO LOOK AT A LOT OF THE 2574 01:43:10,360 --> 01:43:11,520 OBSERVABLE ATTRIBUTES TO MEASURE 2575 01:43:11,520 --> 01:43:13,800 NOW TO KNOW IF THEY REALLY HAVE 2576 01:43:13,800 --> 01:43:15,640 CLINICAL IMPACTS OR NOT IN A 2577 01:43:15,640 --> 01:43:17,080 WEARY AND SURE WAY. I WANT TO 2578 01:43:17,080 --> 01:43:18,240 TALK ABOUT SOME OF THE THINGS 2579 01:43:18,240 --> 01:43:20,040 THAT ARE COMING IN THIS YEAR 2580 01:43:20,040 --> 01:43:22,160 THAT WE WILL REALLY HAVE MORE 2581 01:43:22,160 --> 01:43:25,720 DEVELOPMENTS IN THE MENTAL 2582 01:43:25,720 --> 01:43:27,040 HEALTH SPACE IN PARTICULAR. 2583 01:43:27,040 --> 01:43:29,320 WE ACTUALLY DID MENTAL HEALTH 2584 01:43:29,320 --> 01:43:31,800 SURVEYS IN REPEATED MEASURE 2585 01:43:31,800 --> 01:43:34,320 AROUND COVID-19 DURING 2020 AND 2586 01:43:34,320 --> 01:43:38,080 EARLY 2021. IT ALSO INCLUDED OF 2587 01:43:38,080 --> 01:43:39,960 COURSE AROUND THINGS LIKE COVID 2588 01:43:39,960 --> 01:43:42,440 AND WE WILL INVEST IN MORE OF 2589 01:43:42,440 --> 01:43:44,880 THAT THIS YEAR LAUNCHING SURVEY 2590 01:43:44,880 --> 01:43:46,360 MODULE AROUND MENTAL HEALTH AND 2591 01:43:46,360 --> 01:43:48,240 WELL BEING THIS YEAR AND COMING 2592 01:43:48,240 --> 01:43:49,680 FROM A NUMBER OF DIFFERENT 2593 01:43:49,680 --> 01:43:51,320 DOMAINS LIKE ALL STUDIES AND 2594 01:43:51,320 --> 01:43:55,800 SURVEYS WE TRY TO BORROW FROM 2595 01:43:55,800 --> 01:43:57,520 ESTABLISHED WELL VALIDATED 2596 01:43:57,520 --> 01:43:59,480 INSTRUMENTS AND ALL CONTENT IS 2597 01:43:59,480 --> 01:44:01,560 IN ENGLISH AND SPANISH. WE WILL 2598 01:44:01,560 --> 01:44:02,760 TRY TO RETURN INFORMATION FROM 2599 01:44:02,760 --> 01:44:04,600 THIS AS WELL. WE STARTED A 2600 01:44:04,600 --> 01:44:06,520 PILOT OF SOMETHING THAT IS A 2601 01:44:06,520 --> 01:44:10,000 LITTLE MORE INTERACTIVE AND MORE 2602 01:44:10,000 --> 01:44:11,680 FUN THAT ASSESSES QUANTITATIVE 2603 01:44:11,680 --> 01:44:12,960 INSTRUMENT AND ELEMENTS THAT ARE 2604 01:44:12,960 --> 01:44:16,920 AROUND MENTAL HEALTH. IT MAY 2605 01:44:16,920 --> 01:44:19,720 REALLY GET AT MORE DETAILED 2606 01:44:19,720 --> 01:44:20,720 PROGNOSTIC FACTORS TO THINK 2607 01:44:20,720 --> 01:44:22,360 ABOUT AND ASSOCIATE WITH 2608 01:44:22,360 --> 01:44:24,960 DIFFERENT DISEASE STATES AND 2609 01:44:24,960 --> 01:44:27,520 HEALTH STATES AND RESILIENCE IN 2610 01:44:27,520 --> 01:44:29,000 DIFFERENT CONDITION AND LAUNCHED 2611 01:44:29,000 --> 01:44:30,400 FOUR OF THEM CALLED EXPLORING 2612 01:44:30,400 --> 01:44:33,520 THE LINE. YOU CAN SEE WHAT SOME 2613 01:44:33,520 --> 01:44:35,040 ARE THINGS LIKE ASSESSING 2614 01:44:35,040 --> 01:44:38,320 WHETHER OR NOT LOOKING AT 2615 01:44:38,320 --> 01:44:38,920 PROBABILISTIC REWARD ELEMENT 2616 01:44:38,920 --> 01:44:42,200 HERE WHETHER OR NOT THERE ARE 2617 01:44:42,200 --> 01:44:44,160 MORE THAN 24 DOTS ON THE SCREEN 2618 01:44:44,160 --> 01:44:46,360 OR NOT IN A VERY RAPID FASHION 2619 01:44:46,360 --> 01:44:48,600 OR RECOGNIZING EMOTION THAT IS 2620 01:44:48,600 --> 01:44:51,200 PORTRAYED IN A DIVERSE SET OF 2621 01:44:51,200 --> 01:44:53,880 PICTURES OF DIFFERENT PHASES. 2622 01:44:53,880 --> 01:44:56,760 THESE ELEMENTS ARE -- PROVIDE 2623 01:44:56,760 --> 01:44:58,320 QUANTITATIVE MEASURES THAT CAN 2624 01:44:58,320 --> 01:45:00,200 BE ASSOCIATED WITH ALL KINDS OF 2625 01:45:00,200 --> 01:45:02,640 ELEMENTS WE HAVE THAT IS A 2626 01:45:02,640 --> 01:45:04,480 PARTNERSHIP WITH NIMH. I WANT 2627 01:45:04,480 --> 01:45:07,040 TO TELL YOU A BIT ABOUT WHAT 2628 01:45:07,040 --> 01:45:08,800 5-YEAR GOALS ARE THAT WE 2629 01:45:08,800 --> 01:45:11,000 ESTABLISHED IN 2021 AND BY END 2630 01:45:11,000 --> 01:45:13,800 OF 2026 WE WANT TO REACH A 2631 01:45:13,800 --> 01:45:15,040 MILLION DIVERSE PARTICIPANTS 2632 01:45:15,040 --> 01:45:17,960 THAT HAVE ENROLLED ACROSS THE 2633 01:45:17,960 --> 01:45:20,280 LIFESPAN THAT MEANS LAUNCHING 2634 01:45:20,280 --> 01:45:21,600 PEDIATRIC COHORT AND ENROLLMENT 2635 01:45:21,600 --> 01:45:24,160 AND SHARED ALL BASELINE 2636 01:45:24,160 --> 01:45:24,400 ELEMENTS. 2637 01:45:24,400 --> 01:45:27,840 AND WE, OF COURSE, WANT TO KEEP 2638 01:45:27,840 --> 01:45:28,800 LONGITUDINAL ENGAGEMENT WITH 2639 01:45:28,800 --> 01:45:31,840 THEM AND WANT TO EXPAND DATA 2640 01:45:31,840 --> 01:45:33,400 AVAILABLE THROUGH 1 MILLION 2641 01:45:33,400 --> 01:45:35,080 PARTICIPANTS TO, OF COURSE, 2642 01:45:35,080 --> 01:45:36,960 INCLUDE CURRENT DATA AND EXPAND 2643 01:45:36,960 --> 01:45:38,640 THAT TO CONTINUE TO LAUNCH NEW 2644 01:45:38,640 --> 01:45:39,920 SURVEYS AND IMPORTANTLY ONE AREA 2645 01:45:39,920 --> 01:45:42,000 THAT I KNOW WE ARE MISSING AND 2646 01:45:42,000 --> 01:45:44,720 WANT TO BOLSTER WOULD BE 2647 01:45:44,720 --> 01:45:45,360 ENVIRONMENTAL DATA AND CONTINUE 2648 01:45:45,360 --> 01:45:46,440 TO GROW THAT. 2649 01:45:46,440 --> 01:45:49,280 A NEW COMPONENT OF OUR GOALS FOR 2650 01:45:49,280 --> 01:45:51,840 OUR PROGRAM ARE ANCILLARY 2651 01:45:51,840 --> 01:45:54,360 STUDIES AND STUDIES WILL BILTD 2652 01:45:54,360 --> 01:45:55,800 ON COHORT LIKE EXPLORING OF MIND 2653 01:45:55,800 --> 01:45:57,560 THAT I WILL TELL YOU ABOUT 2654 01:45:57,560 --> 01:45:59,080 ANOTHER ONE IN A SECOND AND 2655 01:45:59,080 --> 01:46:00,120 BUILDING OFF THIS COHORT WILL 2656 01:46:00,120 --> 01:46:03,000 USE IT FOR THINGS LIKE 2657 01:46:03,000 --> 01:46:05,800 PARTICIPANT RECONTACT OR 2658 01:46:05,800 --> 01:46:06,360 BIOSPECIMENS HAVING PEOPLE 2659 01:46:06,360 --> 01:46:09,120 BRINGING IDEAS AND PARTNERSHIPS 2660 01:46:09,120 --> 01:46:11,480 WITH NIH INSTITUTES AND CENTERS 2661 01:46:11,480 --> 01:46:13,640 TO REALLY BUILD OFF OUR PROGRAM. 2662 01:46:13,640 --> 01:46:16,200 WE WANT TO GROW RESEARCHERS 2663 01:46:16,200 --> 01:46:18,120 LOOKING AT THERE IS NOT A LOT OF 2664 01:46:18,120 --> 01:46:20,520 PRIOR ART IN DATA AND WHEN WE 2665 01:46:20,520 --> 01:46:23,080 SET THEM IN 2021 LOOKING AT 2666 01:46:23,080 --> 01:46:24,240 AVAILABLE DATA AND NUMBER OF 2667 01:46:24,240 --> 01:46:27,120 RESEARCHERS AND STUDIES IN UK 2668 01:46:27,120 --> 01:46:29,560 BIOBANK WE SET GOAL AS 10,000 2669 01:46:29,560 --> 01:46:32,200 RESEARCHERS. WE HAVE 4,000 2670 01:46:32,200 --> 01:46:32,840 ALREADY. 2671 01:46:32,840 --> 01:46:35,000 YOU KNOW, I THINK WE WILL BLOW 2672 01:46:35,000 --> 01:46:36,360 THROUGH THE GOAL AND WHAT WE SET 2673 01:46:36,360 --> 01:46:39,840 OR WHAT WE THOUGHT WAS ACTUALLY 2674 01:46:39,840 --> 01:46:43,480 A SOMEWHAT, YOU KNOW, AMBITIOUS 2675 01:46:43,480 --> 01:46:45,200 NUMBER. WE STILL HAVE TO EXPAND 2676 01:46:45,200 --> 01:46:47,440 THAT GLOBAL OR COMMUNITY TO BE A 2677 01:46:47,440 --> 01:46:49,800 GLOBAL COMMUNITY OF RESEARCHERS 2678 01:46:49,800 --> 01:46:51,440 AS WELL AND THEN PARTICIPANT 2679 01:46:51,440 --> 01:46:53,920 VALUE. WE WANT TO CONTINUE TO 2680 01:46:53,920 --> 01:46:54,760 RETURN PARTICIPANT VALUE AND 2681 01:46:54,760 --> 01:46:57,520 EXPAND IT AND SETTING IN 2021 WE 2682 01:46:57,520 --> 01:47:01,120 JUST STARTED NON-HEALTH RELATED 2683 01:47:01,120 --> 01:47:02,760 GENOMIC RETURN AND NON-EHR 2684 01:47:02,760 --> 01:47:05,400 RETURN AND YOU SEE OF COURSE WE 2685 01:47:05,400 --> 01:47:07,400 ARE DOING HEALTH RELATED GENOMIC 2686 01:47:07,400 --> 01:47:09,240 RETURN THAT IS REALLY IMPORTANT 2687 01:47:09,240 --> 01:47:10,960 IN THINKING ABOUT HOW WE MAKE A 2688 01:47:10,960 --> 01:47:13,800 DIFFERENCE AND THINGS LIKE 2689 01:47:13,800 --> 01:47:15,760 HEALTH PRACTICE IN THIS COUNTRY 2690 01:47:15,760 --> 01:47:18,480 AND UP TO A MILLION DIVERSE 2691 01:47:18,480 --> 01:47:20,320 PARTICIPANTS WITH GENOMIC 2692 01:47:20,320 --> 01:47:21,840 RESULTS TAKING THEM TO PROVIDERS 2693 01:47:21,840 --> 01:47:24,920 THINKING ABOUT ULTLE MEATALLY 2694 01:47:24,920 --> 01:47:28,880 PRESCRIBING CARE AND/OR HEALTH 2695 01:47:28,880 --> 01:47:30,160 SCREENING BASED ON THESE. 2696 01:47:30,160 --> 01:47:32,240 WE WILL PROMOTE PRECISION 2697 01:47:32,240 --> 01:47:33,200 MEDICINE ACROSS THE COUNTRY THAT 2698 01:47:33,200 --> 01:47:36,120 IS MY HOPE AND SEEING CHANGES 2699 01:47:36,120 --> 01:47:37,200 WITHIN HEALTH CARE INSTITUTIONS 2700 01:47:37,200 --> 01:47:38,960 ALREADY THINKING ABOUT HOW TO 2701 01:47:38,960 --> 01:47:41,920 READY THEMSELVES FOR 2702 01:47:41,920 --> 01:47:43,480 PARTICIPANTS GETTING THIS SORT 2703 01:47:43,480 --> 01:47:46,080 OF DATA AND MENTIONED ANCILLARY 2704 01:47:46,080 --> 01:47:49,280 STUDIES AND I WILL TALK ABOUT A 2705 01:47:49,280 --> 01:47:51,720 LARGE ONE KICKING OFF SHORTLY 2706 01:47:51,720 --> 01:47:53,680 FOR ENROLLMENT PART OF NIH 2707 01:47:53,680 --> 01:47:57,280 COMMON FUND PROJECTS CALLED 2708 01:47:57,280 --> 01:47:58,640 NUTRITION FOR PRECISION HEALTH 2709 01:47:58,640 --> 01:48:01,800 THAT IS IMBEDDED WITHIN THE ALL 2710 01:48:01,800 --> 01:48:03,040 OF US PROGRAM. 2711 01:48:03,040 --> 01:48:04,680 IT HAS THREE DIFFERENT MODULES 2712 01:48:04,680 --> 01:48:06,920 STARTING WITH ENROLLMENT OF 2713 01:48:06,920 --> 01:48:09,400 10,000 PARTICIPANTS THAT WILL 2714 01:48:09,400 --> 01:48:11,040 UNDERGO MORE EXTENSIVE 2715 01:48:11,040 --> 01:48:13,120 QUESTIONNAIRES AND EXAMINING OF 2716 01:48:13,120 --> 01:48:15,280 A MEAL CHALLENGE THAT IS AROUND 2717 01:48:15,280 --> 01:48:17,080 THEIR DIET AND UNDERSTANDING 2718 01:48:17,080 --> 01:48:19,640 WHAT THEY ARE EATING AND IT 2719 01:48:19,640 --> 01:48:22,080 INCLUDES SOME ARTIFICIAL 2720 01:48:22,080 --> 01:48:23,400 INTELLIGENCE COMPONENTS AS WELL 2721 01:48:23,400 --> 01:48:24,520 TO PREDICT AND UNDERSTAND WHAT 2722 01:48:24,520 --> 01:48:27,000 THEY ARE EATING BASED ON 2723 01:48:27,000 --> 01:48:28,440 COMBINATIONS AND INTERLINKAGE OF 2724 01:48:28,440 --> 01:48:29,720 DIFFERENT KINDS OF DATA AND MOVE 2725 01:48:29,720 --> 01:48:32,760 TO SURVEY AND SORRY. SUB-2 2726 01:48:32,760 --> 01:48:35,160 MODULES OF THAT THAT WILL 2727 01:48:35,160 --> 01:48:36,880 EXAMINE CONTROLLED FEEDING 2728 01:48:36,880 --> 01:48:38,240 STUDIES BOTH EXTERNALLY LIVING 2729 01:48:38,240 --> 01:48:40,560 IN THE WORLD AND ACTUALLY 2730 01:48:40,560 --> 01:48:42,240 DOMICILE CONTROLLED FEEDING 2731 01:48:42,240 --> 01:48:43,800 STYLES AS WELL AND GETTING AN 2732 01:48:43,800 --> 01:48:46,120 ANSWER TO WHAT SOME DIETS ARE 2733 01:48:46,120 --> 01:48:48,600 AND WHAT EFFECT THEY HAVE IN A 2734 01:48:48,600 --> 01:48:53,560 BROAD WAY AND ACROSS MICROBIOME 2735 01:48:53,560 --> 01:48:55,800 AND OTHER METABOLOMIC MEASURES 2736 01:48:55,800 --> 01:48:57,280 IN OTHER COMPONENTS AS WELL 2737 01:48:57,280 --> 01:48:59,280 GIVING A SENSE OF DATA AND 2738 01:48:59,280 --> 01:49:01,600 BUILDING ON DATA THAT ALL OF US 2739 01:49:01,600 --> 01:49:03,200 NEED TO GET SEQUENCING AND DON'T 2740 01:49:03,200 --> 01:49:06,000 HAVE TO CAPTURE ELECTRONIC 2741 01:49:06,000 --> 01:49:07,120 HEALTH RECORDS AND THEY CAN 2742 01:49:07,120 --> 01:49:10,160 BUILD OFF THAT AND DO MORE FOCUS 2743 01:49:10,160 --> 01:49:12,160 SURVEYS RELATED TO THIS AND GET 2744 01:49:12,160 --> 01:49:14,360 DIET INFORMATION AND SOME 2745 01:49:14,360 --> 01:49:16,720 COMPONENTS WE MAY DECIDE TO 2746 01:49:16,720 --> 01:49:18,640 ADOPT MORE BROADLY AND DEVELOP A 2747 01:49:18,640 --> 01:49:21,000 COOL TOOL TO TAKE A PICTURE AND 2748 01:49:21,000 --> 01:49:22,320 ASSESS DIETS AND SOMETHING THAT 2749 01:49:22,320 --> 01:49:24,560 WE CAN INSTILL TO ALL 2750 01:49:24,560 --> 01:49:25,840 PARTICIPANTS AND SUBSET OF 2751 01:49:25,840 --> 01:49:27,280 PARTICIPANTS WILL BE DEEPLY 2752 01:49:27,280 --> 01:49:29,760 ANALYZE THE IN THERE. 2753 01:49:29,760 --> 01:49:31,160 THEN YOU HAVE HEARD ABOUT THESE 2754 01:49:31,160 --> 01:49:33,400 BEFORE. I WANT TO LET YOU KNOW 2755 01:49:33,400 --> 01:49:39,800 THAT WE IN PARTNERSHIP WITH 2NIH 2756 01:49:39,800 --> 01:49:42,360 INSTITUTES AND OTHERS HAVE 2757 01:49:42,360 --> 01:49:47,360 RELEASED RFAS R21 AND R23 DATA 2758 01:49:47,360 --> 01:49:49,400 AND NCIH IS ONE OF THOSE. WE 2759 01:49:49,400 --> 01:49:52,800 ARE VERY INTERESTED IN HOW IN 2760 01:49:52,800 --> 01:49:54,440 PROMOTING HOW DATA ARE USED AND 2761 01:49:54,440 --> 01:49:56,400 THINK THAT THE GOALS OF THE 2762 01:49:56,400 --> 01:49:58,320 INSTITUTE ARE REALLY IN LINE 2763 01:49:58,320 --> 01:50:01,600 WITH OURS THINKING BEYOND JUST, 2764 01:50:01,600 --> 01:50:03,720 YOU KNOW, INDIVIDUAL DISEASE 2765 01:50:03,720 --> 01:50:05,880 STATES TOWARDS MORE HOLISTIC 2766 01:50:05,880 --> 01:50:07,400 UNDERSTANDINGS OF HEALTH AND 2767 01:50:07,400 --> 01:50:09,640 INFLUENCE OF SO MANY 2768 01:50:09,640 --> 01:50:11,960 MULTIPLICITIES OF FACTORS 2769 01:50:11,960 --> 01:50:13,240 TOWARDS HEALTH IN GENERAL. WITH 2770 01:50:13,240 --> 01:50:15,160 THAT, I WILL SAY THANK YOU. 2771 01:50:15,160 --> 01:50:17,040 THESE ARE REAL PARTICIPANTS. 2772 01:50:17,040 --> 01:50:18,960 EVERYONE EXCEPT FOR MY DAUGHTER, 2773 01:50:18,960 --> 01:50:22,000 WHO IS, YOU KNOW, NOT YET 2774 01:50:22,000 --> 01:50:23,200 ELIGIBLE TO BE A PARTICIPANT BUT 2775 01:50:23,200 --> 01:50:25,480 THAT IS GOING TO BE CHANGING. 2776 01:50:25,480 --> 01:50:27,800 THANKS SO MUCH FOR YOUR TIME. 2777 01:50:27,800 --> 01:50:31,840 I'M HAPPY TO TAKE TIME AND HAVE 2778 01:50:31,840 --> 01:50:33,520 SOME QUESTIONS AND DISCUSSION. 2779 01:50:33,520 --> 01:50:36,360 >>OKAY. YES. THANK YOU VERY 2780 01:50:36,360 --> 01:50:36,880 MUCH. 2781 01:50:36,880 --> 01:50:39,160 WE DO HAVE TIME FOR QUESTIONS. 2782 01:50:39,160 --> 01:50:44,840 SO, LET US JUST GO AHEAD. 2783 01:50:44,840 --> 01:50:48,240 DR. HANY, SEE YOU FIRST. 2784 01:50:48,240 --> 01:50:49,800 >>AMAZING AND SO EXCITING AND 2785 01:50:49,800 --> 01:50:52,480 WHAT A RICH DATA SET. I REALLY 2786 01:50:52,480 --> 01:50:54,160 -- I APOLOGIZE. I DON'T 2787 01:50:54,160 --> 01:50:54,760 REMEMBER HEARING ABOUT THIS 2788 01:50:54,760 --> 01:50:56,840 BEFORE. IT IS REALLY AMAZING 2789 01:50:56,840 --> 01:50:58,880 AND LOVE THE DIVERSITY OF THE 2790 01:50:58,880 --> 01:51:02,800 DATA AND PARTICIPANTS AND 2791 01:51:02,800 --> 01:51:04,520 RESEARCHERS BUT I MIGHT HAVE 2792 01:51:04,520 --> 01:51:09,040 MISSED IT AND CLEARLY SUBSTANCE 2793 01:51:09,040 --> 01:51:10,320 USE EFFECT EFFECTS OUTCOME 2794 01:51:10,320 --> 01:51:11,760 MEASURES AND AREA OF INTEREST 2795 01:51:11,760 --> 01:51:13,560 AND DIDN'T SEE LOTS OF IT AND 2796 01:51:13,560 --> 01:51:15,040 THERE WAS SOME ALCOHOL. IS 2797 01:51:15,040 --> 01:51:17,120 THERE MORE DATA ON SUBSTANCE 2798 01:51:17,120 --> 01:51:17,360 USE? 2799 01:51:17,360 --> 01:51:20,880 >>GREAT QUESTION. YES, THERE 2800 01:51:20,880 --> 01:51:22,160 IS. EASY ANSWER. 2801 01:51:22,160 --> 01:51:23,640 WE HAVE SOME -- THAT IS SOME OF 2802 01:51:23,640 --> 01:51:25,080 THE QUESTIONNAIRES THAT PEOPLE 2803 01:51:25,080 --> 01:51:29,400 FILL OUT WOULD BE ON THAT TOPIC 2804 01:51:29,400 --> 01:51:33,360 BOTH, YOU KNOW, LEGAL AND IN 2805 01:51:33,360 --> 01:51:34,560 LEGAL SUBSTANCE USE AND THERE IS 2806 01:51:34,560 --> 01:51:37,040 QUANTITY FICTION IN THAT. SOME 2807 01:51:37,040 --> 01:51:39,120 OF THOSE ARE ACTUALLY ALSO 2808 01:51:39,120 --> 01:51:40,640 CAPTURED IN REPEATED SURVEYS WE 2809 01:51:40,640 --> 01:51:42,320 DID DURING COVID THAT ARE ABLE 2810 01:51:42,320 --> 01:51:46,320 TO LOOK AT CHANGES IN ALCOHOL 2811 01:51:46,320 --> 01:51:50,160 AND SMOKING, ET CETERA, USAGE TO 2812 01:51:50,160 --> 01:51:51,640 ENROLLMENT IN THE PANDEMIC. 2813 01:51:51,640 --> 01:51:53,920 THERE WILL PROBABLY BE 2814 01:51:53,920 --> 01:51:54,680 REASSESSMENTS OF THOSE THAT COME 2815 01:51:54,680 --> 01:51:56,360 IN THE FUTURE AS WELL. 2816 01:51:56,360 --> 01:51:59,800 >>THAT IS GREAT. DO YOU DO 2817 01:51:59,800 --> 01:52:00,200 [INDISCERNIBLE]. 2818 01:52:00,200 --> 01:52:02,440 >>ONLY DATA NOW WE ARE 2819 01:52:02,440 --> 01:52:04,600 GENERATING ON BIOSPECIMENS ARE 2820 01:52:04,600 --> 01:52:05,200 GENOMICS. 2821 01:52:05,200 --> 01:52:07,800 WE ARE LOOKING FOR PARTNERSHIPS 2822 01:52:07,800 --> 01:52:10,280 AND THESE ANCILLARY STUDIES TO 2823 01:52:10,280 --> 01:52:11,480 HELP BUILD OUT WHAT OTHER KINDS 2824 01:52:11,480 --> 01:52:13,840 OF ASSESSMENTS WE WILL DO. 2825 01:52:13,840 --> 01:52:16,800 CERTAINLY THAT IS ONE POTENTIAL 2826 01:52:16,800 --> 01:52:18,240 USE CASE AMONG MANY THAT WOULD 2827 01:52:18,240 --> 01:52:20,320 BE CONSIDERED. I WILL ALSO ECHO 2828 01:52:20,320 --> 01:52:21,280 THOUGH THAT WE WOULD HAVE 2829 01:52:21,280 --> 01:52:24,160 ANYTHING THAT IS IN THE HR. YOU 2830 01:52:24,160 --> 01:52:25,960 KNOW, CERTAINLY UDSS AND THINGS 2831 01:52:25,960 --> 01:52:34,360 LIKE THAT WOULD BE IN THE EHR. 2832 01:52:34,360 --> 01:52:38,560 >>OKAY. DR. [INDISCERNIBLE]. 2833 01:52:38,560 --> 01:52:40,960 >>HI. THANKS FOR THIS 2834 01:52:40,960 --> 01:52:42,040 FANTASTIC PRESENTATION AND 2835 01:52:42,040 --> 01:52:43,840 TELLING US ABOUT THIS AMAZING 2836 01:52:43,840 --> 01:52:45,840 INITIATIVE AND COUPLE QUESTIONS 2837 01:52:45,840 --> 01:52:48,280 I HAVE AND APOLOGIZE IF YOU 2838 01:52:48,280 --> 01:52:49,840 MENTIONED THIS. ARE 2839 01:52:49,840 --> 01:52:52,440 BIOSPECIMENS AVAILABLE FROM THE 2840 01:52:52,440 --> 01:52:53,840 STUDY IS THE FIRST QUESTION. 2841 01:52:53,840 --> 01:53:00,080 SECOND QUESTION IS DO YOU ALSO 2842 01:53:00,080 --> 01:53:03,200 RECORD THEUTION OF DIETARY 2843 01:53:03,200 --> 01:53:09,800 SUPPLEMENTS INCLUDING BOTANICAL 2844 01:53:09,800 --> 01:53:10,960 DIETARY SUPPLEMENTS? 2845 01:53:10,960 --> 01:53:13,240 >>AS WE OPEN ANCILLARY STUDIES 2846 01:53:13,240 --> 01:53:15,160 THEY WILL FIRST BE AVAILABLE TO 2847 01:53:15,160 --> 01:53:16,640 THINGS WE DEVELOPED IN 2848 01:53:16,640 --> 01:53:18,440 PARTNERSHIP WITH INSTITUTES AND 2849 01:53:18,440 --> 01:53:18,720 CENTERS. 2850 01:53:18,720 --> 01:53:21,240 WE ARE ENCOURAGING INDIVIDUAL 2851 01:53:21,240 --> 01:53:22,720 RESEARCHERS TO HAVE IDEAS AND 2852 01:53:22,720 --> 01:53:25,800 QUESTIONS TO PARTNER AND 2853 01:53:25,800 --> 01:53:27,920 POTENTIALLY TALK TO ICS FOR 2854 01:53:27,920 --> 01:53:30,320 IDEAS IN THAT SPACE. 2855 01:53:30,320 --> 01:53:31,480 EVENTUALLY, WE WILL PROBABLY 2856 01:53:31,480 --> 01:53:34,800 OPEN UP SOME AVAILABILITY TO 2857 01:53:34,800 --> 01:53:36,440 INDIVIDUAL RESEARCHERS BUT DON'T 2858 01:53:36,440 --> 01:53:38,360 KNOW WHAT THE PROCESS WILL LOOK 2859 01:53:38,360 --> 01:53:39,840 LIKE. THE SECOND QUESTION AND 2860 01:53:39,840 --> 01:53:42,360 I'M -- I APOLOGIZE I THOUGHT FOR 2861 01:53:42,360 --> 01:53:45,080 SURE I WOULD REMEMBER IT. 2862 01:53:45,080 --> 01:53:47,800 >>WHETHER YOU RECORD THE USE OF 2863 01:53:47,800 --> 01:53:50,320 DIETARY SUPPLEMENTS INCLUDING 2864 01:53:50,320 --> 01:53:51,240 BOTANICAL DIETARY SUPPLEMENTS. 2865 01:53:51,240 --> 01:53:54,080 >>AT THIS POINT WE DON'T 2866 01:53:54,080 --> 01:53:55,800 ACTUALLY HAVE A MODULE WHERE 2867 01:53:55,800 --> 01:53:57,000 SOMEONE FILLS OUT WHAT THEY TAKE 2868 01:53:57,000 --> 01:53:58,680 MEANING THAT THE MEDICATION 2869 01:53:58,680 --> 01:54:00,240 QUOTE INFORMATION IT THAT WE 2870 01:54:00,240 --> 01:54:01,520 HAVE WOULD BE WHATEVER WAS 2871 01:54:01,520 --> 01:54:03,440 ENTERED INTO THE ELECTRONIC 2872 01:54:03,440 --> 01:54:04,840 HEALTH RECORDS SYSTEM. 2873 01:54:04,840 --> 01:54:05,120 >>RIGHT. 2874 01:54:05,120 --> 01:54:06,880 >>THOSE TEND TO BE AS YOU KNOW 2875 01:54:06,880 --> 01:54:09,920 AS WELL AS I THEY TEND TO BE 2876 01:54:09,920 --> 01:54:12,400 UNDERRECORDED IN HR AND 2877 01:54:12,400 --> 01:54:13,720 SOMETIMES YOU GET THEM BUT IT IS 2878 01:54:13,720 --> 01:54:15,600 NOT UNIVERSAL YOU GET THEM. 2879 01:54:15,600 --> 01:54:17,840 >>OKAY. HOPEFULLY WE CAN 2880 01:54:17,840 --> 01:54:19,080 ENCOURAGE MORE PEOPLE TO DECLARE 2881 01:54:19,080 --> 01:54:21,200 THEM TO THEIR HEALTH CARE 2882 01:54:21,200 --> 01:54:22,280 PROFESSIONALS. THANKS SO MUCH. 2883 01:54:22,280 --> 01:54:25,520 >>YEAH. IT IS ALSO MAYBE A 2884 01:54:25,520 --> 01:54:27,880 DIRECTION TO GO THROUGH IN THE 2885 01:54:27,880 --> 01:54:29,240 FUTURE. MAYBE THAT IS IMPORTANT 2886 01:54:29,240 --> 01:54:29,520 TRANSITION. 2887 01:54:29,520 --> 01:54:31,040 >>TO ME IT IS. THANK YOU. 2888 01:54:31,040 --> 01:54:33,920 >>OH, YEAH. I UNDERSTAND IT. 2889 01:54:33,920 --> 01:54:35,720 >>THANKS. 2890 01:54:35,720 --> 01:54:39,000 >>OKAY. DR. JOHN LOUIE. 2891 01:54:39,000 --> 01:54:41,200 >>GREAT PRESENTATION AND VERY 2892 01:54:41,200 --> 01:54:42,040 INFORMATIVE AND PERHAPS I MISSED 2893 01:54:42,040 --> 01:54:43,760 THIS BUT DID YOU SAY THAT 2894 01:54:43,760 --> 01:54:46,160 HOPEFULLY THE TYPE OF DATA THAT 2895 01:54:46,160 --> 01:54:48,240 THE BANK HAS WOULD BE ABLE TO 2896 01:54:48,240 --> 01:54:51,480 HAVE ACCESS TO THOSE IN THIS 2897 01:54:51,480 --> 01:54:52,040 DATA SET? 2898 01:54:52,040 --> 01:54:54,280 >>THAT RESEARCHERS 2899 01:54:54,280 --> 01:54:54,960 INTERNATIONAL RESEARCHERS 2900 01:54:54,960 --> 01:54:57,640 TALKING ABOUT BROADER 2901 01:54:57,640 --> 01:54:59,600 RESEARCHERS ACCESS TO OUR DATA 2902 01:54:59,600 --> 01:54:59,800 SET? 2903 01:54:59,800 --> 01:55:03,200 >>NO. TYPE OF GENOMICS DATA 2904 01:55:03,200 --> 01:55:06,360 THAT BIO BANK HAS THAT ALL OF US 2905 01:55:06,360 --> 01:55:07,760 WOULD HAVE BEEN ABLE TO 2906 01:55:07,760 --> 01:55:08,720 [INDISCERNIBLE] AT SOME POINT. 2907 01:55:08,720 --> 01:55:10,920 >>YES. DEFINITELY. NEXT -- 2908 01:55:10,920 --> 01:55:13,360 RIGHT NOW IS 100,000 WHOLE 2909 01:55:13,360 --> 01:55:14,800 GENOMES ARE AVAILABLE IN OUR 2910 01:55:14,800 --> 01:55:17,160 DATA SET. OF COURSE, WE HAVE 2911 01:55:17,160 --> 01:55:19,600 MUCH MORE DIVERSE DATA THAN WHAT 2912 01:55:19,600 --> 01:55:24,200 IS IN THE UK BIOBANK AND OUR 2913 01:55:24,200 --> 01:55:25,800 NEXT RELEASE THAT WILL BE OUT 2914 01:55:25,800 --> 01:55:28,360 SHORTLY WILL HAVE OVER 230,000 2915 01:55:28,360 --> 01:55:29,040 GENOMES IN IT. 2916 01:55:29,040 --> 01:55:30,800 >>THAT IS OUTSTANDING. THANK 2917 01:55:30,800 --> 01:55:31,000 YOU. 2918 01:55:31,000 --> 01:55:35,840 >>WE ARE AIMING FOR A MILLION 2919 01:55:35,840 --> 01:55:39,120 WHOLE GENOMES ON A WHOLE 1 2920 01:55:39,120 --> 01:55:39,480 MILLION. 2921 01:55:39,480 --> 01:55:43,760 >>DR. MCGEE HAS HER HAND UP 2922 01:55:43,760 --> 01:55:44,960 ALSO. 2923 01:55:44,960 --> 01:55:48,600 >>HI. THANK YOU SO MUCH. I 2924 01:55:48,600 --> 01:55:51,800 REALLY APPRECIATE THIS 2925 01:55:51,800 --> 01:55:53,240 PRESENTATION. I DON'T EVEN -- 2926 01:55:53,240 --> 01:55:55,240 I'M SURE I CAN'T FORMULATE ALL 2927 01:55:55,240 --> 01:55:57,000 QUESTIONS THAT WILL COME AND 2928 01:55:57,000 --> 01:55:59,360 THIS WAS TOTALLY MIENTD-BLOWING 2929 01:55:59,360 --> 01:56:01,520 FOR ME. I'M CURIOUS IF THERE 2930 01:56:01,520 --> 01:56:05,080 ARE SPECIFIC MODULES OR WAYS FOR 2931 01:56:05,080 --> 01:56:06,240 GATHERING INFORMATION ALREADY 2932 01:56:06,240 --> 01:56:09,480 THAT FOCUS ON OR PROVIDE 2933 01:56:09,480 --> 01:56:12,280 INFORMATION ABOUT CONTEMPLATIVE 2934 01:56:12,280 --> 01:56:13,720 PRACTICE ENGAGEMENT WHETHER 2935 01:56:13,720 --> 01:56:15,640 MINDFULNESS OR YOGA OR SOMETHING 2936 01:56:15,640 --> 01:56:17,840 IN THE TO COME MAYBE BUCKET OF 2937 01:56:17,840 --> 01:56:18,160 PROJECTS? 2938 01:56:18,160 --> 01:56:20,360 >>YOU KNOW, THAT IS A REALLY 2939 01:56:20,360 --> 01:56:21,960 GREAT QUESTION. CERTAINLY I 2940 01:56:21,960 --> 01:56:23,440 WOULD EXPECT NOT A WHOLE LOT OF 2941 01:56:23,440 --> 01:56:25,120 THE INFORMATION BE AVAILABLE FOR 2942 01:56:25,120 --> 01:56:27,240 INSTANCE IN THE ELECTRONIC 2943 01:56:27,240 --> 01:56:27,960 HEALTH RECORD. 2944 01:56:27,960 --> 01:56:31,160 BUT, I THINK THERE IS RELEVANT 2945 01:56:31,160 --> 01:56:34,320 QUESTIONS IN THE COVID SURVEY IT 2946 01:56:34,320 --> 01:56:36,480 THAT WERE LAUNCH THE. YOU WOULD 2947 01:56:36,480 --> 01:56:38,320 HAVE TO ACTUALLY QUERY THOSE 2948 01:56:38,320 --> 01:56:40,840 KINDS OF THINGS THROUGH THE DATA 2949 01:56:40,840 --> 01:56:44,120 BROWSER THAT I MENTIONED BEFORE. 2950 01:56:44,120 --> 01:56:47,640 AND SEE IF THOSE KINDS OF 2951 01:56:47,640 --> 01:56:48,960 CONTENT ARE AVAILABLE. 2952 01:56:48,960 --> 01:56:50,880 IT SOUNDS LIKE ANOTHER GOOD 2953 01:56:50,880 --> 01:56:52,200 SUGGESTION FOR SOMETHING TO 2954 01:56:52,200 --> 01:56:54,320 CONSIDER FOR ANOTHER FUTURE 2955 01:56:54,320 --> 01:56:55,800 SURVEY MODULE. 2956 01:56:55,800 --> 01:57:03,320 >>THANK YOU SO MUCH. 2957 01:57:03,320 --> 01:57:05,600 >>OKAY. HOLD ON, PLEASE. 2958 01:57:05,600 --> 01:57:08,360 >>SO, FIRST OF ALL, THANKS SO 2959 01:57:08,360 --> 01:57:10,440 MUCH, JOSH. IT WAS A GREAT, 2960 01:57:10,440 --> 01:57:12,440 GREAT PRESENTATION AND SO 2961 01:57:12,440 --> 01:57:13,680 INSPIRING. I JUST WANT TO 2962 01:57:13,680 --> 01:57:15,520 FOLLOW UP ON THAT QUESTION ABOUT 2963 01:57:15,520 --> 01:57:17,920 THE DIETARY SUPPLEMENTS. 2964 01:57:17,920 --> 01:57:19,480 I WAS REALLY CURIOUS ABOUT THAT 2965 01:57:19,480 --> 01:57:22,720 WHEN WE FIRST HEARD ABOUT THE 2966 01:57:22,720 --> 01:57:23,720 PRECISION NUTRITION STUDY THAT 2967 01:57:23,720 --> 01:57:28,400 THERE WILL BE A SORT OF FREE 2968 01:57:28,400 --> 01:57:30,040 LIVING RIGHT COHORT WHERE IS 2969 01:57:30,040 --> 01:57:31,800 THAT STILL -- THAT IS STILL IN 2970 01:57:31,800 --> 01:57:32,880 PLAY; RIGHT? 2971 01:57:32,880 --> 01:57:34,040 >>WHY HE. 2972 01:57:34,040 --> 01:57:37,600 >>A FREE LIVING COHORT WHERE 2973 01:57:37,600 --> 01:57:39,080 PEOPLE WILL JUST STUDY THESE 2974 01:57:39,080 --> 01:57:39,320 PEOPLE. 2975 01:57:39,320 --> 01:57:41,040 >>THAT IS RIGHT. 2976 01:57:41,040 --> 01:57:43,840 >>I WOULD IMAGINE THAT IN THOSE 2977 01:57:43,840 --> 01:57:46,320 PEOPLE THAT WE PROBABLY WILL 2978 01:57:46,320 --> 01:57:48,760 HAVE QUESTIONNAIRES REGARDING 2979 01:57:48,760 --> 01:57:50,600 DIETARY SUPPLEMENTS; RIGHT? 2980 01:57:50,600 --> 01:57:51,080 >>RIGHT. 2981 01:57:51,080 --> 01:57:52,480 >>WOULDN'T MAKE SENSE TO SEE 2982 01:57:52,480 --> 01:57:54,120 WHAT THEY EAT WITHOUT ASKING 2983 01:57:54,120 --> 01:57:55,240 WHAT SUPPLEMENTS THEY TAKE THAT 2984 01:57:55,240 --> 01:57:58,120 WILL BE PART OF THE PRECISION 2985 01:57:58,120 --> 01:57:59,760 NUTRITION EFFORT. CORRECT? 2986 01:57:59,760 --> 01:58:02,200 >>THAT IS A REALLY EXCELLENT 2987 01:58:02,200 --> 01:58:04,240 ADDITION THAT I TEND TO OFTEN 2988 01:58:04,240 --> 01:58:06,360 TOO MUCH ANSWER QUESTIONS FROM 2989 01:58:06,360 --> 01:58:09,400 THE PERSPECTIVE OF HIGHER 2990 01:58:09,400 --> 01:58:11,560 COHORTS NOT THE PERSPECTIVE WHAT 2991 01:58:11,560 --> 01:58:13,800 ACTUALLY ENDS UP BEING A VERY 2992 01:58:13,800 --> 01:58:16,680 LARGE NUTRITION STUDY THAT WILL 2993 01:58:16,680 --> 01:58:19,280 HAVE THAT DATA IN GREAT DEPTH. 2994 01:58:19,280 --> 01:58:20,800 IT THINGS LIKE I IMAGINE ALL 2995 01:58:20,800 --> 01:58:25,240 SORTS OF OTHER STUDIES AROUND 2996 01:58:25,240 --> 01:58:26,600 METABOLITES THAT WILL HELP YOU 2997 01:58:26,600 --> 01:58:28,800 TO THINK THROUGH ALL SORTS OF 2998 01:58:28,800 --> 01:58:30,320 EXPOSURES THAT MIGHT NOT BE 2999 01:58:30,320 --> 01:58:32,360 THERE EVEN DIRECTLY THAT THEY 3000 01:58:32,360 --> 01:58:33,640 YOU KNOW FOR WHATEVER REASON 3001 01:58:33,640 --> 01:58:35,000 THAT THEY DIDN'T RECORD IT THAT 3002 01:58:35,000 --> 01:58:38,360 THEY MAY BE TAKING THAT IS A 3003 01:58:38,360 --> 01:58:39,960 GREAT OBSERVATION. THANK YOU. 3004 01:58:39,960 --> 01:58:42,000 >>ONE OF THE MILLION DOLLAR 3005 01:58:42,000 --> 01:58:43,640 QUESTIONS FOR PEOPLE WHO TAKE 3006 01:58:43,640 --> 01:58:44,800 DIETARY SUPPLEMENTS DOES IT -- 3007 01:58:44,800 --> 01:58:47,640 WHAT IS THE ELAITIONSHIP OF THE 3008 01:58:47,640 --> 01:58:49,040 EFFECT OF THE SUPPLEMENT WITH 3009 01:58:49,040 --> 01:58:50,600 WHICH YOU ARE ALREADY EATING; 3010 01:58:50,600 --> 01:58:51,000 RIGHT? 3011 01:58:51,000 --> 01:58:53,040 THAT IS HARD TO DO AND THERE IS 3012 01:58:53,040 --> 01:58:55,120 NOT A LOT OF STUDIES THAT DO 3013 01:58:55,120 --> 01:58:58,320 THAT AND SEEMS A STUDY WITH 3014 01:58:58,320 --> 01:59:03,320 PRECISION NUTRITION WOULD BE A 3015 01:59:03,320 --> 01:59:04,320 UNIQUE AND PROBABLE OPPORTUNITY 3016 01:59:04,320 --> 01:59:07,240 TO LOOK AT THAT. I DON'T KNOW 3017 01:59:07,240 --> 01:59:10,600 IF IT IS SPECIFICALLY BLAND OR 3018 01:59:10,600 --> 01:59:12,760 MAYBE THERE CAN BE CONVERSATIONS 3019 01:59:12,760 --> 01:59:13,400 ABOUT THAT. 3020 01:59:13,400 --> 01:59:16,880 >>YEAH. YOU KNOW, IT IS 3021 01:59:16,880 --> 01:59:18,360 IMPORTANT. THE OTHER IMPORTANT 3022 01:59:18,360 --> 01:59:20,840 NOTICE IS AS ANCILLARY STUDIES 3023 01:59:20,840 --> 01:59:22,720 BUILD OFF RESOURCE, ALL OF THE 3024 01:59:22,720 --> 01:59:25,600 STUDIES WILL COME BACK TO THE 3025 01:59:25,600 --> 01:59:26,800 SAME RESEARCHER WORK BENCH AND 3026 01:59:26,800 --> 01:59:28,920 WE HAVE INFRASTRUCTURE TO MAKE 3027 01:59:28,920 --> 01:59:30,320 DATA BROADLY AVAILABLE TO LOTS 3028 01:59:30,320 --> 01:59:31,480 OF RESEARCHERS. 3029 01:59:31,480 --> 01:59:33,200 THAT ONE, WILL YOU HAVE TO WAIT 3030 01:59:33,200 --> 01:59:35,600 SOME TIME FOR BUT WILL REALLY 3031 01:59:35,600 --> 01:59:37,800 PROVIDE SOME REALLY INCREDIBLE 3032 01:59:37,800 --> 01:59:39,600 INFORMATION ACROSS DIET, 3033 01:59:39,600 --> 01:59:42,360 SUPPLEMENTS, YOU KNOW, THEN 3034 01:59:42,360 --> 01:59:45,200 CONTROLLED FEEDING STUDIES THAT 3035 01:59:45,200 --> 01:59:49,800 HAVE EFFECT ON MICROBIOME AND 3036 01:59:49,800 --> 01:59:51,960 METABOLITE STUDIES AND THINGS 3037 01:59:51,960 --> 01:59:53,160 CHANGING BEFORE AND AFTER 3038 01:59:53,160 --> 01:59:55,440 FEEDING STUDIES WILL BE PART OF 3039 01:59:55,440 --> 01:59:55,840 IT TOO. 3040 01:59:55,840 --> 02:00:01,240 >>UH-HUH. GREAT. THANK YOU. 3041 02:00:01,240 --> 02:00:03,120 GUNNER, YOU HAVE YOUR HAND UP? 3042 02:00:03,120 --> 02:00:04,800 >>YUP. FIRST OF ALL, JOSH, 3043 02:00:04,800 --> 02:00:08,320 THIS IS AMAZING. IT IS ONE HECK 3044 02:00:08,320 --> 02:00:10,880 OF A DATABASE. AWESOME JOB WITH 3045 02:00:10,880 --> 02:00:13,160 THIS. THIS IS A SORT OF MUNDANE 3046 02:00:13,160 --> 02:00:14,960 AND THINK I SORT OF KNOW THE 3047 02:00:14,960 --> 02:00:16,520 ANSWER TO THIS BUT ONE OF THE 3048 02:00:16,520 --> 02:00:17,960 THINGS THAT WE REQUIRE IN OUR 3049 02:00:17,960 --> 02:00:19,640 MEDICAL SCHOOLS THAT STUDENTS 3050 02:00:19,640 --> 02:00:21,760 HAVE RESEARCH EXPERIENCE AND FOR 3051 02:00:21,760 --> 02:00:23,680 VAST MAJORITY OF MEDICAL 3052 02:00:23,680 --> 02:00:25,800 STUDENTS YOU WENT THROUGH THE 3053 02:00:25,800 --> 02:00:27,280 PROCESS TURNS OUT TO BE SMALL 3054 02:00:27,280 --> 02:00:29,480 CASE REPORTER OR SMALL STUDIES 3055 02:00:29,480 --> 02:00:31,840 AND RESEARCHERS HAVE A PRETTY 3056 02:00:31,840 --> 02:00:32,920 GOOD SKILLSET AND QUESTION WOULD 3057 02:00:32,920 --> 02:00:35,720 BE I'M EXCITED ABOUT THIS 3058 02:00:35,720 --> 02:00:37,120 FILLING OUT PAPERWORK BECOME 3059 02:00:37,120 --> 02:00:38,320 INSTITUTIONAL MEMBER WOULD THAT 3060 02:00:38,320 --> 02:00:40,440 ALLOW STUDENTS TO ALSO BE ABLE 3061 02:00:40,440 --> 02:00:41,720 TO PARTICIPATE? HOW DOES IT 3062 02:00:41,720 --> 02:00:44,080 WORK IF WE ARE AN INSTITUTIONAL 3063 02:00:44,080 --> 02:00:46,640 MEMBER AND CAN OUR STUDENTS THEN 3064 02:00:46,640 --> 02:00:48,080 PARTICIPATE WITH ONE OF OUR 3065 02:00:48,080 --> 02:00:51,440 FACULTY MEMBERS IN A MENTOR 3066 02:00:51,440 --> 02:00:52,600 PROJECT? CLEAR ABOUT THAT? 3067 02:00:52,600 --> 02:00:53,800 UNDERSTAND WHAT I'M SAYING? 3068 02:00:53,800 --> 02:00:55,800 >>YOU ARE. I LOVE THE 3069 02:00:55,800 --> 02:00:57,800 QUESTION. BRING THEM ON. ALL 3070 02:00:57,800 --> 02:00:59,880 YOUR MEDICAL STUDENTS, LET'S GO 3071 02:00:59,880 --> 02:01:00,400 FOR IT. 3072 02:01:00,400 --> 02:01:00,920 >>OKAY. 3073 02:01:00,920 --> 02:01:03,840 >>IF YOU SIGN THE MASTER 3074 02:01:03,840 --> 02:01:05,040 AGREEMENT AS INSTITUTION HOWEVER 3075 02:01:05,040 --> 02:01:06,920 YOU CHOOSE TO VALIDATE USUALLY 3076 02:01:06,920 --> 02:01:09,560 IS TRUE THROUGH VALIDATING AN 3077 02:01:09,560 --> 02:01:10,720 INSTITUTIONAL E-MAIL ADDRESS FOR 3078 02:01:10,720 --> 02:01:12,920 MOST PLACES AND THOSE PEOPLE 3079 02:01:12,920 --> 02:01:13,880 COULD COME RIGHT ON AND DO 3080 02:01:13,880 --> 02:01:17,040 STUFF. YOU KNOW, YOU CAN 3081 02:01:17,040 --> 02:01:18,160 FACILITATE COLLABORATION VERY 3082 02:01:18,160 --> 02:01:19,440 NICELY AND PUT RESEARCH MENTOR 3083 02:01:19,440 --> 02:01:21,880 AS WELL AS THE STUDENT ON THE 3084 02:01:21,880 --> 02:01:23,960 SAME WORKSPACE. THEY CAN LOOK 3085 02:01:23,960 --> 02:01:27,080 AT THE CODE AND COHORTS THEY 3086 02:01:27,080 --> 02:01:28,800 BUILD TOGETHER AND ALL THOSE 3087 02:01:28,800 --> 02:01:29,320 THINGS. 3088 02:01:29,320 --> 02:01:31,800 I'M VERY ENTHUSIASTIC ABOUT 3089 02:01:31,800 --> 02:01:33,240 TRAINEES USING RESOURCES LIKE 3090 02:01:33,240 --> 02:01:33,560 THIS. 3091 02:01:33,560 --> 02:01:35,800 >>THAT IS AWESOME. I COULDN'T 3092 02:01:35,800 --> 02:01:38,160 BE MORE ENTHUSIASTIC ABOUT IT 3093 02:01:38,160 --> 02:01:41,640 MYSELF. GREAT JOB. THANK YOU. 3094 02:01:41,640 --> 02:01:43,840 >>THANK YOU. 3095 02:01:43,840 --> 02:01:50,240 >>WELL -- 3096 02:01:50,240 --> 02:01:53,760 >>I WANT TO MAKE SURE TO SEE IF 3097 02:01:53,760 --> 02:01:55,960 ALL COUNCIL MEMBERS HAD A 3098 02:01:55,960 --> 02:01:57,960 CHANCE. IF NO OTHER QUESTIONS, 3099 02:01:57,960 --> 02:01:59,840 I DON'T WANT TO LET THE SESSION 3100 02:01:59,840 --> 02:02:03,600 END WITHOUT ASKING THE WHOLE 3101 02:02:03,600 --> 02:02:05,800 PERSON HEALTH QUESTION. 3102 02:02:05,800 --> 02:02:08,000 SO, IT IS A CHALLENGE. YOU 3103 02:02:08,000 --> 02:02:10,200 KNOW, WE HAVE HAD CONVERSATIONS 3104 02:02:10,200 --> 02:02:15,080 ALREADY ABOUT SORT OF, YOU KNOW, 3105 02:02:15,080 --> 02:02:17,320 INTEGRATING A PRIMARILY 3106 02:02:17,320 --> 02:02:19,520 DISEASE-FOCUSED ANALYTIC 3107 02:02:19,520 --> 02:02:21,720 APPROACH TO A MORE 3108 02:02:21,720 --> 02:02:23,520 HEALTH-FOCUSED APPROACH. 3109 02:02:23,520 --> 02:02:26,320 DO YOU HAVE ACCESS TO HOW THAT 3110 02:02:26,320 --> 02:02:29,480 COULD HAPPEN? I MEAN, CLEARLY, 3111 02:02:29,480 --> 02:02:33,240 YOU KNOW, WHEN WE -- WHEN WE -- 3112 02:02:33,240 --> 02:02:35,560 WHEN PATIENTS HAVE DIAGNOSIS; 3113 02:02:35,560 --> 02:02:35,800 RIGHT? 3114 02:02:35,800 --> 02:02:37,200 EITHER THEY HAVE DIAGNOSIS OR 3115 02:02:37,200 --> 02:02:38,600 THEY DON'T; RIGHT? 3116 02:02:38,600 --> 02:02:40,840 IT IS EITHER A YES ORE NO TYPE 3117 02:02:40,840 --> 02:02:44,920 OF A QUESTION. THERE IS THAT 3118 02:02:44,920 --> 02:02:47,480 GRAY AREA BEFORE THE DIAGNOSIS 3119 02:02:47,480 --> 02:02:50,520 IS ACTUALLY MADE WHERE THERE IS 3120 02:02:50,520 --> 02:02:52,280 ALMOST A PREDISEASE STATE AND 3121 02:02:52,280 --> 02:02:53,440 STATE BEFORE THAT WHERE YOU HAVE 3122 02:02:53,440 --> 02:02:55,840 MORE OF A BEHAVIORAL SITUATION 3123 02:02:55,840 --> 02:02:58,320 WHERE THERE IS NOT EVEN ANY 3124 02:02:58,320 --> 02:03:00,680 CHEMICAL ABNORMALITY AND YOU ARE 3125 02:03:00,680 --> 02:03:03,240 STARTING TO SEE SOME LIFESTYLE, 3126 02:03:03,240 --> 02:03:04,720 YOU KNOW, PREDISPOSITION. 3127 02:03:04,720 --> 02:03:07,800 HOW WOULD A STUDY LIKE ALL OF US 3128 02:03:07,800 --> 02:03:11,200 ADDRESS SOMETHING LIKE THAT? IS 3129 02:03:11,200 --> 02:03:14,360 THAT SOMETHING THAT IS DOABLE? 3130 02:03:14,360 --> 02:03:15,960 YOU PRESENTED YOUR STEP STUDY 3131 02:03:15,960 --> 02:03:20,640 THAT I THINK IS HEADING IN THAT 3132 02:03:20,640 --> 02:03:20,960 DIRECTION. 3133 02:03:20,960 --> 02:03:23,400 >>YEAH. I THINK THESE ARE ALSO 3134 02:03:23,400 --> 02:03:24,680 OTHER MILLION DOLLAR QUESTIONS 3135 02:03:24,680 --> 02:03:28,960 THAT I THINK ARE IN TERMS OF HOW 3136 02:03:28,960 --> 02:03:31,200 WE ASSESS THEM AND BUILD WHAT 3137 02:03:31,200 --> 02:03:32,080 MAYBE SOME [INDISCERNIBLE] ARE. 3138 02:03:32,080 --> 02:03:37,840 IN SOME CASES THAT IS PROBABLY 3139 02:03:37,840 --> 02:03:39,560 COLLECTING DIFFERENT READINGS 3140 02:03:39,560 --> 02:03:41,640 AND VARIABLES. YOU ARE THE 3141 02:03:41,640 --> 02:03:45,600 EXPERT HERE AND COLLECTIVELY 3142 02:03:45,600 --> 02:03:48,000 YOUR COUNCIL WOULD BE HOW YOU 3143 02:03:48,000 --> 02:03:49,040 WOULD GO ABOUT DOING SOMETHING 3144 02:03:49,040 --> 02:03:51,240 LIKE THAT. I LOVE YOUR QUESTION 3145 02:03:51,240 --> 02:03:55,880 AND IT THAT TRANSITION TO 3146 02:03:55,880 --> 02:03:59,200 THINKING -- THERE IS DISCUSSION 3147 02:03:59,200 --> 02:04:00,960 EARLY ON ABOUT PRECISION 3148 02:04:00,960 --> 02:04:02,360 MEDICINE AND THINKING ABOUT 3149 02:04:02,360 --> 02:04:04,320 PRECISION HEALTH AND BROADEN 3150 02:04:04,320 --> 02:04:06,320 DEFINITION A LITTLE BIT IN WHAT 3151 02:04:06,320 --> 02:04:07,840 WE ARE THINKING ABOUT AND 3152 02:04:07,840 --> 02:04:10,360 CERTAINLY TERMS FROM THE VERY 3153 02:04:10,360 --> 02:04:12,440 BEGINNING LIKE RESILIENCE AND 3154 02:04:12,440 --> 02:04:13,200 WELLNESS AND DIFFERENT 3155 02:04:13,200 --> 02:04:16,360 COMPONENTS THAT ARE PART OF 3156 02:04:16,360 --> 02:04:22,280 THIS. IT IS REALLY WHERE WE 3157 02:04:22,280 --> 02:04:24,680 WANT TO HEAD AND BE MORE 3158 02:04:24,680 --> 02:04:26,120 INCLUSIVE AND STARTS WITH 3159 02:04:26,120 --> 02:04:28,240 BROADER NOT JUST ONE DOMAIN OF 3160 02:04:28,240 --> 02:04:31,160 DISEASE AND THINK STARTING WITH 3161 02:04:31,160 --> 02:04:36,120 BEING MORE HOLISTIC FEN OHMWIDE 3162 02:04:36,120 --> 02:04:37,840 IN THAT COMPONENT AND WITH THAT 3163 02:04:37,840 --> 02:04:46,160 IS A FOUNDATION TO START TO 3164 02:04:46,160 --> 02:04:47,440 COLLECT COMPONENTS CREATIVELY 3165 02:04:47,440 --> 02:04:51,640 WITH YOU AND HOW TO DO WHAT SOME 3166 02:04:51,640 --> 02:04:54,320 ASSESSMENTS MIGHT BE AND SOME 3167 02:04:54,320 --> 02:04:57,440 MIGHT BEGIN AS AN ANCILLARY 3168 02:04:57,440 --> 02:05:01,600 STUDY AND WHAT I MENTIONED WITH 3169 02:05:01,600 --> 02:05:04,000 SOME COMPONENTS ON NPH AND SOME 3170 02:05:04,000 --> 02:05:05,240 ELEMENTS COULD BE SOME THAT 3171 02:05:05,240 --> 02:05:08,440 COULD BE ADOPTED. YOU KNOW, IN 3172 02:05:08,440 --> 02:05:11,560 A LARGER SCALE ACROSS THE 3173 02:05:11,560 --> 02:05:11,840 PROGRAM. 3174 02:05:11,840 --> 02:05:13,120 >>UH-HUH. WE WOULD LOVE TO 3175 02:05:13,120 --> 02:05:15,640 WORK WITH YOU ON THIS. IT IS A 3176 02:05:15,640 --> 02:05:19,840 LITTLE BIT OF A SHIFT IN -- NOT 3177 02:05:19,840 --> 02:05:22,360 SHIFT BUT A DIFFERENT I DON'T 3178 02:05:22,360 --> 02:05:25,840 WANT TO SAY PHILOSOPHY BUT 3179 02:05:25,840 --> 02:05:31,840 DIFFERENT WAY OF LOOKING AT 3180 02:05:31,840 --> 02:05:33,760 HEALTH THAT IS COMPLEMENTARY TO 3181 02:05:33,760 --> 02:05:37,880 PRECISION MEDICINE THAT IS VERY 3182 02:05:37,880 --> 02:05:41,120 TARGETED YOU KNOW WHICH IS ALSO 3183 02:05:41,120 --> 02:05:43,320 EXTREMELY IMPORTANT AND THIS IS 3184 02:05:43,320 --> 02:05:44,920 EXCITING THAT ALL OF US PLATFORM 3185 02:05:44,920 --> 02:05:47,920 COULD REALLY ALLOW US TO DO 3186 02:05:47,920 --> 02:05:49,360 BOTH. IT IS GREAT. 3187 02:05:49,360 --> 02:05:51,640 >>DEFINITELY. 3188 02:05:51,640 --> 02:05:52,240 >>POWERFUL. 3189 02:05:52,240 --> 02:05:53,360 >>THANK YOU. 3190 02:05:53,360 --> 02:05:55,920 >>SO, GREAT. WELL, YOU HAVE 3191 02:05:55,920 --> 02:05:58,880 BEEN -- YOU HAVE ENTERTAINED US 3192 02:05:58,880 --> 02:06:00,640 WITH A WONDERFUL PRESENTATION. 3193 02:06:00,640 --> 02:06:02,360 YOU HAVE ANSWERED ALL OF OUR 3194 02:06:02,360 --> 02:06:03,800 QUESTIONS AND WE REALLY THANK 3195 02:06:03,800 --> 02:06:05,560 YOU FOR TAKING THE TIME OUT OF 3196 02:06:05,560 --> 02:06:07,520 YOUR BUSY DAY. WE REALLY LOOK 3197 02:06:07,520 --> 02:06:09,240 FORWARD TO HEARING MORE AS -- AS 3198 02:06:09,240 --> 02:06:11,360 ALL OF US CONTINUES TO EVOLVE 3199 02:06:11,360 --> 02:06:13,600 AND TO, YOU KNOW, FIGURE OUT ALL 3200 02:06:13,600 --> 02:06:16,280 OF THE WAYS TO INTERACT AND 3201 02:06:16,280 --> 02:06:16,880 PARTICIPATE. THANK YOU. 3202 02:06:16,880 --> 02:06:18,480 >>THANK YOU VERY MUCH FOR THE 3203 02:06:18,480 --> 02:06:19,840 TIME. I APPRECIATE THE 3204 02:06:19,840 --> 02:06:22,840 OPPORTUNITY TO SPEAK WITH ALL OF 3205 02:06:22,840 --> 02:06:23,040 YOU. 3206 02:06:23,040 --> 02:06:23,360 >>GREAT. 3207 02:06:23,360 --> 02:06:25,920 >>THANK YOU. 3208 02:06:25,920 --> 02:06:33,520 >>OKAY. WE ARE RIGHT ON TIME. 3209 02:06:33,520 --> 02:06:34,760 QUITE IMPRESSIVE. 3210 02:06:34,760 --> 02:06:35,160 >>NICE. 3211 02:06:35,160 --> 02:06:36,560 >>ABSOLUTELY. 3212 02:06:36,560 --> 02:06:41,840 >>TO HEAR OUR NEXT SPEAKER. 3213 02:06:41,840 --> 02:06:42,120 >>UH-HUH. 3214 02:06:42,120 --> 02:06:46,120 >>YUP. WE HAVE DR. GILLMAN 3215 02:06:46,120 --> 02:06:48,280 HERE PROGRAM DIRECTOR FOR 3216 02:06:48,280 --> 02:06:49,400 ENVIRONMENTAL INFLUENCES OF 3217 02:06:49,400 --> 02:06:54,320 CHILD HEALTH OUTCOMES ECHO AND 3218 02:06:54,320 --> 02:06:57,560 HANDING IT TO DR. LANGEVIN TO 3219 02:06:57,560 --> 02:06:59,720 INTRODUCE OUR NEXT SPEAKER. 3220 02:06:59,720 --> 02:07:02,320 >>THANK YOU. GREAT PLEASURE 3221 02:07:02,320 --> 02:07:04,160 INTRODUCING NEXT SPEAKER DR. 3222 02:07:04,160 --> 02:07:06,320 MATTHEW GILLMAN DIRECTOR OF 3223 02:07:06,320 --> 02:07:07,840 ENVIRONMENTAL INFLUENCES ON 3224 02:07:07,840 --> 02:07:10,320 CHILD HEALTH OUTCOMES OR ECHO 3225 02:07:10,320 --> 02:07:14,360 PROGRAM. ECHO IS A 7-YEAR NIH 3226 02:07:14,360 --> 02:07:15,800 INITIATIVE TO USE LARGE EXISTING 3227 02:07:15,800 --> 02:07:20,680 STUDY COHORTS TO CONDUCT 3228 02:07:20,680 --> 02:07:23,320 RESEARCH ON HIGH IMPACT 3229 02:07:23,320 --> 02:07:24,720 PEDIATRIC OUTCOME AND DR. 3230 02:07:24,720 --> 02:07:27,000 GILLMAN BEGAN HIS ROLE WITH NIH 3231 02:07:27,000 --> 02:07:30,360 IN JULY 2016 AND HE CAME TO NIH 3232 02:07:30,360 --> 02:07:32,760 FROM BOSTON WHERE HE WAS A 3233 02:07:32,760 --> 02:07:35,120 PROFESSOR OF POPULATION MEDICINE 3234 02:07:35,120 --> 02:07:38,320 AT HARVARD MEDICAL SCHOOL AND 3235 02:07:38,320 --> 02:07:43,080 PROFESSOR OF NUTRITION AT 3236 02:07:43,080 --> 02:07:45,080 HARVARD SCHOOL OF PUBLIC HEALTH. 3237 02:07:45,080 --> 02:07:48,360 DR. GILLMAN IS RECOGNIZED IN 3238 02:07:48,360 --> 02:07:50,320 INTERNATIONAL LEADER IN COHORT 3239 02:07:50,320 --> 02:07:53,400 STUDIES THROUGHOUT THE LIFESPAN 3240 02:07:53,400 --> 02:07:57,440 SERVING AS PRINCIPLE OR 3241 02:07:57,440 --> 02:08:00,280 COINVESTIGATOR ON SEVERAL 3242 02:08:00,280 --> 02:08:01,960 STUDIES THE FRAMING HEART STUDY 3243 02:08:01,960 --> 02:08:04,560 AND NATIONAL CHILDREN STUDY AND 3244 02:08:04,560 --> 02:08:07,840 RECIPIENT OF PRESTIGIOUS NIH 3245 02:08:07,840 --> 02:08:09,360 METHOD RESEARCH EXTENT TIME ON 3246 02:08:09,360 --> 02:08:12,600 MERIT AWARD. I WANT TO SAY FROM 3247 02:08:12,600 --> 02:08:14,360 THE VERY BEGINNING DR. GILLMAN 3248 02:08:14,360 --> 02:08:16,240 IS ONE OF THE FIRST PEOPLE I MET 3249 02:08:16,240 --> 02:08:20,400 AT NIH WHEN I FIRST CAME. 3250 02:08:20,400 --> 02:08:22,360 FIRST THING TELLING ME ASKING 3251 02:08:22,360 --> 02:08:25,480 HIM WHAT IS ECHO PROGRAM ABOUT? 3252 02:08:25,480 --> 02:08:27,840 DESCRIBING PROGRAM TO ME AND 3253 02:08:27,840 --> 02:08:30,920 VERY IMPRESSED FIRST TIME I 3254 02:08:30,920 --> 02:08:33,360 HEARD AND NOT TOO MANY SINCE 3255 02:08:33,360 --> 02:08:36,720 THEN HEARD A PROGRAM EXPLICITLY 3256 02:08:36,720 --> 02:08:40,520 FOCUSING ON POSITIVE HEALTH 3257 02:08:40,520 --> 02:08:42,040 OUTCOMES THAT I FELT VERY 3258 02:08:42,040 --> 02:08:43,400 INTERESTING AND TITLE OF THE 3259 02:08:43,400 --> 02:08:45,880 TALK TODAY IS ENVIRONMENTAL 3260 02:08:45,880 --> 02:08:48,760 INFLUENCES ON CHILDHOOD OUTCOMES 3261 02:08:48,760 --> 02:08:52,040 AND SHARED INTEREST WITH NCCIH. 3262 02:08:52,040 --> 02:08:52,280 WELCOME. 3263 02:08:52,280 --> 02:08:54,920 >>THANK YOU. IT IS A PLEASURE 3264 02:08:54,920 --> 02:08:56,960 TO BE HERE AND THANK YOU FOR THE 3265 02:08:56,960 --> 02:08:58,680 NICE INTRODUCTION AND NICE TO 3266 02:08:58,680 --> 02:09:01,280 MEET YOU ALL. I HEARD THE TAIL 3267 02:09:01,280 --> 02:09:02,480 END OF YOUR DISCUSSION WITH JOSH 3268 02:09:02,480 --> 02:09:05,240 DENNY AND YOU WILL SEE A GOOD 3269 02:09:05,240 --> 02:09:07,840 OVERLAP WITH WHAT I WILL TELL 3270 02:09:07,840 --> 02:09:10,360 YOU ABOUT IN THE ECHO PROGRAM. 3271 02:09:10,360 --> 02:09:14,320 I WILL FIRST STOP MY VIDEO AND 3272 02:09:14,320 --> 02:09:21,200 DO THE SHARE SCREEN THING. 3273 02:09:21,200 --> 02:09:24,840 THAT IS THE WRONG ONE. LET'S 3274 02:09:24,840 --> 02:09:27,200 TRY THIS ONE. 3275 02:09:27,200 --> 02:09:31,200 WE WILL TRY TO GET IT INTO 3276 02:09:31,200 --> 02:09:33,920 PRESENTER MODE. 3277 02:09:33,920 --> 02:09:38,560 OKAY. EVERYONE SEEING THAT NOW? 3278 02:09:38,560 --> 02:09:40,480 MARTINA, DOES IT LOOK GOOD? 3279 02:09:40,480 --> 02:09:42,320 >>WE SEE YOUR PRESENTER VIEW. 3280 02:09:42,320 --> 02:09:45,720 NOT SLIDES BUT YOUR PRESENTER 3281 02:09:45,720 --> 02:09:46,160 VIEW. 3282 02:09:46,160 --> 02:09:47,640 >>DISPLAY SETTINGS AT THE TOP. 3283 02:09:47,640 --> 02:09:52,120 GO THERE. TO THE RIGHT OF THAT. 3284 02:09:52,120 --> 02:09:54,000 >>YES. DISPLAY SETTINGS. NOW. 3285 02:09:54,000 --> 02:09:55,880 >>I CAN'T SEE IT ON MY SCREEN. 3286 02:09:55,880 --> 02:09:59,440 THAT IS SO INTERESTING. YEAH. 3287 02:09:59,440 --> 02:10:00,200 >>UH-HUH. 3288 02:10:00,200 --> 02:10:03,080 >>HUH. USUALLY I CAN SEE 3289 02:10:03,080 --> 02:10:04,680 DISPLAY SETTINGS ALL I CAN SEE. 3290 02:10:04,680 --> 02:10:07,600 >>MOVING TO THE RIGHT A LITTLE 3291 02:10:07,600 --> 02:10:07,800 BIT. 3292 02:10:07,800 --> 02:10:09,960 >>THAT IS MY MUTE BUTTON ON 3293 02:10:09,960 --> 02:10:10,160 MINE. 3294 02:10:10,160 --> 02:10:10,440 >>YEAH. 3295 02:10:10,440 --> 02:10:12,240 >>TELL ME WHERE TO MOVE THE 3296 02:10:12,240 --> 02:10:12,600 MOUSE. 3297 02:10:12,600 --> 02:10:16,280 >>TO THE RIGHT A LITTLE BIT. 3298 02:10:16,280 --> 02:10:18,320 GO TO THE RIGHT. 3299 02:10:18,320 --> 02:10:19,560 >>I'M NOT GETTING IT. 3300 02:10:19,560 --> 02:10:22,400 >>OKAY. GETTING IT THAT BAR. 3301 02:10:22,400 --> 02:10:23,200 >>VERY WEIRD. 3302 02:10:23,200 --> 02:10:25,080 >>I THINK YOU HAVE TO SHARE THE 3303 02:10:25,080 --> 02:10:28,520 OTHER SCREEN. YOU ARE SHARING 3304 02:10:28,520 --> 02:10:31,200 THE WRONG SCREEN, ACTUALLY. 3305 02:10:31,200 --> 02:10:35,040 >>LET'S TRY IT A DIFFERENT WAY. 3306 02:10:35,040 --> 02:10:42,320 >>UH-HUH. 3307 02:10:42,320 --> 02:10:48,760 >>NOPE. 3308 02:10:48,760 --> 02:10:51,520 >>WOULD YOU LIKE ME TO SHARE 3309 02:10:51,520 --> 02:10:51,960 SLIDES? 3310 02:10:51,960 --> 02:10:55,160 >>ONE MORE CHANCE. 3311 02:10:55,160 --> 02:10:55,720 >>UH-HUH. 3312 02:10:55,720 --> 02:10:58,160 >>YES. NOW. NOW WE ARE. 3313 02:10:58,160 --> 02:10:58,800 >>EXCELLENT. 3314 02:10:58,800 --> 02:10:59,120 >>PERFECT. 3315 02:10:59,120 --> 02:11:02,880 >>OKAY. THANK YOU. 3316 02:11:02,880 --> 02:11:05,360 WE WILL SEE IF WE CAN ADVANCE 3317 02:11:05,360 --> 02:11:05,880 THE SLIDES. 3318 02:11:05,880 --> 02:11:08,720 GREAT. OKAY. SO, TODAY, I 3319 02:11:08,720 --> 02:11:10,680 WOULD LIKE TO TELL YOU A LITTLE 3320 02:11:10,680 --> 02:11:12,440 ABOUT THE ECHO PROGRAM TO 3321 02:11:12,440 --> 02:11:13,840 DESCRIBE HOW WE APPROACH 3322 02:11:13,840 --> 02:11:16,480 POSITIVE HEALTH IN ECHO AND GIVE 3323 02:11:16,480 --> 02:11:19,280 YOU THREE EXAMPLES OF 3324 02:11:19,280 --> 02:11:20,840 COLLABORATIVE ECHO RESEARCH 3325 02:11:20,840 --> 02:11:24,080 RELATED TO NCCIH THEMES AND HAVE 3326 02:11:24,080 --> 02:11:27,120 PLENTY OF TIME FOR QUESTIONS AND 3327 02:11:27,120 --> 02:11:27,680 DISCUSSION. 3328 02:11:27,680 --> 02:11:30,000 FIRST, ABOUT ECHO. ECHO'S 3329 02:11:30,000 --> 02:11:32,160 MISSION IS ENHANCING HEALTH OF 3330 02:11:32,160 --> 02:11:34,480 CHILDREN FOR GENERATIONS TO 3331 02:11:34,480 --> 02:11:34,680 COME. 3332 02:11:34,680 --> 02:11:36,840 WE DO OUR WORK UNDER THE NOTION 3333 02:11:36,840 --> 02:11:40,600 THAT A GOOD START TO LIFE CAN 3334 02:11:40,600 --> 02:11:45,760 LAST A LIFETIME AND OVER 3335 02:11:45,760 --> 02:11:46,880 GENERATIONS. 3336 02:11:46,880 --> 02:11:49,280 WE UNDERSTAND TO ENSURE A GOOD 3337 02:11:49,280 --> 02:11:51,720 START WE HAVE TO KNOW SOMETHING 3338 02:11:51,720 --> 02:11:54,320 ABOUT POTENTIAL RISKS AND 3339 02:11:54,320 --> 02:11:55,280 RESILIENCIES WHETHER CONDITIONS 3340 02:11:55,280 --> 02:12:00,600 OR THINGS WE FIND ON OUR SHELVES 3341 02:12:00,600 --> 02:12:03,600 OR UNHEALTHFUL OR UNHEALTHFUL 3342 02:12:03,600 --> 02:12:05,640 HEAVENS AND HELPFUL TO KNOW WHEN 3343 02:12:05,640 --> 02:12:08,640 AND TO WHOM THESE APPLY TO 3344 02:12:08,640 --> 02:12:09,600 UNDERTAKE PRECISION PREVENTION. 3345 02:12:09,600 --> 02:12:12,320 IN GENERAL, WE WOULD LIKE TO 3346 02:12:12,320 --> 02:12:14,360 INFORM PROGRAMS POLICIES AND 3347 02:12:14,360 --> 02:12:16,560 PRACTICES AN APPROACH THAT WE 3348 02:12:16,560 --> 02:12:19,240 CALL SOLUTION-ORIENTED RESEARCH. 3349 02:12:19,240 --> 02:12:23,000 WE DO OUR WORK THROUGH BOTH 3350 02:12:23,000 --> 02:12:24,120 OBSERVATIONAL AND INTERVENTION 3351 02:12:24,120 --> 02:12:25,840 RESEARCH THAT IS ON THE RIGHT 3352 02:12:25,840 --> 02:12:28,240 AND IDEA STATES PEDIATRIC 3353 02:12:28,240 --> 02:12:30,080 CLINICAL TRIALS NETWORK AND ECHO 3354 02:12:30,080 --> 02:12:32,560 COHORTS ON THE LEFT THAT IS 3355 02:12:32,560 --> 02:12:33,560 OBSERVATIONAL WORK AND TOGETHER 3356 02:12:33,560 --> 02:12:37,760 THEY COVER 44 STATES DC AND 3357 02:12:37,760 --> 02:12:40,520 POIRTO ROOEKO AND TODAY WILL 3358 02:12:40,520 --> 02:12:42,840 FOCUS ON OBSERVATIONAL SIDE OF 3359 02:12:42,840 --> 02:12:45,160 ECHO. OVERALL GOAL OF ECHO 3360 02:12:45,160 --> 02:12:47,880 COHORTS IS ANSWERING SOLUTION 3361 02:12:47,880 --> 02:12:49,160 ORIENTED QUESTIONS ABOUT EFFECTS 3362 02:12:49,160 --> 02:12:52,280 OF BROAD RANGE OF EARLY 3363 02:12:52,280 --> 02:12:53,320 ENVIRONMENTAL EXPOSURES ON CHILD 3364 02:12:53,320 --> 02:12:55,320 HEALTH AND DEVELOPMENT. BY THIS 3365 02:12:55,320 --> 02:12:58,320 BROAD RANGE OF EARLY 3366 02:12:58,320 --> 02:13:00,120 ENVIRONMENTAL EXPOSURES 3367 02:13:00,120 --> 02:13:01,840 INVESTIGATORS COVER MANY FACETS 3368 02:13:01,840 --> 02:13:04,400 FROM SOCIETY TO BIOLOGY 3369 02:13:04,400 --> 02:13:07,800 INCLUDING PHYSICAL AND CHEMICAL 3370 02:13:07,800 --> 02:13:10,320 ENVIRONMENT SOCIETAL MEDICAL 3371 02:13:10,320 --> 02:13:12,600 PSYCHOSOCIAL BEHAVIORAL AND 3372 02:13:12,600 --> 02:13:14,280 BIOLOGICAL AND BECAUSE PERIOD 3373 02:13:14,280 --> 02:13:17,280 FROM CONCEPTION TO AGE 5 IS MOST 3374 02:13:17,280 --> 02:13:18,840 DEVELOPMENTALLY PLASTIC PERIOD. 3375 02:13:18,840 --> 02:13:23,240 WE FOCUS ON THAT AS A TIME WHERE 3376 02:13:23,240 --> 02:13:23,920 PERTUBATIONS OR [INDISCERNIBLE] 3377 02:13:23,920 --> 02:13:27,720 OR EVENTS MIGHT HAVE LIFETIME 3378 02:13:27,720 --> 02:13:28,080 CONSEQUENCES. 3379 02:13:28,080 --> 02:13:31,800 THEN WE FOCUS ON 5 KEY PEDIATRIC 3380 02:13:31,800 --> 02:13:35,160 OUTCOMES WITH HIGH IMPACT ON 3381 02:13:35,160 --> 02:13:37,880 CHILD HEALTH FROM BIRTH THROUGH 3382 02:13:37,880 --> 02:13:40,960 ADOLESCENCE INCLUDING PREPERIAND 3383 02:13:40,960 --> 02:13:45,120 POST NATAL UPPER AIRWAY AND AS 3384 02:13:45,120 --> 02:13:49,160 WE WILL TALK ABOUT MOSTLY TODAY 3385 02:13:49,160 --> 02:13:51,560 POSITIVE HEALTH OR WELLBEING. 3386 02:13:51,560 --> 02:13:53,720 WE HAVE CONSTRUCTED OVER THE 3387 02:13:53,720 --> 02:13:57,240 FIRST 6 PLUS YEARS OF ECHO WHAT 3388 02:13:57,240 --> 02:13:59,880 WE CALL ECHOWIDE CO-HORT WEAVING 3389 02:13:59,880 --> 02:14:05,200 TOGETHER DATA FROM 69 3390 02:14:05,200 --> 02:14:07,080 PRE-EXISTING AND ONGOING 3391 02:14:07,080 --> 02:14:09,200 MATERNAL CHILD AND COHORT 3392 02:14:09,200 --> 02:14:11,480 STUDIES CREATING DATA PLATFORM 3393 02:14:11,480 --> 02:14:13,960 FROM DATA FROM 69 COHORT STUDIES 3394 02:14:13,960 --> 02:14:17,520 FROM 103,000 PARTICIPANTS WITH 3395 02:14:17,520 --> 02:14:20,400 NOW MORE THAN 60 -- ABOUT 65,000 3396 02:14:20,400 --> 02:14:22,800 CHILDREN MORE THAN HALF OF WHOM 3397 02:14:22,800 --> 02:14:25,280 ARE ACTIVE FOLLOW UP AND NOW 3398 02:14:25,280 --> 02:14:27,360 MORE THAN 90 THOUSAND 3399 02:14:27,360 --> 02:14:29,520 BIOSPECIMENS AND IDEA TO 3400 02:14:29,520 --> 02:14:31,040 HARMONIZE EXISTING MEASURES 3401 02:14:31,040 --> 02:14:32,480 COHORTS CAME IN WITH. IT THAT 3402 02:14:32,480 --> 02:14:35,320 IS A BIG JOB. STANDARDIZING NEW 3403 02:14:35,320 --> 02:14:37,880 MEASURES AS COHORTS COLLECT NEW 3404 02:14:37,880 --> 02:14:41,840 DATA THROUGH COMMON DATA 3405 02:14:41,840 --> 02:14:42,680 COLLECTION PROTOCOL. 3406 02:14:42,680 --> 02:14:45,160 WE WOUND UP WITH A COHORT 3407 02:14:45,160 --> 02:14:48,160 DIVERSE IN TERMS OF GEOGRAPHY 3408 02:14:48,160 --> 02:14:51,080 SEX AGE SOCIOECONOMIC STATUS AND 3409 02:14:51,080 --> 02:14:56,160 YOU SEE ON THIS SLIDE RACE AND 3410 02:14:56,160 --> 02:14:56,520 ETHNICITY. 3411 02:14:56,520 --> 02:15:01,280 WE HAVE RECORRECTLY CREATED A 3412 02:15:01,280 --> 02:15:03,680 FIRST RELEASE OF A PUBLIC USED 3413 02:15:03,680 --> 02:15:06,680 DATABASE THAT IS UNDERPINNING A 3414 02:15:06,680 --> 02:15:08,280 NATIONWIDE RESEARCH RESOURCE. 3415 02:15:08,280 --> 02:15:12,160 WE WANT ECHO DATA TO BE AS 3416 02:15:12,160 --> 02:15:13,360 WIDELY AVAILABLE TO THE 3417 02:15:13,360 --> 02:15:15,120 SKUNTIVIC COMMUNITY AS POSSIBLE. 3418 02:15:15,120 --> 02:15:19,000 DATA ANALYSIS CENTER DEPOSITS 3419 02:15:19,000 --> 02:15:22,080 DEIDENTIFIED DATA ON REGULAR 3420 02:15:22,080 --> 02:15:25,400 INTERVALS ON NICH DATA SPECIMEN 3421 02:15:25,400 --> 02:15:27,360 HUB KNOWN AS DASH AND FIRST 3422 02:15:27,360 --> 02:15:28,880 PUBLIC RELEASE WAS ABOUT 5 3423 02:15:28,880 --> 02:15:30,960 MONTHS AGO AND RELEASES WILL BE 3424 02:15:30,960 --> 02:15:34,320 AT LEAST EVERY YEAR AND DEPOSIT 3425 02:15:34,320 --> 02:15:36,120 BIOSPECIMENS LATER ON THAT IS 3426 02:15:36,120 --> 02:15:37,880 WIDELY AVAILABLE TO THE 3427 02:15:37,880 --> 02:15:40,880 SCIENTIFIC COMMUNITY THROUGH 3428 02:15:40,880 --> 02:15:43,080 NICHD DASH ADMINISTRATIVE 3429 02:15:43,080 --> 02:15:43,320 REVIEW. 3430 02:15:43,320 --> 02:15:48,720 BEFORE I GO ON, I WANTED TO SAY 3431 02:15:48,720 --> 02:15:52,200 ALONG WITH CCIH WE BENEFITED 3432 02:15:52,200 --> 02:15:53,440 WITH COLLABORATIONS WITH MANY 3433 02:15:53,440 --> 02:15:55,440 INSTITUTES CENTERS AND OFFICES 3434 02:15:55,440 --> 02:15:57,960 ACROSS THE NIH. YOU CAN SEE 3435 02:15:57,960 --> 02:16:00,000 SOME OF THE THINGS WE WORKED ON 3436 02:16:00,000 --> 02:16:01,840 WITH OTHER INSTITUTES HERE IN 3437 02:16:01,840 --> 02:16:03,440 THIS LIST. 3438 02:16:03,440 --> 02:16:06,040 AND I JUST WANTED TO POINT YOUR 3439 02:16:06,040 --> 02:16:08,400 ATTENTION TO THE LAST BULLET. 3440 02:16:08,400 --> 02:16:11,680 OUR NEXT CYCLE FOR ECHO COHORTS 3441 02:16:11,680 --> 02:16:14,000 STARTS IN SEPTEMBER OF THIS YEAR 3442 02:16:14,000 --> 02:16:15,720 AND MEANT TO LAST ANOTHER 7 3443 02:16:15,720 --> 02:16:19,400 YEARS AND ONCE WE GET UP AND 3444 02:16:19,400 --> 02:16:22,320 RUNNING, WE WILL BE ATTENDING TO 3445 02:16:22,320 --> 02:16:24,120 POSSIBILITIES FOR CO-FUNDING FOR 3446 02:16:24,120 --> 02:16:25,880 NEW SCIENCE WITH OTHER 3447 02:16:25,880 --> 02:16:28,360 INSTITUTES AND CENTERS. 3448 02:16:28,360 --> 02:16:31,000 JUST AS A REMINDER, THE ECHO 3449 02:16:31,000 --> 02:16:34,320 PROGRAM IS IN THE OFFICE OF THE 3450 02:16:34,320 --> 02:16:34,880 DIRECTOR. 3451 02:16:34,880 --> 02:16:37,840 OKAY. SO, WHAT ARE WE TALKING 3452 02:16:37,840 --> 02:16:40,040 ABOUT WHEN WE MEET OR SAY 3453 02:16:40,040 --> 02:16:42,080 POSITIVE HEALTH IN THE ECHO 3454 02:16:42,080 --> 02:16:43,600 PROGRAM? 3455 02:16:43,600 --> 02:16:45,280 SO, WE THINK ABOUT HEALTH IN 3456 02:16:45,280 --> 02:16:47,240 SORT OF THESE TWO WAYS. 3457 02:16:47,240 --> 02:16:50,760 ON THE TOP, THE USUAL APPROACH, 3458 02:16:50,760 --> 02:16:54,440 WHICH YOU MIGHT CALL A NEGATIVE 3459 02:16:54,440 --> 02:16:56,680 APPROACH. WHICH EMPHASIZES 3460 02:16:56,680 --> 02:16:58,520 SUFFERING AND DISEASE. 3461 02:16:58,520 --> 02:17:02,320 YOU COULD SAY IN, YOU KNOW, LAY 3462 02:17:02,320 --> 02:17:04,120 LANGUAGE THAT STUDY IS WHAT GOES 3463 02:17:04,120 --> 02:17:06,520 WRONG. WE CAN ALSO STUDY WHAT 3464 02:17:06,520 --> 02:17:07,640 GOES RIGHT. 3465 02:17:07,640 --> 02:17:09,600 AND THERE IS TWO SORT OF MAIN 3466 02:17:09,600 --> 02:17:11,080 WAYS THAT WE THINK ABOUT THIS 3467 02:17:11,080 --> 02:17:13,120 AND A POSITIVE APPROACH. ONE IS 3468 02:17:13,120 --> 02:17:15,920 YOU CAN DEFINE POSITIVE HEALTH 3469 02:17:15,920 --> 02:17:20,240 AS ABSENCE OF DISEASE. 3470 02:17:20,240 --> 02:17:24,920 CERTAINLY SOME DISEASE SPECIFIC 3471 02:17:24,920 --> 02:17:27,600 ENTITIES HAVE DONE THAT LIKE THE 3472 02:17:27,600 --> 02:17:29,680 LIFE SIMPLE 7 FOR CARDIOVASCULAR 3473 02:17:29,680 --> 02:17:31,880 HEALTH AND WE THINK THERE IS A 3474 02:17:31,880 --> 02:17:34,200 MORE GENERIC MEANING OF POSITIVE 3475 02:17:34,200 --> 02:17:36,560 HEALTH THAT INCORPORATES 3476 02:17:36,560 --> 02:17:39,080 PHYSICAL, MENTAL, AND SOCIAL 3477 02:17:39,080 --> 02:17:40,200 WELLBEING. IN ADDITION TO 3478 02:17:40,200 --> 02:17:42,520 THINKING ABOUT A POSITIVE HEALTH 3479 02:17:42,520 --> 02:17:43,840 OUTCOME, WE CAN ALSO THINK ABOUT 3480 02:17:43,840 --> 02:17:47,240 A POSITIVE HEALTH OR ASSET-BASED 3481 02:17:47,240 --> 02:17:48,680 APPROACH THAT WE THINK ABOUT 3482 02:17:48,680 --> 02:17:51,240 STRENGTHS OR ASSETS AND BODY AND 3483 02:17:51,240 --> 02:17:54,720 BRAIN ASSETS AND ENVIRONMENTAL 3484 02:17:54,720 --> 02:17:55,680 RESOURCES. OVERTIME THEY 3485 02:17:55,680 --> 02:17:57,480 INTERACT WITH EACH OTHER TO 3486 02:17:57,480 --> 02:17:58,800 PRODUCE MORE HEALTHY FUNCTIONING 3487 02:17:58,800 --> 02:18:01,280 THAT IS AN ASSET BASED APPROACH 3488 02:18:01,280 --> 02:18:02,760 THAT ON THE RIGHT YOU SEE 3489 02:18:02,760 --> 02:18:05,320 VARIOUS DEFINITIONS OF POSITIVE 3490 02:18:05,320 --> 02:18:07,480 HEALTH OUTCOME WHETHER IT BE 3491 02:18:07,480 --> 02:18:08,800 PHYSICAL OR PSYCHOLOGICAL AND 3492 02:18:08,800 --> 02:18:13,400 MOST THAT WE LOOKED AT IS 3493 02:18:13,400 --> 02:18:15,200 PSYCHOLOGICAL HEALTH AND GLOBAL 3494 02:18:15,200 --> 02:18:16,360 HEALTH DOMAIN AND SOME PHYSICAL 3495 02:18:16,360 --> 02:18:19,280 AS WELL. SO, WHAT ARE STRENGTHS 3496 02:18:19,280 --> 02:18:22,600 AND ASSETS THAT WE MIGHT LOOK 3497 02:18:22,600 --> 02:18:24,160 AT? 3498 02:18:24,160 --> 02:18:26,280 THE WELL-BEING AND REDUCED 3499 02:18:26,280 --> 02:18:28,400 DISEASE RISK AND PROMOTE HEALTH 3500 02:18:28,400 --> 02:18:30,360 THAT COULD BE WE ARE TALKING 3501 02:18:30,360 --> 02:18:32,000 ABOUT PERSONAL ASSETS THAT MIGHT 3502 02:18:32,000 --> 02:18:33,880 BE PHYSICAL OR PSYCHOLOGICAL. 3503 02:18:33,880 --> 02:18:37,040 ONE THAT I WILL COME BACK TO IN 3504 02:18:37,040 --> 02:18:38,320 A EXAMPLE IS SLEEP HEALTH ON 3505 02:18:38,320 --> 02:18:41,000 RIGHT COULD BE ENVIRONMENTAL 3506 02:18:41,000 --> 02:18:43,400 RESOURCES ON BIOSPHERE AND BUILT 3507 02:18:43,400 --> 02:18:44,760 IN ENVIRONMENT AND SOCIAL AND 3508 02:18:44,760 --> 02:18:46,080 ORGANIZATIONAL ENVIRONMENT AND 3509 02:18:46,080 --> 02:18:48,320 MIDDLE OF THE INTEGRATED 3510 02:18:48,320 --> 02:18:52,880 FUNCTIONS COULD BE PHYSICAL OR 3511 02:18:52,880 --> 02:18:53,240 PSYCHOLOGICAL. 3512 02:18:53,240 --> 02:18:55,880 NOW, WHAT ABOUT POSITIVE HEALTH 3513 02:18:55,880 --> 02:19:01,880 OUTCOME IN THE ECHOWIDE COMMON 3514 02:19:01,880 --> 02:19:04,520 HEALTH PROTOCOL ASSESSING CHILD 3515 02:19:04,520 --> 02:19:06,040 ADOLESCENCE AND HEALTH AND 3516 02:19:06,040 --> 02:19:10,160 PERSONAL WELLBEING AND INCLUDES 3517 02:19:10,160 --> 02:19:12,440 THREE DOMAINS GENERAL HEALTH 3518 02:19:12,440 --> 02:19:13,400 LIFE SATISFACTION GENERAL 3519 02:19:13,400 --> 02:19:15,320 MEANING AND PURPOSE. EACH IS 3520 02:19:15,320 --> 02:19:16,360 MEASURED WITH PROMISE INSTRUMENT 3521 02:19:16,360 --> 02:19:19,720 YOU SEE IN 5 TO 7 YEARS GLOBAL 3522 02:19:19,720 --> 02:19:21,640 HEALTH ALONE BY PARENT PROXY AND 3523 02:19:21,640 --> 02:19:24,360 ONCE KIDS TURN 8 THEY REPORT 3524 02:19:24,360 --> 02:19:26,080 THEMSELVES BOTH GLOBAL AND 3525 02:19:26,080 --> 02:19:27,240 HEALTH AND LIFE SATISFACTION FOR 3526 02:19:27,240 --> 02:19:31,720 8 TO 11 YEARS AND IN 12 TO 7 3527 02:19:31,720 --> 02:19:33,480 TAENWE ADD MEANING AND PURPOSE. 3528 02:19:33,480 --> 02:19:35,760 THIS IS A PILOT STUDY WE DID 3529 02:19:35,760 --> 02:19:39,240 AMONG JUST OVER 1,000 PEOPLE. 3530 02:19:39,240 --> 02:19:42,240 IT IS WITH MEASURES OF GLOBAL 3531 02:19:42,240 --> 02:19:44,560 HEALTH AND DIE COT MIEZING 3532 02:19:44,560 --> 02:19:45,760 GLOBAL HEALTH INTO HIGHER LOW 3533 02:19:45,760 --> 02:19:49,200 AND LOOK AT IT IN DEMOGRAPHIC 3534 02:19:49,200 --> 02:19:50,920 AND CLINICAL CHARACTERISTICS AND 3535 02:19:50,920 --> 02:19:54,160 BLUE LINES ON TOP SHOW OLDER AGE 3536 02:19:54,160 --> 02:19:56,280 ASSOCIATED WITH LOWER GLOBAL 3537 02:19:56,280 --> 02:19:58,360 HEALTH AND GREEN LINES SHOW A 3538 02:19:58,360 --> 02:20:00,280 HIGHER FAMILY INCOME WAS 3539 02:20:00,280 --> 02:20:03,840 ASSOCIATED WITH HIGHER GLOBAL 3540 02:20:03,840 --> 02:20:05,840 HEALTH AND THE ORANGE LINE SHOWS 3541 02:20:05,840 --> 02:20:08,520 PRESENCE OF CHRONIC DISEASE WAS 3542 02:20:08,520 --> 02:20:10,320 ASSOCIATED WITH LOWER GLOBAL 3543 02:20:10,320 --> 02:20:12,800 HEALTH WITH NO REAL DIFFERENCES 3544 02:20:12,800 --> 02:20:14,840 BY SEX, RACE, OR ETHNICITY. 3545 02:20:14,840 --> 02:20:19,600 I WILL COME BACK TO THE CHRONIC 3546 02:20:19,600 --> 02:20:21,760 DISEASE IN ONE OF MY EXAMPLES. 3547 02:20:21,760 --> 02:20:24,480 LOOKING AT YOUR STRATEGIC PLAN 3548 02:20:24,480 --> 02:20:29,480 SEEMS IT THAT OUR APPROACH DOES 3549 02:20:29,480 --> 02:20:37,880 REALLY OVERLAP -- FOSTERING 3550 02:20:37,880 --> 02:20:44,400 RESEARCH -- TALKING ABOUT -- 3551 02:20:44,400 --> 02:20:45,680 LOOKING AT INDIVIDUAL FAMILY AND 3552 02:20:45,680 --> 02:20:48,160 COMMUNITY POPULATION LEVELS THAT 3553 02:20:48,160 --> 02:20:51,920 IS A CONTINUUM BETWEEN HEALTH 3554 02:20:51,920 --> 02:20:58,360 AND DISEASE. 3555 02:20:58,360 --> 02:21:03,440 WE DEFINE IT AS WELL BEING 3556 02:21:03,440 --> 02:21:04,960 MEASURED GLOBAL HEALTH AND 3557 02:21:04,960 --> 02:21:07,040 MEANING AND PURPOSE AND MEASURES 3558 02:21:07,040 --> 02:21:09,880 AGES 5 TO 17 AND PERSON REPORTED 3559 02:21:09,880 --> 02:21:12,280 OUTCOME SCORE IS WORKING ON 3560 02:21:12,280 --> 02:21:15,040 MEASURES FOR YOUNGER KIDS THAT 3561 02:21:15,040 --> 02:21:17,640 THIS APPROACH ALLOWS SPECIFICITY 3562 02:21:17,640 --> 02:21:20,040 OF OUTCOME FACILITATING 3563 02:21:20,040 --> 02:21:22,320 COMMUNICATION FOSTERING 3564 02:21:22,320 --> 02:21:23,760 CONSISTENCY OVER ANALYSIS. 3565 02:21:23,760 --> 02:21:26,360 WE THINK ABOUT POSITIVE HEALTH 3566 02:21:26,360 --> 02:21:28,400 APPROACH KNOWN AS ASSET BASED 3567 02:21:28,400 --> 02:21:31,520 APPROACH MANNED ASSETS 3568 02:21:31,520 --> 02:21:33,440 ASSOCIATED NOT ONLY WITH 3569 02:21:33,440 --> 02:21:34,560 POSITIVE HEALTH AND FOUR OTHER 3570 02:21:34,560 --> 02:21:39,440 HEALTH OUTCOMES TOO IN THE ECHO 3571 02:21:39,440 --> 02:21:40,720 PROGRAM AND PREVIOUS SLIDE THESE 3572 02:21:40,720 --> 02:21:43,680 ARE CONSISTENT WITH WHOLE PERSON 3573 02:21:43,680 --> 02:21:44,960 CENTERED FRAMEWORK. I WILL SHOW 3574 02:21:44,960 --> 02:21:48,600 A FEW EXAMPLES OF COLLABORATIVE 3575 02:21:48,600 --> 02:21:51,320 ECHO RESEARCH RELATED TO NCCIH 3576 02:21:51,320 --> 02:21:52,320 THEMES. 3577 02:21:52,320 --> 02:21:55,720 ONE EXAMPLE HOW DOES COVID-19 3578 02:21:55,720 --> 02:21:56,760 RELATED STRESS EFFECT CHILD 3579 02:21:56,760 --> 02:21:58,440 WELLBEING AND CHRONIC PHYSICAL 3580 02:21:58,440 --> 02:22:01,960 AND MENTAL HEALTH CONDITIONS 3581 02:22:01,960 --> 02:22:06,160 EFFECT WELLBEING AND SLEEP 3582 02:22:06,160 --> 02:22:07,680 QUALITY CORRELATES WITH WELL 3583 02:22:07,680 --> 02:22:09,320 BEING AND FIRST TOOK ADVANTAGE 3584 02:22:09,320 --> 02:22:13,800 OF PIVOT WITH COVID-19 PANDEMIC 3585 02:22:13,800 --> 02:22:17,080 GETTING COVID-19 SPECIFIC 3586 02:22:17,080 --> 02:22:27,640 MEASURES IN COHORTS -- SWEEPING 3587 02:22:28,080 --> 02:22:28,840 DECISIONS TO ENVIRONMENTS THAT 3588 02:22:28,840 --> 02:22:30,360 CHILDREN GROW AND PLAY AND LEARN 3589 02:22:30,360 --> 02:22:33,360 AND TIME OF UNIVERSAL DISTRESS 3590 02:22:33,360 --> 02:22:36,560 TO IDENTIFY PROMOTING FACTORS 3591 02:22:36,560 --> 02:22:38,520 FOR POSITIVE PSYCHOLOGICAL WELL 3592 02:22:38,520 --> 02:22:42,000 BEING AND CONCEPTUAL MODEL 3593 02:22:42,000 --> 02:22:46,360 BEHIND STUDY IS RECOGNIZING 3594 02:22:46,360 --> 02:22:48,720 PANDEMIC ENGENDERED SOCIAL 3595 02:22:48,720 --> 02:22:52,680 ISOLATION POLICIES. 3596 02:22:52,680 --> 02:22:55,720 SOME OF WHICH COULD BE RELATED 3597 02:22:55,720 --> 02:22:58,920 TO PSYCHOLOGICAL STRESS HAVING 3598 02:22:58,920 --> 02:22:59,960 IMPACT ON LIFE SATISFACTION AND 3599 02:22:59,960 --> 02:23:04,960 WERE QUESTIONS IN THEMSELVES AND 3600 02:23:04,960 --> 02:23:07,920 ADDITIONAL QUESTIONS SOURCES OF 3601 02:23:07,920 --> 02:23:13,880 RESILIENCE FAMILY RELATIONSHIPS 3602 02:23:13,880 --> 02:23:18,360 -- PARTICIPANTS CAME FROM 11 3603 02:23:18,360 --> 02:23:22,080 COHORTS ACROSS 27 STATES AND 3604 02:23:22,080 --> 02:23:24,560 THEIR MAIN AGE IS 8 AND 3605 02:23:24,560 --> 02:23:26,760 COLLECTED DATA IN CAREGIVER 3606 02:23:26,760 --> 02:23:28,880 SURVEYS INCLUDING FAMILY 3607 02:23:28,880 --> 02:23:30,760 HARDSHIPS AND ENCOMPASS 24 OF 3608 02:23:30,760 --> 02:23:32,640 THEM AND FOR EXAMPLE 3609 02:23:32,640 --> 02:23:34,680 UNEMPLOYMENT AND ACCESS TO 3610 02:23:34,680 --> 02:23:37,400 HEALTH CARE FOOD SECURITY 3611 02:23:37,400 --> 02:23:38,360 CONCERNS ABOUT THE CHILD AND 3612 02:23:38,360 --> 02:23:41,240 ACUTE STRESS RELATED TO COVID-19 3613 02:23:41,240 --> 02:23:43,600 AND SCALE THAT PSYCHOLOGISTS 3614 02:23:43,600 --> 02:23:46,160 DEVELOPED ALIGNING WITH DSM 3615 02:23:46,160 --> 02:23:48,360 CRITERIA FOR ACUTE STRESS AND 3616 02:23:48,360 --> 02:23:49,800 SOCIAL CONNECTEDNESS AND HERE IS 3617 02:23:49,800 --> 02:23:54,360 ONE OF THE QUESTIONS THAT YOU 3618 02:23:54,360 --> 02:23:58,360 CAN SEE RESPONSE CATEGORIES 3619 02:23:58,360 --> 02:23:59,640 EXAMPLES IF IN THE QUESTIONNAIRE 3620 02:23:59,640 --> 02:24:04,960 AND FIRST PART OF THE ANALYSIS 3621 02:24:04,960 --> 02:24:07,920 THESE HARDSHIPS RELATED TO 3622 02:24:07,920 --> 02:24:09,280 SALIENT STRESSORS IN CHILDREN 3623 02:24:09,280 --> 02:24:11,960 ACCESS TO MEDICAL CARE AND 3624 02:24:11,960 --> 02:24:14,360 HEALTH CONCERNS RELATIONAL 3625 02:24:14,360 --> 02:24:18,040 IMPACT ON CHILD AND FAMILY AND 3626 02:24:18,040 --> 02:24:20,360 SOCIAL DISTANCING AND ECONOMIC 3627 02:24:20,360 --> 02:24:22,360 STRESSORS AND CONCERNS AND 3628 02:24:22,360 --> 02:24:25,040 ACCESS TO SUPPLIES AND RANGE IN 3629 02:24:25,040 --> 02:24:27,520 CHILDCARE AND LOOKING AT 3630 02:24:27,520 --> 02:24:30,360 LEFT-HAND SIDE OF THIS NOW 3631 02:24:30,360 --> 02:24:31,920 RESULTS ORIENTED CONCEPTUAL 3632 02:24:31,920 --> 02:24:34,960 MODEL WE CAN ASK QUESTIONS TO 3633 02:24:34,960 --> 02:24:37,600 WHAT EXTENT IS COVID RELATED 3634 02:24:37,600 --> 02:24:41,800 FAMILY HARDSHIPS CONTRIBUTING TO 3635 02:24:41,800 --> 02:24:45,920 CAREGIVER STRESS AND COVID-19 3636 02:24:45,920 --> 02:24:48,640 FAMILY HARDSHIPS RELATED TO 3637 02:24:48,640 --> 02:24:49,880 COVID-19 RELATED STRESS AND 3638 02:24:49,880 --> 02:24:51,200 PARTIALLY DIRECTLY AND MOSTLY 3639 02:24:51,200 --> 02:24:54,760 THROUGH PATHWAY OF THE CAREGIVER 3640 02:24:54,760 --> 02:24:56,440 ACUTE STRESS. 3641 02:24:56,440 --> 02:24:59,840 THESE METRICS ARE STANDARD 3642 02:24:59,840 --> 02:25:01,640 DEVIATION SCORES WITH STANDARD 3643 02:25:01,640 --> 02:25:03,880 ERROR IN PARENTHESIS. 3644 02:25:03,880 --> 02:25:07,800 IN TURN, CHILD COVID-19 RELATED 3645 02:25:07,800 --> 02:25:11,880 STRESS AT INVERSE IMPACT AS YOU 3646 02:25:11,880 --> 02:25:14,600 MIGHT EXPECT ON CHILD LIFESTYLE 3647 02:25:14,600 --> 02:25:17,640 SATISFACTION THAT IS NEGATIVE 3648 02:25:17,640 --> 02:25:21,480 3.7. SO, THE TRANSLATION OF 3649 02:25:21,480 --> 02:25:24,240 THESE RESULTS ARE YES HARDSHIPS 3650 02:25:24,240 --> 02:25:25,680 CONTRIBUTE TODAY CAREGIVER AND 3651 02:25:25,680 --> 02:25:28,200 CHILD STRESS THAT IN TURN HAVE 3652 02:25:28,200 --> 02:25:32,840 INVERSE IMPACT ON CHILD-LIFE 3653 02:25:32,840 --> 02:25:33,800 SATISFACTION AND PRACTICAL 3654 02:25:33,800 --> 02:25:36,240 CONSIDERATION IS FEDERAL STATE 3655 02:25:36,240 --> 02:25:37,760 AGENCIES TO [INDISCERNIBLE] TO 3656 02:25:37,760 --> 02:25:39,280 TARGET HARDSHIPS AS WE SAW 3657 02:25:39,280 --> 02:25:43,920 DURING FIRST COUPLE YEARS OF THE 3658 02:25:43,920 --> 02:25:45,240 COVID-19 PANDEMIC. 3659 02:25:45,240 --> 02:25:47,720 IT IS POSSIBLE TO DEVELOP 3660 02:25:47,720 --> 02:25:49,360 INTERVENTIONS TARGETING STRESS 3661 02:25:49,360 --> 02:25:51,800 AND LIFE SATISFACTION MEASURES 3662 02:25:51,800 --> 02:25:53,560 OF PSYCHOLOGICAL FUNCTIONING FOR 3663 02:25:53,560 --> 02:25:55,560 EXAMPLE THROUGH MINDFULNESS 3664 02:25:55,560 --> 02:25:58,360 INTERVENTIONS AND HAS BEEN ONE 3665 02:25:58,360 --> 02:26:01,320 CONCEPT PUT FORWARD IN IDEA 3666 02:26:01,320 --> 02:26:03,160 STATES CLINICAL TRIAL NETWORK TO 3667 02:26:03,160 --> 02:26:05,240 DO MIENTDFULNESS INTERVENTIONS. 3668 02:26:05,240 --> 02:26:07,920 SECOND PART OF THIS PROMOTING 3669 02:26:07,920 --> 02:26:09,800 AND PROTECTING IN THE STUDY YOU 3670 02:26:09,800 --> 02:26:12,600 CAN SEE HERE, SOCIAL CONNECTION 3671 02:26:12,600 --> 02:26:14,600 AND FAMILY ENGAGEMENT ARE BOTH 3672 02:26:14,600 --> 02:26:17,000 POSITIVELY RELATED TO CHILD 3673 02:26:17,000 --> 02:26:18,960 SATISFACTION THAT IS A PROMOTING 3674 02:26:18,960 --> 02:26:21,560 EFFECT. IN ADDITION, FAMILY 3675 02:26:21,560 --> 02:26:23,960 ENGAGEMENT HAS A PROTECTIVE 3676 02:26:23,960 --> 02:26:27,000 EFFECT AGAINST RELATIONSHIP 3677 02:26:27,000 --> 02:26:28,360 BETWEEN STRESS AND CHILD-LIFE 3678 02:26:28,360 --> 02:26:30,440 SATISFACTION THAT IS A MODIFIER 3679 02:26:30,440 --> 02:26:31,960 OF THAT EFFECT. 3680 02:26:31,960 --> 02:26:34,600 SO, SOCIAL CONNECTION AND FAMILY 3681 02:26:34,600 --> 02:26:37,440 ENGAGEMENT CAN PROMOTE 3682 02:26:37,440 --> 02:26:39,200 CHILDREN'S LIFE SATISFACTION 3683 02:26:39,200 --> 02:26:41,080 ADMITTING STRESS DUE TO PANDEMIC 3684 02:26:41,080 --> 02:26:43,680 AND HARDSHIP THAT ENTAILS. WHAT 3685 02:26:43,680 --> 02:26:45,400 ARE POSSIBLE PRACTICAL 3686 02:26:45,400 --> 02:26:47,560 CONSIDERATIONS HERE? 3687 02:26:47,560 --> 02:26:51,960 ONE IS SOCIAL PRESCRIBING AND 3688 02:26:51,960 --> 02:26:54,120 HEALTH PROFESSIONALS LEVERAGING 3689 02:26:54,120 --> 02:26:57,400 LOCAL ASSETS AND COMMUNITY 3690 02:26:57,400 --> 02:26:59,680 ACTIVITIES TO CONNECT -- FOSTER 3691 02:26:59,680 --> 02:27:01,320 FAMILY ENGAGEMENT STRATEGIES. 3692 02:27:01,320 --> 02:27:03,200 FOSTERING WORKING TOGETHER AS A 3693 02:27:03,200 --> 02:27:06,360 FAMILY TO SOLVE PROBLEMS AND 3694 02:27:06,360 --> 02:27:08,600 IDENTIFYING STRENGTH AND STAY 3695 02:27:08,600 --> 02:27:11,760 HOPEFUL. EVIDENCE-BASED WELL 3696 02:27:11,760 --> 02:27:13,640 VISIT PLANNER PRIMARY CARE 3697 02:27:13,640 --> 02:27:15,440 PRACTITIONERS USE TO ENGAGE 3698 02:27:15,440 --> 02:27:18,400 FAMILIES AND INDIVIDUALIZE 3699 02:27:18,400 --> 02:27:19,240 STRATEGIES. 3700 02:27:19,240 --> 02:27:21,480 OKAY. SECOND EXAMPLES THERE IS 3701 02:27:21,480 --> 02:27:24,360 MENTAL HEALTH AND CHILD 3702 02:27:24,360 --> 02:27:28,040 WELL-BEING. THIS IS PUBLISHED A 3703 02:27:28,040 --> 02:27:31,920 FEW MONTHS AGO TO EXAMINE 3704 02:27:31,920 --> 02:27:33,560 SELF-REPORTED GLOBAL HEALTH AND 3705 02:27:33,560 --> 02:27:35,760 LESS SATISFACTION FOR CHILDREN 3706 02:27:35,760 --> 02:27:37,920 ADOLESCENCE WITH AND WITHOUT 3707 02:27:37,920 --> 02:27:39,760 CHRONIC CONDITIONS. HERE COMES 3708 02:27:39,760 --> 02:27:42,800 NOT ONLY LIFE SATISFACTION AND 3709 02:27:42,800 --> 02:27:44,600 SATISFYING LIFE IS AND GLOBAL 3710 02:27:44,600 --> 02:27:46,600 HEALTH MEASURE COVERING PHYSICAL 3711 02:27:46,600 --> 02:27:49,040 AND SOCIAL AND MENTAL HEALTH. 3712 02:27:49,040 --> 02:27:52,600 SO, THERE HAS BEEN A PREVIOUS 3713 02:27:52,600 --> 02:27:55,440 PILOT STUDY IN ECHO INVOLVING 3714 02:27:55,440 --> 02:27:57,640 THREE COHORTS AGE 5 TO 9 YEAR 3715 02:27:57,640 --> 02:27:59,960 OLDS AND IN THIS STUDY THEY ARE 3716 02:27:59,960 --> 02:28:01,800 ABLE TO ONLY DIE COT MIEZ 3717 02:28:01,800 --> 02:28:04,680 PRESENCE AND ABSENCE OF CHRONIC 3718 02:28:04,680 --> 02:28:06,360 ILLNESS AND FOUND IN GENERAL 3719 02:28:06,360 --> 02:28:07,960 SMALL DIFFERENCES IN GLOBAL 3720 02:28:07,960 --> 02:28:10,160 HEALTH AND SIMILAR LIFE 3721 02:28:10,160 --> 02:28:11,560 SATISFACTION SUGGESTING WITH 3722 02:28:11,560 --> 02:28:13,280 CHRONIC ILLNESS KIDS COULD BE 3723 02:28:13,280 --> 02:28:15,080 SATISFIED WITH THEIR LIVES. 3724 02:28:15,080 --> 02:28:17,520 WELL, THIS STUDY FILLED 3725 02:28:17,520 --> 02:28:18,480 ADDITIONAL GAPS. 3726 02:28:18,480 --> 02:28:22,200 IT HAD AN OLDER AGE GROUP AND 3727 02:28:22,200 --> 02:28:25,960 WIDER AGE RANGE 8 TO 7 TAENAND 3728 02:28:25,960 --> 02:28:28,800 SAMPLE OF 13 ECHO COHORTS AND 3729 02:28:28,800 --> 02:28:29,760 EXAMINE SPECIFIC CONDITIONS 3730 02:28:29,760 --> 02:28:31,960 PHYSICAL CONDITIONS AS MOTOR 3731 02:28:31,960 --> 02:28:34,320 PROBLEMS COGNITIVE LIKE 3732 02:28:34,320 --> 02:28:36,120 DEVELOPMENTAL DELAY AND 3733 02:28:36,120 --> 02:28:37,960 EFFECTIVE LIKE ANXIETY AND 3734 02:28:37,960 --> 02:28:39,240 DEPRESSION AND COULD COMPARE 3735 02:28:39,240 --> 02:28:41,600 WITH NATIONAL NORMS FROM 3736 02:28:41,600 --> 02:28:43,320 NATIONAL SURVEY OF CHILDREN'S 3737 02:28:43,320 --> 02:28:45,760 HEALTH THAT DEVELOPED 3738 02:28:45,760 --> 02:28:47,720 PERCENTILES FROM PROMISED 3739 02:28:47,720 --> 02:28:48,040 MEASURES. 3740 02:28:48,040 --> 02:28:50,600 AND I MENTIONED PROMISE MEASURES 3741 02:28:50,600 --> 02:28:53,360 DEVELOPED AS PART OF NIH PATIENT 3742 02:28:53,360 --> 02:28:56,880 REPORTED OUTCOMES MEASURE 3743 02:28:56,880 --> 02:28:58,960 INFORMATION SYSTEM DEVELOPED IN 3744 02:28:58,960 --> 02:29:00,960 SCORE WITH A NONRESPONSE THEORY 3745 02:29:00,960 --> 02:29:04,280 AND DATA ANALYSIS IN THIS STUDY 3746 02:29:04,280 --> 02:29:07,600 PROMISING T SCORES REGREYSED ON 3747 02:29:07,600 --> 02:29:09,320 SOCIO DEMOGRAPHIC AND HEALTH 3748 02:29:09,320 --> 02:29:11,400 CONDITIONS AND AUTHORS 3749 02:29:11,400 --> 02:29:12,920 CONSIDERED CHANGE IN SCORE OF 3750 02:29:12,920 --> 02:29:16,240 MORE THAN A 3 THAT IS 1/3 OF 3751 02:29:16,240 --> 02:29:17,920 STANDARD DEVIATION AS A 3752 02:29:17,920 --> 02:29:19,040 SUBSTANTIVE CHANGE. STUDIES YOU 3753 02:29:19,040 --> 02:29:27,080 WILL SEE ON THE LEFT THAT HAD 1 3754 02:29:27,080 --> 02:29:33,480 THOUSAND 7 HUNDRED 64 CHILDREN. 3755 02:29:33,480 --> 02:29:35,840 18% PHYSICAL CONDITION ONLY AND 3756 02:29:35,840 --> 02:29:38,120 9% COGNITIVE ONLY. 4% EFFECTIVE 3757 02:29:38,120 --> 02:29:42,320 ONLY. 23% WITH MULTIPLE TYPES 3758 02:29:42,320 --> 02:29:45,600 AND IN COMPARE COMBRISON IN 3759 02:29:45,600 --> 02:29:47,360 NATIONAL SURVEY OF CHILDREN'S 3760 02:29:47,360 --> 02:29:50,360 HEALTH AND 65% HAD NO HEALTH 3761 02:29:50,360 --> 02:29:52,960 CONDITIONS AND SOME OF ECHO'S 3762 02:29:52,960 --> 02:29:54,400 COHORTS WERE RECRUITED ON BASIS 3763 02:29:54,400 --> 02:29:56,040 OF HAD HEALTH CONDITIONS THERE 3764 02:29:56,040 --> 02:29:57,640 ARE MORE HEALTH CONDITIONS HERE 3765 02:29:57,640 --> 02:29:59,840 THAN IN THE NATIONAL SAMPLE THAT 3766 02:29:59,840 --> 02:30:02,360 YOU CAN SEE ON THE RIGHT-HAND 3767 02:30:02,360 --> 02:30:05,800 SIDE THAT 8% ARE HISPANIC AND 3768 02:30:05,800 --> 02:30:09,160 24% BLACK AND 2/3 ANNUAL 3769 02:30:09,160 --> 02:30:13,120 HOUSEHOLD INCOME OF 50,000. 3770 02:30:13,120 --> 02:30:14,920 79% OF PARENTS HAD SOME COLLEGE 3771 02:30:14,920 --> 02:30:17,560 EDUCATION. 3772 02:30:17,560 --> 02:30:25,880 TURNING TO RESULTS WE MAINLY SEE 3773 02:30:25,880 --> 02:30:29,520 DEPRESSION AND SO ON THE BOTTOM 3774 02:30:29,520 --> 02:30:34,160 PANEL, YOU CAN SEE MENTAL HEALTH 3775 02:30:34,160 --> 02:30:38,400 DIAGNOSIS DEPRESSION ASSOCIATED 3776 02:30:38,400 --> 02:30:43,080 WITH [INDISCERNIBLE] THESE 3777 02:30:43,080 --> 02:30:47,600 PROMISED MEASURES ARE NORMED TO 3778 02:30:47,600 --> 02:30:51,760 MEDIAN OF 50 -- MEAN OF 50 AND 3779 02:30:51,760 --> 02:30:53,400 STANDARD DEVIATION OF 10. THIS 3780 02:30:53,400 --> 02:30:55,960 IS 2/3 OF A STANDARD DEVIATION 3781 02:30:55,960 --> 02:30:57,400 AND TOP PANEL YOU SEE CHRONIC 3782 02:30:57,400 --> 02:31:01,080 PAIN IS ASSOCIATED WITH 3783 02:31:01,080 --> 02:31:04,640 DECREMENT OF 3.5 IN GLOBAL 3784 02:31:04,640 --> 02:31:05,480 HEALTH. 3785 02:31:05,480 --> 02:31:07,680 MOSTLY LOOKING AT TABLE YOU WILL 3786 02:31:07,680 --> 02:31:09,760 SEE ESTIMATES FOR GLOBAL HEALTH 3787 02:31:09,760 --> 02:31:12,320 ON THE BOTTOM THAT THEY ARE A 3788 02:31:12,320 --> 02:31:13,160 LITTLE HIGHER THAN LIFE 3789 02:31:13,160 --> 02:31:15,400 SATISFACTION. THEY ARE MOSTLY 3790 02:31:15,400 --> 02:31:16,880 NOT MUCH DIFFERENT FROM 0. 3791 02:31:16,880 --> 02:31:19,120 EVEN THESE KIDS FOR THE MOST 3792 02:31:19,120 --> 02:31:21,640 PART WITH CHRONIC CONDITIONS 3793 02:31:21,640 --> 02:31:24,360 DIDN'T HAVE A LARGE DECKREMENT 3794 02:31:24,360 --> 02:31:28,160 IN GLOBAL HEALTH OR LIFE 3795 02:31:28,160 --> 02:31:28,960 SATISFACTION. 3796 02:31:28,960 --> 02:31:31,520 FINDING ON DEPRESSION BEARS 3797 02:31:31,520 --> 02:31:33,280 LOOKING AT PREVALENCE OF 3798 02:31:33,280 --> 02:31:34,720 DEPRESSION IN THESE KIDS IT THAT 3799 02:31:34,720 --> 02:31:37,840 WAS LESS THAN 1% IN CHILDREN 3800 02:31:37,840 --> 02:31:40,240 WITHOUT ANY OTHER CHRONIC 3801 02:31:40,240 --> 02:31:41,840 CONDITIONS AND 12% IN CHILDREN 3802 02:31:41,840 --> 02:31:43,480 WITH PHYSICAL HEALTH CONDITIONS 3803 02:31:43,480 --> 02:31:46,920 AND 14% WERE IN CHILDREN WITH 3804 02:31:46,920 --> 02:31:48,600 COGNITIVE OR DEVELOPMENTAL 3805 02:31:48,600 --> 02:31:53,320 CONDITIONS AND LARGE 41% IN 3806 02:31:53,320 --> 02:31:54,400 CHILDREN WITH ANXIETY. 3807 02:31:54,400 --> 02:31:57,640 THE AUTHORS LOOKED ALSO AT HOW 3808 02:31:57,640 --> 02:31:59,600 THESE RESULTS COMPARED WITH 3809 02:31:59,600 --> 02:32:00,360 NATIONAL NORMS. 3810 02:32:00,360 --> 02:32:02,760 SO, GLOBAL HEALTH AND LIFE 3811 02:32:02,760 --> 02:32:04,080 SATISFACTION AND WITH DEPRESSION 3812 02:32:04,080 --> 02:32:06,760 AND WITH CHRONIC PAIN AND WITH 3813 02:32:06,760 --> 02:32:09,560 NO DEPRESSION AND WITH OTHER 3814 02:32:09,560 --> 02:32:11,640 CHRONIC CONDITION WITH NO 3815 02:32:11,640 --> 02:32:13,000 DEPRESSION OR CHRONIC CONDITION 3816 02:32:13,000 --> 02:32:16,480 AND KIDS WITH DEPRESSION ARE IN 3817 02:32:16,480 --> 02:32:20,720 THE FAIR OR 25TH PERCENTILE FOR 3818 02:32:20,720 --> 02:32:21,480 GLOBAL HEALTH AND LIFE 3819 02:32:21,480 --> 02:32:23,880 SATISFACTION AND KIDS WITH 3820 02:32:23,880 --> 02:32:25,960 CHRONIC PAIN HAD DECREMENT OF 3821 02:32:25,960 --> 02:32:27,760 CHRONIC GLOBAL HEALTH IN THE 3822 02:32:27,760 --> 02:32:28,800 FAIR RANGE. 3823 02:32:28,800 --> 02:32:32,520 I'M SORRY. IN THE GOOD RANGE. 3824 02:32:32,520 --> 02:32:35,760 BUT, STILL LESS THAN 50TH 3825 02:32:35,760 --> 02:32:37,560 PERCENTILE WHEREAS NOT SO MUCH 3826 02:32:37,560 --> 02:32:38,960 IN THE LIFESTYLE SATISFACTION 3827 02:32:38,960 --> 02:32:40,400 AND OTHER TWO GROUPS WERE CLOSE 3828 02:32:40,400 --> 02:32:44,640 TO THE NATIONAL MEANS IN BOTH 3829 02:32:44,640 --> 02:32:46,440 MEASURES OF POSITIVE HEALTH. 3830 02:32:46,440 --> 02:32:49,600 KEY TAKEAWAYS FROM THE STUDY IS 3831 02:32:49,600 --> 02:32:50,760 MOST CHILDREN WITH CHRONIC 3832 02:32:50,760 --> 02:32:53,560 CONDITIONS HAVE LEVELS OF 3833 02:32:53,560 --> 02:32:55,480 POSITIVE HEALTH SIMILAR TO PARTS 3834 02:32:55,480 --> 02:32:57,280 WITH CHRONIC HEALTH CONDITIONS 3835 02:32:57,280 --> 02:33:01,960 AND DEPRESSION ASSOCIATED WITH 3836 02:33:01,960 --> 02:33:03,440 POSITIVE HEALTH AND -- AMONG 3837 02:33:03,440 --> 02:33:05,320 CHILDREN WITH CHRONIC HEALTH 3838 02:33:05,320 --> 02:33:07,360 CONDITIONS. TRANSLATION IS TO 3839 02:33:07,360 --> 02:33:09,160 EXAMINE POTENTIAL BENEFITS AND 3840 02:33:09,160 --> 02:33:11,640 HARMS OF FACILITATING SCREENING 3841 02:33:11,640 --> 02:33:14,000 OR TREATMENT FOR DEPRESSION 3842 02:33:14,000 --> 02:33:16,600 AMONG CHILDREN WITH PHYSICAL 3843 02:33:16,600 --> 02:33:17,640 MENTAL HEALTH CONDITIONS AND 3844 02:33:17,640 --> 02:33:20,240 THIRD I WANTED TO TELL YOU ABOUT 3845 02:33:20,240 --> 02:33:21,960 SLEEP AND CHILD WELLBEING AND 3846 02:33:21,960 --> 02:33:25,280 SLEEP IS ONE THING I HAVE BEEN 3847 02:33:25,280 --> 02:33:27,600 INTERESTED IN A LONG TIME AND 3848 02:33:27,600 --> 02:33:29,880 POTENTIAL FOR INTERVENING SLEEP 3849 02:33:29,880 --> 02:33:31,720 DURATION AND SLEEP QUALITY AND 3850 02:33:31,720 --> 02:33:32,960 ESPECIALLY EARLY IN THE LIFE 3851 02:33:32,960 --> 02:33:34,920 COURSE AND SOMETHING THAT ALL 3852 02:33:34,920 --> 02:33:36,880 PARENTS WANT KIDS TO SLEEP 3853 02:33:36,880 --> 02:33:38,280 BETTER AND IS GOOD FOR 3854 02:33:38,280 --> 02:33:40,000 FUNCTIONING OF PARENTS AS WELL 3855 02:33:40,000 --> 02:33:40,960 AS KIDS. 3856 02:33:40,960 --> 02:33:42,760 AND WE KNOW THAT SLEEP QUALITY 3857 02:33:42,760 --> 02:33:44,520 IS IMPORTANT TO A NUMBER OF 3858 02:33:44,520 --> 02:33:49,080 CHILDREN'S HEALTH OUTCOMES. 3859 02:33:49,080 --> 02:33:52,120 PREVIOUS STUDIES FOCUSED ON POOR 3860 02:33:52,120 --> 02:33:54,040 SLEEP AND DURATION OF QUALITY 3861 02:33:54,040 --> 02:33:55,240 AND DISEASE OUTCOMES AND IS ONE 3862 02:33:55,240 --> 02:33:57,240 OF THE FIRST TO LOOK AT SLEEP 3863 02:33:57,240 --> 02:33:59,440 QUALITY AND POSITIVE HEALTH. 3864 02:33:59,440 --> 02:34:03,080 THIS PARTICULAR STUDY WAS 3865 02:34:03,080 --> 02:34:05,840 CROSS-SECTIONAL. 3866 02:34:05,840 --> 02:34:09,200 SO, THIS IS IMBEDDED IN POSITIVE 3867 02:34:09,200 --> 02:34:12,480 HEALTH PILOT STUDY WITH THREE 3868 02:34:12,480 --> 02:34:16,360 ECHO COHORTS AND ANALYSIS 3869 02:34:16,360 --> 02:34:23,080 INCLUDES 1,259 -- GENERAL HEALTH 3870 02:34:23,080 --> 02:34:24,720 PSYCHOLOGICAL STRESS AND LIFE 3871 02:34:24,720 --> 02:34:26,000 SATISFACTION AND GENERAL HEALTH 3872 02:34:26,000 --> 02:34:28,320 IS SAME AS GLOBAL HEALTH I WAS 3873 02:34:28,320 --> 02:34:30,920 TALKING ABOUT BEFORE. PROMISE 3874 02:34:30,920 --> 02:34:32,560 MEASURES ARE NORM THE TO GENERAL 3875 02:34:32,560 --> 02:34:34,720 POPULATION AND STUDY PERIOD 3876 02:34:34,720 --> 02:34:38,960 MARCH TO DECEMBER OF 2017. 3877 02:34:38,960 --> 02:34:42,320 THESE ARE MAIN RESULTS. 3878 02:34:42,320 --> 02:34:44,520 SO, POORER SLEEP QUALITY YOU SEE 3879 02:34:44,520 --> 02:34:49,360 ON THE LEFT IS ASSOCIATED WITH 3880 02:34:49,360 --> 02:34:52,320 LOWER LIFE SATISFACTION VIA ONE 3881 02:34:52,320 --> 02:34:53,840 ON THE TOP PSYCHOLOGICAL STRESS 3882 02:34:53,840 --> 02:34:57,760 YOU CAN SEE THAT PATH AS A 3883 02:34:57,760 --> 02:34:59,080 POSITIVE COEFFICIENT AND 3884 02:34:59,080 --> 02:35:00,640 COEFFICIENT FROM PSYCHOLOGICAL 3885 02:35:00,640 --> 02:35:02,240 STRESS TO LIFE SATISFACTION IS A 3886 02:35:02,240 --> 02:35:04,200 NEGATIVE COEFFICIENT. 3887 02:35:04,200 --> 02:35:06,520 SECONDLY TO A LESSER EXTENT 3888 02:35:06,520 --> 02:35:09,640 THROUGH GENERAL OR GLOBAL 3889 02:35:09,640 --> 02:35:11,120 HEALTH. YOU SEE POOR SLEEP 3890 02:35:11,120 --> 02:35:13,760 QUALITY IS NEGATIVE WILL I 3891 02:35:13,760 --> 02:35:14,960 ASSOCIATED WITH GENERAL HEALTH 3892 02:35:14,960 --> 02:35:18,760 IN TURN IS POSITIVELY ASSOCIATED 3893 02:35:18,760 --> 02:35:20,640 WITH LIFE SATISFACTION. 3894 02:35:20,640 --> 02:35:22,960 ADDITIONALLY THERE IS A LINK 3895 02:35:22,960 --> 02:35:24,720 THAT IS BETWEEN PSYCHOLOGICAL 3896 02:35:24,720 --> 02:35:29,280 STRESS AND GLOBAL HEALTH AND 3897 02:35:29,280 --> 02:35:31,240 NEGATIVE DIRECTION AS YOU WOULD 3898 02:35:31,240 --> 02:35:32,000 EXPECT. 3899 02:35:32,000 --> 02:35:34,400 ONCE MEDIATED PATHWAYS TAKEN 3900 02:35:34,400 --> 02:35:36,920 INTO ACCOUNT NO DIRECT EFFECT OF 3901 02:35:36,920 --> 02:35:38,680 POOR SLEEP QUALITY IN LIFE 3902 02:35:38,680 --> 02:35:40,080 SATISFACTION PAST F YOU CAN SEE 3903 02:35:40,080 --> 02:35:42,320 HERE. TAKEAWAY IS CHILDREN WHO 3904 02:35:42,320 --> 02:35:46,400 SLEEP BETTER HAVE NOR SATISFIED 3905 02:35:46,400 --> 02:35:49,760 LIVES THAT GIVES US ANOTHER 3906 02:35:49,760 --> 02:35:51,440 ELEMENT TAKING INTO 3907 02:35:51,440 --> 02:35:53,200 CONSIDERATION MOUNTING 3908 02:35:53,200 --> 02:35:54,440 INTERVENTION STUDIES TO IMPROVE 3909 02:35:54,440 --> 02:35:59,680 SLEEP DIMENSIONS IN CHILDREN. 3910 02:35:59,680 --> 02:36:03,160 AGAIN, IT IS AN AREA THAT IDEA 3911 02:36:03,160 --> 02:36:06,560 STATES NETWORK IS INTERESTED IN. 3912 02:36:06,560 --> 02:36:10,360 SO, OVERALL SUMMARY ECHO IS 3913 02:36:10,360 --> 02:36:12,040 MAJOR INVESTMENT UNDERSTANDING 3914 02:36:12,040 --> 02:36:13,680 ENVIRONMENTAL INFLUENCES ON 3915 02:36:13,680 --> 02:36:17,880 CHILD HEALTH RELATING TO 5 KEY 3916 02:36:17,880 --> 02:36:19,960 PEDIATRIC OUTCOMES INCLUDING 3917 02:36:19,960 --> 02:36:21,720 POSITIVE HEALTH. 3918 02:36:21,720 --> 02:36:24,560 ECHOWIDE COHORT FILLING EVIDENCE 3919 02:36:24,560 --> 02:36:27,360 GAPS ON LONG-TERM INFLUENCES 3920 02:36:27,360 --> 02:36:29,480 PRENATAL CHILDHOOD FACTORS 3921 02:36:29,480 --> 02:36:30,640 INCLUDING POSITIVE HEALTH AND WE 3922 02:36:30,640 --> 02:36:33,560 TRY TO TYPICALLY IDENTIFY GAPS 3923 02:36:33,560 --> 02:36:35,560 THROUGH ENGAGEMENT WITH 3924 02:36:35,560 --> 02:36:36,920 STAKEHOLDERS SO WE KNOW TO 3925 02:36:36,920 --> 02:36:38,640 EXTENT POSSIBLE WE ARE INFORMING 3926 02:36:38,640 --> 02:36:41,400 PRACTICES POLICIES AND PROGRAMS 3927 02:36:41,400 --> 02:36:44,000 AND ECHO COHORT TAKES ADVANTAGE 3928 02:36:44,000 --> 02:36:46,320 OF LARGE SAMPLE SIZE DIVERSITY 3929 02:36:46,320 --> 02:36:49,240 AND GENERALIZABLE THE AND 3930 02:36:49,240 --> 02:36:52,040 BECOMING NATIONWIDE RESOURCE 3931 02:36:52,040 --> 02:36:53,760 RESEARCH. I DIDN'T TALK ABOUT 3932 02:36:53,760 --> 02:36:54,920 UNITED STATES NETWORK BUT IDEA 3933 02:36:54,920 --> 02:36:56,680 THERE IS ALLOWING ACCESS TO 3934 02:36:56,680 --> 02:36:58,320 STATE OF THE ART CLINICAL TRIALS 3935 02:36:58,320 --> 02:37:01,560 AMONG KIDS FROM RURAL AND 3936 02:37:01,560 --> 02:37:02,240 UNDERSERVED POPULATIONS. 3937 02:37:02,240 --> 02:37:04,560 SO, THANK YOU VERY MUCH. I 3938 02:37:04,560 --> 02:37:07,320 REALLY APPRECIATE BEING HERE AND 3939 02:37:07,320 --> 02:37:11,160 I WILL STOP SHARING SO I CAN SEE 3940 02:37:11,160 --> 02:37:12,040 PEOPLE'S FACES. 3941 02:37:12,040 --> 02:37:16,120 THEN HAPPY TO ANSWER QUESTIONS 3942 02:37:16,120 --> 02:37:19,840 OR TO GET INTO ANY OTHER 3943 02:37:19,840 --> 02:37:20,480 DISCUSSION. 3944 02:37:20,480 --> 02:37:25,040 >>OKAY. THANK YOU SO MUCH. 3945 02:37:25,040 --> 02:37:26,400 THIS WAS REALLY INTERESTING. 3946 02:37:26,400 --> 02:37:27,840 FOR THOSE THAT I HAVE THE 3947 02:37:27,840 --> 02:37:29,840 ADVANTAGE OF SEEING THE SLIDES 3948 02:37:29,840 --> 02:37:30,240 BEFOREHAND. 3949 02:37:30,240 --> 02:37:32,200 I WAS NO -- I DIDN'T KNOW WHAT 3950 02:37:32,200 --> 02:37:34,320 TO EXPECT. I WAS LOOKING 3951 02:37:34,320 --> 02:37:36,760 FORWARD TO THIS. 3952 02:37:36,760 --> 02:37:40,680 LET'S OPEN IT UP FOR QUESTIONS. 3953 02:37:40,680 --> 02:37:43,760 LET'S SEE. 3954 02:37:43,760 --> 02:37:47,640 WE HAVE -- YOU HAVE TIME FOR 3955 02:37:47,640 --> 02:37:48,960 THIS DISCUSSION. 3956 02:37:48,960 --> 02:37:51,200 SO, YEAH. 3957 02:37:51,200 --> 02:37:53,880 DR. LOR ET CETERA KI, PLEASE GO 3958 02:37:53,880 --> 02:37:54,320 AHEAD. 3959 02:37:54,320 --> 02:37:59,920 >>AMAZING SET OF DATA. I'M A 3960 02:37:59,920 --> 02:38:01,280 GERIATRIC PSYCHIATRIST WORKING 3961 02:38:01,280 --> 02:38:03,560 WITH OLDER ADULTS. DO YOU EVER 3962 02:38:03,560 --> 02:38:05,880 WORK ON INTERVENTIONS 3963 02:38:05,880 --> 02:38:09,000 CONSIDERING INTERGENERATIONAL 3964 02:38:09,000 --> 02:38:09,360 INTERVENTIONS? 3965 02:38:09,360 --> 02:38:11,800 >>SO, IT THAT IS AN INTEREST OF 3966 02:38:11,800 --> 02:38:13,760 MINE IN PARTICULAR AND MANY 3967 02:38:13,760 --> 02:38:16,160 PEOPLE ON THE STAFF. IDEA 3968 02:38:16,160 --> 02:38:18,360 STATES NETWORK WE FOCUSED TO 3969 02:38:18,360 --> 02:38:19,640 DATE ON PEDIATRICS. 3970 02:38:19,640 --> 02:38:22,760 REASON IS THIS IS A NEW NETWORK. 3971 02:38:22,760 --> 02:38:24,560 IT IS MADE UP OF PEOPLE WHO 3972 02:38:24,560 --> 02:38:26,320 HAVEN'T DONE LOTS OF CLINICAL 3973 02:38:26,320 --> 02:38:29,200 TRIALS BEFORE. PIS ARE ALL 3974 02:38:29,200 --> 02:38:30,160 PEDIATRICIANS AND WE NEEDED A 3975 02:38:30,160 --> 02:38:32,360 PLACE TO START. THERE IS NOW 3976 02:38:32,360 --> 02:38:34,320 DISCUSSION OF DOING 3977 02:38:34,320 --> 02:38:35,720 INTERGENERATIONAL INTERVENTIONS 3978 02:38:35,720 --> 02:38:36,840 BY STARTING BEFORE BIRTH. 3979 02:38:36,840 --> 02:38:40,200 ON THE OTHER HAND, COHORT 3980 02:38:40,200 --> 02:38:43,960 STUDIES ALL DO INTERGENERATIONAL 3981 02:38:43,960 --> 02:38:46,360 RESEARCH. 3982 02:38:46,360 --> 02:38:49,240 NEXT CYCLE WILL ADD NOT ONLY 3983 02:38:49,240 --> 02:38:52,280 PRENATAL BUT PRECONCEPTION UNDER 3984 02:38:52,280 --> 02:38:53,920 PRECONCEPTION PILOT STUDY. 3985 02:38:53,920 --> 02:38:58,320 >>IT THAT IS WAY TO GO FOR 3986 02:38:58,320 --> 02:39:00,520 GLOBAL PREVENTION OF EVERYTHING. 3987 02:39:00,520 --> 02:39:01,000 THANK YOU. 3988 02:39:01,000 --> 02:39:02,360 >>YOU'RE WELCOME. 3989 02:39:02,360 --> 02:39:06,320 >>OKAY. DR. ZABINGA. 3990 02:39:06,320 --> 02:39:07,520 >>YES. THANKS SO MUCH. THAT 3991 02:39:07,520 --> 02:39:10,720 WAS WONDERFUL. AS A 3992 02:39:10,720 --> 02:39:12,520 PEDIATRICIAN AND SOMEBODY 3993 02:39:12,520 --> 02:39:14,360 TALKING TO ALL AGES OF CHILDREN 3994 02:39:14,360 --> 02:39:15,480 DIRECTLY TO TRY TO GET THEIR 3995 02:39:15,480 --> 02:39:17,000 SENSE OF WHAT IS GOING ON AND 3996 02:39:17,000 --> 02:39:21,400 HOW THEY ARE DOING, I WONDER HOW 3997 02:39:21,400 --> 02:39:25,600 MUCH WORK YOU LOOK AT TO LOOK AT 3998 02:39:25,600 --> 02:39:28,280 INTERRELATOR RELIABILITY BETWEEN 3999 02:39:28,280 --> 02:39:31,800 -- BETWEEN CAREGIVER REPORTING 4000 02:39:31,800 --> 02:39:36,480 AND TRIAL REPORTING. IT IS A 4001 02:39:36,480 --> 02:39:39,520 REALLY FASCINATING SET OF 4002 02:39:39,520 --> 02:39:41,720 STUDIES AND CERTAINLY INTENTION. 4003 02:39:41,720 --> 02:39:45,160 I THINK IT WILL BE POTENTIALLY 4004 02:39:45,160 --> 02:39:46,760 ENHANCED BY BETTER UNDERSTANDING 4005 02:39:46,760 --> 02:39:49,960 THE INFORMATION THAT WE GET FROM 4006 02:39:49,960 --> 02:39:53,240 CHILDREN DIRECTLY IN RELATION TO 4007 02:39:53,240 --> 02:39:55,040 THE INFORMATION FROM THE PEOPLE 4008 02:39:55,040 --> 02:39:55,480 AROUND THEM. 4009 02:39:55,480 --> 02:39:56,800 >>THANK YOU. THANK YOU FOR 4010 02:39:56,800 --> 02:39:58,240 THAT QUESTION. I THINK THERE IS 4011 02:39:58,240 --> 02:40:02,040 TWO WAYS TO ANSWER THAT. 4012 02:40:02,040 --> 02:40:07,720 ONE IS THE QUESTION FROM WHICH 4013 02:40:07,720 --> 02:40:09,080 RESPONDENT ARE WE GETTING THE 4014 02:40:09,080 --> 02:40:11,720 RIGHT ANSWER IS ONE KIND OF 4015 02:40:11,720 --> 02:40:13,320 QUESTION. OTHER QUESTION IS OH, 4016 02:40:13,320 --> 02:40:15,680 THESE TWO PEOPLE HAVE DIFFERENT 4017 02:40:15,680 --> 02:40:16,320 PERSPECTIVES. 4018 02:40:16,320 --> 02:40:17,960 LET'S TAKE THEM BOTH INTO 4019 02:40:17,960 --> 02:40:18,560 ACCOUNT. 4020 02:40:18,560 --> 02:40:20,480 SO, FOR THE FIRST KIND OF 4021 02:40:20,480 --> 02:40:24,000 QUESTION, WE HAVE EXAMPLES SAY 4022 02:40:24,000 --> 02:40:26,000 OF PUPITIAL CLIMBING AND HOW 4023 02:40:26,000 --> 02:40:28,480 GOOD QUESTIONS ARE DID CAREGIVER 4024 02:40:28,480 --> 02:40:30,120 ANSWER OR KID ANSWER? 4025 02:40:30,120 --> 02:40:31,800 WE HAVE OVERLAP THERE WE ARE 4026 02:40:31,800 --> 02:40:34,320 TRYING TO LOOK AT THAT. THAT IS 4027 02:40:34,320 --> 02:40:37,480 ONE KIND OF CAREGIVER PLUS CHILD 4028 02:40:37,480 --> 02:40:41,600 REPORT AND OTHER IS I THINK 4029 02:40:41,600 --> 02:40:42,520 REALLY INTERESTING IN 4030 02:40:42,520 --> 02:40:44,080 PERSON-REPORTED OUTCOMES IN 4031 02:40:44,080 --> 02:40:46,320 WHICH ARE MORE SENSITIVE TO 4032 02:40:46,320 --> 02:40:48,240 EXPOSURES OR ACTUALLY PREDICT 4033 02:40:48,240 --> 02:40:49,600 OUTCOMES BETTER. WE HAVE 4034 02:40:49,600 --> 02:40:52,040 EXAMPLES OF IT THAT ESPECIALLY 4035 02:40:52,040 --> 02:40:53,960 IN EARLY ADOLESCENCE. THANKS 4036 02:40:53,960 --> 02:40:55,480 FOR THE QUESTION. 4037 02:40:55,480 --> 02:40:56,800 PERSON-REPORTED OUTCOMES, CORE, 4038 02:40:56,800 --> 02:40:59,200 IT IS DOING SOME WORK ON 4039 02:40:59,200 --> 02:40:59,680 RELIABILITY. 4040 02:40:59,680 --> 02:41:02,000 MOSTLY ON MEASURES THEMSELVES. 4041 02:41:02,000 --> 02:41:05,840 IF WE THINK THAT THEY ARE TWO 4042 02:41:05,840 --> 02:41:07,560 DIFFERENT BOTH RELIABLE REPORTS, 4043 02:41:07,560 --> 02:41:10,240 THAT IS ALSO INFORMATIVE. 4044 02:41:10,240 --> 02:41:12,960 >>TOTALLY AGREE. IT THAT IS 4045 02:41:12,960 --> 02:41:14,840 WONDERFUL. WONDERFUL WORK, 4046 02:41:14,840 --> 02:41:15,560 THANK YOU. 4047 02:41:15,560 --> 02:41:16,040 >>THANKS. 4048 02:41:16,040 --> 02:41:19,880 >>OKAY. DR. HARRIS, PLEASE. 4049 02:41:19,880 --> 02:41:21,840 >>THANK YOU FOR THAT WONDERFUL 4050 02:41:21,840 --> 02:41:24,120 TALK, MATT. IT IS VERY 4051 02:41:24,120 --> 02:41:24,360 ENGAGING. 4052 02:41:24,360 --> 02:41:27,040 I WAS CURIOUS ABOUT THE 4053 02:41:27,040 --> 02:41:28,480 RELATIONSHIP OF BOTH PAIN AND 4054 02:41:28,480 --> 02:41:30,360 SLEEP. YOU ARE INTERESTED IN 4055 02:41:30,360 --> 02:41:33,320 SLEEP VERY MUCH. 4056 02:41:33,320 --> 02:41:35,080 AND WE KNOW THAT IN ADULTS THERE 4057 02:41:35,080 --> 02:41:38,360 IS A VERY TIGHT RELATIONSHIP 4058 02:41:38,360 --> 02:41:40,640 BETWEEN SAY A POOR NIGHT'S SLEEP 4059 02:41:40,640 --> 02:41:44,000 AND SOMEONE'S NEXT-DAY PAIN AND 4060 02:41:44,000 --> 02:41:47,480 VICE VERSA SOMEONE'S PAIN ON ONE 4061 02:41:47,480 --> 02:41:50,720 DAY AND CAN EFFECT SLEEP AND 4062 02:41:50,720 --> 02:41:52,240 PAIN AND SLEEP ARE CONNECTED. 4063 02:41:52,240 --> 02:41:55,240 IN KIDS AND ECHO STUDY DO YOU 4064 02:41:55,240 --> 02:41:57,160 ALSO SEE TIGHT RELATIONSHIPS 4065 02:41:57,160 --> 02:42:00,560 BETWEEN SLEEP AND PAIN AND A 4066 02:42:00,560 --> 02:42:02,560 CHILD'S WELLBEING? 4067 02:42:02,560 --> 02:42:05,560 >>THAT IS A QUESTION THAT IS 4068 02:42:05,560 --> 02:42:06,000 WONTDERFUL. 4069 02:42:06,000 --> 02:42:08,640 I DON'T THINK THAT WE HAVE 4070 02:42:08,640 --> 02:42:09,360 ADDRESSED THAT YET. 4071 02:42:09,360 --> 02:42:11,800 WE WILL TAKE THAT BACK. I MEAN, 4072 02:42:11,800 --> 02:42:13,720 I SHOWED YOU SOME THINGS THAT 4073 02:42:13,720 --> 02:42:16,240 ARE ABOUT CHRONIC PAIN AND 4074 02:42:16,240 --> 02:42:17,640 POSITIVE HEALTH AND ABOUT SLEEP 4075 02:42:17,640 --> 02:42:18,880 AND POSITIVE HEALTH BUT NOT 4076 02:42:18,880 --> 02:42:20,760 ABOUT THE TWO. I REALLY 4077 02:42:20,760 --> 02:42:21,920 APPRECIATE THE QUESTION. WE 4078 02:42:21,920 --> 02:42:25,120 WILL TAKE IT BACK. 4079 02:42:25,120 --> 02:42:27,360 >>EXCELLENT. 4080 02:42:27,360 --> 02:42:37,760 >>>>OKAY. YEAH. DR. 4081 02:42:38,880 --> 02:42:39,560 LANGEVIN, PLEASE. 4082 02:42:39,560 --> 02:42:42,360 >>WHY DON'T YOU GO. I WANT TO 4083 02:42:42,360 --> 02:42:44,320 GIVE COUNCIL MEMBERS A CHANCE TO 4084 02:42:44,320 --> 02:42:44,800 GO FIRST. 4085 02:42:44,800 --> 02:42:46,640 >>YEAH. I THINK -- YOU KNOW, I 4086 02:42:46,640 --> 02:42:51,280 THINK THAT IT IS REALLY THE 4087 02:42:51,280 --> 02:42:54,280 EMPHASIS THAT THE ECHO STUDY IS 4088 02:42:54,280 --> 02:42:55,600 GIVING ON HEALTHY DEVELOPMENT IS 4089 02:42:55,600 --> 02:42:59,640 SO IMPORTANT BECAUSE IN A WAY 4090 02:42:59,640 --> 02:43:01,320 WHAT IS PROTECTING PEOPLE FROM 4091 02:43:01,320 --> 02:43:03,280 THE -- YOU KNOW, BEING ABLE TO 4092 02:43:03,280 --> 02:43:05,120 DEFINE WHAT IS PROTECTING PEOPLE 4093 02:43:05,120 --> 02:43:06,960 FROM GOING INTO SOME SORT OF 4094 02:43:06,960 --> 02:43:08,280 DISEASE STATE IS REALLY 4095 02:43:08,280 --> 02:43:09,960 IMPORTANT. I THINK THAT YOU 4096 02:43:09,960 --> 02:43:12,080 TAKE THE EXAMPLE OF A BROKEN ARM 4097 02:43:12,080 --> 02:43:14,400 FOR EXAMPLE. MANY PEOPLE BREAK 4098 02:43:14,400 --> 02:43:18,080 LIMBS BUT NOT EVERYBODY GETS 4099 02:43:18,080 --> 02:43:21,160 COMPLEX REGIONAL PAIN SYNDROME 4100 02:43:21,160 --> 02:43:23,480 FOLLOWING A BROKEN LIMB AND 4101 02:43:23,480 --> 02:43:25,040 PROTECTING PEOPLE WITH THE SAME 4102 02:43:25,040 --> 02:43:27,240 TYPE OF INJURY FROM GOING AND 4103 02:43:27,240 --> 02:43:30,720 DEVELOPING A CHRONIC PAIN 4104 02:43:30,720 --> 02:43:37,400 SYNDROME AND HEARD HIM COMMENT. 4105 02:43:37,400 --> 02:43:40,600 THAT STUDY OF NORMAL HEALTH IS 4106 02:43:40,600 --> 02:43:41,320 EXTREMELY IMPORTANT. 4107 02:43:41,320 --> 02:43:43,360 >>THANK YOU FOR THE COMMENT. I 4108 02:43:43,360 --> 02:43:46,360 REALLY APPRECIATE IT. SOME OF 4109 02:43:46,360 --> 02:43:51,480 THIS REMINDS ME OF STUDIES SOME 4110 02:43:51,480 --> 02:43:54,360 INVESTIGATORS ARE DOING CALLED 4111 02:43:54,360 --> 02:43:56,240 POSITIVE OUTLIERS AND WHO IS 4112 02:43:56,240 --> 02:44:00,960 VERY RESILIENT IN THE FACE OF 4113 02:44:00,960 --> 02:44:03,360 STRESSORS AND IN ADDITION WE 4114 02:44:03,360 --> 02:44:06,000 TAKE THE VIEW THAT ALMOST ALL 4115 02:44:06,000 --> 02:44:07,880 BABIES ARE BORN HEALTHY AND HOW 4116 02:44:07,880 --> 02:44:11,760 DO WE KEEP THEM THAT WAY AS THEY 4117 02:44:11,760 --> 02:44:22,120 GROW AND DEVELOP? 4118 02:44:26,960 --> 02:44:30,040 I WANTED TO ASK ABOUT YOUR 4119 02:44:30,040 --> 02:44:32,480 PROMISE INSTRUMENT AND WE ARE 4120 02:44:32,480 --> 02:44:34,080 INTERESTED IN THIS AND CONTEXT 4121 02:44:34,080 --> 02:44:36,880 AT NICCH WE ARE INTERESTED IN 4122 02:44:36,880 --> 02:44:39,600 WHOLE PERSON HEALTH. THIS IS 4123 02:44:39,600 --> 02:44:42,320 COMPLEX. WE -- AS YOU -- THERE 4124 02:44:42,320 --> 02:44:45,000 WERE NICELY SHOWING IN THE 4125 02:44:45,000 --> 02:44:48,880 DIAGRAM THAT -- THAT, YOU KNOW, 4126 02:44:48,880 --> 02:44:53,160 REALLY KIND OF ABOUT DIFFERENT 4127 02:44:53,160 --> 02:44:55,240 LEVELS SHOWING RELATIONSHIPS 4128 02:44:55,240 --> 02:45:01,600 BETWEEN NCCIH'S APPROACH AND 4129 02:45:01,600 --> 02:45:02,840 ECHO AND APPRECIATE YOU SHOWED 4130 02:45:02,840 --> 02:45:05,760 THAT AND PHILOSOPHIES ARE WELL 4131 02:45:05,760 --> 02:45:07,760 ALIGNED AND I'M CURIOUS AS TO 4132 02:45:07,760 --> 02:45:10,080 WHETHER WE COULD ALIGN OUR 4133 02:45:10,080 --> 02:45:11,040 MEASUREMENTS AS WELL. 4134 02:45:11,040 --> 02:45:13,600 AND SO ONE OF THE THINGS WE ARE 4135 02:45:13,600 --> 02:45:16,200 WORKING ON RIGHT NOW IS TO TRY 4136 02:45:16,200 --> 02:45:18,360 TO DEVELOP A SET OF MEASURES 4137 02:45:18,360 --> 02:45:21,160 THAT WOULD TRULY CAPTURE THE 4138 02:45:21,160 --> 02:45:23,080 WHOLE -- THE HEALTH OF THE WHOLE 4139 02:45:23,080 --> 02:45:24,960 PERSON INCLUDING ALL THOSE, YOU 4140 02:45:24,960 --> 02:45:27,200 KNOW, DIMENSIONS. 4141 02:45:27,200 --> 02:45:29,840 SO, BIOLOGICAL BEHAVIORAL SOCIAL 4142 02:45:29,840 --> 02:45:35,320 AND ENVIRONMENTAL AND ALSO WOULD 4143 02:45:35,320 --> 02:45:37,280 CAPTURE CROSS SYSTEMS 4144 02:45:37,280 --> 02:45:38,320 INTEGRATION THAT WOULD GIVE YOU 4145 02:45:38,320 --> 02:45:39,640 AN UNDERSTANDING HOW THAT PERSON 4146 02:45:39,640 --> 02:45:43,960 IS FUNCTIONING IN VARIOUS 4147 02:45:43,960 --> 02:45:47,360 DIFFERENT PHYSIOLOGICAL DOMAINS. 4148 02:45:47,360 --> 02:45:50,120 YOU CAN SEE THIS BECOMES SO 4149 02:45:50,120 --> 02:45:52,400 COMPLEX. IT IS VERY CHALLENGING 4150 02:45:52,400 --> 02:45:55,880 TO DEVELOP A SET OF MEASURES TO 4151 02:45:55,880 --> 02:45:58,360 TRULY CAPTURE ALL THAT WITHOUT 4152 02:45:58,360 --> 02:46:06,880 BEING UNMANAGEMENTUNMANAGEABLE. 4153 02:46:06,880 --> 02:46:09,160 THAT COMES BACK IS MEASUREMENTS 4154 02:46:09,160 --> 02:46:10,600 OF WELLBEING AND SOME PEOPLE ARE 4155 02:46:10,600 --> 02:46:12,440 ON THIS COUNCIL WHO HAVE BEEN 4156 02:46:12,440 --> 02:46:15,720 REALLY VERY ALSO VERY INTERESTED 4157 02:46:15,720 --> 02:46:18,720 IN THIS. 4158 02:46:18,720 --> 02:46:22,920 THE FACT YOU HAVE ALREADY AT 4159 02:46:22,920 --> 02:46:27,640 LEAST YOUR MEASUREMENTS OF 4160 02:46:27,640 --> 02:46:29,160 POSITIVE OUTCOME THAT IS CORRECT 4161 02:46:29,160 --> 02:46:31,560 AND PROMISE OF GENERAL HEALTH 4162 02:46:31,560 --> 02:46:33,320 SATISFACTION MEANING AND 4163 02:46:33,320 --> 02:46:34,680 PURPOSE, WOULD YOU CONSIDER 4164 02:46:34,680 --> 02:46:36,720 THAT, THAT WOULD INCLUDE AN 4165 02:46:36,720 --> 02:46:37,880 ASSESSMENT OF WELLBEING? 4166 02:46:37,880 --> 02:46:41,160 IS THAT -- DO YOU THINK THAT IS 4167 02:46:41,160 --> 02:46:42,360 IN THERE SOMEWHERE? 4168 02:46:42,360 --> 02:46:46,320 >>I THINK OF THOSE THREE AS 4169 02:46:46,320 --> 02:46:49,640 ENCOMPASSING WHAT WE MEAN BY 4170 02:46:49,640 --> 02:46:49,960 WELLBEING. 4171 02:46:49,960 --> 02:46:50,800 >>UH-HUH. 4172 02:46:50,800 --> 02:46:53,120 >>WHEN I THINK ABOUT THE STATE 4173 02:46:53,120 --> 02:46:55,280 OF WELLBEING, THEY ARE THREE 4174 02:46:55,280 --> 02:46:56,520 DOMAINS THAT CONSTITUTE IT. 4175 02:46:56,520 --> 02:46:58,800 MAYBE THEY ARE NOT ALL OF IT, 4176 02:46:58,800 --> 02:47:02,360 BUT THEY ARE COMPONENTS OF IT. 4177 02:47:02,360 --> 02:47:05,160 >>UH-HUH. VERY INTERESTING. 4178 02:47:05,160 --> 02:47:09,000 SO, YOU KNOW, IT IS -- WELLBEING 4179 02:47:09,000 --> 02:47:12,320 IS CERTAINLY WE HAVE -- WE HAVE 4180 02:47:12,320 --> 02:47:15,080 WORKSHOPS ON THIS AND IT IS VERY 4181 02:47:15,080 --> 02:47:18,680 DIFFICULT TO -- TO DEFINE 4182 02:47:18,680 --> 02:47:20,320 RELATIONSHIPS FROM WELLBEING TO 4183 02:47:20,320 --> 02:47:22,320 HEALTH AND IS WELLBEING PART OF 4184 02:47:22,320 --> 02:47:24,280 HEALTH OR HEALTH PART OF 4185 02:47:24,280 --> 02:47:25,960 WELLBEING? YOU ARE PUTTING 4186 02:47:25,960 --> 02:47:30,320 WELLBEING ON THE OUTSIDE OF THE 4187 02:47:30,320 --> 02:47:32,040 ENVELOPE IF I'M CORRECT. 4188 02:47:32,040 --> 02:47:34,960 >>THE WAY WE OPERATIONALIZE 4189 02:47:34,960 --> 02:47:36,760 THIS AND ECHO THAT I UNDERSTAND 4190 02:47:36,760 --> 02:47:40,120 COULD BE UP FOR CONVERSATION IS 4191 02:47:40,120 --> 02:47:42,080 THAT POSITIVE HEALTH, WE ARE 4192 02:47:42,080 --> 02:47:44,440 MEASURING POSITIVE HEALTH AS 4193 02:47:44,440 --> 02:47:47,240 WELLBEING AND CONCEPTUALIZING 4194 02:47:47,240 --> 02:47:48,840 POSITIVE HEALTH AS WELLBEING AND 4195 02:47:48,840 --> 02:47:51,680 MEASURING IT BY GLOBAL HEALTH 4196 02:47:51,680 --> 02:47:52,880 LIFE SATISFACTION MEANING AND 4197 02:47:52,880 --> 02:47:53,120 PURPOSE. 4198 02:47:53,120 --> 02:47:54,240 >>AND SO. 4199 02:47:54,240 --> 02:47:54,520 >>UH-HUH. 4200 02:47:54,520 --> 02:48:00,120 >>WE THINK ES SPLESHL -- 4201 02:48:00,120 --> 02:48:01,600 ESPECIALLY FOR CHILDREN THAT IN 4202 02:48:01,600 --> 02:48:04,360 MY BRAIN THIS IS A KEY OUTCOME 4203 02:48:04,360 --> 02:48:08,320 CONCEPT. IT IS DISEASE 4204 02:48:08,320 --> 02:48:09,360 DIAGNOSTIC. 4205 02:48:09,360 --> 02:48:10,600 MOST KIDS DON'T HAVE DISEASE? 4206 02:48:10,600 --> 02:48:14,000 WELL, YOU KNOW, WE DID SAY 50% 4207 02:48:14,000 --> 02:48:19,520 OF KIDS AND ECHO HAVE CHRONIC 4208 02:48:19,520 --> 02:48:19,880 CONDITIONS. 4209 02:48:19,880 --> 02:48:21,960 THIS IS A CHILD CENTRIC OUTCOME 4210 02:48:21,960 --> 02:48:25,960 AS WELL. IN OTHER WORDS, WE 4211 02:48:25,960 --> 02:48:29,520 OFTEN THINK ABOUT CHILDREN'S 4212 02:48:29,520 --> 02:48:32,000 HEALTH AND DISEASE AS A 4213 02:48:32,000 --> 02:48:33,800 PRECURSOR TO ADULT SOMETHING OR 4214 02:48:33,800 --> 02:48:34,920 OTHER WHETHER HEALTH FUNCTION 4215 02:48:34,920 --> 02:48:38,360 RING ECONOMICS OR JOBS OR 4216 02:48:38,360 --> 02:48:40,320 WHATEVER AND FORGET THAT KIDS 4217 02:48:40,320 --> 02:48:42,360 HAVE HEALTH STATUS IN AND OF 4218 02:48:42,360 --> 02:48:43,160 THEMSELVES WHICH IS IMPORTANT 4219 02:48:43,160 --> 02:48:45,600 FOR THE CHILD NOT JUST FOR 4220 02:48:45,600 --> 02:48:48,760 GROWING ADULTS OR PERSON GROWING 4221 02:48:48,760 --> 02:48:51,480 INTO AN ADULT. 4222 02:48:51,480 --> 02:48:53,160 I THINK OF POSITIVE HEALTH AS A 4223 02:48:53,160 --> 02:48:55,320 GOOD WAY TO CAPTURE THAT. IT IS 4224 02:48:55,320 --> 02:48:56,840 SOMETHING THAT IS MEANINGFUL TO 4225 02:48:56,840 --> 02:49:00,240 THE CHILD AND NOT JUST WHAT WE 4226 02:49:00,240 --> 02:49:03,360 AS ADULTS SAY WHEN WE MEASURE 4227 02:49:03,360 --> 02:49:06,320 BLOOD PRESSURE IN THE KID I DID 4228 02:49:06,320 --> 02:49:08,360 MY FELLOWSHIP ON AND 20 YEARS OF 4229 02:49:08,360 --> 02:49:13,360 RESEARCH ON. WE ARE THINKING 4230 02:49:13,360 --> 02:49:18,360 ABOUT THAT. YOU KNOW, .01 4231 02:49:18,360 --> 02:49:25,640 PERCENT OF THE KIDS HAVE 4232 02:49:25,640 --> 02:49:25,960 DISEASE. 4233 02:49:25,960 --> 02:49:28,680 WHAT IS SAVING THE CHILD HIM OR 4234 02:49:28,680 --> 02:49:29,600 HERSELF. 4235 02:49:29,600 --> 02:49:31,160 >>WHAT MATTERS TO THE CHILD. 4236 02:49:31,160 --> 02:49:32,360 >>WHAT MATTERS TO THE CHILD, 4237 02:49:32,360 --> 02:49:32,560 YEAH. 4238 02:49:32,560 --> 02:49:34,840 >>THIS IS SIMILAR TO THE WAY OR 4239 02:49:34,840 --> 02:49:36,680 MIGHT BE FAMILIAR WITH THE WHOLE 4240 02:49:36,680 --> 02:49:39,920 HEALTH PROGRAM AT THE VA. 4241 02:49:39,920 --> 02:49:40,640 >>UH-HUH. 4242 02:49:40,640 --> 02:49:42,320 >>PRIMARY AND THIS IS AN AREA 4243 02:49:42,320 --> 02:49:44,920 THAT WE ARE WORKING WITH PEOPLE 4244 02:49:44,920 --> 02:49:48,360 TO DEVELOP MEASURES OF THAT WHAT 4245 02:49:48,360 --> 02:49:49,960 MATTERS TO PATIENT OPPOSED TO 4246 02:49:49,960 --> 02:49:51,800 WHAT MATTERS WITH THE PATIENT. 4247 02:49:51,800 --> 02:49:52,440 >>YEAH. 4248 02:49:52,440 --> 02:49:53,800 >>I LOVE THAT. 4249 02:49:53,800 --> 02:49:57,880 >>IT SOUNDS LIKE YOU ARE 4250 02:49:57,880 --> 02:49:59,320 ALIGNED WITH THIS. 4251 02:49:59,320 --> 02:50:01,880 >>WE SHOULD TRY TO LINE UP OUR 4252 02:50:01,880 --> 02:50:05,080 MEASUREMENTS SINCE GOALS ARE -- 4253 02:50:05,080 --> 02:50:06,320 I'M REALLY CURIOUS WHAT DR. SAYS 4254 02:50:06,320 --> 02:50:10,480 ABOUT THIS. ANYWAY, HELEN HAS 4255 02:50:10,480 --> 02:50:13,520 HER HAND UP FIRST. 4256 02:50:13,520 --> 02:50:15,920 >>I HAVE BEEN WORKING IN THIS 4257 02:50:15,920 --> 02:50:17,880 AREA FOR A WHILE STRUGGLING WITH 4258 02:50:17,880 --> 02:50:19,520 MEASUREMENTS ONE MEASURE DATA 4259 02:50:19,520 --> 02:50:22,120 POINTS OUT TO EXTREME RESILIENCE 4260 02:50:22,120 --> 02:50:24,080 IN CHILDREN AND TAKES HAVING 4261 02:50:24,080 --> 02:50:27,480 DEPRESSION ONLY COMPARED TO 4262 02:50:27,480 --> 02:50:32,960 EVERY OTHER CHRONIC CONDITION TO 4263 02:50:32,960 --> 02:50:34,320 GET THEM BACK. 4264 02:50:34,320 --> 02:50:35,520 IT WOULD BE IMPORTANT TO 4265 02:50:35,520 --> 02:50:37,960 UNDERSTAND WHAT FEATURES 4266 02:50:37,960 --> 02:50:39,600 REPRESENT THIS RESILIENCE BESIDE 4267 02:50:39,600 --> 02:50:45,160 WLZ OR NOT THEY HAVE DEPRESSION 4268 02:50:45,160 --> 02:50:46,680 THERE IS NOT GOOD PROMISE 4269 02:50:46,680 --> 02:50:49,480 MEASURE OF RESILIENCE AND 4270 02:50:49,480 --> 02:50:51,400 ADAPTIVE MEASURE AND I USE 4271 02:50:51,400 --> 02:50:54,080 DIFFERENT RESILIENCE MEASURES 4272 02:50:54,080 --> 02:50:55,160 UNDERSTANDING NEUROBIOLOGICAL 4273 02:50:55,160 --> 02:51:01,360 FACTORS THAT ARE CONTRIBUTING TO 4274 02:51:01,360 --> 02:51:01,640 RESILIENCE. 4275 02:51:01,640 --> 02:51:03,840 >>I APPRECIATE THAT QUESTION 4276 02:51:03,840 --> 02:51:05,640 AND TO DATE PEOPLE IN CONSORTIUM 4277 02:51:05,640 --> 02:51:08,240 UP TO DATE THINKING OF 4278 02:51:08,240 --> 02:51:11,360 RESILIENCE NOT AS A DEMAIN IN 4279 02:51:11,360 --> 02:51:17,120 AND OF ITSELF BUT AMALGAM OF 4280 02:51:17,120 --> 02:51:18,960 ASSETS I SHOWED AND I WOULD BE 4281 02:51:18,960 --> 02:51:21,960 INTERESTED IN HEARING ABOUT 4282 02:51:21,960 --> 02:51:25,400 THAT? 4283 02:51:25,400 --> 02:51:28,840 >>I WOULD LIKE TO TALK YOU TO 4284 02:51:28,840 --> 02:51:31,760 ABOUT THIS IF I CAN. 4285 02:51:31,760 --> 02:51:32,760 >>THANK YOU. 4286 02:51:32,760 --> 02:51:33,800 >>IF YOU CAN REACH OUT. 4287 02:51:33,800 --> 02:51:36,560 >>IF YOU WOULD LIKE TO RESPOND 4288 02:51:36,560 --> 02:51:37,080 DR. CLAYTON. 4289 02:51:37,080 --> 02:51:38,640 >>I HAVE A QUESTION. THANK YOU 4290 02:51:38,640 --> 02:51:41,920 FOR THAT. IT WAS INTERESTING I 4291 02:51:41,920 --> 02:51:44,000 DIDN'T KNOW A PROMISE AND 4292 02:51:44,000 --> 02:51:45,080 MEANING AND PURPOSE SCALE 4293 02:51:45,080 --> 02:51:46,920 SEEMING LIKE A GOOD STEP IN THE 4294 02:51:46,920 --> 02:51:50,040 RIGHT DIRECTION LET ALONE FOR 4295 02:51:50,040 --> 02:51:54,560 CHILDREN FOR YOUR AWARENESS 4296 02:51:54,560 --> 02:51:58,320 WORKING ON CONCEPT DEFINING AND 4297 02:51:58,320 --> 02:52:00,480 MEASURING WHOLE PERSON WELLBEING 4298 02:52:00,480 --> 02:52:04,360 OR HEALTH IN THE VA AND IS SO 4299 02:52:04,360 --> 02:52:05,760 CHALLENGING SO MANY DIMENSIONS 4300 02:52:05,760 --> 02:52:09,480 OBVIOUSLY AND DECIDING WHICH TO 4301 02:52:09,480 --> 02:52:11,200 FOCUS ON. 4302 02:52:11,200 --> 02:52:13,840 ANOTHER THING HAPPENING I DON'T 4303 02:52:13,840 --> 02:52:18,320 KNOW HOW IT CONNECTS WITH 4304 02:52:18,320 --> 02:52:22,320 TRANS-NIH WORK BUT THERE IS AN 4305 02:52:22,320 --> 02:52:23,680 INTERAGENCY OR FEDERAL 4306 02:52:23,680 --> 02:52:26,280 INTERAGENCY GROUP CALLED ELTRR A 4307 02:52:26,280 --> 02:52:29,600 FEDERAL PLAN FOR EVALUATING 4308 02:52:29,600 --> 02:52:31,920 LONG-TERM RESILIENCE AND 4309 02:52:31,920 --> 02:52:36,560 RECOVERY THAT WAS STARTED UP 4310 02:52:36,560 --> 02:52:37,320 DURING COVID. 4311 02:52:37,320 --> 02:52:40,280 THEY ARE WORKING ON BRINGING UP 4312 02:52:40,280 --> 02:52:41,200 TOGETHER MULTIPLE FEDERAL 4313 02:52:41,200 --> 02:52:43,440 AGENCIES AND HOW EACH ONE IS 4314 02:52:43,440 --> 02:52:45,840 DEFINING AND SUPPORTING 4315 02:52:45,840 --> 02:52:47,560 RESILIENCE THAT IS VERY WIDE 4316 02:52:47,560 --> 02:52:50,040 SCOPE RANGING ALL THE WAY FROM 4317 02:52:50,040 --> 02:52:52,640 RESILIENCE TO CLIMATE DISASTERS 4318 02:52:52,640 --> 02:52:54,200 TO RESILIENCE TO SOCIAL 4319 02:52:54,200 --> 02:52:55,880 PRESSURES TO DOMESTIC VIOLENCE 4320 02:52:55,880 --> 02:52:56,840 OR WHATEVER IT MIGHT BE. 4321 02:52:56,840 --> 02:52:58,920 THEY ARE TRYING TO COME UP WITH 4322 02:52:58,920 --> 02:53:00,320 A COLLECTIVE DEFINITION OF 4323 02:53:00,320 --> 02:53:01,760 RESILIENCE THAT THEY ARE GETTING 4324 02:53:01,760 --> 02:53:06,360 CLOSE TO. FROM THERE AND GOING 4325 02:53:06,360 --> 02:53:11,080 TO UNDERSTANDING UNIVERSE OF 4326 02:53:11,080 --> 02:53:11,760 MEASURES ACROSS FEDERAL 4327 02:53:11,760 --> 02:53:14,000 GOVERNMENT BY THE WAY AND 4328 02:53:14,000 --> 02:53:18,320 ESTABLISHING A REPOSITORY OR 4329 02:53:18,320 --> 02:53:23,160 PLATFORM PEOPLE DID LOOK WHAT IS 4330 02:53:23,160 --> 02:53:25,960 MEASURED IN WHAT SETTINGS AND TO 4331 02:53:25,960 --> 02:53:29,000 WHAT DEGREE WORK IS MEASURED 4332 02:53:29,000 --> 02:53:31,200 INTO THAT. NOT SURE BRAVO FOR 4333 02:53:31,200 --> 02:53:32,960 DOING IT THAT IN KIDS AND 4334 02:53:32,960 --> 02:53:36,640 APPROACHING IT IN KIDS. THANK 4335 02:53:36,640 --> 02:53:37,520 YOU. 4336 02:53:37,520 --> 02:53:38,960 >>THANK YOU FOR GREAT 4337 02:53:38,960 --> 02:53:39,320 INFORMATION. 4338 02:53:39,320 --> 02:53:43,480 >>WELL, I WANTED TO SAY A QUICK 4339 02:53:43,480 --> 02:53:45,800 WORD ABOUT RESILIENCE. 4340 02:53:45,800 --> 02:53:48,840 I AGREE WITH WHAT YOU WERE 4341 02:53:48,840 --> 02:53:53,600 SAYING MATT. RESILIENCE IS MORE 4342 02:53:53,600 --> 02:53:55,200 COMPLICATED. THERE IS A TREND 4343 02:53:55,200 --> 02:53:59,200 IN NIH WORKING GROUP ON 4344 02:53:59,200 --> 02:54:01,000 RESILIENCE WE ARE STRUGGLING 4345 02:54:01,000 --> 02:54:03,480 WITH DEFINITION OF RESILIENCE 4346 02:54:03,480 --> 02:54:05,280 AND WORKING ON IT OVER A YEAR 4347 02:54:05,280 --> 02:54:07,960 AND CLTRR GROUP STRUGGLING WITH 4348 02:54:07,960 --> 02:54:13,520 THAT AND IN NIH WE ARE HAVING 4349 02:54:13,520 --> 02:54:15,960 TROUBLE AND TO FOCUS ON 4350 02:54:15,960 --> 02:54:19,080 SOMETHING IMMEDIATE THAT IS 4351 02:54:19,080 --> 02:54:20,800 WELL-BEING I LIKE THAT 4352 02:54:20,800 --> 02:54:22,320 EDISTILLIENCE HAS LAYERS TO IT 4353 02:54:22,320 --> 02:54:24,400 AND STRESSOR FOR EXAMPLE AND 4354 02:54:24,400 --> 02:54:26,000 RESPONSE TO STRESSOR THAT 4355 02:54:26,000 --> 02:54:27,800 EFFECTS RESPONSE TO STRESSOR AND 4356 02:54:27,800 --> 02:54:29,440 WELLBEING IS JUST WHAT IS THE 4357 02:54:29,440 --> 02:54:31,280 PERSON THAT IS SUBJECTIVE 4358 02:54:31,280 --> 02:54:37,720 ASSESSMENT WHAT OR HOW THEY F 4359 02:54:37,720 --> 02:54:37,920 FEEL. 4360 02:54:37,920 --> 02:54:38,880 YOU CAN ASK THEM. 4361 02:54:38,880 --> 02:54:41,880 I THINK MY INSTINCT IS FOCUSING 4362 02:54:41,880 --> 02:54:45,560 FIRST OF ALL PINNING DOWN WELL 4363 02:54:45,560 --> 02:54:56,000 BEING IS THE FIRST TAVK. 4364 02:55:15,920 --> 02:55:18,280 >>THERE IS PLENTY MORE TO 4365 02:55:18,280 --> 02:55:20,480 LEARN. WE ARE HAPPY TO BE IN 4366 02:55:20,480 --> 02:55:26,560 THESE CONVERSATIONS. SOUNDS 4367 02:55:26,560 --> 02:55:29,560 LIKE MEASUREMENT INSTRUMENT IS 4368 02:55:29,560 --> 02:55:32,120 NOT BURDENSOME BUT REASONABLY 4369 02:55:32,120 --> 02:55:32,360 SIMPLE. 4370 02:55:32,360 --> 02:55:36,080 >>YES AND MAXIMUM OF 8 + 8 + 7 4371 02:55:36,080 --> 02:55:37,600 QUESTIONS AND RESPONSE THEORY SO 4372 02:55:37,600 --> 02:55:39,680 YOU DON'T NECESSARILY ANSWER ALL 4373 02:55:39,680 --> 02:55:40,480 OF THEM. 4374 02:55:40,480 --> 02:55:43,280 >>I WILL HAVE TO HEAR MORE 4375 02:55:43,280 --> 02:55:45,400 ABOUT THAT. 4376 02:55:45,400 --> 02:55:46,320 >>GREAT. 4377 02:55:46,320 --> 02:55:56,480 >>YEAH. 4378 02:56:09,680 --> 02:56:10,520 YOU DIDN'T FIND SALIENT 4379 02:56:10,520 --> 02:56:13,400 DIFFERENT IN TERMS OF OVERALL 4380 02:56:13,400 --> 02:56:15,400 WELLBEING THAT VAIRY WHEN YOU 4381 02:56:15,400 --> 02:56:19,280 LOOKED AT VARIATIONS BY RACE AND 4382 02:56:19,280 --> 02:56:21,400 ETHNICITY YOU FOUND DIFFERENCES 4383 02:56:21,400 --> 02:56:24,880 BASED ON WEALTH AND COULDN'T 4384 02:56:24,880 --> 02:56:27,560 REMEMBER OTHER VARIABLES 4385 02:56:27,560 --> 02:56:28,280 SIGNIFICANT DIFFERENCES CURIOUS 4386 02:56:28,280 --> 02:56:29,240 IF YOU WOULD. 4387 02:56:29,240 --> 02:56:31,960 >>THAT IS CORRECT 4388 02:56:31,960 --> 02:56:33,680 CROSS-SECTIONAL STUDY AND 4389 02:56:33,680 --> 02:56:35,440 BIVARIED ANALYSIS NO ASSOCIATION 4390 02:56:35,440 --> 02:56:38,200 WITH GLOBAL HEALTH AND RACE AND 4391 02:56:38,200 --> 02:56:39,640 ETHNICITY BUT WAS WITH INCOME. 4392 02:56:39,640 --> 02:56:40,280 >>OKAY. 4393 02:56:40,280 --> 02:56:46,280 >>THAT IS VERY INTERESTING TO 4394 02:56:46,280 --> 02:56:46,920 SEE CLEARLY. 4395 02:56:46,920 --> 02:56:47,640 >>YEAH. 4396 02:56:47,640 --> 02:56:49,440 >>ANOTHER IMPORTANT OTHER IS 4397 02:56:49,440 --> 02:56:52,960 CHRONIC ILLNESS IF I RECALL? 4398 02:56:52,960 --> 02:56:53,320 >>YES. 4399 02:56:53,320 --> 02:57:03,560 >>DEGREE. 4400 02:57:11,720 --> 02:57:14,520 >>THERE WAS NOT MUCH EFFECTS ON 4401 02:57:14,520 --> 02:57:17,440 LIFE SATISFACTION BUT MAYBE ON 4402 02:57:17,440 --> 02:57:20,000 GLOBAL HEALTH BUT NOT MUCH WHICH 4403 02:57:20,000 --> 02:57:21,520 IS INTERESTING. 4404 02:57:21,520 --> 02:57:25,360 >>YEAH. GREAT SALIENCE TO 4405 02:57:25,360 --> 02:57:26,720 ACCESS TO RESOURCES WHICH WE 4406 02:57:26,720 --> 02:57:29,520 KNOW THAT MATTERS A LOT. 4407 02:57:29,520 --> 02:57:30,040 >>ABSOLUTELY. 4408 02:57:30,040 --> 02:57:31,600 >>YES. THANK YOU. 4409 02:57:31,600 --> 02:57:34,360 >> DISENTANGLING SOCIOECONOMIC 4410 02:57:34,360 --> 02:57:36,480 FACTORS FROM RACE AND ETHNICITY 4411 02:57:36,480 --> 02:57:37,360 IS ALSO VERY IMPORTANT. 4412 02:57:37,360 --> 02:57:39,760 >>YEAH. THANKS SO MUCH. 4413 02:57:39,760 --> 02:57:40,280 >>ABSOLUTELY. 4414 02:57:40,280 --> 02:57:48,840 >>APPRECIATED THIS PRESENT 4415 02:57:48,840 --> 02:57:49,160 PRESENTATION. 4416 02:57:49,160 --> 02:57:50,360 >>DO WE HAVE MORE QUESTIONS? 4417 02:57:50,360 --> 02:57:52,800 >>I HAVE ONE MORE IF THERE IS 4418 02:57:52,800 --> 02:57:53,440 NO OTHERS. 4419 02:57:53,440 --> 02:57:58,360 IN YOUR PRESENTATION, MATT, YOU 4420 02:57:58,360 --> 02:58:02,400 SAID YOU ARE ENTERING A 7-YEAR 4421 02:58:02,400 --> 02:58:05,960 CYCLE. THIS WOULD BE NEXT YEAR? 4422 02:58:05,960 --> 02:58:06,360 BEGINNING? 4423 02:58:06,360 --> 02:58:08,920 >>YEAH. SLATED TO BEGIN 4424 02:58:08,920 --> 02:58:10,960 SEPTEMBER 1ST OF THIS YEAR. IT 4425 02:58:10,960 --> 02:58:12,440 WILL INVOLVE FOLLOWING UP ALL OF 4426 02:58:12,440 --> 02:58:14,960 THE CHILDREN WHO ARE ACTIVELY 4427 02:58:14,960 --> 02:58:17,400 AND FOLLOW UP NOW AS LONG AS THE 4428 02:58:17,400 --> 02:58:20,160 APPLICATIONS ARE AWARDED. 4429 02:58:20,160 --> 02:58:24,280 AS WELL AS CREATING A NEW COHORT 4430 02:58:24,280 --> 02:58:29,360 OF 20,000 PREGNANCIES AND 4431 02:58:29,360 --> 02:58:30,320 CONCEIVING PARTNERS. 4432 02:58:30,320 --> 02:58:33,280 AND FOR THOSE WHO ARE AT HIGH OR 4433 02:58:33,280 --> 02:58:35,200 MODERATE PROBABILITY FOR HAVING 4434 02:58:35,200 --> 02:58:37,760 A SECOND PREGNANCY DURING THE 4435 02:58:37,760 --> 02:58:39,720 FUNDING PERIOD WILL FORM A 4436 02:58:39,720 --> 02:58:41,560 PRECONCEPTION COHORT AND WILL GO 4437 02:58:41,560 --> 02:58:43,920 ON AND FOLLOW SECOND PREGNANCIES 4438 02:58:43,920 --> 02:58:46,080 AND THEIR CHILDREN. 4439 02:58:46,080 --> 02:58:48,200 >>THERE IS STILL OPPORTUNITIES 4440 02:58:48,200 --> 02:58:50,000 AND I PRESUME YOU MUST HAVE 4441 02:58:50,000 --> 02:58:51,880 FUNDING ANNOUNCEMENTS OUT 4442 02:58:51,880 --> 02:58:52,960 ALREADY FOR THIS? 4443 02:58:52,960 --> 02:58:54,720 >>YES. THEY CLOSED IN 4444 02:58:54,720 --> 02:58:56,840 NOVEMBER. ALL OF THE 4445 02:58:56,840 --> 02:58:57,680 APPLICATIONS ARE IN. 4446 02:58:57,680 --> 02:58:59,640 >>ALL APPLICATIONS ARE IN. 4447 02:58:59,640 --> 02:59:00,720 >>YES. 4448 02:59:00,720 --> 02:59:02,520 >>OKAY. WILL THERE BE MORE 4449 02:59:02,520 --> 02:59:06,280 OPPORTUNITIES IN THE FUTURE FOR 4450 02:59:06,280 --> 02:59:07,680 ADDITIONAL ANCILLARY STUDIES OR 4451 02:59:07,680 --> 02:59:08,800 SOMETHING LIKE THAT? 4452 02:59:08,800 --> 02:59:10,640 >>YES. THERE WILL BE 4453 02:59:10,640 --> 02:59:12,120 OPPORTUNITIES. WE HAVE 4454 02:59:12,120 --> 02:59:15,600 ANCILLARY STUDY PROCESSES NOW, 4455 02:59:15,600 --> 02:59:18,560 PRINCIPLES AND PROCESS. 4456 02:59:18,560 --> 02:59:23,600 AND AS LONG AS OUTSIDE 4457 02:59:23,600 --> 02:59:25,840 INVESTIGATORS COLLABORATE WITH 4458 02:59:25,840 --> 02:59:28,280 ECHO INVESTIGATOR THEY CAN 4459 02:59:28,280 --> 02:59:31,160 SUBMIT ANCILLARY STUDY AND 4460 02:59:31,160 --> 02:59:34,320 PUBLIC USE DATA SET, ANYBODY 4461 02:59:34,320 --> 02:59:36,200 WITH A BON AFIED POSITION 4462 02:59:36,200 --> 02:59:37,680 SOMEWHERE CAN USE THOSE DATA BUT 4463 02:59:37,680 --> 02:59:40,920 TEND TO BE A LITTLE FURTHER 4464 02:59:40,920 --> 02:59:42,320 BEHIND DATA OR THE ENCLAVE 4465 02:59:42,320 --> 02:59:45,480 PLATFORM WITH PII. 4466 02:59:45,480 --> 02:59:46,360 >>GREAT. 4467 02:59:46,360 --> 02:59:48,280 >>WELL, THIS IS ALL VERY 4468 02:59:48,280 --> 02:59:50,320 IMPORTANT AND I'M SURE IT WON'T 4469 02:59:50,320 --> 02:59:53,080 FALL ON DEAF EARS. 4470 02:59:53,080 --> 02:59:54,880 >>THANK YOU VERY MUCH TO 4471 02:59:54,880 --> 03:00:01,000 COUNCIL MEMBERS AND TO NCCIH. 4472 03:00:01,000 --> 03:00:03,960 AND ALLANA AND YOUR STAFF FOR 4473 03:00:03,960 --> 03:00:06,560 HAVING ME AND TO FOLLOW UP ON 4474 03:00:06,560 --> 03:00:06,920 CONVERSATIONS. 4475 03:00:06,920 --> 03:00:07,960 >>GREAT HAVING YOU AND THANK 4476 03:00:07,960 --> 03:00:10,360 YOU FOR TAKING TIME TO COME 4477 03:00:10,360 --> 03:00:12,560 SPEAK WITH US AND WE LOOK 4478 03:00:12,560 --> 03:00:14,680 FORWARD TO FOLLOWING UP ON MANY 4479 03:00:14,680 --> 03:00:15,440 POINTS WE DISCUSSED. 4480 03:00:15,440 --> 03:00:17,320 >>EXCELLENT. THANKS SO MUCH. 4481 03:00:17,320 --> 03:00:18,880 >>THANK YOU, MATT. 4482 03:00:18,880 --> 03:00:19,960 >>THANK YOU. 4483 03:00:19,960 --> 03:00:21,920 >>BYE. 4484 03:00:21,920 --> 03:00:24,080 >>OKAY. WITH THIS, WE WILL 4485 03:00:24,080 --> 03:00:27,240 MOVE TO THE NEXT ITEM ON THE 4486 03:00:27,240 --> 03:00:30,320 AGENDA. IT IS A CONCEPT 4487 03:00:30,320 --> 03:00:33,040 CLEARANCE BY DR. PETER MURRAY A 4488 03:00:33,040 --> 03:00:38,000 PROGRAM OFFICER IN OUR CLINICAL 4489 03:00:38,000 --> 03:00:40,520 RESEARCH BRANCH. 4490 03:00:40,520 --> 03:00:42,680 >>ARE YOU SEEING MY SLIDES? 4491 03:00:42,680 --> 03:00:44,640 >>YES, WE ARE. THANK YOU, 4492 03:00:44,640 --> 03:00:46,320 PETE. 4493 03:00:46,320 --> 03:00:49,160 >>OKAY. SO, FIRST, WHAT A 4494 03:00:49,160 --> 03:00:50,320 COUPLE GREAT TALKS THAT ARE 4495 03:00:50,320 --> 03:00:52,640 TOUGH TO FOLLOW IN THOSE 4496 03:00:52,640 --> 03:00:54,120 FOOTSTEPS. I WILL TRY TO MAKE 4497 03:00:54,120 --> 03:00:57,960 MY CONCEPT PROPOSAL SIMILARLY 4498 03:00:57,960 --> 03:00:58,480 RIVETING. 4499 03:00:58,480 --> 03:01:00,640 CONCEPT THAT I'M PUTTING FORWARD 4500 03:01:00,640 --> 03:01:03,120 FOR YOUR CONSIDERATION IS TO 4501 03:01:03,120 --> 03:01:04,760 ESTABLISH A RESEARCH RESOURCE 4502 03:01:04,760 --> 03:01:07,840 FOR SYSTEMATIC REVIEW OF 4503 03:01:07,840 --> 03:01:12,400 COMPLEMENTARY AND INTEGRATIVE 4504 03:01:12,400 --> 03:01:18,680 HEALTH. 4505 03:01:18,680 --> 03:01:21,320 WE FUND CLINICAL RESEARCH 4506 03:01:21,320 --> 03:01:24,160 GENERATING DATA ON SAFETY AND 4507 03:01:24,160 --> 03:01:25,800 EFFICACY INTERVENTIONS ACROSS 4508 03:01:25,800 --> 03:01:27,560 RANGE OF HEALTH CONDITIONS TO 4509 03:01:27,560 --> 03:01:30,040 INFORM CLINICAL PRACTICE AND 4510 03:01:30,040 --> 03:01:32,000 HEALTH POLICY AND TO ALSO GUIDE 4511 03:01:32,000 --> 03:01:34,800 TRAJECTORY OF RESEARCH PROGRAMS 4512 03:01:34,800 --> 03:01:37,000 THAT THERE IS A CHALLENGE 4513 03:01:37,000 --> 03:01:39,280 AGGREGATING STUDY RESULTS 4514 03:01:39,280 --> 03:01:43,760 PROVIDED BY DISTINCT GROUP OF 4515 03:01:43,760 --> 03:01:45,000 RESEARCHER WHEN METHODS AND 4516 03:01:45,000 --> 03:01:47,040 OUTCOMES DIFFER ACROSS STUDIES 4517 03:01:47,040 --> 03:01:49,440 AS THEY VERY OFTEN DO. 4518 03:01:49,440 --> 03:01:51,840 SYSTEMATIC REVIEWS PROVIDE A 4519 03:01:51,840 --> 03:01:53,440 METHODOLOGICAL TOOL TO SUMMARIZE 4520 03:01:53,440 --> 03:01:55,960 STUDY RESULTS FROM RANDOMIZED 4521 03:01:55,960 --> 03:01:58,720 CLINICAL CONTROLLED TRIALS IN AN 4522 03:01:58,720 --> 03:02:00,920 UNBIASED MANNER AND PROVIDE A 4523 03:02:00,920 --> 03:02:03,520 WAY TO ASSESS LITERATURE FOR 4524 03:02:03,520 --> 03:02:06,320 RISK OF PUBLICATION BIAS AND 4525 03:02:06,320 --> 03:02:09,480 PROVIDE FORMAT FOR HEALTH CARE 4526 03:02:09,480 --> 03:02:11,880 PRACTITIONERS FOR MASHENTS AND 4527 03:02:11,880 --> 03:02:14,000 POLICYMAKERS AND CLINICAL 4528 03:02:14,000 --> 03:02:15,360 PRACTICE GUIDELINE DEVELOPMENT 4529 03:02:15,360 --> 03:02:19,520 AND SYSTEMATIC REVIEWS MAY ALSO 4530 03:02:19,520 --> 03:02:21,120 CONCLUDE MAKING A RECOMMENDATION 4531 03:02:21,120 --> 03:02:22,680 FOR A GIVEN INTERVENTION. 4532 03:02:22,680 --> 03:02:28,040 IN ONE WAY THAT NCCIH USES THESE 4533 03:02:28,040 --> 03:02:30,840 SORTS OF CONCLUSIONS IS 4534 03:02:30,840 --> 03:02:33,320 INFORMING RESEARCH GAPS AND 4535 03:02:33,320 --> 03:02:34,440 SHAPING PORTFOLIO DEVELOPMENT. 4536 03:02:34,440 --> 03:02:37,160 JUST A LITTLE BACKGROUND ABOUT 4537 03:02:37,160 --> 03:02:40,480 NCCIH FUNDING IN THIS AREA. 4538 03:02:40,480 --> 03:02:43,440 NCCIH HAS FUNDED SEVERAL GROUPS 4539 03:02:43,440 --> 03:02:45,200 CONDUCTING SYSTEMATIC REVIEWS 4540 03:02:45,200 --> 03:02:48,200 FOR COMPLEMENTARY INTEGRATIVE 4541 03:02:48,200 --> 03:02:50,000 HEALTH APPROACHES MAINLY 4542 03:02:50,000 --> 03:02:52,040 ACUPUNCTURE SYSTEMATIC REVIEWS 4543 03:02:52,040 --> 03:02:54,000 AND HEALTH RESEARCH AND QUALITY 4544 03:02:54,000 --> 03:02:55,520 AND HEALTH CARE RESEARCH AND 4545 03:02:55,520 --> 03:02:59,320 QUALITY AND EVIDENCE-BASED 4546 03:02:59,320 --> 03:03:01,280 REVIEWS AND NOTABLY COCKRAN CAM 4547 03:03:01,280 --> 03:03:03,440 FIELD AND PROJECTS RESULTED IN 4548 03:03:03,440 --> 03:03:05,720 HIGH IMPACT PUBLICATIONS OF 4549 03:03:05,720 --> 03:03:06,800 SYSTEMATIC REVIEWS ABOUT 4550 03:03:06,800 --> 03:03:08,200 COMPLEMENTARY AND INTEGRATIVE 4551 03:03:08,200 --> 03:03:10,240 HEALTH APPROACHES AND THIS FIELD 4552 03:03:10,240 --> 03:03:11,880 ITSELF HAS BEEN CONTINUALLY 4553 03:03:11,880 --> 03:03:16,200 FUNDED BY NCCIH THAN NCAM SINCE 4554 03:03:16,200 --> 03:03:18,800 2003. THEY HAVE ESTABLISHED A 4555 03:03:18,800 --> 03:03:21,240 REGISTER OF CLINICAL TRIALS. 4556 03:03:21,240 --> 03:03:25,040 IT IS ON COMPLEMENTARY AND 4557 03:03:25,040 --> 03:03:26,920 INTEGRATIVE HEALTH INTERVENTIONS 4558 03:03:26,920 --> 03:03:29,720 AND CURRENTLY INCLUDING OVER 4559 03:03:29,720 --> 03:03:31,480 100,000 OF THESE CONTROLLED 4560 03:03:31,480 --> 03:03:33,360 TRIALS IN THE REGISTER. ALSO, 4561 03:03:33,360 --> 03:03:35,920 THEY HAVE PUBLISHED OR PUBLISHED 4562 03:03:35,920 --> 03:03:38,000 THEMSELVES OR SUPPORTED 4563 03:03:38,000 --> 03:03:39,720 PUBLICATION BY VARIOUS GROUPS 4564 03:03:39,720 --> 03:03:42,360 AROUND THE WORLD OF NEARLY 1,000 4565 03:03:42,360 --> 03:03:44,600 SYSTEMATIC REVIEWS FOCUSED ON 4566 03:03:44,600 --> 03:03:46,320 COMPLEMENTARY AND INTEGRATIVE 4567 03:03:46,320 --> 03:03:48,120 HEALTH APPROACHES AND WE HAVE 4568 03:03:48,120 --> 03:03:50,920 LINKS TO SEVERAL RESOURCES 4569 03:03:50,920 --> 03:03:53,280 INCLUDING COCHRAN REVIEWS ON THE 4570 03:03:53,280 --> 03:03:56,280 WEBSITE AND PURPOSE OF THIS 4571 03:03:56,280 --> 03:03:57,560 INITIATIVE IS TO ESTABLISH 4572 03:03:57,560 --> 03:03:59,640 SUPPORT FOR RESEARCH RESOURCE 4573 03:03:59,640 --> 03:04:01,280 FOR CONTINUATION OF A DATABASE 4574 03:04:01,280 --> 03:04:03,680 OF CONTROLLED TRIALS OF 4575 03:04:03,680 --> 03:04:06,320 COMPLEMENTARY AND INTEGRATIVE 4576 03:04:06,320 --> 03:04:08,400 HEALTH INTERVENTIONS AND 4577 03:04:08,400 --> 03:04:09,640 RESEARCH TEAM NEEDS TO SDLOOIB 4578 03:04:09,640 --> 03:04:11,480 DESCRIBE HOW TO ESTABLISH A 4579 03:04:11,480 --> 03:04:13,800 DATABASE OR CONVERT EXISTING 4580 03:04:13,800 --> 03:04:16,360 DATABASE AS WELL AS HOW TO 4581 03:04:16,360 --> 03:04:17,040 MAINTAIN AND KEEP CURRENT 4582 03:04:17,040 --> 03:04:18,840 INCREASE OUTREACH AND ACCESS AND 4583 03:04:18,840 --> 03:04:21,000 AVAILABLE THE OF THE DATABASE TO 4584 03:04:21,000 --> 03:04:22,920 BROADER SCIENTIFIC COMMUNITY 4585 03:04:22,920 --> 03:04:26,880 PUBLIC AND POLICY MAKERS AND TO 4586 03:04:26,880 --> 03:04:28,640 CONDUCT AND OR UPDATE SERIES OF 4587 03:04:28,640 --> 03:04:30,320 HIGH QUALITY SYSTEMATIC REVIEWS 4588 03:04:30,320 --> 03:04:34,320 AND METAANALYSIS EACH YEAR 4589 03:04:34,320 --> 03:04:36,320 INTEGRATIVE COMPLEMENTARY 4590 03:04:36,320 --> 03:04:37,640 ANALYSIS ALIGN WITH PLAN AND 4591 03:04:37,640 --> 03:04:39,800 PARTICULAR INTEREST AND TOPICS 4592 03:04:39,800 --> 03:04:41,480 RELATED TO WHOLE PERSON HEALTH. 4593 03:04:41,480 --> 03:04:44,520 SO, THE OBJECTIVES ARE TO 4594 03:04:44,520 --> 03:04:46,960 MAINTAIN AND KEEP CURRENT 4595 03:04:46,960 --> 03:04:49,640 RESEARCH RESOURCE CONSISTING OF 4596 03:04:49,640 --> 03:04:52,680 A DATABASE OF PRIMARY REPORTS OF 4597 03:04:52,680 --> 03:04:54,320 CONTROLLED TRIALS OF SPECTRUM 4598 03:04:54,320 --> 03:04:56,160 COMPLEMENTARY INTEGRATIVE HEALTH 4599 03:04:56,160 --> 03:04:58,320 CONVENTIONS UTILIZATION OF 4600 03:04:58,320 --> 03:05:01,160 RESOURCE TO CONDUCT AND UPDATE 4601 03:05:01,160 --> 03:05:03,760 REVIEWS AND INTEGRATIVE 4602 03:05:03,760 --> 03:05:06,080 APPROACHES AND WHEN POSSIBLE 4603 03:05:06,080 --> 03:05:07,560 METAANALYSIS AND INCREASING 4604 03:05:07,560 --> 03:05:09,920 VISIBLE THE OF RESOURCE AND 4605 03:05:09,920 --> 03:05:12,480 PRODUCTS OUTREACH SCIENTIFIC 4606 03:05:12,480 --> 03:05:13,960 COMMUNITY PUBLIC POLICY 4607 03:05:13,960 --> 03:05:16,080 STAKEHOLDERS AND WORKING WITH 4608 03:05:16,080 --> 03:05:17,320 BROADER SCIENTIFIC COMMUNITY 4609 03:05:17,320 --> 03:05:19,000 FURTHER DEVELOPING AND ENHANCING 4610 03:05:19,000 --> 03:05:23,120 METHODS OF SYSTEMATIC REVIEW AND 4611 03:05:23,120 --> 03:05:25,120 METAANALYSIS FOR NONFARM LOGIC 4612 03:05:25,120 --> 03:05:26,920 INTERVENTIONS. WITH THAT, I 4613 03:05:26,920 --> 03:05:30,120 WILL TAKE ANY QUESTIONS. 4614 03:05:30,120 --> 03:05:32,000 THANK YOU. 4615 03:05:32,000 --> 03:05:42,520 >>>>PETE, I HAVE A QUESTION. 4616 03:05:43,720 --> 03:05:46,280 THIS IS BEN. SO, I'M SORRY IF 4617 03:05:46,280 --> 03:05:47,880 THIS IS AN OBVIOUS QUESTION. 4618 03:05:47,880 --> 03:05:51,800 HOW DOES THIS RELATE TO THE 4619 03:05:51,800 --> 03:05:54,280 SUPPORT OF THE COCHRAN 4620 03:05:54,280 --> 03:05:55,920 COLLABORATIVE? I MEAN, THE 4621 03:05:55,920 --> 03:05:59,360 THINGS THAT YOU ARE DELINEATING, 4622 03:05:59,360 --> 03:06:01,520 AREN'T THEY THINGS THAT COCHRAN 4623 03:06:01,520 --> 03:06:05,120 DOES? SORRY. OBVIOUS QUESTION. 4624 03:06:05,120 --> 03:06:08,000 >>VERY FAIR QUESTION. 4625 03:06:08,000 --> 03:06:11,240 YES. WE HAVE A HISTORY OF 4626 03:06:11,240 --> 03:06:12,320 CONSISTENTLY FUNDING COCHRAN WHO 4627 03:06:12,320 --> 03:06:13,800 HAS BEEN SUCH A GREAT RESOURCE 4628 03:06:13,800 --> 03:06:16,040 FOR US. THAT AWARD IS COMING TO 4629 03:06:16,040 --> 03:06:17,520 AN END. WE ARE JUST THINKING 4630 03:06:17,520 --> 03:06:22,240 ABOUT, YOU KNOW, HOW TO MAINTAIN 4631 03:06:22,240 --> 03:06:25,080 THE -- A KIND OF RESOURCE THAT 4632 03:06:25,080 --> 03:06:26,960 PROVIDES THINGS THAT ARE SIMILAR 4633 03:06:26,960 --> 03:06:30,320 TO WHAT COCHRAN HAS PROVIDED TO 4634 03:06:30,320 --> 03:06:33,120 US IN THE PAST. 4635 03:06:33,120 --> 03:06:38,000 >>AND, AGAIN, I'M SORRY IF I'M 4636 03:06:38,000 --> 03:06:39,360 BELABORING. DOES THIS MEAN 4637 03:06:39,360 --> 03:06:41,280 COCHRAN IS NO LONGER ABLE TO DO 4638 03:06:41,280 --> 03:06:43,040 THAT OR ARE THEY ONE OF THE 4639 03:06:43,040 --> 03:06:44,440 ENTITIES THAT MIGHT APPLY FOR 4640 03:06:44,440 --> 03:06:44,920 THIS? 4641 03:06:44,920 --> 03:06:46,680 >>I DON'T THINK WE WILL -- 4642 03:06:46,680 --> 03:06:48,720 >>I'M SORRY. MAYBE WE DON'T 4643 03:06:48,720 --> 03:06:49,800 TALK ABOUT THAT HERE. 4644 03:06:49,800 --> 03:06:51,240 >>ABOUT THE SPECIFICS. 4645 03:06:51,240 --> 03:06:51,560 >>YEAH. 4646 03:06:51,560 --> 03:06:53,560 >>THIS IS KIND OF THE OVERALL 4647 03:06:53,560 --> 03:06:53,920 GOAL. 4648 03:06:53,920 --> 03:06:59,720 >>OKAY. OKAY. I APOLOGIZE. 4649 03:06:59,720 --> 03:07:00,040 THANK YOU. 4650 03:07:00,040 --> 03:07:02,720 >>I'M SORRY. I'M A TINY BIT 4651 03:07:02,720 --> 03:07:04,240 CONFUSED AND THINK IT IS THE END 4652 03:07:04,240 --> 03:07:06,960 OF THE DAY. BUT, SO, YOU ARE 4653 03:07:06,960 --> 03:07:08,800 GOING TO OFFER THIS UP. PEOPLE 4654 03:07:08,800 --> 03:07:10,400 WILL APPLY TO DO THIS? 4655 03:07:10,400 --> 03:07:13,520 >>WELL, AGAIN, I THINK AT THIS 4656 03:07:13,520 --> 03:07:15,400 LEVEL, THIS IS JUST SORT OF A 4657 03:07:15,400 --> 03:07:17,440 CONCEPT THAT WE ARE PUTTING 4658 03:07:17,440 --> 03:07:20,000 FORWARD. WE ARE HAVING WORKED 4659 03:07:20,000 --> 03:07:21,680 OUT STRATEGIES I DON'T THINK 4660 03:07:21,680 --> 03:07:23,720 THIS IS THE PLACE TO DISCUSS 4661 03:07:23,720 --> 03:07:25,720 SPECIFICS ABOUT THAT STRATEGY TO 4662 03:07:25,720 --> 03:07:29,120 ACCOMPLISH THE GOALS LAID OUT IN 4663 03:07:29,120 --> 03:07:34,920 THE CONCEPT. 4664 03:07:34,920 --> 03:07:38,160 >>WOULD IT BE SIMILAR TO 4665 03:07:38,160 --> 03:07:40,000 COCHRAN OR OFFER SOME OTHER 4666 03:07:40,000 --> 03:07:41,960 FEATURES LIKE COMPARISON OF 4667 03:07:41,960 --> 03:07:42,240 PRODUCTS? 4668 03:07:42,240 --> 03:07:45,760 YOU KNOW, CONSUMER REPORTS ON 4669 03:07:45,760 --> 03:07:46,120 PRODUCTS? 4670 03:07:46,120 --> 03:07:48,360 >>WELL, I -- YOU KNOW, I THINK 4671 03:07:48,360 --> 03:07:51,240 THAT IF IT IS PRETTY CLEAR THAT 4672 03:07:51,240 --> 03:07:52,840 FROM THE OBJECTIVES THAT THEY 4673 03:07:52,840 --> 03:07:57,440 ARE VERY HIGHLY ALIGNED WITH 4674 03:07:57,440 --> 03:07:58,720 WHAT COCHRAN IS ALREADY DOING. 4675 03:07:58,720 --> 03:08:01,480 SO, YOU KNOW, I THINK WE ARE 4676 03:08:01,480 --> 03:08:03,720 JUST REALLY TRYING TO ESTABLISH 4677 03:08:03,720 --> 03:08:06,840 AN EVIDENCE-BASED ON THE 4678 03:08:06,840 --> 03:08:08,840 LITERATURE AND MAINTENANCE OF 4679 03:08:08,840 --> 03:08:12,480 FORMATION OR MAINTENANCE OF 4680 03:08:12,480 --> 03:08:14,200 CLINICAL TRIALS REGISTER. 4681 03:08:14,200 --> 03:08:16,440 YOU KNOW, I THINK THAT PEOPLE 4682 03:08:16,440 --> 03:08:19,200 CAN PROPOSE DIFFERENT STRATEGIES 4683 03:08:19,200 --> 03:08:21,200 OF BEST HOW TO DO THAT. 4684 03:08:21,200 --> 03:08:23,880 >>I WANT TO SAY I APOLOGIZE IF 4685 03:08:23,880 --> 03:08:26,000 I CREATED AN AWKWARD SITUATION 4686 03:08:26,000 --> 03:08:28,840 THERE FOR YOU, PETE. I'M HAPPY 4687 03:08:28,840 --> 03:08:30,440 TO SUGGEST TO COUNCIL WE NOT 4688 03:08:30,440 --> 03:08:33,560 TALK ABOUT POTENTIAL SPECIFIC 4689 03:08:33,560 --> 03:08:35,360 APPLICANTS AT THIS MOMENT. YOU 4690 03:08:35,360 --> 03:08:36,840 ARE TALKING ABOUT CONCEPT 4691 03:08:36,840 --> 03:08:38,320 CLEARANCE AND THINK I WENT OUT 4692 03:08:38,320 --> 03:08:40,560 OF BOUNDS A LITTLE BIT WITH MY 4693 03:08:40,560 --> 03:08:41,720 QUESTION. I APOLOGIZE. 4694 03:08:41,720 --> 03:08:43,560 >>NO PROBLEM, DAN. 4695 03:08:43,560 --> 03:08:45,720 MAYBE WE -- ALSO, WE HAVE NEW 4696 03:08:45,720 --> 03:08:47,600 COUNCIL MEMBERS AND MAYBE WE 4697 03:08:47,600 --> 03:08:50,000 COULD SORT OF REVIEW A LITTLE 4698 03:08:50,000 --> 03:08:55,720 BIT WHAT PURPOSE OF CONCEPT 4699 03:08:55,720 --> 03:08:57,240 THEORY IS. MAYBE THAT WOULD BE 4700 03:08:57,240 --> 03:08:59,040 HELPFUL. THE PURPOSE OF THIS IS 4701 03:08:59,040 --> 03:09:01,680 JUST TO SORT OF GET AN IDEA OF A 4702 03:09:01,680 --> 03:09:03,320 GENERAL CONCEPT AND HOPE THAT 4703 03:09:03,320 --> 03:09:05,680 THE GENERAL -- YOU KNOW, THE 4704 03:09:05,680 --> 03:09:08,400 COMMUNITY BECOMES -- I WILL GIVE 4705 03:09:08,400 --> 03:09:10,920 THEM SORT OF A SNEAK PREVIEW AND 4706 03:09:10,920 --> 03:09:13,720 ADVANCED NOTICE OF THIS KIND OF 4707 03:09:13,720 --> 03:09:16,120 THING WE ARE THINKING ABOUT. 4708 03:09:16,120 --> 03:09:17,520 ALSO, TO GET FEEDBACK FROM ALL 4709 03:09:17,520 --> 03:09:19,320 OF YOU FROM COUNCIL TO SEE IF 4710 03:09:19,320 --> 03:09:20,880 YOU THINK THIS IS A GOOD IDEA. 4711 03:09:20,880 --> 03:09:22,600 YOU KNOW? 4712 03:09:22,600 --> 03:09:24,720 IF YOU HAVE ANY FEEDBACK ABOUT 4713 03:09:24,720 --> 03:09:27,120 THAT OR GENERAL CONCEPT WE ARE 4714 03:09:27,120 --> 03:09:29,160 NOT TALKING ABOUT ANY SPECIFIC 4715 03:09:29,160 --> 03:09:29,840 FUNDING OPPORTUNITIES AT THIS 4716 03:09:29,840 --> 03:09:31,440 MOMENT AND BASICALLY JUST 4717 03:09:31,440 --> 03:09:32,920 TALKING ABOUT A CONCEPT AND 4718 03:09:32,920 --> 03:09:34,320 WHETHER THIS IS SOMETHING THAT 4719 03:09:34,320 --> 03:09:36,560 WOULD BE NEEDED AT THE PRESENT 4720 03:09:36,560 --> 03:09:38,600 TIME, IT IS A GOOD THING TO DO. 4721 03:09:38,600 --> 03:09:40,720 >>JUST QUICKLY TO FOLLOW UP. 4722 03:09:40,720 --> 03:09:42,880 DO WE ALREADY HAVE IT IN PLACE? 4723 03:09:42,880 --> 03:09:45,840 WE WILL REUP IT OR NO? 4724 03:09:45,840 --> 03:09:48,040 >>I -- I WILL COMMENT. I THINK 4725 03:09:48,040 --> 03:09:50,160 THAT WHAT HE WAS DOING IS GIVING 4726 03:09:50,160 --> 03:09:53,280 A BACKGROUND OF A LONG-STANDING 4727 03:09:53,280 --> 03:09:54,760 SUPPORT FOR THE COCHRAN THAT HAS 4728 03:09:54,760 --> 03:09:56,880 BEEN VERY USEFUL AND THIS IS 4729 03:09:56,880 --> 03:09:59,400 COMING TO AN END. WE ARE ASKING 4730 03:09:59,400 --> 03:10:01,800 COUNCIL IF THIS CONCEPT OF DOING 4731 03:10:01,800 --> 03:10:03,480 SYSTEMATIC REVIEWS IS STILL OF 4732 03:10:03,480 --> 03:10:04,920 INTEREST TO THE COMMUNITY AND TO 4733 03:10:04,920 --> 03:10:07,280 THE COUNCIL. WOULD YOU BE 4734 03:10:07,280 --> 03:10:09,080 WILLING TO SUPPORT IT IN A WAY 4735 03:10:09,080 --> 03:10:12,280 THAT IS MAYBE IN THE PAST BUT 4736 03:10:12,280 --> 03:10:14,720 ALSO THINKING ABOUT OTHER 4737 03:10:14,720 --> 03:10:16,440 POSSIBILITIES OF FUNDING 4738 03:10:16,440 --> 03:10:17,720 SYSTEMATIC REVIEWS AND COULD BE 4739 03:10:17,720 --> 03:10:19,760 CONTINUE WHAT WE ARE DOG OR 4740 03:10:19,760 --> 03:10:21,200 COULD BE SOMETHING DIFFERENT AND 4741 03:10:21,200 --> 03:10:23,200 IDEA FROM OUR PERSPECTIVE WE ARE 4742 03:10:23,200 --> 03:10:26,680 ASKING COUNCIL IF YOU FIND THIS 4743 03:10:26,680 --> 03:10:27,840 CONCEPT IMPORTANT AND SOMETHING 4744 03:10:27,840 --> 03:10:29,960 WE SHOULD AS AN INSTITUTE THAT 4745 03:10:29,960 --> 03:10:31,840 WE SHOULD CONTINUE TO INVEST IN 4746 03:10:31,840 --> 03:10:35,840 THIS IDEA OF SUPPORTING 4747 03:10:35,840 --> 03:10:37,120 SYSTEMATIC REVIEWS WHETHER AN 4748 03:10:37,120 --> 03:10:38,000 EXISTING PROGRAM OR SOMETHING 4749 03:10:38,000 --> 03:10:41,080 LIKE IT IN THE FUTURE IS WHERE 4750 03:10:41,080 --> 03:10:42,760 WE ARE REALLY ASKING THE COUNCIL 4751 03:10:42,760 --> 03:10:44,520 AND WE HAVE DONE THIS A LONG 4752 03:10:44,520 --> 03:10:48,000 TIME AND THINK THERE IS VALUE. 4753 03:10:48,000 --> 03:10:49,960 WE NEED A PANEL OF EXPERTS SUCH 4754 03:10:49,960 --> 03:10:53,480 AS YOURSELVES TO HELP US TO 4755 03:10:53,480 --> 03:10:54,800 FURTHER DECIDE ON MOVING FORWARD 4756 03:10:54,800 --> 03:10:57,520 WITH THIS PARTICULAR TYPE OF 4757 03:10:57,520 --> 03:10:59,480 APPROACH IN INTERROGATING 4758 03:10:59,480 --> 03:11:00,800 COMPLEMENTARY APPROACHES USING 4759 03:11:00,800 --> 03:11:02,480 THIS TYPE OF SYSTEMATIC REVIEWS 4760 03:11:02,480 --> 03:11:04,040 IS THE QUESTION WE ARE ASKING IF 4761 03:11:04,040 --> 03:11:06,320 YOU FIND VALUE IN THIS AND 4762 03:11:06,320 --> 03:11:08,000 THINGS WE SHOULD THINK ABOUT IN 4763 03:11:08,000 --> 03:11:16,600 MOVING FORWARD IN THE FUTURE 4764 03:11:16,600 --> 03:11:19,240 FIFING HISTORY AND ISSUES AND 4765 03:11:19,240 --> 03:11:20,520 TOPICS TO THINK ABOUT APPROACHES 4766 03:11:20,520 --> 03:11:24,720 AND ONE WE HAVE USED FOR SEVERAL 4767 03:11:24,720 --> 03:11:26,680 YEARS BUT THIS IS AN OPPORTUNITY 4768 03:11:26,680 --> 03:11:29,760 FOR FURTHER DISCUSSION TO GET 4769 03:11:29,760 --> 03:11:32,760 INPUT FROM COUNCIL WHERE WE 4770 03:11:32,760 --> 03:11:35,600 COULD GO NOW THAT THE PROGRAM IS 4771 03:11:35,600 --> 03:11:38,600 AT AN INFLECTION POINT WITH 4772 03:11:38,600 --> 03:11:40,640 RENEWAL AND REUPING ON THIS 4773 03:11:40,640 --> 03:11:45,640 IDEA. HOPE THAT HELPS IF IT 4774 03:11:45,640 --> 03:11:46,240 MAKES SENSE. 4775 03:11:46,240 --> 03:11:49,880 >>WE HAVE A COUPLE HANDS UP. 4776 03:11:49,880 --> 03:11:54,000 >>YES. DR. MCGEE? 4777 03:11:54,000 --> 03:11:54,800 >>YEAH. 4778 03:11:54,800 --> 03:11:55,320 >>HI. 4779 03:11:55,320 --> 03:11:55,960 >>YEAH. 4780 03:11:55,960 --> 03:11:58,200 >>RHONDA HERE. I GUESS I'M 4781 03:11:58,200 --> 03:12:01,680 JUST CURIOUS IF I COULD HEAR A 4782 03:12:01,680 --> 03:12:04,360 LITTLE MORE ABOUT THE GOAL OR 4783 03:12:04,360 --> 03:12:07,200 OBJECTIVE THAT IS AROUND SHARING 4784 03:12:07,200 --> 03:12:09,680 OR DISSEMINATING. 4785 03:12:09,680 --> 03:12:12,400 IN OTHER WORDS I'M NOT AS 4786 03:12:12,400 --> 03:12:14,360 FAMILIAR WITH THE COCHRAN OR ANY 4787 03:12:14,360 --> 03:12:16,200 OTHER DATABASE LIKE THIS. 4788 03:12:16,200 --> 03:12:18,960 OTHERS I MIGHT BE FAMILIAR WITH 4789 03:12:18,960 --> 03:12:21,000 DATABASES WITH REGARD FOR 4790 03:12:21,000 --> 03:12:21,880 EXAMPLE MINDFULNESS RESEARCH AND 4791 03:12:21,880 --> 03:12:24,120 THIS AND THAT. I KNOW THAT IF 4792 03:12:24,120 --> 03:12:26,840 I'M CURIOUS IF YOU COULD SAY A 4793 03:12:26,840 --> 03:12:29,320 LITTLE MORE ABOUT GOALS AND 4794 03:12:29,320 --> 03:12:30,320 OBJECTIVES THAT ARE AROUND 4795 03:12:30,320 --> 03:12:32,920 MAKING THIS INFORMATION MORE 4796 03:12:32,920 --> 03:12:37,480 AVAILABLE TO NONRESEARCH 4797 03:12:37,480 --> 03:12:38,080 COMMUN 4798 03:12:38,080 --> 03:12:38,360 COMMUNITY. 4799 03:12:38,360 --> 03:12:39,600 AS A PERSON APPLYING RESEARCH 4800 03:12:39,600 --> 03:12:42,280 MORE THAN BEING A PRIMARY 4801 03:12:42,280 --> 03:12:43,720 RESEARCHER, ONE THING I'M OFTEN 4802 03:12:43,720 --> 03:12:45,080 FRUSTRATED BY IS THE FACT THAT, 4803 03:12:45,080 --> 03:12:48,040 YOU KNOW, WE HAVE MEDIA OUTLETS 4804 03:12:48,040 --> 03:12:50,000 TALKING ABOUT THIS AND THAT AND 4805 03:12:50,000 --> 03:12:52,520 ALMOST DEVOID OF 4806 03:12:52,520 --> 03:12:53,240 SCIENTIFIC-BACKED INFORMATION. 4807 03:12:53,240 --> 03:12:58,000 IT FEELS LIKE PR AND NEED TO 4808 03:12:58,000 --> 03:12:59,120 DISSEMINATE IS SO STRONG. 4809 03:12:59,120 --> 03:13:01,160 I WONDER IF THAT IS SOMETHING WE 4810 03:13:01,160 --> 03:13:02,440 ARE REALLY THINKING WELL ABOUT 4811 03:13:02,440 --> 03:13:04,120 AT THE FRONT END AND THINKING 4812 03:13:04,120 --> 03:13:06,120 ABOUT THIS CONCEPT AND HOW IS 4813 03:13:06,120 --> 03:13:08,000 SORT OF STRATEGY THAT IS AROUND 4814 03:13:08,000 --> 03:13:10,000 SHARING IT AND DISSEMINATING 4815 03:13:10,000 --> 03:13:11,720 THIS INFORMATION AND BEING 4816 03:13:11,720 --> 03:13:13,200 IMBEDDED IN CONCEPTUALIZATION OF 4817 03:13:13,200 --> 03:13:16,840 THIS IDEA OF THESE SORTS OF 4818 03:13:16,840 --> 03:13:17,560 DATABASES. 4819 03:13:17,560 --> 03:13:19,240 I HOPE THAT IS CLEAR. 4820 03:13:19,240 --> 03:13:22,960 >>YEAH. I CAN TRY TO TALK 4821 03:13:22,960 --> 03:13:23,320 ABOUT IT. 4822 03:13:23,320 --> 03:13:26,000 THIS IS REALLY A CHANCE TO GIVE 4823 03:13:26,000 --> 03:13:29,640 AN OBJECTIVE OF EVIDENCE-BASED 4824 03:13:29,640 --> 03:13:31,840 FOR EXTENT DATA AND WHAT DATA IS 4825 03:13:31,840 --> 03:13:34,720 SHOWING US ACROSS VARIOUS 4826 03:13:34,720 --> 03:13:38,000 ELEMENTS OF COMPLEMENTARY AND 4827 03:13:38,000 --> 03:13:39,480 INTEGRATIVE HEALTH. 4828 03:13:39,480 --> 03:13:42,440 THE TYPE OF CONCEPT THAT YOU ARE 4829 03:13:42,440 --> 03:13:44,000 SPEAKING TO I THINK RHONDA IS 4830 03:13:44,000 --> 03:13:46,760 SOMETHING THAT IS RELATED TO 4831 03:13:46,760 --> 03:13:51,200 KNOW THE SIGNS PROGRAM AND 4832 03:13:51,200 --> 03:13:54,280 COMMUNICATIONS OFFICE THAT 4833 03:13:54,280 --> 03:13:56,160 OFFERS TRAINING EXAMPLES AND 4834 03:13:56,160 --> 03:13:57,840 INFORMATION TO THE PUBLIC ON HOW 4835 03:13:57,840 --> 03:14:01,360 TO CRITICALLY EVALUATE 4836 03:14:01,360 --> 03:14:04,000 INFORMATION COMING FROM 4837 03:14:04,000 --> 03:14:05,440 SCIENTIFIC JOURNALS AND PRESS 4838 03:14:05,440 --> 03:14:08,000 AND MEDIA IN GENERAL THAT IS AN 4839 03:14:08,000 --> 03:14:10,280 EXTENSIVE TRAINING THAT IS ON 4840 03:14:10,280 --> 03:14:11,920 OUR WEBSITE THAT ALLOWS PEOPLE 4841 03:14:11,920 --> 03:14:17,120 TO THINK ABOUT HOW TO EVALUATE 4842 03:14:17,120 --> 03:14:27,520 INFORMATION CRITICALLY. 4843 03:14:28,920 --> 03:14:31,080 IN THAT SPACE AND ALLOWING 4844 03:14:31,080 --> 03:14:34,120 PEOPLE TO EVALUATE COCHRAN 4845 03:14:34,120 --> 03:14:35,880 REVIEWS MEDIA INFORMATION IN A 4846 03:14:35,880 --> 03:14:36,480 CRITICAL WAY. 4847 03:14:36,480 --> 03:14:38,600 >>I KNOW SCIENCE PART SOUNDS 4848 03:14:38,600 --> 03:14:40,720 CRITICAL. I'M ALSO THINKING 4849 03:14:40,720 --> 03:14:43,760 ABOUT A PRELIMINARY ISSUE IT 4850 03:14:43,760 --> 03:14:45,520 FEELS SCIENCE IS SO HIDDEN WE 4851 03:14:45,520 --> 03:14:47,800 DON'T HEAR ABOUT SCIENCE LET 4852 03:14:47,800 --> 03:14:50,000 ALONE HAVING A NEXT STEP DO 4853 03:14:50,000 --> 03:14:51,320 PEOPLE UNDERSTAND THE SCIENCE. 4854 03:14:51,320 --> 03:14:53,760 I GUESS I'M -- YEAH. WE CAN 4855 03:14:53,760 --> 03:14:54,760 HAVE ANOTHER CONVERSATION ABOUT 4856 03:14:54,760 --> 03:14:57,120 WHETHER OR NOT WE THINK THE 4857 03:14:57,120 --> 03:14:59,400 DISSEMINATION OR RELEASING OF 4858 03:14:59,400 --> 03:15:01,440 THE INFORMATION THAT IS DONE 4859 03:15:01,440 --> 03:15:02,800 ROBUSTLY ENOUGH OR IF THERE 4860 03:15:02,800 --> 03:15:05,560 COULD BE GREATER INVESTMENT IN 4861 03:15:05,560 --> 03:15:07,880 JUST RELEASING THE INFORMATION 4862 03:15:07,880 --> 03:15:09,480 LET ALONE HOW PEOPLE UNDERSTAND 4863 03:15:09,480 --> 03:15:09,800 IT. 4864 03:15:09,800 --> 03:15:12,480 >>YEAH. DISSEMINATION OF 4865 03:15:12,480 --> 03:15:14,440 ACCURATE INFORMATION OR 4866 03:15:14,440 --> 03:15:16,000 ACCESSIBLE INFORMATION OF THE 4867 03:15:16,000 --> 03:15:18,760 PUBLIC IS PART OF THE MISSION OF 4868 03:15:18,760 --> 03:15:20,200 NCCIH. I WILL SAY THERE HAVE 4869 03:15:20,200 --> 03:15:24,600 BEEN ACTIVITIES IN THE PAST LIKE 4870 03:15:24,600 --> 03:15:27,560 BLOGS THAT REALLY SUCCINCTLY 4871 03:15:27,560 --> 03:15:29,720 SUMMARIZE FINDINGS OF REVIEWS 4872 03:15:29,720 --> 03:15:32,000 AND SO FORTH. COCHRAN HAS FOR 4873 03:15:32,000 --> 03:15:33,680 EXAMPLE BEEN ENGAGED IN AND 4874 03:15:33,680 --> 03:15:36,240 DIFFERENT WAYS TO ENGAGE IN 4875 03:15:36,240 --> 03:15:38,400 DIFFERENT MEDIA. YOU KNOW, 4876 03:15:38,400 --> 03:15:41,640 EFFORTS TO REACH THE GENERAL 4877 03:15:41,640 --> 03:15:47,920 PUBLIC NOT JUST THE RESEARCH 4878 03:15:47,920 --> 03:15:48,320 COMMUNITY. 4879 03:15:48,320 --> 03:15:52,320 >>OKAY. AMANDA? 4880 03:15:52,320 --> 03:15:54,600 >>YES. THANKS. NO. GREAT 4881 03:15:54,600 --> 03:15:57,160 DISCUSSION. THIS IS A REALLY 4882 03:15:57,160 --> 03:15:58,920 USEFUL INITIATIVE THAT NEEDS TO 4883 03:15:58,920 --> 03:16:00,520 DEFINITELY CONTINUE. CERTAINLY 4884 03:16:00,520 --> 03:16:02,680 JUST IF I CAN TALK ABOUT 4885 03:16:02,680 --> 03:16:04,040 BOTANICALS. I WILL ADD THAT 4886 03:16:04,040 --> 03:16:09,640 BOTH COLLECTION OF DATA AND COME 4887 03:16:09,640 --> 03:16:11,960 PILATION OF IT AND DISSEMINATION 4888 03:16:11,960 --> 03:16:14,320 IS ALL IMPORTANT AND 4889 03:16:14,320 --> 03:16:15,680 COMPLEMENTARY IS VERY DIFFERENT 4890 03:16:15,680 --> 03:16:17,200 TO CONVENTIONAL. THERE IS SO 4891 03:16:17,200 --> 03:16:20,240 MUCH NUANCE IN THAT WHEN YOU SAY 4892 03:16:20,240 --> 03:16:23,760 ACUPUNCTURE PICKING A BLAR 4893 03:16:23,760 --> 03:16:25,680 BOTANICAL THERE IS VARIABILITY 4894 03:16:25,680 --> 03:16:27,880 IN THE TYPE OF PRODUCT USED AND 4895 03:16:27,880 --> 03:16:31,000 SO ON AND IS HARD TO CONVEY ALL 4896 03:16:31,000 --> 03:16:32,800 NUANCES AND MEANS THAT REVIEWS 4897 03:16:32,800 --> 03:16:35,000 HAVE TO BE DONE IN A WAY THAT 4898 03:16:35,000 --> 03:16:36,760 COVERS ALL OF THAT. I GUESS IT 4899 03:16:36,760 --> 03:16:39,480 IS A LONG-WINDED WAY OF SAYING 4900 03:16:39,480 --> 03:16:43,160 IT WOULD BE GREAT TO HAVE A WAY 4901 03:16:43,160 --> 03:16:45,120 IN WHICH THOSE PEOPLE WHO HAVE 4902 03:16:45,120 --> 03:16:46,440 EXPERTISE IN THOSE AREAS COULD 4903 03:16:46,440 --> 03:16:49,440 BE SUPPORTED TO PRODUCE REVIEWS 4904 03:16:49,440 --> 03:16:51,680 AND WHEN WE WORK WITH BOTANICALS 4905 03:16:51,680 --> 03:16:54,400 WE CERTAINLY TEND TO DO REVIEWS 4906 03:16:54,400 --> 03:16:55,960 ANYWAY FOR OUR KNOWLEDGE AND 4907 03:16:55,960 --> 03:16:57,240 COLLECT AND GATHER INFORMATION 4908 03:16:57,240 --> 03:16:58,920 THAT COULD BE EXTREMELY TIME 4909 03:16:58,920 --> 03:17:00,680 CONSUMING. YOU HAVE TO DO IN 4910 03:17:00,680 --> 03:17:02,000 ADDITION TO RESEARCH AND SO ON 4911 03:17:02,000 --> 03:17:04,360 THAT YOU PROPOSED AND THIS MIGHT 4912 03:17:04,360 --> 03:17:06,400 BE A BIT PREMATURE. IF THERE IS 4913 03:17:06,400 --> 03:17:08,760 A WAY THAT YOU KNOW IS 4914 03:17:08,760 --> 03:17:10,320 GENERATING FUNDING FOR 4915 03:17:10,320 --> 03:17:12,480 RESEARCHERS TO DO THAT AND MAYBE 4916 03:17:12,480 --> 03:17:14,640 THROUGH ADMINISTRATIVE 4917 03:17:14,640 --> 03:17:17,760 SUPPLEMENTS OR SOMETHING THAT 4918 03:17:17,760 --> 03:17:19,280 WOULD SUPPORT THIS INITIATIVE. 4919 03:17:19,280 --> 03:17:22,280 I SUGGEST TO BRING IT UP AS A 4920 03:17:22,280 --> 03:17:25,920 SUGGESTION FOR CONSIDERATION 4921 03:17:25,920 --> 03:17:27,920 THANK YOU. 4922 03:17:27,920 --> 03:17:33,200 >>OKAY. DR. PROLINSON? 4923 03:17:33,200 --> 03:17:35,360 >>THANK YOU, PETE. YOU KNOW, A 4924 03:17:35,360 --> 03:17:38,000 VERY INTERESTING AND SORT OF 4925 03:17:38,000 --> 03:17:41,440 CONFUSING PROJECT. YOU KNOW, 4926 03:17:41,440 --> 03:17:43,920 THIS IS REALLY COMPLICATED 4927 03:17:43,920 --> 03:17:45,880 STUFF. I THINK PROBABLY AS LOTS 4928 03:17:45,880 --> 03:17:49,680 OF PEOPLE ON THE CALL KNOW BUT 4929 03:17:49,680 --> 03:18:00,200 MAYBE NOT PRODUCING A COCHRAN 4930 03:18:10,360 --> 03:18:11,080 DATABASE FOR GREAT EVIDENCE IN 4931 03:18:11,080 --> 03:18:15,280 WHAT YOU ARE DOING IN CLINICAL 4932 03:18:15,280 --> 03:18:17,040 PRACTICE AND YOUR PATIENCE AND 4933 03:18:17,040 --> 03:18:20,440 UNDERLYING PHILOSOPHY THERE IS 4934 03:18:20,440 --> 03:18:22,120 IMPORTANT FOR COMPLEMENTARY 4935 03:18:22,120 --> 03:18:23,200 INTEGRATIVE MEDICINE AS WELL. 4936 03:18:23,200 --> 03:18:25,800 IT IS A REALLY I THINK A TOUGH 4937 03:18:25,800 --> 03:18:28,280 THING TO GET AT TO REALLY BE 4938 03:18:28,280 --> 03:18:30,080 ABLE TO DISSEMINATE TO NOT ONLY 4939 03:18:30,080 --> 03:18:33,840 TO THE PUBLIC BUT ALSO TO 4940 03:18:33,840 --> 03:18:36,000 PRACTITIONERS SO WHEN 4941 03:18:36,000 --> 03:18:37,760 PRACTITIONERS ARE RECOMMENDING 4942 03:18:37,760 --> 03:18:39,480 VARIOUS OTHER TYPES OF 4943 03:18:39,480 --> 03:18:40,600 APPROACHES THERE COULD BE GOOD 4944 03:18:40,600 --> 03:18:42,000 EVIDENCE FOR WHAT YOU ARE TRYING 4945 03:18:42,000 --> 03:18:44,520 TO DO. ALL THAT BEING SAID, I 4946 03:18:44,520 --> 03:18:47,920 THINK ONE OF THE BIG PROBLEMS IS 4947 03:18:47,920 --> 03:18:50,000 THAT DESPITE COCHRAN DATABASE 4948 03:18:50,000 --> 03:18:51,080 BEING AROUND FOR A LONG PERIOD 4949 03:18:51,080 --> 03:18:53,640 OF TIME MOST OF WHAT WE DO IN 4950 03:18:53,640 --> 03:18:56,040 PRACTICE OF MEDICINE IS REALLY 4951 03:18:56,040 --> 03:18:58,280 NOT VERY EVIDENCE-BASED. WE ARE 4952 03:18:58,280 --> 03:19:00,360 POTENTIALLY BASED ON POORLY 4953 03:19:00,360 --> 03:19:02,600 DESIGNED OR FLAWED STUDIES THAT 4954 03:19:02,600 --> 03:19:04,280 GETS TO BE REALLY COMPLICATED 4955 03:19:04,280 --> 03:19:06,240 AND THANK YOU FOR GETTING THIS 4956 03:19:06,240 --> 03:19:07,760 OUT IN FRONT OF US FOR 4957 03:19:07,760 --> 03:19:11,520 DISCUSSION. IT IS A VERY 4958 03:19:11,520 --> 03:19:14,400 IMPORTANT TOPIC. 4959 03:19:14,400 --> 03:19:19,960 >>OKAY. THANKS, DR. DICKERSON. 4960 03:19:19,960 --> 03:19:22,240 >>YES, PETER. THANK YOU SO 4961 03:19:22,240 --> 03:19:24,040 MUCH FOR THE INTRODUCTION TO THE 4962 03:19:24,040 --> 03:19:25,920 CONCEPT AND BEING NEW TO THE 4963 03:19:25,920 --> 03:19:29,960 COUNCIL I'M NOT SURE. I HAVE 4964 03:19:29,960 --> 03:19:31,400 OPEN GENERAL THOUGHTS. 4965 03:19:31,400 --> 03:19:33,640 I DON'T KNOW HOW MUCH THEY CAN 4966 03:19:33,640 --> 03:19:37,120 APPLY. MAYBE IF AN ANNOUNCEMENT 4967 03:19:37,120 --> 03:19:40,240 WAS MADE TO HAVE INCLUDING 4968 03:19:40,240 --> 03:19:42,320 SPECIFICS AND FOR EXAMPLE TO 4969 03:19:42,320 --> 03:19:45,160 UNDERSTAND PAIN OR, YOU KNOW, 4970 03:19:45,160 --> 03:19:48,960 USE OF CAN -- YOU KNOW, CANNABIS 4971 03:19:48,960 --> 03:19:51,200 TO APPROACH WHOLE-PERSON HEALTH 4972 03:19:51,200 --> 03:19:55,400 OR ETHNIC DISPARITIES AND 4973 03:19:55,400 --> 03:19:56,720 UTILIZATION. THAT MIGHT HELP 4974 03:19:56,720 --> 03:19:58,200 WITH WHATEVER FOCUS THAT WE ARE 4975 03:19:58,200 --> 03:20:00,440 -- WHATEVER -- YOU KNOW, WE ARE 4976 03:20:00,440 --> 03:20:03,240 REALLY WANTING TO GET OUT OF 4977 03:20:03,240 --> 03:20:06,040 REVIEWS AS A COUNCIL AND AS AN 4978 03:20:06,040 --> 03:20:08,720 INSTITUTE. YOU KNOW, THAT MIGHT 4979 03:20:08,720 --> 03:20:14,640 MAKE IT REALLY OF VALUE TO 4980 03:20:14,640 --> 03:20:16,080 OVERALL MISSION OF THIS COUNCIL. 4981 03:20:16,080 --> 03:20:17,840 I THINK WE HAVE NOT REALLY 4982 03:20:17,840 --> 03:20:19,720 TALKED A LOT ABOUT 4983 03:20:19,720 --> 03:20:20,960 IMPLEMENTATION AND TRANSLATION 4984 03:20:20,960 --> 03:20:21,360 OF FINDINGS. 4985 03:20:21,360 --> 03:20:25,480 I DON'T KNOW IF THAT WOULD ALSO 4986 03:20:25,480 --> 03:20:29,120 BE SOMETHING THAT WOULD BE TO 4987 03:20:29,120 --> 03:20:32,920 LOOK FURTHER INTO. I'M FUNDED 4988 03:20:32,920 --> 03:20:34,320 UNDER THE HEAL I DON'T KNOW HOW 4989 03:20:34,320 --> 03:20:37,760 MUCH I CAN TALK ABOUT THIS. 4990 03:20:37,760 --> 03:20:40,440 UNDER THE HEAL AND FUNDED UNDER 4991 03:20:40,440 --> 03:20:42,640 HEAL AND MEMBER OF 4992 03:20:42,640 --> 03:20:44,040 IMPLEMENTATION SCIENCE 4993 03:20:44,040 --> 03:20:45,840 WORKGROUPS THAT IS A BIG PART OF 4994 03:20:45,840 --> 03:20:49,880 THE HEAL PROGRAM IS TRANSLATING 4995 03:20:49,880 --> 03:20:50,800 AND PUTTING ALL KNOWLEDGE 4996 03:20:50,800 --> 03:20:54,120 TOGETHER FOR TACKLING THE OPIOID 4997 03:20:54,120 --> 03:20:56,000 EPIDEMIC TRYING TO GET 4998 03:20:56,000 --> 03:20:59,080 INTERVENTIONS OUT THERE TO HELP 4999 03:20:59,080 --> 03:21:00,840 PEOPLE. I DON'T BEING NEW TO 5000 03:21:00,840 --> 03:21:04,240 THE COUNCIL, I'M NOT SURE HOW 5001 03:21:04,240 --> 03:21:06,600 MUCH EMPHASIS HAS BEEN PLACED ON 5002 03:21:06,600 --> 03:21:07,280 THAT. 5003 03:21:07,280 --> 03:21:11,480 OR, YOU KNOW, HOW THE OPIOID 5004 03:21:11,480 --> 03:21:13,600 EPIDEMIC IS A WHOLE DIFFERENT 5005 03:21:13,600 --> 03:21:15,520 PUBLIC HEALTH ISSUE. 5006 03:21:15,520 --> 03:21:19,840 YEAH. THOSE ARE JUST GENERAL 5007 03:21:19,840 --> 03:21:22,600 THOUGHTS. 5008 03:21:22,600 --> 03:21:28,640 >>OKAY. DR. ZABINGA. 5009 03:21:28,640 --> 03:21:30,320 MAYBE -- LOOKS LIKE -- 5010 03:21:30,320 --> 03:21:31,160 >>YEAH. 5011 03:21:31,160 --> 03:21:32,880 >>EMILY, YOU ARE MUTED. 5012 03:21:32,880 --> 03:21:35,160 >>I JUST WANTED TO RESPOND TO 5013 03:21:35,160 --> 03:21:36,800 THE COMMENT BY DR. DICKERSON. 5014 03:21:36,800 --> 03:21:40,720 JUST TO LET YOU KNOW THAT ALMOST 5015 03:21:40,720 --> 03:21:44,240 TWO YEARS AGO NCCIH ACTUALLY 5016 03:21:44,240 --> 03:21:46,280 PUBLISHED A POSITION PAPER IT 5017 03:21:46,280 --> 03:21:48,840 THAT IS DETAILING OUR INTERESTS 5018 03:21:48,840 --> 03:21:51,360 AND PROGRESS TOWARDS 5019 03:21:51,360 --> 03:21:52,760 DISSEMINATION AND IMPLEMENTATION 5020 03:21:52,760 --> 03:21:53,280 SCIENCE. 5021 03:21:53,280 --> 03:21:55,480 WE HAVE HAD A NUMBER OF FUNDING 5022 03:21:55,480 --> 03:21:56,880 OPPORTUNITY ANNOUNCEMENTS 5023 03:21:56,880 --> 03:22:00,360 ALREADY IN THAT SPACE. WE HAVE 5024 03:22:00,360 --> 03:22:04,000 EXPANDED OUR FRAMEWORK OF DOING 5025 03:22:04,000 --> 03:22:05,600 CLINICAL RESEARCH BY ADDING 5026 03:22:05,600 --> 03:22:07,640 COMPONENTS OF DISSEMINATION AND 5027 03:22:07,640 --> 03:22:08,960 IMPLEMENTATION. WE ARE VERY 5028 03:22:08,960 --> 03:22:11,000 MUCH IN LINE WITH THE COMMENT 5029 03:22:11,000 --> 03:22:11,960 THAT YOU MADE. 5030 03:22:11,960 --> 03:22:13,000 >>THANK YOU. 5031 03:22:13,000 --> 03:22:16,240 >>ADDING TO THAT WE HAVE HAD 5032 03:22:16,240 --> 03:22:19,000 ACTUALLY THROUGH THE WORK OF OUR 5033 03:22:19,000 --> 03:22:22,000 STAFF AND FOR THOSE WHO ARE PART 5034 03:22:22,000 --> 03:22:24,400 OF THE HEAL INITIATIVE THAT I 5035 03:22:24,400 --> 03:22:27,640 THINK WE CAN SAFELY SAY THAT 5036 03:22:27,640 --> 03:22:29,200 NCCIH HAS HAD AN IMPACT. 5037 03:22:29,200 --> 03:22:29,720 >>YES. 5038 03:22:29,720 --> 03:22:32,520 >>ON THE IMPLEMENTATION AND ON 5039 03:22:32,520 --> 03:22:36,320 PROMOTING PRAGMATIC AND 5040 03:22:36,320 --> 03:22:37,000 IMPLEMENTATION HEALS WITH HEAL 5041 03:22:37,000 --> 03:22:39,160 AND WE HAVE BEEN AT THE 5042 03:22:39,160 --> 03:22:41,120 FOREFRONT OF THAT ONE. 5043 03:22:41,120 --> 03:22:41,640 >>THANKS. 5044 03:22:41,640 --> 03:22:44,880 >>DR. ZABINGA? 5045 03:22:44,880 --> 03:22:47,880 >>YEAH. I WANTED TO ECHO 5046 03:22:47,880 --> 03:22:50,040 ENTHUSIASM FOR CONCEPT OF 5047 03:22:50,040 --> 03:22:52,280 SYSTEMATIC REVIEWS AND 5048 03:22:52,280 --> 03:22:55,320 METAANALYSIS THAT IS AN 5049 03:22:55,320 --> 03:22:58,040 IMPORTANT METHODOLOGICAL TOOL TO 5050 03:22:58,040 --> 03:23:00,280 ADDRESS SPECIFIC CLINICAL TOOLS 5051 03:23:00,280 --> 03:23:02,040 FOR WHICH THERE WOULDN'T BE A 5052 03:23:02,040 --> 03:23:03,800 SINGLE STUDY TO HELP US ANSWER 5053 03:23:03,800 --> 03:23:06,320 THE CLINICAL QUESTIONS AND 5054 03:23:06,320 --> 03:23:12,800 HAVING BEEN INVOLVED IN AN AHRQ 5055 03:23:12,800 --> 03:23:15,600 METAANALYSIS ON MEDITATION THAT 5056 03:23:15,600 --> 03:23:19,320 WAS BOTH FASCINATING AND ALSO 5057 03:23:19,320 --> 03:23:20,000 EXTRAORDINARILY LABORIOUS AND 5058 03:23:20,000 --> 03:23:22,320 TIME CONSUMING AND REALLY 5059 03:23:22,320 --> 03:23:25,520 IMPORTANT PROCESS WHERE THERE 5060 03:23:25,520 --> 03:23:28,440 ARE LOTS OF -- OF IMPORTANT 5061 03:23:28,440 --> 03:23:31,680 DECISION POINTS TO BE TAKEN 5062 03:23:31,680 --> 03:23:36,200 SERIOUSLY DURING THE ANALYTIC 5063 03:23:36,200 --> 03:23:36,520 PHASES. 5064 03:23:36,520 --> 03:23:39,000 I THINK THAT THE IMPORTANCE OF 5065 03:23:39,000 --> 03:23:41,160 PROVIDING EXPLICIT SUPPORT FOR 5066 03:23:41,160 --> 03:23:45,080 THAT TIME AND EFFORT AND THOUGHT 5067 03:23:45,080 --> 03:23:48,760 IS REALLY LANDING RIGHT IN 5068 03:23:48,760 --> 03:23:50,560 NCCIH'S LAP. 5069 03:23:50,560 --> 03:23:52,960 OTHERWISE, IT GETS DONE AS 5070 03:23:52,960 --> 03:23:54,960 SOMEBODY ELSE SAID. IT GETS 5071 03:23:54,960 --> 03:23:58,720 DONE AS PART OF SOMETHING ELSE 5072 03:23:58,720 --> 03:24:03,320 OR TUCKED IN OR IN WAYS THAT 5073 03:24:03,320 --> 03:24:06,120 DON'T NECESSARILY REFLECT 5074 03:24:06,120 --> 03:24:09,160 COMPLEXITY OF THE ANLYTIC 5075 03:24:09,160 --> 03:24:10,760 APPROACH ESPECIALLY AT LEAST IN 5076 03:24:10,760 --> 03:24:12,520 MY EXPERIENCE WITH COMPLEMENTARY 5077 03:24:12,520 --> 03:24:16,520 AND INTEGRATIVE APPROACHES WHERE 5078 03:24:16,520 --> 03:24:19,920 YOU NEED TO HAVE A SOPHISTICATED 5079 03:24:19,920 --> 03:24:21,000 UNDERSTANDING OF THE 5080 03:24:21,000 --> 03:24:26,000 INTERVENTION SO THAT YOU CAN 5081 03:24:26,000 --> 03:24:29,120 INTERPRET THE ABILITY TO COMBINE 5082 03:24:29,120 --> 03:24:31,640 OR NOT THE DIFFERENT STUDIES AND 5083 03:24:31,640 --> 03:24:35,680 DATA. I'M IN FULL SUPPORT OF 5084 03:24:35,680 --> 03:24:39,680 THIS CONCEPT. 5085 03:24:39,680 --> 03:24:43,520 >>OKAY. AMANDA, YOU HAD YOUR 5086 03:24:43,520 --> 03:24:44,920 HAND UP QUICKLY OR SHORTLY? 5087 03:24:44,920 --> 03:24:46,720 >>I HAD MY THUMBS UP. 5088 03:24:46,720 --> 03:24:48,560 >>THUMBS UP. GOOD. IT IS 5089 03:24:48,560 --> 03:24:50,360 GETTING LATE IN THE DAY AND I 5090 03:24:50,360 --> 03:24:52,320 DON'T RECOGNIZE IT ANYMORE. 5091 03:24:52,320 --> 03:24:56,000 >>YEAH. DR. ZABINGA EXPRESSED 5092 03:24:56,000 --> 03:24:58,960 IT VERY NICELY MY POINT. 5093 03:24:58,960 --> 03:24:59,240 >>UH-HUH. 5094 03:24:59,240 --> 03:24:59,680 >>YEAH. 5095 03:24:59,680 --> 03:25:06,320 >>OKAY. ANY MORE COMMENTS OR 5096 03:25:06,320 --> 03:25:10,000 DISCUSSION? OKAY. IF NOT, DO 5097 03:25:10,000 --> 03:25:13,200 WE HAVE A MOTION FOR CONCURRENCE 5098 03:25:13,200 --> 03:25:18,320 WITH A CONCEPT? OKAY. GOOD. 5099 03:25:18,320 --> 03:25:23,160 DO WE HAVE A SECOND? 5100 03:25:23,160 --> 03:25:27,640 YEAH. GOOD. OKAY. IF THERE IS 5101 03:25:27,640 --> 03:25:31,200 NO FURTHER DISCUSSION FROM, CAN 5102 03:25:31,200 --> 03:25:38,040 WE PLEASE PUT UP THE VOTING 5103 03:25:38,040 --> 03:25:48,120 SCREEN? 5104 03:25:48,120 --> 03:25:50,640 OKAY. I CAN SAFELY SAY THAT THE 5105 03:25:50,640 --> 03:25:55,080 CONCEPT HAS BEEN ANONYMOUSLY 5106 03:25:55,080 --> 03:25:59,800 APPROVED. PERFECT. 5107 03:25:59,800 --> 03:26:00,240 OKAY. 5108 03:26:00,240 --> 03:26:02,320 SO, WITH THIS WE ARE GETTING 5109 03:26:02,320 --> 03:26:03,800 CLOSER TO THE END AND LAST THING 5110 03:26:03,800 --> 03:26:08,240 ON AGENDA IS PUBLIC COMMENTS. 5111 03:26:08,240 --> 03:26:10,160 WE HAVE A LITTLE TIME. IS THERE 5112 03:26:10,160 --> 03:26:11,880 ANYTHING OR ANY QUESTIONS OR YOU 5113 03:26:11,880 --> 03:26:16,880 KNOW THAT COUNCIL MEMBERS WOULD 5114 03:26:16,880 --> 03:26:19,080 LIKE TO RAISE OR HELENE OR DAVID 5115 03:26:19,080 --> 03:26:20,880 ANY ADDITIONAL COMMENTS OR 5116 03:26:20,880 --> 03:26:21,920 QUESTIONS YOU WOULD LIKE TO MAKE 5117 03:26:21,920 --> 03:26:23,960 BEFORE WE MONTH OF TO THE LAST 5118 03:26:23,960 --> 03:26:28,520 PART OF THE AGENDA? 5119 03:26:28,520 --> 03:26:29,760 NO? EVERYBODY IS GOOD? 5120 03:26:29,760 --> 03:26:32,080 IT WAS A LONG DAY? 5121 03:26:32,080 --> 03:26:34,520 >>WELL, I CAN JUST BASICALLY 5122 03:26:34,520 --> 03:26:38,040 SAY VERY QUICKLY THAT I REALLY 5123 03:26:38,040 --> 03:26:40,000 APPRECIATE EVERYBODY'S TIME AND 5124 03:26:40,000 --> 03:26:41,080 ATTENTION THROUGHOUT THIS DAY. 5125 03:26:41,080 --> 03:26:44,080 YOU KNOW, I -- YOU KNOW, I 5126 03:26:44,080 --> 03:26:45,840 REALLY FELT THAT THROUGHOUT THE 5127 03:26:45,840 --> 03:26:47,520 WHOLE DAY THAT THE WHOLE GROUP 5128 03:26:47,520 --> 03:26:50,080 WAS VERY ENGAGED AND INVOLVED 5129 03:26:50,080 --> 03:26:51,840 AND SOME GREAT QUESTIONS AND 5130 03:26:51,840 --> 03:26:52,680 GREAT DISCUSSIONS. 5131 03:26:52,680 --> 03:26:56,800 THAT IS WHAT WE LIKE TO SEE. 5132 03:26:56,800 --> 03:26:59,160 YOU KNOW, WE ARE STILL OBVIOUSLY 5133 03:26:59,160 --> 03:27:00,720 VIRTUAL AND WE STILL HOLD ON TO 5134 03:27:00,720 --> 03:27:03,360 THE HOPE THAT, YOU KNOW, SOME 5135 03:27:03,360 --> 03:27:06,120 DAY THAT WE MIGHT BE ABLE TO, 5136 03:27:06,120 --> 03:27:09,440 YOU KNOW, GATHER IN PERSON. 5137 03:27:09,440 --> 03:27:11,120 STAY TUNED ON THAT. AND WE WILL 5138 03:27:11,120 --> 03:27:16,440 LET YOU KNOW. IN THE MEANTIME 5139 03:27:16,440 --> 03:27:17,200 WE REALLY APPRECIATE THAT EACH 5140 03:27:17,200 --> 03:27:19,520 THOUGH SOMETIMES IN THIS VIRTUAL 5141 03:27:19,520 --> 03:27:21,640 ENVIRONMENT THAT IT IS HARD TO 5142 03:27:21,640 --> 03:27:23,080 KEEP YOUR ATTENTION, YOU KNOW, 5143 03:27:23,080 --> 03:27:26,000 ON A SCREEN ALL DAY. WE HAD A 5144 03:27:26,000 --> 03:27:27,280 LITTLE CONVERSATION ABOUT THAT 5145 03:27:27,280 --> 03:27:29,120 AT LUNCH AND WE REALLY FELT THAT 5146 03:27:29,120 --> 03:27:30,800 YOU WERE ALL THERE WITH US 5147 03:27:30,800 --> 03:27:33,800 TODAY. THANK YOU. 5148 03:27:33,800 --> 03:27:35,760 >>GOOD. 5149 03:27:35,760 --> 03:27:39,000 LAST ITEM WE HAVE IS PUBLIC 5150 03:27:39,000 --> 03:27:39,280 COMMENTS. 5151 03:27:39,280 --> 03:27:41,160 FOR OUR AUDIENCE, I WOULD LIKE 5152 03:27:41,160 --> 03:27:44,040 TO REMIND YOU THAT YOU DO HAVE 5153 03:27:44,040 --> 03:27:46,080 THE OPPORTUNITY TO SUBMIT PUBLIC 5154 03:27:46,080 --> 03:27:48,520 COMMENTS. THIS MEETING IS 5155 03:27:48,520 --> 03:27:50,040 VIRTUAL AND PLEASE SUBMIT YOUR 5156 03:27:50,040 --> 03:27:54,040 COMMENTS TO ME IN A WRITTEN 5157 03:27:54,040 --> 03:27:56,440 FORMAT WITHIN 15 DAYS AFTER 5158 03:27:56,440 --> 03:27:59,200 TODAY'S MEETING. PLEASE LIMIT 5159 03:27:59,200 --> 03:28:03,640 COMMENTS TO 750 WORDS AND YOU 5160 03:28:03,640 --> 03:28:05,720 HAVE WRITTEN COMMENTS ADDED TO 5161 03:28:05,720 --> 03:28:07,040 MEETING MINUTES THAT WILL BE 5162 03:28:07,040 --> 03:28:10,040 POSTED ON NCCIH WEBSITE WITHIN 5163 03:28:10,040 --> 03:28:11,560 THE NEXT 90 DAYS. 5164 03:28:11,560 --> 03:28:11,960 YEAH. 5165 03:28:11,960 --> 03:28:14,360 WITH THIS, AS I SAID, WE ARE 5166 03:28:14,360 --> 03:28:17,000 GETTING CLOSE NOW TO THE END OF 5167 03:28:17,000 --> 03:28:19,200 THIS JANUARY 2023 COUNCIL 5168 03:28:19,200 --> 03:28:21,320 MEETING. I REALLY WOULD LIKE TO 5169 03:28:21,320 --> 03:28:23,920 THANK ALL OUR COUNCIL MEMBERS 5170 03:28:23,920 --> 03:28:26,360 ATTENDING THE MEETING AND NCCIH 5171 03:28:26,360 --> 03:28:28,840 WOULD NOT BE ABLE TO FULFILL ITS 5172 03:28:28,840 --> 03:28:31,880 MISSION WITHOUT YOUR EXPERTISE 5173 03:28:31,880 --> 03:28:34,160 AND YOUR FEEDBACK. 5174 03:28:34,160 --> 03:28:36,680 THANK YOU SO MUCH FOR JOINING 5175 03:28:36,680 --> 03:28:39,960 TODAY AND OFFERING YOUR ADVICE. 5176 03:28:39,960 --> 03:28:41,840 YOU KNOW THIS IS EVEN MORE 5177 03:28:41,840 --> 03:28:44,080 TRUTHFUL. I KNOW THAT SOME OF 5178 03:28:44,080 --> 03:28:46,240 YOU REALLY WENT OUT OF YOUR WAY 5179 03:28:46,240 --> 03:28:48,560 TO BE HERE TODAY. 5180 03:28:48,560 --> 03:28:50,080 QUITE FRANKLY I KNOW THAT YOU 5181 03:28:50,080 --> 03:28:51,400 DIDN'T FEEL LIKE BEING HERE 5182 03:28:51,400 --> 03:28:51,960 TODAY. 5183 03:28:51,960 --> 03:28:53,640 YOU WERE SIMPLY SO WE COULD 5184 03:28:53,640 --> 03:28:55,440 ACTUALLY HAVE THIS MEETING. 5185 03:28:55,440 --> 03:28:59,400 I REALLY, REALLY APPRECIATE IT. 5186 03:28:59,400 --> 03:29:03,080 I ALSO WOULD LIKE TO EXPRESS MY 5187 03:29:03,080 --> 03:29:05,960 SINCEREST THANK YOU TO ALL OF 5188 03:29:05,960 --> 03:29:07,800 NCCIH STAFF AND TO ACTUALLY MAKE 5189 03:29:07,800 --> 03:29:09,720 THIS MEETING HAPPEN TODAY. 5190 03:29:09,720 --> 03:29:13,160 YOU KNOW, I HAVE BEEN ORGANIZING 5191 03:29:13,160 --> 03:29:14,880 REVIEW MEETINGS FOR A LARGE PART 5192 03:29:14,880 --> 03:29:18,520 OF MY LIFE. SEEING WHAT GOES 5193 03:29:18,520 --> 03:29:22,360 ALL INTO A COUNCIL MEETING WAS 5194 03:29:22,360 --> 03:29:24,480 QUITE IMPRESSIVE. THIS RANGES 5195 03:29:24,480 --> 03:29:26,840 ALL THE WAY FROM OUR IT STAFF 5196 03:29:26,840 --> 03:29:29,200 AND OFFICE OF COMMUNICATION AND 5197 03:29:29,200 --> 03:29:30,840 ADMINISTRATIVE STAFF THAT IS 5198 03:29:30,840 --> 03:29:32,520 WORKING BEHIND THE SCENES TO 5199 03:29:32,520 --> 03:29:35,200 MAKE THIS HAPPEN. IT ALSO GOES 5200 03:29:35,200 --> 03:29:37,200 TO THE FOREFRONT WHERE WE HAVE 5201 03:29:37,200 --> 03:29:39,240 PROGRAM REVIEW AND GRANTS 5202 03:29:39,240 --> 03:29:41,600 MANAGEMENT STAFF, YOU KNOW, WHO 5203 03:29:41,600 --> 03:29:44,040 MAKE -- DO ALL THEIR MAGIC AND 5204 03:29:44,040 --> 03:29:45,880 LET ME EVEN HAVE A MEETING. I 5205 03:29:45,880 --> 03:29:49,240 HAVE TO SAY THAT THIS IS QUITE 5206 03:29:49,240 --> 03:29:51,040 IMPRESSIVE. I AM REALLY 5207 03:29:51,040 --> 03:29:52,880 GRATEFUL. ESPECIALLY FOR ALL 5208 03:29:52,880 --> 03:29:54,520 HELP THAT I HAD TO GET THROUGH 5209 03:29:54,520 --> 03:29:57,400 THIS MEETING TODAY. 5210 03:29:57,400 --> 03:29:58,360 SO, WITH THIS -- 5211 03:29:58,360 --> 03:30:00,840 >>I WAS GOING TO SAY THAT WE 5212 03:30:00,840 --> 03:30:03,040 WANT TO THANK YOU, MARTINA. 5213 03:30:03,040 --> 03:30:03,640 >>YEAH. 5214 03:30:03,640 --> 03:30:05,280 >>AS YOUR FIRST COUNCIL 5215 03:30:05,280 --> 03:30:09,960 MEETING, I THINK IT WENT ALL 5216 03:30:09,960 --> 03:30:11,920 SPLENDIDLY AND THANK YOU TO THE 5217 03:30:11,920 --> 03:30:14,240 ENTIRE STAFF FOR ALL THE SUPPORT 5218 03:30:14,240 --> 03:30:15,520 THAT WOULD NOT HAPPEN WITH ALL 5219 03:30:15,520 --> 03:30:17,320 OF THE PEOPLE WHO ARE BEHIND THE 5220 03:30:17,320 --> 03:30:20,760 SCENES TO MAKE ALL THIS WORK 5221 03:30:20,760 --> 03:30:21,560 FLAWLILESS. 5222 03:30:21,560 --> 03:30:24,960 IT IS GREAT TO HAVE YOU AT THE 5223 03:30:24,960 --> 03:30:28,360 HELM, MARTINA. I THINK WE CAN 5224 03:30:28,360 --> 03:30:29,240 SAY WELL DONE. 5225 03:30:29,240 --> 03:30:31,400 >>THANK YOU. APPRECIATE IT. 5226 03:30:31,400 --> 03:30:33,600 OKAY. WITH THIS, IF THERE ARE 5227 03:30:33,600 --> 03:30:37,840 NO ADDITIONAL COMMENTS, I WOULD 5228 03:30:37,840 --> 03:30:39,920 LIKE TO ADJOURN THIS 8 THIRD 5229 03:30:39,920 --> 03:30:42,200 MEETING OF NATIONAL ADVISORY 5230 03:30:42,200 --> 03:30:44,680 COMMITTEE FOR COMPLEMENTARY 5231 03:30:44,680 --> 03:30:45,960 INTEGRATIVE HEALTH AND POINTED 5232 03:30:45,960 --> 03:30:48,040 OUT BEFORE THAT NEXT MEETING 5233 03:30:48,040 --> 03:30:51,560 WILL BE MAY 12TH. THANK YOU. 5234 03:30:51,560 --> 03:30:51,880 OKAY. BYE. 5235 03:30:51,880 --> 00:00:00,000 >>BYE.