1 00:00:05,120 --> 00:00:09,880 WELCOME TO THE 179th MEETING 2 00:00:09,880 --> 00:00:11,520 OF THE NICHD ADVISORY COUNCIL. 3 00:00:11,520 --> 00:00:13,080 ONCE AGAIN WE APPRECIATE YOUR 4 00:00:13,080 --> 00:00:14,920 ACCOMMODATION OF THE VIRTUAL 5 00:00:14,920 --> 00:00:16,480 FORMAT FOR TODAY'S MEETING. 6 00:00:16,480 --> 00:00:18,080 TODAY THE ENTIRE MEETING IS OPEN 7 00:00:18,080 --> 00:00:20,080 TO THE PUBLIC AND IT'S BEING 8 00:00:20,080 --> 00:00:24,520 BROADCAST ON THE NOW WORKING NIH 9 00:00:24,520 --> 00:00:25,520 VIDEOCAST NETWORK AND I WOULD 10 00:00:25,520 --> 00:00:26,840 ALSO LIKE TO THANK THOSE MEMBERS 11 00:00:26,840 --> 00:00:31,840 OF THE PUBLIC WHO ARE PRESENT ON 12 00:00:31,840 --> 00:00:33,960 THE CALL ESPECIALLY THOSE 13 00:00:33,960 --> 00:00:34,680 REPRESENTING PROFESSIONAL 14 00:00:34,680 --> 00:00:35,640 SOCIETIES AND RESEARCH 15 00:00:35,640 --> 00:00:36,000 ORGANIZATIONS. 16 00:00:36,000 --> 00:00:38,880 I WOULD LIKE TO THANK EVERYONE 17 00:00:38,880 --> 00:00:40,200 FOR JOINING US TODAY. 18 00:00:40,200 --> 00:00:41,400 WITH THE VIRTUAL MEETING FORMAT, 19 00:00:41,400 --> 00:00:43,720 I THINK WE'RE ALL EXPERTS ON 20 00:00:43,720 --> 00:00:46,000 THIS NOW, BUT PLEASE REMEMBER TO 21 00:00:46,000 --> 00:00:48,720 UNMUTE YOURSELF BEFORE SPEAKING 22 00:00:48,720 --> 00:00:50,640 INTO YOUR MICROPHONES AND STATE 23 00:00:50,640 --> 00:00:52,360 YOUR NAME SO THAT THE 24 00:00:52,360 --> 00:00:55,240 TRANSCRIBER AND VIDEOCAST 25 00:00:55,240 --> 00:00:56,160 OBSERVERS WILL KNOW WHO'S 26 00:00:56,160 --> 00:00:57,800 SPEAKING EMPLOY NOW I REALIZE 27 00:00:57,800 --> 00:00:58,560 MOST PEOPLE WILL HAVE THEIR 28 00:00:58,560 --> 00:01:00,240 NAMES BUT SOME PEOPLE WILL HAVE 29 00:01:00,240 --> 00:01:00,680 PHONE NUMBERS. 30 00:01:00,680 --> 00:01:02,440 AFTER YOU SPEAK, PLEASE BE SURE 31 00:01:02,440 --> 00:01:04,400 TO MUTE YOUR MICROPHONE TO 32 00:01:04,400 --> 00:01:07,320 PREVENT ANY FEEDBACK LOOPS OR 33 00:01:07,320 --> 00:01:08,840 ANY OTHER AUDITORY 34 00:01:08,840 --> 00:01:09,680 INTERFERENCES, SO WITHOUT 35 00:01:09,680 --> 00:01:10,760 FURTHER ADO, I WOULD LIKE TO 36 00:01:10,760 --> 00:01:16,640 TURN THE MEETING OVER TO 37 00:01:16,640 --> 00:01:26,320 DR. DENNIS TWOMBLY. 38 00:01:26,320 --> 00:01:26,560 DENNIS? 39 00:01:26,560 --> 00:01:27,600 DENNIS, YOU ARE MUTED. 40 00:01:27,600 --> 00:01:29,640 AFTER I JUST SAID UNMUTE 41 00:01:29,640 --> 00:01:30,000 YOURSELF. 42 00:01:30,000 --> 00:01:31,040 [LAUGHTER] 43 00:01:31,040 --> 00:01:31,400 EMPLOY. 44 00:01:31,400 --> 00:01:34,880 >> SORRY, HAD THE ZOOM SCREEN ON 45 00:01:34,880 --> 00:01:36,000 ANOTHER MONITOR. 46 00:01:36,000 --> 00:01:40,040 OT COUNCIL MEMBER WEBSITE, YOU 47 00:01:40,040 --> 00:01:42,360 SHOULD HAVE READ, AX GREED EXPO 48 00:01:42,360 --> 00:01:44,400 SIGNED THE AGREEMENT FOR 49 00:01:44,400 --> 00:01:46,680 NONDISCLOSURE RULES FOR 50 00:01:46,680 --> 00:01:47,440 GOVERNMENT EMPLOYEES BEFORE 51 00:01:47,440 --> 00:01:48,880 EVALUATING ANY NIH GRANT 52 00:01:48,880 --> 00:01:49,200 APPLICATION. 53 00:01:49,200 --> 00:01:50,720 ALSO YOU SHOULD HAVE RECEIVED 54 00:01:50,720 --> 00:01:54,320 YOUR CONFLICT OF INTEREST FORMS 55 00:01:54,320 --> 00:01:54,640 VIA E-MAIL. 56 00:01:54,640 --> 00:02:00,160 IF YOU HAVE NOT, PLEASE LET MISS 57 00:02:00,160 --> 00:02:02,000 LISA NEAL KNOW SO SHE CAN SEND 58 00:02:02,000 --> 00:02:03,520 YOU THE APPROPRIATE DOCUMENT. 59 00:02:03,520 --> 00:02:05,760 PLEASE SIGN THE CONFLICT OF 60 00:02:05,760 --> 00:02:06,880 INTEREST CERTIFICATION FORM 61 00:02:06,880 --> 00:02:08,800 PRIOR TO THE CLOSED SESSION FOR 62 00:02:08,800 --> 00:02:10,280 THE REVIEW OF APPLICATIONS 63 00:02:10,280 --> 00:02:12,400 TOMORROW AND SEND THEM TO MISS 64 00:02:12,400 --> 00:02:12,640 LISA NEAL. 65 00:02:12,640 --> 00:02:14,800 ALSO REMEMBER YOU CANNOT SERVE 66 00:02:14,800 --> 00:02:16,720 ON ANY NIH PEER REVIEW PANEL 67 00:02:16,720 --> 00:02:20,320 WHILE SERVING AS A COUNCIL 68 00:02:20,320 --> 00:02:21,280 MEMBER. 69 00:02:21,280 --> 00:02:22,600 AND YOU CANNOT PROVIDE SECOND 70 00:02:22,600 --> 00:02:24,000 REVIEW AT COUNCIL FOR ANY 71 00:02:24,000 --> 00:02:25,920 APPLICATION WHERE YOU HAD 72 00:02:25,920 --> 00:02:29,640 PARTICIPATE INDEED THE FIRST 73 00:02:29,640 --> 00:02:31,000 LEVEL PEER REVIEW. 74 00:02:31,000 --> 00:02:32,960 IT'S NIH'S POLICY THAT AN 75 00:02:32,960 --> 00:02:33,800 INDIVIDUAL CANNOT SERVE ON BOTH 76 00:02:33,800 --> 00:02:37,800 THE FIRST AND SECOND LEVELS OF 77 00:02:37,800 --> 00:02:38,120 PEER REVIEW. 78 00:02:38,120 --> 00:02:39,400 IN ADDITION I NEED TO BRING TO 79 00:02:39,400 --> 00:02:41,200 YOUR ATTENTION THAT DURING 80 00:02:41,200 --> 00:02:43,040 CLOSED SESSION TOMORROW, PLEASE 81 00:02:43,040 --> 00:02:44,400 TURN OFF CLOUD BASED VOICE 82 00:02:44,400 --> 00:02:48,240 SERVICES IN YOUR HOME OR OFFICE 83 00:02:48,240 --> 00:02:50,320 SUCH AS ALEXA DEVICES AS THESE 84 00:02:50,320 --> 00:02:59,080 DEVICES MAY OR MAY NOT CAPTURE 85 00:02:59,080 --> 00:02:59,600 CONFIDENTIAL INFORMATION. 86 00:02:59,600 --> 00:03:02,560 THE MINUTES FOR THE 87 00:03:02,560 --> 00:03:03,560 JANUARY 11th 2022 MEETING HAVE 88 00:03:03,560 --> 00:03:06,920 ALREADY BEEN POSTED ON THE NICHD 89 00:03:06,920 --> 00:03:07,400 COUNCIL MEMBER WEBSITE. 90 00:03:07,400 --> 00:03:09,240 WE'VE ALREADY GONE THROUGH THE 91 00:03:09,240 --> 00:03:10,200 VOTING PROCEDURES, SO EVERYBODY 92 00:03:10,200 --> 00:03:15,040 SHOULD BE READY TO DO THAT. 93 00:03:15,040 --> 00:03:16,640 AND AT THIS POINT, MAY I HAVE A 94 00:03:16,640 --> 00:03:20,640 MOTION TO APPROVE THE JANUARY 95 00:03:20,640 --> 00:03:22,240 MINUTES? 96 00:03:22,240 --> 00:03:26,680 >> THIS IS SHERRY BARKIN, MOVE 97 00:03:26,680 --> 00:03:27,400 TO APPROVE. 98 00:03:27,400 --> 00:03:28,280 >> THANKS, SHERRY. 99 00:03:28,280 --> 00:03:29,080 SECOND? 100 00:03:29,080 --> 00:03:29,400 >> SECOND. 101 00:03:29,400 --> 00:03:29,760 >> THANK YOU. 102 00:03:29,760 --> 00:03:31,920 SO NOW PLEASE VOTE FOR, AGAINST 103 00:03:31,920 --> 00:03:34,360 OR ABSTAIN USING THE BUTTONS AT 104 00:03:34,360 --> 00:03:36,680 THE BOTTOM OF THE ZOOM SCREEN IN 105 00:03:36,680 --> 00:03:38,280 THE PARTICIPANTS VIEW, IF YOU'RE 106 00:03:38,280 --> 00:03:40,040 VOTING IN FAVOR CLICK THE GREEN 107 00:03:40,040 --> 00:03:41,800 CHECK MARK, IF YOU VOTING NOT IN 108 00:03:41,800 --> 00:03:44,000 FAVOR CLICK THE RED X, AND IF 109 00:03:44,000 --> 00:03:54,440 YOU ARE ABSTAINING CLICK THE 110 00:04:06,040 --> 00:04:07,080 RAISED HAND ICON. 111 00:04:07,080 --> 00:04:12,880 OKAY, LIZ, DO WE HAVE EVERYBODY? 112 00:04:12,880 --> 00:04:15,760 >> WE HAVE 11, YESs. 113 00:04:15,760 --> 00:04:22,440 YOU HAVE MORE THAN THAT I THINK. 114 00:04:22,440 --> 00:04:23,640 >> I'M NOT SURE ALL COUNCIL 115 00:04:23,640 --> 00:04:33,200 MEMBERS ARE ON THE CALL. 116 00:04:33,200 --> 00:04:34,360 WHO IS MOM'S IPHONE BECAUSE THAT 117 00:04:34,360 --> 00:04:37,280 PERSON IS VOTING IN THE 118 00:04:37,280 --> 00:04:37,960 AFFIRMAATIVE. 119 00:04:37,960 --> 00:04:43,640 >> THAT'S CHRISTINA, SORRY I'M 120 00:04:43,640 --> 00:04:43,960 IN TRANSIT. 121 00:04:43,960 --> 00:04:45,360 >> THANK YOU. 122 00:04:45,360 --> 00:04:47,440 >> I CAN'T CHANGE THE NAME. 123 00:04:47,440 --> 00:04:49,040 I APOLOGIZE I WILL BE JUST FOR 124 00:04:49,040 --> 00:04:52,000 THE FIRST HALF OF THE CALL. 125 00:04:52,000 --> 00:04:54,200 >> WE CAN GO AHEAD AND CHANGE IT 126 00:04:54,200 --> 00:04:54,400 FOR YOU. 127 00:04:54,400 --> 00:04:56,800 I WILL DO THAT IN A JUST A 128 00:04:56,800 --> 00:05:04,240 SECOND. 129 00:05:04,240 --> 00:05:04,600 >> THANK YOU. 130 00:05:04,600 --> 00:05:11,760 >> SO NOW I'M SHOWING 12. 131 00:05:11,760 --> 00:05:21,240 >> OKAY, HAS EVERYBODY HAD A 132 00:05:21,240 --> 00:05:24,640 CHANCE TO VOTE. 133 00:05:24,640 --> 00:05:25,120 DR. LANG? 134 00:05:25,120 --> 00:05:28,360 >> SORRY I I'M NOT FINDING A 135 00:05:28,360 --> 00:05:30,440 BUTTON TO VOTE, CAN I VOTE WITH 136 00:05:30,440 --> 00:05:32,920 A REACTIONS, IS THAT OKAY? 137 00:05:32,920 --> 00:05:35,040 >> WELL, NO, YOU CHECKED IT OFF. 138 00:05:35,040 --> 00:05:37,480 IT'S COMING ACROSS AS A GREEN 139 00:05:37,480 --> 00:05:37,680 CHECK. 140 00:05:37,680 --> 00:05:38,160 >> THANK YOU. 141 00:05:38,160 --> 00:05:48,360 >> GOT IT. 142 00:05:51,560 --> 00:05:52,080 >> OKAY, GREAT. 143 00:05:52,080 --> 00:05:53,720 OKAYS, I THINK WE HAVE IT SO 144 00:05:53,720 --> 00:05:54,560 LET'S MOVE ALONG. 145 00:05:54,560 --> 00:05:56,920 ON THE AGENDA YOU SEE A LIST OF 146 00:05:56,920 --> 00:06:00,520 FUTURE MEETING DATES, GOING 147 00:06:00,520 --> 00:06:00,840 THROUGH 2024. 148 00:06:00,840 --> 00:06:04,320 THE NEXT 1 COMING UP IS 149 00:06:04,320 --> 00:06:06,320 SEPTEMBER 12th AND 13th. 150 00:06:06,320 --> 00:06:13,320 WE'VE SCHEDULED IT FOR 6710 B 151 00:06:13,320 --> 00:06:14,240 ROCKLEDGE, IN ROCKVILLE AND 152 00:06:14,240 --> 00:06:15,480 WE'RE HOPING TO DO IT LIVE BUT 153 00:06:15,480 --> 00:06:17,680 THAT WILL BE CONFIRMED FOR YOU 154 00:06:17,680 --> 00:06:19,040 LATER AT SOME POINT IN TIME. 155 00:06:19,040 --> 00:06:20,200 THAT'S THE HOPE, ANYWAY. 156 00:06:20,200 --> 00:06:22,000 SO AT THIS POINT, I WILL TURN 157 00:06:22,000 --> 00:06:25,160 THE MEETING BACK TO DR. BIANCHI 158 00:06:25,160 --> 00:06:30,080 TO PRECEPT THE DIRECTOR'S 159 00:06:30,080 --> 00:06:30,520 REPORT. 160 00:06:30,520 --> 00:06:30,800 DR. BIANCHI? 161 00:06:30,800 --> 00:06:32,520 >> THANK YOU SO MUCH, DENNIS, IF 162 00:06:32,520 --> 00:06:43,000 AND I COULD HAVE THE SLIDES 163 00:06:45,080 --> 00:06:45,480 PLEASE? 164 00:06:45,480 --> 00:06:45,720 WONDERFUL. 165 00:06:45,720 --> 00:06:47,480 HOPE EVERYBODY CAN SEE IT IN 166 00:06:47,480 --> 00:06:49,720 PRESENTATION MODE, AS DO I. 167 00:06:49,720 --> 00:06:52,360 OKAY, I'M HAPPY TO GIVE YOU THE 168 00:06:52,360 --> 00:06:53,400 DIRECTOR'S REPORT, LET'S GO TO 169 00:06:53,400 --> 00:06:53,920 THE NEXT SLIDE. 170 00:06:53,920 --> 00:06:55,680 SO I HAVE A LOT TO COVER TODAY 171 00:06:55,680 --> 00:06:59,840 INCLUDING PLANS FOR THE 60th 172 00:06:59,840 --> 00:07:01,520 ANNIVERSARY, BUDGET UPDATES SOME 173 00:07:01,520 --> 00:07:04,360 OF WHICH YOU MAY KNOW ABOUT, 174 00:07:04,360 --> 00:07:06,200 SOME SELECTED COVID-19 RESEARCH 175 00:07:06,200 --> 00:07:10,560 UPDATES BUT THE REMAINDER OF THE 176 00:07:10,560 --> 00:07:15,800 PRESENTATION AND BOTH NEW 177 00:07:15,800 --> 00:07:17,160 RESEARCH AS WELL AS EVERYONE TO 178 00:07:17,160 --> 00:07:20,280 BE AWARE OF NICHD'S ENGAGEMENT 179 00:07:20,280 --> 00:07:24,160 IN SOME OF THESE MAJOR NIH-WIDE 180 00:07:24,160 --> 00:07:25,160 INITIATIVES AND THEN LASTLY I 181 00:07:25,160 --> 00:07:28,400 WILL GIVE YOU AN UPDATE ON STAFF 182 00:07:28,400 --> 00:07:32,560 UPDATES. 183 00:07:32,560 --> 00:07:33,600 NEXT SLIDE, PLEASE. 184 00:07:33,600 --> 00:07:36,520 SO OUR ANNIVERSARY IS COMING UP. 185 00:07:36,520 --> 00:07:39,400 THE ACTUAL 60th ANNIVERSARY IS 186 00:07:39,400 --> 00:07:41,080 ON OCTOBER 17th OF THIS YEAR 187 00:07:41,080 --> 00:07:43,960 AND THE THEME FOR THE RESEARCH 188 00:07:43,960 --> 00:07:45,640 SYMPOSIUM IS HEALTHY 189 00:07:45,640 --> 00:07:46,680 PREGNANCIES, HEALTHY CHILDREN 190 00:07:46,680 --> 00:07:49,560 AND HEALTHY AND OPTIMAL LIVES 191 00:07:49,560 --> 00:07:51,840 WHICH YOU MIGHT RECOGNIZE AS OUR 192 00:07:51,840 --> 00:07:52,440 VISION STATEMENT. 193 00:07:52,440 --> 00:07:56,080 WE HAVE BEEN WORKING ACTIVELY ON 194 00:07:56,080 --> 00:08:01,800 IT, WE HAVE QUITE A NUMBER OF 195 00:08:01,800 --> 00:08:02,760 CONFIRMED SPEAKERS AND WE ARE 196 00:08:02,760 --> 00:08:04,000 MORE THAN LIKELY GOING TO HAVE 197 00:08:04,000 --> 00:08:05,760 IT AS A VIRTUAL EVENT. 198 00:08:05,760 --> 00:08:07,360 SO WE HAVE BEEN GOING BACK AND 199 00:08:07,360 --> 00:08:09,680 FORTH EENCH AS RECENTLY AS THIS 200 00:08:09,680 --> 00:08:11,640 MORNING AS TO WHAT IS GOING TO 201 00:08:11,640 --> 00:08:13,480 BE THE SAFEST THING TO DO, SO 202 00:08:13,480 --> 00:08:17,000 IT'S STILL NOT OFFICIALLY 203 00:08:17,000 --> 00:08:19,120 CONFIRMED, BUT WE'RE LEANING 204 00:08:19,120 --> 00:08:20,920 TOWARDS VIRTUAL ONLY BECAUSE THE 205 00:08:20,920 --> 00:08:23,720 PANDEMIC IS NOT OVER YET AND WE 206 00:08:23,720 --> 00:08:25,280 ARE CONCERNED ABOUT WHAT'S GOING 207 00:08:25,280 --> 00:08:26,680 TO BE HAPPENING IN THE FALL. 208 00:08:26,680 --> 00:08:30,400 IN THE MEAN TIME WE HAVE A 209 00:08:30,400 --> 00:08:31,080 WONDERFUL 60th ANNIVERSARY 210 00:08:31,080 --> 00:08:32,960 WEBPAGE THAT YOU CAN SEE HERE, 211 00:08:32,960 --> 00:08:36,000 WHICH WILL GIVE YOU ESPECIALLY 212 00:08:36,000 --> 00:08:38,360 FOR NEW COUNCIL MEMBERS SOME 213 00:08:38,360 --> 00:08:40,600 INTERESTING INFORMATION ON 214 00:08:40,600 --> 00:08:43,800 MILESTONES AND NICHD'S HISTORY, 215 00:08:43,800 --> 00:08:45,480 KEY SCIENTIFIC ADVANCES, 216 00:08:45,480 --> 00:08:49,120 SPOTLIGHTS ON PEOPLE WHO HELP US 217 00:08:49,120 --> 00:08:59,680 ACHIEVE OUR MISSION AND WILL BE 218 00:09:00,640 --> 00:09:02,280 DISCUSSING THE ANNIVERSARY--SO 219 00:09:02,280 --> 00:09:04,560 WE HAVE AN UPTO SUMMIT OF WHAT'S 220 00:09:04,560 --> 00:09:06,840 HAPPENING AND THE ANNIVERSARY, 221 00:09:06,840 --> 00:09:07,840 IT'S ON THAT WEBPAGE. 222 00:09:07,840 --> 00:09:09,640 NEXT SLIDE, PLEASE. 223 00:09:09,640 --> 00:09:10,720 NEXT SLIDE, PLEASE. 224 00:09:10,720 --> 00:09:12,440 SO THE BUDGET. 225 00:09:12,440 --> 00:09:15,880 YOU MIGHT RECOGNIZE THAT SINCE 226 00:09:15,880 --> 00:09:17,760 THE LAST--WHEN WE MET IN 227 00:09:17,760 --> 00:09:19,560 JANUARY, WE DIDN'T HAVE AN 228 00:09:19,560 --> 00:09:19,920 OFFICIAL BUDGET. 229 00:09:19,920 --> 00:09:22,000 IT WAS STILL ON A CONTINUING 230 00:09:22,000 --> 00:09:22,400 RESOLUTION. 231 00:09:22,400 --> 00:09:24,640 THE BUDGET WAS SIGNED BY THE 232 00:09:24,640 --> 00:09:25,320 PRESIDENT ON MARCH 15th AND AS 233 00:09:25,320 --> 00:09:28,440 I LIKE TO SAY, THAT MEANS THAT 234 00:09:28,440 --> 00:09:30,880 OUR STAFF IS DOING TWICE THE 235 00:09:30,880 --> 00:09:32,600 AMOUNT OF WORK IN HALF THE 236 00:09:32,600 --> 00:09:33,640 AMOUNT OF TIME. 237 00:09:33,640 --> 00:09:37,400 I DON'T THINK I REALIZE THAT 238 00:09:37,400 --> 00:09:39,120 BEFORE COMING TO GOVERNMENT, 239 00:09:39,120 --> 00:09:40,680 WHAT IT MEANT WHEN THE SIGNING 240 00:09:40,680 --> 00:09:44,000 OF THE BUDGET WAS DELAYED BUT IT 241 00:09:44,000 --> 00:09:46,400 REALLY MEANS A HUGE NUMBER OF 242 00:09:46,400 --> 00:09:49,560 INITIATIVES NEED TO GET 243 00:09:49,560 --> 00:09:51,200 FINALIZED, OPPORTUNITIES FOR 244 00:09:51,200 --> 00:09:53,040 FUNDING HAVE TO BE PUT OUT 245 00:09:53,040 --> 00:09:55,040 PUBLICLY VERY QUICKLY AND THERE 246 00:09:55,040 --> 00:10:01,160 IS TO SOME EXTENT A BIAS, THEN 247 00:10:01,160 --> 00:10:03,320 TO WELL PREPARE INVESTIGATORS, 248 00:10:03,320 --> 00:10:03,880 WELL RESOURCED INSTITUTIONS. 249 00:10:03,880 --> 00:10:07,480 THE THERE WAS A SLIGHT INCREASE 250 00:10:07,480 --> 00:10:09,080 FOR NIH, THE TOTAL BUDGET IS NOW 251 00:10:09,080 --> 00:10:13,120 45 BILLION DOLLARS AND A SLIGHT 252 00:10:13,120 --> 00:10:15,000 INCREASE FOR NICHD, WE'RE NOT 253 00:10:15,000 --> 00:10:16,560 QUITE AT 1.7 BILLION YET BUT WE 254 00:10:16,560 --> 00:10:19,000 WILL BE THERE SOON, HOPEFULLY 255 00:10:19,000 --> 00:10:24,200 AND MOST NOTABLY THERE WERE 2 256 00:10:24,200 --> 00:10:25,160 CALL OUTS SPECIFICALLY FOR 257 00:10:25,160 --> 00:10:26,560 CHILDREN AND FOR NICHD. 258 00:10:26,560 --> 00:10:31,040 SO THERE WAS A $7.5 MILLION 259 00:10:31,040 --> 00:10:32,960 APPROPRIATION FOR THE IMPACT OF 260 00:10:32,960 --> 00:10:35,160 COVID-19 ON CHILDREN WHICH IS 261 00:10:35,160 --> 00:10:38,920 SIGNIFICANT BECAUSE THEY HADN'T 262 00:10:38,920 --> 00:10:40,280 BEEN RECOGNIZED PREVIOUSLY AND 263 00:10:40,280 --> 00:10:45,880 EVEN MORE SIGNIFICANTLY THERE 264 00:10:45,880 --> 00:10:46,800 WAS A 30 MILLION-DOLLAR SPECIFIC 265 00:10:46,800 --> 00:10:48,720 APPROPRIATION FOR THE INITIATIVE 266 00:10:48,720 --> 00:10:54,720 IMPLEMENTING MATERNAL HEALTH AND 267 00:10:54,720 --> 00:10:55,440 PREGNANCY HEALTH OUTCOMES FOR 268 00:10:55,440 --> 00:10:57,400 EVERYONE WHICH WAS PLACED IN THE 269 00:10:57,400 --> 00:11:00,280 NICHD BASE AND WE ARE VERY 270 00:11:00,280 --> 00:11:01,880 GRATEFUL TO CONGRESS FOR DOING 271 00:11:01,880 --> 00:11:03,720 THAT BECAUSE ONCE SOMETHING IS 272 00:11:03,720 --> 00:11:05,600 PUT IN THE BASE, THEN WHEN 273 00:11:05,600 --> 00:11:07,320 THERE'S ACROSS THE BOARD, LET'S 274 00:11:07,320 --> 00:11:12,760 SAY 2 OR 3% INCREASE, IT'S THAT 275 00:11:12,760 --> 00:11:13,800 MUCH MORE BECAUSE NOW OUR BASE 276 00:11:13,800 --> 00:11:15,440 IS THAT MUCH HIGHER. 277 00:11:15,440 --> 00:11:21,320 IN ADDITION MONEY WAS GIVEN TO 278 00:11:21,320 --> 00:11:22,720 CONTINUE THE GABRIELA MILLER 279 00:11:22,720 --> 00:11:23,800 KIDS FIRST RESEARCH ACT, THAT 280 00:11:23,800 --> 00:11:25,960 SITS IN THE COMMON FUND SO 281 00:11:25,960 --> 00:11:27,360 ALTHOUGH WE ARE HEAVILY INVOLVED 282 00:11:27,360 --> 00:11:29,440 STAFF WISE, THE MONEY ACTUALLY 283 00:11:29,440 --> 00:11:30,960 GOES TO THE OFFICE OF THE 284 00:11:30,960 --> 00:11:31,360 DIRECTOR. 285 00:11:31,360 --> 00:11:32,640 AND I'M SURE YOU'VE BEEN READING 286 00:11:32,640 --> 00:11:37,760 A LOT ABOUT ARP A-H, WHICH IS 287 00:11:37,760 --> 00:11:40,760 THE PRESIDENT'S VISION TO 288 00:11:40,760 --> 00:11:42,440 RAPIDLY ACCELERATE TREATMENTS. 289 00:11:42,440 --> 00:11:44,440 HE REQUESTED 6 BILLION DOLLARS, 290 00:11:44,440 --> 00:11:46,280 CONGRESS DECIDED TO APPROPRIATE 291 00:11:46,280 --> 00:11:47,520 1 BILLION DOLLARS AND WE'RE NOW 292 00:11:47,520 --> 00:11:50,560 BEGINNING TO HEAR ABOUT AN 293 00:11:50,560 --> 00:11:54,040 ACTING DIRECTOR AND A PROPOSED 294 00:11:54,040 --> 00:11:54,440 INFRASTRUCTURE. 295 00:11:54,440 --> 00:11:56,320 NEXT SLIDE, PLEASE BUT IT'S 296 00:11:56,320 --> 00:11:59,040 IMPORTANT TO KNOW THAT ARP A H-H 297 00:11:59,040 --> 00:12:03,520 WILL NOT BE INSIDE NIH MPLET THE 298 00:12:03,520 --> 00:12:04,440 DIRECTOR WILL REPORT TO HEALTH 299 00:12:04,440 --> 00:12:07,560 AND HUMAN SERVICES AND THE 300 00:12:07,560 --> 00:12:09,520 PHYSICAL SPACE FOR ARP A H-H 301 00:12:09,520 --> 00:12:11,960 WILL BE OUTSIDE OF THE RNIH 302 00:12:11,960 --> 00:12:14,160 CAMPUS. 303 00:12:14,160 --> 00:12:15,040 NEXT SLIDE, PLEASE. 304 00:12:15,040 --> 00:12:18,280 EVERY YEAR, SO EVEN BEFORE WE 305 00:12:18,280 --> 00:12:20,440 HAD A FISCAL YEAR 22 BUDGET WE 306 00:12:20,440 --> 00:12:24,880 WERE WORKING ON THE FISCAL YEAR 307 00:12:24,880 --> 00:12:28,760 23 BUDGET AND OUR OSPRA FOLKS 308 00:12:28,760 --> 00:12:32,120 ARE ALWAYS WORKING ESSENTIALLY 309 00:12:32,120 --> 00:12:34,320 ON THE NEXT BUDGET AND THEY DO A 310 00:12:34,320 --> 00:12:35,960 REALLY GREAT JOB OF PUTTING 311 00:12:35,960 --> 00:12:39,920 TOGETHER THE CONGRESSIONAL 312 00:12:39,920 --> 00:12:44,000 JUSTIFICATION WHICH TALKS ABOUT 313 00:12:44,000 --> 00:12:45,000 HIGHLIGHTED PROGRAMS, TALKS 314 00:12:45,000 --> 00:12:46,560 ABOUT WHAT WE DO WITH THE MONEY 315 00:12:46,560 --> 00:12:48,320 IF WE HAD IT AND THEN LAST FEW 316 00:12:48,320 --> 00:12:50,800 YEARS WE'VE ALSO HAD A FACT 317 00:12:50,800 --> 00:12:54,080 SHEET WHICH IS PUBLICLY 318 00:12:54,080 --> 00:12:56,280 AVAILABLE AND KIND OF GIVES YOU 319 00:12:56,280 --> 00:12:57,840 A 1 YEAR SNAPSHOT OF WHAT HAS 320 00:12:57,840 --> 00:13:00,360 HAPPENED IN THE PREVIOUS YEAR. 321 00:13:00,360 --> 00:13:02,960 AND WE TRY TO HIGHLIGHT ALL OF 322 00:13:02,960 --> 00:13:05,080 OUR ACTIVITIES, SO THINGS THAT 323 00:13:05,080 --> 00:13:07,640 RELATE TO CHILDREN, PEOPLE OF 324 00:13:07,640 --> 00:13:09,280 REPRODUCTIVE AGE, PREGNANT 325 00:13:09,280 --> 00:13:11,880 PEOPLE, AND PEOPLE WITH PHYSICAL 326 00:13:11,880 --> 00:13:18,280 AND INTELLECTUAL DISABILITIES. 327 00:13:18,280 --> 00:13:18,920 NEXT SLIDE, PLEASE. 328 00:13:18,920 --> 00:13:21,520 >> THE SPRING HAS BEEN QUITE 329 00:13:21,520 --> 00:13:23,440 BUSY, A LOT OF IN-PERSON 330 00:13:23,440 --> 00:13:25,800 MEETINGS SO I WAS FORTUNATE TO 331 00:13:25,800 --> 00:13:28,120 ATTEND THE MATERNAL HEALTH 332 00:13:28,120 --> 00:13:29,680 ACTION PLAN CABINET MEETING, 333 00:13:29,680 --> 00:13:32,680 HELD BY VICE PRESIDENT HARRIS AT 334 00:13:32,680 --> 00:13:34,680 THE WHITE HOUSE, YOU CAN SEE HER 335 00:13:34,680 --> 00:13:36,400 AT THE END OF THE TABLE AND IN 336 00:13:36,400 --> 00:13:39,560 THE LOWER RIGHT OF THE SLIDE, IS 337 00:13:39,560 --> 00:13:41,880 DR. TABAK AND I WAS SITTING 338 00:13:41,880 --> 00:13:46,120 SOMEWHERE TO THE LEFT OF THE 339 00:13:46,120 --> 00:13:47,120 OFFICIAL PHOTOGRAPHERS. 340 00:13:47,120 --> 00:13:51,440 IT WAS REALLY INTERESTING AND 341 00:13:51,440 --> 00:13:53,840 INSPIRING TO HEAR WHAT THE VICE 342 00:13:53,840 --> 00:13:56,600 PRESIDENT HAD TO SAY, HOW 343 00:13:56,600 --> 00:13:58,920 COMMITTED SHE IS TO MATERNAL 344 00:13:58,920 --> 00:14:01,480 HEALTH, TO REDUCING DISPARITIES, 345 00:14:01,480 --> 00:14:03,520 HOW KNOWLEDGEABLE SHE IS AND HOW 346 00:14:03,520 --> 00:14:07,600 THOUGHTFUL SHE WAS IN TERMS OF 347 00:14:07,600 --> 00:14:08,600 DECIDING WHICH CABINET MEMBERS 348 00:14:08,600 --> 00:14:10,320 WOULD BE INVITED TO THIS 349 00:14:10,320 --> 00:14:10,920 MEETING. 350 00:14:10,920 --> 00:14:12,120 SO FOR EXAMPLE, SHE INVITED THE 351 00:14:12,120 --> 00:14:16,480 SECRETARY OF HOUSING AND URBAN 352 00:14:16,480 --> 00:14:17,880 DEVELOPMENT MARSHA FUDGE TO TALK 353 00:14:17,880 --> 00:14:23,080 ABOUT THE EFFECTS OF 354 00:14:23,080 --> 00:14:24,920 HOMELESSNESS ON PREGNANT PEOPLE 355 00:14:24,920 --> 00:14:26,560 SHE WENT THROUGH--SHE TALKED 356 00:14:26,560 --> 00:14:28,840 ABOUT DULAs WITH HER GOOD 357 00:14:28,840 --> 00:14:30,720 FRIEND FORMER BOSTON MAYOR MARTY 358 00:14:30,720 --> 00:14:33,520 WALSH WHO'S NOW THE SECRETARY OF 359 00:14:33,520 --> 00:14:33,720 LABOR. 360 00:14:33,720 --> 00:14:35,600 SHE TALKED ABOUT VERY 361 00:14:35,600 --> 00:14:37,920 KNOWLEDGEABLY ABOUT WANTING TO 362 00:14:37,920 --> 00:14:40,160 PROFESSIONALIZE DULAs, SO IT 363 00:14:40,160 --> 00:14:42,320 WAS VERY CONCRETE AND 364 00:14:42,320 --> 00:14:44,600 SUBSTANTIVE AND ON THE WAY BACK 365 00:14:44,600 --> 00:14:46,960 TO NIH, I TALKED WITH DR. TABAK 366 00:14:46,960 --> 00:14:49,080 WHO'S NOW THE ACTING DIRECTOR OF 367 00:14:49,080 --> 00:14:50,600 NIH AND ATTENDS THE PRESIDENT'S 368 00:14:50,600 --> 00:14:54,840 CABINET MEETINGS AND HE SAID 369 00:14:54,840 --> 00:14:56,360 THIS MEETING WAS MUCH MORE 370 00:14:56,360 --> 00:14:58,000 SUBSTANTIVE AND THAT THE 371 00:14:58,000 --> 00:15:03,840 PRESIDENT'S MEETINGS ARE NOT 372 00:15:03,840 --> 00:15:05,480 QUITE AS DETAILED AND IT'S CLEAR 373 00:15:05,480 --> 00:15:07,160 AND THE VICE PRESIDENT'S STAFF 374 00:15:07,160 --> 00:15:09,240 IS VERY, VERY COMMITTED TO THIS 375 00:15:09,240 --> 00:15:15,240 PROJECT SO WE HAVE CONGRESSIONAL 376 00:15:15,240 --> 00:15:17,320 APPROPRIATION WE HAVE EXECUTIVE 377 00:15:17,320 --> 00:15:20,040 BRANCH AND IN ADDITION WE HAD 378 00:15:20,040 --> 00:15:20,880 SENATE APPROPRIATION COMMITTEE 379 00:15:20,880 --> 00:15:23,080 STAFF ASKING US QUESTIONS SO WE 380 00:15:23,080 --> 00:15:30,400 DID A BRIEFING WITH THEM ALSO 381 00:15:30,400 --> 00:15:33,840 AROUND THE TIME PERIOD AND 382 00:15:33,840 --> 00:15:37,680 LASTLY, MOSE FRANKLE WHO IS ON 383 00:15:37,680 --> 00:15:38,920 THE HOUSE COMMITTEE AND 384 00:15:38,920 --> 00:15:40,400 APPROPRIATIONS FOR LABOR HHS IS 385 00:15:40,400 --> 00:15:46,440 VERY INTERESTED IN WHAT'S 386 00:15:46,440 --> 00:15:47,800 HAPPENING WITH [INDISCERNIBLE] 387 00:15:47,800 --> 00:15:50,520 SHE HAS A DAUGHTER IN LAW WHO IS 388 00:15:50,520 --> 00:15:52,680 BREAST FEEDING AND SHE'S VERY 389 00:15:52,680 --> 00:15:54,160 CONCERN BODY MEDICATIONS AND 390 00:15:54,160 --> 00:15:55,360 BREASTED MILK AND WE DID A 391 00:15:55,360 --> 00:15:56,960 BRIEFING WITH HER AND HER STAFF 392 00:15:56,960 --> 00:15:58,040 AND MULTIPLE OTHER MEMBERS OF 393 00:15:58,040 --> 00:16:03,400 CONGRESS SO SOME OF OUR KEY 394 00:16:03,400 --> 00:16:04,840 PROGRAMS THAT ARE INIH WIDE AND 395 00:16:04,840 --> 00:16:06,640 THEY ARE VERY ALIGNED WITH OUR 396 00:16:06,640 --> 00:16:08,240 MISSION AND VISION, ARE COMING 397 00:16:08,240 --> 00:16:10,160 TO THE ATTENTION OF THE 398 00:16:10,160 --> 00:16:12,320 LEGISLATIVE AND THE EXECUTIVE 399 00:16:12,320 --> 00:16:18,000 BRANCH, NEXT SLIDE, PLEASE. 400 00:16:18,000 --> 00:16:20,640 WHAT I ALWAYS REFER TO AS MY 401 00:16:20,640 --> 00:16:21,560 PERSONAL FINALS IN THE SPRING, 402 00:16:21,560 --> 00:16:25,160 IF I AM ASKED TO TESTIFY AT THE 403 00:16:25,160 --> 00:16:28,560 HOUSE APPROPRIATIONS 404 00:16:28,560 --> 00:16:30,160 SUBCOMMITTEE LABOR, HHS, I 405 00:16:30,160 --> 00:16:33,120 ACCOMPANY 5 OTHER COLLEAGUES 406 00:16:33,120 --> 00:16:36,000 INCLUDING DR. TABAK ON MAY 407 00:16:36,000 --> 00:16:42,000 11th AND YOU'RE PREPARED FOR 408 00:16:42,000 --> 00:16:42,480 ANYTHING. 409 00:16:42,480 --> 00:16:45,040 COULD BE THE STAFF AT NICHD, THE 410 00:16:45,040 --> 00:16:47,040 LEGISLATIVE AND PUBLIC POLICY 411 00:16:47,040 --> 00:16:49,080 STAFF ARE PREPARING US FOR 412 00:16:49,080 --> 00:16:50,280 ANYTHING AT NICHD AND ALSO IN 413 00:16:50,280 --> 00:16:51,360 THE OFFICE OF THE DIRECTOR AND 414 00:16:51,360 --> 00:16:56,440 WE HAVE TO GO THROUGH A 415 00:16:56,440 --> 00:16:57,320 [INDISCERNIBLE] MURDER AND 416 00:16:57,320 --> 00:16:59,520 RESPOND TO FAKE QUESTIONS JUST 417 00:16:59,520 --> 00:17:04,320 TO BE PREPARED BUT IT IS--IT'S A 418 00:17:04,320 --> 00:17:05,080 VERY GOOD EXERCISE. 419 00:17:05,080 --> 00:17:07,200 IT ALLOWS TO YOU REALLY BE IN 420 00:17:07,200 --> 00:17:08,600 COMMAND OF THE ENTIRE PORTFOLIO 421 00:17:08,600 --> 00:17:11,240 THAT HAS BEEN SUPPORTED IN THE 422 00:17:11,240 --> 00:17:11,640 PAST YEAR. 423 00:17:11,640 --> 00:17:13,240 THE MAJOR TOPICS THAT CAME UP 424 00:17:13,240 --> 00:17:14,680 WITH THIS HEARING, WHICH BY THE 425 00:17:14,680 --> 00:17:15,640 WAY IS REPORTED, YOU CAN WATCH 426 00:17:15,640 --> 00:17:18,520 IT IF YOU WANT, A LOT OF 427 00:17:18,520 --> 00:17:22,680 QUESTIONS FOR DR. TABAK ON ARP 428 00:17:22,680 --> 00:17:22,880 A-H. 429 00:17:22,880 --> 00:17:26,680 WHICH YOU KNOW IS NOT GOING TO 430 00:17:26,680 --> 00:17:28,120 BE IN NIH BUT SOME OF THE 431 00:17:28,120 --> 00:17:31,080 SERVICES OF NIH WILL BE USED TO 432 00:17:31,080 --> 00:17:34,000 GET ARP A-H OFF THE GROUND. 433 00:17:34,000 --> 00:17:35,760 RESILIENCE SEBTATIVES WERE 434 00:17:35,760 --> 00:17:37,200 INTERESTED IN MENTAL HEALTH 435 00:17:37,200 --> 00:17:38,360 ISSUES IN ADULTS AND CHILDREN, 436 00:17:38,360 --> 00:17:40,720 AS WELL AS UPON AN INCREASE IN 437 00:17:40,720 --> 00:17:42,560 OPIOID RELATED DEATHS DURING OF 438 00:17:42,560 --> 00:17:46,240 THE TIMING WAS PANDEMIC. 439 00:17:46,240 --> 00:17:47,920 NICHD, HAS IN MYSELF WAS ASKED 3 440 00:17:47,920 --> 00:17:51,160 QUESTIONS, 1 HAD TO DO WITH 441 00:17:51,160 --> 00:17:53,120 MATERNAL HEALTH, 1 HAD TO DO 442 00:17:53,120 --> 00:17:54,680 WITH WHAT'S NEW IN STILL BIRTH 443 00:17:54,680 --> 00:17:56,600 AND 1 HAD TO DO WITH WHAT ARE WE 444 00:17:56,600 --> 00:17:59,320 DOING SPECIFICALLY TO ADDRESS 445 00:17:59,320 --> 00:18:00,720 THE ISSUES RELATED TO MENTAL 446 00:18:00,720 --> 00:18:01,960 HEALTH DURING THE PANDEMIC. 447 00:18:01,960 --> 00:18:03,320 THERE WERE A NUMBER OF OTHER 448 00:18:03,320 --> 00:18:04,960 QUESTIONS THAT WEREN'T 449 00:18:04,960 --> 00:18:06,160 NECESSARILY DIRECTED TOWARDS ME 450 00:18:06,160 --> 00:18:11,560 BUT DO AFFECT CHILDREN AND THESE 451 00:18:11,560 --> 00:18:13,240 INCLUDED THE FUTURE FOR ECHO 452 00:18:13,240 --> 00:18:16,680 PROGRAM, DRUG ADDICTION IN 453 00:18:16,680 --> 00:18:18,040 TEENS, AND ALSO WHAT ARE WE 454 00:18:18,040 --> 00:18:20,440 GOING TO BE DOING ABOUT FIREARMS 455 00:18:20,440 --> 00:18:23,680 AND VIOLENCE. 456 00:18:23,680 --> 00:18:25,880 NEXT SLIDE, PLEASE. 457 00:18:25,880 --> 00:18:27,720 NEXT SLIDE. 458 00:18:27,720 --> 00:18:29,520 SO I HAVE MENTIONED TO YOU 459 00:18:29,520 --> 00:18:31,640 PREVIOUSLY ABOUT THE PREVAIL 460 00:18:31,640 --> 00:18:34,200 KIDS PROGRAM, THE PREVAIL KIDS 461 00:18:34,200 --> 00:18:39,560 IS AN ACRONYM FOR PREDICTING 462 00:18:39,560 --> 00:18:40,320 VIRAL ASSOCIATED INFLARMATORY 463 00:18:40,320 --> 00:18:43,560 DISEASE IN CHILDREN WHO HAVE 464 00:18:43,560 --> 00:18:47,560 LABORATORY STATISTICS AND 465 00:18:47,560 --> 00:18:48,040 ARTIFICIAL INTELLIGENCE. 466 00:18:48,040 --> 00:18:49,400 IT'S REALLY INTERESTING TO SEE 467 00:18:49,400 --> 00:18:52,720 THE SPECTRUM OF SARS-COV-2 ILL 468 00:18:52,720 --> 00:18:54,040 EXPNS IN PARTICULAR IDENTIFY 469 00:18:54,040 --> 00:18:56,160 CHILDREN WHO WOULD BE AT RISK 470 00:18:56,160 --> 00:18:57,600 FOR DEVELOPING MIS-C WITH A 471 00:18:57,600 --> 00:18:59,680 VARIETY OF DIFFERENT TYPES OF 472 00:18:59,680 --> 00:19:01,760 BIOMARKERS AS WELL AS 473 00:19:01,760 --> 00:19:04,160 BIO-INFORMATICS AND THIS PROGRAM 474 00:19:04,160 --> 00:19:07,560 IS FUNDED THROUGH THE RAD-X 475 00:19:07,560 --> 00:19:10,520 RADICAL INITIATIVE. 476 00:19:10,520 --> 00:19:11,360 NEXT SLIDE, PLEASE. 477 00:19:11,360 --> 00:19:12,560 SO THEY'RE 1 YEAR INTO IT, IT'S 478 00:19:12,560 --> 00:19:14,000 A LITTLE OVER A YEAR THAT THE 479 00:19:14,000 --> 00:19:18,680 PROGRAM HAS BEEN FUNDED WE WERE 480 00:19:18,680 --> 00:19:21,000 ABLE TO FUND 8 AWARDS WITH LARGE 481 00:19:21,000 --> 00:19:23,680 NUMBERS OF CHILDREN BOTH FROM 482 00:19:23,680 --> 00:19:25,400 RETROSPECTIVE COHORTS THAT WERE 483 00:19:25,400 --> 00:19:30,520 INTERNATIONAL IN NATURE AS WELL 484 00:19:30,520 --> 00:19:33,840 AS PROSPECTIVELY ENROLLING 485 00:19:33,840 --> 00:19:34,720 CHILDREN WITH SARS-COV-2. 486 00:19:34,720 --> 00:19:37,040 WE WILL GIVE YOU 2 EXAMPLES OF 487 00:19:37,040 --> 00:19:37,480 SUCCESSFUL PROGRAMS. 488 00:19:37,480 --> 00:19:39,360 THEY'VE ALL BEEN SUCCESSFUL IN 489 00:19:39,360 --> 00:19:40,440 ACHIEVING THEIR GOALS AND 490 00:19:40,440 --> 00:19:42,920 THEY'RE MAKING THEIR CASE TO 491 00:19:42,920 --> 00:19:48,280 TRANSITION TO AN R33 MECHANISM, 492 00:19:48,280 --> 00:19:51,600 NOW, BUT SEVERAL OF THE PROGRAMS 493 00:19:51,600 --> 00:19:53,080 THAT HAVE VERY, VERY PROMISING 494 00:19:53,080 --> 00:19:54,680 RESULTS HAVE BEEN ABLE TO 495 00:19:54,680 --> 00:19:58,440 LEVERAGE THE NIH SMALL BUSINESS 496 00:19:58,440 --> 00:20:01,400 EDUCATION AND ENTREPRENEURIAL 497 00:20:01,400 --> 00:20:02,640 DEVELOPMENT PROGRAM, THE SEED 498 00:20:02,640 --> 00:20:05,240 PROGRAM TO PROMOTE RAPID 499 00:20:05,240 --> 00:20:08,040 TRANSLATION EUA APPLICATIONS 500 00:20:08,040 --> 00:20:08,920 WITH THE FDA. 501 00:20:08,920 --> 00:20:11,880 AND THAT'S REALLY THE METRIC OF 502 00:20:11,880 --> 00:20:12,880 SUCCESS. 503 00:20:12,880 --> 00:20:15,400 IF THIS TRANSLATE THROUGH AN FDA 504 00:20:15,400 --> 00:20:17,040 APPROVED TEST AND THEN IT'S 505 00:20:17,040 --> 00:20:26,840 IMPLEMENTED INTO THE COMMUNITY. 506 00:20:26,840 --> 00:20:28,680 SO 1 IS A--[AUDYE CUTS OUT ] 507 00:20:28,680 --> 00:20:31,640 USING DIFFERENT MARKERS SO GENE 508 00:20:31,640 --> 00:20:32,800 EXPRESSION, PROTEIN, ASPECT BODY 509 00:20:32,800 --> 00:20:35,240 AS WELL AS CLINICAL PARAMETERS 510 00:20:35,240 --> 00:20:36,920 TO PREDICT WHO WILL PROGRESS TO 511 00:20:36,920 --> 00:20:40,480 SEVERE COVID-19 AS WELL AS 512 00:20:40,480 --> 00:20:41,040 MIS-C. 513 00:20:41,040 --> 00:20:43,880 CURRENTLY, THEY HAVE A PREEUA 514 00:20:43,880 --> 00:20:47,000 APPLICATION FOR A DIAGNOSTIC 515 00:20:47,000 --> 00:20:50,920 ALGORITHM KNOWN AS KID MATCH TO 516 00:20:50,920 --> 00:20:51,760 DISTINGUISH BETWEEN MIS-C, 517 00:20:51,760 --> 00:20:53,520 KAWASAKI DISEASE AND OTHER 518 00:20:53,520 --> 00:20:55,160 FIBERAL ILLNESSES WITH GREATER 519 00:20:55,160 --> 00:20:59,320 THAN 95% ACRASE MODEL EXPE THIS 520 00:20:59,320 --> 00:21:00,320 IS HIGHLY SIGNIFICANT BECAUSE IT 521 00:21:00,320 --> 00:21:03,360 WOULD AFFECT HOW YOU TREAT 522 00:21:03,360 --> 00:21:04,080 CHILDREN AND DIFFERENT 523 00:21:04,080 --> 00:21:10,240 TREATMENTS FOR EACH OF THESE 524 00:21:10,240 --> 00:21:10,880 CONDITIONS. 525 00:21:10,880 --> 00:21:13,200 DR. [INDISCERNIBLE] GROUP IS 526 00:21:13,200 --> 00:21:14,320 TRAINING MACHINE LEARNING 527 00:21:14,320 --> 00:21:15,560 ALGORITHMS TO IDENTIFY 528 00:21:15,560 --> 00:21:17,440 PROGRESSIVE DISEASE CASES AT 529 00:21:17,440 --> 00:21:18,320 INITIAL PRESENTATION. 530 00:21:18,320 --> 00:21:19,920 THEY'RE USING AN INFLAMMATORY 531 00:21:19,920 --> 00:21:21,760 SIGN O KINE AND CHEMOKINE PAN 532 00:21:21,760 --> 00:21:25,680 AND HE WILL THEY'VE ALSO FOUND 533 00:21:25,680 --> 00:21:29,200 CERTAIN SOCIAL DETERMINANTS OF 534 00:21:29,200 --> 00:21:30,920 HEALTH THAT ALSO PREDICT WHO IS 535 00:21:30,920 --> 00:21:31,160 AT RISK. 536 00:21:31,160 --> 00:21:33,400 SO BOTH OF THESE HAVE ALREADY 537 00:21:33,400 --> 00:21:35,880 PROGRESSED, JUST SLIGHTLY OVER A 538 00:21:35,880 --> 00:21:37,680 YEAR WHILE WE'RE WAITING FOR 539 00:21:37,680 --> 00:21:41,720 MORE INFORMATION FROM THE OTHER 540 00:21:41,720 --> 00:21:42,040 6 GROUPS. 541 00:21:42,040 --> 00:21:44,880 THE 8 GROUPS WHO DID NOT 542 00:21:44,880 --> 00:21:47,680 COLLABORATE BEFORE THIS PROGRAM 543 00:21:47,680 --> 00:21:48,960 HAVE ALSO COLLABORATED, THE 544 00:21:48,960 --> 00:21:50,600 MAJORITY OF THEM COLLABORATED TO 545 00:21:50,600 --> 00:21:52,560 FORM A PEDIATRIC COHORT FOR THE 546 00:21:52,560 --> 00:21:54,920 RECOVER PROGRAM WHICH IS AN NIH 547 00:21:54,920 --> 00:21:55,880 WIDE PROGRAM THAT INCLUDES 548 00:21:55,880 --> 00:21:59,360 PEOPLE OF ALL AGES WITH LONG 549 00:21:59,360 --> 00:21:59,800 COVID. 550 00:21:59,800 --> 00:22:03,760 BUT THEY ARE 1 OF THE PEDIATRIC 551 00:22:03,760 --> 00:22:08,160 COHORTS. 552 00:22:08,160 --> 00:22:08,560 NEXT SLIDE. 553 00:22:08,560 --> 00:22:09,800 SO ANOTHER THING THAT WE'RE 554 00:22:09,800 --> 00:22:10,880 QUITE CONCERNED ABOUT IS JUST 555 00:22:10,880 --> 00:22:16,480 KEEPING AN EYE ON THE LONG-TERM 556 00:22:16,480 --> 00:22:18,480 NEURODEVELOPMENTAL EFFECTS, OR 557 00:22:18,480 --> 00:22:19,960 CHILDREN, PARTICULARLY IF THEY 558 00:22:19,960 --> 00:22:22,640 WERE BORN TO MOTHERS WHO WERE 559 00:22:22,640 --> 00:22:24,480 INFECTED DURING THEIR 560 00:22:24,480 --> 00:22:24,960 PREGNANCIES. 561 00:22:24,960 --> 00:22:31,960 WE DO KNOW THAT SARS COV 2 562 00:22:31,960 --> 00:22:34,040 INFECTION DOES NOT CROSS THE 563 00:22:34,040 --> 00:22:35,760 PLACENTA AND GET TRANSMITTED TO 564 00:22:35,760 --> 00:22:36,360 THE FETUS REGULARLY. 565 00:22:36,360 --> 00:22:40,040 THERE ARE A FEW CASE REPORTS BUT 566 00:22:40,040 --> 00:22:42,000 IT IS INFREQUENT. 567 00:22:42,000 --> 00:22:43,160 HOWEVER, KNOWING EXPERIENCES 568 00:22:43,160 --> 00:22:45,400 WITH OTHER VIRAL ILLNESSES THAT 569 00:22:45,400 --> 00:22:47,840 CAUSE FEVER, THAT CAUSE SYSTEMIC 570 00:22:47,840 --> 00:22:50,720 DISEASE IN THE MOTHER, WE KNOW 571 00:22:50,720 --> 00:22:52,480 THAT THERE CAN BE 572 00:22:52,480 --> 00:22:55,400 NEURODEVELOPMENTAL EFFECTS, SO 573 00:22:55,400 --> 00:23:05,920 IN 1 STUDY THAT WAS PUBLISHED 574 00:23:06,240 --> 00:23:08,000 QUITE RECENTLY IN 255 CHILDREN 575 00:23:08,000 --> 00:23:09,800 [AUDCROW CUTS OUT ] SHOWED 576 00:23:09,800 --> 00:23:11,200 SLIGHT DECREASES IN THEIR FINE 577 00:23:11,200 --> 00:23:13,360 MOTOR, GROSS MOTOR AND SOCIAL 578 00:23:13,360 --> 00:23:16,680 SKILLS COMPARED TO INFANTS BORN 579 00:23:16,680 --> 00:23:17,280 PREPANDEMIC. 580 00:23:17,280 --> 00:23:18,600 NOW THIS GROUP CONCLUDED THAT 581 00:23:18,600 --> 00:23:20,640 EVERYBODY WAS AFFECTED BY THE 582 00:23:20,640 --> 00:23:21,000 PANDEMIC. 583 00:23:21,000 --> 00:23:22,480 IT DIDN'T MATTER IF YOU WERE 584 00:23:22,480 --> 00:23:23,400 INFECTED OR NOT. 585 00:23:23,400 --> 00:23:25,040 HOWEVER, JUST RECENTLY IN THE 586 00:23:25,040 --> 00:23:27,280 LAST FEW DAYS, A DIFFERENT STUDY 587 00:23:27,280 --> 00:23:32,200 COMING OUT OF MASS GENERAL FROM 588 00:23:32,200 --> 00:23:34,480 ED ET ALL, SUGGESTED THAT BABIES 589 00:23:34,480 --> 00:23:36,560 BORN TO MOTHERS WHO WERE 590 00:23:36,560 --> 00:23:37,520 INFECTED DURING THEIR 591 00:23:37,520 --> 00:23:40,720 PREGNANCIES AT 1 YEAR OF AGE HAD 592 00:23:40,720 --> 00:23:43,160 ROUGHLY A DOUBLE OF THE 593 00:23:43,160 --> 00:23:44,600 INCIDENCE OF NEURODEVELOPMENTAL 594 00:23:44,600 --> 00:23:47,320 COMPLICATIONS, SO, THIS IS 595 00:23:47,320 --> 00:23:48,200 SOMETHING WE HAVE BEEN WORRY 596 00:23:48,200 --> 00:23:51,840 BODY AND WE ARE ANTICIPATING AND 597 00:23:51,840 --> 00:24:01,160 WE NEED TO STUDY. 598 00:24:01,160 --> 00:24:01,600 NEXT SLIDE, PLEASE. 599 00:24:01,600 --> 00:24:03,880 AND THEN I TALKED PREVIOUSLY 600 00:24:03,880 --> 00:24:09,040 ABOUT MASSIVE STUDIES ON DATA IN 601 00:24:09,040 --> 00:24:11,880 STUDENTS ON 9 STATES AND LOOKING 602 00:24:11,880 --> 00:24:14,080 AT STAFF, BOTH TEACHERS AND 603 00:24:14,080 --> 00:24:15,160 SUPPORT STAFF, SHOWING CLEAR CUT 604 00:24:15,160 --> 00:24:18,680 EVIDENCE FROM THE GROUP, THE ABC 605 00:24:18,680 --> 00:24:22,440 SCIENCE COLLABORATIVE GROUP THAT 606 00:24:22,440 --> 00:24:24,200 MASKING DURING SCHOOL HAD A 607 00:24:24,200 --> 00:24:25,400 SIGNIFICANT EFFECT ON REDUCING 608 00:24:25,400 --> 00:24:27,080 THE CASES OF IN-SCHOOL 609 00:24:27,080 --> 00:24:27,560 TRANSMISSION. 610 00:24:27,560 --> 00:24:29,400 SO THE BEST WAY TO KEEP CHILDREN 611 00:24:29,400 --> 00:24:31,800 IN SCHOOL IS TO KEEP THEM 612 00:24:31,800 --> 00:24:32,080 MASKED. 613 00:24:32,080 --> 00:24:33,760 I BELIEVE THAT THERE HAS BEEN 614 00:24:33,760 --> 00:24:37,320 RELAXED A LITTLE BIT NOW BUT WE 615 00:24:37,320 --> 00:24:40,160 DO HAVE THE DATA THAT MASKING 616 00:24:40,160 --> 00:24:41,720 DOES WORK. 617 00:24:41,720 --> 00:24:45,320 NEXT SLIDE, PLEASE. 618 00:24:45,320 --> 00:24:46,360 OKAY, SO WHAT'S HAPPENING 619 00:24:46,360 --> 00:24:47,360 OUTSIDE OF COVID, REMEMBER THAT 620 00:24:47,360 --> 00:24:50,520 WE DO HOUSE THE NATIONAL CENTER 621 00:24:50,520 --> 00:24:53,800 FOR REHABILITATION RESEARCH AT 622 00:24:53,800 --> 00:24:56,960 NICH D AND I'M HAPPY TO SAY THAT 623 00:24:56,960 --> 00:24:59,480 THE LIMB LOSS AND PRESERVATION 624 00:24:59,480 --> 00:25:00,720 REGISTRY HAS FINALLY BEEN 625 00:25:00,720 --> 00:25:02,800 LAUNCHED. 626 00:25:02,800 --> 00:25:07,120 THIS IS A REGISTRY THAT IS BEING 627 00:25:07,120 --> 00:25:08,720 ACTIVATED IN COLLABORATION WITH 628 00:25:08,720 --> 00:25:10,840 THE DEPARTMENT OF DEFENSE, 629 00:25:10,840 --> 00:25:12,440 HERE'S THE WEBSITE FOR IT. 630 00:25:12,440 --> 00:25:15,480 THERE'S ALSO AN UNDERGRADUATE 631 00:25:15,480 --> 00:25:19,680 PRICE COMPETITION THAT IS BEING 632 00:25:19,680 --> 00:25:21,760 COSPONSORED WITH NIBIB AND 633 00:25:21,760 --> 00:25:25,720 THAT'S CALLED THE DEBUT AND 634 00:25:25,720 --> 00:25:30,000 THERE ARE ALSO NEW 635 00:25:30,000 --> 00:25:31,160 MCMRRRESPONSIVE AND 636 00:25:31,160 --> 00:25:32,040 REHABILITATIVE AND EXISTIVE 637 00:25:32,040 --> 00:25:33,840 TECHNOLOGY AWARDS THAT ARE 638 00:25:33,840 --> 00:25:34,600 CURRENTLY UNDER REVIEWS. 639 00:25:34,600 --> 00:25:39,880 AND THERE'S ALSO BEEN A 640 00:25:39,880 --> 00:25:41,200 REHABILITATION SPEAKER SERIES 641 00:25:41,200 --> 00:25:43,120 FEATURING THESE SPEAKERS HERE. 642 00:25:43,120 --> 00:25:49,760 NEXT SLIDE, PLEASE. 643 00:25:49,760 --> 00:25:54,160 SO, I KNOW THAT EVERYONE IS 644 00:25:54,160 --> 00:25:55,280 CONCERNED ABOUT FIREARM 645 00:25:55,280 --> 00:25:56,360 VIOLENCE, PARTICULARLY IN SCHOOL 646 00:25:56,360 --> 00:25:57,720 AGED CHILDREN AND I WANTED YOU 647 00:25:57,720 --> 00:26:01,320 TO KNOW THAT WE DO SUPPORT THE 648 00:26:01,320 --> 00:26:03,000 RESEARCH ON PROVENTING VIOLENCE 649 00:26:03,000 --> 00:26:05,040 FROM FIREARMS, AS WELL AS 650 00:26:05,040 --> 00:26:07,400 COMMUNITY BASED INTERVENTIONS TO 651 00:26:07,400 --> 00:26:11,440 PREVENT VIOLENCE AS WELL AS 652 00:26:11,440 --> 00:26:12,640 EXAMINING SOCIAL AND ACADEMIC 653 00:26:12,640 --> 00:26:15,880 FACTORS THAT LEAD TO RISKY 654 00:26:15,880 --> 00:26:17,560 BEHAVIORS IN YOUTH. 655 00:26:17,560 --> 00:26:18,520 WE ALSO FUND RESEARCH IN 656 00:26:18,520 --> 00:26:22,000 SETTINGS THAT ARE CONDUCIVE TO 657 00:26:22,000 --> 00:26:23,640 GUN SAFETY EDUCATION AND 658 00:26:23,640 --> 00:26:25,160 POPULATION STUDIES THAT ANALYZE 659 00:26:25,160 --> 00:26:30,120 TRENDS IN GUN OWNERSHIP AND 660 00:26:30,120 --> 00:26:30,560 ACCESS. 661 00:26:30,560 --> 00:26:33,000 IN 2020 I DON'T THINK WE HAVE 662 00:26:33,000 --> 00:26:35,240 THE FINAL NUMBERS FROM 21. 663 00:26:35,240 --> 00:26:38,560 2020 WE AWARDED NEARLY 664 00:26:38,560 --> 00:26:39,320 $2.5 MILLION TO SUPPORT 665 00:26:39,320 --> 00:26:40,520 RESEARCH, TO IMPROVE 666 00:26:40,520 --> 00:26:42,840 UNDERSTANDING AND PREVENTION OF 667 00:26:42,840 --> 00:26:44,280 FIREARM, VIOLENCE AND MORTALITY 668 00:26:44,280 --> 00:26:47,880 AND WE COLLABORATE WITH THE 669 00:26:47,880 --> 00:26:49,640 OFFICE OF BEHAVIORIAL 670 00:26:49,640 --> 00:26:51,560 SCIENCE--BEHAVIOR AND SOCIAL 671 00:26:51,560 --> 00:26:52,400 SCIENCE RESEARCH WHICH IS IN THE 672 00:26:52,400 --> 00:26:57,600 OFFICE OF THE DIRECTOR AND THEY 673 00:26:57,600 --> 00:26:59,160 HAVE 2 FUNDING OPPORTUNITY 674 00:26:59,160 --> 00:27:00,960 ANNOUNCEMENTS ON RESEARCH AND 675 00:27:00,960 --> 00:27:02,040 COMMUNITY LEVEL INTERVENTIONS 676 00:27:02,040 --> 00:27:04,000 FOR FIREARM AND RELATED 677 00:27:04,000 --> 00:27:07,400 VIOLENCE, INJURY AND MORTALITY 678 00:27:07,400 --> 00:27:10,520 PREVENTION AND THAT WILL--THOSE 679 00:27:10,520 --> 00:27:13,560 FOAs WILL SUPPORT A NETWORK OF 680 00:27:13,560 --> 00:27:16,680 RESEARCH PROJECTS TO DEVELOP AND 681 00:27:16,680 --> 00:27:18,320 TEST PERSPECTIVE INTERVENTIONS 682 00:27:18,320 --> 00:27:21,200 AT THE COMMUNITY LEVEL TO 683 00:27:21,200 --> 00:27:22,680 PREVENT FIREARM AND RELATED 684 00:27:22,680 --> 00:27:26,720 VIOLENCE. 685 00:27:26,720 --> 00:27:27,200 NEXT SLIDE, PLEASE. 686 00:27:27,200 --> 00:27:32,440 SO WE WANTED TO SPOTLIGHT 1 687 00:27:32,440 --> 00:27:34,240 NICHD R24 GRANT WHICH IS A 688 00:27:34,240 --> 00:27:36,960 RESOURCE GENERATING AWARD TO THE 689 00:27:36,960 --> 00:27:38,480 UNIVERSITY OF MICHIGAN ANN ARBOR 690 00:27:38,480 --> 00:27:40,880 AND WHAT THIS IS DOING IS 691 00:27:40,880 --> 00:27:43,280 GATHERING A MULTIDISCIPLINARY 692 00:27:43,280 --> 00:27:45,320 TEAM OF RESEARCHERS AND 693 00:27:45,320 --> 00:27:47,480 STAKEHOLDER PARTNERS, SUCH AS 694 00:27:47,480 --> 00:27:50,520 GUN OWNERS, OR FIREARMS 695 00:27:50,520 --> 00:27:53,920 INSTRUCTORS TO DEFINE A 696 00:27:53,920 --> 00:27:55,280 PEDIATRIC SPECIFIC FIREARM 697 00:27:55,280 --> 00:27:58,280 INJURY PREVENTION RESEARCH 698 00:27:58,280 --> 00:27:58,520 AGENDA. 699 00:27:58,520 --> 00:28:00,160 SO THIS GROUP CONDUCTS PILOT 700 00:28:00,160 --> 00:28:02,400 STUDIES THAT ADDRESS KEY 701 00:28:02,400 --> 00:28:03,320 RESEARCH QUESTIONS SO 1 EXAMPLE 702 00:28:03,320 --> 00:28:07,000 AND A PROJECT CALLED STORE 703 00:28:07,000 --> 00:28:09,000 SAFELY, SAFE FIREARM STORAGE FOR 704 00:28:09,000 --> 00:28:09,560 FAMILIES. 705 00:28:09,560 --> 00:28:12,120 AND THIS IS TO DEVELOP AND 706 00:28:12,120 --> 00:28:14,200 IMPLEMENT A NEW ONLINE FIREARM 707 00:28:14,200 --> 00:28:16,400 SAFETY EDUCATION PROGRAM THAT IS 708 00:28:16,400 --> 00:28:20,600 TAYLORED FOR FAMILIES IN THE 709 00:28:20,600 --> 00:28:21,000 RURAL COMMUNITIES. 710 00:28:21,000 --> 00:28:22,000 THERE'S A UNIVERSITY COMMUNITY 711 00:28:22,000 --> 00:28:25,080 PARTNERSHIP THAT IS BEING 712 00:28:25,080 --> 00:28:28,640 DEVELOPED TO TAYLOR SPECIFIC 713 00:28:28,640 --> 00:28:30,360 CULTURALLY APPROPRIATE MESSAGES 714 00:28:30,360 --> 00:28:33,240 AND THEY HAVE FOCUS GROUPS. 715 00:28:33,240 --> 00:28:36,440 THERE ARE TRUSTED MESSENGERS, 716 00:28:36,440 --> 00:28:38,160 WHO WILL THEN IDENTIFY COB TENT 717 00:28:38,160 --> 00:28:41,840 AND MESSAGE CONTENT THAT WOULD 718 00:28:41,840 --> 00:28:43,440 WORK FOR THIS PARTICULAR GROUP. 719 00:28:43,440 --> 00:28:44,640 THE OVERALL PERSPECTIVE IS THAT 720 00:28:44,640 --> 00:28:48,440 THEY RESPECT THE REASONS FOR GUN 721 00:28:48,440 --> 00:28:50,840 OWNERSHIP BUT THE IMPORTANCE IS 722 00:28:50,840 --> 00:28:53,040 DISCUSSING WAYS TO REDUCE HARM, 723 00:28:53,040 --> 00:28:55,040 PARTICULARLY FOR CHILDREN. 724 00:28:55,040 --> 00:28:57,080 AND THERE IS A YouTUBE CLIP 725 00:28:57,080 --> 00:28:58,160 THAT DESCRIBES THE PROGRAM. 726 00:28:58,160 --> 00:29:01,400 REMEMBER THAT THESE SLIDES ARE 727 00:29:01,400 --> 00:29:05,600 ALL AVAILABLE TO ANYONE WHO'S 728 00:29:05,600 --> 00:29:08,520 WATCHING THIS EVENTUALLY, 729 00:29:08,520 --> 00:29:09,840 PUBLICLY. 730 00:29:09,840 --> 00:29:10,520 NEXT SLIDE. 731 00:29:10,520 --> 00:29:13,240 OKAY, SO IN THE NEXT PART, I 732 00:29:13,240 --> 00:29:14,960 WANTED--WE HAVEN'T REALLY TALKED 733 00:29:14,960 --> 00:29:16,280 ABOUT THIS EXCEPT MAYBE 734 00:29:16,280 --> 00:29:17,760 INDIRECTLY AND AS I THOUGHT 735 00:29:17,760 --> 00:29:19,320 ABOUT WHATEVER WE WANT TO 736 00:29:19,320 --> 00:29:21,800 HIGHLIGHT WITH THIS ADVISORY 737 00:29:21,800 --> 00:29:23,080 COUNCIL MEETING, I THINK IT'S 738 00:29:23,080 --> 00:29:25,640 VERY IMPORTANT FOR YOU TO BE 739 00:29:25,640 --> 00:29:31,320 AWARE OF WHERE OUR EFFORTS ARE 740 00:29:31,320 --> 00:29:33,840 GOING TOWARDS MULTIPLE NIH WIDE 741 00:29:33,840 --> 00:29:34,160 PROJECTS. 742 00:29:34,160 --> 00:29:35,680 AND THIS IS SOMETHING THAT HAS 743 00:29:35,680 --> 00:29:38,240 INCREASED DURING MY TIME AS 744 00:29:38,240 --> 00:29:39,920 DIRECTOR, MY FIRST COUPLE YEARS, 745 00:29:39,920 --> 00:29:42,680 WE WERE HARDLY INVOLVED IN 746 00:29:42,680 --> 00:29:45,960 ANYTHING, AND NOW, IT'S 747 00:29:45,960 --> 00:29:47,120 CLEARLY--IT'S AT LEAST 50% OF MY 748 00:29:47,120 --> 00:29:51,880 TIME IF NOT MORE AS WELL AS 749 00:29:51,880 --> 00:29:53,240 MULTIPLE STAFF MEMBERS WHO 750 00:29:53,240 --> 00:29:54,920 DONATE THEIR TIME ESSENTIALLY TO 751 00:29:54,920 --> 00:29:58,920 BE INVOLVED AND TO ADVOCATE FOR 752 00:29:58,920 --> 00:30:00,560 OUR POPULATIONS AND TO BRING 753 00:30:00,560 --> 00:30:03,840 THEIR EXPERTISE TO THE 754 00:30:03,840 --> 00:30:05,680 DEVELOPMENT OF THESE PROGRAMS. 755 00:30:05,680 --> 00:30:12,840 SO YOU ARE ALL AWORE OF N-PERC, 756 00:30:12,840 --> 00:30:18,920 WHICH WAS START INDEED JUNE 2018 757 00:30:18,920 --> 00:30:19,800 TO BRING TOGETHER PEDIATRIC 758 00:30:19,800 --> 00:30:22,760 RESEARCH EXPERTISE AND AS AN 759 00:30:22,760 --> 00:30:23,680 OPPORTUNITY TO COMMUNICATE WHAT 760 00:30:23,680 --> 00:30:25,200 EACH INSTITUTE AND CENTER IS 761 00:30:25,200 --> 00:30:26,640 DOING IN TERMS OF CHILD HEALTH 762 00:30:26,640 --> 00:30:32,440 AND THE REASON FOR THIS IS NICHD 763 00:30:32,440 --> 00:30:33,400 FUNDS--ORIGINALLY IT WAS 18%, 764 00:30:33,400 --> 00:30:37,720 THE LAST NUMBERS I SAY WERE 16% 765 00:30:37,720 --> 00:30:39,120 OF CHILDHOOD HEALTH RESEARCH 766 00:30:39,120 --> 00:30:40,080 ACROSS NIH. 767 00:30:40,080 --> 00:30:43,760 SO THERE'S 4 BILLION DOLLARS. 768 00:30:43,760 --> 00:30:47,840 SO MORE THAN DOUBLE OF OUR 769 00:30:47,840 --> 00:30:49,360 BUDGET IS BEING SPENT 770 00:30:49,360 --> 00:30:53,080 COLLECTIVELY AT NIH ON CHILD 771 00:30:53,080 --> 00:30:54,280 HEALTH RESEARCH, SO NEARLY EVERY 772 00:30:54,280 --> 00:30:56,760 INSTITUTE OR CENTER HAS EQUITY 773 00:30:56,760 --> 00:30:57,000 AND SPACE. 774 00:30:57,000 --> 00:30:58,640 SO WE THOUGHT IT WOULD BE VERY 775 00:30:58,640 --> 00:31:00,640 IMPORTANT TO BRING EVERYBODY 776 00:31:00,640 --> 00:31:03,680 TOGETHER EVERY OTHER MONTH TO 777 00:31:03,680 --> 00:31:05,440 DISCUSS WHAT'S GOING ON, AND 778 00:31:05,440 --> 00:31:08,760 WHAT ARE THE PRIORITIES AND HOW 779 00:31:08,760 --> 00:31:10,840 CAN WE WORK TOGETHER TO 780 00:31:10,840 --> 00:31:16,160 REPRESENT CHILDREN, SO OUR 781 00:31:16,160 --> 00:31:19,200 CURRENT FOCUS AREAS INCLUDE 782 00:31:19,200 --> 00:31:20,480 DEVELOPMENT OF THE PEDIATRIC 783 00:31:20,480 --> 00:31:21,520 RESEARCH WORKFORCE TO DEVELOP 784 00:31:21,520 --> 00:31:24,520 AND REVERSE THE TREND OF 785 00:31:24,520 --> 00:31:27,960 PEDIATRIC CLINICIAN SCIENTISTS 786 00:31:27,960 --> 00:31:30,080 AND THEN I'LL TELL YOU IN A 787 00:31:30,080 --> 00:31:31,720 MOMENT ABOUT PEDIATRIC MEDICAL 788 00:31:31,720 --> 00:31:37,000 DEVICES, NEXT SLIDE, PLEASE. 789 00:31:37,000 --> 00:31:39,040 SO THIS GROUP FORMED ORGANICALLY 790 00:31:39,040 --> 00:31:40,680 BECAUSE THERE IS REALLY NO 791 00:31:40,680 --> 00:31:43,120 GROWTH IN TERMS OF DEVICES THAT 792 00:31:43,120 --> 00:31:45,480 ARE BEING DEVELOPED OR EVALUATED 793 00:31:45,480 --> 00:31:47,880 FOR PEDEIAT INDICATIONS IN THE 794 00:31:47,880 --> 00:31:48,760 UNITED STATES. 795 00:31:48,760 --> 00:31:52,440 THERE ARE MULTIPLE CHALLENGES, 796 00:31:52,440 --> 00:31:53,560 SO ETHICAL CONSIDERATIONS 797 00:31:53,560 --> 00:31:58,480 REGARDING CARRYING OUT TRIALS IN 798 00:31:58,480 --> 00:31:59,160 PEDIATRIC PATIENTS, 799 00:31:59,160 --> 00:32:02,760 HETEROGEANIOUS NEEDS, MAYBE IT'S 800 00:32:02,760 --> 00:32:07,760 QUITE DIFFERENT FROM ADOLESCENT. 801 00:32:07,760 --> 00:32:10,440 YOU KNOW THE NEED FOR AN 802 00:32:10,440 --> 00:32:11,400 EXPERIENCED CLINICAL TRIAL 803 00:32:11,400 --> 00:32:12,480 INFRASTRUCTURE THAT IS FOCUSED 804 00:32:12,480 --> 00:32:16,320 ON CHILD HEALTH RESEARCH. 805 00:32:16,320 --> 00:32:17,600 UNCLEAR REGULATORY PATHWAYS AND 806 00:32:17,600 --> 00:32:22,000 AN UNCLEAR RETURN ON INVESTMENT 807 00:32:22,000 --> 00:32:23,240 SPECIFICALLY FOR CHILD HEALTH 808 00:32:23,240 --> 00:32:26,440 RESEARCH AND A LACK OF TECHNICAL 809 00:32:26,440 --> 00:32:30,120 INNOVATION FOR PEDIATRIC 810 00:32:30,120 --> 00:32:30,760 SPECIFIC NEEDS. 811 00:32:30,760 --> 00:32:34,960 SO THE IDEA IS THAT THE GROUP IS 812 00:32:34,960 --> 00:32:36,520 WORKING TOGETHER TO IDENT 813 00:32:36,520 --> 00:32:37,960 COLLABORATIVE PLATFORMS THAT 814 00:32:37,960 --> 00:32:39,800 COULD PROPEL DEVELOPMENT OF 815 00:32:39,800 --> 00:32:41,680 SOLUTIONS OR PARTICULAR 816 00:32:41,680 --> 00:32:44,440 PROBLEMS, AND THEY'VE BEEN 817 00:32:44,440 --> 00:32:47,040 WORKING EXTENSIVELY ON A 818 00:32:47,040 --> 00:32:49,440 PROPOSED PUBLIC PRIVATE 819 00:32:49,440 --> 00:32:52,640 PARTNERSHIP VIA THE FNIH TO 820 00:32:52,640 --> 00:32:56,080 SUPPORT PEDIATRIC MEDICAL DEVICE 821 00:32:56,080 --> 00:32:56,520 DEVELOPMENT AND 822 00:32:56,520 --> 00:32:56,920 COMMERCIALIZATION. 823 00:32:56,920 --> 00:33:00,880 SO THE FOUNDATION FOR NIH IS A 824 00:33:00,880 --> 00:33:06,280 TRUSTED THIRD PARTNER THAT IS 825 00:33:06,280 --> 00:33:09,720 ABLE TO COLLABORATE BETWEEN--OR 826 00:33:09,720 --> 00:33:10,360 FACILITATE COLLABORATIONS 827 00:33:10,360 --> 00:33:12,000 BETWEEN INDUSTRY AND THE NIH AND 828 00:33:12,000 --> 00:33:17,320 IT WAS USED VERY EFFECTIVELY TO 829 00:33:17,320 --> 00:33:22,360 TEST DRUGS TO TREAT COVID. 830 00:33:22,360 --> 00:33:24,000 NEXT SLIDE. 831 00:33:24,000 --> 00:33:26,320 OKAY, SO THE IMPROVE INITIATIVE, 832 00:33:26,320 --> 00:33:29,080 I ALREADY MENTIONED THAT IN MY 833 00:33:29,080 --> 00:33:33,240 VERY EARLIEST REMARKS, REGARDING 834 00:33:33,240 --> 00:33:34,120 MATERNAL HEALTH. 835 00:33:34,120 --> 00:33:37,320 SO THE IMPROVE INITIATIVE IS NIH 836 00:33:37,320 --> 00:33:37,760 WIDE. 837 00:33:37,760 --> 00:33:42,320 IT SUPPORTS RESEARCH FOCUSED ON 838 00:33:42,320 --> 00:33:43,840 BASICALLY PREVENTING MATERNAL 839 00:33:43,840 --> 00:33:45,880 DEATHS AND IMPROVING HEALTH FOR 840 00:33:45,880 --> 00:33:48,400 WOMEN BEFORE, DURING AND AFTER 841 00:33:48,400 --> 00:33:50,520 DELIVERY WITH AN EMPHASIS ON 842 00:33:50,520 --> 00:33:54,000 HEALTH DISPARITIES AND OTHER 843 00:33:54,000 --> 00:33:54,920 DISPROPORTIONATELY AFFECTED 844 00:33:54,920 --> 00:33:58,160 POPULATIONS FOR EXAMPLE, RURAL 845 00:33:58,160 --> 00:33:59,120 PREGNANT WOMEN. 846 00:33:59,120 --> 00:34:01,680 I HEARD MENTIONED THERE WAS THIS 847 00:34:01,680 --> 00:34:03,680 APPROPRIATION OF $30 MILLION, SO 848 00:34:03,680 --> 00:34:07,720 IT'S NIH WIDE BUT IT'S IN 849 00:34:07,720 --> 00:34:08,760 NICHD'S BASED BUDGET SO WE HAVE 850 00:34:08,760 --> 00:34:10,960 THE MONEY THIS YEAR AND THERE'S 851 00:34:10,960 --> 00:34:20,080 BEEN A TREMENDOUS AMOUNT OF 852 00:34:20,080 --> 00:34:21,280 ACTIVITY SINCE MARCH TO FRAME 853 00:34:21,280 --> 00:34:25,680 THIS PROGRAM AND THE CO-CHAIRS 854 00:34:25,680 --> 00:34:26,840 ARE DR. JANINE CLAYTON FROM THE 855 00:34:26,840 --> 00:34:28,840 OFFICE OF RESEARCH AND WOMEN'S 856 00:34:28,840 --> 00:34:33,080 HEALTH AND DR. COURTNEY ACKLAND 857 00:34:33,080 --> 00:34:34,400 WHO IS REPRESENTING THE OFFICE 858 00:34:34,400 --> 00:34:35,120 OF THE DIRECTOR. 859 00:34:35,120 --> 00:34:37,600 THE EMPHASIS HERE IS REALLY ON 860 00:34:37,600 --> 00:34:39,120 BUILDING A RESEARCH 861 00:34:39,120 --> 00:34:40,920 INFRASTRUCTURE WITH COMMUNITY 862 00:34:40,920 --> 00:34:41,800 ORGANIZATIONS. 863 00:34:41,800 --> 00:34:45,320 RATHER THAN A TOP-DOWN APPROACH 864 00:34:45,320 --> 00:34:47,160 FROM ACADEMIC CENTERS, THE IDEA 865 00:34:47,160 --> 00:34:53,600 IS WE WILL BE BUILDING CERTAIN 866 00:34:53,600 --> 00:34:55,440 COMMUNITY RELATIONSHIPS SOME OF 867 00:34:55,440 --> 00:34:57,400 WHICH HAVE PARTNERSHIPS WITH 868 00:34:57,400 --> 00:34:58,560 ACADEMIC CENTERS BUT IMPORTANTLY 869 00:34:58,560 --> 00:35:00,160 WE ALSO HAVE A CHALLENGE THAT 870 00:35:00,160 --> 00:35:02,480 WILL BE GOING ON WITH COMMUNITY 871 00:35:02,480 --> 00:35:07,640 ORGANIZATIONS THAT HAVE NO 872 00:35:07,640 --> 00:35:07,920 CONNECTION. 873 00:35:07,920 --> 00:35:09,400 TO ACADEMIA AND THIS IS REALLY 874 00:35:09,400 --> 00:35:11,080 TO HELP THEM BUILD 875 00:35:11,080 --> 00:35:12,520 INFRASTRUCTURE SO THEY CAN BE 876 00:35:12,520 --> 00:35:13,760 COMPETITIVE IN THE NEXT FISCAL 877 00:35:13,760 --> 00:35:13,960 YEAR. 878 00:35:13,960 --> 00:35:14,920 WE ALSO HAVE ANOTHER CHALLENGE 879 00:35:14,920 --> 00:35:19,440 THAT WILL BE GOING ON TO DEVELOP 880 00:35:19,440 --> 00:35:20,720 AND IMPLEMENT TECHNOLOGY THAT 881 00:35:20,720 --> 00:35:23,600 CAN BE USED FOR MATERNAL HEALTH 882 00:35:23,600 --> 00:35:25,160 AND MATERNITY CARE DESERTS SUCH 883 00:35:25,160 --> 00:35:27,760 AS FIT BITS OR HOME BASED 884 00:35:27,760 --> 00:35:35,160 TESTING, POINT OF CARE TESTING. 885 00:35:35,160 --> 00:35:36,640 THERE'S ANOTHER EMPHASIS ON 886 00:35:36,640 --> 00:35:37,800 TRANSLATION STUDIES TO TRANSLATE 887 00:35:37,800 --> 00:35:40,080 TECHNOLOGY OR LESSONS LEARNED IN 888 00:35:40,080 --> 00:35:42,280 THE COMMUNITY TO MATERNAL HEALTH 889 00:35:42,280 --> 00:35:42,680 INTERVENTIONS. 890 00:35:42,680 --> 00:35:47,320 AND WE WILL ALSO BE FUNDING A 891 00:35:47,320 --> 00:35:51,120 CONNECT-A-THON THAT WILL CONNECT 892 00:35:51,120 --> 00:35:52,320 ESSENTIALLY A LONGITUDINAL 893 00:35:52,320 --> 00:35:54,360 HEALTH RECORD FOR THE PREGNANT 894 00:35:54,360 --> 00:35:57,960 PERSON AND THE CHILD ACROSS 895 00:35:57,960 --> 00:36:04,560 PREGNANCY AND FOLLOWING 896 00:36:04,560 --> 00:36:10,240 POSTPARTUM SO WE HAVE 897 00:36:10,240 --> 00:36:11,080 IMPLEMENTATION SUPPLEMENTS AND 898 00:36:11,080 --> 00:36:13,640 WE ARE WORKING ON THE MATERNAL 899 00:36:13,640 --> 00:36:16,200 HEALTH CENTERS OF EXCELLENCE 900 00:36:16,200 --> 00:36:17,160 FUNDING OPPORTUNITY ANNOUNCEMENT 901 00:36:17,160 --> 00:36:18,920 AND THERE'S A NOTICE OF SPECIAL 902 00:36:18,920 --> 00:36:21,400 INTEREST THAT IS ALREADY OUT, 903 00:36:21,400 --> 00:36:22,920 THE FUNDING ANNOUNCEMENTS WILL 904 00:36:22,920 --> 00:36:31,840 BE OUT LATER ON ON SUMMER AND 905 00:36:31,840 --> 00:36:32,520 DR. [INDISCERNIBLE] IS OUR POINT 906 00:36:32,520 --> 00:36:33,560 QUESTION SO IF HAVE YOU 907 00:36:33,560 --> 00:36:34,960 QUESTIONS YOU CAN COB TACT HER. 908 00:36:34,960 --> 00:36:36,640 SHE WILL APEERP ON A LATER SLIDE 909 00:36:36,640 --> 00:36:38,200 SO YOU WILL SEE HOW TO SPELL HER 910 00:36:38,200 --> 00:36:42,400 NAME, BY THE WAY. 911 00:36:42,400 --> 00:36:45,440 THE INCLUDE PROJECT, I'VE SPOKEN 912 00:36:45,440 --> 00:36:47,640 ABOUT THIS PREVIOUSLY, 913 00:36:47,640 --> 00:36:48,160 INVESTIGATORRING CO-CURING 914 00:36:48,160 --> 00:36:50,520 CONDITIONS ACROSS THE LIFE SPAN 915 00:36:50,520 --> 00:36:51,520 TO UNDERSTAND DOWNS SYNDROME. 916 00:36:51,520 --> 00:37:00,320 THIS IS SOMETHING WE HAVE FUNDED 917 00:37:00,320 --> 00:37:01,680 NOW SINCE 2018 COMING FROM 918 00:37:01,680 --> 00:37:04,360 CONGRESS' INFUSION OF NEW MONEY 919 00:37:04,360 --> 00:37:05,600 INTO DOWNS SYNDROME RESEARCH. 920 00:37:05,600 --> 00:37:08,000 THERE ARE 3 COMPONENTS TO THIS 921 00:37:08,000 --> 00:37:11,160 PROJECT ON THE RIGHT, THE 922 00:37:11,160 --> 00:37:14,320 PURPLISH ONCE IS 923 00:37:14,320 --> 00:37:15,200 TRANSFORMATIONAL PROGECS THESE 924 00:37:15,200 --> 00:37:17,440 ARE RO-1S THAT ARE BASIC SCIENCE 925 00:37:17,440 --> 00:37:19,480 ORIENTED THAT ARE NOT ONLY 926 00:37:19,480 --> 00:37:23,280 STUDYING THE EFFECTS OF 3 COPIES 927 00:37:23,280 --> 00:37:25,840 FROM SOME 21 BUT ALSO DOWN 928 00:37:25,840 --> 00:37:27,720 STREAM EFFECTS ON THE REST OF 929 00:37:27,720 --> 00:37:30,120 THE GENOME AND GREENP SCREEN 930 00:37:30,120 --> 00:37:32,480 EXPRESSION, COMPONENT 2 IS IN 931 00:37:32,480 --> 00:37:36,320 THE PEACH COLOR ON THE LEFT OF 932 00:37:36,320 --> 00:37:37,440 THE THEN DIAGRAM THAT IS TO 933 00:37:37,440 --> 00:37:39,560 DEVELOP A COHORT, SO 1 OF THE 934 00:37:39,560 --> 00:37:42,240 PROBLEMS HAS BEEN THAT EITHER 935 00:37:42,240 --> 00:37:44,440 PEOPLE WITH DOWN'S SYNDROME WERE 936 00:37:44,440 --> 00:37:47,320 EXCLUDED FROM RESEARCH OR 937 00:37:47,320 --> 00:37:49,040 INVESTIGATORS WERE NOT WORKING 938 00:37:49,040 --> 00:37:51,880 WORKING TOGETHER TO ESTABLISH 939 00:37:51,880 --> 00:37:54,160 LARGE COHORTS SO NOW SO NOW THIS 940 00:37:54,160 --> 00:38:03,880 COMPONENT HAS BEEN RESPONSIBLE 941 00:38:03,880 --> 00:38:04,960 FOR COLLABORATIONS AND THE PLAN 942 00:38:04,960 --> 00:38:07,960 IS TO INCLUDE INDIVIDUALS WITH 943 00:38:07,960 --> 00:38:09,240 DOWNS SYNDROME WITH EXISTING AND 944 00:38:09,240 --> 00:38:10,240 FUTURE CLINICAL TRIALS SO THAT'S 945 00:38:10,240 --> 00:38:14,400 THE GREEN ON THE RIGHT AND I 946 00:38:14,400 --> 00:38:18,880 JUST GOT BACK FROM THE TRUST ME 947 00:38:18,880 --> 00:38:20,160 2021 RESEARCH MEETINGS THAT WERE 948 00:38:20,160 --> 00:38:21,240 HELD IN LONG BEACH CALIFORNIA 949 00:38:21,240 --> 00:38:27,040 AND IT WAS QUITE VISIBLE, THE 950 00:38:27,040 --> 00:38:29,200 EFFECTS OF THE INFUSION OF 951 00:38:29,200 --> 00:38:29,840 $75 MILLION AND THE 952 00:38:29,840 --> 00:38:35,880 APPROPRIATION AND PREVIOUS 953 00:38:35,880 --> 00:38:36,680 YEARS. 954 00:38:36,680 --> 00:38:38,240 SO WE HEARD A WHOLE SESSION ON 955 00:38:38,240 --> 00:38:43,560 THE INCLUDE PROJECT AND I MET 956 00:38:43,560 --> 00:38:45,800 MANY TRAINEES WHO ARE SUPER 957 00:38:45,800 --> 00:38:46,600 ENTHUSIASTIC, PROBABLY WOULD NOT 958 00:38:46,600 --> 00:38:48,000 HAVE GONE INTO THIS FIELD 959 00:38:48,000 --> 00:38:48,680 WITHOUT THIS FUNDING. 960 00:38:48,680 --> 00:38:50,400 THERE HAVE BEEN A NUMBER OF 961 00:38:50,400 --> 00:38:52,280 WORKSHOPS AND SEMINAR SERIES ALL 962 00:38:52,280 --> 00:38:53,880 OF WHICH ARE FOCUSED ON 963 00:38:53,880 --> 00:38:57,840 ENHANCING RESEARCH FOR PEOPLE 964 00:38:57,840 --> 00:38:59,520 WITH DOWNS SYNDROME AND AND 965 00:38:59,520 --> 00:39:00,680 AWLINGS TO UNDERSTAND CONDITIONS 966 00:39:00,680 --> 00:39:03,440 FOR WHICH PEOPLE WITH DOWNS 967 00:39:03,440 --> 00:39:05,280 SYNDROME ARE EXCLUDED, SO PEOPLE 968 00:39:05,280 --> 00:39:07,240 DON'T GENERALLY GET MYOCARDIAL 969 00:39:07,240 --> 00:39:08,480 INFARCTIONS, THEY DON'T GET 970 00:39:08,480 --> 00:39:09,920 SOLID TUMORS, WHY IS THAT? 971 00:39:09,920 --> 00:39:15,040 WHY ARE THEY PROTECTED FROM 972 00:39:15,040 --> 00:39:15,280 THAT? 973 00:39:15,280 --> 00:39:17,680 WHY ARE THEY ALMOST EXCLUSIVELY 974 00:39:17,680 --> 00:39:19,240 GETTING ALZHEIMER'S DISEASE FOR 975 00:39:19,240 --> 00:39:22,840 EXAMPLE. 976 00:39:22,840 --> 00:39:23,560 NEXT SLIDE, PLEASE. 977 00:39:23,560 --> 00:39:25,000 AND I HAD AN OPPORTUNITY TO MEET 978 00:39:25,000 --> 00:39:27,360 THE PEOPLE AT THE MEETING WHO 979 00:39:27,360 --> 00:39:32,280 WERE RUNNING THE DATA HUB AND 980 00:39:32,280 --> 00:39:34,600 THAT'S IN THE UPPER PHOTO BELOW 981 00:39:34,600 --> 00:39:36,480 BECAUSE THAT'S MY RESEARCH 982 00:39:36,480 --> 00:39:38,160 LABORATORY BECAUSE 1 OF MY AREAS 983 00:39:38,160 --> 00:39:42,840 OF OWN RESEARCH LABORATORY IN 984 00:39:42,840 --> 00:39:44,560 THE GENOME INSTITUTE IS PRENATAL 985 00:39:44,560 --> 00:39:46,280 TREATMENTS FOR DOWN SYNDROME AND 986 00:39:46,280 --> 00:39:47,720 THAT'S A WHOLE OTHER 987 00:39:47,720 --> 00:39:50,160 CONVERSATION BUT THE DATA HUB IS 988 00:39:50,160 --> 00:39:58,720 WORKING VERY WELL, THEY ALREADY 989 00:39:58,720 --> 00:40:01,880 HAVE OVER 27,000 BIODATA 990 00:40:01,880 --> 00:40:03,680 SPECIMENS, OVER 55 SPECIMENS OF 991 00:40:03,680 --> 00:40:05,200 TARA BITES OF DATA FILES. 992 00:40:05,200 --> 00:40:06,560 IT'S FREE, IT'S AN OPPORTUNITY 993 00:40:06,560 --> 00:40:13,320 FOR ANYBODY WHO'S INTERESTED TO 994 00:40:13,320 --> 00:40:14,400 PROBE THE DATA, USE THE DAILY 995 00:40:14,400 --> 00:40:18,320 BASIS AT ESPECIALLY THE GENOMICS 996 00:40:18,320 --> 00:40:19,720 DATA TO UNDERSTAND AGAIN, WHY 997 00:40:19,720 --> 00:40:21,760 ARE PEOPLE DOWN SYNDROMES 998 00:40:21,760 --> 00:40:22,720 PREDISPOSED TO CERTAIN 999 00:40:22,720 --> 00:40:24,360 CONDITIONS BUT PROTECTED FROM 1000 00:40:24,360 --> 00:40:30,880 OTHER CONDITIONS, NEXT SLIDE, 1001 00:40:30,880 --> 00:40:31,280 PLEASE. 1002 00:40:31,280 --> 00:40:33,640 SO ANOTHER AREA WE'RE INVOLVED 1003 00:40:33,640 --> 00:40:37,440 IN IS NUTRITION RESEARCH AND 1004 00:40:37,440 --> 00:40:39,600 THERE HAS BEEN A 10 YEAR PLAN 1005 00:40:39,600 --> 00:40:43,680 THAT HAS BEEN PUBLISHED FOR NIH 1006 00:40:43,680 --> 00:40:47,680 NUTRITION RESEARCH. 1007 00:40:47,680 --> 00:40:50,400 OUR STAFF PARTICULARLY FROM THE 1008 00:40:50,400 --> 00:40:51,680 PEDIATRIC GROWTH AND NUTRITION 1009 00:40:51,680 --> 00:40:53,560 BRANCH AS WELL AS DAN BRIGHTON 1010 00:40:53,560 --> 00:40:54,760 WERE VERY INVOLVED IN THE 1011 00:40:54,760 --> 00:40:55,640 DEVELOPING OF THIS PLAN, YOU 1012 00:40:55,640 --> 00:40:58,120 WILL SEE IF YOU LOOK AT THE PLAN 1013 00:40:58,120 --> 00:41:00,160 THAT OUR INTERESTS IN 1014 00:41:00,160 --> 00:41:01,760 DEVELOPMENTAL ORIGINS OF HEALTH 1015 00:41:01,760 --> 00:41:06,040 AND DISEASE ARE REALLY CALLED 1016 00:41:06,040 --> 00:41:06,280 OUT. 1017 00:41:06,280 --> 00:41:08,240 THE IMPORTANCE OF NUTRITION 1018 00:41:08,240 --> 00:41:09,480 DURING PREGNANCY FOR EXAMPLE, IS 1019 00:41:09,480 --> 00:41:12,000 CALLED OUTED AND NICHD CO CHAIRS 1020 00:41:12,000 --> 00:41:17,480 THE NUTRITION ACROSS THE LIFE 1021 00:41:17,480 --> 00:41:18,000 SPAN IMPLEMENTATION GROUP. 1022 00:41:18,000 --> 00:41:20,320 SO AGAIN, A LOT OF NICHD STAFF 1023 00:41:20,320 --> 00:41:22,920 ARE INVOLVED IN THIS NIH WIDE 1024 00:41:22,920 --> 00:41:23,320 EFFORT. 1025 00:41:23,320 --> 00:41:25,560 SIMILARLY, THE PROGRAM ON 1026 00:41:25,560 --> 00:41:28,640 NUTRITION FOR PRECISION HEALTH 1027 00:41:28,640 --> 00:41:32,160 IS SUPPORTED BY MULTIPLE NICHD 1028 00:41:32,160 --> 00:41:37,840 STAFF, NEXT SLIDE, PLEASE. 1029 00:41:37,840 --> 00:41:40,560 AND NEXT TO LAST IS THE NIH 1030 00:41:40,560 --> 00:41:42,120 INITIATIVE ON CLIMATE CHANGE AND 1031 00:41:42,120 --> 00:41:44,440 HUMAN HEALTH. 1032 00:41:44,440 --> 00:41:48,760 SO AGAIN, THE PRESIDENT IS VERY 1033 00:41:48,760 --> 00:41:50,600 CONCERNED WITH CLIMATE CHANGE 1034 00:41:50,600 --> 00:41:55,680 AND IN HIS BUDGET, HE TALKED 1035 00:41:55,680 --> 00:41:58,120 ABOUT GIVING $100 MILLION TO 1036 00:41:58,120 --> 00:42:00,040 NIH--NIEHS FOR CLIMATE CHANGE 1037 00:42:00,040 --> 00:42:01,920 AND HUMAN HEALTH RESEARCH. 1038 00:42:01,920 --> 00:42:06,360 SO, THERE WAS A LOT OF ACTIVITY, 1039 00:42:06,360 --> 00:42:08,280 PLANNING, WHAT WOULD WE DO WITH 1040 00:42:08,280 --> 00:42:11,200 THAT MONEY AND I'M 1 OF 7 1041 00:42:11,200 --> 00:42:12,680 INSTITUTE AND CENTER DIRECTORS 1042 00:42:12,680 --> 00:42:15,320 WHO IS ON AN EXECUTIVE COMMITTEE 1043 00:42:15,320 --> 00:42:17,440 TO DEVELOP THE STRATEGY GOING 1044 00:42:17,440 --> 00:42:21,280 FORWARD WE HAD SOME GREAT PLANS, 1045 00:42:21,280 --> 00:42:23,120 WITH CONGRESS DECIDED NOT TO 1046 00:42:23,120 --> 00:42:23,520 APPROPRIATE THIS. 1047 00:42:23,520 --> 00:42:28,320 SO WE WERE VERY LUCKY TO 1048 00:42:28,320 --> 00:42:30,760 IMPROVE-OF BUT THEY DID AY 1049 00:42:30,760 --> 00:42:32,440 APPROPRIATE THE IMPROVE PROGRAM 1050 00:42:32,440 --> 00:42:34,840 BUT UNFORTUNATELY THEY DID NOT 1051 00:42:34,840 --> 00:42:36,000 APPROPRIATE IN PROGRAM BUT THE 1052 00:42:36,000 --> 00:42:37,560 GROUP HAS BEEN MEETING REGULARLY 1053 00:42:37,560 --> 00:42:40,560 AND WE HAVE IDENTIFIED AREAS OF 1054 00:42:40,560 --> 00:42:41,720 PRIORITIES AND NICHD IS 1055 00:42:41,720 --> 00:42:46,080 CONTRIBUTING TO SOME PILOT 1056 00:42:46,080 --> 00:42:51,800 FUNDING TO ALLOW SOME OF THE 1057 00:42:51,800 --> 00:42:52,800 EFFORTS TO MOVE FORWARD WITH THE 1058 00:42:52,800 --> 00:42:56,680 HOPE THAT THERE WILL BE AN 1059 00:42:56,680 --> 00:42:58,680 APPROPRIATION NEXT YEAR. 1060 00:42:58,680 --> 00:42:59,320 NEXT SLIDE, PLEASE. 1061 00:42:59,320 --> 00:43:02,000 AND AGAIN WE ARE INTERESTED 1062 00:43:02,000 --> 00:43:04,720 BECAUSE OUR POPULATIONINGS ARE 1063 00:43:04,720 --> 00:43:05,920 PARTICULARLY VULNERABLE TO 1064 00:43:05,920 --> 00:43:15,800 CLIMATE CHANGE, NEXT SLIDE. 1065 00:43:15,800 --> 00:43:17,840 AND HERE ARE FUNDING 1066 00:43:17,840 --> 00:43:19,760 OPPORTUNITIES AGAIN, YOU WILL 1067 00:43:19,760 --> 00:43:21,920 SEE THE SLIDES, THE NOSI, AS 1068 00:43:21,920 --> 00:43:27,520 WELL AS RESEARCH COORDINATING 1069 00:43:27,520 --> 00:43:29,520 CENTER THAT IS I THINK THE 1070 00:43:29,520 --> 00:43:30,200 APPLICATIONSIBLYICATIONS HAVE 1071 00:43:30,200 --> 00:43:35,320 ALREADY BEEN VIEWED FOR THAT. 1072 00:43:35,320 --> 00:43:36,040 NEXT SLIDE, PLEASE. 1073 00:43:36,040 --> 00:43:38,320 SO THE LAST INITIATIVE I WANTED 1074 00:43:38,320 --> 00:43:40,480 TO HIGHLIGHT IS HELPING TO END 1075 00:43:40,480 --> 00:43:45,200 ADDICTION CLONG TERM AND THIS 1076 00:43:45,200 --> 00:43:47,440 AGAIN ALSO STARTED AROUND 2017 1077 00:43:47,440 --> 00:43:50,000 AND WE HAVE BEEN VERY INVOLVED 1078 00:43:50,000 --> 00:43:52,120 FROM THE BEGINNING WITH THE 1079 00:43:52,120 --> 00:43:55,200 ADVANCING CLINICAL TRIALS IN 1080 00:43:55,200 --> 00:43:56,520 NEONATAL OPIOID WITHDRAWAL 1081 00:43:56,520 --> 00:43:57,280 SYNDROME. 1082 00:43:57,280 --> 00:44:01,280 SO ACT NOW AND AS A RESULT OF 1083 00:44:01,280 --> 00:44:02,880 THIS INITIATIVE, WE FOUND OUT 1084 00:44:02,880 --> 00:44:05,640 THAT THERE REALLY WASN'T A 1085 00:44:05,640 --> 00:44:07,320 STANDARD OF CARE THAT NICU 1086 00:44:07,320 --> 00:44:09,920 BABIES WERE BEING TREATED VERY 1087 00:44:09,920 --> 00:44:15,080 DIFFERENTLY IN DIFFERENT UNITS, 1088 00:44:15,080 --> 00:44:16,400 AND THERE WERE THERE WERE 1089 00:44:16,400 --> 00:44:17,600 CERTAIN EFFORTS OR APPROACHES TO 1090 00:44:17,600 --> 00:44:19,120 TREATMENT HA HAD NEVER REALLY 1091 00:44:19,120 --> 00:44:21,080 UPDATER GONE A PROSPECTIVE 1092 00:44:21,080 --> 00:44:22,120 CLINICAL TRIAL, SO 1 OF THE 1093 00:44:22,120 --> 00:44:24,440 TRIALS THAT WAS FUNDED IS THE 1094 00:44:24,440 --> 00:44:25,800 EAT, SLEEP AND CONSOLE CLINICAL 1095 00:44:25,800 --> 00:44:30,760 TRIAL IN WHICH BABIES ARE NOT 1096 00:44:30,760 --> 00:44:32,880 MEDICATED WITH OPIOIDS AS PART 1097 00:44:32,880 --> 00:44:33,880 OF THEIR WITHDRAWAL. 1098 00:44:33,880 --> 00:44:35,640 THEY'RE ALLOWED TO EAT 1099 00:44:35,640 --> 00:44:37,120 CONTINUOUSLY, SLEEP CONTINUOUSLY 1100 00:44:37,120 --> 00:44:39,680 AND THERE ARE BABY HUGGERS IN 1101 00:44:39,680 --> 00:44:43,120 THE NICU THAT ARE CONSOLING THE 1102 00:44:43,120 --> 00:44:43,560 BABIES. 1103 00:44:43,560 --> 00:44:46,680 THIS STUDY DOES EXCEPTIONALLY 1104 00:44:46,680 --> 00:44:46,880 WELL. 1105 00:44:46,880 --> 00:44:51,320 THE ENROLLMENT WAS ABOUT 150% OF 1106 00:44:51,320 --> 00:44:52,480 WHAT WAS EXPECTED. 1107 00:44:52,480 --> 00:44:54,040 THE OTHER STUDY THAT HAS BEEN 1108 00:44:54,040 --> 00:44:58,400 GOING ON IS REALLY LOOKING AT 1109 00:44:58,400 --> 00:45:02,240 CAN YOU WEAN INFANTS OFF OPIOIDS 1110 00:45:02,240 --> 00:45:04,480 QUICKLY VERSUS IN A MORE 1111 00:45:04,480 --> 00:45:05,840 PROLONGED FASHION BECAUSE BABIES 1112 00:45:05,840 --> 00:45:08,280 THAT ARE BEING WEANED SLOWLY ARE 1113 00:45:08,280 --> 00:45:09,840 TAKING UP NICU BEDS APPROXIMATE 1114 00:45:09,840 --> 00:45:11,960 AND ARE COSTING THE HEALTHCARE 1115 00:45:11,960 --> 00:45:13,320 SYSTEM A CONSIDERABLE AMOUNT 1116 00:45:13,320 --> 00:45:14,800 WHEN IT REALLY ISN'T CLEAR THAT 1117 00:45:14,800 --> 00:45:19,800 IT NEEDS TO BE DONE THAT WAY. 1118 00:45:19,800 --> 00:45:21,720 THAT STUDY IS STILL ENROLLING 1119 00:45:21,720 --> 00:45:25,360 AND AT LEAST 50% OF EAT, SLEEP 1120 00:45:25,360 --> 00:45:28,520 AND CONSOLE COHORT IS--HAS BEEN 1121 00:45:28,520 --> 00:45:29,080 ENROLLED INTO LONGITUDINAL 1122 00:45:29,080 --> 00:45:34,840 FOLLOW UP STUDIES AS WELL. 1123 00:45:34,840 --> 00:45:37,920 WE'RE ALSO INTERESTED PREGNANT 1124 00:45:37,920 --> 00:45:39,600 PEOPLE WHO HAD CAESAREAN SECTION 1125 00:45:39,600 --> 00:45:43,080 DELIVERIES AND WE HAD THE PACT 1126 00:45:43,080 --> 00:45:45,840 TRIAL, PRESCRIPTION AFTER 1127 00:45:45,840 --> 00:45:47,400 CAESAREAN SECTION WHICH IS 1128 00:45:47,400 --> 00:45:49,960 LOOKING AT OPIOIDS AS NEEDED 1129 00:45:49,960 --> 00:45:51,920 VERSUS OLD REGIMEN OF OPIOIDS 1130 00:45:51,920 --> 00:45:55,640 AND THIS WAS AN IMPORTANT STUDY 1131 00:45:55,640 --> 00:45:58,920 BECAUSE SO MANY WOMEN DO GET 1132 00:45:58,920 --> 00:46:00,000 CAESAREAN DELIVERIES AND AN 1133 00:46:00,000 --> 00:46:01,800 EXTRAORDINARY NUMBER OF WOMEN 1134 00:46:01,800 --> 00:46:03,440 BECAME ADDUCTED TO OPIOIDS 1135 00:46:03,440 --> 00:46:07,280 BECAUSE THEY WERE FIRST 1136 00:46:07,280 --> 00:46:09,320 INTRODUCED TO THEM AS A RESULT 1137 00:46:09,320 --> 00:46:14,360 OF PAIN TREATMENT VERSUS 1138 00:46:14,360 --> 00:46:15,640 CAESAREAN SECTION, SO WE HOPE TO 1139 00:46:15,640 --> 00:46:17,160 HAVE THAT STUDY DONE AND HAVE 1140 00:46:17,160 --> 00:46:18,800 ANSWERS SOON AND THEN WE EXPECT 1141 00:46:18,800 --> 00:46:23,520 OR WE HOPE THAT THERE WILL BE A 1142 00:46:23,520 --> 00:46:25,720 NEW FUNDING OPPORTUNITY ON 1143 00:46:25,720 --> 00:46:31,720 OPIOID EXPOSURE AND EFFECTS ON 1144 00:46:31,720 --> 00:46:33,720 PLACENTAL FUNCTION, BRAINMENT 1145 00:46:33,720 --> 00:46:34,480 AND NEURODEVELOPMENT OUTCOMES 1146 00:46:34,480 --> 00:46:36,400 AND SO THAT CONCEPT WILL BE 1147 00:46:36,400 --> 00:46:40,840 REVIEWED IN THIS CYCLE OF 1148 00:46:40,840 --> 00:46:45,040 COUNCILS, AND THEN JUST BRIEFLY 1149 00:46:45,040 --> 00:46:46,800 THE BRAIN INITIATIVE WHICH HAS 1150 00:46:46,800 --> 00:46:49,000 BEEN GOING ON FOR A NUMBER OF 1151 00:46:49,000 --> 00:46:51,280 YEARS, BRAIN IS AN ACRONYM FOR 1152 00:46:51,280 --> 00:46:54,400 NIH BRAIN RESEARCH THROUGH 1153 00:46:54,400 --> 00:46:55,440 ADVANCING INNOVATIVE 1154 00:46:55,440 --> 00:46:56,600 NEUROTECHNOLOGIES AND IT ALSO 1155 00:46:56,600 --> 00:46:58,560 HAS AN ASSOCIATED PROGRAM CALLED 1156 00:46:58,560 --> 00:47:02,440 THE BLUEPRINT FOR NEUROSCIENCE 1157 00:47:02,440 --> 00:47:03,280 RESEARCH. 1158 00:47:03,280 --> 00:47:04,760 SO AGAIN NICHD STAFF IS INVOLVED 1159 00:47:04,760 --> 00:47:06,440 WITH MANY BRAIN AND BLUEPRINT 1160 00:47:06,440 --> 00:47:08,600 WORKING GROUPS THAT ARE RELEVANT 1161 00:47:08,600 --> 00:47:10,560 TO PARTICULARLY OUR CHILD 1162 00:47:10,560 --> 00:47:13,120 DEVELOPMENT AS WELL AS 1163 00:47:13,120 --> 00:47:17,920 STRUCTURAL BIRTH DEFECTS, 1164 00:47:17,920 --> 00:47:19,520 PRIORITIES, THE NIH INFANT AND 1165 00:47:19,520 --> 00:47:21,960 TODDLER TOOL BOX WHICH IS A 1166 00:47:21,960 --> 00:47:24,600 SERIES OF ASSAYS DESIGNED TO 1167 00:47:24,600 --> 00:47:29,600 STUDY DEVELOPMENT IN A YOUNGER 1168 00:47:29,600 --> 00:47:30,760 AGE POPULATION IS FUNDED BY 1169 00:47:30,760 --> 00:47:33,160 THESE PROGRAMS AND THE FIRST 1170 00:47:33,160 --> 00:47:35,320 ROUND OF VALIDATION STUDIES HAS 1171 00:47:35,320 --> 00:47:36,520 BEEN SUCCESSFULLY COMPLETED AND 1172 00:47:36,520 --> 00:47:38,080 NEW MEASURES WERE ADDED THIS 1173 00:47:38,080 --> 00:47:43,200 PAST YEAR FOR VISUAL RECEPTION 1174 00:47:43,200 --> 00:47:48,480 AND SWAY AND BALANCE. 1175 00:47:48,480 --> 00:47:50,160 JOHN NAI IS THE DIRECTOR OF 1176 00:47:50,160 --> 00:47:52,280 BRAIN AND HE WRITES A BLOG ON 1177 00:47:52,280 --> 00:47:54,880 WHAT IS THE U.S. GET FIGURE 1178 00:47:54,880 --> 00:47:56,200 THEIR MONEY AND INVESTMENTS AND 1179 00:47:56,200 --> 00:47:58,640 BRAIN AND HERE IT IS AND THERE 1180 00:47:58,640 --> 00:48:02,200 HAVE BEEN SOME--THIS HAS BEEN AN 1181 00:48:02,200 --> 00:48:02,920 ENORMOUSLY PRODUCTIVE PROGRAM 1182 00:48:02,920 --> 00:48:05,400 WHERE YOU KNOW REALLY 1183 00:48:05,400 --> 00:48:14,240 TRANSFORMATIVE RESEARCH HAS BEEN 1184 00:48:14,240 --> 00:48:17,680 DONE SINCE CENSUSES, CENSI, 1185 00:48:17,680 --> 00:48:19,680 ATLASS OF MAMMALIAN BRAINS, 1186 00:48:19,680 --> 00:48:21,400 SINGLE CELL STUDIES IN THE MOUSE 1187 00:48:21,400 --> 00:48:24,760 FOR EXAMPLE, AND APPROACHES TO 1188 00:48:24,760 --> 00:48:25,680 ELECTRICAL BRAIN STIMULATION AND 1189 00:48:25,680 --> 00:48:26,080 NEUROSTIMMULATION. 1190 00:48:26,080 --> 00:48:27,480 SO THIS IS A VERY BIG PROGRAM 1191 00:48:27,480 --> 00:48:31,800 AND WE'RE VERY GRATEFUL THAT OUR 1192 00:48:31,800 --> 00:48:33,160 STAFF ARE INVOLVED. 1193 00:48:33,160 --> 00:48:35,400 IN FACT, TERESA CRUISE WHO IS 1194 00:48:35,400 --> 00:48:42,120 THE DIRECTOR OF NCMRR IS THE CO 1195 00:48:42,120 --> 00:48:43,880 CHAIR OF THE TEAM B IN THE BRAIN 1196 00:48:43,880 --> 00:48:45,520 INITIATIVE AND SO THAT ACTUALLY 1197 00:48:45,520 --> 00:48:47,560 ACCOUNTS FOR A SIGNIFICANT 1198 00:48:47,560 --> 00:48:52,200 PERCENTAGE OF EFFORT AND WE'RE 1199 00:48:52,200 --> 00:48:52,800 GRATEFUL FOR THAT. 1200 00:48:52,800 --> 00:48:54,960 SO I'M TIRED OF JUST TALKING 1201 00:48:54,960 --> 00:48:56,240 ABOUT IT SO CAN YOU IMAGINE THIS 1202 00:48:56,240 --> 00:48:58,040 IS A LOT OF EFFORT ON THE PART 1203 00:48:58,040 --> 00:48:58,520 OF EVERYONE. 1204 00:48:58,520 --> 00:49:00,320 I'M GOING TO CLOSE BY TELLING 1205 00:49:00,320 --> 00:49:02,520 YOU FINALLY, WE HAVE SOME HIRES 1206 00:49:02,520 --> 00:49:06,560 TO SHARE WITH YOU. 1207 00:49:06,560 --> 00:49:12,080 SO YOU WILL SEE DR. HAZRA, ON 1208 00:49:12,080 --> 00:49:12,440 THIS VIDEOCAST. 1209 00:49:12,440 --> 00:49:14,480 HE IS THE DIRECTOR OF THE 1210 00:49:14,480 --> 00:49:16,440 DIVISION OF EXTRAMURAL RESEARCH, 1211 00:49:16,440 --> 00:49:17,560 YOU KNOW HIM PREVIOUSLY BECAUSE 1212 00:49:17,560 --> 00:49:21,560 HE WOULD PRESENT ON BEHALF OF 1213 00:49:21,560 --> 00:49:25,440 THE MATERNAL AND PEDIATRIC 1214 00:49:25,440 --> 00:49:26,440 DISEASE BRANCH AND THEN HE 1215 00:49:26,440 --> 00:49:28,520 SERVED VERY WELL AS ACTING 1216 00:49:28,520 --> 00:49:29,040 DIRECTOR FOR 2 YEARS. 1217 00:49:29,040 --> 00:49:37,040 HE IS NOW THE CHOSEN 1 AND HE IS 1218 00:49:37,040 --> 00:49:37,840 HARD AT WORK. 1219 00:49:37,840 --> 00:49:38,960 YOU WILL HEAR MORE FROM HIM. 1220 00:49:38,960 --> 00:49:41,520 WE HAVE A BRAND THIEW PERSON TO 1221 00:49:41,520 --> 00:49:47,120 NICHD AND THAT'S DR. REBE 1222 00:49:47,120 --> 00:49:50,000 KA RASOOLY, WHO HAS BEEN 1223 00:49:50,000 --> 00:49:52,560 APPOINTED SELECTED AS OUR NEW 1224 00:49:52,560 --> 00:49:53,200 DIRECTOR OF EXTRAMURAL 1225 00:49:53,200 --> 00:49:55,000 ACTIVITIES THAT IS A NEW OFFICE 1226 00:49:55,000 --> 00:49:59,800 THAT IS OVERSEEING THE NICH DID 1227 00:49:59,800 --> 00:50:02,600 D REVIEW AND MANAGEMENT GRANTS 1228 00:50:02,600 --> 00:50:07,520 BRANCH AND ALSO DR. RASOOLY IS 1229 00:50:07,520 --> 00:50:08,200 OVERSEEING AND CREATING POLICY 1230 00:50:08,200 --> 00:50:10,080 FOR A NUMBER OF THINGS THAT 1231 00:50:10,080 --> 00:50:12,920 TOUCH ALL ASSPECS OF THE 1232 00:50:12,920 --> 00:50:17,520 EXTRAMURAL ENVIRONMENT AS WELL 1233 00:50:17,520 --> 00:50:18,720 AS TRAINING AND SHE HAS WORKED 1234 00:50:18,720 --> 00:50:20,200 IN A NUMBER OF DIFFERENT 1235 00:50:20,200 --> 00:50:22,480 INSTITUTESSA THE IN, IH, SHE HAS 1236 00:50:22,480 --> 00:50:25,760 A BACKGROUND AS A GENETICIST, 1237 00:50:25,760 --> 00:50:27,640 BUT SHE BRINGS EXPERTISE 1238 00:50:27,640 --> 00:50:30,440 ACQUIRED FROM A NUMBER OF 1239 00:50:30,440 --> 00:50:32,240 DIFFERENT INSTITUTES INCLUDING 1240 00:50:32,240 --> 00:50:34,360 NIDDK AND NINR AND I BELIEVE ARE 1241 00:50:34,360 --> 00:50:35,320 OTHERS AS WELL. 1242 00:50:35,320 --> 00:50:37,440 SO WE ARE DELIGHTED TO HAVE HER 1243 00:50:37,440 --> 00:50:39,760 AND WELCOME HER. 1244 00:50:39,760 --> 00:50:40,120 NEXT SLIDE. 1245 00:50:40,120 --> 00:50:43,200 IF WE WERE IN PERSON, WE WOULD 1246 00:50:43,200 --> 00:50:44,320 HIGHLIGHT HER. 1247 00:50:44,320 --> 00:50:47,760 >> YOU HEARD ME MENTION 1248 00:50:47,760 --> 00:50:48,680 DR. [INDISCERNIBLE], THIS IS HOW 1249 00:50:48,680 --> 00:50:51,440 SHE SPELLS HER NAME AND WE HAVE 1250 00:50:51,440 --> 00:50:54,760 APPOINTED HER AS THE CHIEF OR 1251 00:50:54,760 --> 00:50:55,640 PREGNANCY PERIINATOLOGY BRANCH. 1252 00:50:55,640 --> 00:51:00,320 WE WOULD LIKE TO THANK 1253 00:51:00,320 --> 00:51:01,000 [INDISCERNIBLE] FOR MULTIPLE 1254 00:51:01,000 --> 00:51:02,360 YEARS OF SERVICE IN THE ACTING 1255 00:51:02,360 --> 00:51:07,000 ROLE FOR THIS BRANCH. 1256 00:51:07,000 --> 00:51:10,040 NAHIDA IS AN OBSTETRICS 1257 00:51:10,040 --> 00:51:11,920 SPECIALIST IN GUIN COALING, SHE 1258 00:51:11,920 --> 00:51:16,800 WAS PREVIOUSLY A MEDICAL OFFICER 1259 00:51:16,800 --> 00:51:19,960 AND PHYSICIAN WITH THE PEDIATRIC 1260 00:51:19,960 --> 00:51:21,640 AND INFECTIOUS DISEASES BRANCH, 1261 00:51:21,640 --> 00:51:25,080 SHE HAS BEEN VERY INVOLVED IN A 1262 00:51:25,080 --> 00:51:27,720 LOT OF OUR INTERNAL HEALTH 1263 00:51:27,720 --> 00:51:29,080 INITIATIVES. 1264 00:51:29,080 --> 00:51:31,040 SO BETWEEN ROHAN'S PROMOTION TO 1265 00:51:31,040 --> 00:51:33,720 DIRECTOR OF DER, THAT CREATES A 1266 00:51:33,720 --> 00:51:36,400 NEW BRANCH CHIEF OPENING IN THE 1267 00:51:36,400 --> 00:51:39,080 MATERNAL AND PEDIATRIC INFECT 1268 00:51:39,080 --> 00:51:42,640 YOWZ DISEASE BRANCH. 1269 00:51:42,640 --> 00:51:44,040 LISA HALVERSON IN INDUSTRY SO WE 1270 00:51:44,040 --> 00:51:47,600 HAVE A BRANCH CHIEF HOPING IN 1271 00:51:47,600 --> 00:51:49,640 GYNECOLOGIC AND HEALTH DISEASE, 1272 00:51:49,640 --> 00:51:51,800 AND LOU RETIRED AFTER MANY YEARS 1273 00:51:51,800 --> 00:51:54,120 OF IN, ICHD CREATING AN OPENING 1274 00:51:54,120 --> 00:51:57,640 FOR THE CHIEF OF THE FER TELLITY 1275 00:51:57,640 --> 00:51:58,360 AND INFERTILITY BRANCH. 1276 00:51:58,360 --> 00:52:00,760 SO WE HAVE OPPORTUNITIES TO 1277 00:52:00,760 --> 00:52:07,240 BRING IN NEW PEOPLE, NEXT SLIDE. 1278 00:52:07,240 --> 00:52:09,600 AND THEN IN THE DIVISION OF 1279 00:52:09,600 --> 00:52:10,800 INTRAMURAL RESEARCH WE HOPE TO 1280 00:52:10,800 --> 00:52:13,400 HAVE A SCIENTIFIC DIRECTOR 1281 00:52:13,400 --> 00:52:16,880 SELECTED BY THE NEXT COUNCIL 1282 00:52:16,880 --> 00:52:27,160 MEETING. 1283 00:52:27,160 --> 00:52:34,360 WE'VE HAD 4 EXCELLENT FINALS, WE 1284 00:52:34,360 --> 00:52:35,480 ARE STILL WORKING THROUGH ALL 1285 00:52:35,480 --> 00:52:35,680 THAT. 1286 00:52:35,680 --> 00:52:36,960 SINCE THE LAST COUNSEL MEETING 1287 00:52:36,960 --> 00:52:39,240 WE HAVE OPENED A SEARCH FOR A 1288 00:52:39,240 --> 00:52:40,320 NEW CLINICAL DIRECTOR DENNY 1289 00:52:40,320 --> 00:52:42,320 PORTER WHO WAS OUR CLINICAL 1290 00:52:42,320 --> 00:52:43,720 DIRECTOR FOR 12 YEARS DECIDED IT 1291 00:52:43,720 --> 00:52:45,280 WAS TIME TO STEP DOWN AND HE 1292 00:52:45,280 --> 00:52:49,840 WANTED TO DO THAT BEFORE A NEW 1293 00:52:49,840 --> 00:52:54,800 SCIENTIFIC DIRECTOR WAS 1294 00:52:54,800 --> 00:52:56,480 APPOINTED WE HAVE FORMED A 1295 00:52:56,480 --> 00:52:59,120 RESEARCH COMMITTEE AND I 1296 00:52:59,120 --> 00:53:01,200 AAPPOINTED THEM AND IT IS NOW 1297 00:53:01,200 --> 00:53:03,440 OPEN ON JUNE 1st AND IF ANYONE 1298 00:53:03,440 --> 00:53:08,840 NEEDS INFORMATION ON THAT, I CAN 1299 00:53:08,840 --> 00:53:12,320 GIVE YOU THE LINK AND THIS IS A 1300 00:53:12,320 --> 00:53:16,720 VERY IMPORTANT POSITION BECAUSE 1301 00:53:16,720 --> 00:53:17,440 CURRENTLY THE CLINICAL RESEARCH 1302 00:53:17,440 --> 00:53:18,520 STRATEGIC PLAN FOR PEDIATRIC 1303 00:53:18,520 --> 00:53:21,040 RESEARCH IS ABOUT TO BE 1304 00:53:21,040 --> 00:53:23,440 REFRESHED AND THIS IS AN 1305 00:53:23,440 --> 00:53:24,960 OPPORTUNITY TO TAKE A LOOK AT 1306 00:53:24,960 --> 00:53:31,080 THE TYPES OF CLINICAL RESEARCH. 1307 00:53:31,080 --> 00:53:33,440 PROJECTS WE HAVE IN OUR 1308 00:53:33,440 --> 00:53:39,280 INTRAMURAL BRANCH AND REALLY 1309 00:53:39,280 --> 00:53:41,960 HELP US TO ALIGN RESEARCH WITH 1310 00:53:41,960 --> 00:53:43,480 OUR OVERRAL STRATEGIC INSTITUTE 1311 00:53:43,480 --> 00:53:43,680 PLAN. 1312 00:53:43,680 --> 00:53:46,080 I THINK THAT'S ABOUT IT, IT'S A 1313 00:53:46,080 --> 00:53:46,800 LOT OF INFORMATION. 1314 00:53:46,800 --> 00:53:48,040 NEXT SLIDE, I BELIEVE NEXT 1315 00:53:48,040 --> 00:53:49,800 SLIDE'S THE LAST 1 SO I WANT TO 1316 00:53:49,800 --> 00:53:50,600 THANK YOU FOR YOUR ATTENTION. 1317 00:53:50,600 --> 00:53:55,760 WE CAN TAKE THE SLIDES DOWN AND 1318 00:53:55,760 --> 00:54:02,520 HOPEFULLY WE HAVE SOME TIME FOR 1319 00:54:02,520 --> 00:54:02,800 QUESTIONS. 1320 00:54:02,800 --> 00:54:05,720 WE KIND OF STARTED 7 MINUTES 1321 00:54:05,720 --> 00:54:07,480 LATE, SO, DENNIS CAN WE HAVE THE 1322 00:54:07,480 --> 00:54:17,880 7 MINUTES FOR QUESTIONS? 1323 00:54:25,080 --> 00:54:28,640 I SEE QUESTIONS POPPING UP. 1324 00:54:28,640 --> 00:54:30,120 YOU'RE FIRST. 1325 00:54:30,120 --> 00:54:31,920 >> THANK YOU, MY QUESTIONS 1326 00:54:31,920 --> 00:54:32,960 RELATE TO THE [INDISCERNIBLE] 1327 00:54:32,960 --> 00:54:36,480 AND I WOULD LIKE TO KNOW WHAT 1328 00:54:36,480 --> 00:54:39,280 ARE THE PLANS OF HOW NIH CAN GET 1329 00:54:39,280 --> 00:54:41,040 INVOLVED WITH OTHER FEDERAL 1330 00:54:41,040 --> 00:54:41,320 AGENCIES? 1331 00:54:41,320 --> 00:54:43,240 BECAUSE THIS IS A BIG 1332 00:54:43,240 --> 00:54:47,600 OPPORTUNITY FOR EXAMPLE, FOR 1333 00:54:47,600 --> 00:54:50,600 DARPA, TO INCLUDE THE RECENT 1334 00:54:50,600 --> 00:54:51,440 DISCOVERY OF WHAT 1335 00:54:51,440 --> 00:54:54,480 [INDISCERNIBLE] IS DO SUGGEST TO 1336 00:54:54,480 --> 00:54:56,320 RECRUIT ENGINEERS NORMALLY 1337 00:54:56,320 --> 00:54:59,320 FUNDED BY NSF AND DARPA TO BRING 1338 00:54:59,320 --> 00:55:01,760 THEIR KNOW-HOW, THEIR CENTERS 1339 00:55:01,760 --> 00:55:05,200 AND THEIR CAPABILITIES TO 1340 00:55:05,200 --> 00:55:07,640 PROMOTE THESE GREAT INITIATIVE. 1341 00:55:07,640 --> 00:55:08,280 THANK YOU. 1342 00:55:08,280 --> 00:55:11,040 >> THANKS FOR THAT GREAT 1343 00:55:11,040 --> 00:55:11,880 SUGGESTION. 1344 00:55:11,880 --> 00:55:14,160 I MEAN, [INDISCERNIBLE] IS SORT 1345 00:55:14,160 --> 00:55:16,520 OF A CLEARINGHOUSE OR 1346 00:55:16,520 --> 00:55:19,080 OPPORTUNITY FOR OUTSIDE EXPERTS 1347 00:55:19,080 --> 00:55:21,560 OR INVESTIGATORS TO INTERACT 1348 00:55:21,560 --> 00:55:24,840 WITH ALL OF THE SENIOR CHILD 1349 00:55:24,840 --> 00:55:26,040 HEALTH REPRESENTATIVES OF EACH 1350 00:55:26,040 --> 00:55:27,800 INSTITUTE AND CENTER, I KNOW 1351 00:55:27,800 --> 00:55:29,600 THAT WE'VE HAD PRESENTATIONS 1352 00:55:29,600 --> 00:55:31,800 FROM OTHER FEDERAL AGENCIES, 1353 00:55:31,800 --> 00:55:39,000 FOLKS FROM CDC FOR EXAMPLE, I 1354 00:55:39,000 --> 00:55:41,880 DON'T KNOW FROM NSF OR DARPA BUT 1355 00:55:41,880 --> 00:55:46,800 THOSE ARE AREAS WE CAN CERTAINLY 1356 00:55:46,800 --> 00:55:47,720 LOOK INTO AND ESTABLISH MORE 1357 00:55:47,720 --> 00:55:49,040 RELATIONSHIPS WITH THEM OR AT 1358 00:55:49,040 --> 00:55:51,720 LEAST ORIENT THEM TO WHAT WE'RE 1359 00:55:51,720 --> 00:55:54,560 TRYING TO ACHIEVE BUT WE DO--WE 1360 00:55:54,560 --> 00:55:57,680 HAD FOR EXAMPLE, PRESENTATION 1361 00:55:57,680 --> 00:55:58,600 FROM ACADEMIC FOLKS ON HOW WE 1362 00:55:58,600 --> 00:56:03,720 CAN ALL WORK TOGETHER TO SUPPORT 1363 00:56:03,720 --> 00:56:05,600 TRAINING OPPORTUNITIES TO 1364 00:56:05,600 --> 00:56:08,440 INCREASE THE PEDIATRIC RESEARCH 1365 00:56:08,440 --> 00:56:08,960 WORKFORCE. 1366 00:56:08,960 --> 00:56:11,840 SO WE DO COLLABORATE WITH OTHER 1367 00:56:11,840 --> 00:56:13,440 AGENCIES BUT NOT THE 2 TO MY 1368 00:56:13,440 --> 00:56:18,200 KNOWLEDGE THAT YOU MENTIONED BUT 1369 00:56:18,200 --> 00:56:18,880 WE CAN CERTAINLY EXTEND A 1370 00:56:18,880 --> 00:56:20,960 WELCOME TO THEM AND SEE WHERE 1371 00:56:20,960 --> 00:56:23,080 THERE ARE AREAS FOR SHARED 1372 00:56:23,080 --> 00:56:23,600 INTEREST. 1373 00:56:23,600 --> 00:56:23,960 >> THANK YOU. 1374 00:56:23,960 --> 00:56:25,520 >> I HOPE THAT ANSWERS YOUR 1375 00:56:25,520 --> 00:56:25,800 QUESTION. 1376 00:56:25,800 --> 00:56:26,480 >> YES, THANK YOU. 1377 00:56:26,480 --> 00:56:28,360 I WILL BE HAPPY TO PROVIDE SOME 1378 00:56:28,360 --> 00:56:31,720 LINKS TO CENTERS AND TO PROGRAM 1379 00:56:31,720 --> 00:56:33,640 DIRECTORS, WE WOULD BE EXCITED 1380 00:56:33,640 --> 00:56:34,200 ABOUT THESE COLLABORATIONS. 1381 00:56:34,200 --> 00:56:36,400 >> THAT WOULD BE GREAT, WE WOULD 1382 00:56:36,400 --> 00:56:36,800 APPRECIATE THAT. 1383 00:56:36,800 --> 00:56:40,480 I THINK KATHRYN WAS NEXT. 1384 00:56:40,480 --> 00:56:42,760 AND ALSO ROHAN IS PUTTING IN 1385 00:56:42,760 --> 00:56:44,640 SOMETHING IN GENERAL ABOUT NIH 1386 00:56:44,640 --> 00:56:47,040 AND NSF IN THE CHAT BOX BUT 1387 00:56:47,040 --> 00:56:47,880 LET'S GO TO KATHRYN AND I KNOW 1388 00:56:47,880 --> 00:56:48,960 THERE ARE A NUMBER OF QUESTIONS 1389 00:56:48,960 --> 00:56:51,840 IN THE CHAT BOX. 1390 00:56:51,840 --> 00:56:53,320 >> SO THIS IS A SENSITIVE ISSUE 1391 00:56:53,320 --> 00:56:55,560 AND I WILL TRY TO PHRASE IT AS 1392 00:56:55,560 --> 00:56:57,800 CORRECTLY AS I CAN BUT WE ARE 1393 00:56:57,800 --> 00:57:00,120 POTENTIALLY ABOUT TO 'EM BARK ON 1394 00:57:00,120 --> 00:57:01,760 A NATIONAL NATURAL EXPERIMENT 1395 00:57:01,760 --> 00:57:04,920 RELATED TO MATERNAL HEALTH AND 1396 00:57:04,920 --> 00:57:07,160 INFANT HEALTH AND I'M WONDERING, 1397 00:57:07,160 --> 00:57:08,200 THAT'S GOING TO VARY ACROSS 1398 00:57:08,200 --> 00:57:14,920 STATES AND I'M WONDERING IF 1399 00:57:14,920 --> 00:57:16,240 THEY'RE ENCOURAGING NICHD ABOUT 1400 00:57:16,240 --> 00:57:17,640 HOW WE MIGHT CAPTURE DATA ABOUT 1401 00:57:17,640 --> 00:57:19,440 WHAT HAPPENS WITH THESE 1402 00:57:19,440 --> 00:57:22,080 POTENTIAL NATURAL EXPERIMENTS SO 1403 00:57:22,080 --> 00:57:25,120 THAT WE CAN BE ADVOCATING FOR 1404 00:57:25,120 --> 00:57:26,760 MATERNAL AND FETAL HEALTH GOING 1405 00:57:26,760 --> 00:57:27,000 FORWARD. 1406 00:57:27,000 --> 00:57:27,720 >> SO THANK YOU IF ARE THAT 1407 00:57:27,720 --> 00:57:29,360 QUESTION, WHEN YOU SAY NATURAL 1408 00:57:29,360 --> 00:57:31,160 EXPERIMENT, ARE YOU REFERRING TO 1409 00:57:31,160 --> 00:57:31,400 COVID? 1410 00:57:31,400 --> 00:57:33,360 >> NO, I'M REFERRING TO THE 1411 00:57:33,360 --> 00:57:36,600 SUPREME COURT AND THE LAWS THAT 1412 00:57:36,600 --> 00:57:38,360 ARE BEING PASSED. 1413 00:57:38,360 --> 00:57:44,920 >> OKAY, OKAY. 1414 00:57:44,920 --> 00:57:45,240 >> YES. 1415 00:57:45,240 --> 00:57:45,400 YES. 1416 00:57:45,400 --> 00:57:46,880 THERE WILL BE CERTAIN THINGS 1417 00:57:46,880 --> 00:57:52,760 THAT I BELIEVE THE CDC WILL BE 1418 00:57:52,760 --> 00:57:54,040 CAPTURING VITAL DATA BUT WE WILL 1419 00:57:54,040 --> 00:57:56,600 PROBABLY TALK ABOUT A LOT OF 1420 00:57:56,600 --> 00:57:58,080 THOSE ISSUES TOMORROW IN THE 1421 00:57:58,080 --> 00:58:01,120 CLOSED SESSION SO WE CAN HOLD 1422 00:58:01,120 --> 00:58:02,320 THAT QUESTION, IT WILL 1423 00:58:02,320 --> 00:58:05,600 DEFINITELY AFFECT A NUMBER OF 1424 00:58:05,600 --> 00:58:06,600 AREAS FOR OUR RESEARCH SO WE 1425 00:58:06,600 --> 00:58:08,600 WOULD LIKE TO HAVE A DISCUSSION. 1426 00:58:08,600 --> 00:58:09,960 I'M GOING TO GO TO THE OTHER 1427 00:58:09,960 --> 00:58:14,040 PEOPLE WHO PUT THINGS IN THE 1428 00:58:14,040 --> 00:58:15,520 CHAT BOX AND THEN SO SHERRY 1429 00:58:15,520 --> 00:58:18,720 WANTED TO KNOW WHAT ARE WE DOING 1430 00:58:18,720 --> 00:58:24,040 ABOUT MENTAL HEALTH INITIATIVES? 1431 00:58:24,040 --> 00:58:26,840 AND WE'RE VERY CONCERNED ABOUT 1432 00:58:26,840 --> 00:58:29,680 YOUTH MENTAL HEALTH FOR SURE. 1433 00:58:29,680 --> 00:58:32,680 NIMH IN GENERAL IS THE LEAD ON 1434 00:58:32,680 --> 00:58:33,480 YOUTH MENTAL HEALTH ISSUES. 1435 00:58:33,480 --> 00:58:35,680 WE ARE CO FUNDING A NUMBER OF 1436 00:58:35,680 --> 00:58:38,520 INITIATIVES WITH THEM AND THERE 1437 00:58:38,520 --> 00:58:40,680 ARE AREAS FOR EXAMPLE IN OUR 1438 00:58:40,680 --> 00:58:43,600 CHILD DEVELOPMENT AND BEHAVIOR 1439 00:58:43,600 --> 00:58:45,600 BRANCH THAT ARE ADDRESSING SOME 1440 00:58:45,600 --> 00:58:48,520 OF THESE ISSUES BUT WE RECOGNIZE 1441 00:58:48,520 --> 00:58:51,720 THAT YOU KNOW THAT MAY BE THE 1442 00:58:51,720 --> 00:58:53,560 MOST SIGNIFICANT LONG-TERM 1443 00:58:53,560 --> 00:58:55,400 COMPLICATION OF COVID, ALTHOUGH 1444 00:58:55,400 --> 00:58:59,640 IT WOULDN'T NECESSARILY BE 1445 00:58:59,640 --> 00:59:03,080 THOUGHT OF AS LONG ASHING, IT IS 1446 00:59:03,080 --> 00:59:04,800 AN INDIRECT EFFECT OF THE 1447 00:59:04,800 --> 00:59:07,160 PANDEMIC OF CHANGE SOCIAL 1448 00:59:07,160 --> 00:59:08,360 RELATIONSHIPS, OF ISOLATION, NOT 1449 00:59:08,360 --> 00:59:09,880 BEING IN SCHOOL, NOT BEING ABLE 1450 00:59:09,880 --> 00:59:12,960 TO SEE YOUR FRIENDS AT CERTAIN 1451 00:59:12,960 --> 00:59:16,800 TIMES, SO IT'S VERY MUCH ON OUR 1452 00:59:16,800 --> 00:59:18,160 RADAR SCREEN. 1453 00:59:18,160 --> 00:59:21,000 BUT IT IS--YOU KNOW NIMH IS THE 1454 00:59:21,000 --> 00:59:23,720 PRIMARY INSTITUTE FOR THAT TYPE 1455 00:59:23,720 --> 00:59:24,480 OF WORK. 1456 00:59:24,480 --> 00:59:29,320 I DO SEE THAT ANTENELLO HAS PUT 1457 00:59:29,320 --> 00:59:32,800 IN A NOTICE REGARDING THE 1458 00:59:32,800 --> 00:59:33,560 PEDIATRIC MEDICAL DEVICE 1459 00:59:33,560 --> 00:59:34,440 INITIATIVE THAT I TALKED ABOUT 1460 00:59:34,440 --> 00:59:40,400 IN THE CHAT BOX AND ROHAN PUT IN 1461 00:59:40,400 --> 00:59:42,520 A LINK TO COLLABORATION BETWEEN 1462 00:59:42,520 --> 00:59:43,320 NIH AND NSF. 1463 00:59:43,320 --> 00:59:48,320 SO THAT BRINGS ME TO LUCKY. 1464 00:59:48,320 --> 00:59:52,520 LUCKY DO YOU WANT TO UNMUTE 1465 00:59:52,520 --> 00:59:53,120 YOURSELF? 1466 00:59:53,120 --> 00:59:53,920 >> SURE. 1467 00:59:53,920 --> 00:59:56,760 I WANTED TO CONGRATULATE YOU FOR 1468 00:59:56,760 --> 00:59:59,400 THE 3 SENIOR RECRUITMENTS THAT 1469 00:59:59,400 --> 01:00:01,400 YOU ANNOUNCED TODAY. 1470 01:00:01,400 --> 01:00:11,120 I DO BELIEVE THAT DR. ROHAN AND 1471 01:00:11,120 --> 01:00:12,400 DR. NEJADA, ARE OUTSTANDING 1472 01:00:12,400 --> 01:00:13,600 CHOICES FOR THESE IMPORTANT 1473 01:00:13,600 --> 01:00:16,520 LEADERSHIP ROLES WITHIN THE NICH 1474 01:00:16,520 --> 01:00:19,360 D AND I JUST WANTED TO MAKE SURE 1475 01:00:19,360 --> 01:00:23,360 THAT ON BEHALF OF THE COUNCIL WE 1476 01:00:23,360 --> 01:00:24,680 CONGRATULATE YOU FOR THESE--FOR 1477 01:00:24,680 --> 01:00:26,440 THESE IMPORTANT APPOINTMENTS AND 1478 01:00:26,440 --> 01:00:28,440 AUSCONGRATULATE YOU FOR THIS 1479 01:00:28,440 --> 01:00:30,640 OUTSTANDING REPORT THAT YOU 1480 01:00:30,640 --> 01:00:30,920 PRESENTED. 1481 01:00:30,920 --> 01:00:31,200 THANK YOU. 1482 01:00:31,200 --> 01:00:32,240 >> THANK YOU VERY MUCH, LUCKY, 1483 01:00:32,240 --> 01:00:35,400 THAT'S REALLY WONDERFUL TO HEAR. 1484 01:00:35,400 --> 01:00:39,560 YES, WE ARE EXTREMELY GRATEFUL 1485 01:00:39,560 --> 01:00:41,520 THAT WE'RE ABLE TO RECRUIT ALL 1486 01:00:41,520 --> 01:00:43,320 OF THESE PEOPLE, WE'VE ACTUALLY 1487 01:00:43,320 --> 01:00:44,080 REKRIETED A SIGNIFICANT NUMBER 1488 01:00:44,080 --> 01:00:46,120 OF PEOPLE IN THESE AREAS AS WELL 1489 01:00:46,120 --> 01:00:48,000 SUCH AS ARE BECKA ROSEN CHO IS 1490 01:00:48,000 --> 01:00:49,520 THE DIRECTOR OF OUR NEW OFFICE 1491 01:00:49,520 --> 01:00:52,480 OF DATA SCIENCE AND SHARING. 1492 01:00:52,480 --> 01:00:56,520 YOU KNOW I WOULD LIKE TO GET 1493 01:00:56,520 --> 01:00:58,840 THESE D. I. R. RECRUITMENTS 1494 01:00:58,840 --> 01:00:59,800 FINALIZED, THAT WOULD BE HELPFUL 1495 01:00:59,800 --> 01:01:02,880 AND WE DO HAVE A NEW LEADERSHIP 1496 01:01:02,880 --> 01:01:07,640 OPPORTUNITY IN OUR OFFICE OF 1497 01:01:07,640 --> 01:01:07,960 HEALTH EQUITY. 1498 01:01:07,960 --> 01:01:12,240 SO A LOT OF--A LOT OF RECRUITING 1499 01:01:12,240 --> 01:01:15,840 GOING ON AT A TIME WHEN PEOPLE 1500 01:01:15,840 --> 01:01:18,240 ARE RESIGNING OR RETIRING OR 1501 01:01:18,240 --> 01:01:21,080 WHATEVER, BUT I DO WANT TO 1502 01:01:21,080 --> 01:01:24,800 MENTION THAT NIH HAS INCREASED 1503 01:01:24,800 --> 01:01:27,040 FLEXIBILITY IN TERMS OF OPTIONS 1504 01:01:27,040 --> 01:01:30,880 TO WORK REMOTELY AND TO WORK 1505 01:01:30,880 --> 01:01:33,080 UNDER MAX NUM TELEWORK OPTIONS. 1506 01:01:33,080 --> 01:01:34,680 SO UNLESS YOU'RE--IF YOU'RE THE 1507 01:01:34,680 --> 01:01:35,400 CLINICAL DIRECTOR, YOU NEED TO 1508 01:01:35,400 --> 01:01:39,160 BE IN THE HOSPITAL, BUT IF YOU 1509 01:01:39,160 --> 01:01:40,840 ARE A PROGRAM OFFICIAL OR 1510 01:01:40,840 --> 01:01:43,560 MEDICAL OFFICER, WE HAVE 1511 01:01:43,560 --> 01:01:44,280 INCREASED FLEXIBILITY IN TERMS 1512 01:01:44,280 --> 01:01:46,080 OF NEEDING TO WORK FROM HOME 1513 01:01:46,080 --> 01:01:49,200 EVEN IF YOU LIVE IN ANOTHER 1514 01:01:49,200 --> 01:01:52,360 STATE, IN ANOTHER TIME ZONE. 1515 01:01:52,360 --> 01:01:54,200 SO LET'S SEE, PEPE, I WILL 1516 01:01:54,200 --> 01:01:54,960 ASSUME YOU ASKED YOUR QUESTION 1517 01:01:54,960 --> 01:01:56,760 AND YOU HAVE A LEGACY HAND BUT 1518 01:01:56,760 --> 01:02:03,120 I'M GOING TO GO TO MARTIN AND 1519 01:02:03,120 --> 01:02:04,080 THEN TONY. 1520 01:02:04,080 --> 01:02:05,040 >> DIANEA THANK YOU VERY MUCH 1521 01:02:05,040 --> 01:02:06,760 FOR THE NICE UPDATE AND 1522 01:02:06,760 --> 01:02:08,400 CONGRATTULESS ON THE INCREASE IN 1523 01:02:08,400 --> 01:02:08,800 THE NIH BUDGET. 1524 01:02:08,800 --> 01:02:10,360 I JUST HAD A QUESTION GOING 1525 01:02:10,360 --> 01:02:12,960 FORWARD INTO THE NEXT FISCAL 1526 01:02:12,960 --> 01:02:13,160 YEAR. 1527 01:02:13,160 --> 01:02:15,880 AS YOU KNOW A LOT OF FUNDS HAVE 1528 01:02:15,880 --> 01:02:17,680 GONE INTO COVID RELIEF AND ALSO 1529 01:02:17,680 --> 01:02:19,240 THERE'S A LOT OF FUNDS THAT ARE 1530 01:02:19,240 --> 01:02:22,480 GOING TOWARDS THE WAR WITH IN 1531 01:02:22,480 --> 01:02:25,400 UKRAINE WITH RUSSIA AND SO THE 1532 01:02:25,400 --> 01:02:27,160 QUESTION YOU KNOW DO YOU HEAR 1533 01:02:27,160 --> 01:02:29,560 ANY RUMORS ABOUT HOW THAT WILL 1534 01:02:29,560 --> 01:02:31,080 INFLUENCE YOUR BUDGET, THE NIH 1535 01:02:31,080 --> 01:02:33,000 BUDGET IN THE NEXT FISCAL YEAR. 1536 01:02:33,000 --> 01:02:34,600 >> YEAH, I MEAN, THERE ARE 1537 01:02:34,600 --> 01:02:36,520 ALWAYS RUMORS BUT I CAN--I CAN 1538 01:02:36,520 --> 01:02:38,880 CERTAINLY SHARE WHAT I HEARD 1539 01:02:38,880 --> 01:02:43,600 FIRST HAND AT THE CONGRESSIONAL 1540 01:02:43,600 --> 01:02:47,360 HEARINGS, AND THE HOUSE 1541 01:02:47,360 --> 01:02:49,040 APPROPRIATIONS SUBCOMMITTEE WERE 1542 01:02:49,040 --> 01:02:49,640 ENORMOUSLY SUPPORTIVE OF THE 1543 01:02:49,640 --> 01:02:54,640 WORK WE DO AND THAT WAS REALLY 1544 01:02:54,640 --> 01:02:54,920 BIPARTISAN. 1545 01:02:54,920 --> 01:02:57,720 A LOT OF THE QUESTIONS THEY 1546 01:02:57,720 --> 01:03:01,360 ASKED ABOUT ARP A H WERE 1547 01:03:01,360 --> 01:03:03,000 NOT--THEY WERE REALLY ASKING WHY 1548 01:03:03,000 --> 01:03:06,760 ARE WE GIVING MONEY TO ARP A-H, 1549 01:03:06,760 --> 01:03:08,320 WHEN IT DOESN'T EXIST YET, WE 1550 01:03:08,320 --> 01:03:14,400 WOULD RATHER GIVE THE MONEY TO 1551 01:03:14,400 --> 01:03:18,280 NIH SO IT WAS A PRETTY FEEL GOOD 1552 01:03:18,280 --> 01:03:20,000 SESSION AND EVERYBODY FELT IT 1553 01:03:20,000 --> 01:03:21,640 WAS MORE SUBSTANTIVE THAN 1554 01:03:21,640 --> 01:03:24,520 PREVIOUS SESSIONS THAT MAYBE HAD 1555 01:03:24,520 --> 01:03:26,320 FOCUSED EBS CLUESIVELY ON COVID 1556 01:03:26,320 --> 01:03:30,080 AND THERE WERE CERTAIN POLITICAL 1557 01:03:30,080 --> 01:03:30,960 SENSITIVITIES, THIS TIME THE 1558 01:03:30,960 --> 01:03:34,040 QUESTIONS WERE MUCH MORE FOCUSED 1559 01:03:34,040 --> 01:03:39,360 ON BIG PICTURE ISSUES WHICH WAS 1560 01:03:39,360 --> 01:03:39,720 GOOD. 1561 01:03:39,720 --> 01:03:40,920 YOU KNOW WE'RE UNDERGOING A LOT 1562 01:03:40,920 --> 01:03:43,800 OF CHANGES AT THE TOP AS WELL, I 1563 01:03:43,800 --> 01:03:45,920 MEAN, I JUST KNOW FROM READING 1564 01:03:45,920 --> 01:03:49,360 THIS MORNING IT APPEARS 1565 01:03:49,360 --> 01:03:50,880 DR. COLLINS WAS QUOTED AS SAYING 1566 01:03:50,880 --> 01:03:52,080 THAT WE'RE WEEKS AWAY FROM 1567 01:03:52,080 --> 01:03:53,440 NAMING A NEW NIH DIRECTOR. 1568 01:03:53,440 --> 01:04:03,880 WE DON'T KNOW WHO THAT IS. 1569 01:04:21,200 --> 01:04:22,560 --WE NEVER REALLY GOT THE 1570 01:04:22,560 --> 01:04:24,800 BENEFIT OF A HUGE AMOUNT OF 1571 01:04:24,800 --> 01:04:25,080 THOSE FUNDS. 1572 01:04:25,080 --> 01:04:29,080 WE GOT SOME OF THE FUNDS FOR 1573 01:04:29,080 --> 01:04:31,440 WHICH WE COMPETED BUT THE FUNDS 1574 01:04:31,440 --> 01:04:32,480 WERE APPROPRIATED TO THE OFFICE 1575 01:04:32,480 --> 01:04:36,440 OF THE DIRECTOR, SO WE WON'T--IF 1576 01:04:36,440 --> 01:04:38,200 THE SPIKET FOR COVID IS TURNED 1577 01:04:38,200 --> 01:04:42,400 OFF, IT REALLY WON'T AFFECT US 1578 01:04:42,400 --> 01:04:42,960 THAT MUCH DIRECTLY. 1579 01:04:42,960 --> 01:04:44,640 IT'S REALLY CRUCIALLY IMPORTANT 1580 01:04:44,640 --> 01:04:46,520 FOR CONGRESS TO KNOW WHAT WE DO 1581 01:04:46,520 --> 01:04:50,800 AND WHAT IS OUR SPACE IN THE NIH 1582 01:04:50,800 --> 01:04:53,520 ECOSYSTEM AND WHERE CAN WE 1583 01:04:53,520 --> 01:04:54,280 CONTRIBUTE. 1584 01:04:54,280 --> 01:04:56,160 THAT'S WHY, PUTTING THE IMPROVE 1585 01:04:56,160 --> 01:04:58,800 MONEY INTO THE NICHD BASE WAS 1586 01:04:58,800 --> 01:05:01,520 REALLY IMPORTANT BECAUSE IT 1587 01:05:01,520 --> 01:05:05,880 SHOWED THAT CONGRESS RECOGNIZED 1588 01:05:05,880 --> 01:05:09,120 THAT NICHD, FUNDS 45% OF 1589 01:05:09,120 --> 01:05:11,760 MATERNAL HEALTH RESEARCH. 1590 01:05:11,760 --> 01:05:14,120 SO WE HAVE MORE EQUITY IN 1591 01:05:14,120 --> 01:05:16,680 MATERNAL HEALTH SPACE THAN WE DO 1592 01:05:16,680 --> 01:05:19,360 IN CHILD HEALTH SPARE, SO I 1593 01:05:19,360 --> 01:05:21,120 DON'T HAVE ANYTHING NEGATIVE 1594 01:05:21,120 --> 01:05:22,040 THAT'S AGAINST THE BACKGROUND OF 1595 01:05:22,040 --> 01:05:23,760 ALL THE OTHER THINGS THAT ARE 1596 01:05:23,760 --> 01:05:26,640 GOING ON, PARTICULARLY THE 1597 01:05:26,640 --> 01:05:29,680 POSSIBILITY OF ECONOMIC CHANGES 1598 01:05:29,680 --> 01:05:36,040 BUT I CAN TELL YOU HONESTLY THAT 1599 01:05:36,040 --> 01:05:37,720 CONGRESS IS VERY SUPPORTIVE OF 1600 01:05:37,720 --> 01:05:44,320 WHAT THE NIH DOES. 1601 01:05:44,320 --> 01:05:44,760 >> GREAT. 1602 01:05:44,760 --> 01:05:45,040 THANK YOU. 1603 01:05:45,040 --> 01:05:45,960 >> SO WE WILL TAKE TONY AND THEN 1604 01:05:45,960 --> 01:05:47,280 WE WILL MOVE ON. 1605 01:05:47,280 --> 01:05:48,440 >> THANK YOU, I WILL SAY HOW 1606 01:05:48,440 --> 01:05:49,440 MUCH I APPRECIATE THE OVERVIEW 1607 01:05:49,440 --> 01:05:51,600 AND THE GREAT WORK BEING DONE, I 1608 01:05:51,600 --> 01:05:53,160 WAS NOT TO MAKE A COMMENT, 1609 01:05:53,160 --> 01:05:59,680 PERHAPS EERVE A PLEA ON THE 1610 01:05:59,680 --> 01:06:01,080 BRAIN INITIATIVE, BECAUSE SO 1611 01:06:01,080 --> 01:06:03,160 MANY THINGS HAPPEN DURING BRAIN 1612 01:06:03,160 --> 01:06:05,120 DEVELOPMENT AND CHILD HEALTH 1613 01:06:05,120 --> 01:06:07,000 INTUITY IS THE 1 THAT HAS TO BE 1614 01:06:07,000 --> 01:06:07,480 INVOLVED INTERNATIONAL 1615 01:06:07,480 --> 01:06:08,720 CLASSIFICATION PLATELY IN ALL 1616 01:06:08,720 --> 01:06:09,880 THE FETAL DEVELOPMENTAL TIME 1617 01:06:09,880 --> 01:06:11,920 POINT, THE CHILDHOOD 1618 01:06:11,920 --> 01:06:13,440 DEVELOPMENTAL TIME POINT UP 1619 01:06:13,440 --> 01:06:14,440 THROUGH ADOLESCENCE IS WHEN IT'S 1620 01:06:14,440 --> 01:06:16,640 OCCURRING AND I'M HOPING THE 1621 01:06:16,640 --> 01:06:18,280 INVOLVEMENT WHICH IS CERTAINLY 1622 01:06:18,280 --> 01:06:21,280 HAPPENING IS ALSO INVOLVED IN 1623 01:06:21,280 --> 01:06:22,480 LEADING THOSE SORTS OF EFFORTS 1624 01:06:22,480 --> 01:06:25,320 IN THE BRAIN INITIATIVE TO MAKE 1625 01:06:25,320 --> 01:06:26,240 SURE THAT WE UNDERSTAND SO MUCH 1626 01:06:26,240 --> 01:06:28,120 MORE ABOUT THE DEVELOPMENTAL 1627 01:06:28,120 --> 01:06:28,960 ABNORMALITIES THAT ARE GOING ON 1628 01:06:28,960 --> 01:06:31,680 AS WELL AS NORMAL DEVELOPMENT 1629 01:06:31,680 --> 01:06:32,520 THROUGH THE HUMAN BRAIN. 1630 01:06:32,520 --> 01:06:35,480 SO THANKS IF ARE THAT COMMENT. 1631 01:06:35,480 --> 01:06:40,200 I WOULD SAY THAT JOHN NG AI, THE 1632 01:06:40,200 --> 01:06:42,480 NEW DIRECTOR OF BRAIN IS MUCH 1633 01:06:42,480 --> 01:06:52,960 MORE RESENTIVE TO DEVELOPMENTAL 1634 01:06:52,960 --> 01:06:53,880 NEUROSCIENCE THAN PERHAPS OTHER 1635 01:06:53,880 --> 01:06:55,240 PEOPLE BEFORE MY TIME. 1636 01:06:55,240 --> 01:06:56,400 THERE ARE MULTIPLE INSTITUTES 1637 01:06:56,400 --> 01:06:57,920 AND CENTERS THAT ARE INTERESTED 1638 01:06:57,920 --> 01:07:00,400 IN TYPICAL AND ATYPICAL BRAIN 1639 01:07:00,400 --> 01:07:01,880 DEVELOPMENT SO NIDA FOR EXAMPLE 1640 01:07:01,880 --> 01:07:12,400 IS THE LEAD INSTITUTE FOR THE 1641 01:07:20,720 --> 01:07:21,280 HEALTHY BRAIN. 1642 01:07:21,280 --> 01:07:23,480 SO THAT'S WHY YOUR POINT IS 1643 01:07:23,480 --> 01:07:24,280 TAKEN,Y ESPECIALLY IN LIGHT OF 1644 01:07:24,280 --> 01:07:26,000 WHAT I SAID WITH THE PAPER THAT 1645 01:07:26,000 --> 01:07:32,040 CAME OUT FRIDAY IN JAMA 1646 01:07:32,040 --> 01:07:33,440 NETWORKOT DIFFERENCES IN 1 1647 01:07:33,440 --> 01:07:35,320 YEAR-OLDS WHO WERE FETUSES 1648 01:07:35,320 --> 01:07:38,120 EXPOSED TO COVID-19 IN THE WOMB 1649 01:07:38,120 --> 01:07:38,440 INDIRECTLY. 1650 01:07:38,440 --> 01:07:40,920 SO, YOU KNOW MY BIGGEST FEAR IS 1651 01:07:40,920 --> 01:07:42,200 THAT 5 YEARS FROM NOW, WE WILL 1652 01:07:42,200 --> 01:07:46,560 SEE SOME SORT OF INCREASE IN 1653 01:07:46,560 --> 01:07:47,640 NEURODEVELOPMENTAL DISORDERS AS 1654 01:07:47,640 --> 01:07:49,000 A RESULT OF COVID AND MAYBE 1655 01:07:49,000 --> 01:07:50,480 THERE WILL BE SUBTLE AND MAYBE 1656 01:07:50,480 --> 01:07:53,440 YOU WON'T SEE THEM UNTIL KIDS GO 1657 01:07:53,440 --> 01:07:54,080 TO KINDERGARTEN BUT IT IS 1658 01:07:54,080 --> 01:07:56,240 SOMETHING TO BE LOOKING OUT FOR. 1659 01:07:56,240 --> 01:07:58,600 >> WELL THAT'S JUST A GREAT 1660 01:07:58,600 --> 01:08:01,720 EXAMPLE, TOO OF WHY NICHD SHOULD 1661 01:08:01,720 --> 01:08:02,680 BE INTIMATELY INVOLVED BECAUSE I 1662 01:08:02,680 --> 01:08:03,520 THINK THAT ALTHOUGH ALL THESE 1663 01:08:03,520 --> 01:08:05,480 OTHER INSTITUTES THAT YOU TALKED 1664 01:08:05,480 --> 01:08:06,840 ABOUT ARE INTERESTING IN BRAINED 1665 01:08:06,840 --> 01:08:07,840 DEVELOPMENT, I DON'T THINK ANY 1666 01:08:07,840 --> 01:08:09,520 OF THEM ARE REALLY THINKING 1667 01:08:09,520 --> 01:08:12,880 ABOUT IT AS BEING PART OF A 1668 01:08:12,880 --> 01:08:14,800 MATERNAL-FETAL UNIT AND MEN AND 1669 01:08:14,800 --> 01:08:15,600 WOMEN'S HAPPENING DURING 1670 01:08:15,600 --> 01:08:17,800 CHILDHOOD SO I JUST THINK YOUR 1671 01:08:17,800 --> 01:08:20,400 INSTITUTES INVOLVEMENT IS SO 1672 01:08:20,400 --> 01:08:22,120 CRITICAL IS AND I THINK IT'S 1673 01:08:22,120 --> 01:08:23,760 REALLY IMPORTANT THAT'S ALL, 1674 01:08:23,760 --> 01:08:24,160 THANKS. 1675 01:08:24,160 --> 01:08:24,840 >> YEAH, THANK YOU SO THERE ARE 1676 01:08:24,840 --> 01:08:26,040 QUITE A LOT OF RESOURCES THAT 1677 01:08:26,040 --> 01:08:28,200 ARE BEING PUT UP IN THE CHAT BOX 1678 01:08:28,200 --> 01:08:29,000 SO I ENCOURAGE EVERYONE TO TAKE 1679 01:08:29,000 --> 01:08:35,760 A ELECTRIC AT THAT. 1680 01:08:35,760 --> 01:08:37,920 BOTH REFERENCES AND ALSO ANOTHER 1681 01:08:37,920 --> 01:08:39,720 LINK TO AN NIH COLLABORATION, I 1682 01:08:39,720 --> 01:08:40,560 SHOULD HAVE THOUGHT OF THAT 1683 01:08:40,560 --> 01:08:42,160 BECAUSE I JUST SIGNED IT 1684 01:08:42,160 --> 01:08:43,920 YESTERDAY, THE M. O. U. BUT 1685 01:08:43,920 --> 01:08:49,320 THANK YOU FOR PUTTING THAT IN 1686 01:08:49,320 --> 01:08:49,720 THERE. 1687 01:08:49,720 --> 01:08:51,360 SO I THINK PROBABLY TO STAY MORE 1688 01:08:51,360 --> 01:08:55,240 OR LESS ON TIME, WE JUST ULS 1689 01:08:55,240 --> 01:08:57,160 WANT TO ACKNOWLEDGE AMANDATORY 1690 01:08:57,160 --> 01:08:59,920 PRICE'S WORK FROM THE CHILD 1691 01:08:59,920 --> 01:09:01,320 DEVELOP EXPMENT BEHAVIOR BRANCH. 1692 01:09:01,320 --> 01:09:03,680 SHE HAS BEEN REALLY ADVOCATING 1693 01:09:03,680 --> 01:09:04,680 FOR A DEVELOPMENTAL FOCUS TO 1694 01:09:04,680 --> 01:09:07,840 SOME OF THE BRAIN WORKSHOPS 1695 01:09:07,840 --> 01:09:08,600 INCLUDING BRAIN DEVELOPMENT 1696 01:09:08,600 --> 01:09:12,120 ACROSS THE LIFE SPAN WHICH WAS 1697 01:09:12,120 --> 01:09:14,320 THE RECENT WORKSHOP CALLED IN 1698 01:09:14,320 --> 01:09:16,040 COLLABORATION WITH THE GATES 1699 01:09:16,040 --> 01:09:16,360 FOUNDATION. 1700 01:09:16,360 --> 01:09:18,560 YEAH, SO THAT'S EXACTLY WHAT I'M 1701 01:09:18,560 --> 01:09:23,680 WORRIED ABOUT, SHERRY IS AUTISM 1702 01:09:23,680 --> 01:09:24,160 AND SCHIZOPHRENIA. 1703 01:09:24,160 --> 01:09:25,920 SO DON'T WANT TO BE DEBBIE 1704 01:09:25,920 --> 01:09:29,480 DOWNER, SO I DO WANT TO NOW PASS 1705 01:09:29,480 --> 01:09:32,440 THE MEETING OVER TO MISS ALEXIS 1706 01:09:32,440 --> 01:09:36,680 CLARK WHO IS NIH'S BUDGET 1707 01:09:36,680 --> 01:09:41,840 OFFICER OR DIRECTOR OF THE 1708 01:09:41,840 --> 01:09:42,160 BUDGET OFFICE. 1709 01:09:42,160 --> 01:09:43,400 THIS WAS 1 OF THE HIGHLIGHT 1710 01:09:43,400 --> 01:09:47,600 PRESENTATIONS WHICH I WAS IN 1711 01:09:47,600 --> 01:09:47,840 COUNCIL. 1712 01:09:47,840 --> 01:09:49,160 ALEXIS IS GREAT AND SHE IS GOING 1713 01:09:49,160 --> 01:09:54,840 TO TAKE YOU THROUGH BUDGET 101. 1714 01:09:54,840 --> 01:09:59,400 >> THANK YOU DR. BIANCHI, NO 1715 01:09:59,400 --> 01:09:59,800 PRESSURE. 1716 01:09:59,800 --> 01:10:00,240 [LAUGHTER] 1717 01:10:00,240 --> 01:10:03,200 I HOPE EVERYBODY CAN HEAR ME 1718 01:10:03,200 --> 01:10:04,040 OKAY. 1719 01:10:04,040 --> 01:10:04,320 >> YES. 1720 01:10:04,320 --> 01:10:04,640 >> GREAT. 1721 01:10:04,640 --> 01:10:07,320 THANK YOU SO AS DR. BIANCHI, 1722 01:10:07,320 --> 01:10:09,200 SAID, I AM ALEXIS CLARK, I AM 1723 01:10:09,200 --> 01:10:10,800 THE BUDGET OFFICER FOR NICHD 1724 01:10:10,800 --> 01:10:14,160 WHICH IS SORT OF AN NIH TITLE 1725 01:10:14,160 --> 01:10:18,640 FOR EACH IC, WHO DIRECTS THE 1726 01:10:18,640 --> 01:10:19,000 BUDGET OFFICE. 1727 01:10:19,000 --> 01:10:21,960 I'VE BEEN AT NICHD SINCE 2010 1728 01:10:21,960 --> 01:10:23,760 SO, COME BEING UP ON CLOSING 1729 01:10:23,760 --> 01:10:26,720 OUT, I GUESS THE 12th YEAR SO 1730 01:10:26,720 --> 01:10:28,600 IT'S BEEN A LONG TIME BUT IT'S 1731 01:10:28,600 --> 01:10:29,320 GONE VERY QUICKLY. 1732 01:10:29,320 --> 01:10:32,600 SO I AM HAPPY TO TALK TO YOU 1733 01:10:32,600 --> 01:10:34,360 TODAY ABOUT THE BUDGET, 1734 01:10:34,360 --> 01:10:36,840 HOPEFULLY, GIVE YOU SOME 1735 01:10:36,840 --> 01:10:37,200 INFORMATION. 1736 01:10:37,200 --> 01:10:38,200 NEXT SLIDE, PLEASE. 1737 01:10:38,200 --> 01:10:41,280 WE WILL TALK A LITTLE BIT ABOUT 1738 01:10:41,280 --> 01:10:44,000 JUST THE FEDERAL BUDGET PROCESS 1739 01:10:44,000 --> 01:10:46,280 WHICH DR. BIANCHI HAS TOUCHED ON 1740 01:10:46,280 --> 01:10:47,760 IN HER PRESENTATION, THE BUMET 1741 01:10:47,760 --> 01:10:54,440 AT NIH, THE MECHANISM TABLE AND 1742 01:10:54,440 --> 01:10:57,400 SOME OFURE OOPS AM I STILL 1743 01:10:57,400 --> 01:10:57,760 THERE, HELLO? 1744 01:10:57,760 --> 01:10:59,680 OKAY, I HAD WEIRD DINGS IN MY 1745 01:10:59,680 --> 01:11:00,640 EARS, SO SORRY ABOUT THAT AND 1746 01:11:00,640 --> 01:11:02,400 SOME OF OUR MANDATED PROGRAMS. 1747 01:11:02,400 --> 01:11:06,440 WE WILL TALK ALSO ABOUT GRANT 1748 01:11:06,440 --> 01:11:07,360 BUDGETS, ALLOCATIONS, PAY LINES 1749 01:11:07,360 --> 01:11:08,640 WHICH I KNOW FOLKS ARE ALWAYS 1750 01:11:08,640 --> 01:11:10,200 INTERESTED IN HOW WE COME UP 1751 01:11:10,200 --> 01:11:11,240 WITH THOSE, PARTICULARLY AS IT 1752 01:11:11,240 --> 01:11:14,800 COMES TO RESEARCH PROJECT GRANTS 1753 01:11:14,800 --> 01:11:16,000 LIKE THE R01s, AND SIDEWALK 1754 01:11:16,000 --> 01:11:18,480 ABOUT THE SET ASIDES WE HAVE AND 1755 01:11:18,480 --> 01:11:21,520 OF THE OTHER GRANT MECHANISMS AS 1756 01:11:21,520 --> 01:11:25,520 WELL. 1757 01:11:25,520 --> 01:11:26,880 NEXT SLIDE, PLEASE. 1758 01:11:26,880 --> 01:11:28,160 >> SO THE FEDERAL BUDGET PROCESS 1759 01:11:28,160 --> 01:11:29,000 IS A LONG 1. 1760 01:11:29,000 --> 01:11:30,760 YOU KNOW RIGHT NOW AGENCIES ARE 1761 01:11:30,760 --> 01:11:34,360 WORKING ON DEVELOPING OUR BUDGET 1762 01:11:34,360 --> 01:11:36,120 REQUESTS FOR THE FY24 1763 01:11:36,120 --> 01:11:38,400 PRESIDENT'S BUDGET AND AS 1764 01:11:38,400 --> 01:11:40,800 DR. BIANCHI TOUCHED ON THE FY23 1765 01:11:40,800 --> 01:11:41,720 PRESIDENT'S BUDGET WHICH WAS 1766 01:11:41,720 --> 01:11:44,840 JUST RELEASED IN MAY, THE 1767 01:11:44,840 --> 01:11:46,080 PRESIDENT'S BUDGET CONTAINS 1768 01:11:46,080 --> 01:11:47,000 PROPOSALS TO CONGRESS WHICH 1769 01:11:47,000 --> 01:11:50,880 CONGRESS MAY CHOOSE TO ENACT OR 1770 01:11:50,880 --> 01:11:52,880 NOT AND WE PUT THOSE PROPOSALS 1771 01:11:52,880 --> 01:11:56,240 TOGETHER IN THE CONGRESSIONAL 1772 01:11:56,240 --> 01:11:56,720 JUSTIFICATION WHICH 1773 01:11:56,720 --> 01:11:57,400 TRADITIONALLY IS SENT TO 1774 01:11:57,400 --> 01:12:00,120 CONGRESS ON THE FIRST MONDAY IN 1775 01:12:00,120 --> 01:12:01,040 FEBRUARY. 1776 01:12:01,040 --> 01:12:02,080 WE HAVE APPROPRIATIONS HEARINGS 1777 01:12:02,080 --> 01:12:05,640 IN THE SPRING SUCH AS THOSE 1778 01:12:05,640 --> 01:12:06,560 DR. BINCHI PARTICIPATE INDEED 1779 01:12:06,560 --> 01:12:07,440 AND THE COMMITTEES WO, ON THE 1780 01:12:07,440 --> 01:12:11,200 APPROPRIATION IN THE UMKCER. 1781 01:12:11,200 --> 01:12:13,280 THE GOAL IS FOR CONGRESS TO 1782 01:12:13,280 --> 01:12:14,200 APPROPRIATE FUNDS BY 1783 01:12:14,200 --> 01:12:15,000 OCTOBER 1st. 1784 01:12:15,000 --> 01:12:17,920 SADLY, THAT DID NOT HAPPEN VERY 1785 01:12:17,920 --> 01:12:18,400 OFTEN. 1786 01:12:18,400 --> 01:12:20,360 WHEN THAT DOES NOT HAPPEN, WE 1787 01:12:20,360 --> 01:12:22,920 HAVE WHAT IS CALLED A CONTINUING 1788 01:12:22,920 --> 01:12:27,080 RESOLUTION OR A CR. 1789 01:12:27,080 --> 01:12:31,800 AND A CR HAS HAPPENED EVERY YEAR 1790 01:12:31,800 --> 01:12:32,160 FROM 1997-2019. 1791 01:12:32,160 --> 01:12:34,400 SO THAT WILL TELL YOU HOW RARE 1792 01:12:34,400 --> 01:12:34,720 THESE ARE. 1793 01:12:34,720 --> 01:12:37,920 WE HAVE HAD CONTINUING 1794 01:12:37,920 --> 01:12:39,000 RESOLUTIONS AGAIN, THE LAST 1795 01:12:39,000 --> 01:12:40,680 COUPLE YEARS, A CONTINUING 1796 01:12:40,680 --> 01:12:42,000 RESOLUTION JUST GIVES US PARTIAL 1797 01:12:42,000 --> 01:12:44,760 FUNDING TO KEEP US MOVING WHILE 1798 01:12:44,760 --> 01:12:47,400 CONGRESS TRIES TO FINISH THEIR 1799 01:12:47,400 --> 01:12:47,600 WORK. 1800 01:12:47,600 --> 01:12:49,840 IT GIVES US BASICALLY 1801 01:12:49,840 --> 01:12:51,640 PROPORTIONATE FUNDING AND IT CAN 1802 01:12:51,640 --> 01:12:55,280 LAST ANYWHERE FROM A FEW DAYS TO 1803 01:12:55,280 --> 01:12:58,120 A FULL YEAR. 1804 01:12:58,120 --> 01:12:58,840 NEXT SLIDE, PLEASE. 1805 01:12:58,840 --> 01:13:00,600 SO NOW WE WILL TALK A LITTLE BIT 1806 01:13:00,600 --> 01:13:03,040 MORE SPECIFICALLY ABOUT BUDGET 1807 01:13:03,040 --> 01:13:03,600 AT THE NIH. 1808 01:13:03,600 --> 01:13:06,480 NEXT SLIDE. 1809 01:13:06,480 --> 01:13:09,560 SO, AT NIH, IN THE--IN THE NIH 1810 01:13:09,560 --> 01:13:11,040 OFFICE OF THE DIRECTOR, THERE IS 1811 01:13:11,040 --> 01:13:14,760 AN OFFICE OF BUDGET, THAT OFFICE 1812 01:13:14,760 --> 01:13:16,280 CENTRALIZES A LOT OF NIH BUDGET 1813 01:13:16,280 --> 01:13:20,160 INFORMATION FROM ALL OF THE 1814 01:13:20,160 --> 01:13:21,040 ICs, COORDINATING RESPONSES TO 1815 01:13:21,040 --> 01:13:23,800 DATA CALLS AND THINGS LIKE THAT. 1816 01:13:23,800 --> 01:13:25,280 AND THAT OFFICE SERVES AS THE 1817 01:13:25,280 --> 01:13:26,680 MAIN CONTACT WITH THE DEPARTMENT 1818 01:13:26,680 --> 01:13:28,120 OF HEALTH AND HUMAN SERVICES, 1819 01:13:28,120 --> 01:13:32,160 THE OFFICE OF MANAGEMENT AND 1820 01:13:32,160 --> 01:13:35,160 BUDGET, AND CONGRESSIONAL 1821 01:13:35,160 --> 01:13:35,600 APPROPRIATION STAFF. 1822 01:13:35,600 --> 01:13:37,640 AND THEN, WITHIN EACH INSTITUTE 1823 01:13:37,640 --> 01:13:40,080 AND CENTER, THERE IS A BUDGET 1824 01:13:40,080 --> 01:13:44,920 OFFICE FOR THAT IC. 1825 01:13:44,920 --> 01:13:47,600 IN NICHD THIS IS CALLED THE 1826 01:13:47,600 --> 01:13:48,640 FINANCIAL MANAGEMENT BRANCH SO I 1827 01:13:48,640 --> 01:13:50,800 AM THE BUJ THE OFFICER AND THE 1828 01:13:50,800 --> 01:13:53,400 BRANCH CHIEF AND SMB PROVIDES 1829 01:13:53,400 --> 01:13:54,720 ADVICE AND GUIDANCE TO THE 1830 01:13:54,720 --> 01:13:57,240 LEADERSHIP AND STAFF OF THE 1831 01:13:57,240 --> 01:13:57,640 INSTITUTE. 1832 01:13:57,640 --> 01:13:59,240 WE HELP DEVELOP SPENDING PLANS 1833 01:13:59,240 --> 01:14:02,600 TO SUPPORT THE IC PRIORITIES AND 1834 01:14:02,600 --> 01:14:04,560 WE HELP GIVE INFORMATION TO HELP 1835 01:14:04,560 --> 01:14:05,560 GUIDE PLANNING DECISIONS FOR 1836 01:14:05,560 --> 01:14:07,720 FUTURE YEARS AND THEN WE MONITOR 1837 01:14:07,720 --> 01:14:09,120 OUR SPENDING TO MAKE SURE WE'RE 1838 01:14:09,120 --> 01:14:12,480 ADHERING TO THE OPERATING PLAN 1839 01:14:12,480 --> 01:14:15,560 AND THE FEDERAL RULES FOR 1840 01:14:15,560 --> 01:14:16,560 SPENDING FUNDS. 1841 01:14:16,560 --> 01:14:18,760 AND WE INTERACT WITH STAFF 1842 01:14:18,760 --> 01:14:21,920 ACROSS THE IC, INTRAMURAL AND 1843 01:14:21,920 --> 01:14:22,480 EXTRAMURAL, ADMINISTRATIVE 1844 01:14:22,480 --> 01:14:25,000 BECAUSE WE NEED TO KNOW WHAT'S 1845 01:14:25,000 --> 01:14:25,240 HAPPENING. 1846 01:14:25,240 --> 01:14:26,080 BUDGET AFFECTS AND IS AFFECTED 1847 01:14:26,080 --> 01:14:27,840 BY EVERYTHING THAT THE IC DOES. 1848 01:14:27,840 --> 01:14:33,520 NEXT SLIDE, PLEASE. 1849 01:14:33,520 --> 01:14:35,960 SO WHEN AN IC RECEIVES A FULL 1850 01:14:35,960 --> 01:14:38,120 YEAR BUDGET OR CR, WE HAVE TO 1851 01:14:38,120 --> 01:14:40,760 SUBMIT AN OPERATING PLAN TO THE 1852 01:14:40,760 --> 01:14:41,520 NIH OFFICE OF BUDGET. 1853 01:14:41,520 --> 01:14:43,440 THIS OPERATING PLAN IS THEN ALSO 1854 01:14:43,440 --> 01:14:45,960 REPORTED TO OMB AND TO CONGRESS. 1855 01:14:45,960 --> 01:14:48,960 IT'S BASED ON THE PROGRAMMATIC 1856 01:14:48,960 --> 01:14:50,160 NEEDS OF THE IC, AND THEN AT THE 1857 01:14:50,160 --> 01:14:53,160 END OF THE FISCAL YEAR, WE 1858 01:14:53,160 --> 01:14:54,800 RECONCILE HOW WE ACTUALLY SPENT 1859 01:14:54,800 --> 01:14:56,280 THE MONEY COMPARED TO HOW WE 1860 01:14:56,280 --> 01:14:59,040 SAID WE WOULD SPEND THE MONEY IN 1861 01:14:59,040 --> 01:14:59,840 THE PLAN. 1862 01:14:59,840 --> 01:15:02,360 WE DISPLAY THIS OPERATING PLAN 1863 01:15:02,360 --> 01:15:06,760 IN SOME DETAIL IN THE FORM OF A 1864 01:15:06,760 --> 01:15:07,640 MECHANISM TABLE. 1865 01:15:07,640 --> 01:15:08,840 SO A MECHANISM TABLE ACCOUNTS 1866 01:15:08,840 --> 01:15:10,960 FOR THE WAYS THE ICs WILL USE 1867 01:15:10,960 --> 01:15:13,600 THE BUDGET WHETHER IT'S IN 1868 01:15:13,600 --> 01:15:15,120 GRANTS, CONTRACTS, INTRAMURAL 1869 01:15:15,120 --> 01:15:17,280 RESEARCH OR ADMINISTRATIVE 1870 01:15:17,280 --> 01:15:17,720 SPENDING. 1871 01:15:17,720 --> 01:15:18,800 THE INITIAL MECHANISM TABLE FOR 1872 01:15:18,800 --> 01:15:21,080 A YEAR IS PART OF THE 1873 01:15:21,080 --> 01:15:22,960 PRESIDENT'S BUDGET AND THEN WE 1874 01:15:22,960 --> 01:15:25,560 REVISE IT TO REFLECT ACTUAL 1875 01:15:25,560 --> 01:15:27,640 APPROPRIATIONS OR WHEN OUR PLANS 1876 01:15:27,640 --> 01:15:29,280 CHANGE BECAUSE WHEN YOU BUILD A 1877 01:15:29,280 --> 01:15:31,800 BUDGET OVER A YEAR IN ADVANCE, 1878 01:15:31,800 --> 01:15:34,200 SOMETIMES REALITY MAKES THINGS 1879 01:15:34,200 --> 01:15:34,520 CHANGE. 1880 01:15:34,520 --> 01:15:36,280 THE MECHANISM TABLE CAN BE 1881 01:15:36,280 --> 01:15:37,520 UPDATED EACH QUARTER AND THEN 1882 01:15:37,520 --> 01:15:39,560 AGAIN AS I SAID, USE IT AT THE 1883 01:15:39,560 --> 01:15:42,360 END OF THE YEAR TO REFLECT OUR 1884 01:15:42,360 --> 01:15:42,720 ACTUAL SPENDING. 1885 01:15:42,720 --> 01:15:46,320 BECAUSE ALL OF THE ICs AT NIH 1886 01:15:46,320 --> 01:15:48,040 VARY IN THE KINDS OF SCIENCE 1887 01:15:48,040 --> 01:15:51,120 THEY SUPPORT AND THE DIFFERENT 1888 01:15:51,120 --> 01:15:52,960 KINDS OF GRANT ACTIVITY CODES 1889 01:15:52,960 --> 01:15:54,560 THEY USE, ET CETERA, THESE 1890 01:15:54,560 --> 01:15:56,440 TABLES ALLOW US TO COMPARE THE 1891 01:15:56,440 --> 01:15:57,600 BUDGETS ACROSS THE SAME 1892 01:15:57,600 --> 01:16:02,760 CATEGORIES FOR ALL OF NIH. 1893 01:16:02,760 --> 01:16:03,800 NEXT SLIDE, PLEASE. 1894 01:16:03,800 --> 01:16:08,840 SO THIS IS AN EXAMPLE OF A 1895 01:16:08,840 --> 01:16:09,640 MECHANISM TABLE. 1896 01:16:09,640 --> 01:16:12,320 I HAVE ELIMINATED THE ROWS WHERE 1897 01:16:12,320 --> 01:16:14,480 NICHD HAS ALL 0S, THERE ARE 1898 01:16:14,480 --> 01:16:15,920 ADDITIONAL CATEGORIES IN THE 1899 01:16:15,920 --> 01:16:17,360 INTEREST OF TRYING TO MAKE IT 1900 01:16:17,360 --> 01:16:19,280 SLIGHTLY EASIER TO READ, I 1901 01:16:19,280 --> 01:16:21,160 ELIMINATED THE 1S WHERE WE DON'T 1902 01:16:21,160 --> 01:16:21,560 HAVE ANY SPENDING. 1903 01:16:21,560 --> 01:16:23,520 CAN YOU SEE ON THIS CHART THAT 1904 01:16:23,520 --> 01:16:28,520 WE HAVE OUR FYTWEBT 20 ACTUALS 1905 01:16:28,520 --> 01:16:29,800 AND OUR FY21 ACTUALS AND WE SHOW 1906 01:16:29,800 --> 01:16:32,960 THE MEMBER OF GRANTS AND THE 1907 01:16:32,960 --> 01:16:34,040 DOLLARS IN THOUSANDS ASSOCIATE 1908 01:16:34,040 --> 01:16:35,240 TD WITH THEM. 1909 01:16:35,240 --> 01:16:38,720 WE HAVE A BLOCK AT THE TOP FOR 1910 01:16:38,720 --> 01:16:40,800 RPGs WHICH ARE BROKEN OUT INTO 1911 01:16:40,800 --> 01:16:43,640 A BIT MORE DETAIL IN TERMS OF 1912 01:16:43,640 --> 01:16:45,040 NONCOMPETING ADMINISTRATIVE 1913 01:16:45,040 --> 01:16:48,800 SUPPLEMENTS AND COMPETING 1914 01:16:48,800 --> 01:16:49,040 GRANTS. 1915 01:16:49,040 --> 01:16:52,000 WE HAVE INFORMATION ON OUR SBIR 1916 01:16:52,000 --> 01:16:52,760 AND STTR GRANTS WHICH I WILL 1917 01:16:52,760 --> 01:16:56,440 TALK ABOUT MORE IN A SECOND. 1918 01:16:56,440 --> 01:16:57,880 WE ALSO HAVE RESEARCH CENTERS 1919 01:16:57,880 --> 01:16:59,520 WHICH CAN HAVE DIFFERENT TYPES 1920 01:16:59,520 --> 01:17:00,400 OF CENTER GRANTS. 1921 01:17:00,400 --> 01:17:07,680 WE HAVE A CATEGORY THAT IS 1922 01:17:07,680 --> 01:17:09,440 CALLED OTHER RESEARCH WHICH IS 1923 01:17:09,440 --> 01:17:11,800 LIKE Ks, CLINICAL RESEARCH AND 1924 01:17:11,800 --> 01:17:14,240 A LOVELY CATCH-ALL, ALL OTHER. 1925 01:17:14,240 --> 01:17:16,040 WE ALSO HAVE OUR RESEARCH 1926 01:17:16,040 --> 01:17:20,200 TRAINING GRANTS WHICH ARE REALLY 1927 01:17:20,200 --> 01:17:22,160 OUR MRSA TRAINING GRANTS SO THE 1928 01:17:22,160 --> 01:17:24,920 INDIVIDUAL AWARDS ARE WHAT FOLKS 1929 01:17:24,920 --> 01:17:27,080 MIGHT KNOW AS F-AWARDS AND 1930 01:17:27,080 --> 01:17:28,320 INSTITUTIONAL WARKSDS LIKE THE 1931 01:17:28,320 --> 01:17:31,800 T32S. 1932 01:17:31,800 --> 01:17:33,240 WE ALSO SHOW HERE WHAT WE SPEND 1933 01:17:33,240 --> 01:17:35,240 ON RESEARCH AND DEVELOPMENT 1934 01:17:35,240 --> 01:17:35,760 CONTRACTS EVERY YEAR. 1935 01:17:35,760 --> 01:17:38,040 WHAT WE SPEND ON INTRAMURAL 1936 01:17:38,040 --> 01:17:39,160 RESEARCH PROGRAM AND THEN WHAT 1937 01:17:39,160 --> 01:17:42,000 WE SPEND ON WHAT WE CALL RMS OR 1938 01:17:42,000 --> 01:17:43,160 RESEARCH MANAGEMENT AND SUPPORT. 1939 01:17:43,160 --> 01:17:44,840 AND THAT REALLY IS THE FUNDS 1940 01:17:44,840 --> 01:17:48,600 THAT GO TO PAY THE SALARIES FOR 1941 01:17:48,600 --> 01:17:49,640 ADMINISTRATIVE STAFF AND 1942 01:17:49,640 --> 01:17:54,400 EXTRAMURAL STAFF SUPPORTING THE 1943 01:17:54,400 --> 01:17:56,080 EXTRAMURAL PROGRAMS. 1944 01:17:56,080 --> 01:17:57,040 NEXT SLIDE, PLEASE. 1945 01:17:57,040 --> 01:17:59,480 AND THEN THIS CHART JUST TAKES 1946 01:17:59,480 --> 01:18:00,520 THAT MECHANISM TABLE, MAKE ITS 1947 01:18:00,520 --> 01:18:03,320 MAYBE A LITTLE BIT MORE 1948 01:18:03,320 --> 01:18:05,680 GRAPHICALLY FUN, BUT IT DOES 1949 01:18:05,680 --> 01:18:07,800 SMOA YOU THAT RPGs ARE MORE 1950 01:18:07,800 --> 01:18:11,320 THAN HALF OF WHAT OUR IC SPENDS 1951 01:18:11,320 --> 01:18:12,400 OUR MONEY ON. 1952 01:18:12,400 --> 01:18:14,920 YOU KNOW WE SPEND A SIGNIFICANT 1953 01:18:14,920 --> 01:18:17,120 AMOUNT OF SHARE ON CONTRACTS AND 1954 01:18:17,120 --> 01:18:19,600 INTRAMURAL RESEARCH AS WELL, 1955 01:18:19,600 --> 01:18:22,040 BUT, YOU KNOW RPGs ARE 1956 01:18:22,040 --> 01:18:23,880 DEFINITELY WHAT WE SPEND THE 1957 01:18:23,880 --> 01:18:29,040 MOST AMOUNT OF MONEY ON. 1958 01:18:29,040 --> 01:18:29,560 NEXT SLIDE, PLEASE. 1959 01:18:29,560 --> 01:18:31,120 WHEN WE'RE LOOKING AT OUR 1960 01:18:31,120 --> 01:18:32,960 BUDGET, THERE ARE OTHER THINGS 1961 01:18:32,960 --> 01:18:33,960 WE NEED TO CONSIDER. 1962 01:18:33,960 --> 01:18:37,080 WE DO HAVE MANDATED PROGRAMS 1963 01:18:37,080 --> 01:18:38,840 WHERE WE'RE REQUIRED TO SPEND A 1964 01:18:38,840 --> 01:18:40,040 CERTAIN AMOUNT OF MONEY. 1965 01:18:40,040 --> 01:18:43,160 THE BIGGEST 1 WE HAVE IS OUR 1966 01:18:43,160 --> 01:18:45,360 AIDS BUDGET. 1967 01:18:45,360 --> 01:18:50,240 IN FY21 WE SPENT $147.7 MILLION 1968 01:18:50,240 --> 01:18:50,960 ON AIDS. 1969 01:18:50,960 --> 01:18:53,200 THE OFFICE OFA AIDS RESEARCH AT 1970 01:18:53,200 --> 01:18:54,320 NIH COORDINATES THE AIDS 1971 01:18:54,320 --> 01:18:56,320 RESEARCH AND BUDGET ACROSS NIH 1972 01:18:56,320 --> 01:18:58,520 AND TELLS US HOW MUCH OF OUR 1973 01:18:58,520 --> 01:19:01,400 MONEY IS GOING TO BE SPENT ON 1974 01:19:01,400 --> 01:19:03,480 AIDS EACH YEAR. 1975 01:19:03,480 --> 01:19:08,800 WE MUST SPEND THIS MONOAIDS 1976 01:19:08,800 --> 01:19:12,120 PROJECTS. 1977 01:19:12,120 --> 01:19:14,160 THE OTHER MANDATED PROGRAM IS 1978 01:19:14,160 --> 01:19:15,960 OUR SMALL INNOVATION RESEARCH 1979 01:19:15,960 --> 01:19:17,960 AND BUSINESS TECHNOLOGY TRANSFER 1980 01:19:17,960 --> 01:19:19,680 PROGRAMS, SBIR AND STTR. 1981 01:19:19,680 --> 01:19:22,880 IN 2021 THAT WAS $46.7 MILLION. 1982 01:19:22,880 --> 01:19:25,120 IT IS A LEGISLATIVE MANDATE THAT 1983 01:19:25,120 --> 01:19:28,040 A PERCENTAGE OF OUR EXTRAMURAL 1984 01:19:28,040 --> 01:19:31,640 FUNDING BE SPENT IN EACH OF 1985 01:19:31,640 --> 01:19:32,880 THESE CATEGORIES. 1986 01:19:32,880 --> 01:19:39,040 IT'S ABOUT .45% FOR STTR, AND 1987 01:19:39,040 --> 01:19:39,880 3.2% FOR SBIR. 1988 01:19:39,880 --> 01:19:43,520 WE CANNOT MOVE MONEY BETWEEN 1989 01:19:43,520 --> 01:19:44,280 THOSE 2 CATEGORIES. 1990 01:19:44,280 --> 01:19:46,760 SO WE MUST BE VERY MINDFUL OF 1991 01:19:46,760 --> 01:19:50,040 HOW MUCH WE'RE SPENDING IN EACH 1992 01:19:50,040 --> 01:19:50,240 AREA. 1993 01:19:50,240 --> 01:19:51,920 EVERY YEAR WHEN WE'RE WORKING ON 1994 01:19:51,920 --> 01:19:54,320 OUR BUDGET, WE HAVE TO CONSIDER 1995 01:19:54,320 --> 01:19:56,720 OUR NONGRANT MECHANISMS, 1996 01:19:56,720 --> 01:19:57,200 OBVIOUSLY. 1997 01:19:57,200 --> 01:19:58,960 IN PERSONNEL WE HAVE PAY RAISES 1998 01:19:58,960 --> 01:20:03,320 WHICH ARE MANDATED FROM THE 1999 01:20:03,320 --> 01:20:03,840 WHITE HOUSE. 2000 01:20:03,840 --> 01:20:05,640 WE HAVE TO DECIDE ON WHAT HIRING 2001 01:20:05,640 --> 01:20:08,040 WE INTEND TO DO. 2002 01:20:08,040 --> 01:20:09,480 THE PRINCIPAL INVESTIGATOR 2003 01:20:09,480 --> 01:20:11,920 RECRUITMENT, THINGS LIKE THAT 2004 01:20:11,920 --> 01:20:14,680 THAT DR. BIANCHI TALKS ABOUT IN 2005 01:20:14,680 --> 01:20:16,520 HER PRESENTATION, WE ALSO TALK 2006 01:20:16,520 --> 01:20:17,880 ABOUT INCREASES IN NIH 2007 01:20:17,880 --> 01:20:18,320 ASSESSMENTS. 2008 01:20:18,320 --> 01:20:20,000 SO THESE ARE AREAS WHERE NIH 2009 01:20:20,000 --> 01:20:23,080 PROVIDE SERVICES FOR ALL ICs, 2010 01:20:23,080 --> 01:20:25,200 AND THINGS LIKE CYBERSECURITY, 2011 01:20:25,200 --> 01:20:28,440 RENT, OR THE CLINICAL CENTER. 2012 01:20:28,440 --> 01:20:30,080 WE ALSO HAVE TO PLAN FOR 2013 01:20:30,080 --> 01:20:34,080 RENOVATION COSTS IF WE ARE 2014 01:20:34,080 --> 01:20:35,400 UPGRADING LABS OR UPGRADING 2015 01:20:35,400 --> 01:20:36,720 OFFICE SPACE AND THEN WE ALSO 2016 01:20:36,720 --> 01:20:39,160 NEED TO FIGURE OUT HOW TO PAY 2017 01:20:39,160 --> 01:20:42,040 FOR SERVICES THAT THE IC ON 2018 01:20:42,040 --> 01:20:43,880 PROVIDES TO ALL THE STAFF SUCH 2019 01:20:43,880 --> 01:20:47,160 AS IT SUPPORT OR COMMUNICATIONS. 2020 01:20:47,160 --> 01:20:48,600 AND THEN EVERY YEAR THERE ARE 2021 01:20:48,600 --> 01:20:51,320 ALWAYS THINGS THAT WE DO 2022 01:20:51,320 --> 01:20:53,280 NOT--ADDITIONAL THINGS WE DO NOT 2023 01:20:53,280 --> 01:20:53,520 CONTROL. 2024 01:20:53,520 --> 01:20:55,360 THE FIRST 1 IS A LEGISLATIVE 2025 01:20:55,360 --> 01:20:57,560 THING WHICH IS CALLED A 2026 01:20:57,560 --> 01:20:57,920 RESCISSION. 2027 01:20:57,920 --> 01:21:00,960 THAT IS WHEN CONGRESS THROUGH 2028 01:21:00,960 --> 01:21:03,880 LEGISLATION REDUCES OUR 2029 01:21:03,880 --> 01:21:04,200 APPROPRIATION. 2030 01:21:04,200 --> 01:21:06,000 AND WE JUST HAVE TO FIGURE OUT 2031 01:21:06,000 --> 01:21:07,360 HOW TO ACCOMMODATE THOSE 2032 01:21:07,360 --> 01:21:08,200 REDUCTION SAYS. 2033 01:21:08,200 --> 01:21:09,400 THEY USUALLY ONLY HAPPEN ONCE A 2034 01:21:09,400 --> 01:21:11,400 YEAR SO WE KNOW PRETTY EARLY IN 2035 01:21:11,400 --> 01:21:12,600 THE YEAR, USUALLY, BUT IT IS 2036 01:21:12,600 --> 01:21:16,320 SOMETHING WE HAVE TO DEAL WITH. 2037 01:21:16,320 --> 01:21:18,560 >> WE ALSO HAVE ADDITIONAL TAX 2038 01:21:18,560 --> 01:21:20,400 AND ASSESSMENTS FOR THE 2039 01:21:20,400 --> 01:21:21,360 DEPARTMENT, FOR THE NIH OD THAT 2040 01:21:21,360 --> 01:21:24,520 WE MAY HAVE TO DEAL WITH, 2041 01:21:24,520 --> 01:21:28,160 THERE'S OFTEN UNEXPECTED NEEDS 2042 01:21:28,160 --> 01:21:29,880 AND EMERGENCIES, THINGS LIKE 2043 01:21:29,880 --> 01:21:35,320 ZIKA OR COVID FOR EXAMPLE. 2044 01:21:35,320 --> 01:21:37,640 WE HAVE TO ACCOMMODATE NIH 2045 01:21:37,640 --> 01:21:41,680 POLICIES SUCH AS INCREASES FOR 2046 01:21:41,680 --> 01:21:42,840 STIPENDS ON TRAINING GRANTS OR 2047 01:21:42,840 --> 01:21:44,320 FOR FELLOWS AND THEN WE DEAL 2048 01:21:44,320 --> 01:21:47,640 WITH NEW LEGISLATIVE OR POLICY 2049 01:21:47,640 --> 01:21:49,760 MANDATES SUCH AS OUR IMPROVE 2050 01:21:49,760 --> 01:21:50,280 INCREASE THIS YEAR. 2051 01:21:50,280 --> 01:21:51,520 AND THEN WE'RE ALSO TRYING TO 2052 01:21:51,520 --> 01:21:53,280 LACK AT WHETHER THERE'S ANY WAYS 2053 01:21:53,280 --> 01:21:56,520 WE CAN SAVE MONEY TO BE MORE 2054 01:21:56,520 --> 01:22:01,320 FLEXIBLE AND FREE UP FUNDS. 2055 01:22:01,320 --> 01:22:01,760 NEXT SLIDE, PLEASE. 2056 01:22:01,760 --> 01:22:04,440 SO HERE, I JUST WANTED TO SHOW 2057 01:22:04,440 --> 01:22:08,120 YOU FOR OUR INTRAMURAL AND OUR 2058 01:22:08,120 --> 01:22:09,560 RMS PROGRAMS HOW THE FUNDING 2059 01:22:09,560 --> 01:22:10,160 BREAKS DOWN. 2060 01:22:10,160 --> 01:22:11,600 WE REALLY DO SPEND THE MONEY IN 2061 01:22:11,600 --> 01:22:15,400 THOSE PROGRAMS IN THE SAME 3 2062 01:22:15,400 --> 01:22:16,440 CATEGORIES, SALARIES, AND 2063 01:22:16,440 --> 01:22:18,160 ASSESSMENTS AND THEN OTHER. 2064 01:22:18,160 --> 01:22:21,240 BUT THE PROPORTIONS ARE VERY 2065 01:22:21,240 --> 01:22:21,840 DIFFERENT. 2066 01:22:21,840 --> 01:22:23,480 INTRAMURAL RESEARCH ON THIS 2067 01:22:23,480 --> 01:22:25,880 CHART DOES INCLUDE OUR DIFFERENT 2068 01:22:25,880 --> 01:22:27,920 OPERATING COSTS, THE ASSESSMENTS 2069 01:22:27,920 --> 01:22:29,400 INCLUDE THINGS LIKE RENT, THE 2070 01:22:29,400 --> 01:22:32,720 CLINICAL CENTER WHICH IS ONLY AN 2071 01:22:32,720 --> 01:22:35,840 INTRAMURAL COST, PAYING FOR NIH 2072 01:22:35,840 --> 01:22:41,880 OD THINGS SUCH AS THE CENTRAL 2073 01:22:41,880 --> 01:22:44,480 CSR, THE REVIEW FOR GRANTS AND 2074 01:22:44,480 --> 01:22:45,400 THEN CIT, INFORMATION TECHNOLOGY 2075 01:22:45,400 --> 01:22:50,040 AND THEN THE HHS, AND PROGRAM 2076 01:22:50,040 --> 01:22:51,040 SUPPORT CENTER COSTS, PROGRAM 2077 01:22:51,040 --> 01:22:52,520 SUPPORT CENTER IS THE PLACE THAT 2078 01:22:52,520 --> 01:22:53,920 PROCESSES OUR PAY ROLL AND ALSO 2079 01:22:53,920 --> 01:22:59,880 A LOT OF OUR GRANTS PAYMENTS. 2080 01:22:59,880 --> 01:23:02,240 THE OTHER CATEGORY INCLUDES 2081 01:23:02,240 --> 01:23:03,520 THINGS LIKE SUPPLIES, EQUIPMENT, 2082 01:23:03,520 --> 01:23:05,520 TRAVEL, TRAINING, PRINTING AND 2083 01:23:05,520 --> 01:23:06,520 OTHER MISCELLANEOUS CONTRACTS 2084 01:23:06,520 --> 01:23:12,040 INCLUDING OUR LAB SUPPORT. 2085 01:23:12,040 --> 01:23:12,640 NEXT SLIDE, PLEASE. 2086 01:23:12,640 --> 01:23:15,120 SO NOW WE WILL TALK A LITTLE BIT 2087 01:23:15,120 --> 01:23:16,560 ABOUT GRANTS BUDGET WHICH IS I 2088 01:23:16,560 --> 01:23:19,960 KNOW FOLKS ARE ALWAYS INTERESTED 2089 01:23:19,960 --> 01:23:22,960 IN. 2090 01:23:22,960 --> 01:23:23,440 NEXT SLIDE. 2091 01:23:23,440 --> 01:23:25,240 SO YOU'RE GOING TO HAVE A 2092 01:23:25,240 --> 01:23:26,440 PRESENTATION IN A LITTLE BIT 2093 01:23:26,440 --> 01:23:28,880 ABOUT HOW WE DO INITIATIVES BUT 2094 01:23:28,880 --> 01:23:30,360 WE ALL ARE INVOLVED CERTAINLY IN 2095 01:23:30,360 --> 01:23:32,760 THAT PROCESS AND A LOT OF THESE 2096 01:23:32,760 --> 01:23:34,520 FACTORS ARE IMPORTANT THERE. 2097 01:23:34,520 --> 01:23:36,200 WE TRY TO PROJECT THE GRANT COST 2098 01:23:36,200 --> 01:23:38,880 FOR A YEAR SO THAT WE CAN PLAN 2099 01:23:38,880 --> 01:23:41,880 WELL FOR NEW STARTS AND NEW 2100 01:23:41,880 --> 01:23:44,840 FOAs, SO, WE'RE LOOKING AT 2101 01:23:44,840 --> 01:23:46,320 EXISTING COMMITMENTS FOR OUT 2102 01:23:46,320 --> 01:23:47,520 YEARS, CO FUNDING COMMITMENTS, 2103 01:23:47,520 --> 01:23:49,640 WE'VE MADE TO OTHER ICs, WE 2104 01:23:49,640 --> 01:23:52,640 WANT TO MAKE SURE WE'RE 2105 01:23:52,640 --> 01:23:57,040 SUPPORTING EARLY STAGE 2106 01:23:57,040 --> 01:23:57,560 INVESTIGATORS. 2107 01:23:57,560 --> 01:24:02,920 AND THEN MAKE SURE WE SET ASIDE 2108 01:24:02,920 --> 01:24:04,080 FUNDS AND ANY BRIDGE FUND 2109 01:24:04,080 --> 01:24:08,280 THAGOREAN IS NEEDED FOR GRANTS 2110 01:24:08,280 --> 01:24:10,440 FOR COMPETITIONS WHICH MAY HAVE 2111 01:24:10,440 --> 01:24:12,360 BEEN DELAYED, WE WANT TO SET 2112 01:24:12,360 --> 01:24:13,440 ASIDE RFAs THAT WE COMMITTED 2113 01:24:13,440 --> 01:24:17,840 TO AND THEN WE ALSO HAVE AT OUR 2114 01:24:17,840 --> 01:24:18,920 INSTITUTE IN PARTICULAR SOME 2115 01:24:18,920 --> 01:24:23,520 FUNDING COMMITMENTS THAT WE MADE 2116 01:24:23,520 --> 01:24:29,880 SO NCMRR WE MADE A COMMITMENT 2117 01:24:29,880 --> 01:24:31,160 THAT THAT CENTER AND WE'VE ALSO 2118 01:24:31,160 --> 01:24:36,280 COMMIT THAD WE WILL SUPPORT OUR 2119 01:24:36,280 --> 01:24:38,280 TRAINING MECHANISMS, OUR T, F, 2120 01:24:38,280 --> 01:24:41,280 AND K GRANTS WITH AT LEAST 6% OF 2121 01:24:41,280 --> 01:24:43,600 EXTRAMURAL FUNDING EVERY YEAR AS 2122 01:24:43,600 --> 01:24:47,200 WELL. 2123 01:24:47,200 --> 01:24:47,920 NEXT SLIDE, PLEASE. 2124 01:24:47,920 --> 01:24:50,640 SO WHEN WE'RE LOOKING AT 2125 01:24:50,640 --> 01:24:52,040 DEVELOPING OUR RPG ALLOCATIONS, 2126 01:24:52,040 --> 01:24:54,200 THERE'S A LOT OF IT THAT GOES 2127 01:24:54,200 --> 01:24:57,520 INTO IT, A LOT OF MOVING PIECES, 2128 01:24:57,520 --> 01:24:59,080 OUR NICHD LEADERSHIP PROVIDES 2129 01:24:59,080 --> 01:25:01,800 GUIDANCE TO US ON A LOT OF THESE 2130 01:25:01,800 --> 01:25:02,160 QUESTIONS HERE. 2131 01:25:02,160 --> 01:25:04,040 YOU KNOW HOW MUCH ARE WE GOING 2132 01:25:04,040 --> 01:25:06,640 TO SPEND ON SUPPLEMENTS IN A 2133 01:25:06,640 --> 01:25:14,160 GIVEN YEAR, ADMINISTRATIVE AND 2134 01:25:14,160 --> 01:25:15,560 DIVERSITY SUPPLEMENTS. 2135 01:25:15,560 --> 01:25:18,120 WHAT REDUCTIONS MIGHT WE TAKE ON 2136 01:25:18,120 --> 01:25:19,440 NONCOMPETING GRANTS? 2137 01:25:19,440 --> 01:25:22,120 MAKE SURE WE COMPLETED 2138 01:25:22,120 --> 01:25:22,680 COLLABORATIONS INCOMING AND 2139 01:25:22,680 --> 01:25:24,800 OUTGOING AND THEN WE HAVE SPL 2140 01:25:24,800 --> 01:25:27,080 SET ASIDES AND DIRECTORS 2141 01:25:27,080 --> 01:25:28,840 RESERVES WHERE WE HOLD FUNDS TO 2142 01:25:28,840 --> 01:25:30,040 ADDRESS SPECIAL TOPICS OR TO 2143 01:25:30,040 --> 01:25:33,000 WAIT TO MAKE SURE WE'VE COVERED 2144 01:25:33,000 --> 01:25:33,400 ANY EMERGENCIES. 2145 01:25:33,400 --> 01:25:35,120 THIS YEAR, SET ASIDES INCLUDE 2146 01:25:35,120 --> 01:25:40,040 THOSE IMPROVED SET ASIDES FOR 2147 01:25:40,040 --> 01:25:41,640 EXAMPLE AND, WE'VE ALSO SET 2148 01:25:41,640 --> 01:25:43,640 ASIDE SOME FUNDS FOR COVID IN 2149 01:25:43,640 --> 01:25:47,600 THE LAST SEVERAL YEARS. 2150 01:25:47,600 --> 01:25:50,240 NEXT BULLET. 2151 01:25:50,240 --> 01:25:51,320 THERE WE GO. 2152 01:25:51,320 --> 01:25:54,720 WE'RE ALSO LOOKING AT ESTIMATING 2153 01:25:54,720 --> 01:25:57,360 LEVELS OF UNOBLIGATED BALANCE IN 2154 01:25:57,360 --> 01:25:58,000 EXISTING NONCOMPETING GRANTS. 2155 01:25:58,000 --> 01:25:59,560 SO IF A CLINICAL TRIAL GRANT IS 2156 01:25:59,560 --> 01:26:01,960 HAVING A LOT OF ISSUES WITH 2157 01:26:01,960 --> 01:26:03,440 ENROLLMENT WHICH DURING COVID 2158 01:26:03,440 --> 01:26:04,440 WAS A COMMON PROBLEM. 2159 01:26:04,440 --> 01:26:07,360 YOU KNOW WE WORK WITH GRANTEES 2160 01:26:07,360 --> 01:26:09,840 TO TRY TO MAYBE PROVIDE THEM 2161 01:26:09,840 --> 01:26:12,280 MORE TIME WITHOUT PROVIDING 2162 01:26:12,280 --> 01:26:13,640 ADDITIONAL YEAR OF FUNDING AND 2163 01:26:13,640 --> 01:26:16,760 THAT GIVES US SAVINGS IN THE 2164 01:26:16,760 --> 01:26:17,880 CURRENT BUDGET YEAR. 2165 01:26:17,880 --> 01:26:18,440 NEXT BULLET PLEASE. 2166 01:26:18,440 --> 01:26:21,680 WE'RE ALSO SETTING ASIDE FUNDS 2167 01:26:21,680 --> 01:26:24,160 FOR TAPs, WE HAVE LEGISLATIVE 2168 01:26:24,160 --> 01:26:25,880 MANDATED TAX FOR THE 2169 01:26:25,880 --> 01:26:29,000 APPROPRIATE--WHAT WE CALL 2170 01:26:29,000 --> 01:26:30,360 PROGRAM AND EVALUATION TAPS AND 2171 01:26:30,360 --> 01:26:36,120 FOR TRAINING TAPS AND THEN LAST 2172 01:26:36,120 --> 01:26:36,400 BULLET. 2173 01:26:36,400 --> 01:26:38,560 AND THEN WE'RE SETTING ASIDE 2174 01:26:38,560 --> 01:26:39,880 FUNDS FOR CONGRESSALLY MANDATED 2175 01:26:39,880 --> 01:26:43,040 PROGRAMS AND THE NATIONAL 2176 01:26:43,040 --> 01:26:44,520 ACADEMY STUDIES, THE MIS-C, THIS 2177 01:26:44,520 --> 01:26:48,240 YEAR WE SET ASIDE SOME FUNDS FOR 2178 01:26:48,240 --> 01:26:51,800 LIFE EVENT SUPPLEMENTS FOR SOME 2179 01:26:51,800 --> 01:26:52,480 EARLY STAGE INVESTIGATORS. 2180 01:26:52,480 --> 01:26:55,080 SO ALL OF THOSE THINGS ARE GOING 2181 01:26:55,080 --> 01:26:56,920 INTO OUR DECISIONS ABOUT HOW 2182 01:26:56,920 --> 01:27:00,880 MUCH MONEY WE HAVE FOR NEW 2183 01:27:00,880 --> 01:27:04,240 RPGs, NEXT SLIDE, PLEASE. 2184 01:27:04,240 --> 01:27:07,560 ONCE WE'VE TAKEN ALL THOSE 2185 01:27:07,560 --> 01:27:09,040 PIECES INTO ACCOUNT, WE ARE 2186 01:27:09,040 --> 01:27:10,600 LOOKING THEN, OKAY, WE HAVE A 2187 01:27:10,600 --> 01:27:12,040 POOL OF AVAILABLE FUNDS AND HOW 2188 01:27:12,040 --> 01:27:16,960 DO WE TETERM HOW MANY GRANTS 2189 01:27:16,960 --> 01:27:17,480 THAT CAN PAY. 2190 01:27:17,480 --> 01:27:20,440 SO WE LOOK AT HISTORICAL FUNDING 2191 01:27:20,440 --> 01:27:21,240 OF INVESTIGATOR INITIATED GRANTS 2192 01:27:21,240 --> 01:27:22,680 OVER THE PAST SEVERAL YEARS BY 2193 01:27:22,680 --> 01:27:25,520 COUNCIL ROUND AND WE LOOKAD A 2194 01:27:25,520 --> 01:27:27,880 3-YEAR AVERAGE IN GENERAL TO 2195 01:27:27,880 --> 01:27:29,920 DETERMINE THE PERCENTAGE THAT IS 2196 01:27:29,920 --> 01:27:34,120 SPENT ON EACH COUNCIL ROUND. 2197 01:27:34,120 --> 01:27:36,040 AND WE TAKE THIS YEAR'S 2198 01:27:36,040 --> 01:27:37,640 AVAILABLE FUNDS AND WE DIVIDE IT 2199 01:27:37,640 --> 01:27:39,600 OUT USING THAT HISTORICAL 2200 01:27:39,600 --> 01:27:40,000 SPENDING PATTERN. 2201 01:27:40,000 --> 01:27:41,800 DEPENDING WHERE WE ARE IN THE 2202 01:27:41,800 --> 01:27:42,120 FISCAL YEAR. 2203 01:27:42,120 --> 01:27:44,360 WE WILL LOOK AT THE APPLICATIONS 2204 01:27:44,360 --> 01:27:46,000 THAT HAVE ALREADY BEEN SCORED TO 2205 01:27:46,000 --> 01:27:48,600 TRY TO ASSESS THE COST AND 2206 01:27:48,600 --> 01:27:50,360 FIGURE OUT WHAT KINDS OF 2207 01:27:50,360 --> 01:27:52,920 ALLOCATIONS WE CAN PROVIDE TO 2208 01:27:52,920 --> 01:27:54,000 OUR EXTRAMURAL BRANCHES SO THAT 2209 01:27:54,000 --> 01:27:56,560 THE FUNDING CAN BE RELATIVELY 2210 01:27:56,560 --> 01:28:01,960 CONSISTENT ACROSS COUNCIL 2211 01:28:01,960 --> 01:28:02,280 ROUNDS. 2212 01:28:02,280 --> 01:28:03,640 MY GOAL AS BUDGET OFFICER IS 2213 01:28:03,640 --> 01:28:05,720 THAT WHEN A GRANTEE APPLIES TO 2214 01:28:05,720 --> 01:28:09,800 NIH, IT SHOULD NOT REALLY MATTER 2215 01:28:09,800 --> 01:28:11,120 WHETHER THEY--WHAT COUNCIL ROUND 2216 01:28:11,120 --> 01:28:13,280 THEY APPLY TO, OCTOBER OR JUNE 2217 01:28:13,280 --> 01:28:16,000 FOR EXAMPLE THAT IF THEY GOT THE 2218 01:28:16,000 --> 01:28:18,240 SAME SCORE, THEY SHOULD HAVE THE 2219 01:28:18,240 --> 01:28:20,560 SAME SORT OF LIKELIHOOD OF BEING 2220 01:28:20,560 --> 01:28:22,040 FUNDED ABSENT, YOU KNOW 2221 01:28:22,040 --> 01:28:22,880 CONSIDERATION FOR SCIENTIFIC 2222 01:28:22,880 --> 01:28:27,600 PRIORITY WHICH IS ALWAYS THE 2223 01:28:27,600 --> 01:28:28,040 MOST IMPORTANT THING. 2224 01:28:28,040 --> 01:28:30,920 TRADITIONALLY AS YOU SEE ON THIS 2225 01:28:30,920 --> 01:28:32,920 CHART, JUNE COUNCIL IS OUR 2226 01:28:32,920 --> 01:28:33,280 LARGEST COUNCIL. 2227 01:28:33,280 --> 01:28:34,520 HOWEVER IN THE PAST COUPLE YEARS 2228 01:28:34,520 --> 01:28:36,000 WE'VE STARTED TO SEE A LITTLE 2229 01:28:36,000 --> 01:28:37,840 BIT OF A SHIFT AND OCTOBER 2230 01:28:37,840 --> 01:28:43,640 COUNCIL SEEMS TO BE GROWING. 2231 01:28:43,640 --> 01:28:45,320 NEXT SLIDE, PLEASE. 2232 01:28:45,320 --> 01:28:47,320 FOR MECHANISMS OTHER THAN 2233 01:28:47,320 --> 01:28:54,960 RPGs, THERE ARE A FEW 2234 01:28:54,960 --> 01:28:55,760 DIFFERENT CONSIDERATIONS WE HAVE 2235 01:28:55,760 --> 01:28:57,480 TO TAKE THE YOU CAN BE THE 2236 01:28:57,480 --> 01:28:58,800 ALWAYS REDUCE APPLICATIONS FOR A 2237 01:28:58,800 --> 01:28:59,440 GRANT. 2238 01:28:59,440 --> 01:29:01,480 SO FOR THINGS LIKE K12S OR T32S 2239 01:29:01,480 --> 01:29:03,720 WE CAN TAKE WHAT WE CALL OFFSETS 2240 01:29:03,720 --> 01:29:05,880 IF A GRANTEE HAS HISTORICALLY 2241 01:29:05,880 --> 01:29:07,480 NOT BEEN FILLING APPROVED SLOTS 2242 01:29:07,480 --> 01:29:12,640 ON THOSE GRANTS, THEY CAN BUILD 2243 01:29:12,640 --> 01:29:13,520 UP SIGNIFICANT BALANCES AND WE 2244 01:29:13,520 --> 01:29:15,360 CAN USE THAT TO GET SAVINGS IN 2245 01:29:15,360 --> 01:29:19,760 THE CURRENT BUDGET YEAR. 2246 01:29:19,760 --> 01:29:21,760 WE DO FOR TRAINING MECHANISMS 2247 01:29:21,760 --> 01:29:24,480 TAKE IN RECOMMENDATIONS OF THE 2248 01:29:24,480 --> 01:29:25,040 NICHD TRAINING COMMITTEE. 2249 01:29:25,040 --> 01:29:27,960 WE HAVE TO DEAL WITH NIH WIDE 2250 01:29:27,960 --> 01:29:28,960 STIPEND INCREASES, THIS YEAR WE 2251 01:29:28,960 --> 01:29:31,640 HAD A FLEW CHILDCARE ASSISTANCE 2252 01:29:31,640 --> 01:29:36,720 PAYMENT THAT OUR T32 AND 2253 01:29:36,720 --> 01:29:37,920 F-GRANTEE GRANTEES ARE ELIGIBLE 2254 01:29:37,920 --> 01:29:38,240 FOR. 2255 01:29:38,240 --> 01:29:40,640 IF WE HAVE AN ACTIVITY CODE 2256 01:29:40,640 --> 01:29:43,240 GRANT MECHANISM THAT WE VERY 2257 01:29:43,240 --> 01:29:44,720 RARELY FUND, WE WILL ASK FOR 2258 01:29:44,720 --> 01:29:47,760 PROGRAM INPUT ON WHAT WE SHOULD 2259 01:29:47,760 --> 01:29:49,520 DO WITH THAT BUT ULTIMATELY IT 2260 01:29:49,520 --> 01:29:51,320 REALLY DOES COME DOWN TO 2261 01:29:51,320 --> 01:29:53,200 AVAILABILITY OF FUNDS AND HOW 2262 01:29:53,200 --> 01:30:03,640 MUCH CAN WE SUPPORT IN A GIVEN 2263 01:30:03,640 --> 01:30:03,920 AREA. 2264 01:30:03,920 --> 01:30:07,920 AND THAT I BELIEVE IS MY LAST 2265 01:30:07,920 --> 01:30:08,240 SLIDE. 2266 01:30:08,240 --> 01:30:09,840 I'M HAPPY TO TAKE QUESTIONS. 2267 01:30:09,840 --> 01:30:11,760 I DIDN'T GO TOO FAR OVER, I 2268 01:30:11,760 --> 01:30:12,960 THROUGH A LOT OF INFORMATION AT 2269 01:30:12,960 --> 01:30:14,120 YOU BUT IF YOU HAVE QUESTIONS 2270 01:30:14,120 --> 01:30:18,520 I'M HAPPY TO TRY TO ANSWER. 2271 01:30:18,520 --> 01:30:19,560 >> THANK YOU. 2272 01:30:19,560 --> 01:30:21,280 ALEXIS, I SEE ALREADY, THAT ALAN 2273 01:30:21,280 --> 01:30:21,720 HAS A QUESTION. 2274 01:30:21,720 --> 01:30:23,360 CAN WE TAKE THE SLIDES DOWN? 2275 01:30:23,360 --> 01:30:28,000 I JUST WANT EVERYONE TO REALIZE 2276 01:30:28,000 --> 01:30:35,360 HOW MUCH WORK IS INVOLVED AND I 2277 01:30:35,360 --> 01:30:37,760 DON'T THINK YOU APPRECIATE HOW 2278 01:30:37,760 --> 01:30:39,920 ALEXIS AND HER TEAM NEED TO 2279 01:30:39,920 --> 01:30:40,840 CONTINUOUSLY MODEL THE BUDGET. 2280 01:30:40,840 --> 01:30:44,080 THAT WE HAVE MULTIPLE MECHANISM 2281 01:30:44,080 --> 01:30:45,480 TABLES BASED ON PRESIDENT'S 2282 01:30:45,480 --> 01:30:48,960 BUDGET, WHAT WE THINK MIGHT 2283 01:30:48,960 --> 01:30:49,800 HAPPEN, WHAT ADDITIONAL 2284 01:30:49,800 --> 01:30:51,360 INFORMATION OCCURS AND THEN 2285 01:30:51,360 --> 01:30:53,080 ALEXIS AND TEAM KIND OF CHANGE 2286 01:30:53,080 --> 01:30:55,960 IT AGAIN AND THEN WE GET AN 2287 01:30:55,960 --> 01:30:58,240 ACTUAL APPROPRIATION, ALL OF 2288 01:30:58,240 --> 01:30:59,440 THAT REQUIRES MODELING 2289 01:30:59,440 --> 01:31:00,280 CONTINUOUSLY IN REALTIME. 2290 01:31:00,280 --> 01:31:03,760 SO WE'RE VERY APPRECIATIVE OF 2291 01:31:03,760 --> 01:31:04,200 THEIR EXPERTISE. 2292 01:31:04,200 --> 01:31:09,560 SO WHY DON'T WE START WITH ALAN. 2293 01:31:09,560 --> 01:31:10,560 >> THANK YOU. 2294 01:31:10,560 --> 01:31:14,640 >> YEAH, REALLY THANK YOU FOR A 2295 01:31:14,640 --> 01:31:15,480 VERY INFORMATIVE SESSION. 2296 01:31:15,480 --> 01:31:17,000 I HAVE DEALT WITH SOME GRANTS 2297 01:31:17,000 --> 01:31:18,880 WHERE WE LOOK AT COMPUTATION, WE 2298 01:31:18,880 --> 01:31:21,080 CAN ONLY START TO IMAGINE THE 2299 01:31:21,080 --> 01:31:24,400 SCALE OF, YOU KNOW THE WORK THAT 2300 01:31:24,400 --> 01:31:26,720 YOU DO SO I COULD ALSO SAY THAT 2301 01:31:26,720 --> 01:31:31,160 YOU ARE ABLE, I GUESS BETWEEN 2302 01:31:31,160 --> 01:31:33,640 2020 AND 2021 TO GET AN INCREASE 2303 01:31:33,640 --> 01:31:35,400 IN NEW COMPETING GRANTS, A BIT 2304 01:31:35,400 --> 01:31:37,720 OF AN INCREASE WHICH IS 2305 01:31:37,720 --> 01:31:38,000 TERRIFIC. 2306 01:31:38,000 --> 01:31:39,680 UNDER ALL THAT REAL REALLY GREAT 2307 01:31:39,680 --> 01:31:41,880 THINGS BUT I WANTED TO GO TO 2308 01:31:41,880 --> 01:31:44,440 JUST BRING UP SOMETHING THAT'S 2309 01:31:44,440 --> 01:31:48,360 BEEN VERY NEAR AND DEAR TO MY 2310 01:31:48,360 --> 01:31:52,040 HEART IS NETWORKS AND I COULD 2311 01:31:52,040 --> 01:31:56,680 SEE 5% FOR [INDISCERNIBLE] AND 2312 01:31:56,680 --> 01:31:58,280 1% FOR U-GRANTS. 2313 01:31:58,280 --> 01:32:01,120 WHERE DO NETWORKS, NICHD 2314 01:32:01,120 --> 01:32:05,320 NETWORKS FIT IN AND-- 2315 01:32:05,320 --> 01:32:06,960 >> SO I WILL SAY NETWORKS ARE 2316 01:32:06,960 --> 01:32:09,400 COMPLICATED TO BREAK OUT AND 2317 01:32:09,400 --> 01:32:12,560 PART OF THAT IS A FEATURE OF THE 2318 01:32:12,560 --> 01:32:12,920 MECHANISM TABLE. 2319 01:32:12,920 --> 01:32:14,000 SO THE MECHANISM TABLE, THOSE 2320 01:32:14,000 --> 01:32:16,640 LINES THAT YOU SAW, THOSE 2321 01:32:16,640 --> 01:32:18,040 CATEGORIES, NIH CENTRALLY TELLS 2322 01:32:18,040 --> 01:32:22,120 US WHICH GRANT ACTIVITY CODES GO 2323 01:32:22,120 --> 01:32:23,080 IN WHICH LINE. 2324 01:32:23,080 --> 01:32:24,520 SO EVEN THOUGH IT SAYS CENTERS 2325 01:32:24,520 --> 01:32:28,000 FOR EXAMPLE, THAT IS LIMITED TO 2326 01:32:28,000 --> 01:32:28,480 SPECIFIC ACTIVITY CODE. 2327 01:32:28,480 --> 01:32:34,520 SO IT IS THINGS LIKE P50S, P20S, 2328 01:32:34,520 --> 01:32:35,360 P30S, U54s. 2329 01:32:35,360 --> 01:32:39,280 THERE ARE NETWORKS AND CENTERS 2330 01:32:39,280 --> 01:32:42,280 THAT USE THINGS LIKE U19S, OR 2331 01:32:42,280 --> 01:32:45,000 UMs WHICH IS 1 OF THE NEW 1S 2332 01:32:45,000 --> 01:32:47,680 AND THOSE THINGS ARE IN THE RPG 2333 01:32:47,680 --> 01:32:50,440 LINE AND SO, THEY DON'T 2334 01:32:50,440 --> 01:32:52,200 NECESSARILY GET REFLECTED IN 2335 01:32:52,200 --> 01:32:53,760 CENTERS OR NETWORKS. 2336 01:32:53,760 --> 01:32:58,240 SOME OF OUR DCCs FOR EXAMPLE, 2337 01:32:58,240 --> 01:32:59,680 ARE U24 GRANTS. 2338 01:32:59,680 --> 01:33:03,200 U24S ARE NOT IN THE COOPERATIVE 2339 01:33:03,200 --> 01:33:03,600 CLINICAL LINE. 2340 01:33:03,600 --> 01:33:06,040 THEY'RE IN THE OTHER CATEGORIES. 2341 01:33:06,040 --> 01:33:07,240 AND SO FOR NETWORKS WHEN WE'RE 2342 01:33:07,240 --> 01:33:08,000 TRYING TO GET A PATIENTS IN THE 2343 01:33:08,000 --> 01:33:09,240 CLINIC UPPER OF THAT, WE 2344 01:33:09,240 --> 01:33:13,320 ACTUALLY HAVE TO DO SORT OF AN 2345 01:33:13,320 --> 01:33:14,520 INDEPENDENT CALCULATION TO PULL 2346 01:33:14,520 --> 01:33:16,560 ALL OF THOSE FROM THE DIFFERENT 2347 01:33:16,560 --> 01:33:18,400 CATEGORIES TO TRY TO ADD THEM 2348 01:33:18,400 --> 01:33:18,840 TOGETHER. 2349 01:33:18,840 --> 01:33:20,840 IT'S NOT SOMETHING THAT YOU CAN 2350 01:33:20,840 --> 01:33:25,960 EASILY FIND FROM A MECHANISM 2351 01:33:25,960 --> 01:33:26,400 TABLE UNFORTUNATELY. 2352 01:33:26,400 --> 01:33:28,040 >> SO--NO, NO, THANK YOU. 2353 01:33:28,040 --> 01:33:29,040 AND JUST--IF I COULD PUSH 2354 01:33:29,040 --> 01:33:35,320 FORWARD JUST TO SAY, IN GENERAL 2355 01:33:35,320 --> 01:33:36,960 THEN WHAT IS THE [INDISCERNIBLE] 2356 01:33:36,960 --> 01:33:38,720 OF THIS BUDGET, WHAT IS THE 2357 01:33:38,720 --> 01:33:40,320 ESTIMATED BUDGET FOR NETWORKS 2358 01:33:40,320 --> 01:33:41,720 USING YOUR BEST ESTIMATE AND 2359 01:33:41,720 --> 01:33:44,280 WHAT HAS BEEN THE TRENDS BETWEEN 2360 01:33:44,280 --> 01:33:48,840 2020 AND 2021 AS THINGS HAVE I 2361 01:33:48,840 --> 01:33:55,480 GUESS BEEN AFFECTED BY COVID AND 2362 01:33:55,480 --> 01:33:56,120 OTHER PLANTS. 2363 01:33:56,120 --> 01:34:01,120 >> YEAH, I HATE TO GUESS WRONG. 2364 01:34:01,120 --> 01:34:05,960 I BELIEVE WE HAD A DECLINE IN 2365 01:34:05,960 --> 01:34:08,200 OUR SUPPORT FROM 2020-2021, 2366 01:34:08,200 --> 01:34:09,520 EXCEPT FOR MAYBE SPECIFIC CASES 2367 01:34:09,520 --> 01:34:11,600 WHERE WE'VE HAD REALLY LARGE 2368 01:34:11,600 --> 01:34:12,880 BALANCES IN NETWORKS AND WE DO 2369 01:34:12,880 --> 01:34:15,120 WHAT I WAS TALKING ABOUT WHERE 2370 01:34:15,120 --> 01:34:16,560 WE GIVE AN EXTRA YEAR OF TIME. 2371 01:34:16,560 --> 01:34:22,840 SO SOMETIMES YOU WILL SEE A 1 2372 01:34:22,840 --> 01:34:25,120 YEAR DIP IF WE WEREN'T ABLE TO 2373 01:34:25,120 --> 01:34:25,960 HAVE GOOD ENROLLMENT. 2374 01:34:25,960 --> 01:34:28,400 WE WILL EXTEND TIENL ON THE 2375 01:34:28,400 --> 01:34:30,040 ENROLLMENT AND GIVE THEM TIME ON 2376 01:34:30,040 --> 01:34:31,600 THE END FOR MONEY. 2377 01:34:31,600 --> 01:34:33,120 SO YOU SOMETIMES HAVE SMALL DIPS 2378 01:34:33,120 --> 01:34:37,280 YEAR TO YEAR BUT IN GENERAL THE 2379 01:34:37,280 --> 01:34:43,080 FUNDING HAS BEEN FAIRLY 2380 01:34:43,080 --> 01:34:43,360 CONSISTENT. 2381 01:34:43,360 --> 01:34:44,760 >> YOU DON'T HAVE TO BE PUT ON 2382 01:34:44,760 --> 01:34:45,080 THE SPOT. 2383 01:34:45,080 --> 01:34:47,640 DO YOU WANT TO CHECK THE DATA 2384 01:34:47,640 --> 01:34:49,320 AND GET BACK TO US TOMORROW. 2385 01:34:49,320 --> 01:34:50,800 >> WE CAN GET YOU A NUMBER, A 2386 01:34:50,800 --> 01:34:53,360 GOT ESTIMATE FOR NETWORKS BUT I 2387 01:34:53,360 --> 01:34:55,000 WOULD HATE TO GUESS WRONG AND 2388 01:34:55,000 --> 01:34:57,120 HAVE IT BE RECORDED FOR 2389 01:34:57,120 --> 01:34:57,600 POSTERITY FOR EVERYONE. 2390 01:34:57,600 --> 01:35:00,200 >> WE BELIEVE IN FACTS. 2391 01:35:00,200 --> 01:35:00,440 [LAUGHTER] 2392 01:35:00,440 --> 01:35:03,680 >> WE CAN GET THE FACTS 2393 01:35:03,680 --> 01:35:04,720 TOMORROW. 2394 01:35:04,720 --> 01:35:05,080 >> DR. BARKIN. 2395 01:35:05,080 --> 01:35:06,720 >> THANK YOU ALEXIS, WHAT AN 2396 01:35:06,720 --> 01:35:07,480 EXTRAORDINARILY COMPLICATED JOB 2397 01:35:07,480 --> 01:35:07,760 YOU HAVE. 2398 01:35:07,760 --> 01:35:09,600 WE ARE SO APPRECIATIVE FOR YOUR 2399 01:35:09,600 --> 01:35:12,400 LEADERSHIP AND YOUR WORK. 2400 01:35:12,400 --> 01:35:13,680 CAN YOU TALK ABOUT HOW DOES ALL 2401 01:35:13,680 --> 01:35:15,280 OF THIS FIT TOGETHER TO CREATE A 2402 01:35:15,280 --> 01:35:17,280 FORMULA TO DETERMINE WHAT THE 2403 01:35:17,280 --> 01:35:19,240 PAY LINES ARE AND IF YOU'RE 2404 01:35:19,240 --> 01:35:20,840 ALLOWED TO SHARE SORT OF THE 2405 01:35:20,840 --> 01:35:22,360 RANGE OF CURRENT PAY LINES. 2406 01:35:22,360 --> 01:35:26,160 SO, I WILL SAY WE DO HAVE SOME 2407 01:35:26,160 --> 01:35:27,480 IN THE LAST--IN THE TIME I'VE 2408 01:35:27,480 --> 01:35:29,000 BEEN HERE, WE HAVE REALLY 2409 01:35:29,000 --> 01:35:30,560 CHANGED IN A LOT OF WAYS AND 2410 01:35:30,560 --> 01:35:32,320 GOTTEN AWAY FROM SOME OF THE 2411 01:35:32,320 --> 01:35:34,960 HARD, WHAT WE CALL HARD PAY 2412 01:35:34,960 --> 01:35:36,320 LINES, MEANING THAT YOU KNOW IN 2413 01:35:36,320 --> 01:35:39,040 THE PAST, WE WERE SORT OF 2414 01:35:39,040 --> 01:35:40,960 CONSTRAINED IN TERMS OF TRYING 2415 01:35:40,960 --> 01:35:43,240 TO REACH FOR THE REALLY 2416 01:35:43,240 --> 01:35:44,360 INNOVATIVE SCIENCE, LET'S SAY 2417 01:35:44,360 --> 01:35:48,280 THAT WAS JUST BEYOND THE PAY 2418 01:35:48,280 --> 01:35:49,720 LINE AND SO, WE'VE CHANGED A LOT 2419 01:35:49,720 --> 01:35:50,920 OF WAYS WE DO THAT. 2420 01:35:50,920 --> 01:35:52,280 WE HAVE MECHANISMS WHICH STILL 2421 01:35:52,280 --> 01:35:55,040 HAVE DEFINED PAY LINES, OUR 2422 01:35:55,040 --> 01:35:56,560 K-AWARTS FOR EXAMPLE, THE 2423 01:35:56,560 --> 01:35:58,280 INDIVIDUAL Ks DO STILL HAVE A 2424 01:35:58,280 --> 01:35:59,600 DEFINED PAY LINE AND IN THAT 2425 01:35:59,600 --> 01:36:03,000 WAY, WHAT WE USUALLY DO IS, WE 2426 01:36:03,000 --> 01:36:03,800 SET ASIDE THE BEGINNING OF THE 2427 01:36:03,800 --> 01:36:06,480 YEAR, WE SAY FOR EXAMPLE, WE'RE 2428 01:36:06,480 --> 01:36:09,480 GOING TO HAVE $8 MILLION FOR NEW 2429 01:36:09,480 --> 01:36:09,920 INDIVIDUAL K-AWARDS. 2430 01:36:09,920 --> 01:36:12,920 AND THEN WE DO THAT CALCULATION 2431 01:36:12,920 --> 01:36:13,800 WITH THE PERCENTAGES BY COUNCIL 2432 01:36:13,800 --> 01:36:15,480 ROUND AND SORT OF FIGURE OUT, 2433 01:36:15,480 --> 01:36:17,440 OKAY, IF THAT'S WHAT WE HAVE, 2434 01:36:17,440 --> 01:36:19,320 HOW DOES THAT BREAK OUT BY 2435 01:36:19,320 --> 01:36:20,440 COUNCIL ROUND AND THEN WE LOOK 2436 01:36:20,440 --> 01:36:24,080 AT THE SCORES WE HAVE AND WE 2437 01:36:24,080 --> 01:36:25,280 SAY, WELL, FOR 2 AND HALF 2438 01:36:25,280 --> 01:36:26,440 MILLION DOLLARS IN OCTOBER, WE 2439 01:36:26,440 --> 01:36:30,280 CAN GET DOWN TO A 24 FOR THE 2440 01:36:30,280 --> 01:36:33,160 REGULAR Ks AND A 30 FOR THE 2441 01:36:33,160 --> 01:36:33,840 K99S. 2442 01:36:33,840 --> 01:36:35,920 SO WE--WE'RE DOING THOSE SORTS 2443 01:36:35,920 --> 01:36:38,400 OF CALCULATIONS, AND THEN, WE 2444 01:36:38,400 --> 01:36:39,560 USUALLY KEEP REVISING THROUGH 2445 01:36:39,560 --> 01:36:41,640 THE YEAR, SO IF WE'RE GETTING TO 2446 01:36:41,640 --> 01:36:43,280 JUNE COUNCIL AND IT LOOKS LIKE 2447 01:36:43,280 --> 01:36:45,080 WE HAVE A SURPLUS OF OUR 2448 01:36:45,080 --> 01:36:48,680 $8 MILLION, WE WILL GO BACK AND 2449 01:36:48,680 --> 01:36:50,880 SAY, OKAY, LET ALET'S PICK UP 2450 01:36:50,880 --> 01:36:52,680 MORE Ks, CAN WE MOVE THE PAY 2451 01:36:52,680 --> 01:36:53,840 LINE DOWN TO 26. 2452 01:36:53,840 --> 01:36:55,440 SO WE ARE CONSTANTLY ADJUST 2453 01:36:55,440 --> 01:36:55,960 NOTHING THAT WAY. 2454 01:36:55,960 --> 01:36:57,600 FOR THE THINGS THAT DO NOT HAVE 2455 01:36:57,600 --> 01:36:59,880 HARD PAY LINES OR RPGs NOW DO 2456 01:36:59,880 --> 01:37:01,560 NOT HAVE A HARD PAY LINE, WE 2457 01:37:01,560 --> 01:37:06,720 HAVE WHAT WE CALL A ZONE OF 2458 01:37:06,720 --> 01:37:07,160 CONSIDERATION. 2459 01:37:07,160 --> 01:37:08,680 WE FIGURE OUT SORT OF AN 2460 01:37:08,680 --> 01:37:11,040 ALLOCATION WE CAN GIVE TO EVERY 2461 01:37:11,040 --> 01:37:13,400 EXTRAMURAL BRANCH TO HOPEFULLY 2462 01:37:13,400 --> 01:37:14,880 FUND FAIRLY EQUITABLY ACROSS THE 2463 01:37:14,880 --> 01:37:15,280 BRANCHES. 2464 01:37:15,280 --> 01:37:18,200 WE TRY TO GIVE EXTRA MONEY TO 2465 01:37:18,200 --> 01:37:19,840 FUND ESIs, EARLY STAGE 2466 01:37:19,840 --> 01:37:21,360 INVESTIGATORS, BECAUSE THAT'S AN 2467 01:37:21,360 --> 01:37:24,040 IMPORTANT NIH TARGET AS WELL. 2468 01:37:24,040 --> 01:37:25,880 AND THEN WE LET THE BRANCH 2469 01:37:25,880 --> 01:37:27,560 CHIEFS REALLY HAVE SOME 2470 01:37:27,560 --> 01:37:27,880 DISCRETION. 2471 01:37:27,880 --> 01:37:30,640 IF THEY WANT TO, THEY COULD FUND 2472 01:37:30,640 --> 01:37:33,320 EVERYTHING IN LINE BY SCORE OR 2473 01:37:33,320 --> 01:37:36,000 IF THEY WANT TO SORT OF, YOU 2474 01:37:36,000 --> 01:37:39,280 KNOW SKIP SOMETHING, REACH FOR 2475 01:37:39,280 --> 01:37:42,640 SOMETHING, YOU KNOW THEY HAVE 2476 01:37:42,640 --> 01:37:44,440 THAT FLEXIBILITY, AND SO FOR THE 2477 01:37:44,440 --> 01:37:46,440 RPGs RIGHT NOW, OTHER THAN I 2478 01:37:46,440 --> 01:37:47,560 BELIEVE THE R15s, WE DON'T 2479 01:37:47,560 --> 01:37:50,320 REALLY HAVE A SET PAY LINE. 2480 01:37:50,320 --> 01:37:53,440 FOR THOSE GRANTS AT THE MOMENT. 2481 01:37:53,440 --> 01:37:57,360 DOES THAT ANSWER YOUR QUESTION? 2482 01:37:57,360 --> 01:38:01,720 >> YES, THANK YOU. 2483 01:38:01,720 --> 01:38:04,120 OKAY, GOOD. 2484 01:38:04,120 --> 01:38:05,640 >> OKAY, WELL AALEXIS, THANK YOU 2485 01:38:05,640 --> 01:38:07,720 AGAIN FOR THAT FANTASTIC UPDATE, 2486 01:38:07,720 --> 01:38:10,120 EVERYONE LEARNED A LOT FROM IT, 2487 01:38:10,120 --> 01:38:11,600 INCLUDING ME, I ALWAYS LIKE TO 2488 01:38:11,600 --> 01:38:12,560 HEAR IT AGAIN, SO AND YOU'RE 2489 01:38:12,560 --> 01:38:14,200 GETTING A LOT OF POSITIVE KUDOS 2490 01:38:14,200 --> 01:38:15,720 IN THE CHAT SO WHEN YOU GET A 2491 01:38:15,720 --> 01:38:17,840 CHANCE, TAKE A LACK AT THE CHAT 2492 01:38:17,840 --> 01:38:18,200 BOX. 2493 01:38:18,200 --> 01:38:18,800 >> THANK YOU VERY MUCH AND 2494 01:38:18,800 --> 01:38:20,800 CERTAINLY IF YOU THINK OF 2495 01:38:20,800 --> 01:38:21,400 QUESTIONS AS WE'RE GOING ALONG 2496 01:38:21,400 --> 01:38:23,560 AND YOU WANT TO PUT THEM IN THE 2497 01:38:23,560 --> 01:38:24,840 CHAT, I WILL KEEP WATCHING THE 2498 01:38:24,840 --> 01:38:26,840 CHAT AND I WILL WORK ON 2499 01:38:26,840 --> 01:38:27,840 DR. JANE'S ESTIMATE FOR NETWORKS 2500 01:38:27,840 --> 01:38:30,720 AND TRY TO GET BACK TO YOU ON 2501 01:38:30,720 --> 01:38:32,720 THAT AS WELL. 2502 01:38:32,720 --> 01:38:33,880 >> DR. TIDA,. 2503 01:38:33,880 --> 01:38:34,400 >> SORRY, MY APOLOGIES. 2504 01:38:34,400 --> 01:38:39,320 >> SOUNDS GOOD, THANK YOU. 2505 01:38:39,320 --> 01:38:40,280 >> THANK YOU, BYE-BYE. 2506 01:38:40,280 --> 01:38:42,320 >> SO WE'RE KIND OF--THIS IS 2507 01:38:42,320 --> 01:38:45,960 MORE OR LESS A THEME OF, YOU 2508 01:38:45,960 --> 01:38:47,200 KNOW BASIC INTRODUCTORY 2509 01:38:47,200 --> 01:38:48,400 INFORMATION THAT REALLY 2510 01:38:48,400 --> 01:38:50,360 EVERYBODY SHOULD HAVE BUT 2511 01:38:50,360 --> 01:38:52,480 BECAUSE YOU'RE ON COUNCIL YOU 2512 01:38:52,480 --> 01:38:53,800 SHOULD ESPECIALLY HAVE 2513 01:38:53,800 --> 01:38:54,080 INFORMATION. 2514 01:38:54,080 --> 01:38:56,000 AND THIS NEXT PRESENTATION CAME 2515 01:38:56,000 --> 01:38:58,720 FROM A QUESTION THAT OCCURRED 2516 01:38:58,720 --> 01:39:00,000 DURING A PREVIOUS COUNCIL 2517 01:39:00,000 --> 01:39:00,920 MEETING AND THE PRESENTATION 2518 01:39:00,920 --> 01:39:08,080 WILL BE GIVEN BY DR. CAROLINE 2519 01:39:08,080 --> 01:39:09,400 SIGNORE, SHE'S THE DEPUTY 2520 01:39:09,400 --> 01:39:11,320 DIRECTOR OF EXTRAMURAL RESEARCH 2521 01:39:11,320 --> 01:39:13,520 FOR NICHD AND SHE WILL BE 2522 01:39:13,520 --> 01:39:16,440 TALKING ABOUT THE PROCESS WE USE 2523 01:39:16,440 --> 01:39:17,640 FOR PLANNING NEW INYAISHATIVES 2524 01:39:17,640 --> 01:39:23,120 SO WHEN YOU'RE ASKED TO VOTE ON 2525 01:39:23,120 --> 01:39:27,120 CONCEPT CLEARANCE OR TO VOTE ON 2526 01:39:27,120 --> 01:39:29,400 RECOMMENDATIONS FOR SET ASIDE 2527 01:39:29,400 --> 01:39:31,240 GRANTS, WE WILL TAKE YOU THROUGH 2528 01:39:31,240 --> 01:39:31,800 THAT WHOLE PROCESS. 2529 01:39:31,800 --> 01:39:34,760 SO THE GOAL IS TO CONNECT THE 2530 01:39:34,760 --> 01:39:36,480 DOTS FROM PROGRAM STAFF 2531 01:39:36,480 --> 01:39:38,640 PROPOSING INITIATIVES, TO 2532 01:39:38,640 --> 01:39:40,440 CONCEPT CLEARANCE TO 2533 01:39:40,440 --> 01:39:41,800 UNDERSTANDING HOW WE SET ASIDE 2534 01:39:41,800 --> 01:39:43,360 FUNDS FOR THESE PROJECTS AND HOW 2535 01:39:43,360 --> 01:39:46,680 THE SET ASIDE FUNDS AFFECT THE 2536 01:39:46,680 --> 01:39:48,320 PAY LINES FOR OTHER TYPES OF 2537 01:39:48,320 --> 01:39:49,200 GRANT APPLICATIONS MRI KAIGDZS 2538 01:39:49,200 --> 01:39:51,680 SO IT FITS IN VERY NICELY WITH 2539 01:39:51,680 --> 01:39:54,600 WHAT YOU JUST HEARD FROM ALEXIS 2540 01:39:54,600 --> 01:39:58,200 SO LET ME INTRODUCE DR. SIGNORE. 2541 01:39:58,200 --> 01:39:58,960 >> THANK YOU SOPHISTICATEDY MUCH 2542 01:39:58,960 --> 01:40:02,080 AND THANK YOU DR. BIANCHI. 2543 01:40:02,080 --> 01:40:06,080 LET'S--I WILL TAKE YOU THROUGH 2544 01:40:06,080 --> 01:40:11,280 THE PROCESS BY WHICH NICHD 2545 01:40:11,280 --> 01:40:13,520 IDENTIFIES AND PLANS NEW 2546 01:40:13,520 --> 01:40:15,600 INITIATIVES AND BY INITIATIVES 2547 01:40:15,600 --> 01:40:18,120 I'M REALLY TALKING ABOUT FUNDING 2548 01:40:18,120 --> 01:40:18,680 OPPORTUNITY ANNOUNCEMENTS IN 2549 01:40:18,680 --> 01:40:18,960 GENERAL. 2550 01:40:18,960 --> 01:40:22,880 THINK OF THIS PERHAPS AS THE 2551 01:40:22,880 --> 01:40:24,400 ROAD TO AN RFA. 2552 01:40:24,400 --> 01:40:27,920 >> AND IN THIS TALK, I WILL GIVE 2553 01:40:27,920 --> 01:40:31,920 A SNAPSHOT OF A TIMELINE BETWEEN 2554 01:40:31,920 --> 01:40:35,240 AN IDEA AND ACTUALLY MAKING AN 2555 01:40:35,240 --> 01:40:35,640 AWARD. 2556 01:40:35,640 --> 01:40:39,080 WE WILL FOCUS MOST OF OUR TIME 2557 01:40:39,080 --> 01:40:42,280 ON WHAT I CALL THE OPERATIONAL 2558 01:40:42,280 --> 01:40:43,440 PLANNING PROCESS OR OP PLANNING 2559 01:40:43,440 --> 01:40:45,960 AND AGAIN THIS IS THE WAY WE 2560 01:40:45,960 --> 01:40:48,000 MAKE DECISIONS ON WHAT FOAs WE 2561 01:40:48,000 --> 01:40:49,480 WOULD LIKE TO ISSUE AND THEN WE 2562 01:40:49,480 --> 01:40:52,240 WILL KK BACK TO THE TIMELINE AND 2563 01:40:52,240 --> 01:40:57,280 DESCRIBE THE STEPS THAT OCCUR 2564 01:40:57,280 --> 01:40:58,960 AFTER THE OP PLANNING PROCESS. 2565 01:40:58,960 --> 01:41:00,760 AND WE WILL DO THIS BY 2566 01:41:00,760 --> 01:41:01,960 CONSIDERING A CASE STUDY WHICH 2567 01:41:01,960 --> 01:41:08,120 IS BASED ON A TRUE STORY OF AN 2568 01:41:08,120 --> 01:41:10,200 FY21 INITIATIVE, WHERE WE ISSUED 2569 01:41:10,200 --> 01:41:14,640 AN RFA FOR RESEARCH PROJECT 2570 01:41:14,640 --> 01:41:16,480 GRANTS OR R01s. 2571 01:41:16,480 --> 01:41:16,840 >> CAROLINE. 2572 01:41:16,840 --> 01:41:17,080 >> YES. 2573 01:41:17,080 --> 01:41:27,640 >> THE SLIDES ARE NOT SHOWING. 2574 01:41:28,320 --> 01:41:29,160 >> HMM. 2575 01:41:29,160 --> 01:41:29,680 >> ARE YOU SHARING? 2576 01:41:29,680 --> 01:41:34,760 >> I WAS GOING TO SHARE AND LET 2577 01:41:34,760 --> 01:41:35,880 ME STOP SHARING. 2578 01:41:35,880 --> 01:41:38,080 SO THAT OUR EXPERTS CAN SHARE. 2579 01:41:38,080 --> 01:41:40,040 >> IT ACTUALLY WAS SHOWING THAT 2580 01:41:40,040 --> 01:41:47,160 YOU WEREN'T--THERE WE GO. 2581 01:41:47,160 --> 01:41:49,160 >> OKAY, SORRY ABOUT THAT. 2582 01:41:49,160 --> 01:41:51,600 WE ARE GOING TO SORT OF 2583 01:41:51,600 --> 01:41:53,680 DEMONSTRATE THIS PROCESS BY 2584 01:41:53,680 --> 01:41:56,040 REVIEWING A CASE STUDY OR 2585 01:41:56,040 --> 01:42:00,720 HISTORY OF AN ACTUAL FY21 2586 01:42:00,720 --> 01:42:02,960 INITIATIVE WHICH WAS ISSUING AN 2587 01:42:02,960 --> 01:42:05,480 RFA FOR RESEARCH PROJECT GRANTS 2588 01:42:05,480 --> 01:42:15,840 OR RO-1S THAT WE INTENDED TO BE 2589 01:42:15,840 --> 01:42:16,720 AWARDED IN FY21. 2590 01:42:16,720 --> 01:42:19,000 SO HERE IS AN IMAGE OF A 2591 01:42:19,000 --> 01:42:20,440 TIMELINE THAT IS BASED ON A 2592 01:42:20,440 --> 01:42:21,480 PARTICULAR RFA AND HOW IT WAS 2593 01:42:21,480 --> 01:42:23,400 GENERATED AND I WANT TO POINT 2594 01:42:23,400 --> 01:42:25,880 OUT JUST A FEW FEATURES OF THIS 2595 01:42:25,880 --> 01:42:28,000 TIMELINE HERE AT THE BEGINNING. 2596 01:42:28,000 --> 01:42:32,760 ONE IS YOU'RE SEEING ALREADY 2597 01:42:32,760 --> 01:42:34,440 2018 THROUGH 2021, THAT IS A 2598 01:42:34,440 --> 01:42:36,560 LENGTHY PROCESS AND THIS IS 2599 01:42:36,560 --> 01:42:40,000 ACTUALLY FAIRLY TYPICAL FOR 2600 01:42:40,000 --> 01:42:44,280 COMING UP WITH AN RFA. 2601 01:42:44,280 --> 01:42:48,200 IN THIS PARTICULAR EXAMPLE, THE 2602 01:42:48,200 --> 01:42:50,000 IDEA STARTED IN RESPONSE TO A 2603 01:42:50,000 --> 01:42:55,560 WORKSHOP THAT WAS CONDUCTED BY 2604 01:42:55,560 --> 01:42:56,880 NICHD IN 2018. 2605 01:42:56,880 --> 01:43:01,240 SUBSEQUENTLY AWARDS WERE MADE IN 2606 01:43:01,240 --> 01:43:01,440 2021. 2607 01:43:01,440 --> 01:43:03,280 SO THAT'S 1 PIECE OF THIS, I 2608 01:43:03,280 --> 01:43:08,880 WOULD LIKE TO POINT OUT. 2609 01:43:08,880 --> 01:43:10,960 ANOTHER PIECE IS THAT IDEAS ARE 2610 01:43:10,960 --> 01:43:12,040 PITCHED AT THIS OP PLANNING 2611 01:43:12,040 --> 01:43:13,400 PROCESS AND YOU CAN SEE HERE 2612 01:43:13,400 --> 01:43:17,600 THAT THAT PROCESS OCCURS 2 YEARS 2613 01:43:17,600 --> 01:43:22,200 PRIOR TO THE ANTICIPATED FISCAL 2614 01:43:22,200 --> 01:43:22,880 YEAR OF FUNDING. 2615 01:43:22,880 --> 01:43:25,160 AND WE DO THAT BECAUSE THERE ARE 2616 01:43:25,160 --> 01:43:27,080 MANY, MANY STEPS BETWEEN A 2617 01:43:27,080 --> 01:43:29,520 DECISION TO ISSUE AN RFA AND THE 2618 01:43:29,520 --> 01:43:33,280 ACTUAL ISSUING OF IT AND MAKING 2619 01:43:33,280 --> 01:43:33,480 AWARDS. 2620 01:43:33,480 --> 01:43:36,280 AND THEN ANOTHER THING I WOULD 2621 01:43:36,280 --> 01:43:39,320 LIKE TO POINT OUT IS THAT 2622 01:43:39,320 --> 01:43:44,560 COUNCIL IS DIRECTLY INVOLVED AT 2623 01:43:44,560 --> 01:43:49,160 2 SEPARATE TIMES DURING THIS 2624 01:43:49,160 --> 01:43:49,560 PROCESS. 2625 01:43:49,560 --> 01:43:53,640 THE FIRST IS WHEN COUNCIL 2626 01:43:53,640 --> 01:43:55,240 ENTERTAINS CONCEPT PROPOSALS 2627 01:43:55,240 --> 01:43:59,440 FROM STAFF AS YOU'RE FAMILIAR 2628 01:43:59,440 --> 01:44:00,160 WITH. 2629 01:44:00,160 --> 01:44:01,440 IN OUR PARTICULAR CASE EXAMPLE, 2630 01:44:01,440 --> 01:44:03,480 THAT HAPPENED IN JANUARY OF 2631 01:44:03,480 --> 01:44:03,720 2020. 2632 01:44:03,720 --> 01:44:07,880 THE SECOND TIME IS LATER IN THE 2633 01:44:07,880 --> 01:44:11,200 PROCESS WHEN COUNCIL CONDUCTS 2634 01:44:11,200 --> 01:44:14,680 SECOND LEVEL REVIEW AND CONTENDS 2635 01:44:14,680 --> 01:44:17,280 OR CONSIDERS STAFF 2636 01:44:17,280 --> 01:44:20,160 RECOMMENDATIONS FOR FUNDING OF 2637 01:44:20,160 --> 01:44:21,240 APPLICATIONS THAT CAME IN IN 2638 01:44:21,240 --> 01:44:24,400 RESPONSE TO THE RFA. 2639 01:44:24,400 --> 01:44:29,880 BUT LET'S TALK NOW ABOUT THE 2640 01:44:29,880 --> 01:44:31,560 BEGINNING OF THIS PROCESS. 2641 01:44:31,560 --> 01:44:34,360 ALL INITIATIVES BEGIN WITH IDEAS 2642 01:44:34,360 --> 01:44:38,520 AND IDEAS ORIGINATE WITH PROGRAM 2643 01:44:38,520 --> 01:44:38,800 OFFICIALS. 2644 01:44:38,800 --> 01:44:44,520 WHO ARE REALLY ALWAYS ENGAGED IN 2645 01:44:44,520 --> 01:44:46,320 LOOKING FOR OPPORTUNITIES, GAPS 2646 01:44:46,320 --> 01:44:50,920 IN THE LITERATURE, GAPS IN 2647 01:44:50,920 --> 01:44:52,960 SCIENCE THAT NICHD, COULD 2648 01:44:52,960 --> 01:45:03,400 SUPPORT AND COULD ADDRESS. 2649 01:45:13,040 --> 01:45:15,000 SO THEY'RE SETTING UP WORKSHOPS 2650 01:45:15,000 --> 01:45:18,760 OR CONVERSE BEING WITH 2651 01:45:18,760 --> 01:45:20,840 SCIENTISTS WITHIN NICHK, ACROSS 2652 01:45:20,840 --> 01:45:26,360 NIH, OTHER AGENCIES AT MEETINGS, 2653 01:45:26,360 --> 01:45:30,800 CONDUCTING PORTFOLIO ANALYSIS, 2654 01:45:30,800 --> 01:45:31,840 TO IDENTIFY GAPS OR JUST KEEPING 2655 01:45:31,840 --> 01:45:33,120 UP WITH THE LITERATURE. 2656 01:45:33,120 --> 01:45:36,280 SO IN ALL OF THESE CASES, 2657 01:45:36,280 --> 01:45:37,600 PROGRAM STAFF ARE JUST KEEPING 2658 01:45:37,600 --> 01:45:40,600 THEIR EAR TO THE GROUND AND 2659 01:45:40,600 --> 01:45:47,160 ALWAYS STAYING ALERT FOR NEW 2660 01:45:47,160 --> 01:45:47,600 OPPORTUNITIES. 2661 01:45:47,600 --> 01:45:52,920 IDEAS THEN ARE TAKEN THROUGH OUR 2662 01:45:52,920 --> 01:45:54,120 OPERATIONAL PLANNING PROCESS, 2663 01:45:54,120 --> 01:45:55,920 BASICALLY WHICH CONSISTS OF 2664 01:45:55,920 --> 01:46:02,840 MAKING A PITCH OR A PROPOSAL FOR 2665 01:46:02,840 --> 01:46:03,360 CONSIDERATION. 2666 01:46:03,360 --> 01:46:04,520 THE COMPONENTS OF SUCH A 2667 01:46:04,520 --> 01:46:06,840 PROPOSAL OR A PITCH ARE INCLUDED 2668 01:46:06,840 --> 01:46:09,160 FOR EVERY INITIATIVE IN A 2669 01:46:09,160 --> 01:46:11,520 WRITTEN DOCUMENT THAT'S PREPARED 2670 01:46:11,520 --> 01:46:14,840 BY PROGRAM STAFF TYPICALLY 5-7 2671 01:46:14,840 --> 01:46:19,880 PAGES LONG THAT COVERS CERTAIN 2672 01:46:19,880 --> 01:46:21,120 KEY PIECES OF INFORMATION. 2673 01:46:21,120 --> 01:46:23,480 IN SOME CASES THESE PROPOSALS 2674 01:46:23,480 --> 01:46:25,800 ARE AUGMENTED WITH AN ORAL 2675 01:46:25,800 --> 01:46:32,120 PRESENTATION, I'LL GET BACK TO 2676 01:46:32,120 --> 01:46:32,960 THAT MOMENTARILY. 2677 01:46:32,960 --> 01:46:35,120 SO WHAT'S INCLUDED IN THESE 2678 01:46:35,120 --> 01:46:35,400 WRITE UPS? 2679 01:46:35,400 --> 01:46:37,600 IT WILL BE LAYING OUT THE 2680 01:46:37,600 --> 01:46:38,600 SCIENTIFIC BACKGROUND, THE 2681 01:46:38,600 --> 01:46:40,600 SCIENTIFIC ISSUE IS THAT'S BEING 2682 01:46:40,600 --> 01:46:43,600 ADDRESSED AND SPECIFICALLY WHAT 2683 01:46:43,600 --> 01:46:46,960 GAP IN THAT SCIENCE IS THE 2684 01:46:46,960 --> 01:46:47,840 RESEARCH INTENDED TO ADDRESS. 2685 01:46:47,840 --> 01:46:49,640 WHAT IS THE PURPOSE, WHAT IS THE 2686 01:46:49,640 --> 01:46:51,560 GOAL OF THIS NEW PROGRAM IN 2687 01:46:51,560 --> 01:46:55,280 TERMS OF ADDRESSING THIS NEED. 2688 01:46:55,280 --> 01:46:56,080 SOME INITIATIVES ARE RECURRING 2689 01:46:56,080 --> 01:46:59,680 AND FOR THOSE THAT ARE, THE 2690 01:46:59,680 --> 01:47:01,000 PROPOSAL WILL COMMENT ON WHAT 2691 01:47:01,000 --> 01:47:03,840 THE PAST HISTORY OF THIS 2692 01:47:03,840 --> 01:47:05,160 INITIATIVE HAS BEEN WHAT HAS 2693 01:47:05,160 --> 01:47:07,360 BEEN THE OUTPUT, WHAT HAS BEEN 2694 01:47:07,360 --> 01:47:09,160 THE IMPACT. 2695 01:47:09,160 --> 01:47:10,800 IMPORTANTLY WHY DOES THIS FIELD 2696 01:47:10,800 --> 01:47:13,000 STILL NEED TO BE STIMULATED BY 2697 01:47:13,000 --> 01:47:14,960 US ISSUING ANOTHER FUNDING 2698 01:47:14,960 --> 01:47:16,120 OPPORTUNITY ANNOUNCEMENT. 2699 01:47:16,120 --> 01:47:18,560 SIMILARLY, WHY SHOULD IT BE 2700 01:47:18,560 --> 01:47:20,640 NICHD FOR EXAMPLE AS OPPOSED TO 2701 01:47:20,640 --> 01:47:23,080 ANOTHER IC THAT MAY ALSO HAVE AN 2702 01:47:23,080 --> 01:47:28,800 INTEREST IN THE SCIENCE. 2703 01:47:28,800 --> 01:47:32,400 WE'RE ALSO LOOKING FOR HOW OUR 2704 01:47:32,400 --> 01:47:34,120 ALLIANCE ALIGNS WITH THE BRANCH 2705 01:47:34,120 --> 01:47:35,160 PRIORITIES AND FOR INITIATIVES 2706 01:47:35,160 --> 01:47:37,480 THAT WILL HAVE SET ASIDES, WHAT 2707 01:47:37,480 --> 01:47:41,160 IS THE PROPOSED BUDGET. 2708 01:47:41,160 --> 01:47:44,600 THERE ARE SORT OF 2 DIFFERENT 2709 01:47:44,600 --> 01:47:47,480 DIRECTIONS, THAT PLANNING TAKES 2710 01:47:47,480 --> 01:47:48,080 AT THIS POINT. 2711 01:47:48,080 --> 01:47:50,280 DEPENDING ON WHETHER THERE'S A 2712 01:47:50,280 --> 01:47:52,640 SET ASIDE OR NOT. 2713 01:47:52,640 --> 01:47:56,120 SO FOR THOSE INITIATIVES LIKE 2714 01:47:56,120 --> 01:47:57,760 RFAs OR RFPs THAT WILL HAVE 2715 01:47:57,760 --> 01:47:58,960 SET ASIDES ISSUES THE 2716 01:47:58,960 --> 01:48:02,880 OUTPLANNING PROCESS IS LARGELY 2717 01:48:02,880 --> 01:48:04,720 CONDUCTED ON AN ANNUAL MEETING 2718 01:48:04,720 --> 01:48:06,560 AS I MENTIONED 2 YEARS IN 2719 01:48:06,560 --> 01:48:12,120 ADVANCE OF THE ANTICIPATED 2720 01:48:12,120 --> 01:48:12,760 FUNDING FISCHERIAL YEAR. 2721 01:48:12,760 --> 01:48:15,440 ALTHOUGH THERE CAN BE ADHOC 2722 01:48:15,440 --> 01:48:17,000 MEETINGS AS NECESSARY AT OTHER 2723 01:48:17,000 --> 01:48:17,360 TIMES. 2724 01:48:17,360 --> 01:48:20,400 AND AT THIS LARGE MEETING 2725 01:48:20,400 --> 01:48:23,280 TYPICALLY ABOUT 20-30 NEW AND 2726 01:48:23,280 --> 01:48:26,040 RECURRING INITIATIVES ARE 2727 01:48:26,040 --> 01:48:27,120 PRESENTED BY INDIVIDUAL PROGRAM 2728 01:48:27,120 --> 01:48:28,080 STAFF SO EVERYONE'S DONE A WRITE 2729 01:48:28,080 --> 01:48:33,480 UP AND THEN THERE ARE THESE ORAL 2730 01:48:33,480 --> 01:48:33,840 PRESENTATIONS. 2731 01:48:33,840 --> 01:48:35,480 THIS MEETING IS ATTENDED BY ALL 2732 01:48:35,480 --> 01:48:43,520 EXTRAMURAL STAFF AND LEADERSHIP 2733 01:48:43,520 --> 01:48:46,560 WHO ARE ENCOURAGED TO ASKY 2734 01:48:46,560 --> 01:48:48,360 REQUESTS, IDENTIFY PROBLEMS AND 2735 01:48:48,360 --> 01:48:49,640 AND PRESENT SOLUTIONS AND OTHER 2736 01:48:49,640 --> 01:48:49,920 NERGYS. 2737 01:48:49,920 --> 01:48:54,360 THE OTHEISHATIVES THAT WILL NOTE 2738 01:48:54,360 --> 01:48:57,600 A SET ASIDE WHICH ARE LESS 2739 01:48:57,600 --> 01:48:58,840 DIRECTLY INFLUENCING BUDGET 2740 01:48:58,840 --> 01:49:00,840 DECISIONS, SO IN THOSE CASES, 2741 01:49:00,840 --> 01:49:02,440 MEETINGS ARE HELD QUARTERLY SO 4 2742 01:49:02,440 --> 01:49:04,600 TIMES A YEAR AND NOT NECESSARILY 2743 01:49:04,600 --> 01:49:07,960 2 YEARS IN ADVANCE OF AN 2744 01:49:07,960 --> 01:49:08,720 ANTICIPATED FUNDING YEAR. 2745 01:49:08,720 --> 01:49:11,520 THROUGH THIS PROCESS, WE CAN 2746 01:49:11,520 --> 01:49:13,720 PROPOSE OUR OWN NONSET ASIDE 2747 01:49:13,720 --> 01:49:15,360 INITIATIVES LIKE NOTICES OF 2748 01:49:15,360 --> 01:49:20,160 SPECIAL INTEREST, WE ALSO 2749 01:49:20,160 --> 01:49:23,280 FREQUENTLY WILL SIGN ON TO OTHER 2750 01:49:23,280 --> 01:49:24,600 INSTITUTES NOTICES, THIS MEETING 2751 01:49:24,600 --> 01:49:27,080 AS I SAID OCCURS QUARTERLY, IT'S 2752 01:49:27,080 --> 01:49:29,040 ATTENDED BY SOME D. E. R. STAFF 2753 01:49:29,040 --> 01:49:35,160 AND STAFF FROM THE NICHD, OFFICE 2754 01:49:35,160 --> 01:49:37,640 OF THE DIRECTOR WHO ARE 2755 01:49:37,640 --> 01:49:38,640 EVALUATING THE WRITTEN 2756 01:49:38,640 --> 01:49:41,360 PROPOSALS, IN THIS CASE THERE 2757 01:49:41,360 --> 01:49:48,440 ARE ORAL PRESENTATIONS MADE BY 2758 01:49:48,440 --> 01:49:49,880 INDIVIDUAL STAFF. 2759 01:49:49,880 --> 01:49:51,560 FOLLOWING PROPOSALS AND REVIEW 2760 01:49:51,560 --> 01:49:53,360 DECISIONS NEED TO BE MADE SO 2761 01:49:53,360 --> 01:49:54,840 WHAT FACTORS ARE TAKEN INTO 2762 01:49:54,840 --> 01:49:56,200 CONSIDERATION WHEN LEADERSHIP 2763 01:49:56,200 --> 01:49:58,040 ARE MAKING DECISIONS AND 1 OF 2764 01:49:58,040 --> 01:50:01,640 THEM IS JUST THE CLARITY OF THE 2765 01:50:01,640 --> 01:50:04,960 GOALS AND OBJECTIVES AS 2766 01:50:04,960 --> 01:50:05,320 PRESENTED. 2767 01:50:05,320 --> 01:50:07,240 THERE'S A LIKELIHOOD THAT WHAT'S 2768 01:50:07,240 --> 01:50:09,720 BEEN PRESENTED WILL BE 2769 01:50:09,720 --> 01:50:11,280 MEANINGFULLY ADDRESSED BY THE 2770 01:50:11,280 --> 01:50:16,320 SCIENTIFIC GAP AND MOVE THE 2771 01:50:16,320 --> 01:50:17,720 FIELD FORWARD AND IMPORTANT HOW 2772 01:50:17,720 --> 01:50:19,040 IMPORTANT IS THAT GAP IN SCIENCE 2773 01:50:19,040 --> 01:50:21,880 THAT'S BEING ADDRESSED WITH THE 2774 01:50:21,880 --> 01:50:22,440 PROPOSAL. 2775 01:50:22,440 --> 01:50:24,800 WHAT IS THE EXTENT TO WHICH THE 2776 01:50:24,800 --> 01:50:27,880 PROPOSAL MEETS THE GOALS AND 2777 01:50:27,880 --> 01:50:30,560 ASPIRATIONS OF THE NICHD 2778 01:50:30,560 --> 01:50:38,320 STRATEGIC PLAN OR PROGRAM 2779 01:50:38,320 --> 01:50:39,560 PRIORITIES. 2780 01:50:39,560 --> 01:50:41,440 FOR SET ASIDE FOAs FOR THE 2781 01:50:41,440 --> 01:50:43,360 RECOMMENDED BUNLET AND 2782 01:50:43,360 --> 01:50:44,120 IMPORTANTLY AS ALEXIS POINTED 2783 01:50:44,120 --> 01:50:51,040 OUT WE NEED TO TRY AND 2784 01:50:51,040 --> 01:50:57,320 UNDERSTAND WHAT THE AVAILABLE 2785 01:50:57,320 --> 01:51:00,160 FOR FUNDS FOR NEW INITIATIVES, 2786 01:51:00,160 --> 01:51:01,960 WHAT SORT OF PROGRAMS WILL BE 2787 01:51:01,960 --> 01:51:02,440 AVAILABLE. 2788 01:51:02,440 --> 01:51:04,680 SO FOR THAT I WILL TAKE YOU 2789 01:51:04,680 --> 01:51:05,600 THROUGH THE PROCESS AND TEMON 2790 01:51:05,600 --> 01:51:07,120 STRAIGHT HOW THAT AM CANS ABOUT 2791 01:51:07,120 --> 01:51:09,720 AND I WILL PAUSE HERE FOR A 2792 01:51:09,720 --> 01:51:11,600 MOMENT AND THANK ALEXIS CLARK 2793 01:51:11,600 --> 01:51:13,600 AND NICOLE FROM OUR BUDGET 2794 01:51:13,600 --> 01:51:14,720 OFFICE WHO WERE REALLY 2795 01:51:14,720 --> 01:51:15,440 INSTRUMENTAL IN HELPING ME PUT 2796 01:51:15,440 --> 01:51:25,920 TOGETHER THIS PART OF THE 2797 01:51:26,600 --> 01:51:27,320 PRESENTATION. 2798 01:51:27,320 --> 01:51:30,280 SO YOU'VE HEARD FROM ALEXIS THE 2799 01:51:30,280 --> 01:51:31,960 APPROPRIATION, IT COULD BE A 2800 01:51:31,960 --> 01:51:32,760 CONTINUING RESOLUTION AND THAT 2801 01:51:32,760 --> 01:51:38,200 ALWAYS MAKES THE JOB A LITTLE 2802 01:51:38,200 --> 01:51:39,720 BIT MORE CHALLENGING BUT IN 2803 01:51:39,720 --> 01:51:42,960 GENERAL 2021 YOU SAW THAT THE 2804 01:51:42,960 --> 01:51:45,160 EXTRAMURAL PORTION OF OUR 2805 01:51:45,160 --> 01:51:48,960 ANNUALA APPROPRIATION IS ABOUT 2806 01:51:48,960 --> 01:51:50,080 80%. 2807 01:51:50,080 --> 01:51:52,240 FROM THE ANNUAL APPROPRIATION, 2808 01:51:52,240 --> 01:51:54,560 THE COSTS FOR THE INTRAMURAL 2809 01:51:54,560 --> 01:51:58,240 RESEARCH PROGRAM AND OPERATIONS 2810 01:51:58,240 --> 01:52:00,240 OR RMS THAT ALEXIS SPOKE ABOUT 2811 01:52:00,240 --> 01:52:01,200 ARE TAKEN OFF THE TOP. 2812 01:52:01,200 --> 01:52:04,720 AND THEN FROM THERE, WE NEED TO 2813 01:52:04,720 --> 01:52:11,600 IDENTIFY HOW MUCH WILL BE 2814 01:52:11,600 --> 01:52:12,720 AVAILABLE FOR EXTRAMURAL WARKSDS 2815 01:52:12,720 --> 01:52:15,440 IN ORDER TO DO THAT WE MUST 2816 01:52:15,440 --> 01:52:16,320 FIRST UNDERSTAND WHAT OUR 2817 01:52:16,320 --> 01:52:17,600 OPERATING GLOBALLY LIGATIONS 2818 01:52:17,600 --> 01:52:18,920 FROM THE NONCOMPETING AWARDS, SO 2819 01:52:18,920 --> 01:52:21,240 YOU KNOW IF YOU THINK ABOUT A 2820 01:52:21,240 --> 01:52:27,080 TYPICAL R01. 2821 01:52:27,080 --> 01:52:28,880 THAT'S 5 YEARS LONG WE HAVE A 2822 01:52:28,880 --> 01:52:29,840 COMMITMENT OF BUDGET FUNDS TO 2823 01:52:29,840 --> 01:52:32,040 SUPPORT THE OUT YEARINGS WE CALL 2824 01:52:32,040 --> 01:52:34,560 THEM OF EVERY AWARDED GRANT. 2825 01:52:34,560 --> 01:52:38,320 SO WE KNOW WHAT THOSE COSTS WILL 2826 01:52:38,320 --> 01:52:40,400 BE 2 YEARS IN ADVANCE AND WE 2827 01:52:40,400 --> 01:52:42,040 DON'T KNOW WHERE ALL OF THEM AND 2828 01:52:42,040 --> 01:52:44,000 THIS IS WHERE THE ART OF 2829 01:52:44,000 --> 01:52:46,240 BUDGETING COMES IN WHERE 2830 01:52:46,240 --> 01:52:53,400 CONSERVATIVE ESTIMATES ARE MADE 2831 01:52:53,400 --> 01:52:54,680 BASED ON HISTORICAL DATA ABOUT 2832 01:52:54,680 --> 01:52:59,280 WHAT TOTALS MIGHT BE 2 YEARS 2833 01:52:59,280 --> 01:53:00,000 HENCE. 2834 01:53:00,000 --> 01:53:01,160 ONCE THOSE FUNDS ARE ACCOUNTED 2835 01:53:01,160 --> 01:53:03,480 FOR IF YOU WILL WHAT'S LEFT FOR 2836 01:53:03,480 --> 01:53:13,680 THE BANK IS WHAT'S AVAILABLE FOR 2837 01:53:13,680 --> 01:53:14,360 NEW EXTRAMURAL AWARDS. 2838 01:53:14,360 --> 01:53:16,800 ABOUT WE HAVE ALL NEW AWARDS AND 2839 01:53:16,800 --> 01:53:19,440 NOT JUST RFAs AND SO 2840 01:53:19,440 --> 01:53:20,160 INVESTIGATOR INITTIAIATED 2841 01:53:20,160 --> 01:53:22,080 GRANTS, SMALL BUSINESS AWARDS 2842 01:53:22,080 --> 01:53:24,040 TRAINING MANDATED PROGRAMS, LIKE 2843 01:53:24,040 --> 01:53:32,200 HIV/AIDS AND THE RECOMPETING 2844 01:53:32,200 --> 01:53:33,680 RFAs AND RFPs ONCE ALL OF 2845 01:53:33,680 --> 01:53:34,920 THOSE ARE ACCOUNTED FOR WHAT'S 2846 01:53:34,920 --> 01:53:39,640 LEFT ARE THE FUNDS AVAILABLE FOR 2847 01:53:39,640 --> 01:53:41,040 NEW INITIATIVES. 2848 01:53:41,040 --> 01:53:45,360 THIS WHOLE PROCESS IS 2849 01:53:45,360 --> 01:53:46,000 REPRESENTED GRAPHICALLY HERE AND 2850 01:53:46,000 --> 01:53:48,600 LET ME JUST SORT OF WALK YOU 2851 01:53:48,600 --> 01:53:49,080 THROUGH THIS. 2852 01:53:49,080 --> 01:53:52,240 EACH BAR HERE REPRESENTS AN 2853 01:53:52,240 --> 01:53:55,960 AMOUNT OF FUNDS. 2854 01:53:55,960 --> 01:53:58,440 THE TOP BAR IS THE TOTAL 2855 01:53:58,440 --> 01:53:59,960 APPRECIATION FOR FISCAL YEAR 2856 01:53:59,960 --> 01:54:02,840 2021 AND I'LL JUST GIVE YOU THE 2857 01:54:02,840 --> 01:54:13,040 BOTTOM LINE UP FRONT HERE 2858 01:54:13,040 --> 01:54:15,160 BECAUSE THE BOTTOM LINE IS THE 2859 01:54:15,160 --> 01:54:17,160 ACTUAL BOTTOM LINE, THIS LINE 2860 01:54:17,160 --> 01:54:18,200 HERE IS THE ENTIRE APPROPRIATION 2861 01:54:18,200 --> 01:54:19,840 THAT COULD BE PUT TOWARD NEW 2862 01:54:19,840 --> 01:54:22,160 INITIATIVES WITH SET ASIDES IN 2863 01:54:22,160 --> 01:54:23,480 THE FISCAL YEAR OF 2021. 2864 01:54:23,480 --> 01:54:27,800 AND SO THE WAY IN WHICH THAT IS 2865 01:54:27,800 --> 01:54:33,120 CALCULATED IS BY SORT OF 2866 01:54:33,120 --> 01:54:35,080 CEREALLY SUBTRACTING THE 2867 01:54:35,080 --> 01:54:37,200 COMPONENTS OF THE BUDGET IN 2868 01:54:37,200 --> 01:54:37,880 SEQUENTIAL FASHION. 2869 01:54:37,880 --> 01:54:42,240 SO HERE WE START WITH THE 2870 01:54:42,240 --> 01:54:42,560 APPROPRIATION. 2871 01:54:42,560 --> 01:54:44,360 WE SUBTRACT THE NEED FOR THE 2872 01:54:44,360 --> 01:54:46,120 INTRAMURAL PROGRAM, SUBTRACT THE 2873 01:54:46,120 --> 01:54:48,760 NEED FOR OPERATIONS OR RMS, 2874 01:54:48,760 --> 01:54:54,360 SUBTRACT THE NEEDS FOR RESEARCH 2875 01:54:54,360 --> 01:54:55,400 AND DEVELOPMENT CONTRACTS AND 2876 01:54:55,400 --> 01:54:57,120 AND STORT IN HERE WITH 2877 01:54:57,120 --> 01:54:57,440 NONCOMPETING. 2878 01:54:57,440 --> 01:54:58,920 I WANT TO POINT OUT A COUPLE 2879 01:54:58,920 --> 01:55:00,040 THINGS ABOUT THIS PARTICULAR 2880 01:55:00,040 --> 01:55:01,040 BAR. 2881 01:55:01,040 --> 01:55:04,600 ONE IS TO SEE JUST SICIALLY EVEN 2882 01:55:04,600 --> 01:55:05,960 HOW SUBSTANTIALLY NONCOMPETING 2883 01:55:05,960 --> 01:55:08,440 COMMITMENTS AFFECT OUR BUDGETS 2884 01:55:08,440 --> 01:55:09,720 AND OUR ALLOCATIONS. 2885 01:55:09,720 --> 01:55:11,200 BUT ALSO TO POINT OUT THAT THIS 2886 01:55:11,200 --> 01:55:13,720 IS THE BAR WHERE WE START 2887 01:55:13,720 --> 01:55:21,400 LOOKING AT HOW MUCH WE HAVE FOR 2888 01:55:21,400 --> 01:55:21,720 NEW AWARDS. 2889 01:55:21,720 --> 01:55:23,840 MOST OF THE AWARDS WE SUPPORT 2890 01:55:23,840 --> 01:55:25,280 ARE NEW INVESTIGATOR INITIATED 2891 01:55:25,280 --> 01:55:26,720 AWARDS SO HERE'S WHAT REMAINS 2892 01:55:26,720 --> 01:55:30,800 AFTER THOSE ARE ACCOUNTED FOR. 2893 01:55:30,800 --> 01:55:32,400 FINALLY, SUBTRACTING OUT 2894 01:55:32,400 --> 01:55:34,680 SBIRs, SUBTRACTING OUT 2895 01:55:34,680 --> 01:55:37,080 TRAINING, SUBTRACTING OUT AIDS, 2896 01:55:37,080 --> 01:55:42,040 SUBTRACTING OUT RECOMPETING 2897 01:55:42,040 --> 01:55:43,040 RFAs AND RFPs QUEE END UP 2898 01:55:43,040 --> 01:55:44,720 HERE WITH THE BOTTOM LINE, THIS 2899 01:55:44,720 --> 01:55:46,280 IS THE AMOUNT OF FUNDS THAT ARE 2900 01:55:46,280 --> 01:55:48,520 AVAILABLE FOR NEW RFAs AND 2901 01:55:48,520 --> 01:55:50,200 RFPs SO THAT'S THE NUMBER THAT 2902 01:55:50,200 --> 01:55:52,960 HELPS US MAKE DECISIONS ON WHAT 2903 01:55:52,960 --> 01:55:56,040 INITIATIVES WILL BE MOVING 2904 01:55:56,040 --> 01:56:05,160 FORWARD OUT OF OPERATIONAL OR 2905 01:56:05,160 --> 01:56:05,560 OP PLANNING. 2906 01:56:05,560 --> 01:56:06,360 HAVING CONCLUDED THAT THEN, 2907 01:56:06,360 --> 01:56:07,800 LET'S GO BACK TO OUR TIMELINE. 2908 01:56:07,800 --> 01:56:10,600 WE SAW THIS PROCESS IN OUR CASE 2909 01:56:10,600 --> 01:56:13,280 WITH THE WORKSHOP IN APRIL OF 2910 01:56:13,280 --> 01:56:13,720 2018. 2911 01:56:13,720 --> 01:56:18,080 WE ARE HERE HAVING JUST 2912 01:56:18,080 --> 01:56:19,480 DESCRIBED AND CONDUCTED OP 2913 01:56:19,480 --> 01:56:21,080 PLANNING FOR THAT INITIATIVE 2914 01:56:21,080 --> 01:56:21,280 CYCLE. 2915 01:56:21,280 --> 01:56:28,440 THAT TOOK PLACE IN THE SUMMER OF 2916 01:56:28,440 --> 01:56:28,920 2019. 2917 01:56:28,920 --> 01:56:32,560 AND FOLLOWING AN APPROVAL 2918 01:56:32,560 --> 01:56:33,760 THROUGH THE OP PLANNING PROCESS 2919 01:56:33,760 --> 01:56:36,480 IS THE FITTER TIME COUNCIL GETS 2920 01:56:36,480 --> 01:56:36,880 INVOLVED. 2921 01:56:36,880 --> 01:56:38,280 SO THAT ARE APPROVED FOR 2922 01:56:38,280 --> 01:56:39,760 PLANNING ARE BROUGHT TO COUNCIL 2923 01:56:39,760 --> 01:56:44,200 FOR OPINIONS AND APPROVAL BEFORE 2924 01:56:44,200 --> 01:56:44,480 PROCEEDING. 2925 01:56:44,480 --> 01:56:49,640 FOLLOWING COUNCIL APPROVAL OF A 2926 01:56:49,640 --> 01:56:51,520 CONCEPT, PART ABOUT WRITING THE 2927 01:56:51,520 --> 01:56:52,400 FUNDING OPPORTUNITY ANNOUNCEMENT 2928 01:56:52,400 --> 01:56:53,520 MPLET IN THIS CASE STUDY THAT 2929 01:56:53,520 --> 01:56:59,560 TOOK PLACE BETWEEN JANUARY AND 2930 01:56:59,560 --> 01:57:02,200 MARCH OF 2020 THAT'S A FAIRLY 2931 01:57:02,200 --> 01:57:02,640 EXPEDEIENT TIMELINE. 2932 01:57:02,640 --> 01:57:06,160 THERE ARE PORTS OF THIS PROCESS 2933 01:57:06,160 --> 01:57:12,400 THAT WE CAN'T CONTROL. 2934 01:57:12,400 --> 01:57:14,800 LARGELY THE FACT THAT AFTER IT 2935 01:57:14,800 --> 01:57:17,520 GOES TO FOA, IT GOES TO OFFICE 2936 01:57:17,520 --> 01:57:18,240 FOR REVIEW. 2937 01:57:18,240 --> 01:57:20,080 THERE REVIEW CAN BE LENGTH EXPE 2938 01:57:20,080 --> 01:57:20,840 TIME CONSUMING ESPECIALLY IF 2939 01:57:20,840 --> 01:57:23,120 THEY COME BACK TO AN IC WITH 2940 01:57:23,120 --> 01:57:31,120 SUGGESTIONS OR QUESTIONS FOR 2941 01:57:31,120 --> 01:57:31,640 EDITS OR CLARIFICATIONS. 2942 01:57:31,640 --> 01:57:33,600 ONCE EVERYTHING IS APPROVED IN 2943 01:57:33,600 --> 01:57:36,280 O. E. R., THE RFA IS PUBLISHED, 2944 01:57:36,280 --> 01:57:37,720 THINGS ARE ARE GETTING RUN OF 2945 01:57:37,720 --> 01:57:39,960 THE MILL NOW FOLLOWING 2946 01:57:39,960 --> 01:57:40,920 PUBLICATIONS, APPLICATIONS COME 2947 01:57:40,920 --> 01:57:46,240 IN, IN THIS CASE IN JULY OF 2948 01:57:46,240 --> 01:57:47,240 TWEBT 20. 2949 01:57:47,240 --> 01:57:48,520 APPLICATIONS THAT COME IN THIS 2950 01:57:48,520 --> 01:57:50,440 THE SUMMER ARE REVIEWED BY NIH 2951 01:57:50,440 --> 01:57:51,520 PEER REVIEW IN THE FALL. 2952 01:57:51,520 --> 01:57:54,200 HERE'S THE NEXT TIME COUNCIL 2953 01:57:54,200 --> 01:57:55,640 GETS INVOLVED. 2954 01:57:55,640 --> 01:57:56,840 STAFF MAKE RECOMMENDATIONS FOR 2955 01:57:56,840 --> 01:57:58,040 WHAT THEY SUGGEST COULD BE 2956 01:57:58,040 --> 01:58:00,480 FUNDED FROM THE FUNDING 2957 01:58:00,480 --> 01:58:03,720 INITIATIVE AND IN THIS CASE, 2958 01:58:03,720 --> 01:58:05,560 COUNCIL HEARD THESE 2959 01:58:05,560 --> 01:58:15,960 RECOMMENDATIONS IN THE 2960 01:58:18,000 --> 01:58:19,200 JANUARY 2021 COUNCIL. 2961 01:58:19,200 --> 01:58:20,560 YOU AND FOLLOWING THAT APPROVAL 2962 01:58:20,560 --> 01:58:22,440 THAT SUMS IT UP, FROM IDEA TO,A 2963 01:58:22,440 --> 01:58:23,440 WARD IN A NUT SHELL. 2964 01:58:23,440 --> 01:58:25,640 WE ARE ALWAYS LOOKING FOR WAYS 2965 01:58:25,640 --> 01:58:29,080 TO IMPROVE OUR PROCESSES, AND 2966 01:58:29,080 --> 01:58:31,440 ADAPT THEM SO YOUR COMMENTS AND 2967 01:58:31,440 --> 01:58:33,360 SUGGESTIONS ARE WELCOME AND I 2968 01:58:33,360 --> 01:58:43,880 WOULD ALSO BE HAPPY TO TRY AND 2969 01:58:56,400 --> 01:58:57,120 ENTERTAIN ANY QUESTIONS. 2970 01:58:57,120 --> 01:59:01,800 >> THANKS SO MUCH, I DID AN 2971 01:59:01,800 --> 01:59:03,240 INADVERTENT SWITCH ARADIO, AND I 2972 01:59:03,240 --> 01:59:05,120 SAW CAREEE LINE LIGHT UP AND IT 2973 01:59:05,120 --> 01:59:06,880 SEEMED LIKE HER TOPIC FLOWED 2974 01:59:06,880 --> 01:59:08,240 NICELY FROM THE BUDGET BUT IN 2975 01:59:08,240 --> 01:59:12,720 FACT THE NEXT PRESENTATION 2976 01:59:12,720 --> 01:59:14,720 SHOULD HAVE GONE BUYER CAROLINE. 2977 01:59:14,720 --> 01:59:15,840 NO WORRIES, I JUST DON'T WANT 2978 01:59:15,840 --> 01:59:17,200 YOU TO THINK YOU HAVE A BREAK 2979 01:59:17,200 --> 01:59:19,240 YET SO WITH THAT CAVEAT WE WILL 2980 01:59:19,240 --> 01:59:25,000 GO TO DAVID'S FIRST QUESTION. 2981 01:59:25,000 --> 01:59:25,440 THANKS, ALL. 2982 01:59:25,440 --> 01:59:26,720 IT'S FASCINATING TO SEE THE 2983 01:59:26,720 --> 01:59:32,080 PROCESS AND THE DELIBERATIONS 2984 01:59:32,080 --> 01:59:34,080 THAT NICHD GOES THROUGH TO 2985 01:59:34,080 --> 01:59:35,560 PREPARE AN RFA, MY PREPARATION 2986 01:59:35,560 --> 01:59:37,680 IS THE BEGIN OF THE IDEAS AND TO 2987 01:59:37,680 --> 01:59:40,960 WHAT EXTENT TO WE ENCOURAGE 2988 01:59:40,960 --> 01:59:42,280 PATIENT/PUBLIC INVOLVEMENT IN 2989 01:59:42,280 --> 01:59:43,080 FEEDING THOSE REQUESTEDS BECAUSE 2990 01:59:43,080 --> 01:59:44,800 THAT CAN BE A POSITIVE PART OF 2991 01:59:44,800 --> 01:59:46,760 THAT RELATIONSHIP WE HAVE WITH 2992 01:59:46,760 --> 01:59:48,680 THE TAXPAYER AND ALSO THE PEOPLE 2993 01:59:48,680 --> 01:59:52,760 WE CARE FOR, IS THERE A WAY FOR 2994 01:59:52,760 --> 01:59:54,400 THEM TO HAVE THEIR INPUT AT THE 2995 01:59:54,400 --> 01:59:55,360 BEGINNING AND HELP US THINK 2996 01:59:55,360 --> 01:59:57,560 ABOUT WHAT THE BIG CHALLENGES 2997 01:59:57,560 --> 01:59:57,720 ARE? 2998 01:59:57,720 --> 02:00:08,200 >> IT'S A GREAT QUESTION, THANK 2999 02:00:08,200 --> 02:00:08,360 YOU. 3000 02:00:08,360 --> 02:00:12,280 YOU KNOW NICHD IS GREATLY 3001 02:00:12,280 --> 02:00:16,080 ENGAGED WITH OUR ADVOCATES AND 3002 02:00:16,080 --> 02:00:17,520 GROUPS AND WE ARE ENGAGED WITH 3003 02:00:17,520 --> 02:00:17,920 THEM. 3004 02:00:17,920 --> 02:00:19,720 WE ARE MORE AND MORE TRYING TO 3005 02:00:19,720 --> 02:00:21,160 BUILD INTO THIS INITIATIVE, 3006 02:00:21,160 --> 02:00:22,680 SENSE OF COMMUNITY PARTICIPATION 3007 02:00:22,680 --> 02:00:24,320 SO THAT WHEN AN INITIATIVE IS 3008 02:00:24,320 --> 02:00:26,360 OUT ON THE STREET AS WE CALL IT, 3009 02:00:26,360 --> 02:00:28,600 WHAT IS IT THAT THE COMMUNITY 3010 02:00:28,600 --> 02:00:31,000 ITSELF THINKS IS AN IMPORTANT 3011 02:00:31,000 --> 02:00:33,120 APPROACH OR RESEARCH QUESTION OR 3012 02:00:33,120 --> 02:00:36,480 OUTCOME THEY WOULD LIKE TO SEE. 3013 02:00:36,480 --> 02:00:41,240 FROM THE PROPOSED RESEARCH. 3014 02:00:41,240 --> 02:00:44,360 ALSO JUST SORT OF DAY-TO-DAY 3015 02:00:44,360 --> 02:00:48,040 ENGAGEMENT IN THE SCIENCE OFTEN 3016 02:00:48,040 --> 02:00:49,160 LEADS TO ENCOUNTERS TO PEOPLE 3017 02:00:49,160 --> 02:00:51,160 WITH IDEAS AND SO WE'RE ALWAYS 3018 02:00:51,160 --> 02:00:52,400 INTERESTED IN HEARING WHAT 3019 02:00:52,400 --> 02:00:53,600 PEOPLE HAVE TO SAY. 3020 02:00:53,600 --> 02:00:56,840 FROM TIME TO TIME ESPECIALLY FOR 3021 02:00:56,840 --> 02:00:57,920 QUITE LARGE INITIATIVE WE WILL 3022 02:00:57,920 --> 02:00:59,120 ISSUE WHAT'S CALLED A REQUEST 3023 02:00:59,120 --> 02:01:00,680 FOR INFORMATION WHICH IS WHERE 3024 02:01:00,680 --> 02:01:03,240 SOMETHING GOES OUT PUBLICLY AND 3025 02:01:03,240 --> 02:01:06,360 SAYS NICHD IS INTERESTED IN YOUR 3026 02:01:06,360 --> 02:01:10,680 THOUGHTS ABOUT A POTENTIAL 3027 02:01:10,680 --> 02:01:12,120 INITIATIVE OR PROGRAM TO ADDRESS 3028 02:01:12,120 --> 02:01:14,640 A CERTAIN TOPIC AND WE WILL PUT 3029 02:01:14,640 --> 02:01:16,000 THOSE OUT, GATHER UP THE 3030 02:01:16,000 --> 02:01:20,760 INFORMATION AND USE THAT TO 3031 02:01:20,760 --> 02:01:23,560 CONDUCT OUR PLANNING PROCESSES. 3032 02:01:23,560 --> 02:01:33,920 >> VERY UPONFUL. 3033 02:01:33,920 --> 02:01:34,240 THANK YOU. 3034 02:01:34,240 --> 02:01:36,960 >> THANK YOU SO RESEARCH FOR AN 3035 02:01:36,960 --> 02:01:37,560 INTERESTING PROSENTATION, YOU 3036 02:01:37,560 --> 02:01:47,200 MAY HAVE SAID IT, YOU SHOWED 3037 02:01:47,200 --> 02:01:48,600 THAT WONDERFUL SLIDE WHAT'S OLD, 3038 02:01:48,600 --> 02:01:52,640 WHAT'S NEW, WHAT IS THE TINY 3039 02:01:52,640 --> 02:01:53,880 PERCENTAGE SLIVER THERE AT THE 3040 02:01:53,880 --> 02:01:54,080 TOP? 3041 02:01:54,080 --> 02:01:55,720 >> I HAD A FEELING I WOULD GET 3042 02:01:55,720 --> 02:01:56,520 THIS QUESTION. 3043 02:01:56,520 --> 02:02:01,760 THE SLIVERRA THAT IS LEFT IS 2%. 3044 02:02:01,760 --> 02:02:02,880 OF THE TOTAL APPROPRIATION FOR 3045 02:02:02,880 --> 02:02:07,640 20 3046 02:02:07,640 --> 02:02:08,120 2021. 3047 02:02:08,120 --> 02:02:09,600 >> THANK YOU VERY MUCH. 3048 02:02:09,600 --> 02:02:11,760 THAT'S VERY HELPFUL. 3049 02:02:11,760 --> 02:02:12,760 >> ANY OTHER QUESTIONS? 3050 02:02:12,760 --> 02:02:14,200 WE'RE RUNNING JUST SLIGHTLY 3051 02:02:14,200 --> 02:02:14,400 BEHIND. 3052 02:02:14,400 --> 02:02:16,320 THE OTHER THING I WANTED TO 3053 02:02:16,320 --> 02:02:17,440 POINT OUT, WELL, THERE ARE 2 3054 02:02:17,440 --> 02:02:18,760 THINGS I WANT TO POINT OUT. 3055 02:02:18,760 --> 02:02:22,560 FIRST OF ALL IT'S CRUCIAL THAT 3056 02:02:22,560 --> 02:02:24,360 OUR PROGRAM STAFF STAY CURRENT 3057 02:02:24,360 --> 02:02:25,400 WITH THE SCIENCE. 3058 02:02:25,400 --> 02:02:29,800 SO THAT IS WHY WE ENCOURAGE THEM 3059 02:02:29,800 --> 02:02:32,640 TO TRAVEL TO AND PARTICIPATE IN 3060 02:02:32,640 --> 02:02:33,520 SCIENTIFIC MEETINGS THAT ARE 3061 02:02:33,520 --> 02:02:36,320 RELEVANT TO THE AREAS IN THEIR 3062 02:02:36,320 --> 02:02:37,040 PARTICULAR PORTFOLIO. 3063 02:02:37,040 --> 02:02:38,040 SO, THEY'RE NOT DISCONNECTED 3064 02:02:38,040 --> 02:02:41,560 FROM WHAT IS BEING DISCUSSED. 3065 02:02:41,560 --> 02:02:43,880 BUT, ON THE OTHER HAND, THERE IS 3066 02:02:43,880 --> 02:02:48,480 A 3 YEAR TIMELINE WHICH TROUBLES 3067 02:02:48,480 --> 02:02:50,600 ME AND OTHER PEOPLE. 3068 02:02:50,600 --> 02:02:53,920 WE WANT TO BE AS CURRENT AND AS 3069 02:02:53,920 --> 02:02:55,360 NIMBLE AS POSSIBLE SO, I THINK 3070 02:02:55,360 --> 02:03:04,560 THIS IS 1 OF THE AREAS WHERE FOR 3071 02:03:04,560 --> 02:03:05,320 EXAMPLE REBEKAH, RASOOLEY'S 3072 02:03:05,320 --> 02:03:07,640 OFFICE WILL HELP US CONTROL THE 3073 02:03:07,640 --> 02:03:09,640 AREAS WE CAN CONTROL AND SHORTEN 3074 02:03:09,640 --> 02:03:11,560 THE TIMELINE SO THAT OUR SCIENCE 3075 02:03:11,560 --> 02:03:12,080 WILL BE MORE TIMELY. 3076 02:03:12,080 --> 02:03:13,600 I MEAN WE DON'T WANT TO FUND 3077 02:03:13,600 --> 02:03:17,040 SMLG IN WHICH THE TOPIC HAS 3078 02:03:17,040 --> 02:03:17,760 ALREADY BEEN ADDRESSED AND 3079 02:03:17,760 --> 02:03:23,480 NUNDED AND THE ANSWER'S ALREADY 3080 02:03:23,480 --> 02:03:25,480 KNOWN FOR EXAMPLE, SO THAT'S 3081 02:03:25,480 --> 02:03:27,240 JUST MY TWO-CENTS AND AGAIN, 3082 02:03:27,240 --> 02:03:28,640 PEOPLE ARE PUTTING COMMENTS IN 3083 02:03:28,640 --> 02:03:31,120 THE CHAT BOX BUT WITHOUT FURTHER 3084 02:03:31,120 --> 02:03:34,000 ADO SO WE STAY REASONABLY 3085 02:03:34,000 --> 02:03:36,680 ON-TIME WE NOW HAVE A 3086 02:03:36,680 --> 02:03:42,240 PRESENTATION BY DR. ALLISON 3087 02:03:42,240 --> 02:03:43,280 CERNICH NICHD'S VERY OWN DEPUTY 3088 02:03:43,280 --> 02:03:44,360 DIRECTOR WHO WILL PRESENT PUB 3089 02:03:44,360 --> 02:03:47,440 LIKELY SOME OF THE WORK THAT HAS 3090 02:03:47,440 --> 02:03:49,560 BEEN DONE ON FUNCTIONALLY 3091 02:03:49,560 --> 02:03:52,200 REORGANIZING THE DIVISION OF 3092 02:03:52,200 --> 02:03:53,640 EXTRAMURAL ACTIVITIES AND THE 3093 02:03:53,640 --> 02:03:56,600 DIVISION OF EXTRAMURAL RESEARCH. 3094 02:03:56,600 --> 02:03:57,960 SO ALLISON AGAIN, APOLOGIES THAT 3095 02:03:57,960 --> 02:03:59,240 I FLIPPED THE ORDER BUT I THINK 3096 02:03:59,240 --> 02:04:01,280 THIS WILL WORK OUT PERFECTLY. 3097 02:04:01,280 --> 02:04:02,480 >> NO THIS, IS PERFECT AND I 3098 02:04:02,480 --> 02:04:03,840 THINK THIS ALSO SPEAKS TO SOME 3099 02:04:03,840 --> 02:04:05,680 OF THE DIVISION OF 3100 02:04:05,680 --> 02:04:08,400 RESPONSIBILITIES THAT CAROLINE 3101 02:04:08,400 --> 02:04:09,520 WAS TALKING ABOUT AND I THINK 3102 02:04:09,520 --> 02:04:10,840 YOU'VE HEARD A LOT ABOUT OUR 3103 02:04:10,840 --> 02:04:12,040 BUDGET AND OUR PROCESS AND THIS 3104 02:04:12,040 --> 02:04:15,280 IS A PROCESS THAT WE UNDERTOOK 3105 02:04:15,280 --> 02:04:19,920 ACTUALLY INTERESTINGLY START 3106 02:04:19,920 --> 02:04:21,480 NOTHING 2020, WHERE WE WERE 3107 02:04:21,480 --> 02:04:22,600 LOOKING AT OUR ORGANIZATION AND 3108 02:04:22,600 --> 02:04:23,440 TRYING TO DETERMINE, YOU KNOW 3109 02:04:23,440 --> 02:04:25,800 HOW DO WE BETTER SPLIT UP WORK, 3110 02:04:25,800 --> 02:04:28,200 HOW DO WE MAKE SURE THAT THINGS 3111 02:04:28,200 --> 02:04:29,280 ARE FUNCTIONING WELL, AND IT WAS 3112 02:04:29,280 --> 02:04:33,480 AROUND THE TIME THAT WE KNEW 3113 02:04:33,480 --> 02:04:34,080 THAT DR. DELAHON WAS RETIRING 3114 02:04:34,080 --> 02:04:37,840 AND WE SAW AN OPPORTUNITY TO 3115 02:04:37,840 --> 02:04:41,040 REORGANIZE PART OF NICHD TO 3116 02:04:41,040 --> 02:04:41,840 MAYBE POTENTIALLY ADDRESS 3117 02:04:41,840 --> 02:04:43,280 CONCERNS THAT PEOPLE RAISED AND 3118 02:04:43,280 --> 02:04:45,400 YOU KNOW IMPROVE OUR FUNCTION. 3119 02:04:45,400 --> 02:04:47,360 SO THIS IS SOMETHING THAT WE 3120 02:04:47,360 --> 02:04:48,200 WORKED ON TOGETHER. 3121 02:04:48,200 --> 02:04:50,160 THE OTHER THING JUST FOR 3122 02:04:50,160 --> 02:04:52,760 EVERYBODY'S AWARENESS IS THIS 3123 02:04:52,760 --> 02:04:54,320 PRESENTATION IS PART OF A 3124 02:04:54,320 --> 02:04:56,960 REQUIREMENT WE HAVE WHEN WE DO A 3125 02:04:56,960 --> 02:04:57,960 REORGANIZATION WITHIN THE 3126 02:04:57,960 --> 02:05:01,880 FEDERAL GOVERNMENT, WITHIN HHS, 3127 02:05:01,880 --> 02:05:02,920 THAT IS REQUIRED AND THERE WILL 3128 02:05:02,920 --> 02:05:05,040 ALSO BE A CONGRESSIONAL 3129 02:05:05,040 --> 02:05:05,840 NOTIFICATION AFTER WE FINISH 3130 02:05:05,840 --> 02:05:06,920 THIS PART OF THE PROCESS. 3131 02:05:06,920 --> 02:05:10,400 SO THIS IS THE FIRST OF 2 PUBLIC 3132 02:05:10,400 --> 02:05:11,080 OPPORTUNITIES TO COMMENT. 3133 02:05:11,080 --> 02:05:12,480 SO IF WE CAN GO TO THE NEXT 3134 02:05:12,480 --> 02:05:12,800 SLIDE. 3135 02:05:12,800 --> 02:05:15,040 I'M GOING TO GO THROUGH TODAY, 3136 02:05:15,040 --> 02:05:16,720 THE BACKGROUND, WHY WE DID THIS, 3137 02:05:16,720 --> 02:05:19,120 THE PROCESS, THE RESULTS, OUR 3138 02:05:19,120 --> 02:05:20,920 PROPOSALS, TO YOU ALL AS THE 3139 02:05:20,920 --> 02:05:22,000 PUBLIC, AND THEN I'M GOING TO 3140 02:05:22,000 --> 02:05:24,160 ASK FOR YOUR FEEDBACK. 3141 02:05:24,160 --> 02:05:26,320 I ALSO WANT TO ALERT PEOPLE THAT 3142 02:05:26,320 --> 02:05:28,800 ARE ON THE VIDEOCAST THAT WE DO 3143 02:05:28,800 --> 02:05:35,120 HAVE FOR THIS PRESENTATION 3144 02:05:35,120 --> 02:05:36,400 YOU'RE HEARING ON ZOOM THAT WE 3145 02:05:36,400 --> 02:05:38,680 ALSO HAVE THE CHAT BUT ALSO ON 3146 02:05:38,680 --> 02:05:41,640 THE VIEDMANIOY CAST THERE'S THIS 3147 02:05:41,640 --> 02:05:43,320 BOX UNDER THE VIDEO SCREEN IT 3148 02:05:43,320 --> 02:05:44,560 SAYS SEND LIVE FEEDBACK SO THIS 3149 02:05:44,560 --> 02:05:45,840 IS AN OPPORTUNITY FOR PUBLIC 3150 02:05:45,840 --> 02:05:47,560 FEEDBACK FOR THOSE WHO ARE ON 3151 02:05:47,560 --> 02:05:48,600 THE VIDEOCAST AS WELL, WE HAVE A 3152 02:05:48,600 --> 02:05:50,840 TEAM THAT WILL BE MONITORING 3153 02:05:50,840 --> 02:05:52,120 THAT BOX AND FEEDING ME 3154 02:05:52,120 --> 02:05:53,440 QUESTIONS FROM THE VIDEOCAST. 3155 02:05:53,440 --> 02:05:55,240 WE WILL ALSO HAVE A WEBINAR THEY 3156 02:05:55,240 --> 02:05:56,280 WILL TALK ABOUT LATER WHERE WE 3157 02:05:56,280 --> 02:05:58,040 WILL HAVE MORE OF A ZOOM 3158 02:05:58,040 --> 02:06:00,320 INTERACTION, SO IF THAT'S 3159 02:06:00,320 --> 02:06:01,640 PREFERRED FOR YOU, PLEASE TRY TO 3160 02:06:01,640 --> 02:06:02,160 MAKE THAT DATE. 3161 02:06:02,160 --> 02:06:04,920 WE WILL ALSO HAVE THE ABILITY TO 3162 02:06:04,920 --> 02:06:05,600 PROVIDE E-MAIL FEEDBACK. 3163 02:06:05,600 --> 02:06:09,400 SO NEXT SLIDE, PLEASE. 3164 02:06:09,400 --> 02:06:11,520 SO WHY A FUNCTIONAL 3165 02:06:11,520 --> 02:06:13,240 REORGANIZATION AND WHAT'S A 3166 02:06:13,240 --> 02:06:13,960 FUNCTIONAL REORGANIZATION. 3167 02:06:13,960 --> 02:06:15,920 SO WHEN I WAS WORKING IN THE 3168 02:06:15,920 --> 02:06:18,440 DEPARTMENT OF DEFENSE, I LEARNED 3169 02:06:18,440 --> 02:06:20,400 ABOUT FUNCTIONAL REORGANIZATIONS 3170 02:06:20,400 --> 02:06:21,960 AND FUNCTIONAL REORGANIZATIONS 3171 02:06:21,960 --> 02:06:23,480 ARE ESSENTIALLY WHAT IS THE 3172 02:06:23,480 --> 02:06:25,040 FUNCTION OF THE ORGANIZATION AS 3173 02:06:25,040 --> 02:06:26,520 IT STANDS NOW, ROLES AND 3174 02:06:26,520 --> 02:06:27,560 RESPONSIBILITIES FOR THE PEOPLE 3175 02:06:27,560 --> 02:06:28,960 WITHIN THE ORGANIZATION AND THEN 3176 02:06:28,960 --> 02:06:32,600 HOW ARE THEY--HOW ARE THEY PUT 3177 02:06:32,600 --> 02:06:36,160 TOGETHER SO THAT THE GROUP WORKS 3178 02:06:36,160 --> 02:06:38,080 AS A WHOLE AND THEY WORK MORE 3179 02:06:38,080 --> 02:06:39,240 EFFICIENTLY AND THAT, YOU KNOW 3180 02:06:39,240 --> 02:06:42,240 YOU ADDRESS ANY PROBLEMS THAT 3181 02:06:42,240 --> 02:06:45,200 YOU'RE SEEING IN TERMS OF MAKING 3182 02:06:45,200 --> 02:06:46,080 THE ORGANIZATION PERFORM BETTER 3183 02:06:46,080 --> 02:06:47,600 AND SO WE TOOK THAT APPROACH AND 3184 02:06:47,600 --> 02:06:49,080 WHAT WE LOOKED AT WITH SOME OF 3185 02:06:49,080 --> 02:06:51,800 THE PROBLEMS THAT WE HAD HEARD 3186 02:06:51,800 --> 02:06:52,080 OVER TIME. 3187 02:06:52,080 --> 02:06:53,680 ONE WAS THAT THE ASSOCIATE 3188 02:06:53,680 --> 02:06:55,320 DIRECTOR FOR THE DIVISION OF 3189 02:06:55,320 --> 02:06:56,600 EXTRAMURAL RESEARCH HAD A REALLY 3190 02:06:56,600 --> 02:06:58,440 HIGH NUMBER OF DIRECT REPORTS, 3191 02:06:58,440 --> 02:07:01,240 THE MANY YOU KNOW, THE MORE YOU 3192 02:07:01,240 --> 02:07:02,720 MANAGE, THE HARDER IT BECOMES TO 3193 02:07:02,720 --> 02:07:03,640 MANAGE YOUR DAY-TO-DAY SCHEDULE 3194 02:07:03,640 --> 02:07:05,760 AS WELL AS MAKING SURE THAT 3195 02:07:05,760 --> 02:07:07,040 YOU'RE ADEQUATELY SUPERVISING 3196 02:07:07,040 --> 02:07:07,360 ALL PERSONNEL. 3197 02:07:07,360 --> 02:07:09,880 AND THE LEVEL OF ASSETS IN OUR 3198 02:07:09,880 --> 02:07:10,360 MANAGEMENT. 3199 02:07:10,360 --> 02:07:13,720 WE HAVE ABOUT A BILLION DOLLARS, 3200 02:07:13,720 --> 02:07:15,080 1.1 BILLION DOLLARS IN GRANT 3201 02:07:15,080 --> 02:07:17,720 BUDGET TO FUND OUR EXTRAMURAL 3202 02:07:17,720 --> 02:07:21,640 RESEARCH AND THAT INCLUDED BOTH 3203 02:07:21,640 --> 02:07:23,400 THE SCIENTIFIC ADMINISTRATION AS 3204 02:07:23,400 --> 02:07:25,280 WELL AS GRANTS MANAGEMENT. 3205 02:07:25,280 --> 02:07:27,480 SO THE AWARDS, THE ONGOING 3206 02:07:27,480 --> 02:07:28,200 MONITORING, ET CETERA. 3207 02:07:28,200 --> 02:07:29,800 WE ALSO LOOKED AT THE 3208 02:07:29,800 --> 02:07:31,120 ORGANIZATION WITH RESPECT TO 3209 02:07:31,120 --> 02:07:32,360 CAREER DEVELOPMENT, SO WE WANTED 3210 02:07:32,360 --> 02:07:33,920 TO MAKE SURE THAT ALL EXTRAMURAL 3211 02:07:33,920 --> 02:07:36,320 STAFF HAD THE ABILITY TO ADVANCE 3212 02:07:36,320 --> 02:07:38,000 IN THEIR CAREER TRACKS AND THE 3213 02:07:38,000 --> 02:07:42,040 WAY THAT WE WILL ORGANIZE MADE 3214 02:07:42,040 --> 02:07:46,600 THAT A BIT LIMITED AND WE WANTED 3215 02:07:46,600 --> 02:07:51,160 TO MAKE SURE WE HAD CLINICAL 3216 02:07:51,160 --> 02:07:52,240 TRIALS OR SMALL BUSINESS 3217 02:07:52,240 --> 02:07:54,240 RESEARCH AND WE WERE DOING THAT 3218 02:07:54,240 --> 02:07:56,920 IN A BRASH BY BRANCH WAY WITH 1 3219 02:07:56,920 --> 02:07:58,480 BRANCH LEADING POTENTIALLY OR 1 3220 02:07:58,480 --> 02:07:59,320 PROGRAM OFFICIAL LEADING BUT 3221 02:07:59,320 --> 02:08:00,640 DIDN'T HAVE A COORDINATED EFFORT 3222 02:08:00,640 --> 02:08:05,760 THAT WOULD MAKE MAKE US MORE 3223 02:08:05,760 --> 02:08:06,440 EFFICIENT. 3224 02:08:06,440 --> 02:08:08,440 AND PROVIDE A POINT PERSON AND 3225 02:08:08,440 --> 02:08:10,800 THE OTHER IS THE LARGE AND 3226 02:08:10,800 --> 02:08:11,880 EXPECTED OR EMERGENCIES HAPPEN 3227 02:08:11,880 --> 02:08:20,480 AND NOW WE HAD THAT DISCUSSION 3228 02:08:20,480 --> 02:08:27,680 IN DISCUSSION OF 20. 3229 02:08:27,680 --> 02:08:31,200 THE OTHER WAS THAT THE 3230 02:08:31,200 --> 02:08:32,480 ORGANIZATION NEEDS TO BE THERE 3231 02:08:32,480 --> 02:08:34,840 FOR KEGZ EXPRESSION, WE KNOW 3232 02:08:34,840 --> 02:08:37,560 THEY COME INTO NICHD, THEY WILL 3233 02:08:37,560 --> 02:08:39,840 LOOK FOR OTHER OPPORTUNITIES AS 3234 02:08:39,840 --> 02:08:42,160 WELL, THEY HAVE A GROWTH 3235 02:08:42,160 --> 02:08:43,160 OPPORTUNITY OR NEARING 3236 02:08:43,160 --> 02:08:46,320 RETIREMENT AND THEY MAY HAVE TO 3237 02:08:46,320 --> 02:08:47,840 HAVE AN ORGANIZATIONAL SECTION 3238 02:08:47,840 --> 02:08:50,040 THAT PLANS FOR SUCCESSION. 3239 02:08:50,040 --> 02:08:52,360 SO THIS IS JUST A PROCESS AND A 3240 02:08:52,360 --> 02:08:54,200 BRIEF OVERVIEW OF FEBRUARY TO 3241 02:08:54,200 --> 02:08:56,240 MAY OF 2020 AND WE WENT THROUGH 3242 02:08:56,240 --> 02:08:57,960 AND LOOKEDDA THE NEEDS OF 3243 02:08:57,960 --> 02:08:59,160 FUNCTION RKSZ STRUCTURE AND 3244 02:08:59,160 --> 02:09:00,840 STAFFING OF THE DIVISION OF 3245 02:09:00,840 --> 02:09:02,560 EXTRAMURAL RESEARCH AND THIS IS 3246 02:09:02,560 --> 02:09:03,840 OUR ENVIRONMENTAL SCAN AS YOU 3247 02:09:03,840 --> 02:09:04,040 WERE. 3248 02:09:04,040 --> 02:09:06,280 THEN YOU DO THE ORGANIZATIONAL 3249 02:09:06,280 --> 02:09:07,440 STRUCTURE REVIEW, SO WE LOOKEDDA 3250 02:09:07,440 --> 02:09:17,840 THE OUR STRUCTURE AND STAFFING 3251 02:09:17,840 --> 02:09:19,840 WAS SX HEAT THEN IN NOVEMBER OF 3252 02:09:19,840 --> 02:09:23,000 2020 WE WENT TO DR. BIANCHI, AND 3253 02:09:23,000 --> 02:09:25,440 WE DID A PROPOSED DISTRIBUTION 3254 02:09:25,440 --> 02:09:29,200 SO WE GAVE DR. BIANCHI, A NUMBER 3255 02:09:29,200 --> 02:09:30,520 OF OPTIONS FOR HER TO LOOK AT 3256 02:09:30,520 --> 02:09:32,200 WITH RESPECT TO HOW WE COULD BE 3257 02:09:32,200 --> 02:09:33,880 ORGANIZED AND THEN SHE TOOK THE 3258 02:09:33,880 --> 02:09:35,640 OPPORTUNITY TO MEET WITH EACH OF 3259 02:09:35,640 --> 02:09:38,000 THE LEADER WITHIN THE DIVISION 3260 02:09:38,000 --> 02:09:38,880 WHO ARE REPRESENTING THEIR STAFF 3261 02:09:38,880 --> 02:09:43,240 TO GET THEIR INDIVIDUAL OPINION 3262 02:09:43,240 --> 02:09:44,280 ON THOSE SPECIFIC SPECIFIC 3263 02:09:44,280 --> 02:09:45,800 STRUCTURES AND WHAT THEY THOUGHT 3264 02:09:45,800 --> 02:09:50,200 WOULD BE THE BEST OPGDZ, THIS IS 3265 02:09:50,200 --> 02:09:51,320 A FAIRLY LENGTHY OPTION BUT WHAT 3266 02:09:51,320 --> 02:09:53,800 I APPRECIATED ABOUT THIS IS I 3267 02:09:53,800 --> 02:09:56,160 GOT TO KNOW THE DIVISION 3268 02:09:56,160 --> 02:09:57,840 INCREDIBLY WELL, THE HISTORY OF 3269 02:09:57,840 --> 02:09:59,000 THE ORGANIZATION, WHY THINGS 3270 02:09:59,000 --> 02:10:00,680 WERE DONE CERTAIN WAYS, WHAT 3271 02:10:00,680 --> 02:10:02,200 WORKED, WHAT DIDN'T WORK, WHAT 3272 02:10:02,200 --> 02:10:03,400 WE SHOULDN'T BREAK WAS ANOTHER 3273 02:10:03,400 --> 02:10:05,240 BIG PART OF THE DISCUSSION, 3274 02:10:05,240 --> 02:10:06,040 SOMETHING THAT WAS WORKING 3275 02:10:06,040 --> 02:10:07,720 REALLY WELL, SHOULD WE BREAK IT, 3276 02:10:07,720 --> 02:10:08,880 AND YOU KNOW GENERALLY THE 3277 02:10:08,880 --> 02:10:11,720 ANSWER TO THAT IS NOT BROKE 3278 02:10:11,720 --> 02:10:13,160 DON'T FITIONZ IT AND SO WE 3279 02:10:13,160 --> 02:10:15,840 REALLY TRIED TO LOOK FROM A 3280 02:10:15,840 --> 02:10:17,000 PROCESS PERSPECTIVE AS TO WHAT 3281 02:10:17,000 --> 02:10:20,840 WOULD WORK THE BEST AND GIVE 3282 02:10:20,840 --> 02:10:26,600 OPPORTUNITY, NEXT SLIDE, PLEASE. 3283 02:10:26,600 --> 02:10:28,200 SO THE CURRENT STRUCTURE WE HAVE 3284 02:10:28,200 --> 02:10:32,200 NOW, AND THIS IS OUR OVERARCHING 3285 02:10:32,200 --> 02:10:33,320 OARG CHART AND UNDER THAT WE 3286 02:10:33,320 --> 02:10:35,080 HAVE OUR DIVISION OF INTRAMURAL 3287 02:10:35,080 --> 02:10:37,000 RESEARCH, NATIONAL CENTER FOR 3288 02:10:37,000 --> 02:10:38,200 MEDICAL REHABILITATION RESEARCH 3289 02:10:38,200 --> 02:10:38,960 AND DIVISION OF EXTRAMURAL 3290 02:10:38,960 --> 02:10:39,240 RESEARCH. 3291 02:10:39,240 --> 02:10:49,680 IN ACCIDENT SLIDE, PLEASE. 3292 02:10:53,480 --> 02:10:55,480 SO WE WILL HAVE THE DIVISION OF 3293 02:10:55,480 --> 02:10:56,720 EXTRAMURAL ACTIVITY, SO THIS 3294 02:10:56,720 --> 02:10:58,200 WILL BE AN EXTRAMURAL COMPONENT 3295 02:10:58,200 --> 02:10:59,360 THAT WILL REPORT TO THE OFFICE 3296 02:10:59,360 --> 02:11:00,800 OF THE DIRECTOR OF SPECIFICALLY 3297 02:11:00,800 --> 02:11:08,600 REPORT TO THE DEPUTY DIRECTOR. 3298 02:11:08,600 --> 02:11:09,840 AND AND I WILL GO TO THE NEXT 3299 02:11:09,840 --> 02:11:18,760 SLIDE, SO THIS IS WHAT THE 3300 02:11:18,760 --> 02:11:19,280 CHANGE REALLY NEEDS. 3301 02:11:19,280 --> 02:11:23,840 SO WHAT IT USED TO BE IS A LOOK 3302 02:11:23,840 --> 02:11:24,880 OF THE DIVISION. 3303 02:11:24,880 --> 02:11:26,080 WE'RE REPORTING TO THE DIRECTOR 3304 02:11:26,080 --> 02:11:29,400 OF THE DIVISION OF EXTRAMURAL 3305 02:11:29,400 --> 02:11:30,880 RESEARCH, THAT INCLUDED THE 3306 02:11:30,880 --> 02:11:32,200 SCIENTIFIC REVIEW BRANCH, THE 3307 02:11:32,200 --> 02:11:33,360 OFFICE OF EXTRAMURAL POLICY AND 3308 02:11:33,360 --> 02:11:35,800 I WILL MAKE 1 OTHER NOTE THAT IN 3309 02:11:35,800 --> 02:11:36,800 THIS REORGANIZATION, WE ALSO 3310 02:11:36,800 --> 02:11:39,000 ASKED IF ANY BRANCHES WANTED TO 3311 02:11:39,000 --> 02:11:40,840 CHANGE THEIR NAME BECAUSE WE CAN 3312 02:11:40,840 --> 02:11:41,800 DO NAME CHANGES WITHIN THE 3313 02:11:41,800 --> 02:11:45,080 POLICY AND THE REASON THAT THE 3314 02:11:45,080 --> 02:11:45,960 DEVELOPMENTAL BIOLOGY OF THE 3315 02:11:45,960 --> 02:11:47,680 BRANCHES IN BLUE IS BECAUSE WE 3316 02:11:47,680 --> 02:11:57,960 WILL PROPOSE A NAME CHANGE 3317 02:11:57,960 --> 02:11:59,440 THROUGH THAT BRANCH. 3318 02:11:59,440 --> 02:12:00,960 I APOLOGIZE THIS SMALL ABOUT 3319 02:12:00,960 --> 02:12:04,280 THIS IS THE OFFICIAL 3320 02:12:04,280 --> 02:12:05,440 ORGANIZATIONS CHARITY THIS WILL 3321 02:12:05,440 --> 02:12:09,760 BE OFFICIALLY ON THE WEBSITE. 3322 02:12:09,760 --> 02:12:12,000 THE PROPOSED IS THAT WE HAVE A 3323 02:12:12,000 --> 02:12:13,040 DIVISION OF EXTRAMURAL RESEARCH, 3324 02:12:13,040 --> 02:12:14,360 THIS IS ALL THE SCIENTIFIC 3325 02:12:14,360 --> 02:12:15,520 BRANCHES THAT WILL REPORT TO 3326 02:12:15,520 --> 02:12:22,200 THAT OFFICE OF THE DIRECTOR, THE 3327 02:12:22,200 --> 02:12:22,840 DIVISION OF EXTRAMURAL RESEARCH 3328 02:12:22,840 --> 02:12:25,800 AND THAT WE WILL REVIEW THE 3329 02:12:25,800 --> 02:12:27,280 SCIENTIFIC AND OFFICE POLICY TO 3330 02:12:27,280 --> 02:12:29,000 THE DIRECTOR OF THE DIRECTOR FOR 3331 02:12:29,000 --> 02:12:30,560 THE DIVISION OF EXTRAMURAL 3332 02:12:30,560 --> 02:12:30,880 ACTIVITY. 3333 02:12:30,880 --> 02:12:33,040 WELL WHAT THIS ALLOWS US TO DO 3334 02:12:33,040 --> 02:12:37,080 IS NUMBER 1 NEEZ WILL STILL BE 3335 02:12:37,080 --> 02:12:37,960 COORDINATED SO THAT'S ALWAYS A 3336 02:12:37,960 --> 02:12:40,440 CONCERN THEY WILL TELL YOU 3337 02:12:40,440 --> 02:12:48,680 FUNCTIONALLY RIGHT NOW, 3338 02:12:48,680 --> 02:12:50,400 DR. RASOOLEY, AND COLLEAGUES ARE 3339 02:12:50,400 --> 02:12:51,040 COORDINATING PRETTY CLOSELY IN 3340 02:12:51,040 --> 02:12:52,840 HOW THIS WILL WORK BUT WE WILL 3341 02:12:52,840 --> 02:12:59,640 HAVE FOCUS MANAGEMENT OF ALL THE 3342 02:12:59,640 --> 02:13:00,840 GRANTS UNDER MANAGEMENT AND NOT 3343 02:13:00,840 --> 02:13:01,720 JUST THE SCIENTIFIC PROCESS THAT 3344 02:13:01,720 --> 02:13:02,600 YOU TALKED ABOUT, THEY WILL BE 3345 02:13:02,600 --> 02:13:03,920 PART OF THAT BUT WHAT THEY'RE 3346 02:13:03,920 --> 02:13:06,240 MAKING SURE OF IS THAT OUR 3347 02:13:06,240 --> 02:13:07,920 REVIEW CYCLES ARE MOVING AND 3348 02:13:07,920 --> 02:13:09,760 THERE'S FOCUS TO THOSE AND WE'RE 3349 02:13:09,760 --> 02:13:11,240 DOING THAT WITH DUE DILIGENCE 3350 02:13:11,240 --> 02:13:12,960 AND WORKING ON OUR PROCESSES 3351 02:13:12,960 --> 02:13:14,560 WITH THE CENTER FOR SCIENTIFIC 3352 02:13:14,560 --> 02:13:16,920 REVIEW AND HOW OUR GRANTS GET 3353 02:13:16,920 --> 02:13:18,000 REFERRED TO US ET CETERA AND WE 3354 02:13:18,000 --> 02:13:20,200 WILL ALSO HAVE A SIGNIFICANT 3355 02:13:20,200 --> 02:13:30,600 FOCUS ON GRANTS MANAGEMENT AND 3356 02:13:30,600 --> 02:13:32,080 HOW THAT CAN MOVE THROUGH 3357 02:13:32,080 --> 02:13:33,000 PUBLICATION AND DIFFERENT WAYS 3358 02:13:33,000 --> 02:13:34,560 WE CAN USE MECHANISM SO WE SORT 3359 02:13:34,560 --> 02:13:38,320 OF BRING THE PROCESS OF 3360 02:13:38,320 --> 02:13:40,360 EXPERTISE TO BEAR IN A FOCUSED 3361 02:13:40,360 --> 02:13:41,920 WAY AND IN THE DIVISION OF 3362 02:13:41,920 --> 02:13:43,800 EXTRAMURAL RESEARCH WILL BE IN A 3363 02:13:43,800 --> 02:13:45,560 FOCUSED WAY LOOKING AT THE 3364 02:13:45,560 --> 02:13:46,560 SCIENCE, WHAT ARE WE GOING TO 3365 02:13:46,560 --> 02:13:48,640 TRY TO MOVE FORWARD, WHAT ARE WE 3366 02:13:48,640 --> 02:13:49,560 GOING TO FUND, WHAT 3367 02:13:49,560 --> 02:13:52,320 OPPORTUNITIES WE HAVE FOR 3368 02:13:52,320 --> 02:13:53,480 CONVENING PER PUBLIC INPUT, ET 3369 02:13:53,480 --> 02:13:56,520 CETERA SO I THINK THESE ARE 3370 02:13:56,520 --> 02:14:01,600 REALLY EXCITING WAYS THAT WE CAN 3371 02:14:01,600 --> 02:14:03,880 TRY TO NARROW OUR FOCUS A BIT 3372 02:14:03,880 --> 02:14:05,280 AND ENSHIRR THESE PROCESSES ARE 3373 02:14:05,280 --> 02:14:06,760 BEING MANAGED IN A FOAMUSSED 3374 02:14:06,760 --> 02:14:16,880 WAY. 3375 02:14:22,360 --> 02:14:24,560 NEXT SLIDE, PLEASE. 3376 02:14:24,560 --> 02:14:25,040 SETHIS IS THE PROPOSED. 3377 02:14:25,040 --> 02:14:25,880 THE OTHER THINK THIS I WOULD 3378 02:14:25,880 --> 02:14:28,560 NOTE AND THIS IS SMALL BUT THE 3379 02:14:28,560 --> 02:14:31,440 RENAMING WILL BE FOR DBSC AND 3380 02:14:31,440 --> 02:14:35,120 THEY WILL DWK DEVELOPMENTAL 3381 02:14:35,120 --> 02:14:39,080 BIOLOGY AND CONGENITAL ANOMALIES 3382 02:14:39,080 --> 02:14:39,360 BRANCH. 3383 02:14:39,360 --> 02:14:40,840 THAT IS THE PROPOSAL. THIS IS 3384 02:14:40,840 --> 02:14:41,880 YOUR NEXT SLIDE. 3385 02:14:41,880 --> 02:14:43,720 THIS IS THE OPPORTUNITY FOR 3386 02:14:43,720 --> 02:14:44,800 PUBLIC COMMENTS, INPUT OR 3387 02:14:44,800 --> 02:14:45,400 QUESTIONS. 3388 02:14:45,400 --> 02:14:46,880 WE HAVE A SECOND PUBLIC MEETING 3389 02:14:46,880 --> 02:14:48,080 AND I WILL ASK SOMEBODY TO PUT 3390 02:14:48,080 --> 02:14:52,560 THIS IN THE CHAT, I THINK IT'S 3391 02:14:52,560 --> 02:14:53,960 JULY 12 I THOUGHT IT WAS IN THE 3392 02:14:53,960 --> 02:14:58,720 SLIDE BUT APPARENTLY I DID NOT 3393 02:14:58,720 --> 02:15:00,800 SO WE WILL ALSO TAKE COMMENTS 3394 02:15:00,800 --> 02:15:04,600 VIA E-MAIL TO THIS ADDRESS AND 3395 02:15:04,600 --> 02:15:05,800 OBVIOUSLY THESE SLIDES WILL BE 3396 02:15:05,800 --> 02:15:07,840 MABEL AVAILABLE AS WELL BUT IF 3397 02:15:07,840 --> 02:15:10,440 YOU CAN E-MAIL THEM AT 3398 02:15:10,440 --> 02:15:11,760 NICHD.GOV, WE CAN TAKE THOSE 3399 02:15:11,760 --> 02:15:16,120 COMMENT INTOS CONSIDERATION AND 3400 02:15:16,120 --> 02:15:17,200 PUT PUT THAT IN CONSIDERATION 3401 02:15:17,200 --> 02:15:19,120 WHEN WE SUBMIT THIS 3402 02:15:19,120 --> 02:15:22,240 ORGANIZATIONAL PACKAGE FOR HHS 3403 02:15:22,240 --> 02:15:23,320 CLEARANCE. 3404 02:15:23,320 --> 02:15:24,120 AND THEN CONGRESSIONAL 3405 02:15:24,120 --> 02:15:31,600 NOTIFICATION OF THE OFFICIAL 3406 02:15:31,600 --> 02:15:32,000 ORGANIZATION CHANGE. 3407 02:15:32,000 --> 02:15:34,120 SO I WILL CHECK THE CHAT HERE TO 3408 02:15:34,120 --> 02:15:35,320 SEE IF ANYONE HAS ANY QUESTIONS 3409 02:15:35,320 --> 02:15:36,600 AND AGAIN YOU CAN E-MAIL 3410 02:15:36,600 --> 02:15:38,760 QUESTIONS SO WE CAN HAVE 3411 02:15:38,760 --> 02:15:39,720 QUESTIONS AND COMMENTS, THE 3412 02:15:39,720 --> 02:15:41,640 SECOND HEARING IS PLANNED AT 3413 02:15:41,640 --> 02:15:42,760 YELL 12th AT 1 P.M. SO AGAIN 3414 02:15:42,760 --> 02:15:45,000 THAT WILL BE ANOTHER OPPORTUNITY 3415 02:15:45,000 --> 02:15:47,200 WHERE WE WILL PUBLICIZE THAT AS 3416 02:15:47,200 --> 02:15:47,560 WELL. 3417 02:15:47,560 --> 02:15:49,760 AND WE DO THESE PUBLIC HEARINGS 3418 02:15:49,760 --> 02:15:50,720 TO GIVE PEOPLE THE OPPORTUNITY 3419 02:15:50,720 --> 02:15:53,440 TO LET US KNOW IF THEY HAVE ANY 3420 02:15:53,440 --> 02:15:55,120 OPPOSITION OR CONCERN ABOUT THE 3421 02:15:55,120 --> 02:15:56,240 ORGANIZATIONAL CHANGE THAT WE'RE 3422 02:15:56,240 --> 02:15:56,560 MAKING. 3423 02:15:56,560 --> 02:15:57,920 >> AND THERE ARE CURRENTLY NO 3424 02:15:57,920 --> 02:16:01,040 QUESTIONS, IN THE CHAT OR IN THE 3425 02:16:01,040 --> 02:16:02,960 E-MAIL BOX. 3426 02:16:02,960 --> 02:16:04,000 THANKS JESSICA. 3427 02:16:04,000 --> 02:16:06,200 BACK TO YOU CATHY. 3428 02:16:06,200 --> 02:16:16,240 >> THANKS ALLISON FOR A GREAT 3429 02:16:16,240 --> 02:16:16,680 PRESENTATION. 3430 02:16:16,680 --> 02:16:17,640 JUST CURIOUS ABOUT THE NAME 3431 02:16:17,640 --> 02:16:19,480 CHANGE AND THE AREA THAT IT'S 3432 02:16:19,480 --> 02:16:23,280 OUT OF MY EXPERTISE BUT ANOMALY 3433 02:16:23,280 --> 02:16:26,920 IS SOMETHING THAT'S BAD AND 3434 02:16:26,920 --> 02:16:27,920 VARIATION VERSUS THE WHOLE RANGE 3435 02:16:27,920 --> 02:16:29,680 SO I WAS CURUOUS ABOUT THE 3436 02:16:29,680 --> 02:16:30,600 RATIONAL ON THAT. 3437 02:16:30,600 --> 02:16:31,680 >> I'M WONDERING SO I THINK THIS 3438 02:16:31,680 --> 02:16:33,720 WAS A POINT OF DISCUSSION AND I 3439 02:16:33,720 --> 02:16:36,200 DON'T KNOW IF JAMES 3440 02:16:36,200 --> 02:16:38,200 [INDISCERNIBLE] IS ON. 3441 02:16:38,200 --> 02:16:39,880 THIS WAS A POINT OF INTERNAL 3442 02:16:39,880 --> 02:16:40,320 DISCUSSION FOR US. 3443 02:16:40,320 --> 02:16:45,240 I THINK THERE IS A IT DID NOT 3444 02:16:45,240 --> 02:16:47,600 CAPTURE NECESSARILY THE CURRENT 3445 02:16:47,600 --> 02:16:51,360 THINKING ON HOW CONGENITAL 3446 02:16:51,360 --> 02:16:53,760 ESEXER SENTIALLY BIRTH DEFECTS 3447 02:16:53,760 --> 02:16:56,400 WITH THE PREVIOUS WORD, WE CAN 3448 02:16:56,400 --> 02:16:57,800 CHANGE TO STRUCTURAL VARIATION 3449 02:16:57,800 --> 02:16:59,000 BUT IT DIDN'T REALLY CAPTURE 3450 02:16:59,000 --> 02:17:00,720 WHAT WE WERE TRYING TO DIRECT 3451 02:17:00,720 --> 02:17:03,080 THERE BUT I BELIEVE THAT 3452 02:17:03,080 --> 02:17:03,720 CONGENERATEDETTAL ANOMALIES WAS 3453 02:17:03,720 --> 02:17:05,440 A BETTER WAY OF DISCUSSING IT 3454 02:17:05,440 --> 02:17:08,480 BECAUSE JUST LIKE THE 3455 02:17:08,480 --> 02:17:09,360 REHABILITATION FIELD, CATHY, A 3456 02:17:09,360 --> 02:17:12,600 DEFECT IS SORT OF A PERSON'S 3457 02:17:12,600 --> 02:17:13,760 DEFICIENCY REFERENCE RATE AND SO 3458 02:17:13,760 --> 02:17:16,440 I THINK THE CURRENT VERBIAGE 3459 02:17:16,440 --> 02:17:20,480 RIGHT NOW IS MORE CONSISTENT 3460 02:17:20,480 --> 02:17:21,240 CONGENERATEDETTAL ANOMALIES, 3461 02:17:21,240 --> 02:17:22,840 DIANEA ANY OTHER THOUGHTS ON 3462 02:17:22,840 --> 02:17:23,080 THAT. 3463 02:17:23,080 --> 02:17:25,200 I CAN WEIGH IN AND TONY CAN WAY 3464 02:17:25,200 --> 02:17:28,360 IN AS ANOTHER GENETICIST. 3465 02:17:28,360 --> 02:17:30,280 BUT NOBODY REALLY--YOU KNOW 3466 02:17:30,280 --> 02:17:31,720 STRUCTURAL VARIATION WAS SO WOKE 3467 02:17:31,720 --> 02:17:34,640 TO THE POINT THAT NOBODY REALLY 3468 02:17:34,640 --> 02:17:37,320 KNEW WHAT THAT MEANT, YOU KNOW 3469 02:17:37,320 --> 02:17:40,320 IS IT VARIATION IN DNA, I MEAN 3470 02:17:40,320 --> 02:17:42,240 IT JUST--DIDN'T REALLY CONVEY 3471 02:17:42,240 --> 02:17:46,520 THE PURPOSE OF THAT--OF RESEARCH 3472 02:17:46,520 --> 02:17:49,760 BEING PERFORMED THAT IS FUNDED 3473 02:17:49,760 --> 02:17:51,120 BY THAT DIVISION, AND SO THAT 3474 02:17:51,120 --> 02:17:53,760 DIVISION REALLY HAS A PORTFOLIO 3475 02:17:53,760 --> 02:17:54,680 IN DEVELOPMENTAL BIOLOGY WHICH 3476 02:17:54,680 --> 02:17:57,040 IS VERY CLEAR BUT WE WANTED TO 3477 02:17:57,040 --> 02:18:01,040 MAKE THE ARC TO PEOPLE WHO ARE 3478 02:18:01,040 --> 02:18:04,120 BORN WITH DEVELOPMENTAL PROBLEMS 3479 02:18:04,120 --> 02:18:05,200 THAT SPECIFICALLY AFFECT 3480 02:18:05,200 --> 02:18:11,600 STRUCTURES OTHER THAN THE BRAIN. 3481 02:18:11,600 --> 02:18:16,160 AND THE TERM MOST PEOPLE USE IN 3482 02:18:16,160 --> 02:18:17,040 GENETICS IS ANOMALIES. 3483 02:18:17,040 --> 02:18:18,800 TONY DO YOU WANT TO COMEBT ON 3484 02:18:18,800 --> 02:18:19,520 THAT AS WELL. 3485 02:18:19,520 --> 02:18:20,880 >> I AGREE THAT'S THE 3486 02:18:20,880 --> 02:18:22,080 TEMPERATURE THAT'S USED SO IT 3487 02:18:22,080 --> 02:18:24,040 MAKES IT CLEAR WHAT WE'RE 3488 02:18:24,040 --> 02:18:26,000 TALKING ABOUT FOR THE PERVIEW OF 3489 02:18:26,000 --> 02:18:33,520 THIS DIVISION, I TOTALLY AGREE 3490 02:18:33,520 --> 02:18:33,880 DIANEA. 3491 02:18:33,880 --> 02:18:34,680 >> THANKS, LUCK SEASKING HOW 3492 02:18:34,680 --> 02:18:36,520 THIS ALIGNS WITH THE STRUCTURE 3493 02:18:36,520 --> 02:18:37,520 AT OTHER INSTITUTES AND I THANK 3494 02:18:37,520 --> 02:18:38,840 YOU FOR THAT QUESTION, WHAT WE 3495 02:18:38,840 --> 02:18:40,800 DID TO START OFF AND DID THAT 3496 02:18:40,800 --> 02:18:41,560 FUNCTIONAL ANALYSIS AND WE DID 3497 02:18:41,560 --> 02:18:44,640 LOOK AT THE STRUCTURE OF A 3498 02:18:44,640 --> 02:18:46,080 NUMBER OF THE OTHER INSTITUTES 3499 02:18:46,080 --> 02:18:47,600 WE WERE 1 OF THE VERY FEW 3500 02:18:47,600 --> 02:18:49,320 INTUITIES THAT DID NOT HAVE A 3501 02:18:49,320 --> 02:18:53,680 DIVISION OF EXTRAMURAL ACTIVITY, 3502 02:18:53,680 --> 02:18:54,880 THEY'RE ALL NAMED SOMETHING 3503 02:18:54,880 --> 02:18:58,200 SLIGHTLY DIFFERENT BUT MOST OF 3504 02:18:58,200 --> 02:19:03,440 THE INSTITUTES HAVE SPLIT, AND 3505 02:19:03,440 --> 02:19:05,240 THEY HAVE 1 SECTION THAT DOES 3506 02:19:05,240 --> 02:19:07,000 MORE OF THE SCIENTIFIC REVIEW, 3507 02:19:07,000 --> 02:19:08,240 GRANTS MANAGEMENT, POLICY AND 3508 02:19:08,240 --> 02:19:09,480 TRAINING POLICY, ET CETERA? 3509 02:19:09,480 --> 02:19:12,680 AND SO, WE ACTUALLY ARE MORE NOW 3510 02:19:12,680 --> 02:19:20,720 IN ALIGNMENT WITH THE OTHER 3511 02:19:20,720 --> 02:19:20,880 ICs. 3512 02:19:20,880 --> 02:19:25,040 LET ME GO TO MELISSA AND LET ME 3513 02:19:25,040 --> 02:19:26,200 TAKE THE QUESTIONS FROM 3514 02:19:26,200 --> 02:19:29,200 VIDEOCAST AND THEN GO TO SHERRY. 3515 02:19:29,200 --> 02:19:30,040 >> QUICK QUESTION, SINCE YOU'RE 3516 02:19:30,040 --> 02:19:33,480 ON THE TOPIC OF SORT OF THE 3517 02:19:33,480 --> 02:19:35,400 RATIONAL FOR THIS, FOR THIS 3518 02:19:35,400 --> 02:19:36,880 RESTRUCTURING, I UNDERSTAND THAT 3519 02:19:36,880 --> 02:19:40,640 OTHER ICs ALSO STRUCTURE 3520 02:19:40,640 --> 02:19:42,000 THEIR--IN THIS WAY, THAT'S 3521 02:19:42,000 --> 02:19:44,760 GREAT, BUT I WAS WONDERING IF 3522 02:19:44,760 --> 02:19:47,200 THIS RESTRUCTURING ALSO 3523 02:19:47,200 --> 02:19:50,800 ADDRESSES MAYBE GAPS OR ISSUES 3524 02:19:50,800 --> 02:19:53,560 THAT YOU ALL IDENTIFIED DURING 3525 02:19:53,560 --> 02:19:57,040 YOUR FUNCTIONAL ANALYSIS IS 3526 02:19:57,040 --> 02:19:57,440 STRUCTURAL REVIEW. 3527 02:19:57,440 --> 02:19:59,720 >> THE BIGGEST THING IS 3528 02:19:59,720 --> 02:20:01,760 ADDRESSES IS, 1 IS THE D. E. R. 3529 02:20:01,760 --> 02:20:03,080 WITH HAVING DIVISION DIRECTOR 3530 02:20:03,080 --> 02:20:04,360 FOR D. E. R. WAS HAVING TO 3531 02:20:04,360 --> 02:20:06,120 REALLY LOOK AT ALL THE THINGS, 3532 02:20:06,120 --> 02:20:06,320 RIGHT? 3533 02:20:06,320 --> 02:20:08,240 NOT JUST LIKE WHAT THE 3534 02:20:08,240 --> 02:20:10,600 SCIENTIFIC PRIORITIES WERE AND 3535 02:20:10,600 --> 02:20:11,520 WHAT WAS--WHAT EACH BRANCH WAS 3536 02:20:11,520 --> 02:20:13,960 WORKING ON AND THE WORKSHOPS AND 3537 02:20:13,960 --> 02:20:15,760 THE FOAs AND ALL OF THOSE 3538 02:20:15,760 --> 02:20:16,960 THINGS, BUT THEY'RE ALSO HAVING 3539 02:20:16,960 --> 02:20:18,560 TO PAY ATTENTION TO WHAT WERE 3540 02:20:18,560 --> 02:20:20,400 THE NEEDS OF GRANTS MANAGEMENT 3541 02:20:20,400 --> 02:20:22,160 AND WHAT DID THEIR TECHNICAL 3542 02:20:22,160 --> 02:20:23,640 FOLKS NEED, WHAT TRAININGS DID 3543 02:20:23,640 --> 02:20:25,720 THEY NEED, WHAT OPPORTUNITIES 3544 02:20:25,720 --> 02:20:26,400 DID THEY NEED? 3545 02:20:26,400 --> 02:20:30,400 WHAT WAS THEIR CALENTAR LIKE? 3546 02:20:30,400 --> 02:20:33,400 SO AS WE'RE PUSHING THROUGH THE 3547 02:20:33,400 --> 02:20:35,040 FISCAL YEAR, THEY HAVE NEEDS 3548 02:20:35,040 --> 02:20:36,800 THAT THEY NEED TO PAY ATTENTION 3549 02:20:36,800 --> 02:20:38,200 TO, SAME FOR REVIEW. AND WHAT I 3550 02:20:38,200 --> 02:20:39,920 THINK THIS REALLY DID IS IT 3551 02:20:39,920 --> 02:20:42,120 CREATED A BETTER MANAGEMENT OF A 3552 02:20:42,120 --> 02:20:43,320 MANAGEMENT STRUCTURE FOR US TO 3553 02:20:43,320 --> 02:20:46,000 DO THAT, REALLY PAY ATTENTION TO 3554 02:20:46,000 --> 02:20:46,480 THE WHOLE EXTRAMURAL 3555 02:20:46,480 --> 02:20:47,680 ORGANIZATION, THE OTHER IS IT 3556 02:20:47,680 --> 02:20:49,280 CREATED A NEW EXECUTIVE POSITION 3557 02:20:49,280 --> 02:20:52,320 SO WE HAVE MORE GROWTH UP THE LA 3558 02:20:52,320 --> 02:20:54,120 LADDER, IT CREATED NEW STAFF 3559 02:20:54,120 --> 02:20:55,360 ASSISTANT POSITIONS SO FOR OUR 3560 02:20:55,360 --> 02:20:56,960 FOLKS THAT PROVIDE SUPPORT FOR 3561 02:20:56,960 --> 02:20:59,160 EACH OF OUR BRANCHES THERE ARE 3562 02:20:59,160 --> 02:21:00,080 ADVANCEMENT OPPORTUNITIES TO 3563 02:21:00,080 --> 02:21:02,000 HIRE GS LEVELS NOW AND THAT 3564 02:21:02,000 --> 02:21:03,720 PROVIDES EQUITY ACROSS THE 3565 02:21:03,720 --> 02:21:04,760 SCIENTIFIC AND ADMINISTRATIVE 3566 02:21:04,760 --> 02:21:04,960 BRANCH. 3567 02:21:04,960 --> 02:21:06,080 WE WILL NEVER GET TO FULL EQUITY 3568 02:21:06,080 --> 02:21:08,200 AND BUT AT LEAST GIVING MORE 3569 02:21:08,200 --> 02:21:09,040 OPPORTUNITY IN THE DIFFERENT 3570 02:21:09,040 --> 02:21:09,440 LINE. 3571 02:21:09,440 --> 02:21:12,680 SO WE REALLY DID TRY TO ADDRESS 3572 02:21:12,680 --> 02:21:14,520 THE NUMBER OF THOSE FUNCTIONAL 3573 02:21:14,520 --> 02:21:16,040 CONCERNS IN THIS THIS, IS A 3574 02:21:16,040 --> 02:21:18,160 BROAD OVERVIEW OF A 6 MONTH 3575 02:21:18,160 --> 02:21:19,920 PROCESS THAT FOLKS IN D. E. R. 3576 02:21:19,920 --> 02:21:21,640 HAD TO SUFFER THROUGH WITH ME, 3577 02:21:21,640 --> 02:21:24,840 BUT I THINK WE GOT TO SOME GOOD 3578 02:21:24,840 --> 02:21:35,360 CONSENSUS, ON WHAT THIS WOULD 3579 02:21:39,080 --> 02:21:39,280 PROVIDE. 3580 02:21:39,280 --> 02:21:41,840 SOT LE ME TAKE QUESTIONS FROM 3581 02:21:41,840 --> 02:21:42,840 THE LIVE VIDEOCAST. 3582 02:21:42,840 --> 02:21:44,640 >> THE FIRST 1 COME NOTHING IS 3583 02:21:44,640 --> 02:21:45,800 FROM DR. MALDONADO, IS THERE 3584 02:21:45,800 --> 02:21:48,040 SUFFICIENT STAFF FOR THE 3585 02:21:48,040 --> 02:21:48,720 REORGANIZATION? 3586 02:21:48,720 --> 02:21:49,560 >> PART OF THE PROPOSAL, THANK 3587 02:21:49,560 --> 02:21:50,440 YOU FOR THE QUESTION. 3588 02:21:50,440 --> 02:21:53,440 SO MORE AND MORE, RIGHT? 3589 02:21:53,440 --> 02:21:55,520 THERE ARE SUFFICIENT STAFF 3590 02:21:55,520 --> 02:21:56,600 AND/OR WE BUDGETED FOR THE 3591 02:21:56,600 --> 02:21:57,600 INCREASE NEED FOR STAFF. 3592 02:21:57,600 --> 02:22:05,400 I WILL TELL YOU THAT I WILL SAY 3593 02:22:05,400 --> 02:22:07,360 THE DOCTOR BIANCHI, AND NICHD IS 3594 02:22:07,360 --> 02:22:08,760 LEAN, AND SOMETIMES LEAN TO THE 3595 02:22:08,760 --> 02:22:11,360 POINT WHERE MAYBE WE'RE NOT 3596 02:22:11,360 --> 02:22:12,600 FUNCTIONING AS EFFECTIVELY WE 3597 02:22:12,600 --> 02:22:13,840 COULD AND DOING WAWE NEED TO 3598 02:22:13,840 --> 02:22:14,840 BECAUSE WE'RE TRYING TO BE SO 3599 02:22:14,840 --> 02:22:17,800 LEAN THAT WE CAN BURN OUR PEOPLE 3600 02:22:17,800 --> 02:22:19,080 OUT AND SO 1 OF THE COMMITMENTS 3601 02:22:19,080 --> 02:22:21,240 WE MADE WHEN WE DID THIS WAS TO 3602 02:22:21,240 --> 02:22:22,760 MAKE SURE WE COMILTED THE 3603 02:22:22,760 --> 02:22:25,320 NECESSARY RESOURCES FOR THE 3604 02:22:25,320 --> 02:22:25,720 STAFFING. 3605 02:22:25,720 --> 02:22:26,360 BECAUSE, YOU KNOW YOU'RE GOING 3606 02:22:26,360 --> 02:22:27,480 TO NEED TO BUILD OUT SOME OF 3607 02:22:27,480 --> 02:22:28,960 THIS TO MAKE IT REALLY WORK. 3608 02:22:28,960 --> 02:22:31,440 WHAT WE HOPE IS IT MAKES US MORE 3609 02:22:31,440 --> 02:22:33,400 NIMBLE AS AN ORGANIZATION AND IF 3610 02:22:33,400 --> 02:22:34,680 WE DO LOSE STAFF THAT WE CAN 3611 02:22:34,680 --> 02:22:37,720 COVER DOWN OR IF THERE'S AN 3612 02:22:37,720 --> 02:22:38,360 EMERGENCY THAT WE'RE NOT, YOU 3613 02:22:38,360 --> 02:22:39,800 KNOW I CAN'T TELL YOU ALL HOW 3614 02:22:39,800 --> 02:22:42,240 HARD PEOPLE HAVE WORKED DURING 3615 02:22:42,240 --> 02:22:44,360 COVID, I JUST CAN'T BECAUSE THEY 3616 02:22:44,360 --> 02:22:45,120 WERE ESSENTIALLY DOING 2 JOBS 3617 02:22:45,120 --> 02:22:47,520 AND I KNOW YOU FELT THE SAME 3618 02:22:47,520 --> 02:22:49,000 WAY, BUT WE WANT TO MAKE SURE 3619 02:22:49,000 --> 02:22:50,960 THAT WE HAVE THE SUPPORTS IN 3620 02:22:50,960 --> 02:22:52,440 PLACE FOR FOLKS SO THAT CAN HAVE 3621 02:22:52,440 --> 02:22:54,280 SOME BALANCE AND THEY ARE NOT 3622 02:22:54,280 --> 02:22:54,880 KILLING THEMSELVES. 3623 02:22:54,880 --> 02:22:57,080 AND SO, THAT WAS ANOTHER 3624 02:22:57,080 --> 02:22:58,040 COMMITMENT WE MADE DURING THIS 3625 02:22:58,040 --> 02:22:59,960 TO MAKE SURE WE HAD QUICK 3626 02:22:59,960 --> 02:23:00,880 RESOURCES FOR THAT, SO IT WAS 3627 02:23:00,880 --> 02:23:03,520 PART OF THE PROPOSAL. 3628 02:23:03,520 --> 02:23:04,640 >> YOU WANT TO GIVE ME THE NEXT 3629 02:23:04,640 --> 02:23:09,840 QUESTION AND I WILL MOVE TO 3630 02:23:09,840 --> 02:23:10,360 DR. BERKINS. 3631 02:23:10,360 --> 02:23:11,800 >> SURE, WILL CONGENITAL 3632 02:23:11,800 --> 02:23:12,800 STRUCTURAL DEFECTS STILL BE THE 3633 02:23:12,800 --> 02:23:16,520 FOCUS OF THE BRANCH AFTER THE 3634 02:23:16,520 --> 02:23:20,200 NAME CHANGE? 3635 02:23:20,200 --> 02:23:20,520 >> CORRECT. 3636 02:23:20,520 --> 02:23:22,600 THANK YOU, THAT IS ALL THE 3637 02:23:22,600 --> 02:23:23,520 QUESTIONS WE RECEIVED. 3638 02:23:23,520 --> 02:23:24,360 >> PERFECT SO SHERRY AND THEN I 3639 02:23:24,360 --> 02:23:27,000 WILL MOVE TO THE OTHER QUESTION 3640 02:23:27,000 --> 02:23:27,560 IN THE CHAT. 3641 02:23:27,560 --> 02:23:28,840 >> I DON'T ACTUALLY HAVE A 3642 02:23:28,840 --> 02:23:30,520 QUESTION, YOU'VE ANSWERED ALL OF 3643 02:23:30,520 --> 02:23:30,880 THEM. 3644 02:23:30,880 --> 02:23:32,440 THANK YOU SO MUCH. 3645 02:23:32,440 --> 02:23:35,120 >> I LOVE THAT. 3646 02:23:35,120 --> 02:23:36,760 PERFECT. 3647 02:23:36,760 --> 02:23:37,800 LET ME NIEWF TO A QUESTION IN 3648 02:23:37,800 --> 02:23:39,760 THE CHAT WHICH IS DID YOU 3649 02:23:39,760 --> 02:23:42,520 CONSIDER AN INCREASED NEEZ FOR 3650 02:23:42,520 --> 02:23:43,320 BEHAVIORIAL SOCIAL SCIENTIST 3651 02:23:43,320 --> 02:23:45,480 STAFF TO SUPPORT CROSS CUTTING 3652 02:23:45,480 --> 02:23:48,440 THEMES OF HEALTH DISPARITIES, 3653 02:23:48,440 --> 02:23:50,120 GREAT QUESTION, REBEKAH, SO 3654 02:23:50,120 --> 02:23:51,520 THERE'S COUPLE THINGS IN HEALTH 3655 02:23:51,520 --> 02:23:52,440 DISPARITIES ACROSS THE 3656 02:23:52,440 --> 02:23:55,400 ORGANIZATION THAT WE'RE REALLY 3657 02:23:55,400 --> 02:23:57,560 THINKING ABOUT SO WE, NUMBER 1 3658 02:23:57,560 --> 02:24:00,840 WE ARE HAVING A CONVERSATION 3659 02:24:00,840 --> 02:24:03,800 ABOUT SOCIAL SCIENTISTS AND I AM 3660 02:24:03,800 --> 02:24:07,400 WORKING WITH DR. HAZRAH ON 1 3661 02:24:07,400 --> 02:24:08,640 SPECIFIC REQUEST THAT MAY BE 3662 02:24:08,640 --> 02:24:09,440 COMING FORWARD FOR THOSE STAFF 3663 02:24:09,440 --> 02:24:11,080 AND I THINK WE'RE ALSO TRYING TO 3664 02:24:11,080 --> 02:24:13,960 FIGURE OUT HOW TO BETTER 3665 02:24:13,960 --> 02:24:14,880 INTEGRATE BEHAVIORIAL AND SOCIAL 3666 02:24:14,880 --> 02:24:16,520 SCIENCE STAFF ACROSS OUR 3667 02:24:16,520 --> 02:24:16,840 INITIATIVES. 3668 02:24:16,840 --> 02:24:18,440 I MEAN I THINK IT'S BEEN GREAT 3669 02:24:18,440 --> 02:24:22,080 TO WATCH SOME OF OUR MORE 3670 02:24:22,080 --> 02:24:24,040 BEHAVIORIAL FOLKS REALLY GETTING 3671 02:24:24,040 --> 02:24:24,880 INVOLVED WITH INITIATIVES FOR 3672 02:24:24,880 --> 02:24:26,360 EXAMPLE, LIKE THE BRAIN 3673 02:24:26,360 --> 02:24:29,240 INITIATIVE AND REALLY PUSHING 3674 02:24:29,240 --> 02:24:32,280 SOME INCLUSION IN THAT--IN THAT 3675 02:24:32,280 --> 02:24:33,400 SPECIFIC INITIATIVE, SO I'VE 3676 02:24:33,400 --> 02:24:35,320 REALLY ENJOYED THAT QUITE A BIT. 3677 02:24:35,320 --> 02:24:37,840 WITH RESPECT TO HEALTH 3678 02:24:37,840 --> 02:24:38,840 DISPARITIES, THE STRATEGY IS A 3679 02:24:38,840 --> 02:24:41,320 BIT DIFFERENT AND IT'S GOING TO 3680 02:24:41,320 --> 02:24:44,680 BE--WE WILL UPDATE YOU ABOUT 3681 02:24:44,680 --> 02:24:45,600 THAT HOPEFULLY SOON. 3682 02:24:45,600 --> 02:24:48,240 AS YOU ALL KNOW DR. LAMAR LEFT 3683 02:24:48,240 --> 02:24:53,160 IN JANUARY AND IT'S NOT PART OF 3684 02:24:53,160 --> 02:24:53,560 THIS REORGANIZATION. 3685 02:24:53,560 --> 02:24:54,920 RIGHT NOW I'M THE ACTING 3686 02:24:54,920 --> 02:24:56,880 DIRECTOR OF THE OFFICE OF HEALTH 3687 02:24:56,880 --> 02:24:58,360 EQUITY SO I'M DEVELOPING THE 3688 02:24:58,360 --> 02:25:01,200 STRATEGY FOR HOW WE ARE GOING TO 3689 02:25:01,200 --> 02:25:02,200 BETTER ADDRESS HEALTH 3690 02:25:02,200 --> 02:25:03,200 DISPARITIES ACROSS THE 3691 02:25:03,200 --> 02:25:04,320 ORGANIZATION. 3692 02:25:04,320 --> 02:25:06,280 WE HAVE MADE SOME SIGNIFICANT 3693 02:25:06,280 --> 02:25:07,720 MOVES ON THAT BUT WILL ALSO BE 3694 02:25:07,720 --> 02:25:10,120 MAKING A NEW HIGHER, HOPEFULLY 3695 02:25:10,120 --> 02:25:14,320 IN THE COMING WEEKS TO MONTHS 3696 02:25:14,320 --> 02:25:15,280 FOR DR. LAMAR'S POSITION AND 3697 02:25:15,280 --> 02:25:18,400 WE'RE ALSO THINKING ABOUT OUR 3698 02:25:18,400 --> 02:25:20,200 ORGANIZATIONAL STRATEGY ACROSS 3699 02:25:20,200 --> 02:25:23,160 INTRAMURAL, EXTRAMURAL AND OUR 3700 02:25:23,160 --> 02:25:24,160 ADMINISTRATIVE MANAGEMENT 3701 02:25:24,160 --> 02:25:26,040 DIVISION OFFICE OF 3702 02:25:26,040 --> 02:25:27,040 ADMINISTRATIVE MANAGEMENT THAT 3703 02:25:27,040 --> 02:25:28,800 MR. RIVERA IS RUNNING SO THAT WE 3704 02:25:28,800 --> 02:25:30,520 BETTER INTEGRATE ACROSS THE 3705 02:25:30,520 --> 02:25:31,840 ENTIRE ORGANIZATION AND WE HAVE 3706 02:25:31,840 --> 02:25:35,760 A WAY TO PUSH OUR EQUITY 3707 02:25:35,760 --> 02:25:37,400 DIVERSITY INCLUSION AND 3708 02:25:37,400 --> 02:25:38,560 ACCESSIBILITY INITIATIVE FOR ALL 3709 02:25:38,560 --> 02:25:41,400 THE DIVISIONS NOT JUST THE 3710 02:25:41,400 --> 02:25:41,840 SCIENTIFIC DIVISIONS. 3711 02:25:41,840 --> 02:25:44,640 BECAUSE WE NEED IT TO CROSS 3712 02:25:44,640 --> 02:25:44,960 EVERYTHING. 3713 02:25:44,960 --> 02:25:46,880 SO, MORE TO COME ON THAT, I HOPE 3714 02:25:46,880 --> 02:25:47,800 BY SEPTEMBER WE WILL HAVE 3715 02:25:47,800 --> 02:25:49,520 SOMETHING TO SHARE WITH YOU AT 3716 02:25:49,520 --> 02:25:57,920 LEAST IN THE INITIAL. 3717 02:25:57,920 --> 02:25:59,000 >> THANK YOU. 3718 02:25:59,000 --> 02:25:59,400 >> GREAT. 3719 02:25:59,400 --> 02:26:01,440 WELL, WE ARE JUST ABOUT AT TIME 3720 02:26:01,440 --> 02:26:04,800 SO, THANK YOU ALLISON FOR THAT 3721 02:26:04,800 --> 02:26:05,560 OUTSTANDING PRESENTATION. 3722 02:26:05,560 --> 02:26:08,600 THANK YOU ALL FOR YOUR QUESTIONS 3723 02:26:08,600 --> 02:26:09,560 AND ENGAGEMENT. 3724 02:26:09,560 --> 02:26:12,680 YOU'VE EARNED A 30-MINUTE BREAK, 3725 02:26:12,680 --> 02:26:13,880 ACTUALLY 29 MINUTES BUT WHO'S 3726 02:26:13,880 --> 02:26:14,360 COUNTING. 3727 02:26:14,360 --> 02:26:16,320 I WANT YOU TO COMBACK PROMPTLY 3728 02:26:16,320 --> 02:26:19,680 AT 3 FOR THE PRESENTATION BY 3729 02:26:19,680 --> 02:26:21,480 DR. SHANNON ZENK, WHO IS THE 3730 02:26:21,480 --> 02:26:23,040 RELATIVELY NEW DIRECTOR OF THE 3731 02:26:23,040 --> 02:26:24,560 NATIONAL INSTITUTE OF NURSING 3732 02:26:24,560 --> 02:26:25,400 RESEARCH. 3733 02:26:25,400 --> 02:26:27,600 AND YOU WILL--AS YOU WILL HEAR, 3734 02:26:27,600 --> 02:26:30,320 MANY OF HER PRIORITIES ALIGN 3735 02:26:30,320 --> 02:26:32,080 WITH OURS. 3736 02:26:32,080 --> 02:26:37,560 SO, TAKE YOUR BREAK, AND WE WILL 3737 02:26:37,560 --> 02:26:41,080 SEE YOU BACK PROMPTLY AT 3. 3738 02:26:41,080 --> 02:26:41,920 THANK YOU. 3739 02:26:41,920 --> 02:26:45,520 WELCOME BACK, EVERYONE IS 3740 02:26:45,520 --> 02:26:45,920 DR. ZENK WITH US? 3741 02:26:45,920 --> 02:26:50,160 I'VE BEEN LOOKING FOR HER. 3742 02:26:50,160 --> 02:26:52,200 THERE SHE IS, WELCOME. 3743 02:26:52,200 --> 02:26:52,560 >> THANK YOU. 3744 02:26:52,560 --> 02:26:56,920 >>GREAT, EVERYONE IS REFRESHED 3745 02:26:56,920 --> 02:26:58,280 AND I WOULD LIKE TO INTRODUCE 3746 02:26:58,280 --> 02:27:01,240 OUR NEXT PRESENTER WHO IS 3747 02:27:01,240 --> 02:27:02,160 DR. SHANNON ZENK, THE DIRECTOR 3748 02:27:02,160 --> 02:27:04,960 OF THE NATIONAL INSTITUTE OF 3749 02:27:04,960 --> 02:27:06,080 NURSING RESEARCH. 3750 02:27:06,080 --> 02:27:08,080 DR. ZENK WAS APPOINTED AS NINR'S 3751 02:27:08,080 --> 02:27:11,720 DIRECTOR IN SEPTEMBER OF 2020. 3752 02:27:11,720 --> 02:27:12,960 WOW IT'S ALREADY BEEN OVER A 3753 02:27:12,960 --> 02:27:13,240 YEAR. 3754 02:27:13,240 --> 02:27:15,360 HOW DID THAT HAPPEN? 3755 02:27:15,360 --> 02:27:17,000 SHE CAME ON OBVIOUSLY DURING THE 3756 02:27:17,000 --> 02:27:17,400 PANDEMIC. 3757 02:27:17,400 --> 02:27:20,800 SHE IS A REGISTERED NURSE, AND 3758 02:27:20,800 --> 02:27:22,720 LEADING NURSE RESEARCHER WHOSE 3759 02:27:22,720 --> 02:27:24,680 RESEARCH FOCUSES ON SOCIAL 3760 02:27:24,680 --> 02:27:26,160 INIQUITIES AND HEALTH WITH A 3761 02:27:26,160 --> 02:27:29,240 GOAL OF IDENTIFYING EFFECTIVE 3762 02:27:29,240 --> 02:27:30,720 MULTILEVEL APPROACHES TO IMPROVE 3763 02:27:30,720 --> 02:27:32,000 HEALTH AND ELIMINATE RACIAL AND 3764 02:27:32,000 --> 02:27:35,960 ETHNIC AS WELL AS SOCIOECONOMIC 3765 02:27:35,960 --> 02:27:36,400 HEALTH DISPARITIES. 3766 02:27:36,400 --> 02:27:38,480 HER RESEARCH PORT NOALIO 3767 02:27:38,480 --> 02:27:42,240 INCLUDES WORK INTO URBAN FOOD 3768 02:27:42,240 --> 02:27:44,640 ENVIRONMENTS, COMMUNITY HEALTH 3769 02:27:44,640 --> 02:27:45,600 SOLUTIONS AND VETERANS HEALTH. 3770 02:27:45,600 --> 02:27:48,160 WE LOOK FORWARD TO HEARING MORE 3771 02:27:48,160 --> 02:27:51,160 FROM DR. ZENK ABOUT NINR'S 3772 02:27:51,160 --> 02:27:52,480 RESEARCH PRIORITIES AND THEIR 3773 02:27:52,480 --> 02:27:58,880 BRAND NEW STRATEGIC PLAN. 3774 02:27:58,880 --> 02:28:00,440 >> THANK YOU DIANE ASUCH A BLUSH 3775 02:28:00,440 --> 02:28:01,440 TO BE WITH YOU. 3776 02:28:01,440 --> 02:28:02,520 GOOD AFTERNOON TO EVERYONE. 3777 02:28:02,520 --> 02:28:03,880 I WILL SHARE MY SCREEN AND LET 3778 02:28:03,880 --> 02:28:09,960 ME KNOW IF I DON'T GET IT QUITE 3779 02:28:09,960 --> 02:28:10,200 RIGHT. 3780 02:28:10,200 --> 02:28:11,240 BUT AGAIN IT'S A PLEASURE TO BE 3781 02:28:11,240 --> 02:28:14,920 WITH US AND I AM EXCITED TO TELL 3782 02:28:14,920 --> 02:28:16,720 YOU ABOUT NINR'S NEW STRATEGIC 3783 02:28:16,720 --> 02:28:18,120 PLAN AND TO START A CONVERSATION 3784 02:28:18,120 --> 02:28:21,080 ABOUT OUR OUR INSTITUTES MIETD 3785 02:28:21,080 --> 02:28:22,520 EXPAND OUR COLLABORATIONS TO 3786 02:28:22,520 --> 02:28:23,800 ACHIEVE OUR MUTUAL GOALS. 3787 02:28:23,800 --> 02:28:25,680 SO GOOD AFTERNOON TO EVERYONE. 3788 02:28:25,680 --> 02:28:28,000 TODAY I WILL SHARE WITH YOU SOME 3789 02:28:28,000 --> 02:28:29,920 BACKGROUND ON NINR AND OUR NEW 3790 02:28:29,920 --> 02:28:30,280 STRATEGIC PLAN. 3791 02:28:30,280 --> 02:28:37,720 SOME OF THE WAYS THAT NINR 3792 02:28:37,720 --> 02:28:38,880 COLLABORATING ACROSS THE NIH AND 3793 02:28:38,880 --> 02:28:41,160 BEYOND AND SHARE A BIT ABOUT 3794 02:28:41,160 --> 02:28:44,680 SOME SELECTED NINR FUNDED 3795 02:28:44,680 --> 02:28:45,960 RESEARCH STUDIES AND CERTAINLY I 3796 02:28:45,960 --> 02:28:48,080 HOPE WE HAVE TIME TO TALK MORE 3797 02:28:48,080 --> 02:28:53,360 ABOUT HOW OUR INSTITUTES MAY 3798 02:28:53,360 --> 02:28:53,840 WORK TOGETHER. 3799 02:28:53,840 --> 02:28:55,640 BUT BEFORE I BEGIN LET ME TELL 3800 02:28:55,640 --> 02:28:57,480 YOU A LITTLE BIT ABOUT NINR FOR 3801 02:28:57,480 --> 02:28:58,720 THOSE WHO ARE NOT AS FAMILIAR 3802 02:28:58,720 --> 02:29:00,680 AND THE IMPORTANCE OF NURSING 3803 02:29:00,680 --> 02:29:02,720 SCIENCE TO HEALTH AND WELL 3804 02:29:02,720 --> 02:29:04,760 BEING. 3805 02:29:04,760 --> 02:29:10,200 NINR WAS FOUNDED TO--AS AN NIH 3806 02:29:10,200 --> 02:29:12,040 CENTER IN 1985 AND WAS ELEVATED 3807 02:29:12,040 --> 02:29:14,560 TO INSTITUTE STATUS IN 1993. 3808 02:29:14,560 --> 02:29:17,360 AND SINCE IT'S FOUNDING NINR 3809 02:29:17,360 --> 02:29:18,440 SCIENCE HAS SUPPORTED RESEARCH 3810 02:29:18,440 --> 02:29:21,000 THAT DEVELOPS THE SCIENTIFIC 3811 02:29:21,000 --> 02:29:22,560 BASIS FOR CLINICAL PRACTICE AND 3812 02:29:22,560 --> 02:29:22,920 POLICY. 3813 02:29:22,920 --> 02:29:25,840 WE THINK THAT SETS NINR APART 3814 02:29:25,840 --> 02:29:28,640 FROM OTHER NIH INSTITUTES IS 3815 02:29:28,640 --> 02:29:31,240 THAT OUR RESEARCH WITH NURSING'S 3816 02:29:31,240 --> 02:29:32,680 PERSPECTIVE AT ITS CORE IS 3817 02:29:32,680 --> 02:29:35,360 FOCUSED ON HEALTH SOLUTIONS FOR 3818 02:29:35,360 --> 02:29:36,840 PEOPLE IN THE CONTEXT OF THEIR 3819 02:29:36,840 --> 02:29:41,520 LIVES AND LIVING CONDITIONS. 3820 02:29:41,520 --> 02:29:43,080 NURSES ARE EVERYWHERE, IN OUR 3821 02:29:43,080 --> 02:29:45,480 HOSPITALS AND CLINICS, BUT ALSO 3822 02:29:45,480 --> 02:29:47,480 IN OUR SCHOOLS AND WORKPLACES, 3823 02:29:47,480 --> 02:29:50,360 IN HOMES, IN CRIMINAL JUSTICE 3824 02:29:50,360 --> 02:29:55,760 SETTINGS, AND THROUGHOUT OUR 3825 02:29:55,760 --> 02:29:56,360 COMMUNITIES. 3826 02:29:56,360 --> 02:29:57,920 WE OPROACH PREVENTION, TREATMENT 3827 02:29:57,920 --> 02:29:59,160 AND CARE WHOLISTICALLY AND IN 3828 02:29:59,160 --> 02:30:03,160 CONTEXT AND THE SCOPE OF OUR 3829 02:30:03,160 --> 02:30:05,040 PRACTICE AND THE BREDTH OF OUR 3830 02:30:05,040 --> 02:30:06,640 KNOWLEDGE SPANS THE LIFE COURSE, 3831 02:30:06,640 --> 02:30:08,120 CROSSES DISEASES AND CONDITIONS 3832 02:30:08,120 --> 02:30:10,040 AND EXTENDS FROM IMPROVING THE 3833 02:30:10,040 --> 02:30:13,480 HEALTH OF INDIVIDUALS TO THAT OF 3834 02:30:13,480 --> 02:30:14,880 ENTIRE POPULATIONS. 3835 02:30:14,880 --> 02:30:16,520 IT'S THIS UNIQUE PERSPECTIVE AND 3836 02:30:16,520 --> 02:30:19,080 POSITIONING THAT MAKES NURSING 3837 02:30:19,080 --> 02:30:21,200 SCIENCE SO WELL SITUATED TO LEAD 3838 02:30:21,200 --> 02:30:23,080 RESEARCH FOCUSED ON THE WHOLE 3839 02:30:23,080 --> 02:30:24,160 PICTURE OF HEALTH, FROM THE 3840 02:30:24,160 --> 02:30:27,600 BIOLOGY OF A PERSON'S CELLS IN 3841 02:30:27,600 --> 02:30:29,720 GENES TO THEIR WHOLE SELF, 3842 02:30:29,720 --> 02:30:31,000 FAMILY, RESOURCES AND THE 3843 02:30:31,000 --> 02:30:34,720 COMMUNITY AND SOCIETY IN WHICH 3844 02:30:34,720 --> 02:30:37,080 THEY LIVE. 3845 02:30:37,080 --> 02:30:38,360 NURSING'S EARLIEST PIONEERS 3846 02:30:38,360 --> 02:30:39,200 RECOGNIZE THAT HEALTH SMUOF THE 3847 02:30:39,200 --> 02:30:41,400 BE CONSIDERED WITHIN THE CONTEXT 3848 02:30:41,400 --> 02:30:43,280 OF PEOPLE'S LIVES AND LIVING 3849 02:30:43,280 --> 02:30:43,880 CONDITIONS. 3850 02:30:43,880 --> 02:30:46,200 IN OTHER WORDS THEY WERE AMONG 3851 02:30:46,200 --> 02:30:47,640 THE EARLIEST TO INCORPORATE 3852 02:30:47,640 --> 02:30:51,160 SOCIAL DETERMINANTS INTO THEIR 3853 02:30:51,160 --> 02:30:51,760 SOLUTIONS TO HEALTH PROBLEMS. 3854 02:30:51,760 --> 02:30:54,360 AND THE TASK OF ELIMINATING 3855 02:30:54,360 --> 02:30:55,760 INIQUITIES CAUSED BY SOCIAL 3856 02:30:55,760 --> 02:30:58,360 DETERMINANT SYSTEM NOTHING NEW 3857 02:30:58,360 --> 02:30:59,480 TO NURSES. 3858 02:30:59,480 --> 02:31:02,200 AND AT NINR WE ARE BUILDING ON A 3859 02:31:02,200 --> 02:31:04,440 RICH HISTORY THROUGH NURSE HEVER 3860 02:31:04,440 --> 02:31:07,080 LED EFFORTS TO ADDRESS 3861 02:31:07,080 --> 02:31:08,840 INTENSIFYING INIQUITIES AND 3862 02:31:08,840 --> 02:31:09,760 SOCIAL DETERMINANTS OF HEALTH 3863 02:31:09,760 --> 02:31:11,920 AND A RECENT FUTURE OF NURSING 3864 02:31:11,920 --> 02:31:15,360 REPORT MAKES A COMPELLING CASE 3865 02:31:15,360 --> 02:31:19,920 FOR NEW NURSE-LED MODELS TO 3866 02:31:19,920 --> 02:31:20,920 ADDRESS SOCIAL DETERMINANTS OF 3867 02:31:20,920 --> 02:31:22,760 HEALTH AND NEEDS ALL WITH THE 3868 02:31:22,760 --> 02:31:24,160 GOAL OF ACHIEVING HEALTH EQUITY. 3869 02:31:24,160 --> 02:31:26,560 SO WITH THAT, NURSING AND 3870 02:31:26,560 --> 02:31:27,920 NURSING SCIENCE CONTEXT IN MIND, 3871 02:31:27,920 --> 02:31:31,320 LET ME TURN TO NINR'S LATEST 3872 02:31:31,320 --> 02:31:33,120 STRATEGIC PLAN. 3873 02:31:33,120 --> 02:31:35,680 WE LAUNCHED OUR 2022, 2026 3874 02:31:35,680 --> 02:31:37,200 STRATEGIC PLAN JUST LAST MONTH 3875 02:31:37,200 --> 02:31:40,160 AND I AM EXSEATED TO TELL YOU 3876 02:31:40,160 --> 02:31:41,240 ABOUT IT. 3877 02:31:41,240 --> 02:31:43,960 AT NINR WE'RE COMMITTED TO 3878 02:31:43,960 --> 02:31:46,720 LEADING NURSING SCIENCE TO SOLVE 3879 02:31:46,720 --> 02:31:47,840 PRESSING HEALTH CHALLENGES AND 3880 02:31:47,840 --> 02:31:49,200 FORM PRACTICE AND POLICY, 3881 02:31:49,200 --> 02:31:50,800 OPTIMIZING HEALTH AND ADVANCING 3882 02:31:50,800 --> 02:31:53,280 HEALTH EQUITY INTO THE FUTURE. 3883 02:31:53,280 --> 02:31:54,920 OUR MISSION STATEMENT REFLECTS 3884 02:31:54,920 --> 02:31:57,400 OUR BELIEF THAT NURSING RESEARCH 3885 02:31:57,400 --> 02:32:00,360 IS THE KEY TO UNLOCKING THE 3886 02:32:00,360 --> 02:32:04,040 POWER AND POTENTIAL OF NURSING. 3887 02:32:04,040 --> 02:32:04,800 AND OUR STRATEGE BEING PLAN 3888 02:32:04,800 --> 02:32:06,200 DESCRIBES HOW WE WANT TO 3889 02:32:06,200 --> 02:32:07,760 LEVERAGE THE STRENGTHS AND 3890 02:32:07,760 --> 02:32:10,200 UNIQUE KNOWLEDGE AND 3891 02:32:10,200 --> 02:32:11,720 PERSPECTIVES INHERENT TO THE 3892 02:32:11,720 --> 02:32:15,000 DISCIPLINE TO THE BENEFIT OF ALL 3893 02:32:15,000 --> 02:32:15,480 PEOPLE. 3894 02:32:15,480 --> 02:32:18,280 THE STRATEGIC PLAN INCLUDES 3895 02:32:18,280 --> 02:32:19,000 GUIDING PRINCIPLES THAT IS 3896 02:32:19,000 --> 02:32:20,440 IMPORTANT QUALITIES THAT ALL 3897 02:32:20,440 --> 02:32:23,600 NINR SUPPORTED WORK SHOULD HAVE 3898 02:32:23,600 --> 02:32:25,240 GOING FORWARD. 3899 02:32:25,240 --> 02:32:26,560 IN CONSIDERING GRANT 3900 02:32:26,560 --> 02:32:27,560 APPLICATIONS FOR FUNDING, THE 3901 02:32:27,560 --> 02:32:29,320 EXTENT TO WHICH STUDIES REFLECT 3902 02:32:29,320 --> 02:32:31,200 THESE PRINCIPLES WILL BE A 3903 02:32:31,200 --> 02:32:32,760 FACTOR IN OUR DECISIONS. 3904 02:32:32,760 --> 02:32:36,040 WE NEED TO SUPPORT RESEARCH THAT 3905 02:32:36,040 --> 02:32:37,280 ADDRESSES TODAY'S CHALLENGES AND 3906 02:32:37,280 --> 02:32:39,560 HELPS US BE BETTER PREPARED FOR 3907 02:32:39,560 --> 02:32:42,440 THE FUTURE, DISCOVER SOLUTIONS, 3908 02:32:42,440 --> 02:32:44,200 TO OPTIMIZE HEALTH ACROSS 3909 02:32:44,200 --> 02:32:49,240 CLINICAL, COMMUNITY AND POLICY 3910 02:32:49,240 --> 02:32:49,520 SETTINGS. 3911 02:32:49,520 --> 02:32:50,800 ADVANCES EQUITY, DIVERSITY, 3912 02:32:50,800 --> 02:32:53,440 INCLUSION AND ACCESSIBILITY AND 3913 02:32:53,440 --> 02:32:54,800 IS INNOVATIVE APPLIES RIGOROUS 3914 02:32:54,800 --> 02:32:57,680 RESEARCH METHODS AND HAS TD 3915 02:32:57,680 --> 02:32:58,720 POTENTIAL FOR SIGNIFICANT IMPACT 3916 02:32:58,720 --> 02:33:03,160 ON HEALTH AND WELL BEING. 3917 02:33:03,160 --> 02:33:05,480 THE PLAN ALSO INCLUDES 5 3918 02:33:05,480 --> 02:33:07,240 RESEARCH LENSES, SO LET ME SMAIN 3919 02:33:07,240 --> 02:33:09,480 WHAT WE MEAN BY THAT TERM. 3920 02:33:09,480 --> 02:33:12,760 SIMPLY WHEN WE SAY A LENS WE ARE 3921 02:33:12,760 --> 02:33:14,760 PRESCRIBING A PERSPECTIVE, TO 3922 02:33:14,760 --> 02:33:19,120 EXAMINE THE HEALTH CHALLENGE IN 3923 02:33:19,120 --> 02:33:22,600 DEVELOPING OUR SCIENTIFIC 3924 02:33:22,600 --> 02:33:23,600 STRATEGY NINR IDENTIFIED 5 3925 02:33:23,600 --> 02:33:25,040 LENSES THAT WE THINK STRENGTHEN 3926 02:33:25,040 --> 02:33:26,680 NURSING AND SCIENCE TO INNOVATE, 3927 02:33:26,680 --> 02:33:28,680 THINK BIGGER AND GREATLY 3928 02:33:28,680 --> 02:33:29,680 INCREASE OUR IMPACT. 3929 02:33:29,680 --> 02:33:31,080 THE LENSES IN THE TRANSLATIONAL 3930 02:33:31,080 --> 02:33:33,160 RESEARCH TEEJIC PLAN ARE HEALTH 3931 02:33:33,160 --> 02:33:35,800 EQUITY, SOCIAL DETERMINANTS OF 3932 02:33:35,800 --> 02:33:37,320 HEALTH, POPULATION AND COMMUNITY 3933 02:33:37,320 --> 02:33:39,280 HEALTH, PREVENTION AND HEALTH 3934 02:33:39,280 --> 02:33:42,240 PROMOTION, AND SYSTEM SYSTEM AND 3935 02:33:42,240 --> 02:33:42,800 MODELS OF CARE. 3936 02:33:42,800 --> 02:33:44,360 SO I WILL GIVE YOU A CLOSER LOOK 3937 02:33:44,360 --> 02:33:48,680 AT EACH OF THESE LENSES. 3938 02:33:48,680 --> 02:33:50,320 AND OUR HEALTH EQUITY LENS AIMS 3939 02:33:50,320 --> 02:33:57,720 TO REDUCE AND ULTIMATELY 3940 02:33:57,720 --> 02:33:59,440 ELIMINATE THE SYSTEMIC 3941 02:33:59,440 --> 02:34:01,040 POPULATION GROUPS AT UNFAIR 3942 02:34:01,040 --> 02:34:03,240 UNSUPPORTED JUSTICE AND 3943 02:34:03,240 --> 02:34:03,880 AVOIDABLE DISADVANTAGE IN 3944 02:34:03,880 --> 02:34:06,520 OBTAINING THEIR FULL HEALTH 3945 02:34:06,520 --> 02:34:06,800 POTENTIAL. 3946 02:34:06,800 --> 02:34:08,120 FROM NINR'S PERSPECTIVE HEALTH 3947 02:34:08,120 --> 02:34:09,760 EQUITIES ARE ROOTED IN SYSTEMIC 3948 02:34:09,760 --> 02:34:11,320 AND STRUCTURAL FACTORS THAT 3949 02:34:11,320 --> 02:34:14,200 LIMIT ACCESS TO POWER, 3950 02:34:14,200 --> 02:34:15,800 OPPORTUNITIES AND RESOURCES. 3951 02:34:15,800 --> 02:34:17,680 THESE FACTORS INCLUDE STRUCTURAL 3952 02:34:17,680 --> 02:34:19,680 RACISM, AND CREATE BARRIERS TO 3953 02:34:19,680 --> 02:34:23,320 HEALTH AND CAN LEAD TO 3954 02:34:23,320 --> 02:34:24,080 PERSISTENT HEALTH INIQUITIES, SO 3955 02:34:24,080 --> 02:34:27,440 WE ARE INTERESTED IN SUPPORTING 3956 02:34:27,440 --> 02:34:28,560 NURSING RESEARCH THAT IMPROVES 3957 02:34:28,560 --> 02:34:30,840 HEALTH AND WELL BEING FOR ALL, 3958 02:34:30,840 --> 02:34:32,880 THROUGH STRUCTURAL INTERVENTIONS 3959 02:34:32,880 --> 02:34:35,200 THAT REMOVE OBSTACLES TO HEALTH, 3960 02:34:35,200 --> 02:34:37,440 INCREASE AVAILABILITY AND 3961 02:34:37,440 --> 02:34:39,320 ACCESSIBILITY OF RESOURCES AND 3962 02:34:39,320 --> 02:34:45,000 ALTER SOCIAL AND INSTITUTIONAL 3963 02:34:45,000 --> 02:34:45,760 NORMS. 3964 02:34:45,760 --> 02:34:47,840 OUR SECIAL DETERMINANTS OF 3965 02:34:47,840 --> 02:34:49,560 HEALTH LENS TAME AIMS TO E 3966 02:34:49,560 --> 02:34:50,240 DENTIFY APPROACHES TO IMPROVE 3967 02:34:50,240 --> 02:34:52,280 HELT AND QUALITY OF LIFE BY 3968 02:34:52,280 --> 02:34:53,560 ADDRESSING THE CONDITIONS IN 3969 02:34:53,560 --> 02:34:56,000 WHICH PEOPLE ARE BORN, LIVE, 3970 02:34:56,000 --> 02:35:01,680 LEARN, WORK, PLAY AND AGE. 3971 02:35:01,680 --> 02:35:12,240 FROM NINR'S SOCIAL DETERMINANTS 3972 02:35:12,720 --> 02:35:15,840 OF HEALTH THAT OOH DENTIFIES AND 3973 02:35:15,840 --> 02:35:16,560 DEVELOPS INTERVENTIONS DELIVERED 3974 02:35:16,560 --> 02:35:18,000 AT THE RIGHT PLACE AND RIGHT 3975 02:35:18,000 --> 02:35:24,840 TIME TO TARGET THESE SOCIAL 3976 02:35:24,840 --> 02:35:25,280 DETERMINANTS. 3977 02:35:25,280 --> 02:35:30,080 WE WANT OUR INVESTIGATORS TO 3978 02:35:30,080 --> 02:35:31,560 IMPROVE AND HEALTH EQUITY, AND 3979 02:35:31,560 --> 02:35:33,000 IDENTIFY HOW TO LIMIT EXPOSE 3980 02:35:33,000 --> 02:35:34,720 TOWER ADVERSE, SOCIAL AND 3981 02:35:34,720 --> 02:35:36,040 ECONOMIC CIRCUMSTANCES AND 3982 02:35:36,040 --> 02:35:39,480 CONSIDER HOW TO LIMIT 3983 02:35:39,480 --> 02:35:40,920 SUSCEPTIBILITY TO BIOLOGICAL AND 3984 02:35:40,920 --> 02:35:41,960 BEDDING OF DETERMINANTS OVER THE 3985 02:35:41,960 --> 02:35:46,400 LEFT COURSE AND ACROSS 3986 02:35:46,400 --> 02:35:47,480 GENERATIONS. 3987 02:35:47,480 --> 02:35:49,240 OUR POPULATION AND COMMUNITY 3988 02:35:49,240 --> 02:35:51,360 HELP LENS AIMS TO ADDRESS 3989 02:35:51,360 --> 02:35:55,240 CRITICAL HEALTH CHALLENGES AT A 3990 02:35:55,240 --> 02:35:55,960 MACROLEVEL THAT CONSISTENTLY 3991 02:35:55,960 --> 02:35:57,760 AFFECT PEOPLE CAN SHARED 3992 02:35:57,760 --> 02:35:59,320 CHARACTERISTICS, FROM OUR 3993 02:35:59,320 --> 02:35:59,960 PERSPECTIVE POPULATION HEALTH 3994 02:35:59,960 --> 02:36:00,920 REFERS TO THE HEALTH AND WELL 3995 02:36:00,920 --> 02:36:03,040 BEING OF GROUPS OF INDIVIDUALS 3996 02:36:03,040 --> 02:36:04,600 WITH 1 OR MORE SHARED 3997 02:36:04,600 --> 02:36:05,160 CHARACTERISTICS. 3998 02:36:05,160 --> 02:36:08,280 AND AS A SUBSET OF POPULATION 3999 02:36:08,280 --> 02:36:08,960 HEALTH, COMMUNITY HEALTH REFERS 4000 02:36:08,960 --> 02:36:10,960 TO HEALTH AND WELL BEING OF 4001 02:36:10,960 --> 02:36:12,640 THOSE 1 NECTED BY PLACE. 4002 02:36:12,640 --> 02:36:16,160 SO WE ARE VERY INTERESTED IN 4003 02:36:16,160 --> 02:36:18,360 RESEARCH THAT USES ETIOLOGIC 4004 02:36:18,360 --> 02:36:19,720 APPLIED AND TRANSLATIONAL 4005 02:36:19,720 --> 02:36:25,520 APPROACHES TO IDENTIFY RISK AND 4006 02:36:25,520 --> 02:36:26,560 PROTECTIVE FACTORS. 4007 02:36:26,560 --> 02:36:27,960 AND INVESTIGATES POPULATION AND 4008 02:36:27,960 --> 02:36:29,840 COMMUNITY HEALTH ETESTS AND 4009 02:36:29,840 --> 02:36:32,120 EVALUATES BOTH PLANNED AND 4010 02:36:32,120 --> 02:36:33,400 NATURAL EXPERIMENTS OF 4011 02:36:33,400 --> 02:36:35,400 MACROLEVEL INTERVENTIONS AND 4012 02:36:35,400 --> 02:36:36,920 USES COMMUNITY ACTION AND 4013 02:36:36,920 --> 02:36:38,040 PARTNERSHIPS IN THE MANY 4014 02:36:38,040 --> 02:36:42,480 SETTINGS IN WHICH NURSES WORK. 4015 02:36:42,480 --> 02:36:44,880 THE NEXT LENS AIMS TO PREVENT 4016 02:36:44,880 --> 02:36:46,080 DISEASE AND PROMOTE HEALTH 4017 02:36:46,080 --> 02:36:48,400 THROUGH THE CONTINUUM OF 4018 02:36:48,400 --> 02:36:49,360 PREVENTION. 4019 02:36:49,360 --> 02:36:50,520 FROM OUR PERSPECTIVE, PREVENTION 4020 02:36:50,520 --> 02:36:55,120 REFERS TO ACTIONS TAKEN TO 4021 02:36:55,120 --> 02:36:56,720 REDUCE THE DISEASE, OR INJURY 4022 02:36:56,720 --> 02:36:59,360 ALONG A CONTINUUM THAT BEGINS 4023 02:36:59,360 --> 02:37:00,960 WITH PRIMORDIAL PREVENTION WHICH 4024 02:37:00,960 --> 02:37:02,840 TARGETS THE UNDERLYING RISKS AND 4025 02:37:02,840 --> 02:37:05,080 CONTINUES ALL THE WAY TO 4026 02:37:05,080 --> 02:37:06,920 TERTIARY PREVENTION WHICH AIMS 4027 02:37:06,920 --> 02:37:11,000 TO REDUCE SYMPTOMS, SEVERITY AND 4028 02:37:11,000 --> 02:37:11,560 PROGRESSION. 4029 02:37:11,560 --> 02:37:13,040 AND HELGTD PROMOTION INCLUDES 4030 02:37:13,040 --> 02:37:14,520 EFFORTS TO FACILITATE HEALTHY 4031 02:37:14,520 --> 02:37:16,280 ABOUTY HAIEVERS THAT REDUCE 4032 02:37:16,280 --> 02:37:17,440 RISK, IMPROVE HEALTH, MANAGE 4033 02:37:17,440 --> 02:37:19,280 DISEASE AND ENHANCE WELL BEING. 4034 02:37:19,280 --> 02:37:21,880 SO WE ARE INTERESTED IN 4035 02:37:21,880 --> 02:37:24,240 SUPPORTING NURSING RESEARCH THAT 4036 02:37:24,240 --> 02:37:25,320 IDENTIFIES THE MECHANISMS 4037 02:37:25,320 --> 02:37:26,600 THROUGH WHICH INTERVENTIONS 4038 02:37:26,600 --> 02:37:28,920 WORK, MORE OVER PREVEPGZ AND 4039 02:37:28,920 --> 02:37:30,640 HEALTH PROMOTION EFFORTS MUST 4040 02:37:30,640 --> 02:37:32,920 AIM TO ELIMINATE HEALTH 4041 02:37:32,920 --> 02:37:34,640 INIQUITIES BY ACCOUNTING FOR THE 4042 02:37:34,640 --> 02:37:36,480 MYRIAD OF FACTORS FROM 4043 02:37:36,480 --> 02:37:39,600 BIOLOGICAL TO SOCIETAL THAT 4044 02:37:39,600 --> 02:37:40,600 AFFECT HEALTH. 4045 02:37:40,600 --> 02:37:43,600 AND OUR LAST LENS AIMS TO 4046 02:37:43,600 --> 02:37:45,360 ADDRESS CLINICAL ORGANIZATIONAL, 4047 02:37:45,360 --> 02:37:46,560 AND POLICY CHALLENGES THROUGH 4048 02:37:46,560 --> 02:37:49,040 NEW SYSTEMS AND MODELS OF CARE. 4049 02:37:49,040 --> 02:37:51,240 WE NEED INNOVATIVE SYSTEMS AND 4050 02:37:51,240 --> 02:37:54,080 MODELS OF CARE MADE UP OF 4051 02:37:54,080 --> 02:37:55,440 COALITIONS AND PARTNERSHIPS THAT 4052 02:37:55,440 --> 02:37:57,080 SPAN CLINICAL AND COMMUNITY 4053 02:37:57,080 --> 02:37:58,360 SETTINGS, AND ADDRESS SOCIAL 4054 02:37:58,360 --> 02:38:03,920 FACTORS AND NEEDS FOR 4055 02:38:03,920 --> 02:38:05,640 POPULATIONS, AND INDIVIDUALS. 4056 02:38:05,640 --> 02:38:06,800 WE ENCOURAGE NURSE-LED SYSTEMS 4057 02:38:06,800 --> 02:38:09,160 AND MODELS OF CARE THAT CONSIDER 4058 02:38:09,160 --> 02:38:11,120 HOW TO LEVERAGE THE MODEL'S 4059 02:38:11,120 --> 02:38:13,800 TRUST IN AND EXPERTISE OF THE 4060 02:38:13,800 --> 02:38:15,280 NURSING WORKFORCE TO EMPLOY 4061 02:38:15,280 --> 02:38:18,760 SOLUTIONS INFORMED BY NURSES 4062 02:38:18,760 --> 02:38:19,760 PERSPECTIVES AND EXPERIENCES AND 4063 02:38:19,760 --> 02:38:22,040 TO FOCUS ON HEALTH PROMOTING 4064 02:38:22,040 --> 02:38:23,760 CARE THAT ENCOMPASSES THE WHOLE 4065 02:38:23,760 --> 02:38:25,440 PERSON AND THE CONTEXT OF THEIR 4066 02:38:25,440 --> 02:38:28,280 LIVES AND LIVING CONDITIONS. 4067 02:38:28,280 --> 02:38:31,080 SO WE ARE COMMITTED TO NURSING 4068 02:38:31,080 --> 02:38:34,440 RESEARCH THAT INFORMS THE 4069 02:38:34,440 --> 02:38:35,840 DEVELOPMENT, DISSEMINATION AND 4070 02:38:35,840 --> 02:38:37,000 LIMP IMPLEMENTATION OF SYSTEMS 4071 02:38:37,000 --> 02:38:40,760 AND MODELS OF CARE AND GRAPPLES 4072 02:38:40,760 --> 02:38:41,920 WITH CHALLENGES SUCH AS 4073 02:38:41,920 --> 02:38:43,000 COORDINATING CARE AND 4074 02:38:43,000 --> 02:38:45,480 INTEGRATING DATA ACROSS CLINICAL 4075 02:38:45,480 --> 02:38:48,360 AND COMMUNITY SETTINGS. 4076 02:38:48,360 --> 02:38:49,800 TESTING MODELS OF CONTEXTUALIZED 4077 02:38:49,800 --> 02:38:51,640 CARE AND UNDERSTANDING THE IMENT 4078 02:38:51,640 --> 02:38:53,480 PACTS EVER ORGANIZATIONAL 4079 02:38:53,480 --> 02:38:55,080 PRACTICES AND POLICIES ON 4080 02:38:55,080 --> 02:39:04,200 QUALITY OF CARE AND ITS 4081 02:39:04,200 --> 02:39:04,880 OUTCOMES. 4082 02:39:04,880 --> 02:39:06,280 THESE LENSES ARE COMPLIMENTARY 4083 02:39:06,280 --> 02:39:07,000 AND SINNER GESTIC. 4084 02:39:07,000 --> 02:39:08,840 IN ADDITION TO STRENGTHS OF 4085 02:39:08,840 --> 02:39:11,680 NURSING RESEARCH, THE LENSES 4086 02:39:11,680 --> 02:39:12,920 PROVIDE MULTILEVEL APPROACHES, 4087 02:39:12,920 --> 02:39:14,400 KROS DISCIPLINEAR EXPE CROSS 4088 02:39:14,400 --> 02:39:15,440 SECTORAL COLLABORATION AND 4089 02:39:15,440 --> 02:39:17,680 COMMUNITY ENGAGEMENT AND 4090 02:39:17,680 --> 02:39:18,000 RESEARCH. 4091 02:39:18,000 --> 02:39:20,480 NOW AS SHOWN BY THIS RESEARCH 4092 02:39:20,480 --> 02:39:22,280 FRAMEWORK, NINR SUPPORTED 4093 02:39:22,280 --> 02:39:22,840 INVESTIGATORS HAVE THE 4094 02:39:22,840 --> 02:39:25,560 FLEXIBILITY TO APPLY A SINGLE 4095 02:39:25,560 --> 02:39:27,440 LENS OR COMBINATION OF LENSS AND 4096 02:39:27,440 --> 02:39:30,960 THEIR STUDY DESIGNS AND TRAINING 4097 02:39:30,960 --> 02:39:31,240 PROGRAMS. 4098 02:39:31,240 --> 02:39:32,800 SO WE ENCOURAGE RESEARCHERS TO 4099 02:39:32,800 --> 02:39:34,480 VIEW THE HEALTH EQUITY AND 4100 02:39:34,480 --> 02:39:36,880 SOCIAL DETERMINANTS OF HEALTH 4101 02:39:36,880 --> 02:39:38,360 LENSES AS PRIMARY FOCI THROUGH 4102 02:39:38,360 --> 02:39:44,480 WHICH TO CONSIDER THE OTHER 3 4103 02:39:44,480 --> 02:39:45,000 LENSES. 4104 02:39:45,000 --> 02:39:46,040 NINR'S RESEARCH LENSES WILL,A 4105 02:39:46,040 --> 02:39:47,520 LOW INVESTIGATORS TO CONSIDER A 4106 02:39:47,520 --> 02:39:50,160 FULL SPECTRUM OF NURSING 4107 02:39:50,160 --> 02:39:52,000 RESEARCH TOPICS, THAT ENCOMPASS 4108 02:39:52,000 --> 02:39:57,240 THE HEALTH AND ILLNESS OF 4109 02:39:57,240 --> 02:39:58,200 PEOPLEs LIVED EXPERIENCES. 4110 02:39:58,200 --> 02:40:00,640 THUS THESE LENSES WILL ALLOW 4111 02:40:00,640 --> 02:40:02,080 NURSES, SCIENTISTS AND OTHERS TO 4112 02:40:02,080 --> 02:40:03,840 EXAMINE NEW TOPICS WHILE ALSO 4113 02:40:03,840 --> 02:40:07,280 ALLOWING THOSE WITH LONG 4114 02:40:07,280 --> 02:40:08,840 STANDING PROGRAMS OF RESEARCH TO 4115 02:40:08,840 --> 02:40:10,320 TAKE A DIFFERENT LOOK AT THEIR 4116 02:40:10,320 --> 02:40:10,840 AREAS OF INTEREST. 4117 02:40:10,840 --> 02:40:13,440 MANY OF OUR LENSES BUILD ON 4118 02:40:13,440 --> 02:40:15,560 NINR'S INVESTMENT IN LONG 4119 02:40:15,560 --> 02:40:18,600 STANDING AREAS OF INTEREST, FOR 4120 02:40:18,600 --> 02:40:21,480 EXAMPLE, 43% OF NINR'S BUDGET 4121 02:40:21,480 --> 02:40:23,800 ALREADY SUPPORTS PREVENTION 4122 02:40:23,800 --> 02:40:24,880 RESEARCH. 4123 02:40:24,880 --> 02:40:25,880 THIRTY-FOUR% OF OUR BUDGET 4124 02:40:25,880 --> 02:40:30,040 FOCUSES ON RESEARCH TO ELIMINATE 4125 02:40:30,040 --> 02:40:32,480 HEALTH INIQUITIES AND 26% OF OUR 4126 02:40:32,480 --> 02:40:35,040 BUDGET FOCUSES ON SOCIAL 4127 02:40:35,040 --> 02:40:37,960 DETERMINANTS OF HEALTH. 4128 02:40:37,960 --> 02:40:40,320 SO YOU CAN FIND THE STRATEGIC 4129 02:40:40,320 --> 02:40:41,440 PLAN ON OUR WEBSITE. 4130 02:40:41,440 --> 02:40:44,520 WE DO CONSIDER THIS A LIVING 4131 02:40:44,520 --> 02:40:46,520 DOCUMENT WILL RESPOND TO QUICKLY 4132 02:40:46,520 --> 02:40:48,720 AND NIMLY TO EMERGING ISSUES AND 4133 02:40:48,720 --> 02:40:49,360 CRISIS. 4134 02:40:49,360 --> 02:40:53,400 WE BELIEVE IT'S BEST HOUSED ON 4135 02:40:53,400 --> 02:40:55,440 OUR WEBSITE. 4136 02:40:55,440 --> 02:40:57,560 NOW CHANGING TOPICS, 4137 02:40:57,560 --> 02:40:59,560 COLLABORATION IS VICAL TO NINR 4138 02:40:59,560 --> 02:41:01,240 AND ACCOMPLISHING THE 4139 02:41:01,240 --> 02:41:03,280 MISSIONINGS OF NINH AND EVERY 4140 02:41:03,280 --> 02:41:04,600 OTHER INSTITUTE AND CENTER, IN 4141 02:41:04,600 --> 02:41:07,360 SUPPORT OF NINR AND NIH'S 4142 02:41:07,360 --> 02:41:09,640 MISSIONS, WE'RE MAKING SURE THAT 4143 02:41:09,640 --> 02:41:11,240 NINR IS COLLABORATING WITH 4144 02:41:11,240 --> 02:41:13,280 PARTNERS, BOTH WITHIN NIH AND 4145 02:41:13,280 --> 02:41:16,000 ACROSS THE FEDERAL GOVERNMENT. 4146 02:41:16,000 --> 02:41:19,120 FOR EXAMPLE, WE ARE EXCITED TO 4147 02:41:19,120 --> 02:41:21,120 BE COLLABORATING ALONG WITH 4148 02:41:21,120 --> 02:41:23,880 NICHD, ON THE NIH WIDE CLIMATE 4149 02:41:23,880 --> 02:41:25,560 CHANGE AND HEALTH INITIATIVE 4150 02:41:25,560 --> 02:41:27,080 WHICH SUPPORTS RESEARCH TO 4151 02:41:27,080 --> 02:41:29,120 UNDERSTAND THE POTENTIAL HEALTH 4152 02:41:29,120 --> 02:41:32,400 BENEFITS OF ACTIONS TO PREVENT, 4153 02:41:32,400 --> 02:41:34,640 MITIGATE AND ADAPT TO CLIMATE 4154 02:41:34,640 --> 02:41:39,400 CHANGE ESPECIALLY FOR AT RISK 4155 02:41:39,400 --> 02:41:39,760 COMMUNITIES. 4156 02:41:39,760 --> 02:41:42,960 AND WE ARE PLEASED TO BE 4157 02:41:42,960 --> 02:41:45,120 CO-CHAIRING WITH NIMHD AND 4158 02:41:45,120 --> 02:41:48,440 OBSSR, A NEW NIH-WIDE SOCIAL 4159 02:41:48,440 --> 02:41:49,880 DETERMINANTS OF HEALTH RESEARCH 4160 02:41:49,880 --> 02:41:51,000 COORDINATING COMMITTEE. 4161 02:41:51,000 --> 02:41:52,960 WE ARE VERY GLAD TO HAVE NICHD 4162 02:41:52,960 --> 02:41:54,400 AS PART OF THE EXECUTIVE 4163 02:41:54,400 --> 02:41:57,240 COMMITTEE AS WELL AS PART OF THE 4164 02:41:57,240 --> 02:41:57,560 RCKRRK ITSELF. 4165 02:41:57,560 --> 02:42:01,520 NOW THE GOAL OF THE RCC, IS TO 4166 02:42:01,520 --> 02:42:02,920 ACCELERATE SOCIAL DETERMINANTS 4167 02:42:02,920 --> 02:42:05,200 OF HEALTH RESEARCH ACROSS NIH. 4168 02:42:05,200 --> 02:42:09,040 THIS INCLUDES ACROSS DISEASES 4169 02:42:09,040 --> 02:42:10,080 AND CONDITIONS, POPULATIONS, 4170 02:42:10,080 --> 02:42:12,080 STAGES OF A LIFE COURSE AND OF 4171 02:42:12,080 --> 02:42:18,040 COURSE SOCIAL DETERMINANTS OF 4172 02:42:18,040 --> 02:42:18,440 HEALTH DOMAINS. 4173 02:42:18,440 --> 02:42:19,720 THERE ARE 4 OBJECTIVES ISSUES 4174 02:42:19,720 --> 02:42:21,760 ONCE IS TO FACILITATE THE 4175 02:42:21,760 --> 02:42:22,560 SHARING OF INFORMATION ABOUT 4176 02:42:22,560 --> 02:42:23,480 THIS FIELD OF RESEARCH AND 4177 02:42:23,480 --> 02:42:25,160 SECOND IS TO DEVELOP THE 4178 02:42:25,160 --> 02:42:26,280 EXPERTISE CAPACITY AND THE 4179 02:42:26,280 --> 02:42:29,040 LEARNING SYSTEM AT NIH, WE ALSO 4180 02:42:29,040 --> 02:42:31,280 LOOK TO BUILD, COLLABORATIONS 4181 02:42:31,280 --> 02:42:35,160 ACROSS NIH, AND WITH OTHER 4182 02:42:35,160 --> 02:42:36,720 FEDERAL PARTNERS. 4183 02:42:36,720 --> 02:42:39,920 AND TO IDENTIFY IMPORTANT GAPS 4184 02:42:39,920 --> 02:42:48,000 AND PROMISING FUTURE RESEARCH 4185 02:42:48,000 --> 02:42:51,000 DREK, AND ALONG OUR OFFICES ARE 4186 02:42:51,000 --> 02:42:55,160 CO CHAIRING A NEW 10 YEAR 4187 02:42:55,160 --> 02:42:57,200 397 MILLION-DOLLAR NIH COMMON 4188 02:42:57,200 --> 02:42:58,080 FUND PROGRAM CALLED COMPASS. 4189 02:42:58,080 --> 02:42:59,920 COMPASS WE BELIEVE WILL BE 4190 02:42:59,920 --> 02:43:01,400 TRANSFORMATIVE AND HELP US TO 4191 02:43:01,400 --> 02:43:04,320 MAKE REAL PROGRESS IN THE 4192 02:43:04,320 --> 02:43:11,280 ELIMINATING HEALTH INIQUITIES 4193 02:43:11,280 --> 02:43:13,960 AND ACHIEVING HEALTH EQUITY BY 4194 02:43:13,960 --> 02:43:15,120 LOOKING STRUCTURES THAT ARE 4195 02:43:15,120 --> 02:43:21,000 CAUSING SOCIALLY AND 4196 02:43:21,000 --> 02:43:21,560 ECONOMICALLY DISPLACED 4197 02:43:21,560 --> 02:43:23,280 POPULATIONS BECOME SICK IN THE 4198 02:43:23,280 --> 02:43:23,600 FIRST PLACE. 4199 02:43:23,600 --> 02:43:25,440 IT HAS 2 GOALS, FIRST IT WILL 4200 02:43:25,440 --> 02:43:26,960 FACILITATE AND IMPLEMENT 4201 02:43:26,960 --> 02:43:29,320 FRAMEWORK ACROSS NIH PER HEALTH 4202 02:43:29,320 --> 02:43:29,920 EQUITY INTERVENTION RESEARCH. 4203 02:43:29,920 --> 02:43:32,080 SECOND IT WILL DEPLOY AND 4204 02:43:32,080 --> 02:43:34,320 EVALUATE COMMUNITY DRIVEN 4205 02:43:34,320 --> 02:43:36,200 STRUCTURAL HEALTH EQUITY 4206 02:43:36,200 --> 02:43:38,400 INTERVENTIONS THAT LEVERAGE 4207 02:43:38,400 --> 02:43:39,200 INTERSECTORRAL PARTNERSHIPS. 4208 02:43:39,200 --> 02:43:40,960 SO MORE ON THIS PROGRAM WILL BE 4209 02:43:40,960 --> 02:43:46,120 AVAILABLE IN THE COMING WEEKS. 4210 02:43:46,120 --> 02:43:48,040 ADDITIONALLY NINR IS HELPING TO 4211 02:43:48,040 --> 02:43:49,560 LEAD THE TRANSFORMATIVE RESEARCH 4212 02:43:49,560 --> 02:43:51,160 TO ADDRESS HEALTH DISPARITIES 4213 02:43:51,160 --> 02:43:52,440 AND ADVANCE HEALTH EQUITY COMMON 4214 02:43:52,440 --> 02:43:53,520 FUND PROGRAM. 4215 02:43:53,520 --> 02:43:55,800 THIS IS SUPPORTING INNOVATIVE 4216 02:43:55,800 --> 02:43:57,600 TRANSLATIONAL RESEARCH PROJECTS 4217 02:43:57,600 --> 02:44:00,080 TO PREVENT, REDUCE OR ELIMINATE 4218 02:44:00,080 --> 02:44:02,120 HEALTH DISPARITIES AND ADVANCE 4219 02:44:02,120 --> 02:44:03,440 HEALTH EQUITY. 4220 02:44:03,440 --> 02:44:05,920 THIS INITIATIVE GREW OUT OF THE 4221 02:44:05,920 --> 02:44:10,520 UNITE INITIATIVE AND 4222 02:44:10,520 --> 02:44:11,720 SPECIFICALLY COMMITTEE END. 4223 02:44:11,720 --> 02:44:15,160 WE ARE VERY GLAD TO HAVE THE 4224 02:44:15,160 --> 02:44:17,080 EXPERTISE OF NICHD'S JUANITA 4225 02:44:17,080 --> 02:44:19,320 CHIN WHO IS SERVING ON THE 4226 02:44:19,320 --> 02:44:21,200 WORKING GROUP FOR THIS PROGRAM. 4227 02:44:21,200 --> 02:44:23,200 IN ADDITION NINR IS 4228 02:44:23,200 --> 02:44:25,000 PARTICIPATING IN OTHER HHS WIDE 4229 02:44:25,000 --> 02:44:27,040 AND GOVERNMENT WIDE INITIATIVES. 4230 02:44:27,040 --> 02:44:30,160 THESE INCLUDE THE HHS SOCIAL 4231 02:44:30,160 --> 02:44:31,560 DETERMINANTS OF HEALTH WORK 4232 02:44:31,560 --> 02:44:36,800 GROUP, THE HHS INITIATIVE TO 4233 02:44:36,800 --> 02:44:38,800 STRENGTHEN PRIMARY HEALTHCARE 4234 02:44:38,800 --> 02:44:40,040 THE INNER DEPARTMENTMENTAL 4235 02:44:40,040 --> 02:44:40,680 EQUITY COLLABORATIVE. 4236 02:44:40,680 --> 02:44:42,520 THE SOCIAL DETERMINANTS OF 4237 02:44:42,520 --> 02:44:43,720 HEALTH INTERAGENCY POLICY 4238 02:44:43,720 --> 02:44:44,720 COMMITTEE AND THE INNER AGENCY 4239 02:44:44,720 --> 02:44:46,720 WORKING GROUP FOR THE NATIONAL 4240 02:44:46,720 --> 02:44:47,760 HEALTHCARE QUALITY AND 4241 02:44:47,760 --> 02:44:48,280 DISPARITIES REPORT. 4242 02:44:48,280 --> 02:44:50,360 SO WE ARE VERY GLAD TO BE 4243 02:44:50,360 --> 02:44:51,600 PARTICIPATING IN THESE 4244 02:44:51,600 --> 02:44:53,200 INITIATIVES WITH OUR COLLEAGUES 4245 02:44:53,200 --> 02:44:57,440 ACROSS NIH AND ACROSS THE 4246 02:44:57,440 --> 02:44:57,880 FEDERAL GOVERNMENT. 4247 02:44:57,880 --> 02:45:00,200 AND I AM EXCITED TO EXPLORE HOW 4248 02:45:00,200 --> 02:45:03,760 WE CAN FOSTER EVEN MORE 4249 02:45:03,760 --> 02:45:06,880 COLLABORATIONS BETWEEN NINR AND 4250 02:45:06,880 --> 02:45:08,160 NICHD BECAUSE, AS YOU PROBABLY 4251 02:45:08,160 --> 02:45:10,720 SAW, WE SHARE MANY INTERESTS, IN 4252 02:45:10,720 --> 02:45:13,720 FACT, WE'RE ALREADY BEGINNING TO 4253 02:45:13,720 --> 02:45:15,120 BUILD THOSE COLLABORATIONS. 4254 02:45:15,120 --> 02:45:16,360 FOR INSTANCE, NINR IS 4255 02:45:16,360 --> 02:45:18,200 PARTICIPATING IN THE NIH 4256 02:45:18,200 --> 02:45:21,160 MATERNAL MORBIDITY AND MORTALITY 4257 02:45:21,160 --> 02:45:22,080 TASK FORCE ADVISORY CABINET 4258 02:45:22,080 --> 02:45:25,360 WHICH IS LED AS YOU KNOW BY 4259 02:45:25,360 --> 02:45:26,960 NICHD, AS WELL AS BY THE NIH 4260 02:45:26,960 --> 02:45:29,720 OFFICE OF THE DIRECTOR AND THE 4261 02:45:29,720 --> 02:45:34,720 OFFICE OF RESEARCH ON WOMEN'S 4262 02:45:34,720 --> 02:45:34,960 HEALTH. 4263 02:45:34,960 --> 02:45:38,320 WE ARE PROUD TO SUPPORT THE 4264 02:45:38,320 --> 02:45:40,080 APPROVE INITIATIVE. 4265 02:45:40,080 --> 02:45:43,080 RESEARCHERS WE'VE SUPPORTED 4266 02:45:43,080 --> 02:45:43,680 THROUGH APPROVE ADMINISTRATIVE 4267 02:45:43,680 --> 02:45:44,560 SUPPLEMENTS INCLUDE 4268 02:45:44,560 --> 02:45:46,760 [INDISCERNIBLE] WHO IS EXPLORING 4269 02:45:46,760 --> 02:45:47,920 RELATIONSHIPS BETWEEN 4270 02:45:47,920 --> 02:45:50,520 PSYCHOSOCIAL STRESSORS SUCH AS 4271 02:45:50,520 --> 02:45:51,920 ACES AND NEIGHBORHOOD 4272 02:45:51,920 --> 02:45:54,320 DEPRIVATION AND FUNCTIONAL 4273 02:45:54,320 --> 02:45:55,880 IMMUNE PROFILES BETWEEN 20 AND 4274 02:45:55,880 --> 02:45:57,960 26 WEEKS GUESTATION IN BLACK 4275 02:45:57,960 --> 02:45:58,240 WOMEN. 4276 02:45:58,240 --> 02:46:03,640 WE ARE ALSO SUPPORTING DR. LE AN 4277 02:46:03,640 --> 02:46:06,040 REDMAN TO EXAMINE THE EFFECTS OF 4278 02:46:06,040 --> 02:46:08,120 COVID-19 PANDEMIC ON PERIINATE 4279 02:46:08,120 --> 02:46:09,320 ILLEGALS FISCAL AND MENTAL HEGHT 4280 02:46:09,320 --> 02:46:11,840 OUTCOMES AND WE ARE SO DPLAD 4281 02:46:11,840 --> 02:46:14,600 THAT NICHD AND NIMHD ARE 4282 02:46:14,600 --> 02:46:17,480 SUPPORTING NURSE SCIENTISTS 4283 02:46:17,480 --> 02:46:18,520 INCLUDING DR. JAN 4284 02:46:18,520 --> 02:46:23,440 [INDISCERNIBLE] AND DR. CARMEN 4285 02:46:23,440 --> 02:46:24,760 [INDISCERNIBLE] WITH IMPROVE 4286 02:46:24,760 --> 02:46:25,640 ADMINISTRATIVE SUPPLEMENTS SO WE 4287 02:46:25,640 --> 02:46:26,680 CERTAINLY LOOK FORWARD TO 4288 02:46:26,680 --> 02:46:28,880 EXPANDING OUR SUPPORT OF 4289 02:46:28,880 --> 02:46:30,240 IMPROVED RESEARCH AND TOWARDS 4290 02:46:30,240 --> 02:46:33,800 THAT GOAL, WE RECENTLY SIGNED ON 4291 02:46:33,800 --> 02:46:34,400 TO A NOSI. 4292 02:46:34,400 --> 02:46:36,320 AS YOU PROBABLY HAVE HEARD, THE 4293 02:46:36,320 --> 02:46:38,920 GOAL IS TO SUPPORT THE 4294 02:46:38,920 --> 02:46:40,480 DEVELOPMENT AND IMPLEMENTATION 4295 02:46:40,480 --> 02:46:44,280 OF STRATEGIES TO INFORM 4296 02:46:44,280 --> 02:46:45,120 INTEGRATED--INTEGRATED EFFORTS 4297 02:46:45,120 --> 02:46:48,800 INVOLVING POLICY AND PRACTICE 4298 02:46:48,800 --> 02:46:51,680 CHANGES TO IMPROVE CONCEPTION, 4299 02:46:51,680 --> 02:46:53,080 PREGNANCY, PERINATAL AND 4300 02:46:53,080 --> 02:46:54,800 POSTPARTUM CARE AND ADVANCE 4301 02:46:54,800 --> 02:46:58,360 MATERNAL HEALTH AND MATERNAL 4302 02:46:58,360 --> 02:46:58,840 HEALTH EQUITY. 4303 02:46:58,840 --> 02:47:04,040 NOW BEYOND IMPROVE, WE SUPPORT 4304 02:47:04,040 --> 02:47:06,680 RESEARCH TO ADVANCE MATERNAL 4305 02:47:06,680 --> 02:47:07,080 HEALTH AND EQUITY. 4306 02:47:07,080 --> 02:47:09,800 THIS INCLUDES RESEARCH BY 4307 02:47:09,800 --> 02:47:11,200 DR. CARMICHAEL THAT FOCUSES 4308 02:47:11,200 --> 02:47:13,040 UNDERSTANDING FACTORS THAT 4309 02:47:13,040 --> 02:47:14,480 UNDERLIE RACIAL AND ETHNIC 4310 02:47:14,480 --> 02:47:15,640 DISPARITIES IN SEVERE MATERNAL 4311 02:47:15,640 --> 02:47:17,680 MORBIDITY WITH A PARTICULAR 4312 02:47:17,680 --> 02:47:22,560 FOCUS ON A WIDE RANGE OF SOCIAL 4313 02:47:22,560 --> 02:47:25,760 DETERMINANTS OF HEALTH AND NINR 4314 02:47:25,760 --> 02:47:26,480 SHARES NICHD'S COMMITMENT TO 4315 02:47:26,480 --> 02:47:28,120 RESEARCH THAT WILL IMPROVE THE 4316 02:47:28,120 --> 02:47:30,560 HEALTH OF CHILDREN AND REDUCE 4317 02:47:30,560 --> 02:47:30,960 DISPARITIES. 4318 02:47:30,960 --> 02:47:32,560 THIS INCLUDES RESEARCH ON A WIDE 4319 02:47:32,560 --> 02:47:35,120 VARIETY OF TOPICS, INCLUDING 4320 02:47:35,120 --> 02:47:36,640 DIET, CHILD FEEDING, BREAST 4321 02:47:36,640 --> 02:47:40,120 FEEDING, PHYSICAL ACTIVITY AND 4322 02:47:40,120 --> 02:47:40,920 SLEEP. 4323 02:47:40,920 --> 02:47:42,200 OBESITY AND ASMA, AND 4324 02:47:42,200 --> 02:47:43,160 VACCINATION AND HIV PREVENTION 4325 02:47:43,160 --> 02:47:44,280 TO NAME JUST A FEW. 4326 02:47:44,280 --> 02:47:47,640 NOW MANY OF THESE STUDIES ARE 4327 02:47:47,640 --> 02:47:48,760 CONDUCTED WITH HEALTH DISPARITY 4328 02:47:48,760 --> 02:47:51,360 POPULATIONS AND MANY ALSO 4329 02:47:51,360 --> 02:47:52,960 ADDRESS SOCIAL AND STRUCTURAL 4330 02:47:52,960 --> 02:47:57,440 FACTORS SUCH AS TRAUMA AND 4331 02:47:57,440 --> 02:47:57,800 HOUSING. 4332 02:47:57,800 --> 02:48:00,440 SO I WANT TO ALSO THANK NICHD 4333 02:48:00,440 --> 02:48:02,640 FOR ITS PARTICIPATION IN A 4334 02:48:02,640 --> 02:48:05,200 RECENT NINR LED RFA TO ADVANCE 4335 02:48:05,200 --> 02:48:07,920 THE DEVELOPMENT IMPLEMENTATION 4336 02:48:07,920 --> 02:48:09,760 AND EVALUATION OF INTEGRATIVE 4337 02:48:09,760 --> 02:48:11,320 MODELS OF SUPPORTIVE CARE TO 4338 02:48:11,320 --> 02:48:15,320 IMPROVE MATERNAL HEALTH OUTCOMES 4339 02:48:15,320 --> 02:48:16,400 AMONG PERSONS OF COLOR. 4340 02:48:16,400 --> 02:48:18,680 MORE OVER OUR INSTITUTE SHARE A 4341 02:48:18,680 --> 02:48:19,920 NUMBER OF VALUES, ON WHICH I 4342 02:48:19,920 --> 02:48:21,720 BELIEVE WE CAN BUILD 4343 02:48:21,720 --> 02:48:23,960 PARTNERSHIPS TOWARDS COMMON 4344 02:48:23,960 --> 02:48:25,240 GOALS. 4345 02:48:25,240 --> 02:48:31,000 SO LIKE NINR, NICHD HAS 4346 02:48:31,000 --> 02:48:32,960 COMMITMENT TO PROMOTING 4347 02:48:32,960 --> 02:48:36,240 INCLUSIVE SCIENTIFIC WORKFORCE. 4348 02:48:36,240 --> 02:48:37,720 NINR'S COUNCIL RECENTLY EMPLOYED 4349 02:48:37,720 --> 02:48:39,640 2 GROUPS THAT ARE ADDRESSING 4350 02:48:39,640 --> 02:48:40,800 DIVERSITY AND INCLUSION IN OUR 4351 02:48:40,800 --> 02:48:44,200 RESEARCH WORKFORCE AND IN THE 4352 02:48:44,200 --> 02:48:44,640 SCIENCE WE SUPPORT. 4353 02:48:44,640 --> 02:48:46,720 SO I AM LOOKING FORWARD TO 4354 02:48:46,720 --> 02:48:48,240 LEARNING FROM THOSE WORKING 4355 02:48:48,240 --> 02:48:49,800 GROUPs A THAT IS EXAMINE THESE 4356 02:48:49,800 --> 02:48:51,440 ISSUES AND I ENCOURAGE LIKE 4357 02:48:51,440 --> 02:48:54,080 MINDED INSTITUTES LIKE NICHD AND 4358 02:48:54,080 --> 02:48:58,040 NINR TO SHARE BEST PRACTICES AND 4359 02:48:58,040 --> 02:49:00,320 LESSONS LEARNED ON THESE ISSUES. 4360 02:49:00,320 --> 02:49:03,280 SIMILARLY, NINR AND NICHD, SHARE 4361 02:49:03,280 --> 02:49:06,000 COMMITMENTS TO HEALTH EQUITY AND 4362 02:49:06,000 --> 02:49:06,520 DISEASE PREVENTION. 4363 02:49:06,520 --> 02:49:09,080 AND AS I MENTIONED EARLIER, AS 4364 02:49:09,080 --> 02:49:10,640 THE LARGEST SEGMENT OF THE 4365 02:49:10,640 --> 02:49:12,800 HEALTHCARE WORKFORCE, NURSES ARE 4366 02:49:12,800 --> 02:49:15,000 EVERYWHERE, INCLUDING AND 4367 02:49:15,000 --> 02:49:16,040 DELIVERY ROOMS, PEDIATRICIAN 4368 02:49:16,040 --> 02:49:16,760 OFFICES AND SCHOOLS. 4369 02:49:16,760 --> 02:49:20,160 AND NURSES ARE THE MOST TRUSTED 4370 02:49:20,160 --> 02:49:20,960 HEALTHCARE PROVIDERS, WHO PLAY 4371 02:49:20,960 --> 02:49:22,880 IMPORTANT ROLES IN EDUCATING 4372 02:49:22,880 --> 02:49:24,240 PARENTS, GUARDIANS AND YOUNG 4373 02:49:24,240 --> 02:49:28,720 PEOPLE ON HOW TO ACHIEVE THEIR 4374 02:49:28,720 --> 02:49:29,280 HEALTHIEST LIVES. 4375 02:49:29,280 --> 02:49:31,720 SO I WOULD LIKE FOR TODAY'S 4376 02:49:31,720 --> 02:49:33,280 PRESENTATION TO BE JUST THE 4377 02:49:33,280 --> 02:49:34,480 DEBINNING OF NEW COLLABORATION 4378 02:49:34,480 --> 02:49:37,280 BETWEEN US AND I WOULD LOAF TO 4379 02:49:37,280 --> 02:49:40,240 HEAR YOUR THOUGHTS ON HOW WE CAN 4380 02:49:40,240 --> 02:49:41,080 FOSTER THE 4381 02:49:41,080 --> 02:49:41,920 DEVELOPMENT--DEVELOPMENT OF 4382 02:49:41,920 --> 02:49:43,240 INNER DISCIPLINARY TEAMS ACROSS 4383 02:49:43,240 --> 02:49:47,200 OUR INNSITUTES AND IN OUR FUNDED 4384 02:49:47,200 --> 02:49:47,560 RESEARCH. 4385 02:49:47,560 --> 02:49:49,800 AND WHAT ARE BOLD INITIATIVES 4386 02:49:49,800 --> 02:49:52,160 THAT NINR AND NICHD CAN PARTNER 4387 02:49:52,160 --> 02:49:53,800 ON TO IMPROVE HELT AND WELL 4388 02:49:53,800 --> 02:49:56,440 BEING ESPECIALLY FOR POPULATIONS 4389 02:49:56,440 --> 02:49:59,920 WHO EXPERIENCE HEALTH 4390 02:49:59,920 --> 02:50:00,240 DISPARITIES. 4391 02:50:00,240 --> 02:50:01,440 SO THANK YOU AGAIN FOR INVITING 4392 02:50:01,440 --> 02:50:03,240 ME TO TALK WITH YOU TODAY, I 4393 02:50:03,240 --> 02:50:06,400 LOOK FORWARD TO YOUR QUESTIONS, 4394 02:50:06,400 --> 02:50:09,360 WITH OUR REMAINING TIME AND WE 4395 02:50:09,360 --> 02:50:10,800 PROVIDED OUR E-MAIL ADDRESS HERE 4396 02:50:10,800 --> 02:50:12,240 SO IF THERE'S ANYTHING WE DON'T 4397 02:50:12,240 --> 02:50:14,720 GET A CHANCE TO TALK ABOUT 4398 02:50:14,720 --> 02:50:15,800 TODAY, ANY PROGRAM YOU WOULD 4399 02:50:15,800 --> 02:50:17,880 LIKE MORE INFORMATION ON, PLEASE 4400 02:50:17,880 --> 02:50:19,280 FEEL FREE TO REACH OUT TO US AND 4401 02:50:19,280 --> 02:50:21,360 WE WILL GET THE INFORMATION YOU 4402 02:50:21,360 --> 02:50:21,560 NEED. 4403 02:50:21,560 --> 02:50:25,480 SO THANK YOU VERY MUCH. 4404 02:50:25,480 --> 02:50:26,720 >> THANK YOU SO MUCH SHANNOR 4405 02:50:26,720 --> 02:50:29,400 THAT WAS AN AMAZING OVERVIEW 4406 02:50:29,400 --> 02:50:30,240 THAT INCLUDED--EVERYTHING THAT 4407 02:50:30,240 --> 02:50:35,640 WE WANTED YOU TO AND I JUST WANT 4408 02:50:35,640 --> 02:50:37,960 WHAT IS A TRICK QUESTION BECAUSE 4409 02:50:37,960 --> 02:50:39,440 NINR IS 1 OF THE SMALLER 4410 02:50:39,440 --> 02:50:41,360 INSTITUTES, I DON'T KNOW WHAT 4411 02:50:41,360 --> 02:50:46,640 YOU'RE NOTAL ANNUAL BUDGET IS, 4412 02:50:46,640 --> 02:50:48,120 APPROXIMATELY, BUT I ALWAYS ASK 4413 02:50:48,120 --> 02:50:51,240 PEOPLE, WELL, WE ARE CLEARLY THE 4414 02:50:51,240 --> 02:50:53,120 NUMBER 1 INSTITUTE WHEN WE TALK 4415 02:50:53,120 --> 02:50:57,560 ABOUT PERCENTAGE OF THE BUDGET 4416 02:50:57,560 --> 02:51:01,000 DEVOTED TO SEVERE MATERNAL 4417 02:51:01,000 --> 02:51:02,520 MORBIDITY AND MORTALITY AMONGST 4418 02:51:02,520 --> 02:51:04,040 MATERNAL HEALTH ISSUES AND 4419 02:51:04,040 --> 02:51:05,600 THAT'S ABOUT JUST UNDER 5% OF 4420 02:51:05,600 --> 02:51:08,240 OUR BUDGET BUT NUMBER 2, IS 4421 02:51:08,240 --> 02:51:10,720 NINR, WHICH IS SURPRISING, 4422 02:51:10,720 --> 02:51:13,280 ALMOST NOBODY GETS THE ANSWER TO 4423 02:51:13,280 --> 02:51:13,600 THAT QUESTION. 4424 02:51:13,600 --> 02:51:15,680 SO ALMOST 3 PERCENT OF YOUR 4425 02:51:15,680 --> 02:51:17,640 BUDGET IS DEVOTED WITH REGARD TO 4426 02:51:17,640 --> 02:51:19,680 MATERNAL HEALTH AS YOU SO 4427 02:51:19,680 --> 02:51:21,360 ELOQUENTLY PUT IT. 4428 02:51:21,360 --> 02:51:23,880 SO, SO WE'RE VERY EXCITED ABOUT 4429 02:51:23,880 --> 02:51:24,720 ENHANCING OUR COLLABORATIONS AND 4430 02:51:24,720 --> 02:51:26,720 IT LOOKS LIKE HAVE YOU A 4431 02:51:26,720 --> 02:51:31,160 QUESTION FROM DR. SHARI, BARKIN. 4432 02:51:31,160 --> 02:51:31,600 >> GREAT. 4433 02:51:31,600 --> 02:51:32,400 >> THANK YOU SO MUCH. 4434 02:51:32,400 --> 02:51:34,800 WHAT A TOUR DEFORCE, THAT'S 4435 02:51:34,800 --> 02:51:35,600 REALLY EXCITING. 4436 02:51:35,600 --> 02:51:38,760 I AM DIVISION CHIEF OF GENERAL 4437 02:51:38,760 --> 02:51:39,440 PEDIATRICS AT VANDERBILT, 4438 02:51:39,440 --> 02:51:41,600 SEVERAL OF MY MENTEES ARE NURSES 4439 02:51:41,600 --> 02:51:43,400 AND WE DO A LOT OF COLLABORATIVE 4440 02:51:43,400 --> 02:51:45,240 WORK, WE ALSO WORK IN THE 4441 02:51:45,240 --> 02:51:45,840 COMMUNITY ADDRESSING HEALTH 4442 02:51:45,840 --> 02:51:47,000 EQUITY AND SOCIAL DETERMINANTS 4443 02:51:47,000 --> 02:51:49,560 OF HEALTH AND I JUST THINK YOU 4444 02:51:49,560 --> 02:51:51,880 REALLY CREATED SUCH AN 4445 02:51:51,880 --> 02:51:52,280 INTEGRATED VISION. 4446 02:51:52,280 --> 02:51:54,960 HERE'S MY QUESTION TO YOU, SO 4447 02:51:54,960 --> 02:51:55,760 MUCH OF THE UNDERLYING 4448 02:51:55,760 --> 02:51:57,600 CONTRIBUTORS WHEN WE LOOK AT 4449 02:51:57,600 --> 02:51:58,840 SOCIAL DETERMINANTS OF HEALTH 4450 02:51:58,840 --> 02:52:00,840 LIVE OUTSIDE OF HEALTH AS YOU 4451 02:52:00,840 --> 02:52:02,240 IDENTIFIED AND IT LIVES IN 4452 02:52:02,240 --> 02:52:05,000 HOUSING, IT LIVES IN EMPLOYMENT, 4453 02:52:05,000 --> 02:52:06,680 CHILDCARE, FOOD SYSTEMS, ET 4454 02:52:06,680 --> 02:52:08,960 CETERA, TO DO THIS TYPE OF 4455 02:52:08,960 --> 02:52:11,440 TRANSDISCIPLINARY WORK, WE NEED 4456 02:52:11,440 --> 02:52:13,960 TO THINK ABOUT FUNDING 4457 02:52:13,960 --> 02:52:15,320 MECHANISMS THAT ARE STRUCTURED 4458 02:52:15,320 --> 02:52:15,840 IN DIFFERENT WAYS. 4459 02:52:15,840 --> 02:52:17,040 I WOULD JUST LIKE TO HEAR WHAT 4460 02:52:17,040 --> 02:52:18,840 HAVE YOU BEEN ABLE TO IDENTIFY 4461 02:52:18,840 --> 02:52:21,200 TO MOVE US FORWARD TO IMPLEMENT 4462 02:52:21,200 --> 02:52:23,440 THIS TYPE OF WORK WITH HIGH 4463 02:52:23,440 --> 02:52:23,680 QUALITY. 4464 02:52:23,680 --> 02:52:24,680 THANK YOU. 4465 02:52:24,680 --> 02:52:25,760 >> THANK YOU. 4466 02:52:25,760 --> 02:52:30,200 I COULDN'T AGREE MORE. 4467 02:52:30,200 --> 02:52:32,800 YOU KNOW NICHD AND NINR IS IN A 4468 02:52:32,800 --> 02:52:34,560 POSITION WHERE WE DO SEE ACROSS 4469 02:52:34,560 --> 02:52:35,760 A WIDE VARIETY OF DISEASES AND 4470 02:52:35,760 --> 02:52:37,240 CONDITIONS AND I THINK WE'RE 4471 02:52:37,240 --> 02:52:39,120 VERY WELL POSITIONED TO ADDRESS 4472 02:52:39,120 --> 02:52:41,800 THESE MORE UPSTREAM FACTORS AND 4473 02:52:41,800 --> 02:52:43,600 I AGREE WE DO NEED MORE 4474 02:52:43,600 --> 02:52:45,600 CREATIVITY AND WE NEED TO HEAR 4475 02:52:45,600 --> 02:52:46,760 FROM OUR RESEARCH COMMUNITIES 4476 02:52:46,760 --> 02:52:49,080 ABOUT WHAT'S NEEDED TO ADVANCE 4477 02:52:49,080 --> 02:52:50,040 THIS TYPE OF RESEARCH. 4478 02:52:50,040 --> 02:52:53,200 WHAT ARE THE LIMITATIONS OF OUR 4479 02:52:53,200 --> 02:52:53,880 CURRENT FUNDING MECHANISMS AND 4480 02:52:53,880 --> 02:52:56,120 THE WAY WE GO ABOUT BUSINESS AT 4481 02:52:56,120 --> 02:52:57,480 THE NIH TO BE MORE EFFECTIVE. 4482 02:52:57,480 --> 02:53:01,560 I MOON I WOULD SAY THAT THE 4483 02:53:01,560 --> 02:53:02,520 COMPASS PROGRAM REPRESENTS A 4484 02:53:02,520 --> 02:53:07,920 STEP FORWARD FOR US AT NIH 4485 02:53:07,920 --> 02:53:09,960 THINKING ABOUT LOOKING UPSTREAM 4486 02:53:09,960 --> 02:53:11,560 AT FACTORS, DEDICATING RESOURCES 4487 02:53:11,560 --> 02:53:13,320 TO THAT, THINKING ABOUT 4488 02:53:13,320 --> 02:53:13,960 COMMUNITY DRIVEN RESEARCH, 4489 02:53:13,960 --> 02:53:16,440 REALLY ADDRESSING WHAT ISSUES 4490 02:53:16,440 --> 02:53:17,800 THE COMMUNITY THINKS IS 4491 02:53:17,800 --> 02:53:19,520 IMPORTANT AS WELL AS HELPING TO 4492 02:53:19,520 --> 02:53:21,640 FACILITATE THEM TO BE IN THE 4493 02:53:21,640 --> 02:53:23,080 DRIVER SEAT OF THAT RESEARCH. 4494 02:53:23,080 --> 02:53:27,520 SO, NOT EVEN JUST PARTNERSHIPS 4495 02:53:27,520 --> 02:53:30,560 OR COLLABORATION, BUT REALLY 4496 02:53:30,560 --> 02:53:32,160 COMMUNITY DRIVEN RESEARCH IN 4497 02:53:32,160 --> 02:53:33,240 EVERY SENSE OF THE WORD. 4498 02:53:33,240 --> 02:53:35,120 AND SO WE'RE EXCITED ABOUT 4499 02:53:35,120 --> 02:53:36,960 COMPASS AND WHAT IT CAN DO TO 4500 02:53:36,960 --> 02:53:38,920 ADVANCE THIS TYPE OF RESEARCH 4501 02:53:38,920 --> 02:53:40,120 ACROSS THE NIH, PROVIDING A 4502 02:53:40,120 --> 02:53:42,160 MODEL INTO THE FUTURE WHICH IS A 4503 02:53:42,160 --> 02:53:52,240 GOAL OF THESE COMMON FUND 4504 02:53:52,240 --> 02:53:52,520 PROGRAMS. 4505 02:53:52,520 --> 02:53:53,840 >> ALAN DO YOU HAVE A QUESTION, 4506 02:53:53,840 --> 02:53:56,200 YOU CAME ON VIDEO. 4507 02:53:56,200 --> 02:53:59,040 >> DR. ZENK, THANK YOU SO MUCH, 4508 02:53:59,040 --> 02:53:59,800 AMAZING. 4509 02:53:59,800 --> 02:54:06,320 I AM ALAN TITA I'M BASED HERE AT 4510 02:54:06,320 --> 02:54:10,120 UAB, ALABAMA WHICH IS LOTS OF AT 4511 02:54:10,120 --> 02:54:11,360 STAKE WITH EQUITY AND SOCIAL 4512 02:54:11,360 --> 02:54:12,960 DETERMINANTS OF HEALTH SO IT'S 4513 02:54:12,960 --> 02:54:15,240 TERRIFIC TO SEE AND LOOK AT THE 4514 02:54:15,240 --> 02:54:18,240 LENGTHS THAT YOU DESCRIBED. 4515 02:54:18,240 --> 02:54:21,560 JUST 2 QUICK QUESTIONS RELATED: 4516 02:54:21,560 --> 02:54:26,000 ONE IS, AFTER SEEING THE 4517 02:54:26,000 --> 02:54:28,440 TERRIFIC WORK OROUND WOMEN, 4518 02:54:28,440 --> 02:54:29,080 MATERNAL MORTALITY, ET CETERA, I 4519 02:54:29,080 --> 02:54:32,520 SAN FRANCISCO THAT THE BUDGET OF 4520 02:54:32,520 --> 02:54:34,000 WHAT YOU COVER 20% WOMEN'S 4521 02:54:34,000 --> 02:54:38,480 HEALTH THAT SEEMED A BIT LOW TO 4522 02:54:38,480 --> 02:54:39,720 ME SO IS IT 80%? 4523 02:54:39,720 --> 02:54:40,720 WOULD YOU JUST COMMENT ON THAT 4524 02:54:40,720 --> 02:54:43,240 AND THEN THE OTHER QUESTION IS 4525 02:54:43,240 --> 02:54:44,320 AROUND GLOBAL HEALTH, THE WORK 4526 02:54:44,320 --> 02:54:46,520 YOU DO AROUND GLOBAL HEALTH 4527 02:54:46,520 --> 02:54:47,680 GIVEN JUST HOW INTERCONNECKED 4528 02:54:47,680 --> 02:54:51,040 THINGS ARE WITH COVID AND OTHER 4529 02:54:51,040 --> 02:54:51,360 PRIORITIES. 4530 02:54:51,360 --> 02:54:53,000 THANK YOU. 4531 02:54:53,000 --> 02:54:54,440 >> YES, THANK YOU. 4532 02:54:54,440 --> 02:54:59,000 SO THOSE PERCENTAGES, THERE ARE 4533 02:54:59,000 --> 02:54:59,920 UNIQUE, THEY'RE OVERLAPPING IN 4534 02:54:59,920 --> 02:55:01,240 TERNALS OF THE RESEARCH SUPPORT, 4535 02:55:01,240 --> 02:55:03,800 BUT I AGREE, I WAS A LITTLE 4536 02:55:03,800 --> 02:55:05,560 SURPRISED ABOUT THE NUMBER IN 4537 02:55:05,560 --> 02:55:07,320 TERMS OF MATERNAL HEALTH, I 4538 02:55:07,320 --> 02:55:09,760 THINK NINR HAS A LOT MORE WE CAN 4539 02:55:09,760 --> 02:55:14,200 CONTRIBUTE TO THAT SPACE, SO AS 4540 02:55:14,200 --> 02:55:15,240 DR. BIANCHI, POINTED OUT 4541 02:55:15,240 --> 02:55:16,120 RELATIVELY WE'RE DOING PRETTY 4542 02:55:16,120 --> 02:55:17,920 WELL COMPARED TO THE IN, IH BUT 4543 02:55:17,920 --> 02:55:19,760 I COULDN'T AGREE MORE THAT IT'S 4544 02:55:19,760 --> 02:55:21,880 SUCH AN IMPORTANT ISSUE AND NINR 4545 02:55:21,880 --> 02:55:23,240 AND NURSING SCIENCE HAS SO MUCH 4546 02:55:23,240 --> 02:55:24,920 MORE WE CAN CONTRIBUTE THERE, SO 4547 02:55:24,920 --> 02:55:27,600 WE OVER THE LAST COUPLE YEARS AT 4548 02:55:27,600 --> 02:55:28,800 THE INSTITUTE HAVE BEEN TALKING 4549 02:55:28,800 --> 02:55:30,800 ABOUT WHAT MORE WE CAN DO AND 4550 02:55:30,800 --> 02:55:33,920 THE RFA WE PUT OUT JUST THIS 4551 02:55:33,920 --> 02:55:37,360 SPRING THAT NICHD ALSO SIGNED ON 4552 02:55:37,360 --> 02:55:38,640 TO ADDRESS THESE INTEGRATIVE 4553 02:55:38,640 --> 02:55:40,840 MODELS OF CARE IS 1 STEP FORWARD 4554 02:55:40,840 --> 02:55:43,400 TO DOING MORE IN THAT SPACE, TO 4555 02:55:43,400 --> 02:55:45,400 MAKE AN IMPACT, AND THEN IN 4556 02:55:45,400 --> 02:55:46,520 TERMS OF GLOBAL HEALTH, IT'S 4557 02:55:46,520 --> 02:55:54,400 SOMETHING THAT I HAVE SPOKEN 4558 02:55:54,400 --> 02:55:57,440 WITH ROGER GLASS AT FOGARTY 4559 02:55:57,440 --> 02:56:01,360 ABOUT WHAT WE CAN DO TO ADVANCE 4560 02:56:01,360 --> 02:56:01,760 NINRSOCIAL HEALTH. 4561 02:56:01,760 --> 02:56:03,720 SO WE HAVE THAT GOING EXPW WE DO 4562 02:56:03,720 --> 02:56:05,160 MORE IN TERMS OF TRAINING AND 4563 02:56:05,160 --> 02:56:06,920 GROABAL HEALTH BUT AGAIN WE HAVE 4564 02:56:06,920 --> 02:56:08,520 BIG DREAMS AND LOTS OF THINGS WE 4565 02:56:08,520 --> 02:56:09,800 THINK WE CAN CONTRIBUTE TO AND 4566 02:56:09,800 --> 02:56:11,400 TRYING TO FIGURE OUT HOW WE CAN 4567 02:56:11,400 --> 02:56:12,680 COLLABORATE TO BE MORE EFFECTIVE 4568 02:56:12,680 --> 02:56:14,720 IN THESE IMPORTANT AREAS, IS 4569 02:56:14,720 --> 02:56:16,600 DEFINITELY ON OUR MIND. 4570 02:56:16,600 --> 02:56:23,720 >> THANK YOU SO MUCH. 4571 02:56:23,720 --> 02:56:27,080 >> I SEE THEREYA A QUESTION FROM 4572 02:56:27,080 --> 02:56:27,760 MELISSA MILLER? 4573 02:56:27,760 --> 02:56:29,240 >> MELISSA MILLER FROM THE 4574 02:56:29,240 --> 02:56:29,440 D.O.D. 4575 02:56:29,440 --> 02:56:33,400 JUST A QUICK QUESTION, YOU SPOKE 4576 02:56:33,400 --> 02:56:35,080 INCREDIBLY ELOQUENTLY ABOUT THE 4577 02:56:35,080 --> 02:56:36,840 IMPORTANCE OF MATERNAL HEALTH, 4578 02:56:36,840 --> 02:56:41,360 PEDIATRICS, I WAS JUST WONDERING 4579 02:56:41,360 --> 02:56:47,320 WHAT NINR IS DOING TOWARDS 4580 02:56:47,320 --> 02:56:51,240 DISABILITY AND DISABILITY CARE? 4581 02:56:51,240 --> 02:56:54,440 >> YEAH, I THINK IN OUR 4582 02:56:54,440 --> 02:56:55,160 STRATEGIC PLAN, ACCESSIBILITY, 4583 02:56:55,160 --> 02:56:56,760 IN TERMS OF RESEARCH IS A 4584 02:56:56,760 --> 02:56:58,000 PRIORITY FOR US AS WE MOVE 4585 02:56:58,000 --> 02:56:58,320 FORWARD. 4586 02:56:58,320 --> 02:57:00,240 I DON'T HAVE A VERY GOOD HANDLE 4587 02:57:00,240 --> 02:57:01,800 AND EXAMPLES RIGHT NOW OF THAT, 4588 02:57:01,800 --> 02:57:04,360 BUT I'M HAPPY TO PROVIDE YOU 4589 02:57:04,360 --> 02:57:04,960 MORE INFORMATION. 4590 02:57:04,960 --> 02:57:06,280 WE RECOGNIZE IT'S AN IMPORTANT 4591 02:57:06,280 --> 02:57:07,920 ISSUE AND APPRECIATE EVERYTHING 4592 02:57:07,920 --> 02:57:17,080 THAT NICHD HAS DONE IN THAT 4593 02:57:17,080 --> 02:57:18,120 SPACE AS WELL. 4594 02:57:18,120 --> 02:57:20,280 >> THANK YOU, WE'RE RIGHT ON 4595 02:57:20,280 --> 02:57:22,840 TIME, SHANNON THERE'S A VERY 4596 02:57:22,840 --> 02:57:24,520 NICE COMMENT FROM SHARI BARKIN 4597 02:57:24,520 --> 02:57:26,840 AND AS WELL AS KUDOS FROM OTHER 4598 02:57:26,840 --> 02:57:27,200 COUNCIL MEMBERS. 4599 02:57:27,200 --> 02:57:28,120 >> THANK YOU SO MUCH FOR HAVING 4600 02:57:28,120 --> 02:57:30,000 ME IT'S BEEN A PLEASURE. 4601 02:57:30,000 --> 02:57:34,280 >> NO, WE ARE DELIGHTED AND 4602 02:57:34,280 --> 02:57:35,800 WE'RE ALL INFORMED AND EXCITED 4603 02:57:35,800 --> 02:57:40,280 ABOUT POTENTIAL FOR FUTURE 4604 02:57:40,280 --> 02:57:41,280 COLLABORATION SO TAKE CARE AND 4605 02:57:41,280 --> 02:57:42,640 WITH THAT WE'RE BEING TO MOVE ON 4606 02:57:42,640 --> 02:57:47,200 TO OUR NEXT TOPIC. 4607 02:57:47,200 --> 02:57:51,120 WE ARE SUPPOSED TO HAVE 4608 02:57:51,120 --> 02:57:54,000 DR. ANDREA THURMAN WHO IS A 4609 02:57:54,000 --> 02:57:54,760 FUNDED NICH D. 4610 02:57:54,760 --> 02:57:56,360 >> I THOUGHT I WAS SUPPOSED TO 4611 02:57:56,360 --> 02:57:58,600 GO ON THE PUBLIC WEBBING SITE. 4612 02:57:58,600 --> 02:58:06,560 >> OKAY, WE HAVE THAT,. 4613 02:58:06,560 --> 02:58:09,320 >> SO YOU'RE ANNY OR ANDRIEA? 4614 02:58:09,320 --> 02:58:11,360 >> YEAH, MY REAL NAME IS ANDREA, 4615 02:58:11,360 --> 02:58:13,920 BUT EVERYBODY CALLS ME ANNY. 4616 02:58:13,920 --> 02:58:15,960 >> SO WE'RE STUDYING THE FIRST 4617 02:58:15,960 --> 02:58:17,400 IN WOMEN ARE, HUMAN 4618 02:58:17,400 --> 02:58:18,360 CONTRACEPTIVE ASPECT BODY AND 4619 02:58:18,360 --> 02:58:23,240 THIS PROJECT IS SUPPORTED BY OUR 4620 02:58:23,240 --> 02:58:24,800 CONTRACEPTION RESEARCH BRANCH 4621 02:58:24,800 --> 02:58:29,960 AND TO INTRODUCE DR. THURMAN, I 4622 02:58:29,960 --> 02:58:32,760 WILL INVITE DR. DAN JOHNSTON 4623 02:58:32,760 --> 02:58:34,320 CHIEF OF THE CONTRACEPTION 4624 02:58:34,320 --> 02:58:36,720 BRANCH TO INTRODUCE DR. THURMAN, 4625 02:58:36,720 --> 02:58:38,120 DAN, OVER TO YOU. 4626 02:58:38,120 --> 02:58:38,640 >> THANK YOU DOCTOR. 4627 02:58:38,640 --> 02:58:40,920 I THINK MY CAMERAS HAVE SWITCHED 4628 02:58:40,920 --> 02:58:44,760 UP ON MY A LITTLE BIT SO I WILL 4629 02:58:44,760 --> 02:58:46,600 BE DIRECTING A LITTLE BIT 4630 02:58:46,600 --> 02:58:47,360 DIFFERENTLY THAN EXPECTED BUT 4631 02:58:47,360 --> 02:58:52,240 IT'S MY PLEASURE TO INTRODUCE 4632 02:58:52,240 --> 02:58:55,320 DR. ANNIE, THURMAN, SHE IS 4633 02:58:55,320 --> 02:58:57,160 DOCTOR OF GYNECOLOGY AND 4634 02:58:57,160 --> 02:58:58,920 REPRODUCTIVE TECHNOLOGY AND 4635 02:58:58,920 --> 02:59:02,040 DIRECTOR OF RESIDENT RESEARCH AT 4636 02:59:02,040 --> 02:59:04,280 EVMS, BOARD CERTIFIED PRACTICING 4637 02:59:04,280 --> 02:59:05,480 OBGYN WITH OVER 24 YEARS OF 4638 02:59:05,480 --> 02:59:07,320 EXPERIENCE IN ACADEMIC MEDICINE, 4639 02:59:07,320 --> 02:59:08,280 EXTENSIVE EXPERIENCE IN 4640 02:59:08,280 --> 02:59:09,400 PRECLINICAL AND CLINICAL 4641 02:59:09,400 --> 02:59:13,240 RESEARCH INCLUDING PROTOCOL 4642 02:59:13,240 --> 02:59:15,920 DEVELOPMENT, OPERATIONS, PATIENT 4643 02:59:15,920 --> 02:59:17,240 CARE, PHARMA CODYNAMMICS, 4644 02:59:17,240 --> 02:59:18,760 SAFETY, EFFICACY AND 4645 02:59:18,760 --> 02:59:19,560 ACCESSIBILITY. 4646 02:59:19,560 --> 02:59:21,880 SHE'S BEEN THE LOCAL SIDE 4647 02:59:21,880 --> 02:59:23,400 PRINCIPLE INVESTIGATOR AND 4648 02:59:23,400 --> 02:59:24,080 INVESTIGATOR IN OVER 250 4649 02:59:24,080 --> 02:59:26,840 CLINICAL TRIALS ON WOMEN'S 4650 02:59:26,840 --> 02:59:29,520 HEALTH PRODUCTS INCLUDING 4651 02:59:29,520 --> 02:59:30,520 CONTRACEPTIVES, MENOPAUSAL 4652 02:59:30,520 --> 02:59:33,200 PRODUCTS, VAGINAL HEGHT 4653 02:59:33,200 --> 02:59:36,000 PRODUCTS, HIV AND HSV2, AND 4654 02:59:36,000 --> 02:59:36,600 MULTIPREVENTION TECHNOLOGY, 4655 02:59:36,600 --> 02:59:38,120 TODAY SHE WILL BE PRESENTING A 4656 02:59:38,120 --> 02:59:40,400 VERY BEING PROGRAM SUPPORTED BY 4657 02:59:40,400 --> 02:59:41,920 THE KOBT RASEPTORS OF RESEARCH 4658 02:59:41,920 --> 02:59:43,680 BRANCH TERNALLED HUMAN 4659 02:59:43,680 --> 02:59:49,120 CONTRACEPTIVE ANTIBODY OR HCA, 4660 02:59:49,120 --> 02:59:51,440 OR THANK YOU FOR TAKING THE TIME 4661 02:59:51,440 --> 02:59:53,320 TO SHARE YOUR RESEARCH TODAY. 4662 02:59:53,320 --> 02:59:54,680 >> THANK YOU DR. JOHNSTON, I 4663 02:59:54,680 --> 02:59:58,520 HAVE MY SLIDES OR I KNOW I SENT 4664 02:59:58,520 --> 02:59:58,920 THEM. 4665 02:59:58,920 --> 03:00:05,840 I CAN PULL THEM UP IF THAT WORKS 4666 03:00:05,840 --> 03:00:16,360 THE BEST I'LL SHARE MY SCREEN 4667 03:00:20,560 --> 03:00:20,680 HERE. 4668 03:00:20,680 --> 03:00:20,880 OKAY. 4669 03:00:20,880 --> 03:00:21,960 CAN YOU SEE MY SCREEN? 4670 03:00:21,960 --> 03:00:23,800 YOU HAVE TO GO TO DISPLAY 4671 03:00:23,800 --> 03:00:26,440 SETTINGS AND FLIP IT AROUND UP 4672 03:00:26,440 --> 03:00:30,800 THE TOP. 4673 03:00:30,800 --> 03:00:33,480 >> DISPLAY SETTINGS, HOW'S THAT. 4674 03:00:33,480 --> 03:00:35,480 >> YEP. 4675 03:00:35,480 --> 03:00:36,560 >> AWESOME. 4676 03:00:36,560 --> 03:00:39,240 THANK YOU. 4677 03:00:39,240 --> 03:00:40,880 WOOR HAVING A THUNDERSTORM HERE 4678 03:00:40,880 --> 03:00:43,240 SO MY INTERNET WENT OUT AND MY 4679 03:00:43,240 --> 03:00:50,520 HUSBAND'S VAN HAS A WIFI HOT 4680 03:00:50,520 --> 03:00:52,920 SPOT AND FORTUNATELY I'MING 4681 03:00:52,920 --> 03:00:54,600 COMING TO YOU FROM MY HOUSE AND 4682 03:00:54,600 --> 03:00:56,120 NOT THE VAN. 4683 03:00:56,120 --> 03:00:57,560 SO I'M AT EAST VIRGINIA MEDICAL 4684 03:00:57,560 --> 03:00:58,200 SCHOOL. 4685 03:00:58,200 --> 03:01:00,640 WE WERE A SUBAWARDEE OF 4686 03:01:00,640 --> 03:01:02,040 DR. DEBORAH ABDOMENNERSON FROM 4687 03:01:02,040 --> 03:01:03,640 BOSTON UNIVERSITY. 4688 03:01:03,640 --> 03:01:06,000 HER P50 AWARD AND WE CONDUCTED 4689 03:01:06,000 --> 03:01:12,440 THIS STUDY, ALSO WITH THE 4690 03:01:12,440 --> 03:01:13,960 EXPERTISE FROM ZAB BIOWHO DID A 4691 03:01:13,960 --> 03:01:16,840 LOT OF FILM DEVELOPMENT AND THE 4692 03:01:16,840 --> 03:01:18,160 HUMAN CONTRACEPTIVE ANTIBODY 4693 03:01:18,160 --> 03:01:18,800 DEVELOPMENT. 4694 03:01:18,800 --> 03:01:22,160 MEMBERS OF BOSTON UNIVERSITY AND 4695 03:01:22,160 --> 03:01:25,560 ZAB BIOARE ON THE CALL BUT I 4696 03:01:25,560 --> 03:01:27,480 BELIEVE THEY ARE ON THE PUBLIC 4697 03:01:27,480 --> 03:01:29,400 LINE, SO I WILL SEND THEM THE 4698 03:01:29,400 --> 03:01:31,920 ZOOM LINE AFTER I FINISH HERE. 4699 03:01:31,920 --> 03:01:37,520 SORRY ABOUT THE CONFUSION. 4700 03:01:37,520 --> 03:01:40,040 O OUR HUMAN CONTRACEPTIVE ASPECT 4701 03:01:40,040 --> 03:01:42,760 BODY IS A NONHORR MOINAL 4702 03:01:42,760 --> 03:01:43,440 CONTRACEPTION OPTION FOR WOMEN 4703 03:01:43,440 --> 03:01:46,080 AND WHAT ARE THE CURRENT 4704 03:01:46,080 --> 03:01:46,840 NONHORMONAL CONTRACEPTIVES THAT 4705 03:01:46,840 --> 03:01:47,880 ARE AVAILABLE. 4706 03:01:47,880 --> 03:01:51,280 ALL OF THEM HAVE DISTINCTFI 4707 03:01:51,280 --> 03:01:53,960 BENEND RISK, THE COPPER 4708 03:01:53,960 --> 03:01:55,680 IUD, THE BENEFIT IS THAT IT HAS 4709 03:01:55,680 --> 03:01:59,360 AN EXTREMELY LOW FAILURE RATE, 4710 03:01:59,360 --> 03:02:01,360 IT IS FDA APPROVED FOR 10 YEARS, 4711 03:02:01,360 --> 03:02:05,080 IT PROBABLY LASTS FOR 20 YEARS, 4712 03:02:05,080 --> 03:02:08,480 THE MOST COST EFFECTIVE 4713 03:02:08,480 --> 03:02:10,360 CONTRACEPTIVE AROUND AND 4714 03:02:10,360 --> 03:02:11,320 COMPLETELY REVERSIBLE. 4715 03:02:11,320 --> 03:02:13,480 SOME OF THE DISADVANT ANNUALS OF 4716 03:02:13,480 --> 03:02:16,280 THE COPPER IUD ARE THAT IT CAN 4717 03:02:16,280 --> 03:02:20,480 CAUSE SOME HEAVIER PERIODS AND 4718 03:02:20,480 --> 03:02:20,880 PAINFUL PERIODS. 4719 03:02:20,880 --> 03:02:24,560 IT REALLY DOESN'T HAVE ANY 4720 03:02:24,560 --> 03:02:25,400 NONCONTRACEPTIVE BENEFITS LIKE 4721 03:02:25,400 --> 03:02:27,080 SOME OF THE HORMONAL 4722 03:02:27,080 --> 03:02:28,000 CONTRACEPTIVES, I THINK THE 4723 03:02:28,000 --> 03:02:31,280 BIGGEST BENEFIT IS THAT IS A 4724 03:02:31,280 --> 03:02:34,960 HIGHLY EFFECTIVE REVERSIBLE 4725 03:02:34,960 --> 03:02:35,360 NONHORMONA DEVICE. 4726 03:02:35,360 --> 03:02:38,800 THERE ARE ALSO BARRIER DEVICES 4727 03:02:38,800 --> 03:02:41,480 SUCH AS CONDOMS, MALE AND FEMALE 4728 03:02:41,480 --> 03:02:44,200 CONDOMS, DIAPHRAGMS, HERE WE SEE 4729 03:02:44,200 --> 03:02:48,240 THE SILK DIAPHRAGM OR THE KIA 4730 03:02:48,240 --> 03:02:52,600 DIAPHRAGM WHICH WAS DEVELOPED BY 4731 03:02:52,600 --> 03:02:53,000 CONRAD AND PATH. 4732 03:02:53,000 --> 03:02:55,680 THE PRO OF THE DEVICES IS THAT 4733 03:02:55,680 --> 03:02:56,600 THEY'RE ON DEMAND, MANY WOMEN 4734 03:02:56,600 --> 03:02:58,120 DON'T WANT TO BE ON 4735 03:02:58,120 --> 03:02:59,160 CONTRACEPTION ALL THE TIME, THEY 4736 03:02:59,160 --> 03:03:01,320 JUST WANT TO USE IT WHEN THEY'RE 4737 03:03:01,320 --> 03:03:03,040 AT RISK, IT'S NONHORMONAL AND 4738 03:03:03,040 --> 03:03:06,360 MANY OF THE BARRIER DEVICES, 4739 03:03:06,360 --> 03:03:08,720 PROTECT A WOMAN NOT ONLY AGAINST 4740 03:03:08,720 --> 03:03:10,800 PREGNANCY BUT SEXUALLY 4741 03:03:10,800 --> 03:03:13,520 TRANSMITTED INFECTIONS MAKING 4742 03:03:13,520 --> 03:03:15,280 THEM MULTIPURPOSE PREVENTION 4743 03:03:15,280 --> 03:03:16,080 TECHNOLOGIES OR MPTs. 4744 03:03:16,080 --> 03:03:18,680 THE DOWN SIDE OF BARRIER DEVICES 4745 03:03:18,680 --> 03:03:22,520 ARE THAT THEY'RE NOT ALL WOMEN 4746 03:03:22,520 --> 03:03:26,600 CONTROLLED AND SOME MEN ARE SOME 4747 03:03:26,600 --> 03:03:29,160 COUPLES FIND THEM UNACCEPTABLE. 4748 03:03:29,160 --> 03:03:30,400 THERE'S ALSO A NONHORMONAL 4749 03:03:30,400 --> 03:03:33,880 OPTION WHICH IS A TUBAL 4750 03:03:33,880 --> 03:03:34,160 LIGATION. 4751 03:03:34,160 --> 03:03:35,320 THE PARTICIPANT THAT WE'RE GOING 4752 03:03:35,320 --> 03:03:38,400 TO INTERVIEW TODAY HAD A 4753 03:03:38,400 --> 03:03:41,080 PROCEDURE CALLED AN ESURE 4754 03:03:41,080 --> 03:03:42,360 PROCEDURE, HE GO IN EFTHIMIOS 4755 03:03:42,360 --> 03:03:44,200 ROUGH ATOM SCOPICALLY IN THE 4756 03:03:44,200 --> 03:03:47,040 OFFICE AND PLACE THESE NICKEL 4757 03:03:47,040 --> 03:03:52,400 SPRINGS IN THE OPENING OF THE 4758 03:03:52,400 --> 03:03:54,440 FALLOPIAN TUBE AND THESE SCAR 4759 03:03:54,440 --> 03:03:56,440 OVER FOR 3 MONTHS THEY'RE NOT 4760 03:03:56,440 --> 03:03:58,480 REVERSIBLE BUT WE DO A EFTHIMIOS 4761 03:03:58,480 --> 03:04:00,080 ROUGH ATOM PING O GRAP AFTER THE 4762 03:04:00,080 --> 03:04:01,760 PROCEDURE TO MAKE SURE THAT THE 4763 03:04:01,760 --> 03:04:08,920 TUBES ARE BLOCKED SO A LOT OF 4764 03:04:08,920 --> 03:04:09,280 WOMEN LIKE THAT. 4765 03:04:09,280 --> 03:04:10,080 THIS PROCEDURE IS NO LONGER 4766 03:04:10,080 --> 03:04:12,440 AVAILABLE IN THE U.S., IT IS 4767 03:04:12,440 --> 03:04:13,560 AVAILABLE IN OTHER COUNTRIES BUT 4768 03:04:13,560 --> 03:04:16,600 THIS IS NO LONGER AN OPTION FOR 4769 03:04:16,600 --> 03:04:17,680 TUBAL STERILIZATION FOR U.S. 4770 03:04:17,680 --> 03:04:17,880 WOMEN. 4771 03:04:17,880 --> 03:04:20,280 SO FOR U.S. WOMEN IF YOU WANT 4772 03:04:20,280 --> 03:04:21,080 YOUR TUBES TIED YOU HAVE TO HAVE 4773 03:04:21,080 --> 03:04:25,360 IT DONE AT THE TIME OF C-SECTION 4774 03:04:25,360 --> 03:04:26,400 OR LAPROSCOPICLY AND THE REASON 4775 03:04:26,400 --> 03:04:29,200 I PUT THIS PICTURE UP HERE IS 4776 03:04:29,200 --> 03:04:31,240 BECAUSE WHEN WE USED TO TIE 4777 03:04:31,240 --> 03:04:33,560 TUBES, WE HAD 2 PORTS, WE HAD A 4778 03:04:33,560 --> 03:04:36,120 CAMERA, AND THEN WE HAD A PORT 4779 03:04:36,120 --> 03:04:38,440 TO EITHER PLACE THE CLIPS OR THE 4780 03:04:38,440 --> 03:04:43,200 BURN THE TUBES OR WHATEVER, NOW, 4781 03:04:43,200 --> 03:04:45,720 MANY CENTERS ACROSS THE U.S. ARE 4782 03:04:45,720 --> 03:04:48,080 NOT ONLY TYING THE TUBES THEY'RE 4783 03:04:48,080 --> 03:04:50,560 REMOVING BOTH TUBES, SO THIS 4784 03:04:50,560 --> 03:04:54,200 ADDS A PORT, IT ADDS SURGICAL 4785 03:04:54,200 --> 03:04:54,600 TIME. 4786 03:04:54,600 --> 03:04:56,560 IT'S SYRUPLY NOT REVERSIBLE IF 4787 03:04:56,560 --> 03:05:00,960 YOUR TUBES HAVE BEEN REMOVED, 4788 03:05:00,960 --> 03:05:03,760 THE REASON THAT PEOPLE ARE DOING 4789 03:05:03,760 --> 03:05:04,880 BILATERAL SELF-INJECT MES NOW IS 4790 03:05:04,880 --> 03:05:08,560 THAT THERE'S SOME THOUGHT THAT 4791 03:05:08,560 --> 03:05:11,200 SOME OVARIAN CANCER MIGHT BE 4792 03:05:11,200 --> 03:05:11,880 FALOPENNIAN TUBE CANCER, 4793 03:05:11,880 --> 03:05:14,040 ALTHOUGH IT'S NOT BEEN PROVEN IT 4794 03:05:14,040 --> 03:05:15,760 IT'S THOUGHT THIS MAY BE A 4795 03:05:15,760 --> 03:05:16,920 CANCER PREVENTION OPTION FOR 4796 03:05:16,920 --> 03:05:20,040 WOMEN WHO WANT STERILEAISE IEGZ. 4797 03:05:20,040 --> 03:05:23,280 LASTLY THERE ARE THE NONHORMONAL 4798 03:05:23,280 --> 03:05:25,000 SPERMAICIDES THEY HAVE THE 4799 03:05:25,000 --> 03:05:27,000 DISTINCT ADVANTAGES OF BEING AN 4800 03:05:27,000 --> 03:05:28,520 ON-DEMAND PRODUCT AND OVER THE 4801 03:05:28,520 --> 03:05:30,000 COUNTER AND REVERSIBLE. 4802 03:05:30,000 --> 03:05:35,480 HOWEVER, THE BIGGEST DOWN SIDE 4803 03:05:35,480 --> 03:05:39,240 OF THE SPERMICIDES PARTICULARLY 4804 03:05:39,240 --> 03:05:40,440 NONXYL 9 SDHS IS AVAILABLE IN 4805 03:05:40,440 --> 03:05:44,480 THE UNITED STATES, IT CAN CAUSE 4806 03:05:44,480 --> 03:05:46,560 VAGINAL IRRITATION, 4807 03:05:46,560 --> 03:05:48,200 SUBCLINICALLY, ALTERATIONS OF 4808 03:05:48,200 --> 03:05:50,520 THE MICROBIOME WHICH ENHANCE HIV 4809 03:05:50,520 --> 03:05:53,680 ACQUISITION RISK AND THIS IS WHY 4810 03:05:53,680 --> 03:05:54,880 NONE ACCIDENT ILLEGALS 9 CANNOT 4811 03:05:54,880 --> 03:05:56,280 BE RECOMMENDED FOR USE IN 4812 03:05:56,280 --> 03:05:58,960 REGIONS THAT HAVE HIGH HIV 4813 03:05:58,960 --> 03:06:04,640 INCIDENCE AND PREVALENCE. 4814 03:06:04,640 --> 03:06:07,040 SOEUR GROUP WAS INTERESTED IN 4815 03:06:07,040 --> 03:06:09,120 IMMUNO CONTRACEPT, THIS IS USING 4816 03:06:09,120 --> 03:06:10,680 ACTIVE IMMUNIZATION LIKE 4817 03:06:10,680 --> 03:06:11,840 VACCINES OR PASSIVE IMMUNIZATION 4818 03:06:11,840 --> 03:06:13,320 WHICH IS WHAT WE DEVELOPED HERE, 4819 03:06:13,320 --> 03:06:19,880 OR THE TRANSFER OF ANTIBODIES WE 4820 03:06:19,880 --> 03:06:21,920 DEVELOPED A HUMAN CONTRACEPTIVE 4821 03:06:21,920 --> 03:06:24,840 ANTIBODY, IT WAS ACTUALLY 4822 03:06:24,840 --> 03:06:27,720 DEVELOPED FROM THE SERUM OF AN 4823 03:06:27,720 --> 03:06:28,160 INFERTILITY PATIENT. 4824 03:06:28,160 --> 03:06:30,840 IT IS THOUGHT THAT MANY 4825 03:06:30,840 --> 03:06:33,720 INFERTILITY PATIENTS HAVE SOME 4826 03:06:33,720 --> 03:06:35,200 ANTISPERM ANTIBODIES, AND WE 4827 03:06:35,200 --> 03:06:40,000 USED TO ROUTINELY CHECK FOR THIS 4828 03:06:40,000 --> 03:06:50,360 IN INFERTILITY WORK UPS, SO ZAB 4829 03:06:50,360 --> 03:06:54,440 BIODEVELOPPED AN IGG HUMAN 4830 03:06:54,440 --> 03:06:57,120 ANTIBODY IT'S CALLED HC4 IS THE 4831 03:06:57,120 --> 03:06:59,120 DRUG SUBSTANCE, THEY GROW THIS 4832 03:06:59,120 --> 03:07:03,360 ANTIBODY IN NICOTINE PLABTS IN A 4833 03:07:03,360 --> 03:07:05,560 GMP FARM/LAB AND THEN THEY 4834 03:07:05,560 --> 03:07:08,200 INCORPORATED THIS DRUG SUBSTANCE 4835 03:07:08,200 --> 03:07:12,160 INTO THEIR DRUG PRODUCT WHICH IS 4836 03:07:12,160 --> 03:07:14,240 A VAGINAL FILM CALLED THE ZB-06 4837 03:07:14,240 --> 03:07:16,720 FILM AND HERE I HAVE THE 4838 03:07:16,720 --> 03:07:22,040 COMPONENTS OF THE VAGINAL FILM. 4839 03:07:22,040 --> 03:07:27,520 JUFULT A LITTLE BIT MORE ABOUT 4840 03:07:27,520 --> 03:07:29,640 THE ZB-06 FILM DEVELOPMENT THE 4841 03:07:29,640 --> 03:07:31,480 TARGET OF THE HUMAN 4842 03:07:31,480 --> 03:07:33,640 CONTRACEPTIVE ANTIBODY PRODUCT 4843 03:07:33,640 --> 03:07:36,920 IS ACTUALLY CD52 G, WHICH IS A 4844 03:07:36,920 --> 03:07:40,120 GLYCOPROTEIN THAT IS EXPRESSED 4845 03:07:40,120 --> 03:07:42,560 EXCLUSIVELY IN THE HUMAN MALE 4846 03:07:42,560 --> 03:07:44,440 REPRODUCTIVE TRACT, IT'S A 4847 03:07:44,440 --> 03:07:46,840 COMMON TARGET FOR ANTISPERM 4848 03:07:46,840 --> 03:07:49,040 ANTIBODIES FROM INFERTILITY 4849 03:07:49,040 --> 03:07:49,720 PATIENTS. 4850 03:07:49,720 --> 03:07:53,680 JUST LOOKING AT A COMPARISON OF 4851 03:07:53,680 --> 03:07:56,480 OUR PRODUCT VERSUS SOME RECENTLY 4852 03:07:56,480 --> 03:08:03,240 APPROVED NONHORMONAL PRODUCT 4853 03:08:03,240 --> 03:08:04,680 WHICH IS CALLED [INDISCERNIBLE] 4854 03:08:04,680 --> 03:08:09,760 AND A RECENTLY APPROVED HORMONAL 4855 03:08:09,760 --> 03:08:11,880 PRODUCT CALLAD ANAVERRA, SO ZAB 4856 03:08:11,880 --> 03:08:16,040 BIOCONDUCTED SEVERAL OF THE 4857 03:08:16,040 --> 03:08:19,560 PREIND STUDIES ON THE ZB-06 FILM 4858 03:08:19,560 --> 03:08:21,960 FOR ANY TOPICAL VAGINAL PRODUCT, 4859 03:08:21,960 --> 03:08:28,040 YOU NEED A RABBIT VAGINAL 4860 03:08:28,040 --> 03:08:30,040 IRRITATION STUDY, THE ZB-06 4861 03:08:30,040 --> 03:08:32,080 PROGRAM ACTUALLY BUILT UPON A 4862 03:08:32,080 --> 03:08:35,240 PRECURSOR PRODUCT WHICH WAS 4863 03:08:35,240 --> 03:08:35,640 CALLED MB66. 4864 03:08:35,640 --> 03:08:38,680 IT WAS A VAGINAL FILM THAT 4865 03:08:38,680 --> 03:08:40,440 CONTAINED HUMAN MONOCLONAL 4866 03:08:40,440 --> 03:08:45,320 ANTIBODIES AGAINST BOTH HIV AND 4867 03:08:45,320 --> 03:08:47,240 HERPES SIMPLEX VIRUS 2. 4868 03:08:47,240 --> 03:08:51,200 THESE ANTIBODIES WERE ALSO 4869 03:08:51,200 --> 03:08:56,800 AMPLIFIED IN THE TOBACCO PLANT 4870 03:08:56,800 --> 03:08:57,600 PLATFORM. 4871 03:08:57,600 --> 03:08:59,560 DR. ANDERSON AT BOSTON 4872 03:08:59,560 --> 03:09:03,880 UNIVERSITY AND ZAB BIO ALONG 4873 03:09:03,880 --> 03:09:05,000 WITH COLLEAGUES AT BROWN 4874 03:09:05,000 --> 03:09:06,960 UNIVERSITY CONDUCTED A PHASE 1 4875 03:09:06,960 --> 03:09:09,520 SINGLE AND REPEAT DOSE STUDY OF 4876 03:09:09,520 --> 03:09:12,520 MB66 AND PUBLISHED THEIR 4877 03:09:12,520 --> 03:09:12,800 FINDINGS. 4878 03:09:12,800 --> 03:09:17,280 SO BUILDING OFF OF THE MB66 4879 03:09:17,280 --> 03:09:18,000 PRODUCT. 4880 03:09:18,000 --> 03:09:21,280 ZAB FILED AN EXPLORATORY IND IN 4881 03:09:21,280 --> 03:09:24,240 DECEMBER OF 2020 AND UNDER THIS 4882 03:09:24,240 --> 03:09:28,640 EXPLORATORY IND, WE WERE ABLE TO 4883 03:09:28,640 --> 03:09:32,520 PROCEED WITH OUR FIRST IN WOMAN 4884 03:09:32,520 --> 03:09:33,720 STUDY OF ZB-06 FILM. 4885 03:09:33,720 --> 03:09:37,960 SO A LITTLE BIT ABOUT 4886 03:09:37,960 --> 03:09:38,600 CONTRACEPTIVE EFFICACY 4887 03:09:38,600 --> 03:09:40,720 DEVELOPMENT, I MEAN, THE 4888 03:09:40,720 --> 03:09:42,320 ULTIMATE BIOMARKER OF 4889 03:09:42,320 --> 03:09:47,640 CONTRACEPTIVE EFFICACY IS 4890 03:09:47,640 --> 03:09:48,280 OBVIOUSLY PREGNANCY, BUT, WE 4891 03:09:48,280 --> 03:09:50,640 DON'T WANT TO TAKE THIS UNTESTED 4892 03:09:50,640 --> 03:09:52,120 PRODUCT AND GIVE TO FETTERILE 4893 03:09:52,120 --> 03:09:54,000 WOMEN AND SAY TRUST US THIS WILL 4894 03:09:54,000 --> 03:09:54,200 WORK. 4895 03:09:54,200 --> 03:09:58,280 BUT SO FOR HORMONA 4896 03:09:58,280 --> 03:10:03,200 CONTRACEPTIVES WE HAVE SOME 4897 03:10:03,200 --> 03:10:04,480 PRETTY ESTABLISHED CONTRACEPTIVE 4898 03:10:04,480 --> 03:10:09,360 SURROGATES LIKE LOOKING AT 4899 03:10:09,360 --> 03:10:10,880 ANOVULATION SERUM PROGESTERONE 4900 03:10:10,880 --> 03:10:13,200 OR FOLLICULAR DEVELOPMENT ON 4901 03:10:13,200 --> 03:10:14,280 TRANSVAGINAL ULTRASOUND. 4902 03:10:14,280 --> 03:10:15,840 FOR THE BARRIER CONTRACEPTIVES, 4903 03:10:15,840 --> 03:10:21,440 THERE IS SOME BIOMARKERS OF 4904 03:10:21,440 --> 03:10:25,000 RECENT AND LONGER DURATION SEMEN 4905 03:10:25,000 --> 03:10:27,560 EXPOSURE SO THAT WE CAN SEE IF 4906 03:10:27,560 --> 03:10:33,160 CONDOMS ARE BREAKING OR SLIPPING 4907 03:10:33,160 --> 03:10:35,080 BUT FOR THE POST KOITAL TEST, 4908 03:10:35,080 --> 03:10:36,840 FOR PRODUCTS THAT WOULD DEPEND 4909 03:10:36,840 --> 03:10:40,880 ON THAT TESTING, SUCH AS THE 4910 03:10:40,880 --> 03:10:42,320 HUMAN CONTRACEPTIVE ANTIBODY, 4911 03:10:42,320 --> 03:10:44,280 THE POST KOITAL TEST WAS ORIGE 4912 03:10:44,280 --> 03:10:50,320 NAWILLLY A TEST TO ELECTRIC AT 4913 03:10:50,320 --> 03:10:51,600 FERTILITY AND CERVICAL FACTOR 4914 03:10:51,600 --> 03:10:53,360 FERIT AND IT'S BEEN USED FOR 4915 03:10:53,360 --> 03:10:56,320 DECADES BUT IT'S AN ELEGANT 4916 03:10:56,320 --> 03:10:58,800 FUNCTIONAL IN VIVO PHARMA CO 4917 03:10:58,800 --> 03:11:00,920 DYNAMICS SURROGATE OF CERVICAL 4918 03:11:00,920 --> 03:11:02,200 MUCUS AND SPERM INTERACTION BOTH 4919 03:11:02,200 --> 03:11:04,320 WITH AND WITHOUT THE 4920 03:11:04,320 --> 03:11:04,800 CONTRACEPTIVE PRODUCT. 4921 03:11:04,800 --> 03:11:05,960 AND SO THIS IS THE TYPE OF STUDY 4922 03:11:05,960 --> 03:11:11,560 THAT WE DID FOR THE HUMAN 4923 03:11:11,560 --> 03:11:12,160 CONTRACEPTIVE ANTIBODY FILM. 4924 03:11:12,160 --> 03:11:15,880 JUST TO GIVE YOU A LITTLE 4925 03:11:15,880 --> 03:11:17,360 BACKGROUNDOT MENSTRUAL CYCLE. 4926 03:11:17,360 --> 03:11:22,200 PARTICIPANTS IN THIS STUDY ARE 4927 03:11:22,200 --> 03:11:24,880 OBLIGATIONSULATORY AND ARE NOT 4928 03:11:24,880 --> 03:11:27,520 ON EXOGENOUS HEAR MOANS WE HAVE 4929 03:11:27,520 --> 03:11:29,960 THEM CHECK THEIR URINE FOR A 4930 03:11:29,960 --> 03:11:31,000 LIEWTINNIZING HORMONE SURGE AND 4931 03:11:31,000 --> 03:11:33,800 WE KNOW WHEN THE LIEWTINNIZING 4932 03:11:33,800 --> 03:11:38,320 HORMONE SURGES WE ENTER ABOUT A 4933 03:11:38,320 --> 03:11:43,240 12-36 HOUR WINDOW AROUND 4934 03:11:43,240 --> 03:11:44,040 OVULATION, AFULATION WILL OCCUR 4935 03:11:44,040 --> 03:11:44,840 SHORT LYE AFTER THIS AND YOU 4936 03:11:44,840 --> 03:11:46,560 WILL NOTICE THAT AFTER THE TIME 4937 03:11:46,560 --> 03:11:48,760 OF THE HORMONE SURGE THIS IS 4938 03:11:48,760 --> 03:11:53,320 WHEN ESTROGEN LEVELS PEEK AND 4939 03:11:53,320 --> 03:11:55,120 ESTROGEN LESMS INCREASES CAUSE 4940 03:11:55,120 --> 03:11:57,560 FOLLICULAR DEVELOP EXPMENT THEY 4941 03:11:57,560 --> 03:12:00,440 ALSO CAUSED CERVICAL MUCUS TO BE 4942 03:12:00,440 --> 03:12:03,280 IDEAL FOR THE ASCENT OF MODAL 4943 03:12:03,280 --> 03:12:03,760 SPERM. 4944 03:12:03,760 --> 03:12:12,200 THE CERVICAL MUCUS IS WATERY, 4945 03:12:12,200 --> 03:12:14,080 CLEAR, AND THIN. 4946 03:12:14,080 --> 03:12:15,960 SORTLY AFTER OVULATION WHEN THE 4947 03:12:15,960 --> 03:12:18,320 CORPUS LUTEUM TAKES OVER THE 4948 03:12:18,320 --> 03:12:19,240 PROGESTERONE LEVELS RISE AND 4949 03:12:19,240 --> 03:12:25,080 THIS IS WHEN THE CERVICAL MUCUS 4950 03:12:25,080 --> 03:12:26,240 BECOMES CHICKENED, INFLAMED AND 4951 03:12:26,240 --> 03:12:28,800 ACTUALLY DOES NOT ALLOW 4952 03:12:28,800 --> 03:12:30,400 PROGRESSIVELY MODAL SPERM TO 4953 03:12:30,400 --> 03:12:32,280 ASCEND INTO THE UTERROUS. 4954 03:12:32,280 --> 03:12:35,040 SO WE'RE REALLY TESTING A 4955 03:12:35,040 --> 03:12:37,400 CONTRACEPTIVE PRODUCT AT MAXIMUM 4956 03:12:37,400 --> 03:12:41,680 PEAK FERTILITY TO LOOK AT ITS 4957 03:12:41,680 --> 03:12:42,000 PERFORMANCE. 4958 03:12:42,000 --> 03:12:44,240 OKAY, SO WHO ARE WE TESTING THIS 4959 03:12:44,240 --> 03:12:45,480 PRODUCT ON. 4960 03:12:45,480 --> 03:12:49,800 THESE ARE HEALTHY WOMEN, AGING 4961 03:12:49,800 --> 03:12:50,200 18-50. 4962 03:12:50,200 --> 03:12:52,240 PREMENOPAUSAL WOMEN, THEY HAVE 4963 03:12:52,240 --> 03:12:53,360 TO BE OBLIGATIONS LATTERY SO WE 4964 03:12:53,360 --> 03:12:58,440 CAN HAVE THEM HAVE TIMED 4965 03:12:58,440 --> 03:13:00,040 INTERCOURSE AT OFULATION, THEY 4966 03:13:00,040 --> 03:13:02,320 ALL TO HAVE TO TUBAL 4967 03:13:02,320 --> 03:13:03,240 STERILIZATION BECAUSE WE DON'T 4968 03:13:03,240 --> 03:13:05,040 WANT THEM TO GET PREGNANT AND WE 4969 03:13:05,040 --> 03:13:06,920 DON'T ULTIMATELY KNOW HOW 4970 03:13:06,920 --> 03:13:08,560 EFFECTIVE OUR CONTRACEPTIVE 4971 03:13:08,560 --> 03:13:11,240 PRODUCT WILL BE, THEY CAN'T BE 4972 03:13:11,240 --> 03:13:12,440 ON EXOGENOUS HORMONES BUZZ THAT 4973 03:13:12,440 --> 03:13:15,000 WOULD MAKE THEIR CERVICAL MUCUS 4974 03:13:15,000 --> 03:13:16,600 HOSTILE TO MODAL SPERM. 4975 03:13:16,600 --> 03:13:20,520 SO NOT ONLY DO THESE HAVE TO BE 4976 03:13:20,520 --> 03:13:21,840 HEALTHY WOMEN WITH TUNAL 4977 03:13:21,840 --> 03:13:24,080 LIGATIONS ABOUT YOU THEY HAVE TO 4978 03:13:24,080 --> 03:13:25,720 BE HETEROSEXUALLY ACTIVE AND 4979 03:13:25,720 --> 03:13:27,760 THEIR MALE PARTNER HAS TO HAVE 4980 03:13:27,760 --> 03:13:30,240 NO HISTORY OF INFERTILITY. 4981 03:13:30,240 --> 03:13:30,880 NO VASECTOMY. 4982 03:13:30,880 --> 03:13:36,120 SO REALLY SINCE THE BOTH THE 4983 03:13:36,120 --> 03:13:37,960 FEMALE PARTICIPANT AND THE MALE 4984 03:13:37,960 --> 03:13:43,240 PARTNER ARE INVOLVED WE CONSENT 4985 03:13:43,240 --> 03:13:43,640 BOTH INDIVIDUALS. 4986 03:13:43,640 --> 03:13:45,720 I WANT TO GIVE YOU A BRIEF 4987 03:13:45,720 --> 03:13:47,600 OVERVIEW OF WHRA A PC T LOOKS 4988 03:13:47,600 --> 03:13:51,800 LIKE, WE SCREEN FOR EXCLUESARY 4989 03:13:51,800 --> 03:13:53,560 FACTORS, WE ENROLL THEM AT VISIT 4990 03:13:53,560 --> 03:13:55,240 2 AND WE DO A LOT OF COUNSELING 4991 03:13:55,240 --> 03:13:57,760 ABOUT HOW TO USE THE FILM AND 4992 03:13:57,760 --> 03:14:01,040 HOW TO CHECK THE URINARY LH. 4993 03:14:01,040 --> 03:14:05,360 A PC T CYCLE IS BASICALLY 2 4994 03:14:05,360 --> 03:14:08,760 VISITS, THERE'S A CERVICAL MUCUS 4995 03:14:08,760 --> 03:14:09,880 CHECK VISIT, THIS OCCURS ON THE 4996 03:14:09,880 --> 03:14:14,400 DAY OR THE DAY AFTER THE 4997 03:14:14,400 --> 03:14:16,160 LIEUTENNIZING HORMONE SURGE AND 4998 03:14:16,160 --> 03:14:18,640 WE'RE BASICALLY MAKING SURE AT 4999 03:14:18,640 --> 03:14:20,600 THE CERVICAL MUCUS CHECK THAT 5000 03:14:20,600 --> 03:14:24,720 THE CERVICAL MUCUS HAS IDEAL 5001 03:14:24,720 --> 03:14:25,600 PHYSICALLA CHARACTERRIVE 5002 03:14:25,600 --> 03:14:26,800 CLINICAL COMMUNITYS, ONCE IT 5003 03:14:26,800 --> 03:14:28,680 DOES, AND I'LL EXPLAIN HOW WE 5004 03:14:28,680 --> 03:14:31,800 EVALUATE THAT, IF THERE ARE 5005 03:14:31,800 --> 03:14:33,000 IDEAL CERVICAL MUCUS 5006 03:14:33,000 --> 03:14:34,960 CHARACTERISTICS AND THERE IS NO 5007 03:14:34,960 --> 03:14:36,080 SPERM PRESENT, THEN WE HAVE THE 5008 03:14:36,080 --> 03:14:39,280 COUPLE GO HOME AND HAVE 5009 03:14:39,280 --> 03:14:41,360 INTERCOURSE WITHIN ABOUT 24 5010 03:14:41,360 --> 03:14:44,920 HOURS OF THIS CERVICAL MUCUS 5011 03:14:44,920 --> 03:14:48,880 CHECK BECAUSE THE WINDOW OF THAT 5012 03:14:48,880 --> 03:14:50,640 OVULATION WILL CLOSE SO ONCE 5013 03:14:50,640 --> 03:14:56,320 THEY HAVE TIMED ISHT COURSE AT 5014 03:14:56,320 --> 03:14:57,400 PEEK OVULATION, WE HAVE THEM 5015 03:14:57,400 --> 03:15:00,160 COME INTO THE CLINIC 2-3 HEURS 5016 03:15:00,160 --> 03:15:01,560 AFTER TIMED IRPT COURSE BECAUSE 5017 03:15:01,560 --> 03:15:03,120 ACCORDING TO THE W. H. O. MANUEL 5018 03:15:03,120 --> 03:15:06,880 WHICH IS WHRA WE FOLLOW, 2-3 5019 03:15:06,880 --> 03:15:08,680 HOURS AFTER TIMED UNPROTECTED 5020 03:15:08,680 --> 03:15:10,360 INTERCOURSE IS WHEN YOU WILL SEE 5021 03:15:10,360 --> 03:15:13,480 THE MAX NUM NUMBER OF 5022 03:15:13,480 --> 03:15:14,880 PROGRESSIVELY MODAL SPERM 5023 03:15:14,880 --> 03:15:19,400 ASCENDING IN THAT OOH DEAL 5024 03:15:19,400 --> 03:15:21,120 OVULATTORY MUCUS SO AT BASE LINE 5025 03:15:21,120 --> 03:15:23,280 WITH NO PRODUCT PRESCRIBINGENT, 5026 03:15:23,280 --> 03:15:24,160 THE CURRENT BENCHING MARK IS 5027 03:15:24,160 --> 03:15:29,400 THAT THERE SHOULD BE AT LEAST 5 5028 03:15:29,400 --> 03:15:33,000 PROGRESSIVELY MODAL SPERNL 5029 03:15:33,000 --> 03:15:35,200 PERHIPOWER FIELD MEASURED AT 400 5030 03:15:35,200 --> 03:15:37,840 TIMES AND AVERAGED OVER 9 HIGH 5031 03:15:37,840 --> 03:15:38,720 POWERED FIELDS. 5032 03:15:38,720 --> 03:15:42,080 CONVERSELY, WE DO THE SAME 5033 03:15:42,080 --> 03:15:43,480 PROCEDURES, CERVICAL MUCUS 5034 03:15:43,480 --> 03:15:46,920 CHECKED AND TIMED INTERCOURSE AT 5035 03:15:46,920 --> 03:15:47,960 OVULATION, WITH THE PRODUCT 5036 03:15:47,960 --> 03:15:49,520 PRESENT AND THE CURRENT 5037 03:15:49,520 --> 03:15:51,480 BENCHMARK FROM THE W. H. O. IS 5038 03:15:51,480 --> 03:15:55,000 THAT THERE IS LESS THAN 5 5039 03:15:55,000 --> 03:15:56,280 PROGRESSIVELY MOTAL SPERM PER 5040 03:15:56,280 --> 03:15:58,120 HIGH POWERED FIELD AVERAGED OVER 5041 03:15:58,120 --> 03:16:06,800 9 HIGH POWERED FIELDS. 5042 03:16:06,800 --> 03:16:08,240 AS AN INVESTIGATOR THIS A POINT 5043 03:16:08,240 --> 03:16:15,480 OF STUDY THR THESE TESTS SO WE 5044 03:16:15,480 --> 03:16:17,200 WILL NO RIGHT AWAY WHETHER THE 5045 03:16:17,200 --> 03:16:19,400 PURPOSE HAS A PRODUCT BASE LINE 5046 03:16:19,400 --> 03:16:23,040 OR IS WORKING OR HAS A NORMAL 5047 03:16:23,040 --> 03:16:25,000 BENCHMARK, SO, LIKE I SAID AT 5048 03:16:25,000 --> 03:16:25,960 THE CERVICAL MUCUS CHECK, WE 5049 03:16:25,960 --> 03:16:27,600 WANT TO MAKE SURE THAT THE 5050 03:16:27,600 --> 03:16:28,480 CERVICAL MUCUS IS IDEAL. 5051 03:16:28,480 --> 03:16:32,680 HOW DO WE DO THAT? 5052 03:16:32,680 --> 03:16:36,440 WE USE WHAT'S CALLED THE INSULAR 5053 03:16:36,440 --> 03:16:39,000 SCORE, THAT LOOKS AT 5 FISCAL 5054 03:16:39,000 --> 03:16:40,480 CHARACTERISTICS OF MUCUS AND 5055 03:16:40,480 --> 03:16:44,200 GRADES THEM ON A SCALE OF 0-3 SO 5056 03:16:44,200 --> 03:16:46,960 THE MAXIMUM SCORE CAN YOU GET IS 5057 03:16:46,960 --> 03:16:50,840 15, MIN NUM IS ANSWER, GOOD 5058 03:16:50,840 --> 03:16:56,680 CERVICAL MUCUS HAS A SCORE OF 10 5059 03:16:56,680 --> 03:16:57,040 OR HIGHER. 5060 03:16:57,040 --> 03:17:04,440 SO 1 OF THE THINGS WE DO IS 5061 03:17:04,440 --> 03:17:05,520 CALLED THE SPINNBARKEIT, AND I 5062 03:17:05,520 --> 03:17:07,320 WILL PLAY A SHORT VIDEO. 5063 03:17:07,320 --> 03:17:09,320 SO WE'RE MEASURING THE 5064 03:17:09,320 --> 03:17:10,280 CENTIMETERS OF STRESS AND THAT 5065 03:17:10,280 --> 03:17:13,880 IS HOW WE GRADE IT. 5066 03:17:13,880 --> 03:17:16,880 AND WE HAVE A LOT OF PEOPLE THAT 5067 03:17:16,880 --> 03:17:18,680 WORKED LIKE MYSELF AT MCDONALDS 5068 03:17:18,680 --> 03:17:25,360 IN THE 80S SO WE HAVE A 5069 03:17:25,360 --> 03:17:26,720 HAMBURGLA RULER AND I THINK A 5070 03:17:26,720 --> 03:17:28,080 LOT OF PEOPLE HAVE SEEN THIS, 5071 03:17:28,080 --> 03:17:33,440 YOU KNOW WEEM CAN TELL IF 5072 03:17:33,440 --> 03:17:35,840 THEY'RE OVULEATORY BASED ON 5073 03:17:35,840 --> 03:17:36,800 CHARACTERISTICS OF MUCUS BUT 5074 03:17:36,800 --> 03:17:39,880 THIS IS A STANDARDIZED WAY OF 5075 03:17:39,880 --> 03:17:40,320 LOOKING AT IT. 5076 03:17:40,320 --> 03:17:43,960 WE LOOK AT THE VISCOSITY, WE 5077 03:17:43,960 --> 03:17:46,920 LOOK AT THE VOLUME, WE LOOK AT 5078 03:17:46,920 --> 03:17:49,040 FERNING ONCE SOME CERVICAL MUCUS 5079 03:17:49,040 --> 03:17:53,360 IS DRIED ON A SLIDE AT 5080 03:17:53,360 --> 03:17:55,080 OVULATION, THE CERVICAL MUCUS 5081 03:17:55,080 --> 03:17:56,280 HAS SOME BEAUTIFUL FERNING 5082 03:17:56,280 --> 03:18:00,160 PATTERN THAT WE GRADE WITH 5083 03:18:00,160 --> 03:18:07,080 PRIMARY, SECONDARY, TERTIARY AND 5084 03:18:07,080 --> 03:18:08,400 CORTINARY FERNING A LOT OF TIMES 5085 03:18:08,400 --> 03:18:10,360 WE WILL LOOK AT THIS FOR THE 5086 03:18:10,360 --> 03:18:15,200 PATIENT TOO, WE ALSO LOOK AT THE 5087 03:18:15,200 --> 03:18:17,000 AMOUNT OF CELLULARITY. 5088 03:18:17,000 --> 03:18:19,160 AT OVULATION THERE'S FEW TO MOW 5089 03:18:19,160 --> 03:18:23,360 CELLS, NO INFLAMMATORY CELLS, 5090 03:18:23,360 --> 03:18:26,160 THIS IS ACTUALLY QUITE ABUNDANT 5091 03:18:26,160 --> 03:18:29,160 CELLULARITY AFTER THE INFLUENCE 5092 03:18:29,160 --> 03:18:30,280 OF ENDOGENOUS PROGESTERONE SO 5093 03:18:30,280 --> 03:18:33,280 THIS A NONIDEAL SITUATION, SO 5094 03:18:33,280 --> 03:18:35,320 ONCE THE PATIENT, WE HAVE 5095 03:18:35,320 --> 03:18:38,240 ESTABLISHED THAT SHE HAS 5096 03:18:38,240 --> 03:18:40,120 CERVICAL MUCUS AND SHE HAS 5097 03:18:40,120 --> 03:18:41,320 UNPROTECTED ISHT COURSE WHEN SHE 5098 03:18:41,320 --> 03:18:46,960 COMES BACK IN FOR THE POIOF THE 5099 03:18:46,960 --> 03:18:49,400 KOITAL VISIT WE HAVE TO 5100 03:18:49,400 --> 03:18:50,200 REEVALUATE THE MUCUS AGAIN 5101 03:18:50,200 --> 03:18:52,680 BECAUSE IT HAS TO STAY IDEAL, IF 5102 03:18:52,680 --> 03:18:54,680 WE MISSED THAT WINDOW AND HER 5103 03:18:54,680 --> 03:18:56,280 CERVICAL MUCUS IS STARTING TO 5104 03:18:56,280 --> 03:19:06,800 THICKEN UP, THEN THAT'S REALLY 5105 03:19:13,400 --> 03:19:16,320 MAUL AMOUNT OF CERVICAL MUCUS ON 5106 03:19:16,320 --> 03:19:19,760 A GRIDDED SLIDE, WE ACTUALLY PUT 5107 03:19:19,760 --> 03:19:22,960 THIS MIXTURE OF VASE DEAN AND 5108 03:19:22,960 --> 03:19:25,760 GLASS BEADS AT EACH OF THE COVER 5109 03:19:25,760 --> 03:19:29,120 SLIP CORNERS SO THAT WE HAVE A 5110 03:19:29,120 --> 03:19:31,720 STANDARDIZED VOLUME THAT WE'RE 5111 03:19:31,720 --> 03:19:37,600 LOOKING AT AND WE COUNSELED 5112 03:19:37,600 --> 03:19:38,840 PROGRESSIVELY MOTAL SPERM, 5113 03:19:38,840 --> 03:19:41,520 IMMOBILE TERM AND TOTAL SPERM IN 5114 03:19:41,520 --> 03:19:43,000 EACH OF THESE 9 QUADRANTS AND 5115 03:19:43,000 --> 03:19:53,240 TAKE THE AVERAGE, OKAY, IN THIS 5116 03:19:53,240 --> 03:19:55,000 STUDY, WE WERE BLINDED TO THE 5117 03:19:55,000 --> 03:19:56,800 CYCLE TO THE INVESTIGATORS AND 5118 03:19:56,800 --> 03:19:57,680 COORDINATORS THAT WERE SEEING 5119 03:19:57,680 --> 03:19:59,000 THE PATIENT AND WE HAD PEOPLE 5120 03:19:59,000 --> 03:20:02,240 AVAILABLE ON THE WEEKEND TO DO 5121 03:20:02,240 --> 03:20:02,520 THAT. 5122 03:20:02,520 --> 03:20:08,640 THIS IS JUST A PICTURE OF SOME 5123 03:20:08,640 --> 03:20:10,240 SPERM UNDER THE MICROSCOPE, WE 5124 03:20:10,240 --> 03:20:11,040 LET OUR PARTICIPANTS SEE THIS 5125 03:20:11,040 --> 03:20:15,320 AND THEY HAD A GOOD TIME WITH 5126 03:20:15,320 --> 03:20:15,560 THAT. 5127 03:20:15,560 --> 03:20:19,960 SO AS I MENTIONED ON POST KOIDAL 5128 03:20:19,960 --> 03:20:21,400 TREATMENT FOR DECADES IT WAS 5129 03:20:21,400 --> 03:20:23,040 RECENTLY DONE AND CAN YOU SEE 5130 03:20:23,040 --> 03:20:30,800 HERE ON SEVERAL BARRIER AND 5131 03:20:30,800 --> 03:20:32,680 PERMICIDAL PRODUCTS AND PRODUCTS 5132 03:20:32,680 --> 03:20:33,840 THAT PERFORMED WELL IN PC T 5133 03:20:33,840 --> 03:20:38,520 STUDIES HAVE GONE ON TO PERFORM 5134 03:20:38,520 --> 03:20:40,400 AS EXPECTED WELL IF PHASE 3 5135 03:20:40,400 --> 03:20:41,560 EFFICACY TRIALS. 5136 03:20:41,560 --> 03:20:46,880 SO, THE PC T HAS REALLY BEEN 5137 03:20:46,880 --> 03:20:48,280 ESTABLISHED AS THE ONLY 5138 03:20:48,280 --> 03:20:51,280 AVAILABLE AND HIGHLY ACCURATE 5139 03:20:51,280 --> 03:20:53,200 CONTRACEPTIVE SURROGATE FOR 5140 03:20:53,200 --> 03:20:57,880 THESE BARRIER OR SPERMICIDAL 5141 03:20:57,880 --> 03:20:58,360 PRODUCTS. 5142 03:20:58,360 --> 03:21:00,520 JUST TO GIVE YOU AN IDEA OF THE 5143 03:21:00,520 --> 03:21:01,720 NUMBER OF PARTICIPANTS THAT ARE 5144 03:21:01,720 --> 03:21:04,120 COMPLETED IN THESE STUDIES, AT 5145 03:21:04,120 --> 03:21:10,040 MY CENTER, WE DID A STUDY ON THE 5146 03:21:10,040 --> 03:21:11,640 SILKS NOW KIA DIAPHRAGM, IT WAS 5147 03:21:11,640 --> 03:21:16,080 OVER A PERIOD OF A YEAR, WE 5148 03:21:16,080 --> 03:21:17,360 ENROLLED 27, 18 COUPLES WERE 5149 03:21:17,360 --> 03:21:20,880 DISCONTINUED AND COMMON REASONS 5150 03:21:20,880 --> 03:21:22,880 FOR DISCONTINUATION IS WHEN YOU 5151 03:21:22,880 --> 03:21:28,400 STRESS WOMEN OUT WITH A STUDY 5152 03:21:28,400 --> 03:21:29,960 SOMETIMES THEY'RE ANOVULE ATORY, 5153 03:21:29,960 --> 03:21:33,560 MORE COMMONLY WHEN YOU STRESS 5154 03:21:33,560 --> 03:21:37,000 COUPLES OUT, SO THAT YOU HAVE 5155 03:21:37,000 --> 03:21:39,000 TIMED INTERCOURSE AT 3 AMIN THE 5156 03:21:39,000 --> 03:21:41,320 MORNING AND THEN COME INTO THE 5157 03:21:41,320 --> 03:21:43,760 CLINIC AND A LOT OF TIMES 5158 03:21:43,760 --> 03:21:45,440 PARTNERS DON'T PERFORM AND THEN 5159 03:21:45,440 --> 03:21:47,480 THERE'S NOT ENOUGH SPERM AT THE 5160 03:21:47,480 --> 03:21:50,000 BASE LINE CYCLE, SO WE HAD 9 5161 03:21:50,000 --> 03:21:52,200 COUPLES WHO COMPLETED IN 1 5162 03:21:52,200 --> 03:21:59,120 YEAR'S TIME AT 2 CENTERS, 5163 03:21:59,120 --> 03:22:00,600 [INDISCERNIBLE] BIOSCIENCE 5164 03:22:00,600 --> 03:22:02,480 RECENTLY PUBLISHED THE RESULTS 5165 03:22:02,480 --> 03:22:03,720 OF THEIR COMBINED PC T AND 5166 03:22:03,720 --> 03:22:04,120 SAFETY STUDY. 5167 03:22:04,120 --> 03:22:06,400 THIS WAS MORE COMPLICATED THAN 5168 03:22:06,400 --> 03:22:12,040 JUST A PC T STUDY, THEY HAD 6 5169 03:22:12,040 --> 03:22:13,640 U.S. SITES, 5 SITES INCLUDING 5170 03:22:13,640 --> 03:22:16,960 OURS WERE PART OF THE NICHD 5171 03:22:16,960 --> 03:22:17,760 CONTRACEPTIVE TRIALS NETWORK AND 5172 03:22:17,760 --> 03:22:22,440 OVER A SPAN OF TBO AND HALF 5173 03:22:22,440 --> 03:22:24,480 YEARS 26 COUPLES WERE COMPLETED 5174 03:22:24,480 --> 03:22:28,120 AT 6 SITES. 5175 03:22:28,120 --> 03:22:30,480 SO, HOW MANY PEOPLE DO HAVE YOU 5176 03:22:30,480 --> 03:22:31,800 HAVE COMPLETE A PC T STUDY TO 5177 03:22:31,800 --> 03:22:36,680 MOVE FORWARD TO AN EFFICACY 5178 03:22:36,680 --> 03:22:37,560 STUDY, IT'S SURPRISINGLY NOT AS 5179 03:22:37,560 --> 03:22:39,920 MANY AS WHAT I WOULD THINK AND I 5180 03:22:39,920 --> 03:22:42,920 DON'T THINK THERE'S LIKE AN FDA 5181 03:22:42,920 --> 03:22:43,640 BENCHMARK. 5182 03:22:43,640 --> 03:22:45,400 I HAVEN'T SEEN 1 AND I'VE BEEN 5183 03:22:45,400 --> 03:22:47,600 INVOLVED IN A FEW PC T STUDIES. 5184 03:22:47,600 --> 03:22:53,080 SO OUR STUDY, THAT WE DID WITH 5185 03:22:53,080 --> 03:22:56,280 THE NICHD, P50 FUNDING AS A 5186 03:22:56,280 --> 03:22:58,360 SUBAWARDEE, WE HAD 23 5187 03:22:58,360 --> 03:22:59,200 SCREENINGS, ABOUT 1-2 PERMONTH 5188 03:22:59,200 --> 03:23:01,600 WHICH IS PRETTY NORMAL FOR OUR 5189 03:23:01,600 --> 03:23:04,560 SITE, WE HAD 3 SCREEN FAILS, WE 5190 03:23:04,560 --> 03:23:09,880 HAD 20 COUPLES THAT ENROLLED AND 5191 03:23:09,880 --> 03:23:10,320 LISTEN DISCONTINUED. 5192 03:23:10,320 --> 03:23:13,120 WE HAD 3 DISCONTINUED BECAUSE 5193 03:23:13,120 --> 03:23:14,360 THEY DID NOT--THE MALE PARTNER 5194 03:23:14,360 --> 03:23:16,400 DID NOT HAVE ENOUGH 5195 03:23:16,400 --> 03:23:18,000 PROGRESSIVELY MOTAL SPERM AT THE 5196 03:23:18,000 --> 03:23:20,400 BASE LINE CYCLE, AND THEN WE HAD 5197 03:23:20,400 --> 03:23:25,200 2 WOMEN WHO WERE ANOVULEATORY 5198 03:23:25,200 --> 03:23:27,120 BUT FOR THIS STUDY WE HAD A LOT 5199 03:23:27,120 --> 03:23:31,240 MORE KIND OF SOCIAL ISSUES OR 5200 03:23:31,240 --> 03:23:32,280 SCHEDULES ISSUES AND I THINK 5201 03:23:32,280 --> 03:23:33,880 THIS IS BECAUSE THE STUDY WAS 5202 03:23:33,880 --> 03:23:37,040 REALLY CONDUCTED IN A YEAR THAT 5203 03:23:37,040 --> 03:23:40,000 COVID WAS A BIG ISSUE, WE WERE 5204 03:23:40,000 --> 03:23:41,720 STILL ABLE TO COMPLETE 8 COUPLES 5205 03:23:41,720 --> 03:23:44,400 IN THE SPAN OF A YEAR. 5206 03:23:44,400 --> 03:23:47,760 OUR TOP LINE DATA, THE PRIMARY 5207 03:23:47,760 --> 03:23:49,880 END POINT IS DEMONSTRATED HERE. 5208 03:23:49,880 --> 03:23:53,560 WE CAN SEE IN THE NO PRODUCT 5209 03:23:53,560 --> 03:23:56,360 BASE LINE CYCLE, ALL 8 5210 03:23:56,360 --> 03:23:59,600 PARTICIPANTS HAD MORE THAN 5 5211 03:23:59,600 --> 03:24:01,840 PROGRESSIVELY MODAL SPERM FOR 5212 03:24:01,840 --> 03:24:04,080 HIGH POWERED FIELD, AVERAGED 5213 03:24:04,080 --> 03:24:05,560 OVER 9 HIGH POWERED FIELDS, 5214 03:24:05,560 --> 03:24:07,960 DURING THE USE OF THE FILM AND 5215 03:24:07,960 --> 03:24:09,800 WE HAD PARTICIPANTS INSERT THE 5216 03:24:09,800 --> 03:24:16,760 FILM ABOUT 30 MINUTES BEFORE 5217 03:24:16,760 --> 03:24:17,600 INTERCOURSE NO PARTICIPANT HAD 5218 03:24:17,600 --> 03:24:19,600 MORE THAN 5 PROGRESSIVELY MODAL 5219 03:24:19,600 --> 03:24:23,600 SPERM AND IN FACT, THE AVERAGE 5220 03:24:23,600 --> 03:24:24,400 WAS LESS THAN 1. 5221 03:24:24,400 --> 03:24:27,200 WE ALSO LOOKED BACK, TOM MUNCH 5222 03:24:27,200 --> 03:24:30,040 DID A REVIEW WHERE WE LOOK BACK 5223 03:24:30,040 --> 03:24:31,040 AT RECENT VAGINAL SPERMICIDE 5224 03:24:31,040 --> 03:24:32,720 TRIALS AND MOST OF THE TRIALS 5225 03:24:32,720 --> 03:24:36,600 ARE IN THE LESS THAN 1 RANGE 5226 03:24:36,600 --> 03:24:38,200 ALTHOUGH AGAIN THE CURRENT 5227 03:24:38,200 --> 03:24:42,240 BENCHMARK IS LESS THAN 5. 5228 03:24:42,240 --> 03:24:45,680 AND THEN IN THIS STUDY WAS 5229 03:24:45,680 --> 03:24:47,200 RECOMMENDED BY OUR SCIENTIFIC 5230 03:24:47,200 --> 03:24:51,760 ADVISORY BOARD WE HAD THE 5231 03:24:51,760 --> 03:24:53,600 PARTICIPANTS DO A THIRD PC T 5232 03:24:53,600 --> 03:24:54,760 CYCLE WITHOUT PRODUCT USE AND WE 5233 03:24:54,760 --> 03:24:57,280 WANTED TO MAKE SURE THAT THERE 5234 03:24:57,280 --> 03:24:59,480 WERE NO LINGERING ANTISPERM 5235 03:24:59,480 --> 03:25:00,200 ANTIBODIES, WE THOUGHT THE 5236 03:25:00,200 --> 03:25:01,840 POSSIBILITY OF THAT WAS VERY 5237 03:25:01,840 --> 03:25:05,360 REMOTE BUT WE DID DEMONSTRATE 5238 03:25:05,360 --> 03:25:08,480 NORMAL RETURN OF CERVICAL MUCUS 5239 03:25:08,480 --> 03:25:11,880 IS PROGRESSIVELY MODAL SPERM 5240 03:25:11,880 --> 03:25:15,120 INTERACTION AFTER PRODUCT USE. 5241 03:25:15,120 --> 03:25:18,200 SO SOME OF OUR SAFETY AND 5242 03:25:18,200 --> 03:25:21,880 ACCEPTABILITY DATA, THIS WAS A 5243 03:25:21,880 --> 03:25:23,760 SINGLE USE WITH 8 COUPLES BUT WE 5244 03:25:23,760 --> 03:25:27,560 HAD NO PRODUCT OR PROCEDURE 5245 03:25:27,560 --> 03:25:29,200 RELATED ADVERSE EVENTS. 5246 03:25:29,200 --> 03:25:32,840 WE DID HAVE 1 COUPLE THAT 5247 03:25:32,840 --> 03:25:33,520 NEEDED--SHE HAD INSERTED THE 5248 03:25:33,520 --> 03:25:36,320 FILM AND THEN THEY WERE NOT ABLE 5249 03:25:36,320 --> 03:25:39,240 TO HAVE INTERCOURSE SO HAD TO 5250 03:25:39,240 --> 03:25:40,640 FILE A PROTOCOL AMENDMENT TO 5251 03:25:40,640 --> 03:25:44,400 ALLOW HER TO DO A SECOND FILM 5252 03:25:44,400 --> 03:25:44,680 INSERTION. 5253 03:25:44,680 --> 03:25:46,960 WE ASSESS THE ACCEPTABILITY IN 5254 03:25:46,960 --> 03:25:50,320 BOTH OUR FEMALE PARTICIPANT AND 5255 03:25:50,320 --> 03:25:51,600 HER MALE PARTNER. 5256 03:25:51,600 --> 03:25:54,320 WE QUERIED THE MALE DIRECTLY 5257 03:25:54,320 --> 03:25:56,440 ABOUT ACCEPTABILITY AND ABOUT 5258 03:25:56,440 --> 03:25:57,720 ADVERSE EVENTS. 5259 03:25:57,720 --> 03:26:01,720 YOU KNOW ULTIMATELY, THESE ARE 5260 03:26:01,720 --> 03:26:04,400 NOT THE ULTIMATE END USERS OF 5261 03:26:04,400 --> 03:26:04,720 THIS PRODUCT. 5262 03:26:04,720 --> 03:26:06,320 THESE WOMEN HAVE THEIR DIEWBS 5263 03:26:06,320 --> 03:26:08,080 TIDE SO THESE PHASE 1 STUDIES 5264 03:26:08,080 --> 03:26:12,160 ARE A REALLY GOOD OPPORTUNITY TO 5265 03:26:12,160 --> 03:26:13,160 FIND ABSOLUTELY UNACCEPTABLE 5266 03:26:13,160 --> 03:26:14,200 CHARACTERISTICS THAT NO 1 WOULD 5267 03:26:14,200 --> 03:26:15,880 WANT AND WE CERTAINLY DID NOT 5268 03:26:15,880 --> 03:26:19,560 FIND ANY OF THOSE IN THIS STUDY, 5269 03:26:19,560 --> 03:26:21,680 SOME OF THE COUPLES HAD ISSUES 5270 03:26:21,680 --> 03:26:24,320 WITH THE FILM STICKING TO THEIR 5271 03:26:24,320 --> 03:26:26,280 FINGER, THIS IS COMMONLY KNOWN 5272 03:26:26,280 --> 03:26:34,560 WITH OTHER VAGINAL FILM 5273 03:26:34,560 --> 03:26:35,040 PRODUCTS. 5274 03:26:35,040 --> 03:26:37,480 SO IN CONCLUSION OUR FIRST 5275 03:26:37,480 --> 03:26:39,400 IN-WOMAN STUDY OF THE ZB06 EABT 5276 03:26:39,400 --> 03:26:43,640 BODY FILM MET THE PC T BENCHMARK 5277 03:26:43,640 --> 03:26:45,520 FOR EXCLUDING PROGRESSIVELY 5278 03:26:45,520 --> 03:26:49,040 MODAL SPERM FROM OVULE ATORY 5279 03:26:49,040 --> 03:26:50,840 CERVICAL MUCUS, A SINGLE DOSE 5280 03:26:50,840 --> 03:26:52,440 PARTICIPANT, 1 PERSON HAD 2 5281 03:26:52,440 --> 03:26:53,880 EXPOSURES, WAS SAFE AND WELL 5282 03:26:53,880 --> 03:26:55,600 TOLERATED AMONG OUR FEMALE 5283 03:26:55,600 --> 03:26:56,880 PARTICIPANT AND THEIR MALE 5284 03:26:56,880 --> 03:26:57,840 PATHWAY GIVES NETHERLANDS ANDS. 5285 03:26:57,840 --> 03:27:01,160 I JUST WANT TO SHOW YOU THE 5286 03:27:01,160 --> 03:27:05,400 TEAM, WE, YOU KNOW DO A LOT OF 5287 03:27:05,400 --> 03:27:11,520 SAMPLING FOR SAFETY, PK AND PC T 5288 03:27:11,520 --> 03:27:12,360 END POINTS. 5289 03:27:12,360 --> 03:27:14,120 THIS IS MY NURSE MANAGER, 5290 03:27:14,120 --> 03:27:15,680 RETIRED NAVY, SO WE WERE WORKING 5291 03:27:15,680 --> 03:27:20,280 AS A TEAM THERE. 5292 03:27:20,280 --> 03:27:26,320 AND WEHAVE AN ANDROLOGIST, WHO 5293 03:27:26,320 --> 03:27:28,320 LOOKS AT THE SPERM AND THIS IS 5294 03:27:28,320 --> 03:27:30,640 HER WITH HER COVID MASK AND I 5295 03:27:30,640 --> 03:27:33,120 WOULD ALSO LIKE TO ACKNOWLEDGE 5296 03:27:33,120 --> 03:27:35,440 OUR FUNDERS OF NICHD, THIS IS A 5297 03:27:35,440 --> 03:27:37,200 PARTICIPANT LOOKING AT HER 5298 03:27:37,200 --> 03:27:38,840 CERVICAL MUCUS, THE AWARD WENT 5299 03:27:38,840 --> 03:27:40,640 TO BOSTON UNIVERSITY, DEBORAH 5300 03:27:40,640 --> 03:27:45,400 ANDERSON WAS THE PI AND 5301 03:27:45,400 --> 03:27:49,760 ZAB BIODID THE DEVELOPMENT AND 5302 03:27:49,760 --> 03:27:50,080 I& D FILINGS. 5303 03:27:50,080 --> 03:27:51,040 I DON'T KNOW HOW YOU NORMALLY 5304 03:27:51,040 --> 03:27:52,880 CONDUCT THIS BUT I CAN EITHER 5305 03:27:52,880 --> 03:27:54,800 ANSWER QUESTIONS OR IF YOU WANT 5306 03:27:54,800 --> 03:27:59,400 TO HAVE THE INTERVIEW WITH OUR 5307 03:27:59,400 --> 03:28:00,080 PARTICIPANT. 5308 03:28:00,080 --> 03:28:00,720 EMPLOY >> MICKEY: WELL, FIRST 5309 03:28:00,720 --> 03:28:04,040 OF ALL THANK YOU ANNIE, FOR SUCH 5310 03:28:04,040 --> 03:28:05,320 A GREAT PRESENTATION AND THIS IS 5311 03:28:05,320 --> 03:28:06,520 AN AREA WE HAVEN'T HEARD A LOT 5312 03:28:06,520 --> 03:28:08,520 ABOUT IN THE LAST FEW COUNCIL 5313 03:28:08,520 --> 03:28:10,720 MEETINGS SO IT'S VERY EXCITING 5314 03:28:10,720 --> 03:28:12,400 THINK ABOUT THESE CONTRACEPTIVE 5315 03:28:12,400 --> 03:28:14,240 ALTERNATIVES WHICH ARE CLEARLY 5316 03:28:14,240 --> 03:28:15,040 IMPORTANT IN TODAY'S 5317 03:28:15,040 --> 03:28:15,560 ENVIRONMENT. 5318 03:28:15,560 --> 03:28:19,960 I THINK LET'S TAKE A FEW 5319 03:28:19,960 --> 03:28:21,640 QUESTIONS WHILE THE MATERIAL IS 5320 03:28:21,640 --> 03:28:24,760 TOP OF MIND AND THEN WE WILL END 5321 03:28:24,760 --> 03:28:27,800 THE SESSION WITH YOUR INTERVIEW 5322 03:28:27,800 --> 03:28:28,440 WITH YOUR PARTICIPANT. 5323 03:28:28,440 --> 03:28:30,040 WE WILL HAVE CLOSING THOUGHTS 5324 03:28:30,040 --> 03:28:40,480 BUT WE ARE DOING WELL WITH 5325 03:28:42,640 --> 03:28:43,200 TIMING. 5326 03:28:43,200 --> 03:28:43,840 SO, QUESTIONS? 5327 03:28:43,840 --> 03:28:47,040 SO LET ME JUST, I'M JUST CURIOUS 5328 03:28:47,040 --> 03:28:49,400 ARE PARTICIPANTS REIMBURSED FOR 5329 03:28:49,400 --> 03:28:49,800 PARTICIPATING? 5330 03:28:49,800 --> 03:28:57,400 >> YES, YEAH AND I THINK IT'S 5331 03:28:57,400 --> 03:28:59,560 JUST SHOWING YOU GUYS HOW MANY 5332 03:28:59,560 --> 03:29:02,680 PATIENTS WE CONSENT AND ENROLL 5333 03:29:02,680 --> 03:29:04,640 AND ULTIMATELY COMPLETE, I MEAN, 5334 03:29:04,640 --> 03:29:05,760 YOU KNOW THESE ARE REALLY 5335 03:29:05,760 --> 03:29:06,840 DIFFICULT STUDIES BECAUSE NOT 5336 03:29:06,840 --> 03:29:08,680 ONLY DO YOU HAVE TO COORDINATE 5337 03:29:08,680 --> 03:29:10,880 YOUR ACTIVITIES AS THE 5338 03:29:10,880 --> 03:29:13,480 PARTICIPANT BUT YOU HAVE TO YOU 5339 03:29:13,480 --> 03:29:14,760 KNOW COORDINATE YOUR MALE 5340 03:29:14,760 --> 03:29:20,000 PARTNER, YOU KNOW MOST OF OUR 5341 03:29:20,000 --> 03:29:20,760 PATIENTS ARE FULL-TIME EMPLOYED, 5342 03:29:20,760 --> 03:29:22,400 THEY HAVE CHILDREN, THIS WAS 5343 03:29:22,400 --> 03:29:23,440 OVER COVID, YOU KNOW WHEN THEY 5344 03:29:23,440 --> 03:29:26,920 WERE TRYING TO DO, VIRTUAL 5345 03:29:26,920 --> 03:29:29,840 SCHOOLING, SO, ALTHOUGH THE 5346 03:29:29,840 --> 03:29:31,360 VISITS ARE NOT THAT LONG AND WE 5347 03:29:31,360 --> 03:29:34,240 DO A REALLY GOOD JOB OF 5348 03:29:34,240 --> 03:29:36,000 RESPECTING OUR PARTICIPANTS 5349 03:29:36,000 --> 03:29:38,520 TIME, YOU KNOW OVULATIONS CAN 5350 03:29:38,520 --> 03:29:40,040 CONSIDER ON WEEKENDS, HOLIDAYS, 5351 03:29:40,040 --> 03:29:41,920 CAN OCCUR WHEN YOU'RE KID IS, 5352 03:29:41,920 --> 03:29:43,320 YOU KNOW SENT HOME FOR COVID, 5353 03:29:43,320 --> 03:29:47,920 YOU KNOW SO IT'S JUST--I THINK 5354 03:29:47,920 --> 03:29:48,560 IT'S REALLY LOGISTICALLY 5355 03:29:48,560 --> 03:29:51,360 DIFFICULT AND WE DO, WE IN 5356 03:29:51,360 --> 03:29:53,440 GENERAL WE REIMBURSE THEM ABOUT 5357 03:29:53,440 --> 03:29:56,200 $75 FOR A CERVICAL MUCUS CHECK 5358 03:29:56,200 --> 03:30:01,360 AND WE REIMBURSE THEM $150 FOR A 5359 03:30:01,360 --> 03:30:02,760 PC T VISIT. 5360 03:30:02,760 --> 03:30:06,160 BECAUSE THEY HAVE TO ABSTAIN 5361 03:30:06,160 --> 03:30:07,600 FROM INTERCOURSE, THEY HAVE TO 5362 03:30:07,600 --> 03:30:08,560 BE CHECKING THEIR URINE AT HOME 5363 03:30:08,560 --> 03:30:11,120 AND THIS IS A NAVY TOWN HERE SO 5364 03:30:11,120 --> 03:30:12,680 PEOPLE WERE CRAZY SHIFTS SO WE 5365 03:30:12,680 --> 03:30:14,800 HAD A LOTTED OF PATIENTS WHOSE 5366 03:30:14,800 --> 03:30:18,960 PARTNERS WORKED THE NIGHT SHIFT, 5367 03:30:18,960 --> 03:30:20,640 SO, ANYWAY, WE DO REIMBURSE 5368 03:30:20,640 --> 03:30:24,240 THEM, PROBABLY NOT ENOUGH. 5369 03:30:24,240 --> 03:30:25,560 ONE OTHER THING I WANT TO SAY 5370 03:30:25,560 --> 03:30:27,920 AND I THINK YOU WILL GET THIS A 5371 03:30:27,920 --> 03:30:30,280 BIT FROM OUR PARTICIPANT, YOU 5372 03:30:30,280 --> 03:30:32,360 KNOW THESE WOMEN HAVE NO NEED 5373 03:30:32,360 --> 03:30:32,880 FOR THIS PRODUCT, RIGHT? 5374 03:30:32,880 --> 03:30:34,920 THEY HAD THEIR TUBES TIED, 5375 03:30:34,920 --> 03:30:37,760 THEY'RE IN SUPPORTIVE 5376 03:30:37,760 --> 03:30:39,080 RELATIONSHIPS WITH MALE PARTNERS 5377 03:30:39,080 --> 03:30:42,080 THAT WILL VOLUNTEER FOR STUDIES, 5378 03:30:42,080 --> 03:30:43,640 SO, THERE'S NOT A LOT IN IT FOR 5379 03:30:43,640 --> 03:30:47,760 THEM IN TERMS OF FUTURE 5380 03:30:47,760 --> 03:30:50,520 PRODUCTS, BUT I THINK THEY PUT 5381 03:30:50,520 --> 03:30:54,000 UP WITH THESE INCONVENIENCES 5382 03:30:54,000 --> 03:30:56,120 BECAUSE THEY BELIEVE THAT WOMEN 5383 03:30:56,120 --> 03:30:56,840 NEED OPTIONS, COUPLES NEED 5384 03:30:56,840 --> 03:31:00,080 OPTIONS AND I THINK THAT THAT'S 5385 03:31:00,080 --> 03:31:01,480 WHAT I LOVE ABOUT OUR 5386 03:31:01,480 --> 03:31:02,600 PARTICIPANTS AND THAT'S MEN AND 5387 03:31:02,600 --> 03:31:06,440 WOMEN I LOVE ABOUT CLINICAL 5388 03:31:06,440 --> 03:31:06,720 RESEARCH. 5389 03:31:06,720 --> 03:31:07,120 >> THAT'S GREAT. 5390 03:31:07,120 --> 03:31:08,520 WELL YOU'RE GETTING POSITIVE 5391 03:31:08,520 --> 03:31:09,720 COMMENTS IN THE CHAT BOX BUT 5392 03:31:09,720 --> 03:31:11,280 LET'S GO TO MELISSA MILLER WHO 5393 03:31:11,280 --> 03:31:12,520 HAS HER HAND UP. 5394 03:31:12,520 --> 03:31:14,440 >> YEAH, SURE, THANK YOU AND 5395 03:31:14,440 --> 03:31:16,880 ANNIE IS THIS IS JUST FANTASTIC, 5396 03:31:16,880 --> 03:31:18,800 BACK IN THE DAY WHEN I WAS DOING 5397 03:31:18,800 --> 03:31:20,720 RESEARCH, I WAS IN CONTRACEPT 5398 03:31:20,720 --> 03:31:21,520 DEVELOPMENT SO HEARING ABOUT 5399 03:31:21,520 --> 03:31:30,040 THIS IS JUST FANTASTIC. 5400 03:31:30,040 --> 03:31:33,320 BUT MY QUESTION TO YOU IS 5401 03:31:33,320 --> 03:31:34,920 HOW--THAT 30 MINUTE WINDOW 5402 03:31:34,920 --> 03:31:37,000 BETWEEN INSERTION AND 5403 03:31:37,000 --> 03:31:38,240 INTERCOURSE AND HOW REREALISTIC 5404 03:31:38,240 --> 03:31:40,280 YOU THINK THAT IS OR HOW 5405 03:31:40,280 --> 03:31:41,760 NECESSARY YOU THINK THAT 30 5406 03:31:41,760 --> 03:31:44,320 MINUTE TIME WINDOW IS? 5407 03:31:44,320 --> 03:31:45,800 >> RIGHT, SO, OUR TEAM HAS 5408 03:31:45,800 --> 03:31:50,520 THOUGHT A LOT ABOUT THIS, THE 5409 03:31:50,520 --> 03:31:51,360 VAGINAL CONTRACEPTIVE AND 9 5410 03:31:51,360 --> 03:31:55,840 FILM, THE LABELING IS 15 MINUTES 5411 03:31:55,840 --> 03:31:56,280 BEFORE INTERCOWERS. 5412 03:31:56,280 --> 03:32:00,840 WE ACTUALLY HAD A FEW PATIENTS 5413 03:32:00,840 --> 03:32:01,480 IN OUR ACCEPTABILITY 5414 03:32:01,480 --> 03:32:04,040 QUESTIONNAIRE SAY THEY THOUGHT 5415 03:32:04,040 --> 03:32:05,920 MAYBE 30 WAS A BIT TOO LONG SO 5416 03:32:05,920 --> 03:32:10,040 WE ACTUALLY FOR FUTURE STUDIES, 5417 03:32:10,040 --> 03:32:15,480 WE HAVE PLANNED THAT WE'RE GOING 5418 03:32:15,480 --> 03:32:16,840 TO ASSESS DISSOLVABILITY OF THE 5419 03:32:16,840 --> 03:32:18,520 FILM AT LIKE ANYWHERE FROM 15 5420 03:32:18,520 --> 03:32:21,480 MINUTES AND WE'RE ALSO GOING TO 5421 03:32:21,480 --> 03:32:24,320 ASSESS PK, UP TO LIKE MAYBE 4 OR 5422 03:32:24,320 --> 03:32:27,880 8 HOURS AFTER INSERTION, BECAUSE 5423 03:32:27,880 --> 03:32:29,280 YOU KNOW AUTOSUPER IMPORTANT 5424 03:32:29,280 --> 03:32:32,840 THAT THESE PRODUCTS FIT INTO AN 5425 03:32:32,840 --> 03:32:35,480 END USER'S LIFESTYLE, SO THERE 5426 03:32:35,480 --> 03:32:37,160 MIGHT BE SOMEBODY WHO YOU KNOW A 5427 03:32:37,160 --> 03:32:38,840 WOMAN IS GOING OUT ON A DATE, 5428 03:32:38,840 --> 03:32:40,160 THINKS SHE'S GOING TO HAVE SEX 5429 03:32:40,160 --> 03:32:43,800 THAT NIGHT SO COULD SHE PUT THE 5430 03:32:43,800 --> 03:32:46,440 FILM IN AND WOULD THERE BE 5431 03:32:46,440 --> 03:32:47,840 ENOUGH ANTIBODY PRESENT 8 HOURS 5432 03:32:47,840 --> 03:32:50,560 LATER, WE THINK FROM THE MB66 5433 03:32:50,560 --> 03:32:54,280 STUDIES, THAT THERE WILL BE AND 5434 03:32:54,280 --> 03:32:55,040 REMEMBER, WE--OH I DIDN'T 5435 03:32:55,040 --> 03:32:57,040 MENTION THIS, WE NOT ONLY DID 5436 03:32:57,040 --> 03:32:59,040 THE PC T VISIT BUT WE HAD THE 5437 03:32:59,040 --> 03:33:00,520 PATIENTS COME BACK 24 HOURS 5438 03:33:00,520 --> 03:33:03,480 LATER AND WE DID SOME LIKE PK 5439 03:33:03,480 --> 03:33:05,920 SAMPLING, SO WE WILL HAVE THAT 5440 03:33:05,920 --> 03:33:08,280 DATA FROM THIS, BUT WE'RE 5441 03:33:08,280 --> 03:33:08,960 GOING--WE KNOW THAT IT'S 5442 03:33:08,960 --> 03:33:11,760 IMPORTANT TO GIVE PEOPLE A RANGE 5443 03:33:11,760 --> 03:33:13,480 OF TIMES WITH USE AND SO WE ARE 5444 03:33:13,480 --> 03:33:15,560 GOING TO TEST THAT IN FUTURE 5445 03:33:15,560 --> 03:33:18,520 STUDIES. 5446 03:33:18,520 --> 03:33:21,480 YEAH, FOR SURE. 5447 03:33:21,480 --> 03:33:21,840 >> EXCELLENT. 5448 03:33:21,840 --> 03:33:22,840 THANK YOU. 5449 03:33:22,840 --> 03:33:24,240 DR. GENERATED VEEF FEEL PERRY IS 5450 03:33:24,240 --> 03:33:24,840 RAISING HER HAND. 5451 03:33:24,840 --> 03:33:29,080 CAN YOU COME ON VIDEO? 5452 03:33:29,080 --> 03:33:30,000 >> I'M TRYING. 5453 03:33:30,000 --> 03:33:32,040 THERE YOU ARE, THAIRNG YOU SO 5454 03:33:32,040 --> 03:33:33,600 MUCH FOR THE WONDERFUL TALK, I 5455 03:33:33,600 --> 03:33:34,920 APOLOGIZE BUT I LOST CONNECTION 5456 03:33:34,920 --> 03:33:36,320 FOR A MOMENT AND WHAT I WANTED 5457 03:33:36,320 --> 03:33:38,800 TO KNOW WAS JUST IN TERMS OF 5458 03:33:38,800 --> 03:33:42,240 SIDE EVENS AND WHAT I DIDN'T 5459 03:33:42,240 --> 03:33:46,000 CATCH IS REVERSIBILITY? 5460 03:33:46,000 --> 03:33:46,840 IS THIS REVERSIBLE? 5461 03:33:46,840 --> 03:33:49,640 >> YEAH, SURE SO IN TERMS OF 5462 03:33:49,640 --> 03:33:50,800 SIDE EFFECTS, WE--LIKE ANY 5463 03:33:50,800 --> 03:33:54,160 RESEARCH STUDY, WE QUERY THE 5464 03:33:54,160 --> 03:33:56,360 FEMALE PARTICIPANTS, YOU KNOW AT 5465 03:33:56,360 --> 03:33:56,920 EVERY VISIT. 5466 03:33:56,920 --> 03:34:06,520 WE HAD THE FEMALES, REPORT ABOUT 5467 03:34:06,520 --> 03:34:07,200 MALE GENITO-URNANNYAD VERSE 5468 03:34:07,200 --> 03:34:08,440 EVENTS ABOUT YOU WE CALLED HIM 5469 03:34:08,440 --> 03:34:13,360 DIRECTLY AND ASKED HIM ABOUT 5470 03:34:13,360 --> 03:34:14,920 GENITO-URINARY ADVERSE EVENTS 5471 03:34:14,920 --> 03:34:16,440 ABOUT 24-72 HOURS AFTER EXPOSURE 5472 03:34:16,440 --> 03:34:19,440 TO THE STUDY PRODUCT, OKAY, SO, 5473 03:34:19,440 --> 03:34:22,480 AND WE DID NOT HAVE ANY PROD 5474 03:34:22,480 --> 03:34:26,760 YOUUCT OR PROCEDURE RELATED 5475 03:34:26,760 --> 03:34:28,520 ADVERSE EVENTS. 5476 03:34:28,520 --> 03:34:29,880 I THINK THE BIG TAKE HOME 5477 03:34:29,880 --> 03:34:32,120 MESSAGE IS NOT ONLY DID WE NOT 5478 03:34:32,120 --> 03:34:34,440 HAVE ADVERSE EVENTS BUT PEOPLE 5479 03:34:34,440 --> 03:34:35,600 JUST--LIKE THE MEN DIDN'T KNOW 5480 03:34:35,600 --> 03:34:36,280 IT WAS THERE. 5481 03:34:36,280 --> 03:34:38,880 THE WOMEN DIDN'T KNOW IT WAS 5482 03:34:38,880 --> 03:34:39,080 THERE. 5483 03:34:39,080 --> 03:34:41,160 IT WAS 1 EXPOSURE, BUT YOU KNOW 5484 03:34:41,160 --> 03:34:45,880 WE DID NOT HAVE ANY PROBLEMS. 5485 03:34:45,880 --> 03:34:53,760 AND THEN YOU ALSO ASKED ABOUT 5486 03:34:53,760 --> 03:34:55,400 REVERSIBILITY, YEAH, SO I 5487 03:34:55,400 --> 03:34:56,560 BROUGHT THIS UP. 5488 03:34:56,560 --> 03:34:58,800 THEY WERE ORIGINALLY GOING TO DO 5489 03:34:58,800 --> 03:35:03,320 A SAFETY STUDY AT ANOTHER CENTER 5490 03:35:03,320 --> 03:35:05,240 IN WOMEN WHO WERE JUST NOT AT 5491 03:35:05,240 --> 03:35:06,880 RISK OF PREGNANCY, THEY WERE ON 5492 03:35:06,880 --> 03:35:08,040 CONTRACEPTION, ABOUT YOU IT CAME 5493 03:35:08,040 --> 03:35:10,880 UP AT OUR SCIENTIFIC ADVISORY 5494 03:35:10,880 --> 03:35:12,880 BOARD, LIKE, LYOU DON'T WANT TO 5495 03:35:12,880 --> 03:35:14,240 EXPOSE WOMEN WHO MAY WANT TO 5496 03:35:14,240 --> 03:35:16,880 HAVE A BABY IN THE FUTURE TO 5497 03:35:16,880 --> 03:35:18,640 A--TO AN ANTISPERM ANTIBODY, 5498 03:35:18,640 --> 03:35:20,520 WHAT IF, EVEN THOUGH WE THOUGHT 5499 03:35:20,520 --> 03:35:23,000 THE CHANCE WAS VERY REMOTE AND 5500 03:35:23,000 --> 03:35:26,360 OUR PAST DAT - MB66 REPORT THAT, 5501 03:35:26,360 --> 03:35:28,280 THEN IT IS ABSOLUTELY 5502 03:35:28,280 --> 03:35:29,960 REVERSIBLE, IT PROBABLY STAYS IN 5503 03:35:29,960 --> 03:35:32,920 THEIR SYSTEM FOR ABOUT 24 HOURS, 5504 03:35:32,920 --> 03:35:34,800 WE DID TEST THE REVERSIBILITY, 5505 03:35:34,800 --> 03:35:37,160 WE HAD THEM, YOU KNOW THEY USED 5506 03:35:37,160 --> 03:35:38,600 PRODUCT IN 1 CYCLE AND THEN WE 5507 03:35:38,600 --> 03:35:42,080 HAD THEM DO A PC T CYCLE A MONTH 5508 03:35:42,080 --> 03:35:45,760 LATER AND WE DEMONSTRATED, YOU 5509 03:35:45,760 --> 03:35:49,160 KNOW, THEY WERE BACK TO NORMAL 5510 03:35:49,160 --> 03:35:49,920 SPERM CERVICAL MUCUS INTERACTION 5511 03:35:49,920 --> 03:35:53,920 SO THIS IS ABSOLUTELY REVERSIBLE 5512 03:35:53,920 --> 03:35:55,120 AND THAT'S SUPER IMPORTANT TO 5513 03:35:55,120 --> 03:36:02,160 WOMEN, YOU KNOW, SO DEFINITELY. 5514 03:36:02,160 --> 03:36:02,360 YEAH. 5515 03:36:02,360 --> 03:36:02,840 >> THANK YOU. 5516 03:36:02,840 --> 03:36:05,760 >> OH, GO AHEAD MARTY. 5517 03:36:05,760 --> 03:36:07,280 >> YEAH, DOCTOR, I JUST WANT TO 5518 03:36:07,280 --> 03:36:15,240 SAY THAT THIS WAS REALLY A 5519 03:36:15,240 --> 03:36:15,840 BEAUTIFUL PRESENTATION AND I 5520 03:36:15,840 --> 03:36:20,760 WANT TO THANK YOU OF YOUR STTDS 5521 03:36:20,760 --> 03:36:24,200 AND YOU COULD BE OUT MAKING A 5522 03:36:24,200 --> 03:36:25,920 LOT MORE MONEY THAN DOING THESE 5523 03:36:25,920 --> 03:36:27,560 STUDIES AND I THINK THAT 5524 03:36:27,560 --> 03:36:29,960 EVERYONE SHOULD APPRECIATE YOUR 5525 03:36:29,960 --> 03:36:31,040 INVOLVEMENT, ALL THESE CLINICAL 5526 03:36:31,040 --> 03:36:32,760 STUDIES, NOT ONLY THE 1 YOU 5527 03:36:32,760 --> 03:36:35,480 PRESENTED BUT THE OTHER 1S 5528 03:36:35,480 --> 03:36:36,600 YOU'VE BEEN DOING. 5529 03:36:36,600 --> 03:36:40,000 >> YEAH, I'M A NAVY DOC AND 5530 03:36:40,000 --> 03:36:41,600 ACADEMIC, SO WHAT MOTIVATES ME 5531 03:36:41,600 --> 03:36:46,240 IS DEVELOPING MORE OPTIONS FOR 5532 03:36:46,240 --> 03:36:49,680 COUPLES AND OUR PATIENTS ARE 5533 03:36:49,680 --> 03:36:52,680 WONDERFUL, OUR COLLABORATORS ARE 5534 03:36:52,680 --> 03:36:54,720 WONDERFUL, SO ... YOUR TAX 5535 03:36:54,720 --> 03:37:05,280 DOLLARS PAID FOR ME TO GO TO MED 5536 03:37:06,160 --> 03:37:06,520 SCHOOL. 5537 03:37:06,520 --> 03:37:06,760 YOU'RE. 5538 03:37:06,760 --> 03:37:08,440 >> SO WOULD A WOMAN BE ABLE TO 5539 03:37:08,440 --> 03:37:10,400 CARRY THIS IN HER PURSE AND 5540 03:37:10,400 --> 03:37:11,800 INSERT IT AT THE APPROPRIATE 5541 03:37:11,800 --> 03:37:14,640 TIME AND HOW STABLE IS THE FILMK 5542 03:37:14,640 --> 03:37:16,880 AND THE ANTIBODY? 5543 03:37:16,880 --> 03:37:18,080 >> RIGHT, SO, I CAN ALSO DEFER 5544 03:37:18,080 --> 03:37:24,880 THIS, I DON'T KNOW IF ANY OF MY 5545 03:37:24,880 --> 03:37:26,040 COLLEAGUES FROM ZAB, BIOBUT WE 5546 03:37:26,040 --> 03:37:27,680 DID NOT STORE THESE IN THE 5547 03:37:27,680 --> 03:37:30,120 REFRIGERATOR THEY WERE STORED AT 5548 03:37:30,120 --> 03:37:35,360 ROOM TEMPERATURE, THEY'RE 5549 03:37:35,360 --> 03:37:36,520 PACKAGED IN SEALED FOIL 5550 03:37:36,520 --> 03:37:37,960 PACKAGES, I DO THINK THAT WOULD 5551 03:37:37,960 --> 03:37:39,640 BE IMPORTANT THAT THEY'RE 5552 03:37:39,640 --> 03:37:42,560 DISCREET, YOU KNOW, SO, YES, A 5553 03:37:42,560 --> 03:37:44,160 WOMAN COULD YOU KNOW TAKE THE 5554 03:37:44,160 --> 03:37:45,480 FILM OUT OF THE PACKAGE AND 5555 03:37:45,480 --> 03:37:46,920 INSERT IT AND I THINK THAT'S 5556 03:37:46,920 --> 03:37:49,040 ANOTHER REASON WHY WE WANT TO 5557 03:37:49,040 --> 03:37:53,040 LOOK AT VARIATIONS IN THE TIME 5558 03:37:53,040 --> 03:37:54,440 OF INSERTION TO INTERCOURSE 5559 03:37:54,440 --> 03:37:56,160 BECAUSE, YOU KNOW SOME WOMEN 5560 03:37:56,160 --> 03:37:57,920 WOULD NOT WANT THEIR MALE 5561 03:37:57,920 --> 03:37:59,360 PARTNERS TO KNOW AND MIGHT WANT 5562 03:37:59,360 --> 03:38:03,880 TO INSERT IT HOURS BEFORE 5563 03:38:03,880 --> 03:38:04,320 EXPECTED INTERCOURSE. 5564 03:38:04,320 --> 03:38:07,600 JUST OF NOTE, WE EXAMINED THE 5565 03:38:07,600 --> 03:38:10,720 PATIENT 2-3 HOURS AFTER THEY USE 5566 03:38:10,720 --> 03:38:13,080 THE PRODUCT WITH INTERCOURSE, WE 5567 03:38:13,080 --> 03:38:14,640 NEVER SAW ANY REMNANTS OF FILM 5568 03:38:14,640 --> 03:38:16,720 OR ANYTHING LIKE THAT. 5569 03:38:16,720 --> 03:38:17,640 CERTAINLY WAS DISSOLVED AT THAT 5570 03:38:17,640 --> 03:38:19,400 TIME AND IT WAS--IT WORKED 5571 03:38:19,400 --> 03:38:19,680 RIGHT? 5572 03:38:19,680 --> 03:38:26,040 I MEAN THERE WAS NO MODAL SPERM 5573 03:38:26,040 --> 03:38:26,840 2-3 HOURS LATER. 5574 03:38:26,840 --> 03:38:27,240 >> THAT'S GREAT. 5575 03:38:27,240 --> 03:38:29,320 I THINK WE WILL MOVE ALONG. 5576 03:38:29,320 --> 03:38:31,840 SO FOR THOSE OF YOU WHO ARE 5577 03:38:31,840 --> 03:38:33,280 FAMILIAR, WITH OUR ADVISORY 5578 03:38:33,280 --> 03:38:35,320 COUNCIL MEETINGS, YOU KNOW THAT 5579 03:38:35,320 --> 03:38:37,480 WE REGULARLY FEATURE A SEGMENT 5580 03:38:37,480 --> 03:38:39,400 CALLED THE VOICE OF THE 5581 03:38:39,400 --> 03:38:39,760 PARTICIPANT. 5582 03:38:39,760 --> 03:38:42,800 THIS GIVES US A CHANCE TO HEAR 5583 03:38:42,800 --> 03:38:44,640 FROM THOSE WHO REALLY HAVE THE 5584 03:38:44,640 --> 03:38:47,040 LIVED EXPERIENCE RELATED TO THE 5585 03:38:47,040 --> 03:38:48,840 RESEARCH THAT NICHD FUNDS AND 5586 03:38:48,840 --> 03:38:53,200 THIS YEAR WE'RE VERY GRATEFUL 5587 03:38:53,200 --> 03:38:54,200 BECAUSE DR. THURMAN HAS 5588 03:38:54,200 --> 03:38:56,120 INTERVIEWED 1 OF HER 5589 03:38:56,120 --> 03:38:57,840 PARTICIPANTS MISS TIFFANY WHITE 5590 03:38:57,840 --> 03:39:00,040 WHO HAS KINDLY AGREED TO PROVIDE 5591 03:39:00,040 --> 03:39:03,520 THE INTERVIEW FOR THIS COUNCIL 5592 03:39:03,520 --> 03:39:05,680 MEETING, SO DR. THURMAN COULD 5593 03:39:05,680 --> 03:39:07,280 YOU INTRODUCE MISS WHITE'S ROLE 5594 03:39:07,280 --> 03:39:09,880 IN THE STUDY AND LET US KNOW 5595 03:39:09,880 --> 03:39:14,160 WHEN TO START THE VIDEO. 5596 03:39:14,160 --> 03:39:16,360 >> YEAH, SO, MISS 5597 03:39:16,360 --> 03:39:17,120 WHITE--MESSRS. WHITE WAS A 5598 03:39:17,120 --> 03:39:18,200 PARTICIPANT IN THE STUDY. 5599 03:39:18,200 --> 03:39:20,320 THIS WAS HER FIRST STUDY SHE DID 5600 03:39:20,320 --> 03:39:24,360 WITH US AND SHE'S AN EMPLOYEE AT 5601 03:39:24,360 --> 03:39:25,720 EASTERN VIRGINIA MEDICAL SCHOOL, 5602 03:39:25,720 --> 03:39:31,160 SHE'S ACTUALLY ON VACATION TODAY 5603 03:39:31,160 --> 03:39:34,000 SO WE PRERECORDED OUR INTERVIEW 5604 03:39:34,000 --> 03:39:35,040 BUT SHE--I THINK SHE WILL ANSWER 5605 03:39:35,040 --> 03:39:36,520 A LOT OF YOUR QUESTIONS AND I 5606 03:39:36,520 --> 03:39:38,200 KNOW HER WELL, SO I WOULD BE 5607 03:39:38,200 --> 03:39:39,440 HAPPY TO ANSWER ADDITIONAL 5608 03:39:39,440 --> 03:39:43,880 QUESTIONS ON HER BEHALF. 5609 03:39:43,880 --> 03:39:54,360 I CAN SHARE THE VIDEO IF YOU 5610 03:40:11,120 --> 03:40:11,680 WOULD LIKE. 5611 03:40:11,680 --> 03:40:12,880 ALL RIGHT, HERE WE GO. 5612 03:40:12,880 --> 03:40:20,520 YOU CAN SEE MY SCREEN? 5613 03:40:20,520 --> 03:40:20,960 >> YES. 5614 03:40:20,960 --> 03:40:21,280 >> GREAT. 5615 03:40:21,280 --> 03:40:26,200 I WILL START IT. 5616 03:40:26,200 --> 03:40:34,000 THE SOUND IS MUTED ON THE VIDEO 5617 03:40:34,000 --> 03:40:34,520 HOW'S THAT. 5618 03:40:34,520 --> 03:40:35,960 >> WE CANNOT HEAR THE SOUND ON 5619 03:40:35,960 --> 03:40:36,240 THE VIDEO. 5620 03:40:36,240 --> 03:40:38,720 WOULD YOU LIKE US TO GO AHEAD 5621 03:40:38,720 --> 03:40:39,840 AND SHARE IT. 5622 03:40:39,840 --> 03:40:40,080 >> YES. 5623 03:40:40,080 --> 03:40:46,600 I'M SORRY, I DON'T KNOW WHAT'S 5624 03:40:46,600 --> 03:40:47,680 GOING ON. 5625 03:40:47,680 --> 03:40:49,000 SIEM SORRY, I DON'T KNOW WHY 5626 03:40:49,000 --> 03:40:59,360 IT'S NOT DOING THAT. 5627 03:41:03,400 --> 03:41:06,360 >> HI, I'M ANNIE, THURMAN, THIS 5628 03:41:06,360 --> 03:41:09,640 IS MRS. WRITE, SHE WAS 1 OF THE 5629 03:41:09,640 --> 03:41:10,720 PARTICIPANTS IN OUR P50 TRIAL 5630 03:41:10,720 --> 03:41:12,360 AND WE WERE GOING TO CHITCHAT 5631 03:41:12,360 --> 03:41:13,280 ABOUT HER EXPERIENCE IN THE 5632 03:41:13,280 --> 03:41:22,120 TRIAL AND A LITTLE BIT ABOUT 5633 03:41:22,120 --> 03:41:22,440 HER. 5634 03:41:22,440 --> 03:41:24,440 SO, MRS. WRIGHT TELL THE 5635 03:41:24,440 --> 03:41:26,200 AUDIENCE, TELL ME ABOUT 5636 03:41:26,200 --> 03:41:26,920 YOURSELF. 5637 03:41:26,920 --> 03:41:28,320 >> SO I AM 40 YEARS OLD, 40 5638 03:41:28,320 --> 03:41:31,240 YEARS OLD AND I HAVE 2 KIDS, 5639 03:41:31,240 --> 03:41:33,960 TEENAGER AND A 7 YEAR-OLD, AND I 5640 03:41:33,960 --> 03:41:40,320 WORK HERE WITH EVMS. 5641 03:41:40,320 --> 03:41:42,320 AND YOU QUALIFIED FOR THE TRIAL 5642 03:41:42,320 --> 03:41:43,440 BECAUSE YOU'RE YOUNG AND HEALTHY 5643 03:41:43,440 --> 03:41:45,840 AND YOU HAD YOUR TUBES TIED. 5644 03:41:45,840 --> 03:41:48,560 >> I DID, I HAD THE ESURE 5645 03:41:48,560 --> 03:41:51,600 PROCEDURE DONE RIGHT AFTER MY 5646 03:41:51,600 --> 03:41:54,720 YOUNGEST SON WAS BORN SO ABOUT 7 5647 03:41:54,720 --> 03:42:00,440 YEARS AGO AND REALLY NICE, SILL 5648 03:42:00,440 --> 03:42:01,480 GET MY MENSES, THAT DOESN'T 5649 03:42:01,480 --> 03:42:02,640 AFFECT ME THAT MUCH WHICH WAS 1 5650 03:42:02,640 --> 03:42:04,760 OF THE THINGS THAT ALLOWED ME TO 5651 03:42:04,760 --> 03:42:05,560 DO THE STUDY. 5652 03:42:05,560 --> 03:42:08,440 >> WHAT HAD YOU PREVIOUSLY USED 5653 03:42:08,440 --> 03:42:10,760 FOR BIRTH CONTROL? 5654 03:42:10,760 --> 03:42:13,520 >> I DID THE PATCH, I'VE DONE 5655 03:42:13,520 --> 03:42:17,080 THE PILL, I'VE DONE THE RING, 5656 03:42:17,080 --> 03:42:19,320 I'VE DONE THE SHOT, THE OHM 5657 03:42:19,320 --> 03:42:21,360 THING I HAVEN'T DONE WAS THE 5658 03:42:21,360 --> 03:42:21,520 IUD. 5659 03:42:21,520 --> 03:42:23,800 >> DID YOU EVER DO THE IMPLANT. 5660 03:42:23,800 --> 03:42:24,080 >> NO. 5661 03:42:24,080 --> 03:42:26,360 >> AND SO, WITH THE 1S THAT YOU 5662 03:42:26,360 --> 03:42:30,200 DID IN THE PAST THOSE WERE 5663 03:42:30,200 --> 03:42:31,320 MOSTLY HORMONAL, RIGHT? 5664 03:42:31,320 --> 03:42:34,400 PATCH, PILL, RING AND SHOT THOSE 5665 03:42:34,400 --> 03:42:34,800 ARE ALL HORMONAL. 5666 03:42:34,800 --> 03:42:35,080 >> YEAH. 5667 03:42:35,080 --> 03:42:36,160 >> SO DID YOU HAVE ANY SIDE 5668 03:42:36,160 --> 03:42:39,200 EFFECTS WITH IT, OR DID HAVE YOU 5669 03:42:39,200 --> 03:42:41,160 BENEFITS FROM IT? 5670 03:42:41,160 --> 03:42:43,160 >> YEAH, THEY JUST THROUGH MY 5671 03:42:43,160 --> 03:42:44,680 HORMONES REAL OFF AND MY CYCLES 5672 03:42:44,680 --> 03:42:48,160 WERE OFF AND I DIDN'T LIKE THAT, 5673 03:42:48,160 --> 03:42:49,880 I DIDN'T LIKE JUST THE IMPACT 5674 03:42:49,880 --> 03:42:51,560 THAT THE ADDITIONAL HORMONES HAD 5675 03:42:51,560 --> 03:42:54,440 ON MY BODY BECAUSE IT WOULD 5676 03:42:54,440 --> 03:42:55,960 JUST--YOU'RE OKAY 1 MINUTE AND 5677 03:42:55,960 --> 03:42:58,680 THEN YOU'RE OFF IN LEFT FIELD 5678 03:42:58,680 --> 03:43:00,480 THE NEXT. 5679 03:43:00,480 --> 03:43:00,920 SO ... [LAUGHTER] 5680 03:43:00,920 --> 03:43:04,680 >> AND THEN IN TERMS OF GOING TO 5681 03:43:04,680 --> 03:43:05,360 SOMETHING NONMORMOANAL, YOU 5682 03:43:05,360 --> 03:43:07,400 DECIDED TO GO WITH THE TUBAL 5683 03:43:07,400 --> 03:43:14,760 LIGATION OR THE TUBAL 5684 03:43:14,760 --> 03:43:15,360 STERILIZATION FOR--YOU DIDN'T 5685 03:43:15,360 --> 03:43:18,800 WANT TO BE ON HORMONES BUT THERE 5686 03:43:18,800 --> 03:43:19,960 ARE OTHER NONHORMONAL OPTIONS 5687 03:43:19,960 --> 03:43:22,160 LIKE A COPPER IUD OR CONDOMS, 5688 03:43:22,160 --> 03:43:24,080 STUFF LIKE THAT, SO HAD YOU 5689 03:43:24,080 --> 03:43:27,040 CONSIDERED THE COPPER IUD? 5690 03:43:27,040 --> 03:43:28,600 >> I DID AND I DID MY RESEARCH 5691 03:43:28,600 --> 03:43:31,960 WHEN IT CAME TO THE IUDs, I 5692 03:43:31,960 --> 03:43:39,120 REALLY DID BECAUSE MY SISTER 5693 03:43:39,120 --> 03:43:40,600 ACTUALLY HAS 1. 5694 03:43:40,600 --> 03:43:42,760 BUT THERE'S SO MANY STORIES OF 5695 03:43:42,760 --> 03:43:44,160 WOMEN STILL GETTING PREGNANT 5696 03:43:44,160 --> 03:43:45,720 WITH THE IUDs THAT IT JUST 5697 03:43:45,720 --> 03:43:48,040 SCARED ME AND MY 2 KIDS ARE 9 5698 03:43:48,040 --> 03:43:51,600 YEARS APART RIGHT NOW AND I DID 5699 03:43:51,600 --> 03:43:52,760 NOT WANT ANOTHER THIRD CHILD 9 5700 03:43:52,760 --> 03:43:54,600 YEARS LATER AND I JUST KNEW I 5701 03:43:54,600 --> 03:43:54,960 WAS DONE. 5702 03:43:54,960 --> 03:44:00,720 I KNEW I WAS DONE HAVING KIDS 5703 03:44:00,720 --> 03:44:01,560 AND--SO STERILIZATION WAS JUST 5704 03:44:01,560 --> 03:44:03,520 THE BEST COURSE FOR ME. 5705 03:44:03,520 --> 03:44:07,680 AND SO, JUST FOR OUR AUDIENCE, A 5706 03:44:07,680 --> 03:44:09,920 LOT--YOU KNOW WE DID THE ESURES 5707 03:44:09,920 --> 03:44:11,840 WHICH IS A EFTHIMIOS ROW SCOPPIC 5708 03:44:11,840 --> 03:44:14,600 PROCEDURE IN THE OFFICE, YOU HAD 5709 03:44:14,600 --> 03:44:15,040 YOURS DONE, RIGHT? 5710 03:44:15,040 --> 03:44:17,080 AND THEN DID YOU GO TO WORK THAT 5711 03:44:17,080 --> 03:44:18,560 DAY OR YOU WENT HOME THAT DAY. 5712 03:44:18,560 --> 03:44:20,520 >> I WENT HOME THAT DAY AND 5713 03:44:20,520 --> 03:44:22,360 THEN, THE NEXT DAY,IVE WAS TOTAL 5714 03:44:22,360 --> 03:44:30,240 FINE, THERE WAS NO ISSUES, THERE 5715 03:44:30,240 --> 03:44:31,040 WAS NO SORENESS. 5716 03:44:31,040 --> 03:44:33,480 SORENESS TO THE POINT WHERE YOU 5717 03:44:33,480 --> 03:44:34,640 CAN'T DO ANYTHING. 5718 03:44:34,640 --> 03:44:36,520 AS THE SCAR TISSUE GROWS YOU CAN 5719 03:44:36,520 --> 03:44:37,960 KIND OF, YOU KNOW YOU COULD FEEL 5720 03:44:37,960 --> 03:44:40,840 IT BUT ONCE IT WAS DONE AFTER 2 5721 03:44:40,840 --> 03:44:42,320 MONTHS, THAT WAS IT, THERE WAS 5722 03:44:42,320 --> 03:44:44,040 NO MORE ISSUES, I WAS ABLE TO 5723 03:44:44,040 --> 03:44:47,120 GET TESTED TO MAKE SURE THAT 5724 03:44:47,120 --> 03:44:49,280 THERE WAS, THE BLOCKAGE WAS 5725 03:44:49,280 --> 03:44:50,240 SEALED COMPLETE AND AFTER THAT I 5726 03:44:50,240 --> 03:44:52,960 DIDN'T HAVE A PROBLEM WITH IT. 5727 03:44:52,960 --> 03:44:55,400 >> YEAH, THAT'S' ACTUALLY AN 5728 03:44:55,400 --> 03:44:55,800 IMPORTANT POINT. 5729 03:44:55,800 --> 03:44:57,200 THE NICE THING ABOUT THE ESURE 5730 03:44:57,200 --> 03:45:00,080 IS THEY DID A HISTOCELL 5731 03:45:00,080 --> 03:45:01,480 PINGOGRAM AFTERWARD TO MAKE SURE 5732 03:45:01,480 --> 03:45:03,520 THAT YOUR TUBES WERE SCARED AND 5733 03:45:03,520 --> 03:45:04,840 SHUT SO I THINK THAT GIVES 5734 03:45:04,840 --> 03:45:08,520 PEOPLE A LOT OF REASSURANCE. 5735 03:45:08,520 --> 03:45:10,280 UNFORTUNATELY, NOW, THE ESURE IS 5736 03:45:10,280 --> 03:45:14,800 NOT AN OPTION WHICH IS, YOU KNOW 5737 03:45:14,800 --> 03:45:17,320 LIMITS PEOPLE'S OPTIONS FOR 5738 03:45:17,320 --> 03:45:18,320 PERMANENT STERILIZATION, THERE 5739 03:45:18,320 --> 03:45:21,000 WERE NO, YOU KNOW ENOUGH PEOPLE 5740 03:45:21,000 --> 03:45:22,720 THAT HAD TROUBLE WITH THESE 5741 03:45:22,720 --> 03:45:23,880 NICKEL INSERTS THAT FRANKLY, I 5742 03:45:23,880 --> 03:45:26,160 THINK IT WAS A BUSINESS 5743 03:45:26,160 --> 03:45:28,120 DECISIONOT PART OF BAYER THAT 5744 03:45:28,120 --> 03:45:29,760 THEY JUST DECIDED TO STOP 5745 03:45:29,760 --> 03:45:31,120 MARKETING IT IN THE U.S., I 5746 03:45:31,120 --> 03:45:33,280 THINK IT'S STILL AVAILABLE IN 5747 03:45:33,280 --> 03:45:35,600 OTHER COUNTRIES, BUT, SO 5748 03:45:35,600 --> 03:45:36,400 THAT'S--IT'S UNFORTUNATE BECAUSE 5749 03:45:36,400 --> 03:45:40,360 I MEAN, YOU KNOW 99% OF PEOPLE 5750 03:45:40,360 --> 03:45:42,280 DO--DID GREAT ON THE ESURE BUT 5751 03:45:42,280 --> 03:45:43,640 THERE WERE A FEW LAWSUITS, I 5752 03:45:43,640 --> 03:45:45,640 MEAN WHEN YOU START HAVING 5753 03:45:45,640 --> 03:45:47,040 MILLIONS OF WOMEN, USING A 5754 03:45:47,040 --> 03:45:50,040 PRODUCT, YOU'RE GOING TO GET 5755 03:45:50,040 --> 03:45:52,000 SOME SIDE EFFECTS AND STUFF AND 5756 03:45:52,000 --> 03:45:54,720 THEY JUST--I THINK THEY MADE 5757 03:45:54,720 --> 03:45:56,640 BUSINESS DECISION THAT IT WASN'T 5758 03:45:56,640 --> 03:45:57,520 WORTH IT. 5759 03:45:57,520 --> 03:45:58,160 >> I LOVE MINE. 5760 03:45:58,160 --> 03:46:00,480 I HAVE NO COMPLAINTS WITH MINE. 5761 03:46:00,480 --> 03:46:02,520 >> WELL, GOOD, BUT IF NOW IF YOU 5762 03:46:02,520 --> 03:46:04,280 WANT A TUBAL LIGATION, YOU HAVE 5763 03:46:04,280 --> 03:46:08,600 TO HAVE IT @ TIME OF CAESAREAN 5764 03:46:08,600 --> 03:46:08,880 SECTION. 5765 03:46:08,880 --> 03:46:10,880 >> I DID, MY LAST 1 WAS A 5766 03:46:10,880 --> 03:46:11,440 C-SECTION. 5767 03:46:11,440 --> 03:46:15,000 >> OKAY, BUT YOU WEREN'T READY 5768 03:46:15,000 --> 03:46:15,640 AT THAT POINT. 5769 03:46:15,640 --> 03:46:19,160 YOU DIDN'T CONSENT TO HAVING A 5770 03:46:19,160 --> 03:46:20,760 TUBAL LIGATION AT YOUR 5771 03:46:20,760 --> 03:46:21,440 C-SECTION. 5772 03:46:21,440 --> 03:46:23,000 >> I HAD ALREADY CONSENTED TO 5773 03:46:23,000 --> 03:46:24,160 HAVE THE ESURE PROCEDURE DONE 5774 03:46:24,160 --> 03:46:27,320 AND I ACTUALLY HAD IT DONE HERE 5775 03:46:27,320 --> 03:46:29,600 AT EVMS, WITH 5776 03:46:29,600 --> 03:46:33,560 DR. [INDISCERNIBLE] AND SO, 5777 03:46:33,560 --> 03:46:35,880 SHE--SO, IT WAS ALREADY IN PLAY. 5778 03:46:35,880 --> 03:46:39,760 SO I WENT AHEAD AND MY C-SECTION 5779 03:46:39,760 --> 03:46:42,040 WAS ACTUALLY PLANNED, IT WAS 5780 03:46:42,040 --> 03:46:44,240 KIND OF AN EMERGENCY C-SECTION. 5781 03:46:44,240 --> 03:46:45,440 >> SO THEY'RE NOT REALLY THINK 5782 03:46:45,440 --> 03:46:48,240 BEING LET'S DO YOUR TUBAL. 5783 03:46:48,240 --> 03:46:48,520 >> YEAH. 5784 03:46:48,520 --> 03:46:48,840 >> GOT IT. 5785 03:46:48,840 --> 03:46:50,000 OKAY. 5786 03:46:50,000 --> 03:46:51,320 SO RIGHT NOW, IF YOU WANT TO 5787 03:46:51,320 --> 03:46:53,160 HAVE YOUR TUBES TIED, YOU EITHER 5788 03:46:53,160 --> 03:46:55,160 HAVE TO HAVE IT DONE AT THE TIME 5789 03:46:55,160 --> 03:46:56,800 OF C-SECTION WHICH YOU KNOW SOME 5790 03:46:56,800 --> 03:46:59,320 WOMEN WANT TO HAVE THAT DONE, 5791 03:46:59,320 --> 03:47:00,800 BUT THERE'S CIRCUMSTANCES WHERE, 5792 03:47:00,800 --> 03:47:02,760 YOU KNOW, I MEAN, THE GOAL OF 5793 03:47:02,760 --> 03:47:04,280 THE C-SECTION IS TO PROTECT YOUR 5794 03:47:04,280 --> 03:47:06,080 HEALTH AND THE BABY'S HEALTH, 5795 03:47:06,080 --> 03:47:08,200 NONAPOPTOTIC THE TO PERFORM A 5796 03:47:08,200 --> 03:47:09,280 STERILIZATION PROCEDURE, RIGHT? 5797 03:47:09,280 --> 03:47:10,800 AND THEN THE OTHER OPTION, LIKE 5798 03:47:10,800 --> 03:47:14,720 I SHOWED IN THE SLIDES, IS TO 5799 03:47:14,720 --> 03:47:15,880 HAVE A LAPROSCOPIC PROCEDURE IN 5800 03:47:15,880 --> 03:47:17,560 THE OPERATING ROOM SO IT'S 5801 03:47:17,560 --> 03:47:19,440 UNFORTUNATE THAT YOU CAN'T DO 5802 03:47:19,440 --> 03:47:21,000 LIKE AN OUTPATIENT PROCEDURE 5803 03:47:21,000 --> 03:47:21,440 ANYMORE. 5804 03:47:21,440 --> 03:47:26,760 OKAY, SO LET'S TALK A LITTLE BIT 5805 03:47:26,760 --> 03:47:30,520 ABOUT--SO YOU HAVE NONHORMONAL 5806 03:47:30,520 --> 03:47:33,400 PERMANENT CONTRACEPTION THAT YOU 5807 03:47:33,400 --> 03:47:33,960 LIKE A LOT. 5808 03:47:33,960 --> 03:47:34,880 >> YEAH. 5809 03:47:34,880 --> 03:47:36,880 >> SO, YOU KNOW YOU DON'T NEED 5810 03:47:36,880 --> 03:47:38,000 THIS PRODUCT, THIS FILM, SO WHAT 5811 03:47:38,000 --> 03:47:42,280 WERE SOME OF YOUR MOTIVATIONS 5812 03:47:42,280 --> 03:47:45,360 FOR BEING A TRIAL PARTICIPANT. 5813 03:47:45,360 --> 03:47:48,320 >> I'M ALWAYS OPEN TO WHAT ELSE 5814 03:47:48,320 --> 03:47:51,720 THERE IS, EVEN THOUGH I KNOW 5815 03:47:51,720 --> 03:47:54,040 THAT MY--I CAN'T GET PREGNANT SO 5816 03:47:54,040 --> 03:47:56,440 THAT'S NOT EVER A WORRY BUT JUST 5817 03:47:56,440 --> 03:47:58,520 TO SEE WHRA THERE IS AND WHAT 5818 03:47:58,520 --> 03:47:59,920 OTHER OPTIONS THERE ARE FOR 5819 03:47:59,920 --> 03:48:00,960 WOMEN IN GENERAL IS ALWAYS A 5820 03:48:00,960 --> 03:48:02,680 GOOD THING TO KEEP IN MIND 5821 03:48:02,680 --> 03:48:03,800 BECAUSE YOU MEET SO MANY PEOPLE 5822 03:48:03,800 --> 03:48:06,440 THROUGHOUT THE DAY THAT YOU WANT 5823 03:48:06,440 --> 03:48:07,360 TO OFFER SUGGESTIONS, BUT YOU 5824 03:48:07,360 --> 03:48:09,560 DON'T KNOW WHAT THEY ARE IF YOU 5825 03:48:09,560 --> 03:48:11,960 JUST STAY WITHIN YOUR LANE. 5826 03:48:11,960 --> 03:48:12,320 >> YEAH. 5827 03:48:12,320 --> 03:48:14,440 >> SO I JUST THINK INFORMATION'S 5828 03:48:14,440 --> 03:48:14,760 POWER. 5829 03:48:14,760 --> 03:48:15,360 >> AWESOME. 5830 03:48:15,360 --> 03:48:15,800 >> YEAH, FOR SURE. 5831 03:48:15,800 --> 03:48:18,160 >> AND I JUST WANT TO MAKE A 5832 03:48:18,160 --> 03:48:20,480 NOTE THAT MRS. WRIGHT DOES WORK 5833 03:48:20,480 --> 03:48:22,600 IN THE OBGYN DEPARTMENT, THAT'S 5834 03:48:22,600 --> 03:48:23,280 WHY WE'RE MATCHING. 5835 03:48:23,280 --> 03:48:25,680 >> YEAH, SO WE GET A LOT OF 5836 03:48:25,680 --> 03:48:28,280 EMPLOYEES THAT ARE IN OUR 5837 03:48:28,280 --> 03:48:33,920 STUDIES AND I DO THINK IT'S 5838 03:48:33,920 --> 03:48:35,280 REALLY IMPORTANT BECAUSE PEOPLE 5839 03:48:35,280 --> 03:48:37,680 HAVE SOME HESITATION TO BE IN 5840 03:48:37,680 --> 03:48:38,720 RESEARCH, YOU KNOW, OBVIOUSLY, 5841 03:48:38,720 --> 03:48:41,760 YOU KNOW IN THE SOUTHERN U.S., 5842 03:48:41,760 --> 03:48:43,200 DIFFERENT RACIAL AND ETHNIC 5843 03:48:43,200 --> 03:48:45,960 GROUPS HAVE SOME VERY, YOU KNOW 5844 03:48:45,960 --> 03:48:47,760 GOOD REASONS TO BE SUSPICIOUS 5845 03:48:47,760 --> 03:48:50,040 ABOUT RESEARCH, SO I THINK IT'S 5846 03:48:50,040 --> 03:48:52,560 NICE WHEN WE GET PEOPLE IN OUR 5847 03:48:52,560 --> 03:48:53,840 STUDIES THAT YOU KNOW, WANT TO 5848 03:48:53,840 --> 03:48:55,600 BE IN IT FOR THE RIGHT REASONS 5849 03:48:55,600 --> 03:48:57,480 ISSUES WANT TO SPREAD THE 5850 03:48:57,480 --> 03:49:00,360 INFORMATION AND AS YOU AS A 5851 03:49:00,360 --> 03:49:02,200 PATIENT CARE, LIAISON, YOU CAN 5852 03:49:02,200 --> 03:49:03,280 TELL PEOPLE ABOUT DIFFERENT 5853 03:49:03,280 --> 03:49:05,880 OPTIONS, WHAT IT'S LIKE TO BE A 5854 03:49:05,880 --> 03:49:06,640 RESEARCH PARTICIPANT, ALL THAT 5855 03:49:06,640 --> 03:49:07,800 KIND OF STUFF. 5856 03:49:07,800 --> 03:49:11,000 >> YEAH, I THINK IT DEFINITELY 5857 03:49:11,000 --> 03:49:12,440 GIVES THAT PERSONAL TESTIMONY, 5858 03:49:12,440 --> 03:49:14,720 DEFINITELY HELPS WHEN IT'S IN 1 5859 03:49:14,720 --> 03:49:16,040 OF YOU'RE TALKING TO DIFFERENT 5860 03:49:16,040 --> 03:49:17,320 PATIENTS ABOUT DIFFERENT 5861 03:49:17,320 --> 03:49:17,760 OPTIONS. 5862 03:49:17,760 --> 03:49:20,760 YOU KNOW FOR EXAMPLE, WHEN I HAD 5863 03:49:20,760 --> 03:49:22,920 MY ESURE PROCEDURE, I TOLD EVERY 5864 03:49:22,920 --> 03:49:24,240 PATIENT I TALKED TO ABOUT IT, 5865 03:49:24,240 --> 03:49:26,600 AND THEY WERE LIKE I HEARD SO 5866 03:49:26,600 --> 03:49:27,400 MANY NEGATIVE THINGS BUT I 5867 03:49:27,400 --> 03:49:29,400 HAVEN'T HAD THAT AND THAT'S A 5868 03:49:29,400 --> 03:49:30,280 VERY SMALL CLASS, THEY 5869 03:49:30,280 --> 03:49:31,840 DEFINITELY NEED TO TALK TO YOUR 5870 03:49:31,840 --> 03:49:33,040 DOCTOR ABOUT IT SO I THINK IT'S 5871 03:49:33,040 --> 03:49:36,520 JUST WHEN IT COMES TO THE TRIAL, 5872 03:49:36,520 --> 03:49:38,320 SCENARIOS, ME BEING ABLE TO 5873 03:49:38,320 --> 03:49:39,680 PERSONALLY GONE THROUGH IT IT'S 5874 03:49:39,680 --> 03:49:40,480 JUST ANOTHER TESTIMONY OF MINE 5875 03:49:40,480 --> 03:49:42,200 WHERE I CAN TELL THE PATIENT, OH 5876 03:49:42,200 --> 03:49:43,720 NO I'VE ALREADY DONE THAT, 5877 03:49:43,720 --> 03:49:45,200 THAT'S ACTUALLY A REALLY GOOD 5878 03:49:45,200 --> 03:49:46,560 PRODUCT, YOU NEED TO TALK TO 5879 03:49:46,560 --> 03:49:47,080 YOUR DOCTOR. 5880 03:49:47,080 --> 03:49:50,640 >> YEAH, YEAH AND WHAT DO YOU 5881 03:49:50,640 --> 03:49:52,240 THINK, LIKE, THIS PRODUCT IT'S A 5882 03:49:52,240 --> 03:49:53,680 VAGINAL FILM AND YOU KNOW 5883 03:49:53,680 --> 03:49:55,040 THERE'S VAGINAL FILMS THAT ARE 5884 03:49:55,040 --> 03:50:01,200 AVAILABLE OVER THE COUNTER LIKE 5885 03:50:01,200 --> 03:50:01,800 NONOXYL 9. 5886 03:50:01,800 --> 03:50:03,160 >> I HAVEN'T TRIED THE--THE 5887 03:50:03,160 --> 03:50:06,480 PLEASURE TO TRY THOSE YET. 5888 03:50:06,480 --> 03:50:07,560 >> YES, WELL THIS 1'S NOT OUT 5889 03:50:07,560 --> 03:50:09,560 BUT THERE ARE OTHER 1S WITH 5890 03:50:09,560 --> 03:50:18,080 OTHER CHEMICALS IN THEM, SO THIS 5891 03:50:18,080 --> 03:50:20,720 1 EANTD SPERM ANTIBODIES IN IT, 5892 03:50:20,720 --> 03:50:23,480 BUT WHEN I SAY ANTISPERM 5893 03:50:23,480 --> 03:50:26,720 ANTIBODIES WHAT DO YOU OR YOUR 5894 03:50:26,720 --> 03:50:27,080 HUSBAND THINK? 5895 03:50:27,080 --> 03:50:30,400 >> WHEN I FIRST TOLD HIM AS ANY 5896 03:50:30,400 --> 03:50:36,880 MAN WOULD, HE WENT WHAT? 5897 03:50:36,880 --> 03:50:39,600 BUT ONCE WE HAD IT INSERTED AND 5898 03:50:39,600 --> 03:50:41,640 WE HAD INTERCOURSE, HE COULDN'T 5899 03:50:41,640 --> 03:50:44,480 TELL, I ASKED HIM ABOUT IT 5900 03:50:44,480 --> 03:50:45,880 AFTERWARDS, NO, I FORGOT WHAT WE 5901 03:50:45,880 --> 03:50:47,360 WERE DOING, IT'S EXCITING SO 5902 03:50:47,360 --> 03:50:49,520 THERE WAS NO REPERCUSSION ON HIS 5903 03:50:49,520 --> 03:50:51,480 SIDE IN REGARDS TO THE PLEASURE 5904 03:50:51,480 --> 03:50:52,360 OF THE ACTUAL ACT. 5905 03:50:52,360 --> 03:50:55,800 >> AND JUST A NOTE LIKE IN TERMS 5906 03:50:55,800 --> 03:50:57,440 OF ACCEPTABILITY, AGAIN, AS 5907 03:50:57,440 --> 03:50:59,080 MRS. WRIGHT HAS SAID, SHE IS NOT 5908 03:50:59,080 --> 03:51:00,800 AN ULTIMATE END USER OF THIS 5909 03:51:00,800 --> 03:51:02,360 PRODUCT, SO LIKE, IF I WERE TO 5910 03:51:02,360 --> 03:51:03,600 ASK YOU, LIKE, OH WOULD YOU USE 5911 03:51:03,600 --> 03:51:05,760 THIS PRODUCT IN THE FUTURE, 5912 03:51:05,760 --> 03:51:10,640 LIKE, NO, YOU WOULDN'T. 5913 03:51:10,640 --> 03:51:12,120 >> I DON'T NEED TO. 5914 03:51:12,120 --> 03:51:14,320 >> RIGHT AND WE TELL PATIENTS IN 5915 03:51:14,320 --> 03:51:15,400 OUR TRIALS, LIKE, LISTEN, IT'S 5916 03:51:15,400 --> 03:51:17,720 NOT GOING TO HURT MY FEELINGS IF 5917 03:51:17,720 --> 03:51:18,920 YOU TELL ME BAD THINGS ABOUT 5918 03:51:18,920 --> 03:51:21,080 THIS PRODUCT AND IN FACT, THESE 5919 03:51:21,080 --> 03:51:24,320 FIRST IN WOMAN STUDIES ARE 5920 03:51:24,320 --> 03:51:25,560 REALLY THE TIME THAT WE'RE GOING 5921 03:51:25,560 --> 03:51:27,440 TO FIND SOME IF THERE ARE 5922 03:51:27,440 --> 03:51:28,720 STRONGLY NEGATIVE REACTIONS TO 5923 03:51:28,720 --> 03:51:32,440 THE PRODUCT, THIS IS THE TIME TO 5924 03:51:32,440 --> 03:51:33,800 FIND IT OUT. 5925 03:51:33,800 --> 03:51:34,080 YOU KNOW? 5926 03:51:34,080 --> 03:51:38,680 AND WE HAD THAT HAPPEN IN A 5927 03:51:38,680 --> 03:51:40,000 PREVIOUS PHASE 1 STUDY. 5928 03:51:40,000 --> 03:51:42,480 AGAIN, THESE PHASE 1 POPULATIONS 5929 03:51:42,480 --> 03:51:43,240 ARE VERY HEALTHY. 5930 03:51:43,240 --> 03:51:46,080 THE PC T TRIALS ARE WOMEN THAT 5931 03:51:46,080 --> 03:51:47,440 HAVE TUBAL LIGATIONS, SO THEY'RE 5932 03:51:47,440 --> 03:51:50,480 NOT THE ULTIMATE END USERS BUT 5933 03:51:50,480 --> 03:51:52,920 YEAH, I MEAN--I THINK YOUR 5934 03:51:52,920 --> 03:51:54,240 EXPERIENCE AT LEAST 5935 03:51:54,240 --> 03:51:55,400 ACCEPTABILITY, PARTICULARLY YOUR 5936 03:51:55,400 --> 03:51:59,240 HUSBAND'S ACCEPTABILITY OF IT, 5937 03:51:59,240 --> 03:52:00,760 IS PRETTY CONSISTENT, IT WAS 5938 03:52:00,760 --> 03:52:04,920 REALLY JUST FORGOT ABOUT IT. 5939 03:52:04,920 --> 03:52:06,960 DID HAVE YOU ANY TROUBLE 5940 03:52:06,960 --> 03:52:07,840 INSERTING THE FILM BECAUSE WE 5941 03:52:07,840 --> 03:52:10,400 HAD A FEW PEOPLE THAT HAD MAYBE 5942 03:52:10,400 --> 03:52:12,920 STICKINESS OR SOMETHING. 5943 03:52:12,920 --> 03:52:13,560 >> YEAH, INITIALLY, THE FIRST 5944 03:52:13,560 --> 03:52:18,040 TIME I DID IT, I HAD TO DO IT 5945 03:52:18,040 --> 03:52:20,720 TWICE, BECAUSE THE FILM DOES GET 5946 03:52:20,720 --> 03:52:22,720 EXTREMELY SICKY ONCE YOU GET IT 5947 03:52:22,720 --> 03:52:25,760 WET, SO YOU KIND OF HAD TO WORK 5948 03:52:25,760 --> 03:52:28,680 WITH FLICKING IT, YOU HAVE TO 5949 03:52:28,680 --> 03:52:30,000 THEM PRACTICE WITH IT BUT AFTER 5950 03:52:30,000 --> 03:52:31,520 THE SECOND TIME, I WAS LIKE, 5951 03:52:31,520 --> 03:52:32,840 OKAY, NOW I GET IT. 5952 03:52:32,840 --> 03:52:34,600 AND THEN ONCE YOU JUST INSERT 5953 03:52:34,600 --> 03:52:36,200 IT, YOU JUST WASH YOUR HANDS SO 5954 03:52:36,200 --> 03:52:38,560 THAT WAS PRETTY MUCH IT. 5955 03:52:38,560 --> 03:52:42,640 BUT I THINK THE MORE YOU USE IT, 5956 03:52:42,640 --> 03:52:45,440 THE EASIER IT GOT--THE EASIER IT 5957 03:52:45,440 --> 03:52:45,880 IS. 5958 03:52:45,880 --> 03:52:47,120 >> YEAH, AND IN THIS STUDY WE 5959 03:52:47,120 --> 03:52:49,400 HAD YOU INSERT A VAGINAL 5960 03:52:49,400 --> 03:52:50,440 CONTRACEPTIVE FILM AT THE 5961 03:52:50,440 --> 03:52:51,640 SCREENING VISIT TO MAKE SURE YOU 5962 03:52:51,640 --> 03:52:54,880 COULD DO IT, BUT WE--I REMEMBER 5963 03:52:54,880 --> 03:52:57,000 WE WOULD GIVE PEOPLE LIKE 2 5964 03:52:57,000 --> 03:52:58,680 FILMS BECAUSE WHEN YOU TOOK THAT 5965 03:52:58,680 --> 03:53:01,280 FILM HOME, I MEAN, A LOT OF 5966 03:53:01,280 --> 03:53:03,000 TIMES OUR PARTICIPANTS HAD TO 5967 03:53:03,000 --> 03:53:04,880 HAVE SEX LIKE REALLY EARLY IN 5968 03:53:04,880 --> 03:53:06,520 THE MORNING SO THEY COULD COME 5969 03:53:06,520 --> 03:53:08,720 IN 2-3 HOURS LATER BEFORE WORK 5970 03:53:08,720 --> 03:53:09,720 OR WHATEVER, AND YOU KNOW WE 5971 03:53:09,720 --> 03:53:11,480 DIDN'T WANT TO YOU HAVE A 5972 03:53:11,480 --> 03:53:14,760 PROBLEM WITH IT AT 3 OUR 4:00 IN 5973 03:53:14,760 --> 03:53:15,880 THE MORNING. 5974 03:53:15,880 --> 03:53:16,280 >> YES. 5975 03:53:16,280 --> 03:53:19,440 >> SO, OKAY AND THEN SO, MY 5976 03:53:19,440 --> 03:53:22,200 RECOLLECTION IS THINGS WENT VERY 5977 03:53:22,200 --> 03:53:24,920 SMOOTHLY WITH YOUR VISITS BUT, 5978 03:53:24,920 --> 03:53:26,600 THAT'S NOT ALWAYS THE CASE WITH 5979 03:53:26,600 --> 03:53:28,600 ALL OF OUR PARTICIPANTS. 5980 03:53:28,600 --> 03:53:31,680 WE ACTUALLY ENROLLED LIKE 20 5981 03:53:31,680 --> 03:53:34,200 PEOPLE IN THIS STUDY AND 8 5982 03:53:34,200 --> 03:53:36,760 COUPLES COMPLETED ALL THE 5983 03:53:36,760 --> 03:53:37,320 VISITS. 5984 03:53:37,320 --> 03:53:37,640 >> OH, OKAY. 5985 03:53:37,640 --> 03:53:38,800 >> SO TELL ME AUDIENCE A LITTLE 5986 03:53:38,800 --> 03:53:42,240 BIT ABOUT WHAT IT WAS LIKE TO BE 5987 03:53:42,240 --> 03:53:44,520 MONITORING YOUR URINE FOR 5988 03:53:44,520 --> 03:53:44,960 OVULATION? 5989 03:53:44,960 --> 03:53:47,760 >> AND AGAIN YOU CAN COMPLAIN. 5990 03:53:47,760 --> 03:53:49,360 >> FORTUNATELY, ACTUALLY WE HAVE 5991 03:53:49,360 --> 03:53:52,200 REALLY, REALLY GOOD STAFF HERE 5992 03:53:52,200 --> 03:53:56,080 WHEN IT COMES TO THE TRIALS. 5993 03:53:56,080 --> 03:53:57,440 I HAD MISS JAMIE SHE WOULD TEXT 5994 03:53:57,440 --> 03:53:59,760 ME THE DAY OF, DON'T FORGET TO 5995 03:53:59,760 --> 03:54:00,680 CHECK YOUR URINE. 5996 03:54:00,680 --> 03:54:01,360 >> OKAY, GOT IT. 5997 03:54:01,360 --> 03:54:04,480 I ALSO MADE SURE I PUT A 5998 03:54:04,480 --> 03:54:06,640 REMINDER ON MY PHONE AND THEY 5999 03:54:06,640 --> 03:54:07,480 WERE ABLE--THEY WERE REALLY 6000 03:54:07,480 --> 03:54:09,480 NICE, THEY GAVE ME THE CUPS SO I 6001 03:54:09,480 --> 03:54:11,480 WOULDN'T HAVE TO DO IT WHILE 6002 03:54:11,480 --> 03:54:12,760 URINATING BUT THEN I WILL PEE IN 6003 03:54:12,760 --> 03:54:15,600 THE CUP AND CHECK IT AND JUST 6004 03:54:15,600 --> 03:54:16,800 SEND A PICKURE EVERY MORNING AND 6005 03:54:16,800 --> 03:54:18,600 THEN ONCE I GOT THE SMILEY FACE, 6006 03:54:18,600 --> 03:54:21,360 I WOULD COME INTO THE CLINIC AND 6007 03:54:21,360 --> 03:54:24,960 IT WAS REALLY, REALLY EASY, 6008 03:54:24,960 --> 03:54:27,440 EVERYBODY WAS REALLY REALLY NICE 6009 03:54:27,440 --> 03:54:31,520 AND WORK WITH MY SCHEDULE. 6010 03:54:31,520 --> 03:54:33,840 MAKING WORKING HERE AT EVMS 6011 03:54:33,840 --> 03:54:35,640 REALLY NICE BUT SOMETIMES IT WAS 6012 03:54:35,640 --> 03:54:38,880 A LITTLE BIT MORE DIFFICULT. 6013 03:54:38,880 --> 03:54:43,800 BUT NO, JUST TRIAL WAS REALLY 6014 03:54:43,800 --> 03:54:44,360 SIMPLE TO DO. 6015 03:54:44,360 --> 03:54:45,720 >> BUT I DO THINK IT'S WORTH 6016 03:54:45,720 --> 03:54:48,320 NOTE THAGOREAN 1 OF THE STUDY 6017 03:54:48,320 --> 03:54:49,320 COORDINATORS, JAMIE, YOU KNOW 6018 03:54:49,320 --> 03:54:51,360 YOU WOULD ACTUALLY TEXT HER A 6019 03:54:51,360 --> 03:54:55,040 PICTURE OF YOUR URINARY 6020 03:54:55,040 --> 03:54:56,080 LIEUTENNIZING HORMONE RESULT 6021 03:54:56,080 --> 03:54:56,720 EACH DAY. 6022 03:54:56,720 --> 03:54:57,160 >> EVERY MORNING. 6023 03:54:57,160 --> 03:55:02,200 >> AND THEN ONCE YOU WERE 6024 03:55:02,200 --> 03:55:03,120 POSITIVE, OR, VIEWLATTORY, YOU 6025 03:55:03,120 --> 03:55:05,320 HAD THE SURGE, YOU HAD TO GET IN 6026 03:55:05,320 --> 03:55:06,640 HERE WITHIN ABOUT 24 HOURS TO 6027 03:55:06,640 --> 03:55:09,440 GET THE CERVICAL MUSEUM TUS 6028 03:55:09,440 --> 03:55:11,120 CHECK AND DID WE--I THINK 6029 03:55:11,120 --> 03:55:14,440 REMEMBER WE LET YOU LOOK AT YOUR 6030 03:55:14,440 --> 03:55:15,000 CERVICAL MUCUS AND. 6031 03:55:15,000 --> 03:55:16,600 >> YES, IEE, AUDIENCE PARENTALLY 6032 03:55:16,600 --> 03:55:21,080 I HAVE WONDERFUL, CERVICAL 6033 03:55:21,080 --> 03:55:22,640 AOCCURREDDING TO DEE, WONDERFUL 6034 03:55:22,640 --> 03:55:24,080 CERVICAL MUCUS AND IT WAS 6035 03:55:24,080 --> 03:55:25,040 ACTUALLY PRETTY COOL TO LOOK AT 6036 03:55:25,040 --> 03:55:27,360 IT AND I WAS ABLE TO SEE IT 6037 03:55:27,360 --> 03:55:28,000 UNDERNEATH A MICROSCOPE AND I 6038 03:55:28,000 --> 03:55:31,560 WAS ABLE TO SEE THE CERVICAL 6039 03:55:31,560 --> 03:55:34,200 MUSEUMUS AFTER THE PRODUCT AND 6040 03:55:34,200 --> 03:55:38,040 SEE THERE WAS NO THE DIFFERENCE 6041 03:55:38,040 --> 03:55:38,760 BETWEEN--BEFORE THE PRODUCT AND 6042 03:55:38,760 --> 03:55:40,040 AFTER THE PRODUCT WHERE I WAS 6043 03:55:40,040 --> 03:55:42,240 ABLE TO SEE THE SPERM AND THEN 6044 03:55:42,240 --> 03:55:42,920 ACTUALLY NO SPERM. 6045 03:55:42,920 --> 03:55:45,000 SO THAT WAS REALLY, REALLY COOL 6046 03:55:45,000 --> 03:55:45,640 TO SEE. 6047 03:55:45,640 --> 03:55:47,360 BUT, YEAH, I WOULD COME IN TO 6048 03:55:47,360 --> 03:55:48,640 HAVE THE CERVICAL MUCUS DONE AND 6049 03:55:48,640 --> 03:55:51,200 THEN ALL OF THE TESTING DONE AND 6050 03:55:51,200 --> 03:55:56,200 THEN, I GOT THE OKAY TO HAVE 6051 03:55:56,200 --> 03:55:56,360 SEX. 6052 03:55:56,360 --> 03:55:57,960 >> AND YOU GUYS HAD TO ABSTAIN 6053 03:55:57,960 --> 03:55:59,640 FOR A WHILE BEFORE. 6054 03:55:59,640 --> 03:56:00,720 >> RIGHT, 3 DAYS? 6055 03:56:00,720 --> 03:56:00,960 , 3 DAYS. 6056 03:56:00,960 --> 03:56:03,800 >> RIGHT. 6057 03:56:03,800 --> 03:56:06,040 >> I BELIEVE IT WAS UNTIL I GOT 6058 03:56:06,040 --> 03:56:06,640 THE HAPPY FACE. 6059 03:56:06,640 --> 03:56:10,440 SO ONCE I STARTED, ONCE I 6060 03:56:10,440 --> 03:56:12,120 STARTED CHECKING MY OVULATION, 6061 03:56:12,120 --> 03:56:14,080 THEN WHY HAD TO ABSTAIN UNTIL I 6062 03:56:14,080 --> 03:56:15,640 GOT THE HAPPY FACE THEN I CAME 6063 03:56:15,640 --> 03:56:16,960 INTO THE CLINIC AND THEN WE WERE 6064 03:56:16,960 --> 03:56:20,160 ABLE TO HAVE SEX. 6065 03:56:20,160 --> 03:56:20,560 >> RIGHT. 6066 03:56:20,560 --> 03:56:21,280 >> AND THEN, DID YOU EVER HAVE 6067 03:56:21,280 --> 03:56:25,120 TO COME IN ON THE WEEKEND, I 6068 03:56:25,120 --> 03:56:25,480 CAN'T REMEMBER? 6069 03:56:25,480 --> 03:56:26,120 >> NO, FORTUNATELY EVERYTHING 6070 03:56:26,120 --> 03:56:27,440 HAPPENED DURING THE WEEK. 6071 03:56:27,440 --> 03:56:28,640 >> GOOD, GOOD. 6072 03:56:28,640 --> 03:56:33,760 AND THEN, I MEAN, YOU WORK 4-10 6073 03:56:33,760 --> 03:56:35,880 HOUR SHIFTS HERE SO YOU GET IN 6074 03:56:35,880 --> 03:56:38,240 PRETTY EARLY SO BASICALLY WHEN 6075 03:56:38,240 --> 03:56:40,680 YOU WERE DOING THE PC T VISITS 6076 03:56:40,680 --> 03:56:42,280 YOU AND YOUR HUSBAND HAD TO HAVE 6077 03:56:42,280 --> 03:56:43,280 SEX REALLY EARLY IN THE MORNING 6078 03:56:43,280 --> 03:56:46,560 SO THAT YOU COULD THEN WAIT 2-3 6079 03:56:46,560 --> 03:56:48,440 HOURS AND YOU KNOW AT FIRST WE 6080 03:56:48,440 --> 03:56:50,120 WERE LIKE WELL WHY DO WOE HAVE 6081 03:56:50,120 --> 03:56:52,920 TO WAIT 2-3 HOURS BUT I GUESS IT 6082 03:56:52,920 --> 03:56:56,280 LITTLE TIME TO SWIM. THE SPE-M A 6083 03:56:56,280 --> 03:56:58,480 >> BECAUSE YOU HAVE TO PUT YOUR 6084 03:56:58,480 --> 03:57:00,480 LELGS UP IN THE AIR TO MAKE 6085 03:57:00,480 --> 03:57:03,720 SURE, EVERYTHING'S STAYS IN, I'M 6086 03:57:03,720 --> 03:57:05,960 LOOK, OKAY, SO THAT WAS PRETTY 6087 03:57:05,960 --> 03:57:07,520 INTERESTING BUT YEAH, WE HAD TO 6088 03:57:07,520 --> 03:57:08,560 HAVE SEX PRETTY EARLY IN THE 6089 03:57:08,560 --> 03:57:10,200 MORNING AND THEN I WOULD COME IN 6090 03:57:10,200 --> 03:57:15,080 AND MEET WITH THE LADIES AROUND 6091 03:57:15,080 --> 03:57:17,160 8, THEY WOULD BET LET ME KNOW, 6092 03:57:17,160 --> 03:57:18,600 OKAY, COME ON DOWN SO I WOULD 6093 03:57:18,600 --> 03:57:20,000 HURRY UP AND COME DOWN STAIRS 6094 03:57:20,000 --> 03:57:22,360 AND GET ALL THE TESTING DONE. 6095 03:57:22,360 --> 03:57:25,720 >> AND YOU KNOW, 1 OF THE BIG 6096 03:57:25,720 --> 03:57:27,880 PROBLEMS WE'VE HAD IS, YOU KNOW 6097 03:57:27,880 --> 03:57:31,760 I MEAN, YOU GUYS HAVE 2 KIDS, 6098 03:57:31,760 --> 03:57:32,520 YOU BOTH WORK. 6099 03:57:32,520 --> 03:57:34,520 YOU'RE TRYING TO HAVE THIS 6100 03:57:34,520 --> 03:57:36,320 PLANNED TIMED IRND COURSE, 6101 03:57:36,320 --> 03:57:37,280 WHATEVER, 6:00, 5:00 O'CLOCK IN 6102 03:57:37,280 --> 03:57:41,720 THE MORNING BEFORE WORK, AND A 6103 03:57:41,720 --> 03:57:43,760 LOT OF TIMES THE MALE PARTNER 6104 03:57:43,760 --> 03:57:45,920 WAS NOT ABLE TO PERFORM AND THAT 6105 03:57:45,920 --> 03:57:48,880 WAS A BIG PROBLEM FOR MANY OF 6106 03:57:48,880 --> 03:57:50,720 OUR PARTICIPANTS, YOU KNOW, HOW 6107 03:57:50,720 --> 03:57:54,600 DID THINGS GO WITH YOUR HUSBAND 6108 03:57:54,600 --> 03:57:54,960 OR-- 6109 03:57:54,960 --> 03:58:01,520 >> HE HAD NO PROBLEM IN THAT. 6110 03:58:01,520 --> 03:58:02,680 >> OKAY. 6111 03:58:02,680 --> 03:58:05,400 >> AND ACCORDING TO WAS IT DEE 6112 03:58:05,400 --> 03:58:08,320 DEE HE HAD SPERM GALORE WAS HER 6113 03:58:08,320 --> 03:58:11,400 TECHNICAL TERM FOR IT. 6114 03:58:11,400 --> 03:58:11,680 >> OKAY. 6115 03:58:11,680 --> 03:58:13,080 >> BUT YEAH, NO AS FAR AS BEING 6116 03:58:13,080 --> 03:58:14,800 ABLE TO PERFORM ISSUES 6117 03:58:14,800 --> 03:58:15,960 EVERYTHING, NO, TIMING WISE IT 6118 03:58:15,960 --> 03:58:20,040 WAS FINE, WE DID HAVE TO 6119 03:58:20,040 --> 03:58:21,080 COMMUNICATE ESPECIALLY IF HE WAS 6120 03:58:21,080 --> 03:58:22,600 WORKING THEN WE WOULD HAVE TO 6121 03:58:22,600 --> 03:58:24,280 COMMUNICATE, BE LIKE OKAY, JUST 6122 03:58:24,280 --> 03:58:26,160 TO LET YOU KNOW, I'M GOOD SO WE 6123 03:58:26,160 --> 03:58:28,640 NEED TO HAVE IT BEFORE I GO TO 6124 03:58:28,640 --> 03:58:32,920 WORK TOMORROW TO MAKE SURE 6125 03:58:32,920 --> 03:58:34,400 EVERYTHING'S GOING TO CONTINUE 6126 03:58:34,400 --> 03:58:37,160 ON BUT IT WASN'T TOO HARD FOR 6127 03:58:37,160 --> 03:58:37,320 HIM? 6128 03:58:37,320 --> 03:58:39,120 >> AND EVEN THOUGH THE LOGISTICS 6129 03:58:39,120 --> 03:58:40,760 LIKE STELLA AND JAMIE THE 6130 03:58:40,760 --> 03:58:42,720 COORDINATORS, I AM SO BUSY 6131 03:58:42,720 --> 03:58:46,520 MANAGING EVERYBODY'S SEX LIFE, 6132 03:58:46,520 --> 03:58:48,280 YOU KNOW, BUT TD DESIGN OF THE 6133 03:58:48,280 --> 03:58:50,520 STUDY IS PRETTY COOL THAT YOU 6134 03:58:50,520 --> 03:58:53,680 KNOW YOU GUYS HAD INTERCOURSE AT 6135 03:58:53,680 --> 03:58:56,640 PEAK OVULATION, RIGHT? 6136 03:58:56,640 --> 03:58:57,800 THAT'S--SO THAT'S REALLY WHEN 6137 03:58:57,800 --> 03:58:59,200 YOU WOULD WANT A CONTRACEPTIVE 6138 03:58:59,200 --> 03:59:02,520 TO WORK AND SO IT'S KIND OF 6139 03:59:02,520 --> 03:59:05,720 THIS, YOU KNOW REALLY GOOD MODEL 6140 03:59:05,720 --> 03:59:08,280 IN HUMANS OF, YOU KNOW DOES THIS 6141 03:59:08,280 --> 03:59:12,720 WORK AT THE PEAK FERTILITY 6142 03:59:12,720 --> 03:59:12,960 MOMENT. 6143 03:59:12,960 --> 03:59:14,920 SO, BUT YEAH, WE KIND OF LAUGH 6144 03:59:14,920 --> 03:59:16,160 ABOUT COORDINATING ALL OF THIS 6145 03:59:16,160 --> 03:59:19,440 BUT IT IS REALLY A NEED DESIGN 6146 03:59:19,440 --> 03:59:22,240 THAT YOU KNOW WE'RE TIMING IN 6147 03:59:22,240 --> 03:59:23,720 RIGHT AT OVULATION, WE DO A BASE 6148 03:59:23,720 --> 03:59:25,920 LINE CYCLE TO MAKE SURE THAT 6149 03:59:25,920 --> 03:59:27,840 YOU'RE HUSBAND HAS NORMAL SPERM 6150 03:59:27,840 --> 03:59:35,800 THAT YOU KNOW ASCEND IN THE 6151 03:59:35,800 --> 03:59:37,200 CERVICAL MUCUS WHICH YOU SAW 6152 03:59:37,200 --> 03:59:38,480 HAPPENING AND WITH THE PRODUCT 6153 03:59:38,480 --> 03:59:39,840 THEY'RE DEAD OR NOT THERE, YOU 6154 03:59:39,840 --> 03:59:40,280 KNOW? 6155 03:59:40,280 --> 03:59:47,480 NARCS THAT WAS REALLY 6156 03:59:47,480 --> 03:59:50,160 INTERESTING TO SEE AND CAM PAIR, 6157 03:59:50,160 --> 03:59:52,680 AND YEAH, JAMIE KNEW WAY MORE 6158 03:59:52,680 --> 03:59:54,320 ABOUT MY SEX LIFE THAN SHE 6159 03:59:54,320 --> 03:59:55,840 WANTED TO BUT THE STUDY WAS 6160 03:59:55,840 --> 03:59:57,240 REALLY INTERESTING TO DO. 6161 03:59:57,240 --> 03:59:57,600 >> COOL, COOL. 6162 03:59:57,600 --> 03:59:59,920 AND YOU KNOW I JUST--IT'S SO 6163 03:59:59,920 --> 04:00:01,400 IMPORTANT, YOU KNOW WE--WE 6164 04:00:01,400 --> 04:00:04,640 REALLY WANT TO MAKE SURE THAT 6165 04:00:04,640 --> 04:00:07,240 THE PARTICIPANTS KNOW THAT, YOU 6166 04:00:07,240 --> 04:00:10,880 KNOW WE VALUE YOUR TIME, WE 6167 04:00:10,880 --> 04:00:12,920 UNDERSTAND THAT THIS IS NOT 6168 04:00:12,920 --> 04:00:14,000 ONLY, YOU KNOW TRYING TO 6169 04:00:14,000 --> 04:00:16,640 COORDINATE YOUR TIME BUT YOUR 6170 04:00:16,640 --> 04:00:17,840 HUSBAND'S TIME, WE DO COMPENSATE 6171 04:00:17,840 --> 04:00:21,640 YOU FOR YOUR TIME AND TRAVEL, 6172 04:00:21,640 --> 04:00:23,000 BUT, YOU KNOW, AND I MEAN WE 6173 04:00:23,000 --> 04:00:25,040 DON'T EXPECT YOU TO DO THIS FOR 6174 04:00:25,040 --> 04:00:26,600 FREE, YOU KNOW, THIS IS A LOT OF 6175 04:00:26,600 --> 04:00:29,760 EFFORT ON YOUR PART, YOU KNOW? 6176 04:00:29,760 --> 04:00:31,440 BUT I THINK IT'S REALLY GREAT 6177 04:00:31,440 --> 04:00:34,200 THAT PEOPLE THAT WILL NEVER NEED 6178 04:00:34,200 --> 04:00:42,240 THIS PRODUCT ARE WILLING TO BE 6179 04:00:42,240 --> 04:00:42,680 RESEARCH PARTICIPANTS. 6180 04:00:42,680 --> 04:00:43,880 >> YEAH AND I HAD SO MUCH FUN 6181 04:00:43,880 --> 04:00:47,560 I'M THINK BEING DOING ANOTHER 1. 6182 04:00:47,560 --> 04:00:48,640 >> A GOOD, GOOD. 6183 04:00:48,640 --> 04:00:50,840 >> A LOT OF TIMES WE MEET A 6184 04:00:50,840 --> 04:00:52,920 PATIENT, WHEN WE MEET A NICE 6185 04:00:52,920 --> 04:00:54,520 YOUNG LADY WITH HER TUBES TIED, 6186 04:00:54,520 --> 04:00:58,600 YOU CAN RUN BUT YOU CAN'T HIDE. 6187 04:00:58,600 --> 04:00:58,960 >> [LAUGHTER] 6188 04:00:58,960 --> 04:01:01,480 , MY CYCLES COME REGULARLY, 4 6189 04:01:01,480 --> 04:01:03,560 WEEKS MINUS A DAY, I KNOW. 6190 04:01:03,560 --> 04:01:04,440 >> AND ACTUALLY JUST SPEAKS 6191 04:01:04,440 --> 04:01:06,960 ABOUT THAT, WOMEN IN THIS TRIAL 6192 04:01:06,960 --> 04:01:09,000 HAD TO BE OVULEATORY BUT 6193 04:01:09,000 --> 04:01:11,640 SOMETIMES JUST BY BEING IN A 6194 04:01:11,640 --> 04:01:17,760 TRIAL IT STRESSES YOU OUT AND 6195 04:01:17,760 --> 04:01:22,960 YOU KNOW YOU'RE ANOVULATORY FOR 6196 04:01:22,960 --> 04:01:24,960 A CYCLE OR 2 EXPW WE ALLOWED 6197 04:01:24,960 --> 04:01:26,520 WITHEM IN THIS TRIAL THAT WERE 6198 04:01:26,520 --> 04:01:27,760 18 TO 50 BECAUSE WOMEN THAT ARE 6199 04:01:27,760 --> 04:01:30,880 GETTING THEIR TUBES TIED TEND TO 6200 04:01:30,880 --> 04:01:31,360 BE OLDER, RIGHT? 6201 04:01:31,360 --> 04:01:33,960 BUT YOU KNOW AS WE GET UP TO, 6202 04:01:33,960 --> 04:01:36,040 YOU KNOW 45-50, THEN WE START 6203 04:01:36,040 --> 04:01:38,400 WORRYING ABOUT PEOPLE NOT 6204 04:01:38,400 --> 04:01:39,240 OVULEATING REGULARLY BUT THAT 6205 04:01:39,240 --> 04:01:42,800 WASN'T A PROBLEM WITH YOU. 6206 04:01:42,800 --> 04:01:44,240 >> NO, NO, FORTUNATELY NOT. 6207 04:01:44,240 --> 04:01:45,720 JAMIE WAS VERY HAPPY WITH ME 6208 04:01:45,720 --> 04:01:46,720 ABOUT THAT 1. 6209 04:01:46,720 --> 04:01:48,240 >> GOOD, GOOD. 6210 04:01:48,240 --> 04:01:50,640 SO WE'VE APPLIED TO DO SOME 6211 04:01:50,640 --> 04:01:52,160 ADDITIONAL STUDIES WITH THIS AND 6212 04:01:52,160 --> 04:01:55,680 ACTUALLY THERE'S AN ADDITIONAL 6213 04:01:55,680 --> 04:01:56,920 STUDY WHERE YOU'RE JUST USING 6214 04:01:56,920 --> 04:02:00,760 THE FILM EVERY DAY FOR LIKE 14 6215 04:02:00,760 --> 04:02:04,760 DAYS OR 21 DAYS AND IT DOESN'T 6216 04:02:04,760 --> 04:02:05,720 INVOLVE YOUR HUSBAND. 6217 04:02:05,720 --> 04:02:07,480 SO YEAH, HOPEFUL WE HAVE SOME 6218 04:02:07,480 --> 04:02:10,760 FUTURE STUDIES COMING UP AND 6219 04:02:10,760 --> 04:02:13,200 YEAH, WE'LL GET YOU UNROLLED 6220 04:02:13,200 --> 04:02:14,120 AGAIN. 6221 04:02:14,120 --> 04:02:14,480 >> THANK YOU. 6222 04:02:14,480 --> 04:02:15,200 >> LET'S SEE, WHAT ELSE DO I 6223 04:02:15,200 --> 04:02:20,360 NEED TO ASK YOU. 6224 04:02:20,360 --> 04:02:22,960 YEAH, AND JUST, WHAT WOULD YOU 6225 04:02:22,960 --> 04:02:24,320 SAY TO, YOU KNOW WOMEN ABOUT 6226 04:02:24,320 --> 04:02:26,920 MAYBE USING THIS PRODUCT IN THE 6227 04:02:26,920 --> 04:02:27,800 FUTURE? 6228 04:02:27,800 --> 04:02:29,640 >> I WOULD SAY DEFINITELY GO FOR 6229 04:02:29,640 --> 04:02:29,880 IT. 6230 04:02:29,880 --> 04:02:31,600 THE ONLY THING THAT YOU DO NEED 6231 04:02:31,600 --> 04:02:33,000 TO KEEP MINDFUL IS THAT THE 6232 04:02:33,000 --> 04:02:35,080 PRODUCT DID REQUIRE, I THINK IT 6233 04:02:35,080 --> 04:02:39,600 WAS LIKE 15-30 MINUTES PRIOR TO 6234 04:02:39,600 --> 04:02:44,120 BEING SEXUALLY ACTIVE SO, IN 6235 04:02:44,120 --> 04:02:49,520 THAT CASE, HAVE REALLY GOOD 6236 04:02:49,520 --> 04:02:49,800 FOREPLAY. 6237 04:02:49,800 --> 04:02:51,560 BUT JUST BE MINDFUL OF THAT IN 6238 04:02:51,560 --> 04:02:53,520 THAT SCENARIO, YOU KNOW MPLET IT 6239 04:02:53,520 --> 04:02:56,040 WASN'T AFTER AN ISSUE IN MY CASE 6240 04:02:56,040 --> 04:02:58,480 BECAUSE AGAIN, WE WOULD--WE 6241 04:02:58,480 --> 04:02:59,240 WOULD HAVE THAT CONVERSATION 6242 04:02:59,240 --> 04:03:01,880 PRIOR TO SO WE DID--I WOULD 6243 04:03:01,880 --> 04:03:03,200 INSERT IT, GO ABOUT, DO WHATEVER 6244 04:03:03,200 --> 04:03:08,920 I NEEDED TO DO AND THEN YOU KNOW 6245 04:03:08,920 --> 04:03:11,200 THEN HAVE SEX, BUT AS FAR AS 6246 04:03:11,200 --> 04:03:12,600 PRODUCT USAGE, ONCE YOU GOT THE 6247 04:03:12,600 --> 04:03:14,280 HANG OF IT, IT WAS REALLY, 6248 04:03:14,280 --> 04:03:16,360 REALLY EASY AND IT WAS REALLY 6249 04:03:16,360 --> 04:03:18,600 NICE TO KNOW THAT IT STOPPED ALL 6250 04:03:18,600 --> 04:03:19,920 SPERM, IT KILLED OFF ALL SPERM, 6251 04:03:19,920 --> 04:03:21,680 YOU DIDN'T HAVE TO WORRY ABOUT 6252 04:03:21,680 --> 04:03:23,440 IT, YOU DON'T HAVE TO GET 6253 04:03:23,440 --> 04:03:24,640 THROUGH THAT 1 LITTLE BOOGER 6254 04:03:24,640 --> 04:03:27,200 THAT WOULD GET IF THERE, IT ONLY 6255 04:03:27,200 --> 04:03:27,440 CAUSES 1. 6256 04:03:27,440 --> 04:03:29,240 BUT I SAY GO FOR IT. 6257 04:03:29,240 --> 04:03:30,720 I REALLY LIKED IT. 6258 04:03:30,720 --> 04:03:31,120 >> GOOD, GOOD. 6259 04:03:31,120 --> 04:03:33,000 AND IT'S JUST, YOU KNOW IT'S I 6260 04:03:33,000 --> 04:03:35,400 THINK IT'S A NICE OPTION FOR, 6261 04:03:35,400 --> 04:03:36,400 YOU SAID YOU DIDN'T LIKE THE 6262 04:03:36,400 --> 04:03:41,240 IDEA OF A COPPER IUD, RIGHT? 6263 04:03:41,240 --> 04:03:42,720 AND MANY WOMEN SAY THAT, YOU 6264 04:03:42,720 --> 04:03:44,640 KNOW THEY JUST DON'T WANT 6265 04:03:44,640 --> 04:03:46,320 SOMETHING UP INSIDE THEIR 6266 04:03:46,320 --> 04:03:46,680 UTERROUS, RIGHT? 6267 04:03:46,680 --> 04:03:51,640 AND IF THEY'RE NOT READY TO GET 6268 04:03:51,640 --> 04:03:53,840 THEIR TUBES TIED, THEN THE 6269 04:03:53,840 --> 04:03:55,000 NONHORMONAL OPTIONS THERE'S A 6270 04:03:55,000 --> 04:03:57,800 GAP THERE, THERE'S CONDOMS, 6271 04:03:57,800 --> 04:04:02,440 THERE'S DIAPHRAGMS, YOU KNOW, 6272 04:04:02,440 --> 04:04:04,120 BUT THERE WERE SPERMICIDES BUT 6273 04:04:04,120 --> 04:04:05,240 SOME OF THE SPERM TIDES SOUGHT 6274 04:04:05,240 --> 04:04:07,400 THERE CAN CAUSE A LOT OF 6275 04:04:07,400 --> 04:04:09,920 INFLAMMATION AND CHANGE YOUR 6276 04:04:09,920 --> 04:04:11,720 VAGINAL MICROBIOME, SO THIS 6277 04:04:11,720 --> 04:04:14,000 PRODUCT, I THINK REALLY FILLS 6278 04:04:14,000 --> 04:04:14,360 THAT GAP. 6279 04:04:14,360 --> 04:04:16,400 >> YEAH THERE WAS NO VAGINAL 6280 04:04:16,400 --> 04:04:18,600 IRRITATION, THERE WAS NO 6281 04:04:18,600 --> 04:04:21,280 ITCHING, THERE WAS NO, SMELL, 6282 04:04:21,280 --> 04:04:24,040 THERE WAS NO NEGATIVE SIDE 6283 04:04:24,040 --> 04:04:25,640 EFFECTS AND YOU DIDN'T AFTER THE 6284 04:04:25,640 --> 04:04:27,400 ACTUAL HAVING SEX, THERE WAS 6285 04:04:27,400 --> 04:04:28,400 EVEN THROUGHOUT MY DAY 6286 04:04:28,400 --> 04:04:30,000 AFTERWARDS THERE WAS NO ISSUES 6287 04:04:30,000 --> 04:04:36,720 IN REGARDS TO MY VAGINAL--MY 6288 04:04:36,720 --> 04:04:37,200 VAGINA AT ALL. 6289 04:04:37,200 --> 04:04:39,400 SO THAT WAS REALLY NICE, THE 6290 04:04:39,400 --> 04:04:40,560 NICE PARTS ABOUT IT IS THAT 6291 04:04:40,560 --> 04:04:43,400 THERE WERE NO ISSUES OR SIDE 6292 04:04:43,400 --> 04:04:43,840 EFFECTS AFTERWARDS. 6293 04:04:43,840 --> 04:04:45,120 >> AWESOME, OKAY, GOOD AND YOU 6294 04:04:45,120 --> 04:04:46,920 WERE MENTIONING THAT WE TOLD 6295 04:04:46,920 --> 04:04:50,160 PEOPLE TO PUT IT IN 30 MINUTES 6296 04:04:50,160 --> 04:04:52,480 BEFORE SEX, THE VAGINAL 6297 04:04:52,480 --> 04:04:53,680 CONTRACEPTIVE FILMS THAT ARE 6298 04:04:53,680 --> 04:04:55,280 OVER THE COUNTER THEY SAY 15 6299 04:04:55,280 --> 04:04:58,040 MINUTES SO ACTUALLY THAT IS 1 6300 04:04:58,040 --> 04:04:59,560 THING, A COUPLE OF PEOPLE SAID, 6301 04:04:59,560 --> 04:05:01,360 YOU KNOW MAYBE THE 30 MINUTES IS 6302 04:05:01,360 --> 04:05:05,160 A LITTLE BIT TOO LONG, SO MAYBE 6303 04:05:05,160 --> 04:05:07,600 YOU WILL LOOK AT DISSOLUTION AT 6304 04:05:07,600 --> 04:05:11,880 15 MINUTES AND 30 MINUTES, SO, 6305 04:05:11,880 --> 04:05:13,080 YOU KNOW HOPEFULLY, PEOPLE DON'T 6306 04:05:13,080 --> 04:05:16,560 HAVE TO WAIT AS LONG. 6307 04:05:16,560 --> 04:05:16,960 >> YEAH. 6308 04:05:16,960 --> 04:05:17,880 >> AND THE--BUT WE WILL SEE HOW 6309 04:05:17,880 --> 04:05:19,320 LONG IT STAYS IN YOUR SYSTEM, 6310 04:05:19,320 --> 04:05:21,840 YOU KNOW SO LIKE, LET'S SAY YOU 6311 04:05:21,840 --> 04:05:23,920 PUT IT IN, YOU KNOW BEFORE YOU 6312 04:05:23,920 --> 04:05:25,480 WENT OUT IF YOU'RE LIKE A SINGLE 6313 04:05:25,480 --> 04:05:26,640 PERSON, YOU KNOW PUT IT IN 6314 04:05:26,640 --> 04:05:28,320 BEFORE YOU GO OUT ON A DATE, IS 6315 04:05:28,320 --> 04:05:33,680 IT GOING TO BE AROUND, YOU KNOW, 6316 04:05:33,680 --> 04:05:35,120 4 OR 8 HOURS LATER. 6317 04:05:35,120 --> 04:05:36,760 >> THAT WOULD BE REALLY NICE. 6318 04:05:36,760 --> 04:05:38,280 >> SO JUST MAKING SURE THESE 6319 04:05:38,280 --> 04:05:40,160 PRODUCTS JIVE WITH PEOPLE'S LIVE 6320 04:05:40,160 --> 04:05:41,920 STYLE SYSTEM SUPER IMPORTANT. 6321 04:05:41,920 --> 04:05:44,280 >> YEAH, IF IF WE CAN FIGURE OUT 6322 04:05:44,280 --> 04:05:45,600 HOW LONG, LIKE YOU SAY IF A 6323 04:05:45,600 --> 04:05:47,720 GIRL'S GOING TO PUT IT IN BEFORE 6324 04:05:47,720 --> 04:05:50,960 A DATE AND A DATE USUALLY LASTS 6325 04:05:50,960 --> 04:05:52,520 234 HOURS AND IS IT STILL GOING 6326 04:05:52,520 --> 04:05:53,920 TO BE EFFECTIVE, THAT PART WOULD 6327 04:05:53,920 --> 04:05:56,720 BE REALLY COOL BECAUSE THEN THAT 6328 04:05:56,720 --> 04:05:58,240 WOULD REALLY, REALLY FULFILL THE 6329 04:05:58,240 --> 04:06:00,560 GAP, I FEEL LIKE INSTEAD OF 6330 04:06:00,560 --> 04:06:02,440 HAVING TO DO IT 15-20 MINUTES 6331 04:06:02,440 --> 04:06:04,680 PRIOR TO AND THEN IT'S LIKE, OH, 6332 04:06:04,680 --> 04:06:06,400 DARN IT, I FORGOT, IS IT THIS 6333 04:06:06,400 --> 04:06:06,800 GOING TO WORK? 6334 04:06:06,800 --> 04:06:10,040 YOU COULD DO IT EARLIER ON IN 6335 04:06:10,040 --> 04:06:11,080 THE NIGHT AND NO THAT IT'S STILL 6336 04:06:11,080 --> 04:06:14,160 GOING TO BE EFFECTIVE. 6337 04:06:14,160 --> 04:06:16,160 >> AND YOU KNOW YOU HAD TO COME 6338 04:06:16,160 --> 04:06:18,080 IN THE DAY AFTER YOU GUYS HAD 6339 04:06:18,080 --> 04:06:23,800 SEX, AND SO, WE ACTUALLY, WE GOT 6340 04:06:23,800 --> 04:06:24,960 SOME SWABS, 1 OF THOSE SAMPLES 6341 04:06:24,960 --> 04:06:27,840 WAS TO SEE, OKAY, TWOWRP HOURS 6342 04:06:27,840 --> 04:06:30,880 AFTER, IS THERE STILL SOME 6343 04:06:30,880 --> 04:06:32,160 ANTIBODY IN THERE, SO YOU KNOW 6344 04:06:32,160 --> 04:06:35,560 AND THEN IN THE FUTURE PLANNED 6345 04:06:35,560 --> 04:06:36,880 STUDIES WE WILL TEST MAYBE 4 6346 04:06:36,880 --> 04:06:38,480 HOURS AFTER YOU PUT IT IN OR 8 6347 04:06:38,480 --> 04:06:40,720 HOURS, YOU KNOW AND THEN 24 6348 04:06:40,720 --> 04:06:40,920 HOURS. 6349 04:06:40,920 --> 04:06:43,000 SO YEAH, REALLY SEEING, YOU KNOW 6350 04:06:43,000 --> 04:06:46,160 HOW THIS CAN BE DOSED TO FIT 6351 04:06:46,160 --> 04:06:47,120 INTO PEOPLE'S LIFESTYLES NTHAT 6352 04:06:47,120 --> 04:06:50,680 WOULD BE GREAT. 6353 04:06:50,680 --> 04:06:51,240 >> YEAH, YEAH. 6354 04:06:51,240 --> 04:06:52,760 WELL, DO YOU HAVE ANY OTHER 6355 04:06:52,760 --> 04:06:54,080 THINGS THAT I HAVEN'T ASKED YOU 6356 04:06:54,080 --> 04:06:57,440 OR DO YOU THINK PEOPLE MIGHT 6357 04:06:57,440 --> 04:06:57,760 WANT TO KNOW? 6358 04:06:57,760 --> 04:06:59,040 >> NO, I THINK THE PRODUCT 6359 04:06:59,040 --> 04:06:59,920 ITSELF WAS REALLY GOOD AND IF 6360 04:06:59,920 --> 04:07:01,600 YOU CAN FIGURE OUT THE TIME 6361 04:07:01,600 --> 04:07:04,400 SPECTRUM ON IT, I WOULD BE 6362 04:07:04,400 --> 04:07:04,960 REALLY AWESOME. 6363 04:07:04,960 --> 04:07:08,600 IN REGARDS TO JUST DOING 6364 04:07:08,600 --> 04:07:10,240 RESEARCH TRIALS, I THINK--I HAD 6365 04:07:10,240 --> 04:07:15,760 SO MUCH FUN AGAIN, I AM THINKING 6366 04:07:15,760 --> 04:07:17,000 ABOUT SIGNING UP FOR ANOTHER 1. 6367 04:07:17,000 --> 04:07:18,440 >> I THINK THE NICE THING IS WE 6368 04:07:18,440 --> 04:07:20,560 DO HAVE FUN WITH THE PATIENTS. 6369 04:07:20,560 --> 04:07:21,840 >> JUDGES NAND YOU KNOW THIS 6370 04:07:21,840 --> 04:07:24,440 SHOULD BE A POSITIVE EXPERIENCE. 6371 04:07:24,440 --> 04:07:28,320 YOU KNOW WE'RE NOT TREATING AN 6372 04:07:28,320 --> 04:07:29,640 ILLNESS, WE'RE EXPLORING 6373 04:07:29,640 --> 04:07:30,920 SCIENCE, DEVELOPING PRODUCTS AND 6374 04:07:30,920 --> 04:07:32,760 I THINK IT'S--YOU KNOW I THINK A 6375 04:07:32,760 --> 04:07:38,760 LOT OF WOMEN WANT TO SUPPORT 6376 04:07:38,760 --> 04:07:40,400 SUPPORT WOMEN'S HEALTH AND 6377 04:07:40,400 --> 04:07:41,120 FUTURE OPTIONS FOR WOMEN. 6378 04:07:41,120 --> 04:07:43,560 >> THIS ACTUALLY ALSO GIVE ME A 6379 04:07:43,560 --> 04:07:49,440 VERY GOOD OPPORTUNITY IN ORDER 6380 04:07:49,440 --> 04:07:52,600 TO--I THINK AS PEOPLE ESPECIALLY 6381 04:07:52,600 --> 04:07:54,200 WOMEN, EVERYTHING'S SUPPOSED TO 6382 04:07:54,200 --> 04:07:55,040 BE PERFECT ESPECIALLY WHEN IT AM 6383 04:07:55,040 --> 04:07:57,800 CANS TO OUR BODIES AND VAGINA 6384 04:07:57,800 --> 04:07:59,720 AND EVERYTHING IS THIS IS A GOOD 6385 04:07:59,720 --> 04:08:01,440 OPPORTUNITY TO BE LIKE LET'S GET 6386 04:08:01,440 --> 04:08:03,520 DOWN AND DIRT EXPE FRANK ABOUT 6387 04:08:03,520 --> 04:08:05,280 EVERYTHING, SO I HAVE QUESTION, 6388 04:08:05,280 --> 04:08:06,800 WHAT ABOUT THIS, OR YOU KNOW, 6389 04:08:06,800 --> 04:08:08,720 WHAT DOES THAT MEAN ABOUT THAT 6390 04:08:08,720 --> 04:08:13,200 SO IT WAS REALLY NICE TO BE IN 6391 04:08:13,200 --> 04:08:14,920 SURCH A GOOD POSITIVE 6392 04:08:14,920 --> 04:08:16,240 ENVIRONMENT WITH SO MANY FEMALES 6393 04:08:16,240 --> 04:08:18,400 THAT YOU CAN FEEL OPEN TO ASK 6394 04:08:18,400 --> 04:08:19,000 THOSE QUESTIONS. 6395 04:08:19,000 --> 04:08:21,240 >> OH, YEAH, FOR SURE. 6396 04:08:21,240 --> 04:08:21,520 YEAH. 6397 04:08:21,520 --> 04:08:26,440 >> COOL, ARE WELL WE REALLY 6398 04:08:26,440 --> 04:08:29,440 APPRECIATE YOUR PARTICIPATION 6399 04:08:29,440 --> 04:08:31,240 AND WE WILL FIELD QUESTIONS FROM 6400 04:08:31,240 --> 04:08:32,960 THE AUDIENCE BUT YEAH, I THINK 6401 04:08:32,960 --> 04:08:34,280 IT'S IMPORTANT FOR RESEARCHERS 6402 04:08:34,280 --> 04:08:36,800 OUT THERE TO MEET PARTICIPANTS 6403 04:08:36,800 --> 04:08:41,160 AND SEE WHAT THEY'RE EXPERIENCE 6404 04:08:41,160 --> 04:08:42,320 IS SO I THANK EVERYONE FOR YOUR 6405 04:08:42,320 --> 04:08:44,120 TIME AND THANK YOU IF ARE YOUR 6406 04:08:44,120 --> 04:08:44,320 TIME. 6407 04:08:44,320 --> 04:08:48,120 >> NOT A PROBLEM. 6408 04:08:48,120 --> 04:08:49,440 >> ALL RIGHT. 6409 04:08:49,440 --> 04:08:59,920 LET ME SEE HOW TO TURN THIS 6410 04:09:02,520 --> 04:09:03,160 THING OFF. 6411 04:09:03,160 --> 04:09:04,160 >> OKAY, ANNIE, YOU'RE STILL 6412 04:09:04,160 --> 04:09:04,840 WITH US. 6413 04:09:04,840 --> 04:09:05,240 >> YES. 6414 04:09:05,240 --> 04:09:07,560 >> THAT WAS A TAWR DEFORCE AND 6415 04:09:07,560 --> 04:09:10,480 WE NEED TO THINK MRS. WRIGHT. 6416 04:09:10,480 --> 04:09:16,040 >> I APOLOGIZE IN THE SCRIPT IT 6417 04:09:16,040 --> 04:09:16,400 SAYS W-H-I-T-E. 6418 04:09:16,400 --> 04:09:16,720 >> OH, OKAY. 6419 04:09:16,720 --> 04:09:18,360 >> I WANT TO GET THE SPELLING 6420 04:09:18,360 --> 04:09:22,480 CORRECT FOR THE TRANSCRIPTION, 6421 04:09:22,480 --> 04:09:23,520 TRANSCRIPT, RATHER. 6422 04:09:23,520 --> 04:09:28,800 THIS WAS AMAZING, YOU WERE A 6423 04:09:28,800 --> 04:09:30,240 GREAT INTERVIEWER AND SHE CHES 6424 04:09:30,240 --> 04:09:32,160 TERRIFIC IN BEING WILLING TO 6425 04:09:32,160 --> 04:09:35,240 SHARE VERY PERSONAL ASPECTS OF 6426 04:09:35,240 --> 04:09:39,080 HER LIFE. 6427 04:09:39,080 --> 04:09:42,960 IN THE CHAT BOX REBEKAH SAYS 6428 04:09:42,960 --> 04:09:45,840 THANK YOU FOR GIVES US SUCH A 6429 04:09:45,840 --> 04:09:47,160 GREAT FRONT SEAT TO YOUR 6430 04:09:47,160 --> 04:09:47,840 IMPORTANT WORK. 6431 04:09:47,840 --> 04:09:49,520 I WOULD SECOND THAT I DON'T KNOW 6432 04:09:49,520 --> 04:09:51,160 IF ANYBODY ELSE HAS COMMENTS BUT 6433 04:09:51,160 --> 04:09:54,440 I WAS IMPRESSED BY HOW 6434 04:09:54,440 --> 04:09:55,520 ALTRUISTIC MRS. WRIGHT WAS. 6435 04:09:55,520 --> 04:09:57,000 SHE HAS NOTHING TO BENEFIT, 6436 04:09:57,000 --> 04:09:58,480 NOTHING TO GAIN FROM THE STUDY, 6437 04:09:58,480 --> 04:10:03,760 NO BENEFITS FOR HER MPLET AND 6438 04:10:03,760 --> 04:10:05,680 YET, SHE'S SO WILLING TO 6439 04:10:05,680 --> 04:10:07,280 PARTICIPATE AND SHE DID GET 6440 04:10:07,280 --> 04:10:09,360 BENEFITS SO SHE SAID AT THE END 6441 04:10:09,360 --> 04:10:12,480 SHE GOT SOME INFORMATION ABOUT 6442 04:10:12,480 --> 04:10:14,480 HER OWN BODY YOU KNOW MAYBE HAD 6443 04:10:14,480 --> 04:10:15,720 THE OPPORTUNITY TO ASK QUESTIONS 6444 04:10:15,720 --> 04:10:19,520 THAT WOULDN'T COME UP IN A 6445 04:10:19,520 --> 04:10:21,040 REGULAR OBGYN VISIT BUT STILL, 6446 04:10:21,040 --> 04:10:24,440 THIS APPEARS TO BE A STUDY THAT 6447 04:10:24,440 --> 04:10:25,880 REQUIRES SIGNIFICANT AMOUNT OF 6448 04:10:25,880 --> 04:10:30,800 INVESTMENT FROM BOTH THE MALE 6449 04:10:30,800 --> 04:10:33,240 AND FEMALE PARTNER. 6450 04:10:33,240 --> 04:10:34,440 >> SO, QUESTIONS, COMMENTS? 6451 04:10:34,440 --> 04:10:36,800 >> I BELIEVE MEMBERS OF ZAB, 6452 04:10:36,800 --> 04:10:39,640 BIOARE ON THE ZOOM LINE SO COULD 6453 04:10:39,640 --> 04:10:44,480 ALSO FIELD IF YOU HAVE QUESTIONS 6454 04:10:44,480 --> 04:10:46,160 ABOUT THE REGULATORY, BUT HOW 6455 04:10:46,160 --> 04:10:52,400 SAFE IS THE CONTRACEPTIVE? 6456 04:10:52,400 --> 04:10:53,000 WILL THERE ANY--SO THERE'S A 6457 04:10:53,000 --> 04:10:54,960 QUESTION IN THE CHAT ABOUT HOW 6458 04:10:54,960 --> 04:10:57,520 SAFE IS THE CONTRACEPTIVE FOR 6459 04:10:57,520 --> 04:10:58,720 MALE PARTNERS THAT PARTICIPATE 6460 04:10:58,720 --> 04:11:03,280 IN ORAL SEX, WE DID HAVE 1 MALE 6461 04:11:03,280 --> 04:11:07,360 SAY THAT YOU KNOW HE DIDN'T FEEL 6462 04:11:07,360 --> 04:11:08,600 COMFORT FORTABLE PERFORMING ORAL 6463 04:11:08,600 --> 04:11:10,360 SEX BECAUSE HE KNEW HIS PARTNER 6464 04:11:10,360 --> 04:11:14,440 HAD THE PRODUCT IN, A LOT OF 6465 04:11:14,440 --> 04:11:18,080 TIMES THEY WILL DO A PETRESSABLE 6466 04:11:18,080 --> 04:11:19,640 NILE MALE TOLERANCE STUDY WITH 6467 04:11:19,640 --> 04:11:21,080 VAGINAL PRODUCTS, I WOULD HAVE 6468 04:11:21,080 --> 04:11:25,240 TO DEFER TO MY COLLEAGUES ABOUT 6469 04:11:25,240 --> 04:11:27,920 IF THERE'S ANY TYPE OF TOLERANCE 6470 04:11:27,920 --> 04:11:31,360 STUDY FOR ORAL SEX, BUT I DON'T 6471 04:11:31,360 --> 04:11:33,400 THINK IT WOULD BE AN ISSUE, YOU 6472 04:11:33,400 --> 04:11:35,600 KNOW, IT DEFINITELY, WHEN THE 6473 04:11:35,600 --> 04:11:39,000 FILM DISSOLVES, YOU KNOW IT 6474 04:11:39,000 --> 04:11:41,000 WOULD DISSOLVE INTO MAYBE A 6475 04:11:41,000 --> 04:11:42,600 COUPLE OF MILLI LITERS SO I 6476 04:11:42,600 --> 04:11:44,120 DON'T THINK THAT MEN SHOULD, YOU 6477 04:11:44,120 --> 04:11:45,680 KNOW HAVE ANY PROBLEMS WITH 6478 04:11:45,680 --> 04:11:47,800 THAT, BUT WE DID HAVE A MALE 6479 04:11:47,800 --> 04:11:52,960 PARTNER ASK ABOUT THAT. 6480 04:11:52,960 --> 04:11:55,720 WE DIDN'T GIVE THEM SPECIFIC 6481 04:11:55,720 --> 04:11:57,040 INSTRUCTIONS TO NOT PERFORM ORAL 6482 04:11:57,040 --> 04:11:59,360 SEX AND THAT DID COME UP AND I 6483 04:11:59,360 --> 04:12:01,040 DON'T HAVE AN EXACT ANSWER FOR 6484 04:12:01,040 --> 04:12:02,320 FUTURE DEVELOPMENT. 6485 04:12:02,320 --> 04:12:05,600 I DON'T KNOW IF MARSHAL OR ANY 6486 04:12:05,600 --> 04:12:07,640 OF THE OTHER PEOPLE IN ZAB ARE 6487 04:12:07,640 --> 04:12:08,160 ON THE CALL. 6488 04:12:08,160 --> 04:12:11,760 >> I ALSO HAVE A QUESTION ABOUT 6489 04:12:11,760 --> 04:12:14,800 THE MECHANISM BECAUSE YOU KNOW 6490 04:12:14,800 --> 04:12:16,400 WOULD THIS BE CONTRA 6491 04:12:16,400 --> 04:12:16,800 INTERNATIONAL 6492 04:12:16,800 --> 04:12:17,400 CLASSIFICATIONICATED IN WOMEN 6493 04:12:17,400 --> 04:12:19,040 WHO DO NOT HAVE A FUNCTIONING 6494 04:12:19,040 --> 04:12:20,920 IMMUNE SYSTEM OR WHO HAVE SOME 6495 04:12:20,920 --> 04:12:27,400 PROBLEM WITH THEIR IMMUNE 6496 04:12:27,400 --> 04:12:27,840 SYSTEM? 6497 04:12:27,840 --> 04:12:29,280 >> I'M GOING TO SEE IF ANY OF MY 6498 04:12:29,280 --> 04:12:32,840 COLLEAGUES ARE ON THE CALL? 6499 04:12:32,840 --> 04:12:34,600 >> HI, I'M HERE. 6500 04:12:34,600 --> 04:12:36,600 >> AWESOME, OKAY. 6501 04:12:36,600 --> 04:12:37,360 >> MARSHAL'S HERE,. 6502 04:12:37,360 --> 04:12:39,120 >> THANK YOU MARSHAL. 6503 04:12:39,120 --> 04:12:39,560 >> HI, EVERYONE. 6504 04:12:39,560 --> 04:12:41,520 WAS THERE A QUESTION THAT I CAN 6505 04:12:41,520 --> 04:12:42,360 ANSWER IN PARTICULAR? 6506 04:12:42,360 --> 04:12:44,400 >> I'M SORRY I JUST-- 6507 04:12:44,400 --> 04:12:47,920 >> HI I'M DR. DIANEA BIANCHI, 6508 04:12:47,920 --> 04:12:50,280 I'M THE DIRECTOR OF THE NICHD 6509 04:12:50,280 --> 04:12:52,800 AND I ASKED A QUESTION ABOUT THE 6510 04:12:52,800 --> 04:12:53,520 MECHANISM, MONOCLONAL ANTIBODY 6511 04:12:53,520 --> 04:12:56,360 DOES IT REQUIRE THAT THE FEMALE 6512 04:12:56,360 --> 04:12:58,880 PARTICIPANT HAS A FULLY 6513 04:12:58,880 --> 04:12:59,480 FUNCTIONAL IMMUNE SYSTEM? 6514 04:12:59,480 --> 04:13:02,360 LIKE WOULD IT BE CONTRA INDICATE 6515 04:13:02,360 --> 04:13:04,320 INDEED SOMEONE WHO HAS AN 6516 04:13:04,320 --> 04:13:05,640 ABNORMALITY IN THEIR IMMUNE 6517 04:13:05,640 --> 04:13:05,880 SYSTEM. 6518 04:13:05,880 --> 04:13:07,320 >> IT DOES NOT THAT WE KNOW OF. 6519 04:13:07,320 --> 04:13:09,360 YOU KNOW AND I THINK THAT'S 1 OF 6520 04:13:09,360 --> 04:13:10,360 THE QUESTIONS THAT STILL REMAINS 6521 04:13:10,360 --> 04:13:13,040 TO BE ANSWERED WITH REPEATED USE 6522 04:13:13,040 --> 04:13:15,960 OF THE PRODUCT BUT, FOR 6523 04:13:15,960 --> 04:13:18,880 INSTANCE, YOU KNOW WE HAVE DONE 6524 04:13:18,880 --> 04:13:21,160 SOME RESEARCH AND YOU KNOW 6525 04:13:21,160 --> 04:13:24,680 THERE'S BEEN SOME EVIDENCE TO 6526 04:13:24,680 --> 04:13:27,440 SUGGEST THAT THIS--THE OANT GOOD 6527 04:13:27,440 --> 04:13:29,720 BODIES WORK WITHOUT ANY 6528 04:13:29,720 --> 04:13:30,880 COMPLIMENTARY IMMUNE FUNCTIONS 6529 04:13:30,880 --> 04:13:32,880 WHICH YOU WOULD CLASSICALLY 6530 04:13:32,880 --> 04:13:33,440 ASSOCIATE WITH ANTIBODIES, 6531 04:13:33,440 --> 04:13:35,080 THINGS THAT HAVE TO DO WITH 6532 04:13:35,080 --> 04:13:35,800 IMMUNE EFFECTOR CELLS SO I DON'T 6533 04:13:35,800 --> 04:13:38,080 THINK THAT THAT IS NECESSARILY 6534 04:13:38,080 --> 04:13:40,560 THE MECHANISM OF ACTION OF THIS 6535 04:13:40,560 --> 04:13:43,120 ANTIBODY, IT APPEARS TO REALLY 6536 04:13:43,120 --> 04:13:44,400 JUST BE IMMOBILIZATION AND 6537 04:13:44,400 --> 04:13:48,080 TRAPPING OF THE ANTIBODY, OR OF 6538 04:13:48,080 --> 04:13:52,840 THE SPERM IN THE KIND OF MUCUS 6539 04:13:52,840 --> 04:13:54,320 GLYCOLAX, SO THAT'S WAWE KNOW SO 6540 04:13:54,320 --> 04:13:55,280 FAR. 6541 04:13:55,280 --> 04:13:55,600 >> GREAT. 6542 04:13:55,600 --> 04:13:56,160 THAT'S HELPFUL. 6543 04:13:56,160 --> 04:14:05,280 THANK YOU. 6544 04:14:05,280 --> 04:14:07,000 >> AND I THINK TO ADD TO 6545 04:14:07,000 --> 04:14:10,000 MARSHAL, WE WANT THIS TO BE A 6546 04:14:10,000 --> 04:14:11,400 TRANSIENT ANTIBODY, EXPOSE IRB 6547 04:14:11,400 --> 04:14:13,080 SO THEY GO AWAY WITHIN 24 HOURS 6548 04:14:13,080 --> 04:14:14,960 SO THAT THE PATIENT DOESN'T HAVE 6549 04:14:14,960 --> 04:14:16,840 TO BUILD UP HER OWN AND WE DON'T 6550 04:14:16,840 --> 04:14:19,240 WANT HER BELLING UP LASTING 6551 04:14:19,240 --> 04:14:21,560 ANTISPERM ANTIBODIES. 6552 04:14:21,560 --> 04:14:22,360 SO YEAH. 6553 04:14:22,360 --> 04:14:24,000 >> YEAH THAT'S RECTIFIED 6554 04:14:24,000 --> 04:14:24,800 CORRECT. 6555 04:14:24,800 --> 04:14:26,960 >> THERE A PASSIVE IMMUNIZATION 6556 04:14:26,960 --> 04:14:27,400 MECHANISM. 6557 04:14:27,400 --> 04:14:30,720 >> YEAH, RIGHT, VERY MUCH NORMAL 6558 04:14:30,720 --> 04:14:32,160 TURNOVER OF ANTIBODIES IN 6559 04:14:32,160 --> 04:14:33,440 MUCOSAL SURFACES AND I THINK 6560 04:14:33,440 --> 04:14:35,000 THAT OUR, YOU KNOW OTHER 6561 04:14:35,000 --> 04:14:36,680 COLLABORATORS TOM AND KEVIN HAVE 6562 04:14:36,680 --> 04:14:39,400 DONE A LOT OF WORK ON THIS TO 6563 04:14:39,400 --> 04:14:40,040 DEMONSTRATE THAT THAT REALLY 6564 04:14:40,040 --> 04:14:42,880 ANTIBODIES ARE A NORMAL PART OF 6565 04:14:42,880 --> 04:14:50,560 ANY KIND OF MUCOSAL ENVIRONMENT. 6566 04:14:50,560 --> 04:14:50,960 >> GREAT. 6567 04:14:50,960 --> 04:14:54,120 I DON'T KNOW ANY JAN JOHNSTON 6568 04:14:54,120 --> 04:14:56,320 WANTS TO MAKE ANY FINAL COMMENTS 6569 04:14:56,320 --> 04:14:58,400 BUT WE WILL WRAP UP BUT I SIN 6570 04:14:58,400 --> 04:15:00,560 LEERILY THANK YOU DR. THURMAN, 6571 04:15:00,560 --> 04:15:02,160 AND GIVE OUR SEN ILLEGALSEN SEER 6572 04:15:02,160 --> 04:15:03,720 THANKS TO MRS. WRIGHT FOR BEING 6573 04:15:03,720 --> 04:15:05,480 SO OPEN AND BEING WILLING TO GO 6574 04:15:05,480 --> 04:15:09,520 ON VIDEO TO EDUCATE US ABOUT THE 6575 04:15:09,520 --> 04:15:19,640 STUDY. 6576 04:15:21,000 --> 04:15:21,520 SO DAN? 6577 04:15:21,520 --> 04:15:22,880 >> SORRY ABOUT THAT I WANT TO 6578 04:15:22,880 --> 04:15:25,560 THANK YOU FOR COMING ON TOED AND 6579 04:15:25,560 --> 04:15:27,320 GIVING AN EXCELLENT PRESENTATION 6580 04:15:27,320 --> 04:15:29,080 AND I HOPE COUNCIL MEMBERS WILL 6581 04:15:29,080 --> 04:15:29,880 GIVE MORE PERSPECTIVE ON THE 6582 04:15:29,880 --> 04:15:31,800 WORK THAT THE BRANCH IS DOING TO 6583 04:15:31,800 --> 04:15:34,000 DEVELOP INNOVATE AND I HAVE NEW 6584 04:15:34,000 --> 04:15:35,000 CONTRACEPTIVES FOR WOMEN, THAT'S 6585 04:15:35,000 --> 04:15:40,280 ALL AND THANKS AGAIN TO 6586 04:15:40,280 --> 04:15:41,040 DR. THURMAN. 6587 04:15:41,040 --> 04:15:41,480 >> OKAY,. 6588 04:15:41,480 --> 04:15:42,240 >> MY PLEASURE, GREAT, THANK 6589 04:15:42,240 --> 04:15:42,400 YOU. 6590 04:15:42,400 --> 04:15:45,080 >> THANK YOU VERY MUCH, GIVE MY 6591 04:15:45,080 --> 04:15:48,720 BEST TO YOUR CHAIR, 6592 04:15:48,720 --> 04:15:50,080 DR. [INDISCERNIBLE], AND THIS IS 6593 04:15:50,080 --> 04:15:52,480 GOING TO CONCLUDE THE FIRST DAY 6594 04:15:52,480 --> 04:15:56,520 OF OUR ZOOM MARATHON OUR 2 DAY 6595 04:15:56,520 --> 04:15:57,560 NICHD ADVISORY COUNCIL MEETING, 6596 04:15:57,560 --> 04:15:59,200 I HOPE EVERYBODY GETS A GOOD 6597 04:15:59,200 --> 04:16:00,600 NIGHT'S SLEEP AND THANK YOU FOR 6598 04:16:00,600 --> 04:16:03,760 ATTENDING AND WE LOOK FORWARD TO 6599 04:16:03,760 --> 04:16:04,320 SEEING EVERYONE TOMORROW. 6600 04:16:04,320 --> 04:16:06,520 THE START TIME WILL BE THE SAME 6601 04:16:06,520 --> 04:16:08,000 AS IT WAS TODAY. 6602 04:16:08,000 --> 04:16:09,640 NOW WHAT'S A LITTLE BIT 6603 04:16:09,640 --> 04:16:10,880 DIFFERENT TOMORROW IS THE FIRST 6604 04:16:10,880 --> 04:16:14,760 HOUR AND A QUARTER WILL STILL BE 6605 04:16:14,760 --> 04:16:18,000 OPEN SESSION, SO IF THERE ARE 6606 04:16:18,000 --> 04:16:19,120 PEOPLE LISTENING--OH, SORRY. 6607 04:16:19,120 --> 04:16:20,680 I GUESS ALFRED HAS BEEN 6608 04:16:20,680 --> 04:16:21,680 PROMOTED, I DIDN'T KNOW THAT 6609 04:16:21,680 --> 04:16:24,600 HE'S NOW PRESIDENT OF THE 6610 04:16:24,600 --> 04:16:25,520 UNIVERSITY, CONGRATTULESS TO HIM 6611 04:16:25,520 --> 04:16:30,120 THAT MUST BE LATE BREAKING NEWS. 6612 04:16:30,120 --> 04:16:32,160 DID EMPLOY NIT WAS A COUPLE 6613 04:16:32,160 --> 04:16:34,520 MONTHS AGO, YEAH, HE'S THE 6614 04:16:34,520 --> 04:16:37,360 PRESIDENT AND PROVOST OF EVMS 6615 04:16:37,360 --> 04:16:38,560 NOW. 6616 04:16:38,560 --> 04:16:39,000 >> WOW. 6617 04:16:39,000 --> 04:16:42,720 EXCELLENT, WELL PLEASE GIVE HIM 6618 04:16:42,720 --> 04:16:43,320 OUR BEST REGARDS. 6619 04:16:43,320 --> 04:16:44,400 >> SO TOMORROW FOR THE FIRST 6620 04:16:44,400 --> 04:16:46,760 HOUR AND A QUARTER IT WILL STILL 6621 04:16:46,760 --> 04:16:48,000 BE OPEN SESSION BECAUSE WE HAD 6622 04:16:48,000 --> 04:16:52,840 SO MANY THINGS WE WANTED TO TALK 6623 04:16:52,840 --> 04:16:55,120 ABOUT WITH YOU AND THOSE WHO ARE 6624 04:16:55,120 --> 04:16:57,480 PARTICULARLY INTERESTED IN 6625 04:16:57,480 --> 04:16:59,800 CLINICAL TRIAL NETWORKS, DOCTOR 6626 04:16:59,800 --> 04:17:02,040 BOB TAMBURRO WILL GIVE A 6627 04:17:02,040 --> 04:17:04,000 PRESENTATION THEN WE'LL GO TO 6628 04:17:04,000 --> 04:17:05,160 CONCEPT CLEARANCE AND AFTER THAT 6629 04:17:05,160 --> 04:17:09,240 IT WILL BE THE CLOSED SESSION. 6630 04:17:09,240 --> 04:17:15,360 SO LIKE I SAID, GET A GOOD 6631 04:17:15,360 --> 04:17:17,640 NIGHT'S SLEEP, WE APPRECIATE 6632 04:17:17,640 --> 04:17:19,880 YOUR TEABDANCE YOUR ENGAGEMENT, 6633 04:17:19,880 --> 04:17:21,040 YOUR QUESTIONS YOUR FEEDBACK AND 6634 04:17:21,040 --> 04:17:22,880 WE WILL SEE TOMORROW AT NOON 6635 04:17:22,880 --> 04:17:25,960 EASTERN DAY LIGHT TIME. 6636 04:17:25,960 --> 04:17:30,080 TAKE CARE EVERYBODY. 6637 04:17:30,080 --> 04:17:40,280 KD--SALLY