1 00:00:05,320 --> 00:00:10,640 WE ARE CALLING THIS MEETING TO ORDER 2 00:00:10,640 --> 00:00:14,960 THE 63RD MEETING OF THE NATIONAL 3 00:00:14,960 --> 00:00:20,400 INSTITUTE ON MINORITY HEALTH AND 4 00:00:20,400 --> 00:00:23,040 HEALTH DISPARITIES COUNCIL TO 5 00:00:23,040 --> 00:00:25,920 ORDER AND WE WILL WELCOME EACH 6 00:00:25,920 --> 00:00:28,560 AND EVERY ONE OF YOU HERE. 7 00:00:28,560 --> 00:00:31,080 THANK YOU FOR YOUR SERVICE. 8 00:00:31,080 --> 00:00:33,280 HELLO TO FOLKS AROUND US AND 9 00:00:33,280 --> 00:00:35,400 BEHIND US. WE HAVEN'T HAD THIS 10 00:00:35,400 --> 00:00:39,000 RECENTLY AND ARE ALL HAPPY TO BE 11 00:00:39,000 --> 00:00:43,840 HERE DO WE WANT TO GO AROUND THE 12 00:00:43,840 --> 00:00:46,360 TABLE AND INTRODUCE OURSELVES AR 13 00:00:46,360 --> 00:00:49,960 MOVE TO THE TRADITIONAL ROLL 14 00:00:49,960 --> 00:00:52,960 CALL? 15 00:00:52,960 --> 00:00:54,440 OKAY. DR. AGUILAR. 16 00:00:54,440 --> 00:00:57,360 >>GOOD MORNING. I'M MARIA 17 00:00:57,360 --> 00:01:00,560 AGUILAR AND ASSOCIATE PROFESSOR 18 00:01:00,560 --> 00:01:02,920 AT UNIVERSITY OF SOUTHERN 19 00:01:02,920 --> 00:01:04,760 CALIFORNIA AND FIELD OF 20 00:01:04,760 --> 00:01:08,280 EXPERTISE IS USING EXPERIMENTAL 21 00:01:08,280 --> 00:01:10,720 METHODS TO NUNS COUNCIL EFFECTS 22 00:01:10,720 --> 00:01:13,880 OF [INDISCERNIBLE] PROGRAMS ON 23 00:01:13,880 --> 00:01:17,000 HEALTH AND WELLBEING LOWER 24 00:01:17,000 --> 00:01:19,720 INCOME POPULATION AND 25 00:01:19,720 --> 00:01:20,560 PARTICULARLY MINORITY 26 00:01:20,560 --> 00:01:22,680 POPULATION. THANK YOU. 27 00:01:22,680 --> 00:01:32,640 PLEASURE TO BE HERE. 28 00:01:32,640 --> 00:01:33,880 >>D BARNES. 29 00:01:33,880 --> 00:01:37,080 >>GOOD MORNING. I'M DIRECTOR 30 00:01:37,080 --> 00:01:39,480 OF THE ALZ HIEMER'S RESEARCH 31 00:01:39,480 --> 00:01:42,280 CENTER AND EXPERTISE IS IN 32 00:01:42,280 --> 00:01:45,080 ALZHEIMER'S DISEASE AND 33 00:01:45,080 --> 00:01:48,440 SPECIFICALLY EPIDEMIOLOGY OF 34 00:01:48,440 --> 00:01:49,960 ALZHEIMER'S AND COGNITIVE 35 00:01:49,960 --> 00:01:51,560 DECLINE IN AFRICAN AMERICANS. 36 00:01:51,560 --> 00:01:54,560 HAPPY TO BE HERE. 37 00:01:54,560 --> 00:01:57,560 >>GOOD MORNING. NEIL CALMAN 38 00:01:57,560 --> 00:01:59,480 AND I'M A FAMILY PHYSICIAN IN 39 00:01:59,480 --> 00:02:01,520 NEW YORK AND PRESIDENT OF THE 40 00:02:01,520 --> 00:02:04,400 INSTITUTE FOR FAMILY HEALTH A 41 00:02:04,400 --> 00:02:06,640 LARGE NETWORK OF HEALTH CENTERS 42 00:02:06,640 --> 00:02:09,440 30 LOCATIONS IN NEW YORK CITY 43 00:02:09,440 --> 00:02:13,080 AND UP THE HUDSON VALLEY AND 44 00:02:13,080 --> 00:02:15,000 DEPARTMENT CHAIR AT COMMUNITY 45 00:02:15,000 --> 00:02:18,760 MEDICINE AND HEALTH AT MT. SINAI 46 00:02:18,760 --> 00:02:19,600 NEW YORK AND WORK IS ON 47 00:02:19,600 --> 00:02:23,040 STRUCTURAL RACISM LOOKING AT THE 48 00:02:23,040 --> 00:02:25,800 HEALTH CARE SYSTEM WRIT LARGE. 49 00:02:25,800 --> 00:02:26,520 THANK YOU. 50 00:02:26,520 --> 00:02:28,160 >>DR. ELLIOT? 51 00:02:28,160 --> 00:02:33,880 >>GOOD MORNING, AMY ELLIOT 52 00:02:33,880 --> 00:02:35,200 CLINICAL PSYCHOLOGIST AND CHIEF 53 00:02:35,200 --> 00:02:38,240 HEALTH OFFICER IN RURAL SYSTEM 54 00:02:38,240 --> 00:02:40,760 BASED IN SOUTH DAKOTA AND 55 00:02:40,760 --> 00:02:43,080 PROFESSOR AND DIVISION CHIEF IN 56 00:02:43,080 --> 00:02:45,640 UNIVERSITY OF PEDIATRICS AND 57 00:02:45,640 --> 00:02:48,560 RESEARCH INTEREST IS IN EARLY 58 00:02:48,560 --> 00:02:51,560 CHILDHOOD DEVELOPMENT WORKING 59 00:02:51,560 --> 00:02:54,160 EXTENSIVELY IN RURAL AND 60 00:02:54,160 --> 00:02:55,760 AMERICAN INDIAN POPULATIONS. 61 00:02:55,760 --> 00:02:57,520 >>DR. JOHNSON? 62 00:02:57,520 --> 00:03:01,800 >>GOOD MORNING. I'M KIMBERLY 63 00:03:01,800 --> 00:03:03,480 JOHNSON, GERIATRICIAN AND -- 64 00:03:03,480 --> 00:03:05,680 >>YEAH. I'M ON RIGHT NOW. 65 00:03:05,680 --> 00:03:07,200 >>GREAT. THANK YOU. THANK 66 00:03:07,200 --> 00:03:07,600 YOU. 67 00:03:07,600 --> 00:03:10,760 >> GOOD MORNING, AGAIN. I'M 68 00:03:10,760 --> 00:03:12,440 KIMBERLY JOHNSON WITH MEDICINE 69 00:03:12,440 --> 00:03:15,000 AND GERIATRICIAN AT DUKE 70 00:03:15,000 --> 00:03:16,160 UNIVERSITY SCHOOL OF MEDICINE 71 00:03:16,160 --> 00:03:17,840 AND DIRECT THE RESEARCH CENTER 72 00:03:17,840 --> 00:03:20,120 IN EXCELLENCE AND MINORITY 73 00:03:20,120 --> 00:03:22,240 HEALTH AND HEALTH DISPARITY 74 00:03:22,240 --> 00:03:24,560 RESEARCH AND PROGRAM OF RESEARCH 75 00:03:24,560 --> 00:03:28,720 IS ON ADDRESSING DISPARITIES AND 76 00:03:28,720 --> 00:03:31,400 SERIOUS ELDER CARE IN AFRICAN 77 00:03:31,400 --> 00:03:31,720 AMERICANS. 78 00:03:31,720 --> 00:03:38,520 >>JOINING BY ZOOM IS DR. 79 00:03:38,520 --> 00:03:38,800 WEZNICAL. 80 00:03:38,800 --> 00:03:40,400 >>YEAH. 81 00:03:40,400 --> 00:03:44,440 >>HI. I'M KEN AND FROM THE 82 00:03:44,440 --> 00:03:45,520 UNIVERSITY OF MICHIGAN SCHOOL OF 83 00:03:45,520 --> 00:03:46,760 PUBLIC HEALTH AND 84 00:03:46,760 --> 00:03:48,560 [INDISCERNIBLE] CANCER CENTER 85 00:03:48,560 --> 00:03:51,480 AND ASSOCIATE DIRECTOR OF -- 86 00:03:51,480 --> 00:03:53,520 CENTER FOR HEALTH COMMUNICATIONS 87 00:03:53,520 --> 00:03:55,040 RESEARCH AND HEALTH 88 00:03:55,040 --> 00:03:56,840 COMMUNICATIONS RESEARCHER AND 89 00:03:56,840 --> 00:03:59,600 DESIGN INTERVENTIONS MANY 90 00:03:59,600 --> 00:04:01,080 TARGETING SPECIAL POPULATIONS 91 00:04:01,080 --> 00:04:03,520 AND OUR INTERVENTIONS TEND TO 92 00:04:03,520 --> 00:04:05,920 FOCUS ON INDIVIDUAL TAILORED 93 00:04:05,920 --> 00:04:09,240 APPLICATIONS AS WELL AS 94 00:04:09,240 --> 00:04:10,720 MOTIVATIONAL INTERVIEWING. 95 00:04:10,720 --> 00:04:14,400 >>THANK YOU. DR. SOLOMON? 96 00:04:14,400 --> 00:04:17,520 >>GOOD MORNING. I'M BILL 97 00:04:17,520 --> 00:04:20,560 SUJERLAND AND PROFESSOR OF 98 00:04:20,560 --> 00:04:22,120 BIOCHEMISTRY AT HOW WARD 99 00:04:22,120 --> 00:04:23,640 UNIVERSITY AND [INDISCERNIBLE] 100 00:04:23,640 --> 00:04:26,280 PROGRAM AND I'M ALSO DIRECTOR OF 101 00:04:26,280 --> 00:04:28,480 HOWARD'S NEW CENTER FOR DATA 102 00:04:28,480 --> 00:04:29,480 SCIENCE AND RESEARCH INTEREST 103 00:04:29,480 --> 00:04:31,800 HAS TO DO GENERALLY WITH THE 104 00:04:31,800 --> 00:04:33,760 APPLICATION OF DATA SCIENCE 105 00:04:33,760 --> 00:04:35,480 METHODS TO LEARN MORE ABOUT 106 00:04:35,480 --> 00:04:39,200 CLIENT DISEASE BURDEN IN VARIOUS 107 00:04:39,200 --> 00:04:42,920 NEIGHBORHOODS OF WASHINGTON, DC. 108 00:04:42,920 --> 00:04:46,480 >>DR. [INDISCERNIBLE]. 109 00:04:46,480 --> 00:04:48,640 >>GOOD MORNING I'M 110 00:04:48,640 --> 00:04:51,720 [INDISCERNIBLE] AND VICE -- AT 111 00:04:51,720 --> 00:04:53,760 NYU SCHOOL OF MEDICINE AND AT 112 00:04:53,760 --> 00:04:57,760 CENTER OF EXCELLENCE FOCUSED ON 113 00:04:57,760 --> 00:05:01,480 ASIAN AMERICAN HEALTH. THANK 114 00:05:01,480 --> 00:05:01,680 YOU. 115 00:05:01,680 --> 00:05:04,280 >>DR. LONG. 116 00:05:04,280 --> 00:05:06,840 >>HELLO I'M JUDITH LONG AND DA 117 00:05:06,840 --> 00:05:07,880 REPRESENTATIVE TO COUNCIL AND 118 00:05:07,880 --> 00:05:10,560 FROM -- I'M A FORMER DIRECTOR OF 119 00:05:10,560 --> 00:05:14,960 VA CENTER OF EQUITY HEALTH AND 120 00:05:14,960 --> 00:05:16,560 RESEARCH PROMOTION IN 121 00:05:16,560 --> 00:05:19,880 PHILADELPHIA AND UNIVERSITY OF 122 00:05:19,880 --> 00:05:21,640 PENNSYLVANIA CHIEF GENERAL 123 00:05:21,640 --> 00:05:22,920 INTERNAL MEDICINE AND RESEARCH 124 00:05:22,920 --> 00:05:25,280 FOCUSES ON INTERVENTIONS TO HELP 125 00:05:25,280 --> 00:05:27,240 ADDRESS SOCIAL DETERMINANTS OF 126 00:05:27,240 --> 00:05:29,520 HEALTH FOR LOW INCOME AND 127 00:05:29,520 --> 00:05:31,680 MINORITY POPULATIONS. 128 00:05:31,680 --> 00:05:35,640 >>DR. HUNTER JOINING US BY 129 00:05:35,640 --> 00:05:35,840 ZOOM. 130 00:05:35,840 --> 00:05:39,520 >>HI. I'M CLINICAL HEALTH 131 00:05:39,520 --> 00:05:41,160 PSYCHOLOGIST AND EXOFISH YO 132 00:05:41,160 --> 00:05:43,240 MEMBER AND ACTING DIRECTOR FOR 133 00:05:43,240 --> 00:05:45,520 OFFICE OF BEHAVIORAL SCIENCES 134 00:05:45,520 --> 00:05:47,840 AND SOCIAL SCIENCE RESEARCH AT 135 00:05:47,840 --> 00:05:49,560 NIH. THANK YOU. 136 00:05:49,560 --> 00:05:52,000 >>THANK YOU. DR. SHALE JOINING 137 00:05:52,000 --> 00:05:53,080 BY ZOOM ALSO. 138 00:05:53,080 --> 00:05:56,200 >>GOOD MORNING, DON. FAMILY 139 00:05:56,200 --> 00:05:57,920 PHYSICIAN BY TRAINING AND 140 00:05:57,920 --> 00:06:00,240 EXECUTIVE DIRECTOR POLICY 141 00:06:00,240 --> 00:06:02,160 OVERSIGHT IN OFFICE OF SECRETARY 142 00:06:02,160 --> 00:06:05,880 OFFICE OF AFFAIRS AND EXOFISH YO 143 00:06:05,880 --> 00:06:08,240 MEMBER AND I'M GLAD TO BE HERE. 144 00:06:08,240 --> 00:06:09,440 THANK YOU, SIR. 145 00:06:09,440 --> 00:06:11,720 >>THANK YOU. ANYONE ELSE IN 146 00:06:11,720 --> 00:06:14,520 THE ROOM THAT WE SHOULD 147 00:06:14,520 --> 00:06:17,680 ACKNOWLEDGE IMMEDIATELY? 148 00:06:17,680 --> 00:06:22,160 >>OKAY. 149 00:06:22,160 --> 00:06:32,560 YES. WILL THE NIH STAFF AT THE 150 00:06:32,560 --> 00:06:33,360 TAB 151 00:06:33,360 --> 00:06:33,600 TABLE. 152 00:06:33,600 --> 00:06:35,240 >>I'M DIRECTOR OF VISION OF 153 00:06:35,240 --> 00:06:37,600 COMMUNITY HEALTH AND POPULATION 154 00:06:37,600 --> 00:06:40,560 SCIENCE AT NIMHD. GOOD MORNING. 155 00:06:40,560 --> 00:06:44,560 >>GOOD MORNING. I'M MONICA 156 00:06:44,560 --> 00:06:49,480 WEBCOOPER DEPUTY DIRECTOR OF 157 00:06:49,480 --> 00:06:49,680 MIHD. 158 00:06:49,680 --> 00:06:52,560 >>GOOD MORNING I'M DIRECTOR OF 159 00:06:52,560 --> 00:06:54,760 NATIONAL INSTITUTE ON MINORITY 160 00:06:54,760 --> 00:06:55,320 HEALTH DISPARITIES. 161 00:06:55,320 --> 00:07:05,840 >>GOOD MORNING I'M RINA DAAS 162 00:07:08,080 --> 00:07:13,480 AND [INDISCERNIBLE] DIRECTOR OF 163 00:07:13,480 --> 00:07:15,680 INTEGRATIVE AND BEHAVIORAL 164 00:07:15,680 --> 00:07:17,120 HEALTH SCIENCES. 165 00:07:17,120 --> 00:07:20,200 >>NOT HERE IS DR. PAYBECK AND 166 00:07:20,200 --> 00:07:22,840 DR. VISCERA. 167 00:07:22,840 --> 00:07:26,760 OKAY. WE WILL GET STARTED. 168 00:07:26,760 --> 00:07:37,320 WE WILL NOW HAVE REVIEW OF THE 169 00:07:38,480 --> 00:07:41,360 2022 COUNCIL MINUTES. 170 00:07:41,360 --> 00:07:43,640 I WILL ASK FOR A MOTION BY SHOW 171 00:07:43,640 --> 00:07:45,520 OF HANDS OR ACTUAL MOTION TO 172 00:07:45,520 --> 00:07:47,480 APPROVE THE MINUTES FOR THE 173 00:07:47,480 --> 00:07:49,480 FEBRUARY 2023 COUNCIL. 174 00:07:49,480 --> 00:07:53,160 >>I MOVE THAT FEBRUARY 23 175 00:07:53,160 --> 00:07:57,280 COUNCIL MEETING MINUTES BE 176 00:07:57,280 --> 00:07:57,880 APPROVED. 177 00:07:57,880 --> 00:07:58,560 >>I SECOND. 178 00:07:58,560 --> 00:08:01,880 >>ALL IN FAVOR? 179 00:08:01,880 --> 00:08:03,760 ANY OPPOSED? 180 00:08:03,760 --> 00:08:06,600 THANK YOU. THAT MOTION PASSED. 181 00:08:06,600 --> 00:08:15,680 THANK YOU VERY MUCH. 182 00:08:15,680 --> 00:08:18,200 I GO TO ANNOUNCEMENT OF FUTURE 183 00:08:18,200 --> 00:08:20,400 MEETING DATES. AGAIN, THAT WAS 184 00:08:20,400 --> 00:08:22,400 UPLOADED IN THE ELECTRONIC 185 00:08:22,400 --> 00:08:25,120 COUNCIL BOOK. JUST SO YOU KNOW, 186 00:08:25,120 --> 00:08:29,400 SEPTEMBER 1, IT WILL BE THE NEXT 187 00:08:29,400 --> 00:08:30,560 OPEN SESSION. 188 00:08:30,560 --> 00:08:35,880 THE 2024 DATES OF FEBRUARY 2ND 189 00:08:35,880 --> 00:08:38,560 AND MAY 31ST AND SEPTEMBER 6TH 190 00:08:38,560 --> 00:08:40,520 AND FOR THOSE OF YOU PLANNING 191 00:08:40,520 --> 00:08:45,640 INTO THE FUTURE, 2025 IS 192 00:08:45,640 --> 00:08:48,560 FEBRUARY 4TH, MAY 16TH, AND 193 00:08:48,560 --> 00:08:49,680 SEPTEMBER 5TH. 194 00:08:49,680 --> 00:08:53,120 AGAIN, THEY ARE UPLOADED IN THE 195 00:08:53,120 --> 00:08:56,640 COUNCIL BOOK AND AT THE END OF 196 00:08:56,640 --> 00:08:59,080 THE AGENDA. 197 00:08:59,080 --> 00:09:00,960 OKAY. AGAIN, I REMIND YOU TO 198 00:09:00,960 --> 00:09:03,720 PLEASE NOTE THAT THE COUNCIL 199 00:09:03,720 --> 00:09:06,960 MEMBER CAN ONLY HAVE ONE ABSENCE 200 00:09:06,960 --> 00:09:10,040 PER CALENDAR YEAR. 201 00:09:10,040 --> 00:09:13,360 AND THAT INDIVIDUALS CANNOT 202 00:09:13,360 --> 00:09:16,760 SERVE ON ANY NIH PEER REVIEW 203 00:09:16,760 --> 00:09:22,120 PANELS WHILE SERVING ON COUNCIL. 204 00:09:22,120 --> 00:09:28,440 WITH THAT, WE WILL TURN IT OVER 205 00:09:28,440 --> 00:09:30,440 TO OUR -- LEVERING BE UP THERE. 206 00:09:30,440 --> 00:09:40,960 I CAN HELP YOU THROUGH HERE. 207 00:09:44,800 --> 00:09:47,160 >>ALL RIGHT. GOOD MORNING, 208 00:09:47,160 --> 00:09:50,000 EVERYONE. WELCOME TO THE FIRST 209 00:09:50,000 --> 00:09:51,440 IN-PERSON MEETING SINCE 210 00:09:51,440 --> 00:09:53,880 SEPTEMBER OF 2019 EXCITING AND 211 00:09:53,880 --> 00:09:55,240 VERY GOOD CLOSED SESSION 212 00:09:55,240 --> 00:09:56,840 YESTERDAY AND LOOK FORWARD TO 213 00:09:56,840 --> 00:09:58,480 TODAY'S CONVERSATION. 214 00:09:58,480 --> 00:10:01,120 I WILL -- I HAD MY SLIDES UP. 215 00:10:01,120 --> 00:10:05,600 NOW THEY ARE -- THERE THEY GO. 216 00:10:05,600 --> 00:10:10,440 THERE WE GO. NO PRESENTATION 217 00:10:10,440 --> 00:10:10,680 MODE? 218 00:10:10,680 --> 00:10:11,520 THERE WE GO. 219 00:10:11,520 --> 00:10:16,200 I WILL GIVE YOU A QUICK TOUR OF 220 00:10:16,200 --> 00:10:18,640 THE LAST 3.5 OR 4 MONTHS WHAT 221 00:10:18,640 --> 00:10:21,080 HAS BEEN HAPPENING WITH NIMHD 222 00:10:21,080 --> 00:10:22,800 AND NIH. 223 00:10:22,800 --> 00:10:24,840 MOST IMPORTANTLY, JUST A MATTER 224 00:10:24,840 --> 00:10:31,000 OF A COUPLE WEEKS AGO, MONICA 225 00:10:31,000 --> 00:10:35,680 BERTINOLI WAS NOMINATED BY 226 00:10:35,680 --> 00:10:39,000 PRESIDENT BIDEN AND INTENT TO -- 227 00:10:39,000 --> 00:10:44,120 AS NEXT NIH DIRECTOR SHE HAS 228 00:10:44,120 --> 00:10:46,040 BEEN NOMINATED. OOPS. GETTING 229 00:10:46,040 --> 00:10:49,120 BACK TO THE FIRST SLIDE AND 230 00:10:49,120 --> 00:10:51,680 REMINDING YOU NIH DIRECTOR IS 231 00:10:51,680 --> 00:10:53,920 SENATE CONFIRMED APPOINTMENT AND 232 00:10:53,920 --> 00:10:58,240 NIC DIRECTOR IS NOT. THE 233 00:10:58,240 --> 00:11:02,960 PROCESS WILL REQUIRE DR. 234 00:11:02,960 --> 00:11:04,840 BERTIGNOLI TO FIRST MEET WITH 235 00:11:04,840 --> 00:11:06,840 SENATORS ON THE HEALTH COMMITTEE 236 00:11:06,840 --> 00:11:09,800 THAT HAS A HEARING FOR HER. 237 00:11:09,800 --> 00:11:11,880 AND THEN A HEARING GETS 238 00:11:11,880 --> 00:11:13,880 SCHEDULED THAT IS REALLY THE 239 00:11:13,880 --> 00:11:15,480 SIGNAL THAT THINGS ARE ON TRACK 240 00:11:15,480 --> 00:11:18,360 TO MOVE FORWARD WHEN THE HEARING 241 00:11:18,360 --> 00:11:19,800 GETS SCHEDULED. 242 00:11:19,800 --> 00:11:21,480 REMIND OUR AUDIENCE AT AUGUST 243 00:11:21,480 --> 00:11:23,960 THAT IS FREQUENTLY A MONTH THAT 244 00:11:23,960 --> 00:11:25,400 MEMBERS OF CONGRESS GO HOME. 245 00:11:25,400 --> 00:11:29,920 WE ARE LOOKING FORWARD TO THIS 246 00:11:29,920 --> 00:11:32,560 GETTING PUT ON TRACK BEFORE 247 00:11:32,560 --> 00:11:33,120 THAT. 248 00:11:33,120 --> 00:11:36,120 THEN THE FULL VOTE AMONG IN THE 249 00:11:36,120 --> 00:11:37,600 SENATE HAPPENS AFTER THE 250 00:11:37,600 --> 00:11:37,880 HEARING. 251 00:11:37,880 --> 00:11:40,480 THIS IS A COMMITTEE. IT IS 252 00:11:40,480 --> 00:11:44,200 CHAIRED BY SENATOR SANDERS AND 253 00:11:44,200 --> 00:11:46,360 THE MAJORITY AND THE RANKING 254 00:11:46,360 --> 00:11:49,880 MEMBER IS SENATOR KAS IDE. 255 00:11:49,880 --> 00:11:51,760 MONICA HAS BEEN NCI DIRECTOR 256 00:11:51,760 --> 00:11:53,760 SINCE OCTOBER. WE HAVE ALL 257 00:11:53,760 --> 00:11:55,800 SPENT TIME WITH HER AT MEETINGS. 258 00:11:55,800 --> 00:11:58,240 SHE HAS ALSO BEEN VERY OPEN AND 259 00:11:58,240 --> 00:12:01,360 PUBLIC ABOUT HER DIAGNOSIS OF 260 00:12:01,360 --> 00:12:03,320 EARLY BREAST CANCER AND HAS 261 00:12:03,320 --> 00:12:04,560 COMPLETED THERAPIES FOR THAT. 262 00:12:04,560 --> 00:12:07,080 WE ARE LOOKING FORWARD TO HAVING 263 00:12:07,080 --> 00:12:09,560 HER BE QUICKLY APPROVED AND 264 00:12:09,560 --> 00:12:12,280 CONFIRMED BY THE SENATE AND IN 265 00:12:12,280 --> 00:12:13,040 PLACE. 266 00:12:13,040 --> 00:12:16,440 UNTIL THAT MOMENT THOUGH, DR. 267 00:12:16,440 --> 00:12:20,120 LAWRENCE TAYBACK WILL CONTINUE 268 00:12:20,120 --> 00:12:23,720 TO BE ACTING DIRECTOR OF NIH AND 269 00:12:23,720 --> 00:12:28,360 MONICA WILL BE NIC DIRECTOR WE 270 00:12:28,360 --> 00:12:29,800 LOST SCIENTIFIC DIRECTOR 271 00:12:29,800 --> 00:12:33,360 ANNAPOLIS WHO RETIRED AT END OF 272 00:12:33,360 --> 00:12:36,520 FEBRUARY OF THIS YEAR. 273 00:12:36,520 --> 00:12:39,560 AND ANNA AND I RECRUITED BACK TO 274 00:12:39,560 --> 00:12:42,480 BE FIRST LATINA SCIENTIFIC 275 00:12:42,480 --> 00:12:44,680 DIRECTOR AT NIH AND FIRST EVER 276 00:12:44,680 --> 00:12:49,960 AT NIMHD AND SHE HAD A NUMBER OF 277 00:12:49,960 --> 00:12:51,360 IMPORTANT ACCOMPLISHMENTS AND 278 00:12:51,360 --> 00:12:53,440 RECRUITED 6 TENURE TRACK 279 00:12:53,440 --> 00:12:56,560 INVESTIGATORS AND GUIDED THE 280 00:12:56,560 --> 00:13:01,280 PROMOTION OF FIRST NIMHCD 281 00:13:01,280 --> 00:13:04,600 INVESTIGATOR CALVIN TROY WHO HAD 282 00:13:04,600 --> 00:13:08,400 BEEN RECRUITED UNDER PREVIOUS 283 00:13:08,400 --> 00:13:09,000 SCIENTIFIC DIRECTOR AND WHEN I 284 00:13:09,000 --> 00:13:11,920 ARRIVED IN 2015 HE HAD BEEN HERE 285 00:13:11,920 --> 00:13:14,080 A COUPLE YEARS AND WILLIAM HAS 286 00:13:14,080 --> 00:13:18,160 MAGNET FOR ATTRACTING 287 00:13:18,160 --> 00:13:19,440 UNDER-REPRESENTED TRAINEES AND 288 00:13:19,440 --> 00:13:22,040 COVID PANDEMIC HIT NO ONE AT NIH 289 00:13:22,040 --> 00:13:26,280 SAT AND WAITED FOR THINGS TO 290 00:13:26,280 --> 00:13:28,560 HAPPEN VERY INTERACTIVE WE 291 00:13:28,560 --> 00:13:31,600 LAURJED AN ONLINE SURVEY OF 5 292 00:13:31,600 --> 00:13:32,880 THOUSAND INDIVIDUALS STRATIFIED 293 00:13:32,880 --> 00:13:36,400 BY RACE ETHNICITY AND GOES BY 294 00:13:36,400 --> 00:13:39,400 THE CURB STUDY TO EVALUATE 295 00:13:39,400 --> 00:13:42,440 IMPACT OF COVID-19 ON 296 00:13:42,440 --> 00:13:43,800 COMMUNITIES AND PRESENTED A 297 00:13:43,800 --> 00:13:45,600 COUPLE PUBLISHED PAPERS IN THE 298 00:13:45,600 --> 00:13:46,040 SETTING. 299 00:13:46,040 --> 00:13:49,240 SHE HAS BEEN THE -- WAS THE LEAD 300 00:13:49,240 --> 00:13:52,400 IN DEVELOPING OF THE CONTRACT 301 00:13:52,400 --> 00:13:54,840 THAT NIMHD HAS WITH THE 302 00:13:54,840 --> 00:13:57,520 EVALUATION AT UNIVERSITY OF 303 00:13:57,520 --> 00:13:59,200 WASHINGTON ON THE GLOBAL BURDEN 304 00:13:59,200 --> 00:14:01,720 OF DISEASE IN US HEALTH 305 00:14:01,720 --> 00:14:05,280 DISPARITIES PROJECT, WHICH IS A 306 00:14:05,280 --> 00:14:06,760 COALITION OF INSTITUTES THAT ARE 307 00:14:06,760 --> 00:14:08,760 BEHIND IT. ALTHOUGH, WE 308 00:14:08,760 --> 00:14:13,480 CONTINUED THAT AT NIMHD. 309 00:14:13,480 --> 00:14:15,800 CALVIN TROY WAS ASKED BY MONICA 310 00:14:15,800 --> 00:14:19,200 WEB COOPER AND I TO SERVE AS 311 00:14:19,200 --> 00:14:21,520 ACTING SCIENTIFIC DIRECTOR. WE 312 00:14:21,520 --> 00:14:22,840 HAVE LAUNCHED A NATIONAL SEARCH 313 00:14:22,840 --> 00:14:25,240 THAT JOB WILL BE POSTED VERY 314 00:14:25,240 --> 00:14:25,600 SOON. 315 00:14:25,600 --> 00:14:28,560 SOME OF YOU MAY BE REACHED OUT 316 00:14:28,560 --> 00:14:28,880 TO. 317 00:14:28,880 --> 00:14:31,120 THIS IS AN INFORMAL GATHERING 318 00:14:31,120 --> 00:14:34,840 THAT WAS HELD BY THE DIVISION OF 319 00:14:34,840 --> 00:14:36,720 INTRAMURAL RESEARCH IN THE 320 00:14:36,720 --> 00:14:39,600 NATURE BUILDING PRIOR TO ANNA'S 321 00:14:39,600 --> 00:14:42,160 RETIREMENT. WE WILL MISS HER. 322 00:14:42,160 --> 00:14:43,840 WE CONTINUE ON THIS TRADITION. 323 00:14:43,840 --> 00:14:47,800 I WANT TO ALSO DO A SHOUTOUT TO 324 00:14:47,800 --> 00:14:49,520 MONICA WEB COOPER WHO WAS 325 00:14:49,520 --> 00:14:52,200 RECOGNIZED AS ONE OF THE MOST 326 00:14:52,200 --> 00:14:54,600 INFLUENTIAL PEOPLE OF AFRICAN 327 00:14:54,600 --> 00:14:57,760 DECENT AND CLASS OF 2023 GLOBAL 328 00:14:57,760 --> 00:15:00,320 TOP 100 LIST FOR HEALTH CARE 329 00:15:00,320 --> 00:15:02,400 SUPPORTED BY UNITED NATIONS 330 00:15:02,400 --> 00:15:04,040 INTERNATIONAL DECADE FROM PEOPLE 331 00:15:04,040 --> 00:15:07,240 OF AFRICAN DECENT FROM 2015 TO 332 00:15:07,240 --> 00:15:07,520 2024. 333 00:15:07,520 --> 00:15:10,960 SHE IS CONSIDERED ONE OF 25 MOST 334 00:15:10,960 --> 00:15:13,440 INFLUENTIAL BLACK PSYCHOLOGISTS 335 00:15:13,440 --> 00:15:16,120 AND IS ONE OF MOST CITED AND 336 00:15:16,120 --> 00:15:17,560 SEARCHED FOR BLACK SCHOLARS AND 337 00:15:17,560 --> 00:15:20,880 THANK YOU MONICA FOR EVERYTHING 338 00:15:20,880 --> 00:15:26,480 YOU DO. 339 00:15:26,480 --> 00:15:30,240 >>WE ALSO WELCOME ARRIVAL OF 340 00:15:30,240 --> 00:15:32,560 KARINA WALTERS FROM UNIVERSITY 341 00:15:32,560 --> 00:15:35,120 OF WASHINGTON AND JOINED NIH 342 00:15:35,120 --> 00:15:37,360 OFFICIALLY ON APRIL 24TH AND IS 343 00:15:37,360 --> 00:15:39,040 BARELY A MONTH INTO HER NEW 344 00:15:39,040 --> 00:15:41,360 POSITION AS DIRECTOR OF TRIBAL 345 00:15:41,360 --> 00:15:43,240 HEALTH RESEARCH OFFICE. THIS IS 346 00:15:43,240 --> 00:15:46,760 A CRITICAL OFFICE THAT NIMHD 347 00:15:46,760 --> 00:15:48,840 INTERACTS WITH ON A REGULAR 348 00:15:48,840 --> 00:15:52,560 BASIS AND KARINA IS AN 349 00:15:52,560 --> 00:15:55,120 ACCOMPLISHED SCIENTIST AND HAS A 350 00:15:55,120 --> 00:15:56,040 DOCTORAL DEGREE IN SOCIAL WORK. 351 00:15:56,040 --> 00:15:58,840 SHE HAS WORKED A LOT IN SOCIAL 352 00:15:58,840 --> 00:15:59,200 EPIDEMIOLOGY. 353 00:15:59,200 --> 00:16:01,200 SHE IS THE FOUNDING DIRECTOR OF 354 00:16:01,200 --> 00:16:06,080 THE UNIVERSITY OF WASHINGTON 355 00:16:06,080 --> 00:16:07,400 INDIGENOUS WELLNESS INSTITUTE 356 00:16:07,400 --> 00:16:12,240 AND CO-CHAIRED CEO AMERICAN 357 00:16:12,240 --> 00:16:13,960 INDIAN ALASKA NATIVE GROUP AND 358 00:16:13,960 --> 00:16:18,080 DAVID WILSON STEPPED AWAY AT END 359 00:16:18,080 --> 00:16:19,720 OF 2022. 360 00:16:19,720 --> 00:16:22,560 HE IS ON ASSIGNMENT TO WHITE 361 00:16:22,560 --> 00:16:26,080 HOUSE COUNCIL OF NATIVE AMERICAN 362 00:16:26,080 --> 00:16:27,600 AFFAIRS SINCE JANUARY OF THIS 363 00:16:27,600 --> 00:16:30,600 YEAR AND WELCOME KARINA WITH 364 00:16:30,600 --> 00:16:32,600 WHOM WE HAVE HAD AT LEAST AN 365 00:16:32,600 --> 00:16:34,760 INITIAL MEETING AND PIVOTING TO 366 00:16:34,760 --> 00:16:36,880 A COUPLE HIGHLIGHTS OF OUR 367 00:16:36,880 --> 00:16:38,640 BUDGET. ONE IS LOAN REPAYMENT 368 00:16:38,640 --> 00:16:41,800 PROGRAM THAT CONTINUES TO BE AN 369 00:16:41,800 --> 00:16:44,240 IMPORTANT PROGRAM ACROSS NIH. 370 00:16:44,240 --> 00:16:46,600 AS MANY ARE AWARE. 371 00:16:46,600 --> 00:16:49,240 WE ARE IN THE MIDST OF TRYING TO 372 00:16:49,240 --> 00:16:52,560 CREATE AN EVALUATION OF THE 373 00:16:52,560 --> 00:16:54,560 NIMHD SUPPORTED LOAN REPAYMENT 374 00:16:54,560 --> 00:16:54,800 PROGRAM. 375 00:16:54,800 --> 00:16:58,200 WE HAVE FROM THE BEGINNING OF 376 00:16:58,200 --> 00:17:00,120 THIS PROGRAM AND ABOUT A LITTLE 377 00:17:00,120 --> 00:17:02,760 OVER 20 YEARS AGO. 378 00:17:02,760 --> 00:17:04,520 AUTHORIZED TO PROVIDE LOAN 379 00:17:04,520 --> 00:17:06,240 REPAYMENT TO INDIVIDUALS WHO 380 00:17:06,240 --> 00:17:08,320 PROPOSED TO DO HEALTH 381 00:17:08,320 --> 00:17:09,920 DISPARITIES RESEARCH. THAT IS 382 00:17:09,920 --> 00:17:13,160 THE PURPLE COLUMN THAT IS HIGHER 383 00:17:13,160 --> 00:17:14,880 NUMBERS ACROSS THE YEARS. 384 00:17:14,880 --> 00:17:20,440 THIS IS 2018 TO 2022. 385 00:17:20,440 --> 00:17:22,880 THE BLUE BAR IS FOR CLINICAL 386 00:17:22,880 --> 00:17:24,600 RESEARCH FOR INDIVIDUALS FROM 387 00:17:24,600 --> 00:17:25,960 DISADVANTAGED BACKGROUNDS AND 388 00:17:25,960 --> 00:17:28,880 THIS IS IN ANY AREA OF RESEARCH 389 00:17:28,880 --> 00:17:32,560 NOT RELATED ONLY TO DISPARITIES 390 00:17:32,560 --> 00:17:36,920 IN -- IT IS DRIVEN BY MOSTLY 391 00:17:36,920 --> 00:17:38,200 SOCIOECONOMIC DISADVANTAGE BUT 392 00:17:38,200 --> 00:17:39,040 NOT EXCLUSIVELY AND YOU CAN SEE 393 00:17:39,040 --> 00:17:42,040 OVER THE YEARS IS A SMALL NUMBER 394 00:17:42,040 --> 00:17:44,840 THAT RECEIVES THE AWARDS ON THAT 395 00:17:44,840 --> 00:17:45,080 BASIS. 396 00:17:45,080 --> 00:17:47,680 IN 2019, THE LOAN REPAYMENT 397 00:17:47,680 --> 00:17:50,680 PROGRAM WAS OPENED UP ACROSS NIH 398 00:17:50,680 --> 00:17:56,240 AND NOW ANY INSTITUTE AT NIH IS 399 00:17:56,240 --> 00:18:02,800 EMPOWERED TO FUND LRP GRANTS IN 400 00:18:02,800 --> 00:18:06,040 HEALTH DISPARITIES NOT JUST 401 00:18:06,040 --> 00:18:10,000 NIMHD AND PROGRAMS TRACKED IN 402 00:18:10,000 --> 00:18:11,040 REPRODUCTIVE HEALTH AND IT IS 403 00:18:11,040 --> 00:18:12,960 IMPORTANT THAT OUR SUCCESS RATE 404 00:18:12,960 --> 00:18:14,640 DOUBLED AS A CONSEQUENCE. WE 405 00:18:14,640 --> 00:18:16,720 WEREN'T GETTING ALL APPLICATIONS 406 00:18:16,720 --> 00:18:18,320 BUT WERE ONLY GETTING HALF OF 407 00:18:18,320 --> 00:18:19,880 THEM AND LOOK FORWARD TO 408 00:18:19,880 --> 00:18:22,680 CONTINUING TO SUPPORT THIS 409 00:18:22,680 --> 00:18:25,240 IMPORTANT PROGRAM AND 410 00:18:25,240 --> 00:18:26,680 DEMONSTRATE ITS BENEFIT. 411 00:18:26,680 --> 00:18:28,480 WE HAVE BEEN VERY PROUD OF THE 412 00:18:28,480 --> 00:18:32,120 INCREASE IN AWARD RATES. 413 00:18:32,120 --> 00:18:34,360 THIS IS A DIRECT CONSEQUENCE OF 414 00:18:34,360 --> 00:18:36,560 OUR COMMUNITY THAT IS SENDING US 415 00:18:36,560 --> 00:18:38,600 BETTER QUALITY GRANTS THAT ARE 416 00:18:38,600 --> 00:18:39,800 GETTING BETTER REVIEWS. 417 00:18:39,800 --> 00:18:42,200 YOU CAN ARGUE WHILE REVIEW 418 00:18:42,200 --> 00:18:43,800 COMMITTEES ARE GETTING MORE 419 00:18:43,800 --> 00:18:44,800 DIVERSE, PERHAPS. 420 00:18:44,800 --> 00:18:46,640 THAT IS MAYBE ONE REASON AS 421 00:18:46,640 --> 00:18:47,040 WELL. 422 00:18:47,040 --> 00:18:52,080 ALSO, MOST IMPORTANTLY, NIMHD 423 00:18:52,080 --> 00:18:52,840 RECEIVED DISCRETIONARY INCREASE 424 00:18:52,840 --> 00:18:56,080 IF IN BUDGET FROM CONGRESS IN 425 00:18:56,080 --> 00:18:58,480 FISCAL YEAR 21 AND FISCAL YEAR 426 00:18:58,480 --> 00:19:00,720 22. WE CAN SEE EARLY STAGE AND 427 00:19:00,720 --> 00:19:04,120 ESTABLISHED INVESTIGATORS 428 00:19:04,120 --> 00:19:06,880 SUCCESS RATES IMPROVED OVER THIS 429 00:19:06,880 --> 00:19:08,960 TIME. WE WOULD LIKE TO KEEP 430 00:19:08,960 --> 00:19:10,840 THEM CLOSE TO 20% AND WILL SEE 431 00:19:10,840 --> 00:19:14,080 HOW WE DO IN FISCAL YEAR 23. 432 00:19:14,080 --> 00:19:16,200 A FEW LEGISLATIVE UPDATES TO 433 00:19:16,200 --> 00:19:19,840 KEEP YOU ABREAST OF THE MAJOR 434 00:19:19,840 --> 00:19:22,920 EVENTS. THIS YEAR'S 435 00:19:22,920 --> 00:19:24,560 APROPRIATION'S HEARINGS WERE 436 00:19:24,560 --> 00:19:26,080 DIFFERENT AND HOUSE OPTED TO 437 00:19:26,080 --> 00:19:31,080 ONLY HAVE DR. TAING YBACK AS 438 00:19:31,080 --> 00:19:32,560 ACTING DIRECTOR PRESENT OR 439 00:19:32,560 --> 00:19:35,920 ATTEND HEARING WITH DIRECTOR OF 440 00:19:35,920 --> 00:19:37,440 SENATOR'S DISEASE CONTROL AND 441 00:19:37,440 --> 00:19:40,040 PREVENTION AND DIRECTOR OF 442 00:19:40,040 --> 00:19:44,080 ADMINISTRATION FOR STRATEGIC 443 00:19:44,080 --> 00:19:44,960 PREPAREDNESS AND RESPONSE AND 444 00:19:44,960 --> 00:19:47,040 FOR THE MOST PART WAS A 445 00:19:47,040 --> 00:19:48,400 PROFESSIONAL AND RESPECTFUL 446 00:19:48,400 --> 00:19:50,200 HEARING AND ALTHOUGH THE NUMBER 447 00:19:50,200 --> 00:19:52,880 OF TOPICS RELEVANT TO NIH 448 00:19:52,880 --> 00:19:54,640 DISCUSSED WERE OF COURSE LIMITED 449 00:19:54,640 --> 00:19:57,520 SINCE THERE ARE THREE MAJOR 450 00:19:57,520 --> 00:19:59,400 AGENCIES PRESENT AT THAT 451 00:19:59,400 --> 00:19:59,680 HEARING. 452 00:19:59,680 --> 00:20:04,480 THE SENATE APPROPRIATIONS LAID 453 00:20:04,480 --> 00:20:07,840 RATE HHS SUB-COMMITTEE HEARING 454 00:20:07,840 --> 00:20:13,760 WAS HELD MAY 4TH AND DR. TAYBACK 455 00:20:13,760 --> 00:20:16,880 ACCOMPANIED BY PRINCIPLE DEPUTY 456 00:20:16,880 --> 00:20:20,400 NCI AND DR. LOUIE DRAND GORDON 457 00:20:20,400 --> 00:20:24,200 NIH AND DR. [INDISCERNIBLE] AND 458 00:20:24,200 --> 00:20:26,440 NIDA AND DR. NORA AND THIS HAS 459 00:20:26,440 --> 00:20:28,440 BEEN PATTERN NOW FOR A NUMBER OF 460 00:20:28,440 --> 00:20:32,560 YEARS NIH DIRECTOR ATTENDS WITH 461 00:20:32,560 --> 00:20:37,280 WHOEVER OTHER DIRECTORS MEMBERS 462 00:20:37,280 --> 00:20:38,720 OF CONGRESS ASK FOR AND ARE 463 00:20:38,720 --> 00:20:40,920 LARGER INSTITUTES OR A VERY HOT 464 00:20:40,920 --> 00:20:43,880 TOPIC THEY WANT TO DISCUSS. 465 00:20:43,880 --> 00:20:46,280 AS A SMALLER INSTITUTE, WE DON'T 466 00:20:46,280 --> 00:20:47,760 PARTICIPATE IN THAT PROCESS THAT 467 00:20:47,760 --> 00:20:49,480 IT USED TO BE THAT EACH 468 00:20:49,480 --> 00:20:52,040 INSTITUTE DIRECTOR WOULD ATTEND 469 00:20:52,040 --> 00:20:55,600 ONE OF THESE APROPRIATION 470 00:20:55,600 --> 00:20:57,560 HEARINGS IN THE NOT THAT DISTANT 471 00:20:57,560 --> 00:20:59,320 PAST THAT HASN'T HAPPENED FOR 472 00:20:59,320 --> 00:21:03,040 WELL OVER A DECADE NOW. MANY 473 00:21:03,040 --> 00:21:04,560 ACTIVITIES NOT AS MUCH AS 2020 474 00:21:04,560 --> 00:21:10,880 OR 2021. WE HAD A BRIEFING -- A 475 00:21:10,880 --> 00:21:12,200 COUPLE BRIEFINGS ON CLIMATE 476 00:21:12,200 --> 00:21:15,240 CHANGE AND HEALTH INITIATIVE AND 477 00:21:15,240 --> 00:21:16,560 DR. WOYCHEK FROM NATIONAL 478 00:21:16,560 --> 00:21:19,280 INSTITUTE OF ENVIRONMENTAL 479 00:21:19,280 --> 00:21:24,000 HEALTH SCIENCES AND DR. BIANKI 480 00:21:24,000 --> 00:21:27,600 AND CHILD HEALTH AND IN APRIL WE 481 00:21:27,600 --> 00:21:29,680 WENT WITH RICKWAY CHECK AND DR. 482 00:21:29,680 --> 00:21:32,600 GARY GIBBINS AND SHANNON ZINC TO 483 00:21:32,600 --> 00:21:34,880 BRIEF THE HOUSE AND SENATE 484 00:21:34,880 --> 00:21:37,360 APPROPRIATIONS LABOR HHS 485 00:21:37,360 --> 00:21:39,320 COMMITTEE STAFF ON CLIMATE 486 00:21:39,320 --> 00:21:40,880 CHANGE HEALTH INITIATIVE AND 487 00:21:40,880 --> 00:21:42,760 BOTH CASES TALKING TO THE STAFF 488 00:21:42,760 --> 00:21:44,640 OF THE CHAIRS OF THE COMMITTEE 489 00:21:44,640 --> 00:21:47,520 OR COMMITTEE ITSELF OPPOSED TO P 490 00:21:47,520 --> 00:21:49,920 MEMBERS OF CONGRESS. 491 00:21:49,920 --> 00:21:54,360 THEN MONICA WEB-COOPER AND I 492 00:21:54,360 --> 00:21:56,440 BRIEFED SENATE HEALTH EDUCATION 493 00:21:56,440 --> 00:21:58,160 PENSION COMMITTEE ON LAST FRIDAY 494 00:21:58,160 --> 00:22:00,120 ON THE RECOMMENDATIONS FROM THE 495 00:22:00,120 --> 00:22:03,000 ADVISORY COMMITTEE OF THE 496 00:22:03,000 --> 00:22:06,320 DIRECTOR WORKING GROUP ON 497 00:22:06,320 --> 00:22:07,440 DIVERSITIES SUBGROUP ON 498 00:22:07,440 --> 00:22:08,560 INDIVIDUALS DISABILITIES AND 499 00:22:08,560 --> 00:22:12,040 WERE ACCOMPANIED IN THAT WITH 500 00:22:12,040 --> 00:22:14,120 MARIE BERNARD WHO IS CHIEF 501 00:22:14,120 --> 00:22:16,880 OFFICER FOR SCIENTIFIC WORKFORCE 502 00:22:16,880 --> 00:22:19,920 DIVERSITY AT NIH AND MARIE AND I 503 00:22:19,920 --> 00:22:22,520 CO-CHAIRED THE WORKING GROUP 504 00:22:22,520 --> 00:22:24,440 COMMITTEE ADVISING THE STEERING 505 00:22:24,440 --> 00:22:27,080 COMMITTEE ON DIVERSITY. 506 00:22:27,080 --> 00:22:30,400 NEW STAFF ARE CONSTANTLY THE 507 00:22:30,400 --> 00:22:36,200 LIFE OF NIH AND NIMHD CONTINUES 508 00:22:36,200 --> 00:22:38,680 TO HIRE AND GROW POST THE ISSUES 509 00:22:38,680 --> 00:22:39,760 AROUND THE PANDEMIC. 510 00:22:39,760 --> 00:22:41,640 I USED TO SAY, WELL, IF YOU ARE 511 00:22:41,640 --> 00:22:44,280 IN THE ROOM, STAND UP SO PEOPLE 512 00:22:44,280 --> 00:22:45,200 CAN ACKNOWLEDGE YOU AND THINK 513 00:22:45,200 --> 00:22:46,880 THAT VERY FEW OF THE INDIVIDUALS 514 00:22:46,880 --> 00:22:48,000 ARE HERE. 515 00:22:48,000 --> 00:22:51,440 IF YOU ARE, PLEASE DO SO. 516 00:22:51,440 --> 00:22:53,880 INTRAMURAL RESEARCH KENNEDY BEAU 517 00:22:53,880 --> 00:22:56,280 WEN IS NEW STAFF OPERATIONS 518 00:22:56,280 --> 00:22:58,280 COORDINATOR THAT IS ONE OF 519 00:22:58,280 --> 00:22:59,600 ANNA'S LAST DECISIONS TO BRING 520 00:22:59,600 --> 00:23:04,400 IN ADDITIONAL SUPPORT STAFF 521 00:23:04,400 --> 00:23:06,800 VINCENT IS A BIOSTATISTICIAN AND 522 00:23:06,800 --> 00:23:10,600 DIVISION OF CLINICAL HEALTH 523 00:23:10,600 --> 00:23:13,360 SERVICES RESEARCH RECRUITED 524 00:23:13,360 --> 00:23:15,920 DOLLY WHITE WHO WORKS REMOTELY 525 00:23:15,920 --> 00:23:19,280 AND DOLLY IS NOT HERE AND IS A 526 00:23:19,280 --> 00:23:22,200 FAMILY PHYSICIAN FROM GEORGIA. 527 00:23:22,200 --> 00:23:24,080 DIVISION OF COMMUNITY HEALTH 528 00:23:24,080 --> 00:23:25,080 POPULATION AND SCIENCE 529 00:23:25,080 --> 00:23:28,560 SUCCESSFULLY RECRUITED ANGELA 530 00:23:28,560 --> 00:23:28,880 FERNANDEZ. 531 00:23:28,880 --> 00:23:31,200 ANGELA, IF YOU ARE HERE, 532 00:23:31,200 --> 00:23:32,840 WELCOME. THANK YOU. LOOKING 533 00:23:32,840 --> 00:23:34,920 FORWARD TO WORKING WITH HER ON 534 00:23:34,920 --> 00:23:38,800 MANY ISSUES AND DIVISION OF 535 00:23:38,800 --> 00:23:40,800 INTEGRATIVE BIOLOGICAL AND 536 00:23:40,800 --> 00:23:44,200 BEHAVIORAL SCIENCES RECRUITED 537 00:23:44,200 --> 00:23:46,640 GABRIEL LIVE CAME FROM NCI. ARE 538 00:23:46,640 --> 00:23:48,560 YOU HERE TODAY? WE DIDN'T SEE 539 00:23:48,560 --> 00:23:51,080 YOU. WE WILL PRAISE YOU AT 540 00:23:51,080 --> 00:23:52,840 ANOTHER TIME AND A NUMBER OF NEW 541 00:23:52,840 --> 00:23:55,360 STAFF HIRES INCLUDING CAITLIN 542 00:23:55,360 --> 00:23:58,080 ALEC WHO IS AN IT SPECIALIST FOR 543 00:23:58,080 --> 00:24:00,320 GROWING IT SHOP AS WE WILL HEAR 544 00:24:00,320 --> 00:24:04,520 LATER THIS MORNING FROM PATTY 545 00:24:04,520 --> 00:24:06,560 AND JAMIE WHO IS A MANAGING 546 00:24:06,560 --> 00:24:08,360 ANALYST THAT IS WORKING IN 547 00:24:08,360 --> 00:24:10,320 OFFICE OF ADMINISTRATIVE 548 00:24:10,320 --> 00:24:11,640 MANAGEMENT AND WHAT MAKES 549 00:24:11,640 --> 00:24:12,960 EVERYTHING WORK FOR THE 550 00:24:12,960 --> 00:24:14,480 INSTITUTE IN THE OFFICE OF 551 00:24:14,480 --> 00:24:16,880 EXTRAMURAL RESEARCH ACTIVITIES, 552 00:24:16,880 --> 00:24:19,640 MICHELLE PHILLIPS A GRANTS 553 00:24:19,640 --> 00:24:21,320 MANAGEMENT SPECIALIST AND OFFICE 554 00:24:21,320 --> 00:24:22,880 OF SCIENCE POLICY PLANNING 555 00:24:22,880 --> 00:24:26,160 EVALUATION AND REPORTING OR O SP 556 00:24:26,160 --> 00:24:28,880 RA FOR SHORT GEORGE IS A PROGRAM 557 00:24:28,880 --> 00:24:32,360 ANALYST AND WELCOME ALL OF THE 558 00:24:32,360 --> 00:24:38,640 NEW STAFF A FEW HIGHLIGHTED 559 00:24:38,640 --> 00:24:40,200 EVENTS THIS SPRING THE 560 00:24:40,200 --> 00:24:41,840 LEKTSDTURE SERIES ON PUBLIC 561 00:24:41,840 --> 00:24:46,880 HEALTH LEADERSHIP HAD A THIRD 562 00:24:46,880 --> 00:24:48,600 ANNUAL EVENT. 563 00:24:48,600 --> 00:24:53,520 THIS IS REALLY AN ENGAGING AND 564 00:24:53,520 --> 00:24:57,960 FUN LEARNING EXPERIENCE MONICA 565 00:24:57,960 --> 00:25:04,560 WEBCOOPER IS MAGNIFICENT 566 00:25:04,560 --> 00:25:07,560 MODERATOR AND HAS PROVIDED 567 00:25:07,560 --> 00:25:09,320 INFRASTRUCTURE AND SU SUPPORT 568 00:25:09,320 --> 00:25:11,200 MAKES THE CHOICE WHO THE GUEST 569 00:25:11,200 --> 00:25:16,920 LECTURER WILL BE AND IS DONE IN 570 00:25:16,920 --> 00:25:18,480 THE MONTH EXPRESSING 571 00:25:18,480 --> 00:25:20,040 APPRECIATION FOR ASIAN AMERICANS 572 00:25:20,040 --> 00:25:24,200 AND NATIVE HAWAIIAN PACIFIC 573 00:25:24,200 --> 00:25:27,480 ISLANDER HERITAGE MONTH THAT IS 574 00:25:27,480 --> 00:25:28,880 LABEL FROM FEDERAL GOVERNMENT 575 00:25:28,880 --> 00:25:31,360 AND GEFLT THIS YEAR IS DAVID WHO 576 00:25:31,360 --> 00:25:34,080 WAS 43RD COMMISSIONER OF NEW 577 00:25:34,080 --> 00:25:35,680 YORK CITY DEPARTMENT OF HEALTH 578 00:25:35,680 --> 00:25:38,200 AND MENTAL HYGIENE AND WE HAD A 579 00:25:38,200 --> 00:25:41,320 GOOD CONVERSATION THAT IS DONE 580 00:25:41,320 --> 00:25:43,360 IN A FIRESIDE CHAT FORMAT THAT 581 00:25:43,360 --> 00:25:47,320 IS VERY LIVELY AND PARTLY 582 00:25:47,320 --> 00:25:49,800 PERSONAL AS WELL AS TALKING 583 00:25:49,800 --> 00:25:52,480 ABOUT IMPORTANT ISSUES AND LOOK 584 00:25:52,480 --> 00:25:54,440 FORWARD TO THIS AGAIN NEXT YEAR. 585 00:25:54,440 --> 00:25:57,280 WE HAD TWO IMPORTANT SCIENTIFIC 586 00:25:57,280 --> 00:26:00,280 WORKSHOPS IN THE MONTH OF MARCH 587 00:26:00,280 --> 00:26:03,920 TO START OFF. MARCH 1 AND 2ND, 588 00:26:03,920 --> 00:26:05,920 A MEETING ABOUT HEALTH 589 00:26:05,920 --> 00:26:08,480 DISPARITIES AMONG SEXUAL AND 590 00:26:08,480 --> 00:26:09,760 GENDER MINORITIES WORKSHOP AND 591 00:26:09,760 --> 00:26:12,800 MULTIPLE GOALS IS A VERY 592 00:26:12,800 --> 00:26:15,880 EXPANSIVE TOPIC AND SPEND A FAIR 593 00:26:15,880 --> 00:26:17,680 AMOUNT OF TIME DISCUSSING ABOUT 594 00:26:17,680 --> 00:26:18,920 DATA SOURCES AND MEASURES AND 595 00:26:18,920 --> 00:26:21,840 HOW HARD IT IS TO GENERATE DATA 596 00:26:21,840 --> 00:26:24,360 WHEN NO STANDARDIZED APPROACH 597 00:26:24,360 --> 00:26:25,440 ASKING QUESTIONS OR WHERE 598 00:26:25,440 --> 00:26:26,600 QUESTIONS ARE NOT ASKED AND 599 00:26:26,600 --> 00:26:28,440 DON'T ASK AND DON'T KNOW 600 00:26:28,440 --> 00:26:29,480 APPROACH TO SCIENCE DOESN'T 601 00:26:29,480 --> 00:26:31,200 WORK. YOU KNOW? 602 00:26:31,200 --> 00:26:34,720 SO, TO ADDRESS DISPARITIES 603 00:26:34,720 --> 00:26:36,080 GATHERING TOGETHER EXPERTS TO 604 00:26:36,080 --> 00:26:38,280 DISCUSS WITH US AND WITH NIH 605 00:26:38,280 --> 00:26:40,400 STAFF ON THESE ISSUES AND, OF 606 00:26:40,400 --> 00:26:42,240 COURSE, LOOKING AT ISSUES 607 00:26:42,240 --> 00:26:44,560 RELATED TO MECHANISMS OF 608 00:26:44,560 --> 00:26:45,880 PATHWAYS CAUSING THESE 609 00:26:45,880 --> 00:26:48,560 DISPARITIES AND POTENTIALLY 610 00:26:48,560 --> 00:26:50,960 MITIGATOR REDUCED THEM THROUGH 611 00:26:50,960 --> 00:26:51,320 INTERVENTIONS. 612 00:26:51,320 --> 00:26:54,960 I WAS ABLE TO -- WELL, I ADD 613 00:26:54,960 --> 00:26:56,560 ADDRESSED THE GROUP AND LISTENED 614 00:26:56,560 --> 00:26:58,640 INTO A FAIR NUMBER OF 615 00:26:58,640 --> 00:26:59,840 CONVERSATIONS AND PRESENTATIONS 616 00:26:59,840 --> 00:27:00,800 PARTICULARLY IN THE FIRST DAY 617 00:27:00,800 --> 00:27:04,280 AND CAN SAY IT WAS A PRODUCTIVE 618 00:27:04,280 --> 00:27:04,560 ACTIVITY. 619 00:27:04,560 --> 00:27:07,360 WE ALSO HELD AT THE END OF THE 620 00:27:07,360 --> 00:27:10,080 MONTH A WORKSHOP, CLINICAL 621 00:27:10,080 --> 00:27:10,920 RESEARCH WORKSHOP ON 622 00:27:10,920 --> 00:27:12,800 PARTICIPATION AND CLINICAL 623 00:27:12,800 --> 00:27:13,120 RESEARCH. 624 00:27:13,120 --> 00:27:16,120 THIS WAS A VERY LIVELY EVENT AND 625 00:27:16,120 --> 00:27:19,160 VERY WELL ATTENDED. OVER 1,000 626 00:27:19,160 --> 00:27:20,520 PEOPLE REGISTERED AND ENDED UP 627 00:27:20,520 --> 00:27:24,480 WITH ABOUT 800 PEOPLE ON THE 628 00:27:24,480 --> 00:27:27,720 ZOOM OR ON VIRTUAL 629 00:27:27,720 --> 00:27:28,080 PARTICIPATION. 630 00:27:28,080 --> 00:27:30,400 BOTH WERE HELD VIRTUALLY. IT IS 631 00:27:30,400 --> 00:27:33,000 TO REALLY LOOK AT EVIDENCE-BASED 632 00:27:33,000 --> 00:27:35,720 BEST PRACTICES TO INCREASE 633 00:27:35,720 --> 00:27:37,200 INCLUSIVE PARTICIPATION IN 634 00:27:37,200 --> 00:27:39,400 CLINICAL RESEARCH STRATEGIES AND 635 00:27:39,400 --> 00:27:40,560 REITERATE THIS WAS DRIVEN BY, 636 00:27:40,560 --> 00:27:45,240 YOU KNOW, BY THE NOW 30-YEAR 637 00:27:45,240 --> 00:27:49,000 EFFORT OF NIH TO HAVE 638 00:27:49,000 --> 00:27:52,560 INVESTIGATORS REPORT ON RACE 639 00:27:52,560 --> 00:27:54,200 ETHNICITY OF THE HUMAN 640 00:27:54,200 --> 00:27:55,560 PARTICIPANTS IN THEIR STUDIES AS 641 00:27:55,560 --> 00:27:57,440 PART OF THE APPLICATION THAT 642 00:27:57,440 --> 00:27:58,920 EVERYONE IS FAMILIAR WITH THAT 643 00:27:58,920 --> 00:27:59,960 CHART. 644 00:27:59,960 --> 00:28:03,560 RACE AND ETHNICITY, AGE, SEX, OR 645 00:28:03,560 --> 00:28:05,400 GENDER AND BIRTH PLACE IN TERMS 646 00:28:05,400 --> 00:28:08,040 OF US AND NOT US ARE REQUIRED TO 647 00:28:08,040 --> 00:28:09,280 BE REPORTED. 648 00:28:09,280 --> 00:28:17,640 WE HOSTED OTIS BRAWLEY AS A 649 00:28:17,640 --> 00:28:20,040 KEYNOTE SPEAKER AND NIH ACADEMIC 650 00:28:20,040 --> 00:28:22,480 SCIENTISTS PRESENTING AND NIH 651 00:28:22,480 --> 00:28:24,240 PLANNING GROUP WAS WIDELY 652 00:28:24,240 --> 00:28:25,720 REPRESENTED AND THIS IS 653 00:28:25,720 --> 00:28:26,680 AVAILABLE. 654 00:28:26,680 --> 00:28:29,680 IT IS -- IT DOESN'T LOOK LIKE A 655 00:28:29,680 --> 00:28:30,280 VIDEOCAST. 656 00:28:30,280 --> 00:28:34,520 SO, BUT THE UNITE INITIATIVE HAD 657 00:28:34,520 --> 00:28:36,320 A NUMBER OF LISTENING SESSIONS 658 00:28:36,320 --> 00:28:38,360 AT THE BEGINNING OF THE 659 00:28:38,360 --> 00:28:40,200 INITIATIVES AND BEGINNING IN 660 00:28:40,200 --> 00:28:42,400 DECEMBER OF 2020. 661 00:28:42,400 --> 00:28:46,560 AND THROUGH FEBRUARY OF 2021. 662 00:28:46,560 --> 00:28:49,240 THE SUMMARIES OF LISTENING 663 00:28:49,240 --> 00:28:50,280 SESSIONS WERE QUITE EXTENSIVE. 664 00:28:50,280 --> 00:28:52,800 IT IS AVAILABLE IN A SUMMARY 665 00:28:52,800 --> 00:28:54,680 REPORT. THE LINK IS ON THE 666 00:28:54,680 --> 00:28:56,800 SLIDE. THIS IS A PUBLIC 667 00:28:56,800 --> 00:28:57,280 DOCUMENT. 668 00:28:57,280 --> 00:28:59,000 ANYONE CAN DOWNLOAD IT AND 669 00:28:59,000 --> 00:29:02,760 REVIEW IT AT YOUR LEISURE. 670 00:29:02,760 --> 00:29:05,240 IT SUMMARIZES THESE FIVE MAJOR 671 00:29:05,240 --> 00:29:08,000 AREAS AND STATE OF EQUITY AND 672 00:29:08,000 --> 00:29:09,560 BIOMEDICAL SCIENCES AND 673 00:29:09,560 --> 00:29:11,800 CHALLENGES IN CAREER PATHWAYS 674 00:29:11,800 --> 00:29:13,640 AND WORKFORCE AND PRACTICES AND 675 00:29:13,640 --> 00:29:16,560 POLICIES AS BARRIERS TO EQUITY 676 00:29:16,560 --> 00:29:19,560 AND CHALLENGES IN HEALTH 677 00:29:19,560 --> 00:29:20,840 DISPARITIES RESEARCH AS WELL AS 678 00:29:20,840 --> 00:29:22,920 CHALLENGES IN ADDRESSING 679 00:29:22,920 --> 00:29:25,320 HEALTHCARE EQUITY AND HEALTH 680 00:29:25,320 --> 00:29:27,000 OUTCOMES THAT WAS EXPANSIVE 681 00:29:27,000 --> 00:29:29,280 BASED ON THE CHARGE THAT WAS 682 00:29:29,280 --> 00:29:32,080 PRESENTED BY FRANCIS COLLINS AT 683 00:29:32,080 --> 00:29:34,000 THE TIME. IT INTENTIONALLY 684 00:29:34,000 --> 00:29:36,400 INCLUDED THE ISSUE OF 685 00:29:36,400 --> 00:29:37,760 DISPARITIES AND WASN'T ONLY 686 00:29:37,760 --> 00:29:39,360 TALKING ABOUT WORKFORCE ISSUES 687 00:29:39,360 --> 00:29:44,080 WITHIN NIH AND OUTSIDE OF NIH. 688 00:29:44,080 --> 00:29:46,840 UNITE IS VERY EXPANSIVE AND VERY 689 00:29:46,840 --> 00:29:48,560 AMBITIOUS IN ITS SCOPE 690 00:29:48,560 --> 00:29:49,920 ENCOURAGING EVERYONE TO TAKE A 691 00:29:49,920 --> 00:29:52,080 LOOK AT THIS SUMMARY. 692 00:29:52,080 --> 00:29:55,280 UNITE HAS CONTINUED WITH ITS 693 00:29:55,280 --> 00:29:58,480 ACTIVITIES THAT IS A CONCRETE 694 00:29:58,480 --> 00:30:01,200 PRODUCT OF UNITEE COMMITTEE 695 00:30:01,200 --> 00:30:02,880 EFFORTS AND MANY INVOLVED WITH 696 00:30:02,880 --> 00:30:04,800 THIS AND FUNDING OPPORTUNITIES 697 00:30:04,800 --> 00:30:07,400 THAT PROMOTE EQUITY AND 698 00:30:07,400 --> 00:30:09,120 PARTICULARLY FOCUS ON REWARD 699 00:30:09,120 --> 00:30:10,720 MECHANISM THAT SUPPORT HEALTH 700 00:30:10,720 --> 00:30:14,160 RELATED RESEARCH AND HEALTH 701 00:30:14,160 --> 00:30:15,400 SCIENTISTS SIGNIFICANTLY 702 00:30:15,400 --> 00:30:17,800 CONTRIBUTING TO DIVERSITY, 703 00:30:17,800 --> 00:30:19,280 EQUITY, AND INCLUSION IN ACING 704 00:30:19,280 --> 00:30:20,560 CRESSIBILITY NOT CURRENTLY 705 00:30:20,560 --> 00:30:22,720 SUPPORTED THAT IS AN OPPORTUNITY 706 00:30:22,720 --> 00:30:26,080 FOR A SCIENTIST FOCUSED ON DEIA 707 00:30:26,080 --> 00:30:30,440 ISSUES IN HIS OR HER CAREER. 708 00:30:30,440 --> 00:30:34,920 TO REALLY GET R01 FOR THEIR 709 00:30:34,920 --> 00:30:37,640 SCIENCE WHILE CONTINUING DIA 710 00:30:37,640 --> 00:30:39,080 ACTIVITIES AND COMMON PATH IS 711 00:30:39,080 --> 00:30:40,920 SOMEONE DOES DIA FOR A WHILE AND 712 00:30:40,920 --> 00:30:43,200 YOU HAVE TO DO REAL WORK AND 713 00:30:43,200 --> 00:30:44,520 RESEARCH AND GET A GRANT AND 714 00:30:44,520 --> 00:30:46,360 THEY GET A GRANT AND GET SOMEONE 715 00:30:46,360 --> 00:30:48,080 ELSE TO TAKE OVER THAT ACTIVITY. 716 00:30:48,080 --> 00:30:49,280 THIS IS AN OPPORTUNITY FOR 717 00:30:49,280 --> 00:30:51,280 PEOPLE THAT ARE REALLY GOOD AT 718 00:30:51,280 --> 00:30:53,080 BOTH TO BE ABLE TO DO BOTH IF 719 00:30:53,080 --> 00:30:54,960 THERE IS AN INSTRUMENTATION 720 00:30:54,960 --> 00:30:56,600 FUNDING OPPORTUNITY AND THERE IS 721 00:30:56,600 --> 00:30:59,480 ALSO A STRENGTHENING RESEARCH 722 00:30:59,480 --> 00:31:01,520 OPPORTUNITIES FOR NIH STRONG 723 00:31:01,520 --> 00:31:03,240 INITIATIVE HAS BEEN PUBLISHED 724 00:31:03,240 --> 00:31:06,240 THAT IS CLEAR AT THIS COUNCIL 725 00:31:06,240 --> 00:31:07,520 WHEN WE MET LAST YEAR. 726 00:31:07,520 --> 00:31:09,760 JUST A SHOUTOUT TO THE ONGOING 727 00:31:09,760 --> 00:31:12,600 WORK OF SEAL. THIS IS A EXAMPLE 728 00:31:12,600 --> 00:31:15,040 FROM A CAMPAIGN IN PUERTO RICO 729 00:31:15,040 --> 00:31:18,240 TO ENCOURAGE UPTAKE OF BOOSTER 730 00:31:18,240 --> 00:31:18,720 VACCINE. 731 00:31:18,720 --> 00:31:21,280 MOST OF THE POPULATION WANTS TO 732 00:31:21,280 --> 00:31:22,520 FORGET ABOUT COVID. 733 00:31:22,520 --> 00:31:24,560 SO, LIKE IT HAPPENED AND WAS 734 00:31:24,560 --> 00:31:26,440 THERE AND TERRIBLE AND LET'S GO 735 00:31:26,440 --> 00:31:28,560 AND MOVE ON. 736 00:31:28,560 --> 00:31:30,040 THE COVID-19 AND RESPIRATORY 737 00:31:30,040 --> 00:31:31,880 INFECTIONS ARE GOING TO 738 00:31:31,880 --> 00:31:33,000 APPARENTLY CONTINUE TO BE WITH 739 00:31:33,000 --> 00:31:36,560 US. WE WILL SEE WHAT HAPPENS 740 00:31:36,560 --> 00:31:38,280 THIS WINTER EVEN THOUGH CURRENT 741 00:31:38,280 --> 00:31:40,160 TRANSMISSIONS ARE LOW. PEOPLE 742 00:31:40,160 --> 00:31:42,680 ARE GETTING INFECTED AND 743 00:31:42,680 --> 00:31:44,000 VACCINES WILL WORK FOR 744 00:31:44,000 --> 00:31:46,320 PARTICULARLY OLDER ADULTS TO 745 00:31:46,320 --> 00:31:48,080 SAVE LIVES AND THERAPY WILL 746 00:31:48,080 --> 00:31:49,520 CONTINUE TO IMPROVE ALL CURRENT 747 00:31:49,520 --> 00:31:50,920 THERAPY IS ALSO EFFECTIVE. 748 00:31:50,920 --> 00:31:54,000 LET'S NOT FORGET ABOUT COVID AT 749 00:31:54,000 --> 00:31:54,760 ALL. 750 00:31:54,760 --> 00:31:58,000 HIGHLIGHT OF WHAT IS COMING WITH 751 00:31:58,000 --> 00:32:02,800 THE COMMUNITY-LED HEALTH EQUITY 752 00:32:02,800 --> 00:32:04,440 STRUCTURAL INTERVENTIONS OR 753 00:32:04,440 --> 00:32:06,960 CHESSY'S INITIATIVE THAT IS A 754 00:32:06,960 --> 00:32:09,200 COMMON FUND PROGRAM. I'M A 755 00:32:09,200 --> 00:32:11,920 CO-CHAIR ALONG WITH SHANNON ZENK 756 00:32:11,920 --> 00:32:15,400 FROM NURSING AND DR. JOSH GORDON 757 00:32:15,400 --> 00:32:17,920 FROM MENTAL HEALTH AND OFFICE OF 758 00:32:17,920 --> 00:32:20,440 RESEARCH OF MENTAL HEALTH AND 759 00:32:20,440 --> 00:32:23,440 THOSE CENTERS ARE BEING REVIEWED 760 00:32:23,440 --> 00:32:25,520 THROUGH A REGULAR MECHANISM AND 761 00:32:25,520 --> 00:32:26,960 U24, I BELIEVE. 762 00:32:26,960 --> 00:32:29,040 WE WILL PUBLISH A FUNDING 763 00:32:29,040 --> 00:32:30,880 OPPORTUNITY ANNOUNCEMENT 764 00:32:30,880 --> 00:32:33,720 SOMETIME IN THE NEXT COUPLE OF 765 00:32:33,720 --> 00:32:36,800 MONTHS FOR THE ACADEMIC HUBS. 766 00:32:36,800 --> 00:32:40,280 THIS IS THE HEART AND CORE OF IT 767 00:32:40,280 --> 00:32:42,040 THIS EFFORT OF THE COMPASS 768 00:32:42,040 --> 00:32:45,800 EFFORT. IT IS GOING TO FUND UP 769 00:32:45,800 --> 00:32:49,360 TO 25 COMMUNITY ORGANIZATIONS TO 770 00:32:49,360 --> 00:32:52,560 DO STRUCTURAL INTERVENTIONS TO 771 00:32:52,560 --> 00:32:54,920 REDUCE DISPARITIES. 772 00:32:54,920 --> 00:32:58,320 ON A VARIETY OF TOPICS AND WE 773 00:32:58,320 --> 00:33:00,160 MADE THE INITIAL SORT OF 774 00:33:00,160 --> 00:33:03,560 SELECTION OF ORGANIZATIONS THAT 775 00:33:03,560 --> 00:33:05,560 WILL START INITIATE DISCUSSIONS 776 00:33:05,560 --> 00:33:08,040 ABOUT HOW THEY WILL POTENTIALLY 777 00:33:08,040 --> 00:33:11,400 PROCEED. THIS IS BEING DONE 778 00:33:11,400 --> 00:33:14,640 THROUGH OTHER TRANSFER 779 00:33:14,640 --> 00:33:16,920 MECHANISMS AND IS NOT A GRANT OR 780 00:33:16,920 --> 00:33:19,200 NOT A CONTRACT. IT HAS BEEN 781 00:33:19,200 --> 00:33:22,000 WIDELY USED IN SOME NIH 782 00:33:22,000 --> 00:33:22,600 PROGRAMS. 783 00:33:22,600 --> 00:33:25,080 CO, FOR EXAMPLE, AND ALSO ALL OF 784 00:33:25,080 --> 00:33:27,800 US. WE WILL SEE WHAT HAPPENS. 785 00:33:27,800 --> 00:33:29,400 STAY TUNED SOME TIME AGAIN THIS 786 00:33:29,400 --> 00:33:34,960 SUMMER. WE EXPECT TO MAKE THIS 787 00:33:34,960 --> 00:33:37,240 ANNOUNCEMENT THAT IS A MAJOR 788 00:33:37,240 --> 00:33:40,400 SHIFT OR PIVOT INNOVATION FOR 789 00:33:40,400 --> 00:33:42,320 NIH TO UNDERTAKE AND PLEASE 790 00:33:42,320 --> 00:33:44,560 TODAY BE GRATEFUL FOR STAFF 791 00:33:44,560 --> 00:33:46,360 WORKING HARD MOSTLY FROM COMMON 792 00:33:46,360 --> 00:33:49,000 FUND AND NATHAN STINSON AND 793 00:33:49,000 --> 00:33:51,560 OTHER STAFF FROM NIMHD ARE 794 00:33:51,560 --> 00:33:55,240 INVOLVED AND WE RECENTLY ALSO 795 00:33:55,240 --> 00:34:02,120 SAW THE GRADUATION OF THE 7TH 796 00:34:02,120 --> 00:34:04,160 NIMHDDDK RUN AND FOLLOW AND 797 00:34:04,160 --> 00:34:05,640 SEAN, DID YOU GET 798 00:34:05,640 --> 00:34:06,520 [INDISCERNIBLE]. I'M SURE I 799 00:34:06,520 --> 00:34:08,920 DIDN'T SAY IT RIGHT. A DISTRICT 800 00:34:08,920 --> 00:34:10,440 CLINICAL DIRECTOR OF THE 801 00:34:10,440 --> 00:34:13,560 HOSPITAL IN RWANDA. THIS IS A 802 00:34:13,560 --> 00:34:16,520 FAIRLY INNOVATIVE PROGRAM IF IN 803 00:34:16,520 --> 00:34:19,240 ONE OF OUR -- JUST A SMALL 804 00:34:19,240 --> 00:34:22,320 HANDFUL OF INTERNATIONAL 805 00:34:22,320 --> 00:34:29,040 FOOTPRINT PROGRAMS. 806 00:34:29,040 --> 00:34:32,920 IT IS DRIVEN BY ANNE SUM NER HAD 807 00:34:32,920 --> 00:34:34,880 HERE IN THE GRADUATION I WASN'T 808 00:34:34,880 --> 00:34:37,920 ABLE TO ATTEND IN PERSON AND 809 00:34:37,920 --> 00:34:40,200 MONICA WEB COOPER AND CALVIN 810 00:34:40,200 --> 00:34:43,960 TROY ARE ALSO THERE ALONE WITH 811 00:34:43,960 --> 00:34:47,320 NINA SHORE AND MICHAEL COWS IS 812 00:34:47,320 --> 00:34:49,520 SCIENTIFIC DIRECTOR FOR NIDDK 813 00:34:49,520 --> 00:34:52,560 AND WE PROVIDE SUPPORT FOR 814 00:34:52,560 --> 00:34:54,520 FELLOW AND ANNE PROVIDES 815 00:34:54,520 --> 00:34:56,320 LABORATORY AND SUPPORT FOR 816 00:34:56,320 --> 00:34:58,920 RESEARCH. SHE HAD A PROGRAM ON 817 00:34:58,920 --> 00:35:01,160 DIABETES AND METABOLIC 818 00:35:01,160 --> 00:35:07,640 ABNORMALITIES IN AFRICANS IN 819 00:35:07,640 --> 00:35:10,840 WASHINGTON, DC VIRGINIA AREA AND 820 00:35:10,840 --> 00:35:12,200 IS A DIVISION INTRA MURAL 821 00:35:12,200 --> 00:35:13,360 PROGRAM AND AGREED TO CONTINUE 822 00:35:13,360 --> 00:35:15,640 IT. THERE ARE ISSUES AND 823 00:35:15,640 --> 00:35:17,360 ORIGINAL INSTITUTION IS ONE 824 00:35:17,360 --> 00:35:18,760 FOUNDED BY PAUL FARMER AND YOU 825 00:35:18,760 --> 00:35:22,480 ARE ALL AWARE THAT HE DIED 826 00:35:22,480 --> 00:35:23,680 UNEXPECTEDLY AND THERE HAD BEEN 827 00:35:23,680 --> 00:35:25,920 CHANGE IN LEADERSHIP AT THE 828 00:35:25,920 --> 00:35:27,640 INSTITUTION IN RWANDA. WE HAVE 829 00:35:27,640 --> 00:35:29,440 BEEN ABLE TO WORK THOSE THINGS 830 00:35:29,440 --> 00:35:32,800 OUT AND ARE MOVING FORWARD 831 00:35:32,800 --> 00:35:37,360 CONTINUING THE PROGRAM UNTIL THE 832 00:35:37,360 --> 00:35:39,160 NEW DIRECTOR HAS AN OPPORTUNITY 833 00:35:39,160 --> 00:35:42,160 TO REFLECT ON IT AND YESTERDAY 834 00:35:42,160 --> 00:35:45,480 WE HEARD ABOUT THE SHARE PROGRAM 835 00:35:45,480 --> 00:35:49,560 AND SCIENCE COLLABORATIVE FOR 836 00:35:49,560 --> 00:35:51,840 HEALTH CARE ARTIFICIAL 837 00:35:51,840 --> 00:35:52,720 INTELLIGENCE BIAS REDUCTION AND 838 00:35:52,720 --> 00:35:54,800 CAN WE DO SOMETHING ABOUT THE 839 00:35:54,800 --> 00:35:57,400 BAR THAT COULD BE DECREASED? 840 00:35:57,400 --> 00:35:59,240 I CAN'T READ OR LOOK AT THE 841 00:35:59,240 --> 00:36:00,840 SLIDE FULLY. IF YOU CAN MAKE IT 842 00:36:00,840 --> 00:36:03,720 GO AWAY OR DIMINISH. 843 00:36:03,720 --> 00:36:05,160 I WON'T USE IT. 844 00:36:05,160 --> 00:36:09,240 THANK YOU. SHARE -- GO BACK. I 845 00:36:09,240 --> 00:36:15,160 WILL DO THAT. 846 00:36:15,160 --> 00:36:18,280 WE ARE GET IT RIGHT IT IS AN 847 00:36:18,280 --> 00:36:19,600 EFFORT MADE POSSIBLE BY OFFICE 848 00:36:19,600 --> 00:36:21,680 OF DATA SCIENCE AND STRATEGIES 849 00:36:21,680 --> 00:36:24,880 ASSESSED IN THE OFFICE OF THE 850 00:36:24,880 --> 00:36:29,440 DIRECTOR WORKING CLOSELY WITH 851 00:36:29,440 --> 00:36:32,400 SUSAN OVER THE LAST COUPLE YEARS 852 00:36:32,400 --> 00:36:37,040 THEY HAVE REALLY TAKEN TO HEART 853 00:36:37,040 --> 00:36:38,640 DEFICIENCIES IN THIS SPACE IN 854 00:36:38,640 --> 00:36:41,280 DATA SCIENCE IN TERMS OF BIAS 855 00:36:41,280 --> 00:36:44,520 AND DISPARITIES IN HOW CURRENT 856 00:36:44,520 --> 00:36:45,840 DIRECTION OF THE FIELD WAS GOING 857 00:36:45,840 --> 00:36:49,800 TO POTENTIALLY EXACERBATE HEALTH 858 00:36:49,800 --> 00:36:51,120 DISPARITIES IF WE DIDN'T 859 00:36:51,120 --> 00:36:52,960 INTERVENE AND A NUMBER OF 860 00:36:52,960 --> 00:36:54,720 ACTIVITIES AT NIH HAVE BEEN PUT 861 00:36:54,720 --> 00:37:00,600 IN PLACE TO ADDRESS THAT. 862 00:37:00,600 --> 00:37:05,480 OUTSIDE OF NIMHD IT THIS IS 863 00:37:05,480 --> 00:37:11,640 INTERNAL TO BUILD CAPACITY IN 864 00:37:11,640 --> 00:37:13,080 POPULATION SCIENCE AND DR. DURAN 865 00:37:13,080 --> 00:37:17,840 IS LEAD ON THIS FROM OUR 866 00:37:17,840 --> 00:37:21,520 PERSPECTIVE ALONG WITH LUCA AND 867 00:37:21,520 --> 00:37:23,080 OTHER STAFF WITH ADMINISTRATION 868 00:37:23,080 --> 00:37:27,000 AND COMMUNICATIONS AND PROMOTING 869 00:37:27,000 --> 00:37:29,760 USE OF CLOSE COMPUTING SETTING 870 00:37:29,760 --> 00:37:33,000 TO ADDRESS ISSUES OF HEALTH 871 00:37:33,000 --> 00:37:34,960 DISPARITIES AND ALGORITHM BIAS 872 00:37:34,960 --> 00:37:38,360 AND INCREASING REPRESENTATION 873 00:37:38,360 --> 00:37:41,440 AND FOSTER OF PARADIGM SHIFT AND 874 00:37:41,440 --> 00:37:42,000 CONCEPTUALIZING THINGS AND 875 00:37:42,000 --> 00:37:44,440 LOOKING AT WAYS TO MITIGATE BIAS 876 00:37:44,440 --> 00:37:48,080 AND NUMBER OF ACTIVITIES 877 00:37:48,080 --> 00:37:56,520 PROBABLY THE MOST -- IT IS NOT 878 00:37:56,520 --> 00:38:07,000 RESPONDING TO ADVANCING. 879 00:38:07,320 --> 00:38:09,200 THERE WE GO. AT LEAST THAT 880 00:38:09,200 --> 00:38:10,080 MOVED IT. 881 00:38:10,080 --> 00:38:15,640 THERE HAVE BEEN MONTHLY 882 00:38:15,640 --> 00:38:17,600 THINK-A-THONS AND VIRTUAL 883 00:38:17,600 --> 00:38:19,280 MEETINGS THAT ARE REALLY MEANT 884 00:38:19,280 --> 00:38:22,920 TO BE HANDS-ON, INSTRUCTIONAL, 885 00:38:22,920 --> 00:38:24,680 AND CLOUD COMPUTING AND FOLKS ON 886 00:38:24,680 --> 00:38:27,760 RESEARCH AND IDEA IS TO HAVE A 887 00:38:27,760 --> 00:38:29,200 PLATFORM THAT PEOPLE CAN HAVE 888 00:38:29,200 --> 00:38:31,920 TOOLS TO LOOK AT DATA AND IS ALL 889 00:38:31,920 --> 00:38:34,200 A WORK IN PROGRESS. 890 00:38:34,200 --> 00:38:35,480 I'M BASICALLY PRESENTING IT TO 891 00:38:35,480 --> 00:38:37,880 MAKE PEOPLE AWARE AS WE MOVE 892 00:38:37,880 --> 00:38:39,320 MORE INTO THIS SPACE AND INVEST 893 00:38:39,320 --> 00:38:43,720 MORE RESOURCES IN PARTICULARLY 894 00:38:43,720 --> 00:38:46,960 IN TERMS OF HUMAN RESOURCES AND 895 00:38:46,960 --> 00:38:48,680 ALSO OTHERS TO BUILD THIS 896 00:38:48,680 --> 00:38:50,680 CLOUD-BASED PLATFORM. 897 00:38:50,680 --> 00:38:53,520 WE HAD A MEETING OF CLINICAL 898 00:38:53,520 --> 00:38:54,800 RESEARCH EDUCATION AND CAREER 899 00:38:54,800 --> 00:38:55,840 DEVELOPMENT. 900 00:38:55,840 --> 00:38:58,800 THIS IS A FAIRLY UNIQUE PROGRAM 901 00:38:58,800 --> 00:39:02,200 FUNDED BY NIMHD TO EXPAND 902 00:39:02,200 --> 00:39:06,440 CAPACITY OF CLINICAL RESEARCHERS 903 00:39:06,440 --> 00:39:10,960 AT THE INSTITUTIONS THAT ARE OF 904 00:39:10,960 --> 00:39:12,000 LOWER RESOURCES. 905 00:39:12,000 --> 00:39:14,600 THESE ARE THE CURRENT AWARDEES 906 00:39:14,600 --> 00:39:18,440 AND MOR HOUSE UNIVERSITY OF 907 00:39:18,440 --> 00:39:20,200 PUERTO RICO AND UNIVERSITY OF 908 00:39:20,200 --> 00:39:22,080 MEDICINE AND SCIENCE AND ARE 909 00:39:22,080 --> 00:39:24,240 OFFICIALLY BY WAIT SEPARATE FROM 910 00:39:24,240 --> 00:39:25,480 UNIVERSITY OF CALIFORNIA SYSTEM 911 00:39:25,480 --> 00:39:28,480 NOW AND STATE UNIVERSITY OF NEW 912 00:39:28,480 --> 00:39:31,440 YORK DOWN STATE IN HEALTH 913 00:39:31,440 --> 00:39:33,080 SCIENCES UNIVERSITY. 914 00:39:33,080 --> 00:39:36,160 SO, THE 36 CURRENT SCHOLARS 915 00:39:36,160 --> 00:39:37,000 ALMOST UNIVERSALLY 916 00:39:37,000 --> 00:39:38,720 UNDER-REPRESENTED MINORITY AND 917 00:39:38,720 --> 00:39:40,560 MOSTLY AFRICAN AMERICAN AND 918 00:39:40,560 --> 00:39:44,560 LATINO AND IS REALLY AN EXCITING 919 00:39:44,560 --> 00:39:45,160 MEETING. 920 00:39:45,160 --> 00:39:47,240 I COULDN'T STAY FOR THE WHOLE 921 00:39:47,240 --> 00:39:50,200 THING AND HERE, THE 922 00:39:50,200 --> 00:39:51,600 INVESTIGATORS PRESENT AND THE 923 00:39:51,600 --> 00:39:53,600 IMPORTANCE THAT THIS SUPPORT 924 00:39:53,600 --> 00:39:55,800 STRUCTURE THAT IS DONE THROUGH 925 00:39:55,800 --> 00:39:57,520 NR25 MECHANISM THAT SAID 926 00:39:57,520 --> 00:39:58,600 KAITIONAL SUPPORT. IT IS NOT 927 00:39:58,600 --> 00:40:01,160 THE SAME AS A FELLOWSHIP. 928 00:40:01,160 --> 00:40:04,120 IT IS A BOOST CERTAINLY TO GET 929 00:40:04,120 --> 00:40:06,040 MORE CLINICIAN SCIENTISTS INTO 930 00:40:06,040 --> 00:40:10,080 THESE INSTITUTIONS THAT IS OFTEN 931 00:40:10,080 --> 00:40:11,280 THE CHALLENGE BEING THAT THEY 932 00:40:11,280 --> 00:40:13,160 ARE PULLED IN DIRECTION OF 933 00:40:13,160 --> 00:40:15,960 SERVICE OR TEACHING THAT IS 934 00:40:15,960 --> 00:40:17,320 DEPENDING ON THEIR DISCIPLINE. 935 00:40:17,320 --> 00:40:20,560 WE HELD A -- I THINK A 936 00:40:20,560 --> 00:40:21,760 FIRST-EVER EVENT WITH THE 937 00:40:21,760 --> 00:40:25,120 NATIONAL EYE INSTITUTE THAT IS A 938 00:40:25,120 --> 00:40:27,240 SCIENTIFIC WORKSHOP ON VISION 939 00:40:27,240 --> 00:40:28,200 HEALTH EQUITY AND AT LEAST ONE 940 00:40:28,200 --> 00:40:31,440 OF THE COUNCIL P MEMBERS WAS 941 00:40:31,440 --> 00:40:34,960 THERE AND DR. NEIL COMMON THAT 942 00:40:34,960 --> 00:40:38,400 WAS CHAIRED BY THE FORMER CHAIR 943 00:40:38,400 --> 00:40:40,960 OF OPHTHALMOLOGY AT UCSF AND IT 944 00:40:40,960 --> 00:40:43,320 COMES FOR DISPARITIES 945 00:40:43,320 --> 00:40:46,760 INVESTIGATED FROM UNIVERSITY OF 946 00:40:46,760 --> 00:40:48,160 MIAMI AND I WAS THERE FOR PART 947 00:40:48,160 --> 00:40:50,760 OF THE SESSION THAT WAS A GOOD 948 00:40:50,760 --> 00:40:52,560 WAY TO GET INTERACTION BETWEEN 949 00:40:52,560 --> 00:40:56,000 HEALTH DISPARITIES SCIENTISTS 950 00:40:56,000 --> 00:40:58,200 AND VISION NEI RESEARCHERS AND 951 00:40:58,200 --> 00:41:02,080 ARE A NUMBER OF OPPORTUNITIES IN 952 00:41:02,080 --> 00:41:04,560 AREAS THAT ARE COMMON IN A 953 00:41:04,560 --> 00:41:07,800 PUBLIC HEALTH INTEREST AND 954 00:41:07,800 --> 00:41:09,680 THINGS LIKE GLAUCOMA AND 955 00:41:09,680 --> 00:41:11,800 CATARACT SURGERY AND ACCESS TO 956 00:41:11,800 --> 00:41:13,120 THERAPIES AND DIAGNOSIS IN 957 00:41:13,120 --> 00:41:15,120 THERAPY AND ALSO BASIC THINGS 958 00:41:15,120 --> 00:41:16,880 LIKE REFRACTORY ERRORS AND HOW 959 00:41:16,880 --> 00:41:19,120 MANY PEOPLE HAVE ACTUALLY NOT 960 00:41:19,120 --> 00:41:20,480 CORRECTED THEIR REFRACTORY 961 00:41:20,480 --> 00:41:24,560 ERRORS AND THAT IS A NOVEL IF 962 00:41:24,560 --> 00:41:27,600 UNDERSTANDING FOR ME AS WELL AS 963 00:41:27,600 --> 00:41:31,640 OTHER MORE SYSTEMIC DISEASES 964 00:41:31,640 --> 00:41:33,000 EFFECTING VISUAL LOSS AND 965 00:41:33,000 --> 00:41:34,560 NATIONAL EYE INSTITUTE IN THE 966 00:41:34,560 --> 00:41:36,040 SMALLER INSTITUTE CATEGORY AND 967 00:41:36,040 --> 00:41:38,520 ON LARGER SIDE OF THE GROUPS AND 968 00:41:38,520 --> 00:41:41,040 MIKE HAS BEEN A GREAT PARTNER 969 00:41:41,040 --> 00:41:42,520 FOR NIMHD. 970 00:41:42,520 --> 00:41:46,000 WE ALSO HAD AN ANNUAL MEETING. 971 00:41:46,000 --> 00:41:48,560 THEY ARE ALL IN PERSON OF THE 972 00:41:48,560 --> 00:41:50,640 RESEARCH CENTERS AND MINORITY 973 00:41:50,640 --> 00:41:52,960 INSTITUTIONS THAT WAS HELD HERE 974 00:41:52,960 --> 00:41:57,360 IN BETHESDA, APRIL 12TH TO 14TH. 975 00:41:57,360 --> 00:41:58,640 ALL GRANTEES ARE BROUGHT 976 00:41:58,640 --> 00:42:00,240 TOGETHER. I THINK FOR THE FIRST 977 00:42:00,240 --> 00:42:04,200 TIME IN A SMALLER -- IN A -- IN 978 00:42:04,200 --> 00:42:06,560 A GROUP SETTING, THE 979 00:42:06,560 --> 00:42:09,440 PARTICIPANTS AND LEADERS OF RCMI 980 00:42:09,440 --> 00:42:11,440 PROGRAM MOST IMPORTANTLY SAW THE 981 00:42:11,440 --> 00:42:14,160 POTENTIAL THAT WE COULD ACTUALLY 982 00:42:14,160 --> 00:42:16,960 LEVERAGE THIS NETWORK OF LESS 983 00:42:16,960 --> 00:42:19,200 RESOURCED INSTITUTIONS AND 21 984 00:42:19,200 --> 00:42:23,160 FUNDED INSTITUTIONS AND 14, I 985 00:42:23,160 --> 00:42:28,560 BELIEVE, ARE SBHCUS AND ARE TWO 986 00:42:28,560 --> 00:42:31,480 IN PUERTO RICO AND IS A VERY 987 00:42:31,480 --> 00:42:34,480 POWERFUL CAPACITY BUILDING 988 00:42:34,480 --> 00:42:36,800 RESEARCH POTENTIAL NETWORK THAT 989 00:42:36,800 --> 00:42:38,000 NIMHD MANAGES. 990 00:42:38,000 --> 00:42:40,840 TAKING THIS PROGRAM AND PROGRAMS 991 00:42:40,840 --> 00:42:42,600 FUNDED BY NATIONAL INSTITUTE OF 992 00:42:42,600 --> 00:42:44,360 GENERAL MEDICAL SCIENCES WE 993 00:42:44,360 --> 00:42:46,680 ACCOUNT FOR PROBABLY 3/4 OF ALL 994 00:42:46,680 --> 00:42:49,240 OF THE FUNDING FOR THESE LESS 995 00:42:49,240 --> 00:42:52,920 RESOURCED TO MINORITY SERVING 996 00:42:52,920 --> 00:42:57,040 INSTITUTIONS OR HN AND HBCUS 997 00:42:57,040 --> 00:42:59,320 THAT IS REALLY AN IMPORTANT AND 998 00:42:59,320 --> 00:43:01,480 VALUABLE PROGRAM TO NOT ONLY AT 999 00:43:01,480 --> 00:43:03,960 THE INSTITUTE BUT TO SCIENCE AND 1000 00:43:03,960 --> 00:43:05,360 FIELD AND OUR COMMUNITIES AND 1001 00:43:05,360 --> 00:43:09,760 THE DIRECTORS OF THE GENERAL 1002 00:43:09,760 --> 00:43:12,400 NIGMS DR. [INDISCERNIBLE] AND 1003 00:43:12,400 --> 00:43:15,120 NHLBI DR. GARY GIBONES PRESENTED 1004 00:43:15,120 --> 00:43:18,800 DEPUTY DIRECTOR FOR NIDA AND 1005 00:43:18,800 --> 00:43:20,040 WILSON PRESENTED AND LEADERSHIP 1006 00:43:20,040 --> 00:43:22,640 IS THERE AND CHIEF OFFICER 1007 00:43:22,640 --> 00:43:25,920 SCIENTIFIC WORKFORCE DIVERSITY 1008 00:43:25,920 --> 00:43:28,520 MARY BERNARD PRESENT THE ALSO 1009 00:43:28,520 --> 00:43:30,800 AND DIRECTORS FOR NIMHD MET WITH 1010 00:43:30,800 --> 00:43:34,200 THE UNIVERSITY PRESIDENTS THAT 1011 00:43:34,200 --> 00:43:35,960 INTENDED INCLUDING THE PRESIDENT 1012 00:43:35,960 --> 00:43:37,360 OF [INDISCERNIBLE] AND ALSO 1013 00:43:37,360 --> 00:43:39,040 PRINCIPLE INVESTIGATORS AND IN 1014 00:43:39,040 --> 00:43:41,960 SOME CASES IN ABSENCE OF THE 1015 00:43:41,960 --> 00:43:44,600 PRESIDENT, THE PROVOST OR 1016 00:43:44,600 --> 00:43:46,960 RESEARCH OR VICE PRESIDENT -- 1017 00:43:46,960 --> 00:43:48,520 VICE PROVOST FOR RESEARCH WERE 1018 00:43:48,520 --> 00:43:49,920 PRESENT AT THAT MEETING. 1019 00:43:49,920 --> 00:43:52,040 WE HAD A VERY GOOD CONVERSATION 1020 00:43:52,040 --> 00:43:53,680 ABOUT MANY TOPICS THAT ARE 1021 00:43:53,680 --> 00:43:58,080 RELATED TO THE COMMON ISSUES. 1022 00:43:58,080 --> 00:44:01,920 LET ME DELVE INTO A FEW SCIENCE 1023 00:44:01,920 --> 00:44:02,200 HIGHLIGHTS. 1024 00:44:02,200 --> 00:44:04,960 I START WITH THIS TO ILLUSTRATE 1025 00:44:04,960 --> 00:44:07,320 2 POINTS IN THE NEXT FEW SLIDES. 1026 00:44:07,320 --> 00:44:09,320 FIRST OF ALL, THIS IS A -- THIS 1027 00:44:09,320 --> 00:44:12,560 IS -- I'M SHOWING YOU RATE OF 1028 00:44:12,560 --> 00:44:14,920 COVID ASSOCIATED DEATHS PER 1029 00:44:14,920 --> 00:44:16,120 100,000 IN THE UNITED STATES. 1030 00:44:16,120 --> 00:44:19,160 WHAT HAPPENED IN 2020 AND 2021 1031 00:44:19,160 --> 00:44:21,680 AND 2022 IN THE PRELIMINARY 1032 00:44:21,680 --> 00:44:25,160 REPORT FROM THE CDC PUBLISHED IN 1033 00:44:25,160 --> 00:44:28,120 MMWR EARLIER THIS MONTH. 1034 00:44:28,120 --> 00:44:30,200 FIRSTLY, YOU SEE THAT CHILDREN, 1035 00:44:30,200 --> 00:44:32,640 ALTHOUGH SOME DEVELOPED SEVERE 1036 00:44:32,640 --> 00:44:34,760 DISEASES AND SOME DO DIE. THEY 1037 00:44:34,760 --> 00:44:37,920 HAVE A VERY, VERY LOW MORTALITY 1038 00:44:37,920 --> 00:44:40,360 RATE FROM COVID-19. 1039 00:44:40,360 --> 00:44:43,840 NOT QUITE AS LOW AS FROM 1040 00:44:43,840 --> 00:44:45,480 INFLUENZA BUT IN THE SAME RANGE. 1041 00:44:45,480 --> 00:44:47,640 YOU CAN SEE I DON'T SHOW ALL AGE 1042 00:44:47,640 --> 00:44:50,280 GROUPS HERE. IT STEPS UP 1043 00:44:50,280 --> 00:44:52,520 SOMEWHERE IN THE MID-30S THAT 1044 00:44:52,520 --> 00:44:54,560 THINGS BEGIN TO INCREASE. 1045 00:44:54,560 --> 00:44:57,720 WE SAW DRAMATIC IMPROVEMENT IN 1046 00:44:57,720 --> 00:45:00,040 2022. REAL BURDEN OF MORTALITY 1047 00:45:00,040 --> 00:45:02,160 FROM THIS DISEASE IS IN OLDER 1048 00:45:02,160 --> 00:45:02,560 ADULTS. 1049 00:45:02,560 --> 00:45:04,960 SOMEWHERE ALONG THE PANDEMIC, 1050 00:45:04,960 --> 00:45:06,760 PEOPLE LOST TRACK OF THAT. EVEN 1051 00:45:06,760 --> 00:45:08,960 THOUGH AT THE BEGINNING I THINK 1052 00:45:08,960 --> 00:45:11,440 IT WAS A HIGHLIGHT AND WAS A 1053 00:45:11,440 --> 00:45:12,120 GENERALIZED CONCERN. 1054 00:45:12,120 --> 00:45:14,680 WE WERE OBSESSED WITH ISSUES 1055 00:45:14,680 --> 00:45:16,960 ABOUT CLOSURES AND NONCLOSURES 1056 00:45:16,960 --> 00:45:20,560 AND MASKS AND NO MASKS AND 1057 00:45:20,560 --> 00:45:23,320 SCHOOLS AND VIRTUAL WORK 1058 00:45:23,320 --> 00:45:23,720 ENVIRONMENTS. 1059 00:45:23,720 --> 00:45:26,080 AND YOU CAN SEE BURDEN OF 1060 00:45:26,080 --> 00:45:28,240 MORTALITY THAT IS BEING 1061 00:45:28,240 --> 00:45:29,240 DRAMATICALLY HIGHER FOR OLD 1062 00:45:29,240 --> 00:45:32,160 PERSONS OLDER THAN 65 AND 1063 00:45:32,160 --> 00:45:34,480 ESPECIALLY OVER 75 THAT HAS 1064 00:45:34,480 --> 00:45:35,400 IMPROVED THAT IS ANOTHER POINT 1065 00:45:35,400 --> 00:45:37,440 AND HOW MUCH BETTER THINGS HAVE 1066 00:45:37,440 --> 00:45:38,080 GOTTEN. 1067 00:45:38,080 --> 00:45:40,200 THIS IS A SUCCESS STORY THAT WE 1068 00:45:40,200 --> 00:45:42,120 HARDLY EVER LIKE TO TALKING 1069 00:45:42,120 --> 00:45:44,320 ABOUT SUCCESS IN OUR FIELD. WE 1070 00:45:44,320 --> 00:45:46,920 LIKE TO ALWAYS FOCUS ON PROBLEMS 1071 00:45:46,920 --> 00:45:48,560 AND SHOULD REALLY OCCASIONALLY 1072 00:45:48,560 --> 00:45:51,040 SAY, HEY, WE DID GOOD HERE. 1073 00:45:51,040 --> 00:45:52,960 AND WE -- YOU KNOW, WE RESPONDED 1074 00:45:52,960 --> 00:45:56,440 TO THIS CRISIS IN A UNIQUE WAY. 1075 00:45:56,440 --> 00:45:58,920 ALSO, MALES HAVE HAD A MUCH 1076 00:45:58,920 --> 00:46:02,000 GREATER BURDEN OF DISEASE AND IN 1077 00:46:02,000 --> 00:46:04,560 FEMALES AND IS PROBABLY MOSTLY 1078 00:46:04,560 --> 00:46:07,320 RELATED TO WORKFORCE ISSUES AND 1079 00:46:07,320 --> 00:46:09,440 EXPOSURE RATHER THAN ANY OTHER 1080 00:46:09,440 --> 00:46:09,960 FACTOR. 1081 00:46:09,960 --> 00:46:12,560 BY RACE ETHNICITY, WE, AGAIN, 1082 00:46:12,560 --> 00:46:14,320 SEE A LEVELING OF THE DEATH 1083 00:46:14,320 --> 00:46:18,280 RATES IN A WAY THAT I, AGAIN, 1084 00:46:18,280 --> 00:46:19,880 WAS PLEASANTLY SURPRISED. 1085 00:46:19,880 --> 00:46:22,360 WE HAVE SEEN DATA SINCE THE FALL 1086 00:46:22,360 --> 00:46:24,840 OF 2022 WHEN CDC FIRST PUBLISHED 1087 00:46:24,840 --> 00:46:27,000 THIS AND NEW YORK TIMES DID A 1088 00:46:27,000 --> 00:46:28,600 BETTER JOB OF PRESENTING THE 1089 00:46:28,600 --> 00:46:32,400 DATA AND REPORT BASED ON CDC 1090 00:46:32,400 --> 00:46:32,600 DATA. 1091 00:46:32,600 --> 00:46:35,800 AND AMERICAN INDIAN AND ALASKA 1092 00:46:35,800 --> 00:46:37,280 NATIVES ARE CONSIDERABLY HAD 1093 00:46:37,280 --> 00:46:38,720 HIGHER THAN THE US GENERAL 1094 00:46:38,720 --> 00:46:40,160 POPULATION IF YOU WANT TO REFER 1095 00:46:40,160 --> 00:46:42,120 TO WHITES IN THAT REGARD. 1096 00:46:42,120 --> 00:46:45,680 WE SEE LATINOS AND HISPANIC'S 1097 00:46:45,680 --> 00:46:48,160 ARE SAME AS WHITES ESSENTIALLY 1098 00:46:48,160 --> 00:46:50,120 AND AFRICAN AMERICANS ARE BLACKS 1099 00:46:50,120 --> 00:46:53,800 AND NATIVE HAWAIIAN AND PACIFIC 1100 00:46:53,800 --> 00:46:55,360 ISLANDERS ARE HIGHER THAN WHITES 1101 00:46:55,360 --> 00:46:58,800 BUT CLEARLY NOT AT 2 TO 3 TIMES 1102 00:46:58,800 --> 00:47:00,560 MORTALITY RATE WE SAW EARLY ON 1103 00:47:00,560 --> 00:47:03,840 IN THE FIRST COUPLE YEARS OF THE 1104 00:47:03,840 --> 00:47:07,520 PANDEMIC AND SAY WHY IS 1105 00:47:07,520 --> 00:47:08,440 COMMUNITY BURNED OUT AND LEVEL 1106 00:47:08,440 --> 00:47:11,280 OF IMMUNITY INCREASED AS MORE 1107 00:47:11,280 --> 00:47:13,360 AND MORE PEOPLE GOT INFECTED AND 1108 00:47:13,360 --> 00:47:15,880 WE GOT PEOPLE ALSO VACCINATED 1109 00:47:15,880 --> 00:47:18,920 AND VACCINATION RATES FOR LATINO 1110 00:47:18,920 --> 00:47:20,560 HISPANICS AND BLACK AFRICAN 1111 00:47:20,560 --> 00:47:22,720 AMERICAN COMMUNITIES WERE 1112 00:47:22,720 --> 00:47:24,480 IDENTICAL OR VERY SIMILAR TO 1113 00:47:24,480 --> 00:47:26,960 WHITE GENERAL POPULATION. 1114 00:47:26,960 --> 00:47:29,680 AND IN THAT CLOSE TO 70% RATE AS 1115 00:47:29,680 --> 00:47:31,960 OF LAST FALL. 1116 00:47:31,960 --> 00:47:35,560 AND THIS IS A DEFINITION THAT 1117 00:47:35,560 --> 00:47:37,160 INCLUDED AT LEAST A THIRD DOSE 1118 00:47:37,160 --> 00:47:39,520 OF COVID-19 VACCINE. 1119 00:47:39,520 --> 00:47:43,160 TAKE HEART IN THIS. IT IS NOT 1120 00:47:43,160 --> 00:47:43,480 OVER. 1121 00:47:43,480 --> 00:47:48,480 IT IS CERTAINLY PROGRESS AND WE 1122 00:47:48,480 --> 00:47:52,560 SHOULD BE PROUD OF HOW OUR 1123 00:47:52,560 --> 00:47:54,200 COMMUNITIES RESPONDED AND 1124 00:47:54,200 --> 00:47:55,360 PROFESSIONAL COMMUNITIES 1125 00:47:55,360 --> 00:47:56,520 RESPONDED IN 2020. 1126 00:47:56,520 --> 00:47:58,920 IT HAD AN IMPACT IN JUST TO 1127 00:47:58,920 --> 00:48:03,560 REFLECT ON THAT FOR A MOMENT. 1128 00:48:03,560 --> 00:48:08,360 LAST WEEK NIMHD ALONG WITH 1129 00:48:08,360 --> 00:48:12,280 COLLABORATORS FROM JOHN'S 1130 00:48:12,280 --> 00:48:14,240 HOPKINS IN THULE YAIN IN THEIR 1131 00:48:14,240 --> 00:48:18,840 GROUP PUBLISHED A PAPER IN JAMA 1132 00:48:18,840 --> 00:48:20,480 ECONOMIC BURDEN OF RACIAL/ETHNIC 1133 00:48:20,480 --> 00:48:22,920 AND INTERNATIONAL HEALTH 1134 00:48:22,920 --> 00:48:27,760 EQUITIES IN US IN 29 AND 1135 00:48:27,760 --> 00:48:28,960 RACIAL/ETHNIC MINORITY GROUP 1136 00:48:28,960 --> 00:48:30,920 ANALYSIS WE ESTIMATED THE COST 1137 00:48:30,920 --> 00:48:35,360 THAT THE UNITED ECONOMY OF $451 1138 00:48:35,360 --> 00:48:35,600 BILLION. 1139 00:48:35,600 --> 00:48:37,320 BECAUSE OF THIS, A LOT OF IT IS 1140 00:48:37,320 --> 00:48:42,840 I WILL SHOW YOU IS RELATED TO 1141 00:48:42,840 --> 00:48:44,840 PREMATURE MORTALITY AND DOING 1142 00:48:44,840 --> 00:48:46,400 ANALYSIS BY COLLEGE DEGREE BEING 1143 00:48:46,400 --> 00:48:50,440 A REFERENCE POINT AND HAVING A 1144 00:48:50,440 --> 00:48:52,200 FOUR-YEAR COLLEGE DEGREE AND NOT 1145 00:48:52,200 --> 00:48:54,800 JUST SOME EXPOSURE AND COST TO 1146 00:48:54,800 --> 00:48:56,520 THE COUNTRY IS OF COURSE 1147 00:48:56,520 --> 00:48:59,320 MUTUALLY EXCLUSIVE AND OVERLAP 1148 00:48:59,320 --> 00:49:02,120 $978 BILLION PUTTING IT AS AN 1149 00:49:02,120 --> 00:49:04,120 ESTIMATE COST TO THE UNITED 1150 00:49:04,120 --> 00:49:05,720 STATES, IT IS ALMOST A TRILLION 1151 00:49:05,720 --> 00:49:08,560 DOLLARS THAT IS OUR DEFICIT. 1152 00:49:08,560 --> 00:49:09,920 RIGHT? 1153 00:49:09,920 --> 00:49:12,160 WE CAN CERTAINLY MAKE SOME 1154 00:49:12,160 --> 00:49:14,160 EFFORT AT REDUCING THIS TO 1155 00:49:14,160 --> 00:49:17,880 IMPROVE THE STATE OF THE US 1156 00:49:17,880 --> 00:49:18,160 ECONOMY. 1157 00:49:18,160 --> 00:49:20,200 THAT WOULD BE THE -- THE PURPOSE 1158 00:49:20,200 --> 00:49:22,080 OF DOING THIS KIND OF ACTIVITY. 1159 00:49:22,080 --> 00:49:23,960 WE ARE CONTINUING THIS PROGRAM 1160 00:49:23,960 --> 00:49:26,080 AND THIS PROJECT. IT IS A 1161 00:49:26,080 --> 00:49:27,080 CONTRACT. 1162 00:49:27,080 --> 00:49:31,680 WE WILL BE DOING AREA LEVELS BY 1163 00:49:31,680 --> 00:49:33,920 COUNTY IN DIFFERENT RACIAL AND 1164 00:49:33,920 --> 00:49:35,760 ETHNIC GROUPS THAT ARE MORE 1165 00:49:35,760 --> 00:49:37,240 GRANULAR RESULTS OF THE DATA 1166 00:49:37,240 --> 00:49:40,960 AND, AGAIN, USING COMPARISON TO 1167 00:49:40,960 --> 00:49:44,560 AN ASPIRATIONAL GOAL GENERATED 1168 00:49:44,560 --> 00:49:46,680 BY HEALTHY PEOPLE IN 2030 HOPING 1169 00:49:46,680 --> 00:49:48,600 WE WOULDN'T GET TO RATE FOR ON 1170 00:49:48,600 --> 00:49:50,440 ONE GROUP BUT REALLY AIM FOR A 1171 00:49:50,440 --> 00:49:55,440 GOAL IN MORTALITY. YOU CAN SEE 1172 00:49:55,440 --> 00:49:57,440 EXCESS PREMATURE DEATH COST 1173 00:49:57,440 --> 00:50:01,040 PUTTING ACCEPTED VALUE TO EXCESS 1174 00:50:01,040 --> 00:50:02,720 PREMATURE DEATH TO THAT, THAT IS 1175 00:50:02,720 --> 00:50:05,880 HOW THE DOLLAR AMOUNT GETS 1176 00:50:05,880 --> 00:50:09,400 CALCULATED AND LOSS LABOR MARKET 1177 00:50:09,400 --> 00:50:10,360 PRODUCTIVITY AND EXCESS MEDICAL 1178 00:50:10,360 --> 00:50:14,400 COSTS DRIVING THIS IN OTHER 1179 00:50:14,400 --> 00:50:14,760 POPULATIONS. 1180 00:50:14,760 --> 00:50:19,440 THIS IS A STUDY THAT, AGAIN, IS 1181 00:50:19,440 --> 00:50:22,040 -- I CAN'T READ THE REFERENCE 1182 00:50:22,040 --> 00:50:23,160 HERE. 1183 00:50:23,160 --> 00:50:25,760 BUT, IT IS A JOURNAL OF 1184 00:50:25,760 --> 00:50:28,400 COMMUNITY EPIDEMIOLOGY, I THINK. 1185 00:50:28,400 --> 00:50:32,040 I THINK LIFE EXPECTANCY AND 1186 00:50:32,040 --> 00:50:32,760 HEALTH-RELATED QUALITY OF LIFE 1187 00:50:32,760 --> 00:50:36,240 IS STRONG PREDICTOR OF PREMATURE 1188 00:50:36,240 --> 00:50:37,680 MORTALITY AMONG BLACK AMERICANS 1189 00:50:37,680 --> 00:50:40,280 AND COMMUNITY PSYCHOLOGY. THANK 1190 00:50:40,280 --> 00:50:40,480 YOU. 1191 00:50:40,480 --> 00:50:42,560 IT IS A LOW RATE AND PHYSICAL 1192 00:50:42,560 --> 00:50:44,560 ACTIVITY IN HEALTHY EATING ARE 1193 00:50:44,560 --> 00:50:46,640 CONTRIBUTORS TO THIS AND IS A 1194 00:50:46,640 --> 00:50:48,560 STUDY OF ALMOST 300 BLACK 1195 00:50:48,560 --> 00:50:50,160 AMERICAN ADULTS RECRUITING 1196 00:50:50,160 --> 00:50:52,720 ONLINE TO COMPLETE A BEHAVIORAL 1197 00:50:52,720 --> 00:50:55,920 ASSESSMENT YOU CAN SEE SAMPLE 1198 00:50:55,920 --> 00:50:57,280 SIZE DISTRIBUTION 1199 00:50:57,280 --> 00:50:59,200 CHARACTERISTICS IN THE SENSE OF 1200 00:50:59,200 --> 00:51:01,880 COMMUNITY BUFFERS AGAINST 1201 00:51:01,880 --> 00:51:04,440 ADVERSE EFFECTS OF LOW PHYSICAL 1202 00:51:04,440 --> 00:51:04,720 ACTIVITY. 1203 00:51:04,720 --> 00:51:06,640 WONDERING, YOU KNOW, WE HAVE 1204 00:51:06,640 --> 00:51:08,400 ALWAYS TALKED ABOUT SORT OF, YOU 1205 00:51:08,400 --> 00:51:10,240 KNOW, WHAT THE SENSE OF 1206 00:51:10,240 --> 00:51:12,720 COMMUNITY COHESION IS AND SOCIAL 1207 00:51:12,720 --> 00:51:14,280 CAPITAL AND SOCIAL COHESION AND 1208 00:51:14,280 --> 00:51:16,240 HOW DO YOU MEASURE THAT? 1209 00:51:16,240 --> 00:51:19,000 THERE IS WAYS OF DOING IT AT 1210 00:51:19,000 --> 00:51:21,160 MACRO LEVEL AND WE NEED ON THE 1211 00:51:21,160 --> 00:51:22,960 GROUND MICRO LEVEL DATA TO 1212 00:51:22,960 --> 00:51:24,400 REALLY UNDERSTAND WHAT IT MEANS. 1213 00:51:24,400 --> 00:51:26,200 MANY OF US REALLY THINK THAT 1214 00:51:26,200 --> 00:51:28,800 SOMEWHERE ALONG THE LINES THAT 1215 00:51:28,800 --> 00:51:31,600 OVER THE COURSE OF LAST 50 OR 60 1216 00:51:31,600 --> 00:51:34,240 YEARS SOME -- MANY OF THESE OF 1217 00:51:34,240 --> 00:51:35,120 THIS COHESION HAS BEEN BROKEN 1218 00:51:35,120 --> 00:51:38,680 AND THAT IS PART OF THE 1219 00:51:38,680 --> 00:51:40,520 DIAGNOSIS THAT IT LEADS TO 1220 00:51:40,520 --> 00:51:42,840 DISPARITIES AND WE MOSTLY 1221 00:51:42,840 --> 00:51:45,040 FOCUSED ON INDIVIDUAL BEHAVIOR 1222 00:51:45,040 --> 00:51:48,040 AND INDIVIDUAL RISKS THAT 1223 00:51:48,040 --> 00:51:49,640 DEVELOP AS OPPOSED TO STRUCTURAL 1224 00:51:49,640 --> 00:51:52,720 OR SOCIAL ONES THAT I THINK IS 1225 00:51:52,720 --> 00:51:54,680 WHERE IMPORTANCE OF THIS KIND OF 1226 00:51:54,680 --> 00:51:56,560 RESEARCH KIND OF COMES IN. 1227 00:51:56,560 --> 00:52:00,440 LET'S SEE IF I CAN MAKE IT 1228 00:52:00,440 --> 00:52:00,800 ADVANCE. 1229 00:52:00,800 --> 00:52:03,440 HERE WE GO. 1230 00:52:03,440 --> 00:52:09,600 THIS IS A STUDY ABOUT BLACK 1231 00:52:09,600 --> 00:52:12,400 LGBTQ+ INDIVIDUALS AND THEIR 1232 00:52:12,400 --> 00:52:15,040 COMMUNITY'S ASSOCIATION OF 1233 00:52:15,040 --> 00:52:16,120 EXPERIENCE WITH DISCRIMINATION 1234 00:52:16,120 --> 00:52:18,920 AND OPPRESSION IN JACKSON 1235 00:52:18,920 --> 00:52:21,120 MISSISSIPPI AND IN ATLANTA JORNL 1236 00:52:21,120 --> 00:52:23,840 YA AND MANY HAVE BEEN IN ATLANTA 1237 00:52:23,840 --> 00:52:25,440 AND DON'T KNOW HOW MANY VISITED 1238 00:52:25,440 --> 00:52:27,840 JACKSON THAT IS A UNIQUE 1239 00:52:27,840 --> 00:52:29,600 ENVIRONMENT IN THE STATE OF 1240 00:52:29,600 --> 00:52:30,320 MISSISSIPPI. 1241 00:52:30,320 --> 00:52:33,800 AND I THINK THAT THE -- THE 1242 00:52:33,800 --> 00:52:35,400 CHALLENGES OF BEING BLACK AND 1243 00:52:35,400 --> 00:52:38,960 AFRICAN AMERICAN AND A MEMBER OF 1244 00:52:38,960 --> 00:52:40,560 THE LGBTQ+ COMMUNITY SHOULD NOT 1245 00:52:40,560 --> 00:52:45,920 BE UNDERESTIMATED IN THAT IN 1246 00:52:45,920 --> 00:52:47,480 JACKSON OR ANY COMMUNITY FOR 1247 00:52:47,480 --> 00:52:50,080 THAT MATTER OR WASHINGTON DY AS 1248 00:52:50,080 --> 00:52:52,280 WELL AND THAT IS MARI STUDY 1249 00:52:52,280 --> 00:52:54,720 LOOKING AT INDIVIDUALS ASSIGNED 1250 00:52:54,720 --> 00:52:56,280 MALE AT BIRTH AND REPORTED TO 1251 00:52:56,280 --> 00:52:59,480 HAVING RELATIONS WITH OTHER MEN 1252 00:52:59,480 --> 00:53:01,680 AND WHETHER OR NOT THEIR 1253 00:53:01,680 --> 00:53:03,800 DISCLOSURE TO PARENTS AND FAMILY 1254 00:53:03,800 --> 00:53:06,280 AND IT WAS PROTECTIVE OR NOT. 1255 00:53:06,280 --> 00:53:09,600 THE IDEA IS, YOU KNOW, YOU DON'T 1256 00:53:09,600 --> 00:53:11,280 TELL BECAUSE YOU GET 1257 00:53:11,280 --> 00:53:13,120 DISCRIMINATED AGAINST. YOU GET 1258 00:53:13,120 --> 00:53:14,840 MARGINALIZED IN YOUR FAMILY 1259 00:53:14,840 --> 00:53:16,960 VERSUS BEING ACCEPTED AND 1260 00:53:16,960 --> 00:53:20,480 SUPPORTED INDEPENDENT OF WHO YOU 1261 00:53:20,480 --> 00:53:23,280 ARE OR WHAT YOU DO. 1262 00:53:23,280 --> 00:53:25,080 LISTENING TO THIS FROM A 1263 00:53:25,080 --> 00:53:27,280 QUALITATIVE PERSPECTIVE IS I 1264 00:53:27,280 --> 00:53:29,880 THINK REALLY IMPORTANT IN 1265 00:53:29,880 --> 00:53:31,840 LISTENING TO EXPERIENCES FROM 1266 00:53:31,840 --> 00:53:33,320 COMMUNITIES OF COLOR AND MEMBERS 1267 00:53:33,320 --> 00:53:36,960 OF THE LGBTQ+ COMMUNITY 1268 00:53:36,960 --> 00:53:38,840 REPORTING ON WHAT RELATIONSHIP 1269 00:53:38,840 --> 00:53:41,120 IS WITH THEIR PARENTS WAS LIKE 1270 00:53:41,120 --> 00:53:42,760 AND WHETHER THEY SHARED OR NOT 1271 00:53:42,760 --> 00:53:44,760 AND HOW THEY DID IT AND WHAT THE 1272 00:53:44,760 --> 00:53:45,720 REACTION WAS. 1273 00:53:45,720 --> 00:53:48,880 THIS IS AN EMPIRIC EVIDENCE AND 1274 00:53:48,880 --> 00:53:50,840 DISCLOSURE MAY ACTUALLY BE 1275 00:53:50,840 --> 00:53:53,680 BENEFICIAL IF PARENTS ARE 1276 00:53:53,680 --> 00:53:55,200 ACCEPTING FOR BOTH BLACK MEN WHO 1277 00:53:55,200 --> 00:53:59,240 HAVE SEX WITH OTHER MEN AS WELL 1278 00:53:59,240 --> 00:54:01,680 AS BLACK TRANSGENDER WOMEN THAT 1279 00:54:01,680 --> 00:54:04,400 I THINK IS MAYBE -- OH, YEAH. 1280 00:54:04,400 --> 00:54:06,320 WELL, WE WILL EXPECT THAT. 1281 00:54:06,320 --> 00:54:07,720 AGAIN, GENERATING THIS COMES 1282 00:54:07,720 --> 00:54:12,040 FROM A K AWARDEE GENERATING 1283 00:54:12,040 --> 00:54:15,040 EMPIRIC EVIDENCE IS IMPORTANT. 1284 00:54:15,040 --> 00:54:16,520 INTERGENERATIONAL NEIGHBORHOOD 1285 00:54:16,520 --> 00:54:19,120 MOBILITY. 1286 00:54:19,120 --> 00:54:22,960 SOME MIGHT RECALL THE MOVING 1287 00:54:22,960 --> 00:54:24,200 OPPORTUNITY STUDY WHERE 1288 00:54:24,200 --> 00:54:27,120 INDIVIDUAL FAMILIES WERE MOSTLY 1289 00:54:27,120 --> 00:54:28,560 SINGLE MOTHER LED FAMILIES THAT 1290 00:54:28,560 --> 00:54:32,160 ARE RANDOMIZED TO USUAL HERE IS 1291 00:54:32,160 --> 00:54:33,520 YOUR HOUSING VOUCHER AND GO FIND 1292 00:54:33,520 --> 00:54:37,000 A PLACE WHERE YOU NORMALLY DO 1293 00:54:37,000 --> 00:54:37,920 HOUSING VOUCHER. 1294 00:54:37,920 --> 00:54:42,080 YOU HAVE TO GO TO THESE 1295 00:54:42,080 --> 00:54:42,440 NEIGHBORHOODS. 1296 00:54:42,440 --> 00:54:44,560 THEY WERE MORE SOCIO 1297 00:54:44,560 --> 00:54:46,960 ECONOMICALLY ADVANTAGED THAT 1298 00:54:46,960 --> 00:54:49,720 DEMONSTRATED BENEFITS FOR THE 1299 00:54:49,720 --> 00:54:52,560 MOTHERS AND PARTICULARLY THE 1300 00:54:52,560 --> 00:54:57,280 GIRLS AND DAUGHTERS AND RESULTS 1301 00:54:57,280 --> 00:54:59,440 ON -- LONG-TERM RESULTS ON BOYS 1302 00:54:59,440 --> 00:55:01,440 WERE MORE MIXED AND IDEA OF 1303 00:55:01,440 --> 00:55:02,360 LOOKING AT STRUCTURAL CHANGE AND 1304 00:55:02,360 --> 00:55:04,560 WHAT IS GOOD ABOUT A 1305 00:55:04,560 --> 00:55:07,000 NEIGHBORHOOD LEADING TO BETTER 1306 00:55:07,000 --> 00:55:10,360 COUNT IF IN THE GENERAL 1307 00:55:10,360 --> 00:55:10,680 COMMUNITY? 1308 00:55:10,680 --> 00:55:13,480 THIS IS A CHALLENGE THAT I THINK 1309 00:55:13,480 --> 00:55:14,800 MANY OF US HAVE GIVEN SOME 1310 00:55:14,800 --> 00:55:15,720 THOUGHT TO. 1311 00:55:15,720 --> 00:55:18,600 THERE IS, I THINK, REASONABLE 1312 00:55:18,600 --> 00:55:22,480 EVIDENCE TO SAY THAT IT IS NOT 1313 00:55:22,480 --> 00:55:27,640 GOOD FOR PEOPLE TO LIVE IN 1314 00:55:27,640 --> 00:55:30,400 SEGREGATED ADVANTAGE AND TALKING 1315 00:55:30,400 --> 00:55:32,800 ABOUT ETHNIC ENCLAVE PROTECTIVE 1316 00:55:32,800 --> 00:55:35,560 FOR NEW IMMIGRANT AND GENERALLY 1317 00:55:35,560 --> 00:55:36,600 MARGINALIZING COMMUNITIES 1318 00:55:36,600 --> 00:55:40,160 THROUGH SEGREGATION HAS BEEN AN 1319 00:55:40,160 --> 00:55:42,080 EFFECTIVE TOOL AT PROMOTING 1320 00:55:42,080 --> 00:55:43,880 DISPARITIES AND OPPOSITE IS TRUE 1321 00:55:43,880 --> 00:55:45,760 THAT THERE ARE DATE THAW I WOULD 1322 00:55:45,760 --> 00:55:50,080 SAY THAT MIXED NEIGHBORHOODS ARE 1323 00:55:50,080 --> 00:55:55,680 ACTUALLY GOOD WHOLE IDEA OF 1324 00:55:55,680 --> 00:55:58,880 INTEGRATION POPULAR IN 1960S AND 1325 00:55:58,880 --> 00:56:02,560 70S ARE IMPOSED WITH FEDERAL 1326 00:56:02,560 --> 00:56:04,200 GUIDELINES AND FEDERAL WALL AND 1327 00:56:04,200 --> 00:56:06,640 IS EVIDENCE THAT, THAT IS IN THE 1328 00:56:06,640 --> 00:56:08,240 LONG-TERM A BETTER WAY OF HAVING 1329 00:56:08,240 --> 00:56:11,360 AN ENVIRONMENT. THERE IS 1330 00:56:11,360 --> 00:56:13,040 SOCIOECONOMIC DIVERSITY WITHIN 1331 00:56:13,040 --> 00:56:16,320 COMMUNITIES NOT UNIVERSAL SORT 1332 00:56:16,320 --> 00:56:16,720 OF GROUPINGS. 1333 00:56:16,720 --> 00:56:20,040 THIS IS, I THINK, ONE CHALLENGE 1334 00:56:20,040 --> 00:56:24,720 IN URBAN ENVIRONMENTS WE NEED TO 1335 00:56:24,720 --> 00:56:26,560 CONSIDER THAT IS MOBILITY STUDY 1336 00:56:26,560 --> 00:56:29,920 BETWEEN BLACKS AND WHITE AND 1337 00:56:29,920 --> 00:56:31,600 PARENT/CHILD PAIRS FOLLOWING A 1338 00:56:31,600 --> 00:56:32,800 PANEL OVER TIME AND WHITE 1339 00:56:32,800 --> 00:56:35,160 CHILDREN WERE MORE LIKELY TO 1340 00:56:35,160 --> 00:56:37,200 INHERIT HIGHER NEIGHBORHOOD 1341 00:56:37,200 --> 00:56:39,640 RATINGS FROM PARENTS COMPARED TO 1342 00:56:39,640 --> 00:56:41,600 BLACK CHILDREN AND ALL QUARTILES 1343 00:56:41,600 --> 00:56:44,560 BLACK CHILDREN MOVED UP IN 1344 00:56:44,560 --> 00:56:46,560 SMALLER MAGNITUDES AND IN WHITE 1345 00:56:46,560 --> 00:56:47,720 COUNTERPARTS THAT I THINK THE 1346 00:56:47,720 --> 00:56:50,560 POINT OF WE WILL LET THE 1347 00:56:50,560 --> 00:56:52,040 IMPROVEMENT OF ALL OF THE 1348 00:56:52,040 --> 00:56:55,160 SOCIETY IMPROVE THE LOT OF THE 1349 00:56:55,160 --> 00:56:55,880 MOST DISADVANTAGED GROUPS THAT 1350 00:56:55,880 --> 00:57:02,080 HAS A LIMIT TO WHAT IT CAN DO IN 1351 00:57:02,080 --> 00:57:03,200 TERMS OF NEIGHBORHOOD AND 1352 00:57:03,200 --> 00:57:05,440 INHERITANCE OF PROPERTY THAT IS 1353 00:57:05,440 --> 00:57:07,400 A MECHANISM OF GENERATING EQUITY 1354 00:57:07,400 --> 00:57:13,000 OR WEALTH FOR FAMILIES. 1355 00:57:13,000 --> 00:57:14,840 THIS IS ANOTHER STUDY PUBLISHED 1356 00:57:14,840 --> 00:57:17,480 IN JOURNAL OF NATIONAL CANCER 1357 00:57:17,480 --> 00:57:20,560 INSTITUTE AND FOUND ON 1358 00:57:20,560 --> 00:57:22,280 DIFFERENTIAL DIAGNOSIS ON 1359 00:57:22,280 --> 00:57:27,800 UTERINE CANCER THAT WE SHOULD 1360 00:57:27,800 --> 00:57:30,760 SAY IS A CANCER WITH NO 1361 00:57:30,760 --> 00:57:34,120 RECOMMENDED ROUTINE SCREENING 1362 00:57:34,120 --> 00:57:37,640 GUIDELINE AND USUALLY PRESENTS 1363 00:57:37,640 --> 00:57:40,400 IN WOMEN PERIOR POST MENOPAUSAL 1364 00:57:40,400 --> 00:57:43,600 AND UTERINE BLEEDING IS COMMON 1365 00:57:43,600 --> 00:57:46,960 PRESENTATION AND PRIOR TO 1366 00:57:46,960 --> 00:57:49,840 MENOPAUSE UTERINE BLEEDING IS 1367 00:57:49,840 --> 00:57:51,920 IDEOLOGISTS STANDARD EVALUATION 1368 00:57:51,920 --> 00:57:54,120 AND SOMETIMES REQUIRE SURGICAL 1369 00:57:54,120 --> 00:57:57,720 INTERVENTION AND POST MENOPAUSAL 1370 00:57:57,720 --> 00:57:59,840 BLEEDING IS ABNORMAL NEEDING TO 1371 00:57:59,840 --> 00:58:02,240 BE EVALUATED AND CONTEXT RELATED 1372 00:58:02,240 --> 00:58:05,760 TO THAT IS A VERY LARGE STUDY OR 1373 00:58:05,760 --> 00:58:08,560 DATA SET IDENTIFYING WHITE OR 1374 00:58:08,560 --> 00:58:10,720 BLACK PATIENTS FROM MEDICAID IN 1375 00:58:10,720 --> 00:58:11,880 [INDISCERNIBLE] AND WITH 1376 00:58:11,880 --> 00:58:15,960 ABNORMAL UTERINE BLEEDING AND 1377 00:58:15,960 --> 00:58:18,520 HOW QUICKLY OR EFFECTIVELY WAS 1378 00:58:18,520 --> 00:58:19,640 THE EVALUATION AND QUESTION IS 1379 00:58:19,640 --> 00:58:22,040 IF YOU MISS IT RIGHT AWAY HOW 1380 00:58:22,040 --> 00:58:23,960 IMPORTANT IS THAT IT IS THREE 1381 00:58:23,960 --> 00:58:25,880 MONTHS LATER AND DEPENDS ON 1382 00:58:25,880 --> 00:58:28,120 DIAGNOSIS IN CANCER IN 1383 00:58:28,120 --> 00:58:29,800 PARTICULAR ANDUTE IRINE CANCER 1384 00:58:29,800 --> 00:58:32,320 IS NOT PARTICULARLY FAST GROWING 1385 00:58:32,320 --> 00:58:34,560 BUT ALSO DOESN'T JUST SIT THERE 1386 00:58:34,560 --> 00:58:36,360 AND DO NOTHING LIKE SOME CANCERS 1387 00:58:36,360 --> 00:58:38,920 FOR A LONG TIME. 1388 00:58:38,920 --> 00:58:40,320 NOT GETTING A DIAGNOSTIC 1389 00:58:40,320 --> 00:58:43,400 PROCEDURE THAT IS A FAIRLY 1390 00:58:43,400 --> 00:58:44,520 STRAIGHTFORWARD PROCEDURE TO 1391 00:58:44,520 --> 00:58:47,440 TAKE A LOOK OR DO AN IMAGING 1392 00:58:47,440 --> 00:58:49,200 STUDY AND DO A DIRECT 1393 00:58:49,200 --> 00:58:52,240 VISUALIZATION AND BIOPSY OR SITE 1394 00:58:52,240 --> 00:58:55,080 LOGICAL EXAMINATION OF THE 1395 00:58:55,080 --> 00:58:58,800 UTERINE LINING AND DIAGNOSTIC 1396 00:58:58,800 --> 00:58:59,280 PROCEDURE DOES REQUIRE 1397 00:58:59,280 --> 00:59:03,360 RADIOLOGISTS TO INTERPRET IT IN 1398 00:59:03,360 --> 00:59:07,320 TERMS OF UTERINE THICKNESS AND 1399 00:59:07,320 --> 00:59:08,440 NOT SOMETHING OFFICE OR 1400 00:59:08,440 --> 00:59:09,960 EMERGENCY DEPARTMENT CAN DO BUT 1401 00:59:09,960 --> 00:59:12,400 HAS TO BE DONE BY RADIOLOGISTS 1402 00:59:12,400 --> 00:59:14,680 AND DOCUMENT MORE EXPERIENCED IN 1403 00:59:14,680 --> 00:59:17,400 DELAY AND TIMED FIRST DIAGNOSTIC 1404 00:59:17,400 --> 00:59:19,360 TESTS UNDERWEPT MORE EVALUATION 1405 00:59:19,360 --> 00:59:22,080 AND MANAGEMENT VISIONS BEFORE 1406 00:59:22,080 --> 00:59:24,520 DIAGNOSIS AND NOT GETTING TO 1407 00:59:24,520 --> 00:59:25,640 DIAGNOSIS AND THEREFORE THERAPY 1408 00:59:25,640 --> 00:59:28,080 THAT MOST OF THE TIME WILL BE 1409 00:59:28,080 --> 00:59:31,480 HERE SURGERY AND IN THESE 1410 00:59:31,480 --> 00:59:32,560 PATIENTS PARTICULARLY TO TREAT 1411 00:59:32,560 --> 00:59:37,840 THEIR CURE EARLIER IN CANCER. 1412 00:59:37,840 --> 00:59:40,960 AGAIN, THIS IS WITHIN MEDICAID 1413 00:59:40,960 --> 00:59:43,480 AND SOCIOECONOMIC DISADVANTAGE 1414 00:59:43,480 --> 00:59:44,840 IS NOT PRESENT. 1415 00:59:44,840 --> 00:59:48,440 THERE WE GO. 1416 00:59:48,440 --> 00:59:50,320 A STUDY FROM A GROUP I THINK 1417 00:59:50,320 --> 00:59:53,360 THAT I HEARD THIS PRESENTED IN A 1418 00:59:53,360 --> 00:59:54,720 MEETING A WHILE BACK THAT WAS 1419 00:59:54,720 --> 00:59:58,400 JUST PUBLISHED IN NICO TEEN 1420 00:59:58,400 --> 00:59:59,720 TOBACCO RESEARCH IN LOOKING AT 1421 00:59:59,720 --> 01:00:05,040 WHETHER OR NOT WE CAN EVALUATE 1422 01:00:05,040 --> 01:00:06,480 SMOKING CESSATION IN AMERICAN 1423 01:00:06,480 --> 01:00:10,080 INDIAN ADULTS LOOKING AT 1424 01:00:10,080 --> 01:00:14,360 NICOTINE MET ABOLIE RATIO AND 1425 01:00:14,360 --> 01:00:15,560 INDEPENDENCE EXPOSURE AND 1426 01:00:15,560 --> 01:00:18,000 PROBLEM IS NICOTINE IS A DRUG 1427 01:00:18,000 --> 01:00:19,760 AND VOLATILE AND TAKES TWO HOURS 1428 01:00:19,760 --> 01:00:22,280 TO GET METABOLIZED AND CHANGED 1429 01:00:22,280 --> 01:00:24,200 INTO CODING AND HARD TO MEASURE 1430 01:00:24,200 --> 01:00:26,320 IN THE LIVER AND PROCESS IS 1431 01:00:26,320 --> 01:00:29,880 DRIVEN BY SPECIFIC ALLELES. 1432 01:00:29,880 --> 01:00:34,360 IN THE METABOLISM AND NICOTINES 1433 01:00:34,360 --> 01:00:35,920 ARE PSYCHOACTIVE DRUG IN TOBACCO 1434 01:00:35,920 --> 01:00:38,080 USE AND MARKER FOR EVERYTHING 1435 01:00:38,080 --> 01:00:40,320 ELSE THAT IS BAD. 1436 01:00:40,320 --> 01:00:43,840 ALL OF THE PHARMACOLOGICAL 1437 01:00:43,840 --> 01:00:46,960 THERAPIES OF SMOKING OF TOBACCO 1438 01:00:46,960 --> 01:00:49,960 USE HAVE BEEN DIRECTED AT 1439 01:00:49,960 --> 01:00:51,960 NICOTINE ISSUES AND NICOTINE 1440 01:00:51,960 --> 01:00:53,680 DEPENDENCE. IS THERE WAYS WE 1441 01:00:53,680 --> 01:00:55,880 CAN TELL IF SOMEONE IS MORE OR 1442 01:00:55,880 --> 01:00:58,960 LESS LIKELY TO RESPOND EITHER TO 1443 01:00:58,960 --> 01:01:02,160 NICOTINE REPLACEMENT AND 1444 01:01:02,160 --> 01:01:05,240 ORIGINAL CESSATION DRUG OR 1445 01:01:05,240 --> 01:01:09,000 CESSATION AID THERAPY TO VERANA 1446 01:01:09,000 --> 01:01:11,480 CLEAN OR APPROACH REON OR 1447 01:01:11,480 --> 01:01:12,120 MEDICATIONS WITH EVIDENCE FOR 1448 01:01:12,120 --> 01:01:15,320 SUPPORT OF IT THIS AND IDEA OF 1449 01:01:15,320 --> 01:01:18,520 LOOKING AT NICOTINE METABOLITE 1450 01:01:18,520 --> 01:01:19,680 RATIO USED IN RESEARCH AND 1451 01:01:19,680 --> 01:01:21,280 OPTION TO DO THIS AND 1452 01:01:21,280 --> 01:01:23,400 MECHANISTIC STUDY TO SEE IF THAT 1453 01:01:23,400 --> 01:01:26,240 COULD INFLUENCE BASED ON 1454 01:01:26,240 --> 01:01:28,600 METABOLISM OF NICOTINE AND THOSE 1455 01:01:28,600 --> 01:01:30,480 METABOLIZING NICOTINE MORE 1456 01:01:30,480 --> 01:01:32,320 QUICKLY HAVE GREATER DEPENDENCE 1457 01:01:32,320 --> 01:01:37,960 ON CIGARETTES AND ON COMBUSTIBLE 1458 01:01:37,960 --> 01:01:39,640 TOBACCO REPLACING NICOTINE THAT 1459 01:01:39,640 --> 01:01:42,080 BODY WANTS TO KEEP IT AT CERTAIN 1460 01:01:42,080 --> 01:01:44,520 LEVEL IN DEPENDENCE MODEL OF 1461 01:01:44,520 --> 01:01:48,080 SMOKING AND PREFERRING NICOTINE 1462 01:01:48,080 --> 01:01:49,720 REPLACEMENT AND IN THIS 1463 01:01:49,720 --> 01:01:51,120 PARTICULAR STUDY OF AMERICAN 1464 01:01:51,120 --> 01:01:53,920 INDIAN ADULTS AND ALASKA NATIVE 1465 01:01:53,920 --> 01:01:56,160 ADULTS AND AREA THAT I THINK IS 1466 01:01:56,160 --> 01:01:57,960 OF INTEREST TO MEDIAN TO OUR 1467 01:01:57,960 --> 01:01:59,680 LAB. WE ACTUALLY WILL BE 1468 01:01:59,680 --> 01:02:02,520 WORKING WITH DATA FROM THE 1469 01:02:02,520 --> 01:02:03,880 HISPANIC COMMUNITY HEALTH STUDY 1470 01:02:03,880 --> 01:02:05,640 TO LOOK AT SOME QUESTIONS AND 1471 01:02:05,640 --> 01:02:07,560 NOT ON CESSATION AND JUST IN 1472 01:02:07,560 --> 01:02:11,840 GENERAL MECHANISMS OF NICOTINE. 1473 01:02:11,840 --> 01:02:13,880 PROCEED DISCRIMINATION 1474 01:02:13,880 --> 01:02:16,560 ALLOSTATIC LOAD IN JOURNAL OF 1475 01:02:16,560 --> 01:02:18,600 AMERICAN GERIATRICS SOCIETY AND 1476 01:02:18,600 --> 01:02:21,440 STUDY THAT LOOKS AT WHETHER IF 1477 01:02:21,440 --> 01:02:23,520 YOU PROCEED WITH DISCRIMINATION 1478 01:02:23,520 --> 01:02:25,720 REFLECTING IN CHRONIC STRESS AND 1479 01:02:25,720 --> 01:02:27,440 ALLOSTATIC LOAD AND WILL CAUSE 1480 01:02:27,440 --> 01:02:29,480 MORTALITY AND WHETHER OR NOT 1481 01:02:29,480 --> 01:02:31,480 ALLOSTATIC LOAD COULD BE USED AS 1482 01:02:31,480 --> 01:02:34,160 A MEDIATOR IN LARGE DATA SETS 1483 01:02:34,160 --> 01:02:37,120 THAT IS IN HEALTH AND RETIREMENT 1484 01:02:37,120 --> 01:02:38,920 STUDY AND LARGE COHORT STUDY 1485 01:02:38,920 --> 01:02:40,560 FOUNDED ON INSTITUTE OF AGING 1486 01:02:40,560 --> 01:02:42,240 WITH REPRESENTATIVE SAMPLES OF 1487 01:02:42,240 --> 01:02:45,240 WHITES AND BLACKS AND LATINO 1488 01:02:45,240 --> 01:02:46,840 HISPANIC'S OVER THE AGE OF 50 1489 01:02:46,840 --> 01:02:49,280 THAT ARE ORIGINALLY RECRUITED 1490 01:02:49,280 --> 01:02:52,120 GETTING A -- THE RECRUITMENT 1491 01:02:52,120 --> 01:02:53,320 GETS MAINTAINED. 1492 01:02:53,320 --> 01:02:54,760 MEASURE OF PROCEEDING WITH 1493 01:02:54,760 --> 01:02:58,040 DISCRIMINATION AND RELATIONSHIP 1494 01:02:58,040 --> 01:02:59,520 WITH MORTALITY AND STATE TRACK 1495 01:02:59,520 --> 01:03:01,920 AS WELL AS ALLOSTATIC LOAD THAT 1496 01:03:01,920 --> 01:03:03,760 YOU GET FROM BIOLOGICAL AND 1497 01:03:03,760 --> 01:03:05,080 PHYSICAL EXAM VISITS AT THE 1498 01:03:05,080 --> 01:03:08,440 BEGINNING OF THE STUDY. 1499 01:03:08,440 --> 01:03:10,880 AND DISCRIMINATION INDUCES MORE 1500 01:03:10,880 --> 01:03:15,160 STRESS AND ELEVATES 1501 01:03:15,160 --> 01:03:16,440 CARDIOVASCULAR METABOLIC AND 1502 01:03:16,440 --> 01:03:18,000 INFLAMMATORY MARKERS RELATED TO 1503 01:03:18,000 --> 01:03:19,960 MORTALITY AND NOT SHOWING DIRECT 1504 01:03:19,960 --> 01:03:21,680 RELATIONSHIP WITH MORTALITY IN 1505 01:03:21,680 --> 01:03:32,200 THIS STUDY, PATHWAYS ARE THERE. 1506 01:03:34,560 --> 01:03:38,320 OKAY. RESILIENCE IN COVID 1507 01:03:38,320 --> 01:03:40,000 RELATED BEHAVIORAL HEALTH AMONG 1508 01:03:40,000 --> 01:03:40,400 LATINOS. 1509 01:03:40,400 --> 01:03:44,600 THIS IS A STUDY LOOKING AT 1510 01:03:44,600 --> 01:03:46,000 RESILIENCE IN RELATION TO 1511 01:03:46,000 --> 01:03:48,600 NEGATIVE HEALTH OUTCOMES 1512 01:03:48,600 --> 01:03:50,640 CROSS-SECTIONAL STUDY AND FEAR 1513 01:03:50,640 --> 01:03:54,160 OF COVID AND ANXIETY RELATED 1514 01:03:54,160 --> 01:03:56,000 SLEEP DISTURBANCE AND DEPRESSION 1515 01:03:56,000 --> 01:03:58,080 AND RESILIENCE AND COVID 1516 01:03:58,080 --> 01:04:00,200 EXPOSURE AND RELATED WORK IN 1517 01:04:00,200 --> 01:04:02,640 FINANCIAL TROUBLES AND HOME LIFE 1518 01:04:02,640 --> 01:04:04,520 DISTRESS ARE PRESENT THAT 1519 01:04:04,520 --> 01:04:05,040 INCREASES ANXIETY. 1520 01:04:05,040 --> 01:04:07,880 THIS IS A -- I THINK THIS IS 1521 01:04:07,880 --> 01:04:09,920 RELEVANT IN PART BECAUSE IT WAS 1522 01:04:09,920 --> 01:04:13,760 SPECIFIC TO THE TIMES AND WHAT 1523 01:04:13,760 --> 01:04:16,280 MANY STUDIES IN MY VIEW HAVE NOT 1524 01:04:16,280 --> 01:04:18,320 REALLY EVALUATED YET. 1525 01:04:18,320 --> 01:04:22,720 WHAT DID INTERVENTIONS DO TO 1526 01:04:22,720 --> 01:04:23,880 MITIGATE THIS? 1527 01:04:23,880 --> 01:04:25,760 I HAVE REVIEWED AND SEEN A 1528 01:04:25,760 --> 01:04:28,560 COUPLE OF PAPERS THAT LOOK AT 1529 01:04:28,560 --> 01:04:30,840 FINANCIAL HARDSHIP THAT IS 1530 01:04:30,840 --> 01:04:34,280 PROVOKED BY COVID AND ARE LEFT 1531 01:04:34,280 --> 01:04:36,120 UNEMPLOYED AND ARE UNDEREMPLOYED 1532 01:04:36,120 --> 01:04:38,160 AND PLACE YOU WORKED AT CLOSED 1533 01:04:38,160 --> 01:04:40,560 AND YOU ARE NOT PART OF AND 1534 01:04:40,560 --> 01:04:42,160 DON'T HAVE ANY PARTICULAR PLAN B 1535 01:04:42,160 --> 01:04:43,960 IF THAT HAPPEN THE THAT HAPPEN 1536 01:04:43,960 --> 01:04:45,560 THE PARTICULARLY IN SERVICE 1537 01:04:45,560 --> 01:04:48,560 SECTORS AND IN CONSTRUCTION 1538 01:04:48,560 --> 01:04:50,120 INDUSTRY WHERE DISPROPORTIONATE 1539 01:04:50,120 --> 01:04:52,560 NUMBER OF THE WORKFORCES FROM 1540 01:04:52,560 --> 01:04:54,040 MINORITY COMMUNITIES IN MANY 1541 01:04:54,040 --> 01:04:58,000 AREAS PARTICULARLY LATINOS. 1542 01:04:58,000 --> 01:05:01,680 AND I THINK THAT THE 1543 01:05:01,680 --> 01:05:03,480 INTERVENTION THAT IS ROLLED OUT 1544 01:05:03,480 --> 01:05:04,960 BY FEDERAL AND STATE GOVERNMENTS 1545 01:05:04,960 --> 01:05:07,080 THROUGH FEDERAL HEALTH WOULD 1546 01:05:07,080 --> 01:05:08,960 PROBABLY MITIGATE THIS. 1547 01:05:08,960 --> 01:05:12,160 I KNOW IT WAS VERY CHAOTIC AND 1548 01:05:12,160 --> 01:05:15,920 APPEARED VERY DISORGANIZED AND 1549 01:05:15,920 --> 01:05:18,000 WERE -- THERE WAS CHECK INTO 1550 01:05:18,000 --> 01:05:19,520 EVERY HOUSEHOLD OR INDIVIDUAL 1551 01:05:19,520 --> 01:05:22,320 WITH AN INCOME OF BELOW A 1552 01:05:22,320 --> 01:05:23,520 CERTAIN THRESHOLD AND AS WELL AS 1553 01:05:23,520 --> 01:05:25,880 EXTENDED PROGRAMS PUT IN PLACE 1554 01:05:25,880 --> 01:05:27,640 THAT ARE NOW BEING DISMANTLED 1555 01:05:27,640 --> 01:05:29,520 AND I THINK THAT IS A SECOND 1556 01:05:29,520 --> 01:05:31,640 QUESTION THAT WE NEED TO DO. 1557 01:05:31,640 --> 01:05:33,640 WE DID REDUCE CHILD POVERTY 1558 01:05:33,640 --> 01:05:36,080 DURING THE PANDEMIC BY 50%. 1559 01:05:36,080 --> 01:05:38,320 SO, THE -- THIS IS A -- I THINK 1560 01:05:38,320 --> 01:05:40,640 THIS IS AN AREA OF FOLLOW-UP 1561 01:05:40,640 --> 01:05:43,520 RESEARCH THAT IS NEEDED ON THIS. 1562 01:05:43,520 --> 01:05:50,160 I CANNOT ADVANCE THESE SLIDES. 1563 01:05:50,160 --> 01:05:53,400 OKAY. THIS IS A STUDY ON WOMEN 1564 01:05:53,400 --> 01:05:57,000 LIVING WITH HIV WHO EXPERIENCE 1565 01:05:57,000 --> 01:05:58,960 HOMELESSNESS AND HOUSING 1566 01:05:58,960 --> 01:06:01,280 INSTABILITY AND STUDY WAS 1567 01:06:01,280 --> 01:06:04,560 CONDUCTED LATENT CLASS ANALYSIS 1568 01:06:04,560 --> 01:06:07,160 IDENTIFYING PATTERNS OF HOUSING 1569 01:06:07,160 --> 01:06:08,880 SITUATIONS COLLECTING CLINICAL 1570 01:06:08,880 --> 01:06:12,440 DATA ON 1500 INDIVIDUALS AND 1571 01:06:12,440 --> 01:06:17,600 WOMEN LIVING WITH HIV FROM MIAMI 1572 01:06:17,600 --> 01:06:20,080 DADE COUNTY WHO THOSE WHO WERE 1573 01:06:20,080 --> 01:06:23,000 HOMELESS OR UNSTABLY HOUSED AND 1574 01:06:23,000 --> 01:06:26,160 LIVE AD LONE WITH NO MINORS 1575 01:06:26,160 --> 01:06:29,280 REPORTING NOT DISCLOSING HIV 1576 01:06:29,280 --> 01:06:32,560 STATUS WERE AT RISK OF POOR HIV 1577 01:06:32,560 --> 01:06:35,000 OUTCOMES RE-ENFORCING IDEA OF 1578 01:06:35,000 --> 01:06:37,440 ASSESSING HOUSING STATUS AS AN 1579 01:06:37,440 --> 01:06:39,240 IMPORTANT COMPONENT OF CARE OF 1580 01:06:39,240 --> 01:06:40,960 PEOPLE LIVING WITH HIV. 1581 01:06:40,960 --> 01:06:43,280 WE KNOW THAT LIVING WITH HIV 1582 01:06:43,280 --> 01:06:45,360 SHOULD NO LONGER BE CONSIDERED, 1583 01:06:45,360 --> 01:06:47,600 YOU KNOW, WHAT WE USED TO CALL, 1584 01:06:47,600 --> 01:06:50,520 YOU KNOW, A TERRIBLE OUTCOME 1585 01:06:50,520 --> 01:06:54,040 DEATH SENTENCE APPROACH TO A 1586 01:06:54,040 --> 01:06:55,560 CHRONIC DISEASE THAT IS 1587 01:06:55,560 --> 01:06:59,160 TREATABLE AND IF DIAGNOSED AND 1588 01:06:59,160 --> 01:07:01,240 TREATED YOU SHOULD BE ABLE TO 1589 01:07:01,240 --> 01:07:05,440 HAVE A NORMAL LIFE EXPECTANCY. 1590 01:07:05,440 --> 01:07:08,320 THERE WE GO. 1591 01:07:08,320 --> 01:07:10,960 SLEEP DISTURBANCE WITH SLEEP APP 1592 01:07:10,960 --> 01:07:13,200 KNEE AH AND COMPLEX COMORBIDITY 1593 01:07:13,200 --> 01:07:20,200 IS STUDY IN THIS AREA RELATE 1594 01:07:20,200 --> 01:07:20,720 TODAY CHINESE AND KOREAN 1595 01:07:20,720 --> 01:07:26,680 AMERICANS AND IS -- CAN YOU MOVE 1596 01:07:26,680 --> 01:07:28,760 THIS THING AND SLEEP DISTURBANCE 1597 01:07:28,760 --> 01:07:32,200 USING PATIENT-REPORTED OUTCOMES 1598 01:07:32,200 --> 01:07:33,360 DEFINING COEXISTENCE OF 3 OR 1599 01:07:33,360 --> 01:07:36,000 MORE BODY SYSTEM DISORDERS 1600 01:07:36,000 --> 01:07:38,600 HAVING A CHRONIC COMPLEX 1601 01:07:38,600 --> 01:07:39,000 MULTI-MORBIDITY. 1602 01:07:39,000 --> 01:07:41,960 THIS IS THE FIRST STUDY TO 1603 01:07:41,960 --> 01:07:43,600 EXAMINE ASSOCIATION BETWEEN 1604 01:07:43,600 --> 01:07:47,880 SLEEP MEASURES AND COMORBIDITIES 1605 01:07:47,880 --> 01:07:49,440 AMONG TWO ASIAN AMERICAN 1606 01:07:49,440 --> 01:07:50,920 POPULATIONS AND INCREASING 1607 01:07:50,920 --> 01:07:52,960 INTERVENTIONS THAT ARE NEEDED TO 1608 01:07:52,960 --> 01:07:57,200 INCREASE AWARENESS OF IT THIS 1609 01:07:57,200 --> 01:07:57,920 ISSUE. 1610 01:07:57,920 --> 01:08:01,720 OKAY. CAN WE MOVE THE NEXT 1611 01:08:01,720 --> 01:08:04,360 SLIDE, PLEASE? 1612 01:08:04,360 --> 01:08:07,360 NOW WE GET INTO INTRAMURAL 1613 01:08:07,360 --> 01:08:08,960 PROGRAM OF REPORTS. 1614 01:08:08,960 --> 01:08:14,320 THIS IS A RESEARCH THAT WAS IN 1615 01:08:14,320 --> 01:08:16,560 JAMA AND [INDISCERNIBLE] LED 1616 01:08:16,560 --> 01:08:19,200 THIS EFFORT WHEN HE SAW THAT 1617 01:08:19,200 --> 01:08:21,200 PUBLICATION EARLIER, I THINK, 1618 01:08:21,200 --> 01:08:25,800 THAT HAD BEEN ANY THINK IN THE 1619 01:08:25,800 --> 01:08:27,400 ENGLAND JOURNAL OF MEDICINE 1620 01:08:27,400 --> 01:08:29,240 LAMENTING HOW FIREARM RELATED 1621 01:08:29,240 --> 01:08:33,480 DEATHS WERE LEADING CAUSE OF 1622 01:08:33,480 --> 01:08:36,120 DEATH AMONG CHILDREN AND 1623 01:08:36,120 --> 01:08:37,440 ADOLESCENCE AND THAT REPORT 1624 01:08:37,440 --> 01:08:40,160 DIDN'T EMPHASIZE UNBEARABLE 1625 01:08:40,160 --> 01:08:42,280 DISPARITIES IF IN DATA TAKING 1626 01:08:42,280 --> 01:08:45,720 DATA FROM CDC WONDER DATABASE 1627 01:08:45,720 --> 01:08:48,440 AND MORTALITY DATA 1628 01:08:48,440 --> 01:08:49,560 DISPROPORTIONATE IMPACT OF 1629 01:08:49,560 --> 01:08:51,800 FIREARM MORTALITY ON BLACK 1630 01:08:51,800 --> 01:08:54,520 CHILDREN AND ADOLESCENCE 1631 01:08:54,520 --> 01:08:56,560 ILLUSTRATED IN THE CHART 1632 01:08:56,560 --> 01:08:58,640 PARTICULARLY WITH BIG INCREASE 1633 01:08:58,640 --> 01:09:02,600 BEGINNING IN MID 2000 AND 13 AND 1634 01:09:02,600 --> 01:09:04,480 14 AND 15. 1635 01:09:04,480 --> 01:09:08,200 YOU CAN SEE FOR BLACK NAILS 1636 01:09:08,200 --> 01:09:09,080 BEING DISPROPORTIONATE BURDEN. 1637 01:09:09,080 --> 01:09:11,200 AMONG FEMALES, IT IS LOWER 1638 01:09:11,200 --> 01:09:12,200 ACROSS THE BOARD. 1639 01:09:12,200 --> 01:09:14,360 I THINK THAT HIGHLIGHTING THIS 1640 01:09:14,360 --> 01:09:16,680 AS THE LEADING CAUSE OF DEATH IN 1641 01:09:16,680 --> 01:09:20,000 YOUTH IN BLACK YOUTH IN THIS 1642 01:09:20,000 --> 01:09:23,360 COUNTRY IS AN IMPORTANT POINT. 1643 01:09:23,360 --> 01:09:26,240 CAN YOU -- OKAY. 1644 01:09:26,240 --> 01:09:29,560 THIS IS A STUDY FROM THE MESA 1645 01:09:29,560 --> 01:09:34,800 STUDY AND MULTIETHNIC STUDY OF 1646 01:09:34,800 --> 01:09:37,800 ATHERO SCLEROSIS AND THIS HEART, 1647 01:09:37,800 --> 01:09:39,200 LUNG, AND BLOOD INSTITUTE 1648 01:09:39,200 --> 01:09:41,440 STUDIES DESIGNED AS A WHITE 1649 01:09:41,440 --> 01:09:43,560 AFRICAN AMERICAN HISPANIC LATINO 1650 01:09:43,560 --> 01:09:47,960 AND MOSTLY MEXICAN AND HISPANIC 1651 01:09:47,960 --> 01:09:50,120 LATINO AND CHINESE AMERICANS 1652 01:09:50,120 --> 01:09:52,360 STUDY AND INCEPTION COHORT IS 1653 01:09:52,360 --> 01:09:55,600 WITHOUT ANY CLINICAL EVIDENCE OF 1654 01:09:55,600 --> 01:09:57,040 CARDIOVASCULAR DISEASE THAT NOW 1655 01:09:57,040 --> 01:09:59,040 CONDUCTED A NUMBER OF SURVEYS 1656 01:09:59,040 --> 01:10:04,360 SINCE THE BEGINNING IN YEAR 2000 1657 01:10:04,360 --> 01:10:06,640 IS THE ORIGINAL STUDY. 1658 01:10:06,640 --> 01:10:09,200 IT IS CONTINUING AS A -- AS THEY 1659 01:10:09,200 --> 01:10:11,520 PLAN FOR ANOTHER VISIT. IT HAS 1660 01:10:11,520 --> 01:10:15,160 NOW BENEFIT OF BASELINE MEASURES 1661 01:10:15,160 --> 01:10:16,960 TWO DECADES AGO. 1662 01:10:16,960 --> 01:10:20,560 NOW LONGITUDINAL FOLLOW-UP AS 1663 01:10:20,560 --> 01:10:21,720 OUTCOMES ARE ASCERTAINED. 1664 01:10:21,720 --> 01:10:24,240 YOU CAN SEE A PRETTY GOOD SAMPLE 1665 01:10:24,240 --> 01:10:24,440 SIZE. 1666 01:10:24,440 --> 01:10:26,960 A NUMBER OF THE FUNDED 1667 01:10:26,960 --> 01:10:28,960 INVESTIGATORS AND EXTRAMURALLY 1668 01:10:28,960 --> 01:10:31,400 HAVE USED MESA DATA FOR DOING A 1669 01:10:31,400 --> 01:10:34,320 NUMBER OF IMPORTANT ANALYSIS. 1670 01:10:34,320 --> 01:10:38,480 ONE INTRAMURAL INVESTIGATORS 1671 01:10:38,480 --> 01:10:40,560 ELENA FORD ALSO HAD THAT 1672 01:10:40,560 --> 01:10:42,320 TRAJECTORY AND HAD BEEN WORKING 1673 01:10:42,320 --> 01:10:43,120 ON THESE. 1674 01:10:43,120 --> 01:10:45,920 FOCUS ON DISCRIMINATION AS A 1675 01:10:45,920 --> 01:10:47,880 MEDIATOR OF ADVERSE HEALTH 1676 01:10:47,880 --> 01:10:50,720 OUTCOMES IS INCREASED EVIDENCE 1677 01:10:50,720 --> 01:10:52,160 OVER THE LAST DECADE OR SO. 1678 01:10:52,160 --> 01:10:54,480 THIS IS A CONTRIBUTION TO THAT 1679 01:10:54,480 --> 01:10:57,240 EFFECT BOTH IN TERMS OF LIFETIME 1680 01:10:57,240 --> 01:11:00,040 AND EVERY-DAY DISCRIMINATION 1681 01:11:00,040 --> 01:11:03,760 EXPOSURE AND IN CARDIOVASCULAR 1682 01:11:03,760 --> 01:11:04,560 MORTALITY IN THIS CASE AND CAN 1683 01:11:04,560 --> 01:11:11,800 WE MOVE THE NEXT SLIDE, PLEASE? 1684 01:11:11,800 --> 01:11:15,320 THIS IS, AGAIN, A STUDY ON 1685 01:11:15,320 --> 01:11:18,200 COVID-19 RELATED DISCRIMINATION 1686 01:11:18,200 --> 01:11:19,120 AND VIGILANCE. 1687 01:11:19,120 --> 01:11:22,080 AND IN USING THE CROSS-SECTIONAL 1688 01:11:22,080 --> 01:11:26,000 SURVEY OF NATIONAL 1689 01:11:26,000 --> 01:11:29,600 REPRESENTATIVE EXPOSURE. WELL, 1690 01:11:29,600 --> 01:11:39,840 WHERE AM I? 1691 01:11:56,960 --> 01:11:59,640 >>NOT DOING ANYTHING. 1692 01:11:59,640 --> 01:12:10,120 >>GOT A LIFE OF ITS OWN. 1693 01:12:14,680 --> 01:12:18,080 OKAY. I THINK WE ARE IN THE 1694 01:12:18,080 --> 01:12:19,680 RIGHT SPACE AND NATIONAL 1695 01:12:19,680 --> 01:12:21,280 REPRESENTATIVE SAMPLES 1696 01:12:21,280 --> 01:12:23,720 EXPERIENCING COVID RELATED 1697 01:12:23,720 --> 01:12:25,520 INFORMATION AND WE ARE ALL 1698 01:12:25,520 --> 01:12:27,720 SENSITIVE TO PARTICULARLY 1699 01:12:27,720 --> 01:12:29,520 TARGETING OF ASIAN AMERICANS 1700 01:12:29,520 --> 01:12:33,760 AROUND COVID-19 THAT IS A DIRECT 1701 01:12:33,760 --> 01:12:38,640 EFFECT OF BLAMING FOREIGN 1702 01:12:38,640 --> 01:12:40,400 INTERFERENCE LEADING TO THE 1703 01:12:40,400 --> 01:12:43,400 COVID-19 PANDEMIC AND AS A 1704 01:12:43,400 --> 01:12:45,960 CONSEQUENCE OF THAT, THIS 1705 01:12:45,960 --> 01:12:48,560 PRESENCE OF NOT ONLY OVERT 1706 01:12:48,560 --> 01:12:50,520 DISCRIMINATORY ACTS BUT GENERAL 1707 01:12:50,520 --> 01:12:53,000 MORE SUBTLE DIRECTLY EXPERIENCED 1708 01:12:53,000 --> 01:12:56,520 DISCRIMINATION AND REALLY IT LED 1709 01:12:56,520 --> 01:12:58,960 TO ADVERSE OUTCOMES OVER TIME 1710 01:12:58,960 --> 01:13:01,280 AND THESE EVENTS HAPPENED IN 1711 01:13:01,280 --> 01:13:04,280 CITIES WE WOULD CONSIDER 1712 01:13:04,280 --> 01:13:07,120 TOLERANT AND HEAVILY REPRESENTED 1713 01:13:07,120 --> 01:13:08,440 BY COMMUNITIES LIKE SAN 1714 01:13:08,440 --> 01:13:11,800 FRANCISCO AND NEW YORK THAT IS A 1715 01:13:11,800 --> 01:13:18,360 VERY DISTRESSING DEVELOPING OVER 1716 01:13:18,360 --> 01:13:22,480 THE PANDEMIC AND THIS IS 1717 01:13:22,480 --> 01:13:24,560 PROGRESSION OF SMOKING BEHAVIOR 1718 01:13:24,560 --> 01:13:27,640 AND EXPOSURE TO MARKETING HAS 1719 01:13:27,640 --> 01:13:31,040 BEEN A MAJOR WAY THAT TOBACCO 1720 01:13:31,040 --> 01:13:32,880 INDUSTRY HAS MAINTAINED MARKET 1721 01:13:32,880 --> 01:13:35,040 FOR CIGARETTES AND THEY WERE 1722 01:13:35,040 --> 01:13:37,480 BANNED FROM TELEVISION AND FROM 1723 01:13:37,480 --> 01:13:40,000 ESSENTIALLY MANY PRINT MEDIA AND 1724 01:13:40,000 --> 01:13:42,320 OTHER SOURCES AND WILD, WILD 1725 01:13:42,320 --> 01:13:45,200 MARKET OF THE INTERNET WAS NOT 1726 01:13:45,200 --> 01:13:48,160 CONTROLLED OR REGULATED IN THAT 1727 01:13:48,160 --> 01:13:50,800 WAY. USING OR LEVERAGING THE 1728 01:13:50,800 --> 01:13:52,840 PAST STUDY BEING ABLE TO STUDY 1729 01:13:52,840 --> 01:13:54,960 THIS IN AN EFFECTIVE WAY. 1730 01:13:54,960 --> 01:13:57,080 WE HAVE LOOKED AT THIS A LITTLE 1731 01:13:57,080 --> 01:14:00,560 BIT. SEEING HOW MUCH MARKETING 1732 01:14:00,560 --> 01:14:03,680 ADDS TO EXPOSURES AND WHAT LEADS 1733 01:14:03,680 --> 01:14:06,200 YOUTH TO START SMOKING? WE 1734 01:14:06,200 --> 01:14:07,520 THOUGHT PARENTS HAVE SOMETHING. 1735 01:14:07,520 --> 01:14:09,160 NO. PARENTS HAVE VERY LITTLE TO 1736 01:14:09,160 --> 01:14:11,000 DO WITH THAT. FRIENDS DO. IT 1737 01:14:11,000 --> 01:14:12,760 IS WHAT YOUR FRIENDS DO OR SAY 1738 01:14:12,760 --> 01:14:15,560 OR THINK OR SAY OR WANT OR DO 1739 01:14:15,560 --> 01:14:20,240 THAT SEEMS TO BE HOLDING AS AN 1740 01:14:20,240 --> 01:14:23,320 INFLUENCER FOR YOUTH AND THEN 1741 01:14:23,320 --> 01:14:26,560 MARKET EXPOSURE THROUGH INTERNET 1742 01:14:26,560 --> 01:14:28,320 HAS BECOME MOST PROMINENT AND 1743 01:14:28,320 --> 01:14:30,600 DOMINANT WAY THAT THE INDUSTRY 1744 01:14:30,600 --> 01:14:34,680 IS TARGETING IT IN A SEGMENT AND 1745 01:14:34,680 --> 01:14:35,600 THEY WOULD SAY THEY DON'T TARGET 1746 01:14:35,600 --> 01:14:39,320 YOUTH AT ALL AND THAT IS WITH 1747 01:14:39,320 --> 01:14:41,320 RULES AND SALES TO TOBACCO TO 1748 01:14:41,320 --> 01:14:43,480 YOUTH IS QUOTE ON QUOTE ILLEGAL 1749 01:14:43,480 --> 01:14:45,960 AND VAPING HAS BECOME THE 1750 01:14:45,960 --> 01:14:47,000 MECHANISM BY WHICH MANY 1751 01:14:47,000 --> 01:14:50,200 INDIVIDUALS START TO SMOKE AS WE 1752 01:14:50,200 --> 01:14:52,080 HAVE ALSO LEARNED. I WILL 1753 01:14:52,080 --> 01:14:55,000 FINISH WITH A SHOUTOUT TO AJ 1754 01:14:55,000 --> 01:14:58,440 JOHNSON WHO IS A SCIENTIFIC 1755 01:14:58,440 --> 01:15:03,040 ADVISOR AND TRAINED DIRECTOR 1756 01:15:03,040 --> 01:15:07,880 NHMDS AND AJ ARRIVED AT NIMHD 1757 01:15:07,880 --> 01:15:09,720 AND JOIN RECRUITMENT OF 1758 01:15:09,720 --> 01:15:12,520 INSTITUTE WITH CORE AND 1759 01:15:12,520 --> 01:15:14,600 COMMISSION CORE AND COORDINATES 1760 01:15:14,600 --> 01:15:16,960 ROBUST TRAINING PROGRAM AND 1761 01:15:16,960 --> 01:15:19,360 MENTIONED 6 TENURE TRACT 1762 01:15:19,360 --> 01:15:22,000 INVESTIGATORS AND ONE SENIOR 1763 01:15:22,000 --> 01:15:24,560 INVESTIGATOR AND NUMBER OF POST 1764 01:15:24,560 --> 01:15:29,000 DOCS AND POST BACHS AS WELL AS 1765 01:15:29,000 --> 01:15:30,960 LARGE CAUD RAY OF SUMMER 1766 01:15:30,960 --> 01:15:32,560 STUDENTS WE WILL HAVE IN PERSON 1767 01:15:32,560 --> 01:15:35,200 THIS YEAR FOR THE FIRST TIME YOU 1768 01:15:35,200 --> 01:15:38,960 CAN IMAGINE THAT OUR NIMHD 1769 01:15:38,960 --> 01:15:40,560 PROGRAMS ARE MAGNET FOR 1770 01:15:40,560 --> 01:15:41,720 ATTRACTING UNDER-REPRESENTED 1771 01:15:41,720 --> 01:15:44,480 STUDENT AS BD TRAINEES TO OUR 1772 01:15:44,480 --> 01:15:47,280 INSTITUTE AND I APPRECIATE AJ'S. 1773 01:15:47,280 --> 01:15:49,360 THIS IS A PARTIAL PRESENCE OF 1774 01:15:49,360 --> 01:15:52,960 THAT. THIS IS THE FUTURE. 1775 01:15:52,960 --> 01:15:56,000 I WOULD LIKE TO END ON A 1776 01:15:56,000 --> 01:15:58,560 POSITIVE NOTE THAT ARE POST BACH 1777 01:15:58,560 --> 01:16:00,800 LAURET POSTER DAY AND FIRST 1778 01:16:00,800 --> 01:16:07,440 PERSON ON UPPER ROW IS CHELSEA 1779 01:16:07,440 --> 01:16:11,040 TRON A POST BACH IN MY LAB AND 1780 01:16:11,040 --> 01:16:13,880 SHE WILL START MEDICAL SCHOOL AT 1781 01:16:13,880 --> 01:16:14,120 UCSF. 1782 01:16:14,120 --> 01:16:16,560 ONE OF THESE YOUNG PEOPLE WAS 1783 01:16:16,560 --> 01:16:19,680 ALSO ACKNOWLEDGED AS AN AWARDEE 1784 01:16:19,680 --> 01:16:23,480 AND POST BACH OR POST BACH 1785 01:16:23,480 --> 01:16:27,960 LAUREATE POSTER DAY THAT WAS 1786 01:16:27,960 --> 01:16:29,840 REMARKABLE. THAT IS VINCENT LAMB 1787 01:16:29,840 --> 01:16:34,600 TO 3, 4, 4TH PERSON ON UPPER 1788 01:16:34,600 --> 01:16:36,680 PICTURE. CONGRATULATIONS TO ALL 1789 01:16:36,680 --> 01:16:39,240 OF THEM ON THEIR ACCOMPLISHMENTS 1790 01:16:39,240 --> 01:16:40,640 AND PROMOTING DIVERSITY ONE STEP 1791 01:16:40,640 --> 01:16:43,480 AT A TIME IS HOW I FEEL ABOUT IT 1792 01:16:43,480 --> 01:16:45,280 AFTER HAVING BEEN HERE 7 YEARS 1793 01:16:45,280 --> 01:16:48,360 AND HAVING THREE POST BACHS AND 1794 01:16:48,360 --> 01:16:50,600 POST DOCS ARE IN MY OWN LAB AND 1795 01:16:50,600 --> 01:16:56,560 TO SEE THAT PROGRESS IS REALLY 1796 01:16:56,560 --> 01:16:57,960 VERY REWARDING IN INDIVIDUAL 1797 01:16:57,960 --> 01:16:59,800 WORK THAT ONE DOES AND WANT TO 1798 01:16:59,800 --> 01:17:00,800 ENCOURAGE PEOPLE THAT KEEP 1799 01:17:00,800 --> 01:17:02,680 THINKING ABOUT WANTING TO COME 1800 01:17:02,680 --> 01:17:05,960 TO WORK FOR NIMHD AND BECOMING A 1801 01:17:05,960 --> 01:17:10,000 FED AS I SAY HERE. IT IS A VERY 1802 01:17:10,000 --> 01:17:12,400 GRATIFYING JOB DOING SCIENCE AND 1803 01:17:12,400 --> 01:17:14,080 PROVIDING SERVICE TO THE 1804 01:17:14,080 --> 01:17:15,400 AMERICAN PEOPLE AND PARTICULARLY 1805 01:17:15,400 --> 01:17:17,680 TO OUR COMMUNITIES OF COLOR. 1806 01:17:17,680 --> 01:17:19,840 THANK YOU VERY MUCH FOR YOUR 1807 01:17:19,840 --> 01:17:22,120 ATTENTION AND APOLOGIZE FOR ALL 1808 01:17:22,120 --> 01:17:24,280 OF THE TECHNICAL CHALLENGES I 1809 01:17:24,280 --> 01:17:34,760 HAD HERE TODAY. THANK YOU. 1810 01:17:35,400 --> 01:17:41,040 WE HAVE TIME FOR A COUPLE 1811 01:17:41,040 --> 01:17:42,680 QUESTIONS, PAUL. 1812 01:17:42,680 --> 01:17:48,120 FROM COUNCIL MEMBERS. 1813 01:17:48,120 --> 01:17:49,920 EITHER HERE OR ONLINE. THANK 1814 01:17:49,920 --> 01:17:50,120 YOU. 1815 01:17:50,120 --> 01:17:52,480 >>THANK YOU SO MUCH FOR 1816 01:17:52,480 --> 01:17:53,880 PRESENTATIONS. ALWAYS REALLY 1817 01:17:53,880 --> 01:17:55,080 INFORMATIVE AND HAVE A COUPLE 1818 01:17:55,080 --> 01:17:57,120 QUESTIONS THAT YOU TALKED ABOUT 1819 01:17:57,120 --> 01:17:59,520 CLINICAL RESEARCH INITIATIVE FOR 1820 01:17:59,520 --> 01:18:02,280 CLINICIANS TO TRAIN CLINICIAN 1821 01:18:02,280 --> 01:18:02,560 SCIENTISTS. 1822 01:18:02,560 --> 01:18:02,880 >>UH-HUH. 1823 01:18:02,880 --> 01:18:06,320 >>I FORGOT WHAT THE ACRONYM IS 1824 01:18:06,320 --> 01:18:06,520 NOW. 1825 01:18:06,520 --> 01:18:07,560 >>CRCD. 1826 01:18:07,560 --> 01:18:08,160 >>YEAH. 1827 01:18:08,160 --> 01:18:10,240 >>ARE THERE ANY OPPORTUNITIES 1828 01:18:10,240 --> 01:18:16,680 TO PARTNER WITH CTSA CALE 2 1829 01:18:16,680 --> 01:18:17,800 PROGRAMS? 1830 01:18:17,800 --> 01:18:20,920 I'M AN MPI OF ONE IN CHICK AGRO. 1831 01:18:20,920 --> 01:18:23,480 IT HAS BEEN CHALLENGING TO 1832 01:18:23,480 --> 01:18:24,640 RECRUIT UNDER-REPRESENTED 1833 01:18:24,640 --> 01:18:26,120 POPULATIONS THAT YOU HAVE SUCH 1834 01:18:26,120 --> 01:18:32,400 GREAT SUCCESS WITH THAT MODEL. 1835 01:18:32,400 --> 01:18:37,800 >>DR. BARNES, LISA, THIS IS A 1836 01:18:37,800 --> 01:18:38,400 WONDERFUL QUESTION. 1837 01:18:38,400 --> 01:18:40,720 I THINK WE BOTH HAVE TO WORK 1838 01:18:40,720 --> 01:18:44,360 OUTSIDE OF THIS SETTING TO MAKE 1839 01:18:44,360 --> 01:18:47,760 THAT HAPPEN. 1840 01:18:47,760 --> 01:18:51,520 THE GENEROSITY TOWARDS LESS 1841 01:18:51,520 --> 01:18:52,560 RESOURCED INSTITUTIONS IS 1842 01:18:52,560 --> 01:18:54,920 LIMITED I MENTIONED EARLIER FROM 1843 01:18:54,920 --> 01:18:56,560 NIH AND THIS PROGRAM IS 1844 01:18:56,560 --> 01:18:58,520 PARTICULARLY TARGETING, YOU 1845 01:18:58,520 --> 01:19:00,880 KNOW, NOT DIRECTLY BUT 1846 01:19:00,880 --> 01:19:02,920 INDIRECTLY LINKED TO OTHER 1847 01:19:02,920 --> 01:19:06,120 PROGRAMS, RCMI AND ENDOWMENT. 1848 01:19:06,120 --> 01:19:10,120 WE SEE THAT AS AN EXTENSION IT 1849 01:19:10,120 --> 01:19:12,000 WAS ESTABLISHED BEFORE I ARRIVE 1850 01:19:12,000 --> 01:19:17,920 AT NIMHD AND STAFF QUESTIONED 1851 01:19:17,920 --> 01:19:19,360 RENEWAL BEFORE I MOVE FORWARD 1852 01:19:19,360 --> 01:19:22,240 AND SITTING NEXT YOU TO IS A 1853 01:19:22,240 --> 01:19:23,440 POINT LEADER ON THIS. 1854 01:19:23,440 --> 01:19:28,560 I THINK IT HAS LOTS OF 1855 01:19:28,560 --> 01:19:28,880 POTENTIAL. 1856 01:19:28,880 --> 01:19:34,800 I WOULD HOPE IN MY SOMEWHAT OF A 1857 01:19:34,800 --> 01:19:35,720 FANTASY OR DILUTION DEPENDING 1858 01:19:35,720 --> 01:19:40,320 HOW YOU FEEL THAT DAY THAT 1859 01:19:40,320 --> 01:19:41,600 CTSA'S THROUGH FUNDING 1860 01:19:41,600 --> 01:19:45,120 MECHANISMS AND N CATS WOULD LOOK 1861 01:19:45,120 --> 01:19:49,400 TO CREATE CLINICAL TYPE OF 1862 01:19:49,400 --> 01:19:50,360 CENTER IN THESE RESOURCE 1863 01:19:50,360 --> 01:19:51,720 INSTITUTIONS THAT IS ONE WAY IN 1864 01:19:51,720 --> 01:19:54,440 A PARTNERSHIP OR NOT WITH ONE OF 1865 01:19:54,440 --> 01:19:59,240 THE -- WHAT IS IT, 70 FUNDED 1866 01:19:59,240 --> 01:20:00,840 CTSAS OR SO. 1867 01:20:00,840 --> 01:20:03,880 MANY ARE WELL-POSITIONED TO DO 1868 01:20:03,880 --> 01:20:06,480 THIS IF THE MECHANISM IS 1869 01:20:06,480 --> 01:20:09,920 PROVIDED TO ENHANCE SUPPORT. 1870 01:20:09,920 --> 01:20:13,520 HERE IN CHICAGO YOU CAN IMAGINE 1871 01:20:13,520 --> 01:20:15,880 A VERY DIVERSE ENVIRONMENT AND 1872 01:20:15,880 --> 01:20:18,640 OTHER CTSAS ARE BASED IN PLACES 1873 01:20:18,640 --> 01:20:21,360 NOT AS DIVERSE THAT WILL FACE 1874 01:20:21,360 --> 01:20:23,920 EVEN MORE CHALLENGE RS. THANK 1875 01:20:23,920 --> 01:20:24,160 YOU. 1876 01:20:24,160 --> 01:20:25,600 >>THANK YOU. ONE MORE 1877 01:20:25,600 --> 01:20:26,320 QUESTION, PLEASE. 1878 01:20:26,320 --> 01:20:33,120 THIS IS ABOUT THE ECONOMIC STUDY 1879 01:20:33,120 --> 01:20:34,080 YOU SHOW. 1880 01:20:34,080 --> 01:20:37,880 IS THERE -- ARE THERE ANY PLANS 1881 01:20:37,880 --> 01:20:40,560 TO LOOK AT RACE ETHNICITY BY 1882 01:20:40,560 --> 01:20:42,240 EDUCATION INTERACTIONS? 1883 01:20:42,240 --> 01:20:42,840 >>RIGHT. 1884 01:20:42,840 --> 01:20:44,920 >>WE KNOW RETURNS ON EDUCATION 1885 01:20:44,920 --> 01:20:50,120 ARE DIFFERENT FOR MINORITIZED 1886 01:20:50,120 --> 01:20:50,480 PEOPLE. 1887 01:20:50,480 --> 01:20:53,000 I WILL ASK 'TIL DAH WHO IS 1888 01:20:53,000 --> 01:20:54,160 ONLINE TO TAKE NOTE OF THAT AND 1889 01:20:54,160 --> 01:20:59,000 SEE WHAT WE CAN DO WITH THIS 1890 01:20:59,000 --> 01:21:05,920 GROUP. STUDIES HAVE BEEN DONE 1891 01:21:05,920 --> 01:21:08,160 ALONG LINES I SHOULD EMPHASIZE 1892 01:21:08,160 --> 01:21:10,080 COMPARING WHITE AND BLACK 1893 01:21:10,080 --> 01:21:12,560 AMERICANS NOT OTHER GROUPS AND 1894 01:21:12,560 --> 01:21:16,120 DAVID WILLIAMS AMONG OTHERS HAVE 1895 01:21:16,120 --> 01:21:17,760 DEMONSTRATED BENEFIT AND TOM 1896 01:21:17,760 --> 01:21:19,560 ACTUALLY ONE OF OUR 1897 01:21:19,560 --> 01:21:20,920 COLLABORATORS ON THIS, FIRST 1898 01:21:20,920 --> 01:21:24,960 AUTHOR ON THE REPORT THAT THE 1899 01:21:24,960 --> 01:21:28,560 ADVANTAGE OF MORE EDUCATION 1900 01:21:28,560 --> 01:21:31,680 AMONG AFRICAN AMERICANS AND 1901 01:21:31,680 --> 01:21:35,000 MEASURABLE ADVANTAGE OVER THOSE 1902 01:21:35,000 --> 01:21:37,400 WITH LESS EDUCATION IS ADVANTAGE 1903 01:21:37,400 --> 01:21:39,920 YOU GET WITH WHITE AMERICANS 1904 01:21:39,920 --> 01:21:44,080 MOST CLEARLY SHOWN BY COLLEGE 1905 01:21:44,080 --> 01:21:45,520 EXPOSURE AND COLLEGE DEGREE AND 1906 01:21:45,520 --> 01:21:50,800 AFTER THAT DIFFERENCES ARE VERY 1907 01:21:50,800 --> 01:21:51,320 SLIGHT. 1908 01:21:51,320 --> 01:21:54,320 IN SOME ANLAL SIS, GAP HAS 1909 01:21:54,320 --> 01:21:56,560 ACTUALLY BEEN WIDENED AND 1910 01:21:56,560 --> 01:21:58,040 ABSOLUTE BENEFIT IS THERE FOR 1911 01:21:58,040 --> 01:22:01,560 AFRICAN AMERICANS AND WHITE 1912 01:22:01,560 --> 01:22:09,600 BENEFIT IS GREATER SO GAP IS 1913 01:22:09,600 --> 01:22:12,200 WIDENEDS IN OTHER RACIAL/ETHNIC 1914 01:22:12,200 --> 01:22:13,640 MINORITY POPULATIONS AND 1915 01:22:13,640 --> 01:22:15,680 SUFFICIENT NUMBERS TO DO THIS 1916 01:22:15,680 --> 01:22:17,200 ANALYSIS THERE ARE TWO 1917 01:22:17,200 --> 01:22:19,240 CHALLENGES AND ONE IS LIFE 1918 01:22:19,240 --> 01:22:21,000 EXPECTANCY IS BETTER ALREADY. 1919 01:22:21,000 --> 01:22:23,320 FOR BOTH ASIANS AS A GENERAL 1920 01:22:23,320 --> 01:22:27,560 GROUP AND LATINO HISPANIC'S 1921 01:22:27,560 --> 01:22:30,240 GENERAL GROUP LIFE EXPECTANCIES 1922 01:22:30,240 --> 01:22:31,680 ARE BETTER CAN'T SHOW WHOLE 1923 01:22:31,680 --> 01:22:34,160 ADVANTAGE GOING TO COLLEGE 1924 01:22:34,160 --> 01:22:37,720 COMPARED TO WHITES AND STARTING 1925 01:22:37,720 --> 01:22:46,640 OFF WITH ADVANTAGE AND ISSUE OF 1926 01:22:46,640 --> 01:22:49,200 ADVANTAGE OF EDUCATION MOST 1927 01:22:49,200 --> 01:22:52,520 ANALYSIS HAVE BEEN FAIRLY FLAT 1928 01:22:52,520 --> 01:22:56,000 UNTIL RECENTLY AND SOME MIGHT BE 1929 01:22:56,000 --> 01:22:59,040 MISCLASSIFICATION THAT WHITE 1930 01:22:59,040 --> 01:23:02,680 LATINOS ARE MISCLASSIFIED AS 1931 01:23:02,680 --> 01:23:09,040 WHITE AND WILL COME TO END AND 1932 01:23:09,040 --> 01:23:12,560 WILL BE LEFT OUT OF ANALYSIS AND 1933 01:23:12,560 --> 01:23:14,920 MOST CLEAR ANALYSIS IS WITH 1934 01:23:14,920 --> 01:23:18,440 BLACK AND WHITE AND WITH OTHER 1935 01:23:18,440 --> 01:23:23,040 POPULATION GROUPS NATIVE 1936 01:23:23,040 --> 01:23:26,560 HAWAIIAN SAMPLE SIZES ARE TINY 1937 01:23:26,560 --> 01:23:31,000 AND IS HARD TO DO ANYTHING AND 1938 01:23:31,000 --> 01:23:33,120 WITH NATIONAL DATA BRINGING TO 1939 01:23:33,120 --> 01:23:36,720 TABLE TO SEE WHAT CAN BE DONE. 1940 01:23:36,720 --> 01:23:38,200 THANKS FOR THAT. 1941 01:23:38,200 --> 01:23:42,000 >>COUPLE OBSERVATIONS WITH 1942 01:23:42,000 --> 01:23:45,200 COVID-19 DATA I NOTICE WITH 1943 01:23:45,200 --> 01:23:47,320 CHILDREN THERE WAS A SLIGHT 1944 01:23:47,320 --> 01:23:51,960 INCREASE FROM 2021 TO 2022. 1945 01:23:51,960 --> 01:23:55,600 FIRST IS THAT SIGNIFICANT WHAT 1946 01:23:55,600 --> 01:23:58,800 IS GOING ON THERE ANOTHER 1947 01:23:58,800 --> 01:24:01,600 QUESTION THAT I GOT WAS YOU WERE 1948 01:24:01,600 --> 01:24:04,040 TALKING ABOUT RELATIONSHIP 1949 01:24:04,040 --> 01:24:05,960 BETWEEN NEIGHBORHOODS AND HEALTH 1950 01:24:05,960 --> 01:24:07,880 OUTCOME AND SO MUCH IN HEALTH 1951 01:24:07,880 --> 01:24:12,560 OUTCOME IS RELATED TO FAMILY 1952 01:24:12,560 --> 01:24:14,200 INCOME AND HOW MUCH DIFFERENT 1953 01:24:14,200 --> 01:24:16,200 WOULD THIS CONCLUSION BE 1954 01:24:16,200 --> 01:24:19,240 SUPPLANTING NEIGHBORHOOD WITH 1955 01:24:19,240 --> 01:24:20,120 INCOME? 1956 01:24:20,120 --> 01:24:21,600 THOSE ARE TWO OBSERVATIONS. 1957 01:24:21,600 --> 01:24:24,560 >>LET'S SEE IF I CAN REMEMBER 1958 01:24:24,560 --> 01:24:24,960 BOTH. 1959 01:24:24,960 --> 01:24:26,960 ISSUE WITH CHILDREN AND COVID, 1960 01:24:26,960 --> 01:24:30,480 YES. IT IS A TRAGEDY TO LOSE A 1961 01:24:30,480 --> 01:24:32,920 CHILD TO PREVENTABLE INFECTIOUS 1962 01:24:32,920 --> 01:24:35,200 DISEASE AND WE SEE THAT WITH 1963 01:24:35,200 --> 01:24:38,200 ALSO HOW MANY CHILDREN WERE 1964 01:24:38,200 --> 01:24:40,720 HOSPITALIZED WITH RSV THIS PAST 1965 01:24:40,720 --> 01:24:42,040 WINTER AND INFLUENZA REMEMBER 1966 01:24:42,040 --> 01:24:45,880 CAN BE DEADLY AS WELL AND YEARS 1967 01:24:45,880 --> 01:24:48,560 OF INFLUENZA EPIDEMICS THAT WE 1968 01:24:48,560 --> 01:24:50,200 HAVEN'T SEEN UNDER COVID AND 1969 01:24:50,200 --> 01:24:52,960 CASE RATES AND MORTALITY GOES 1970 01:24:52,960 --> 01:24:53,160 UP. 1971 01:24:53,160 --> 01:24:56,080 I PRESENTED AND EMPHASIZE THAT 1972 01:24:56,080 --> 01:24:59,440 IN PART BECAUSE I THINK THAT 1973 01:24:59,440 --> 01:25:02,840 OVERALL MUCH OF THE COMMUNITY 1974 01:25:02,840 --> 01:25:05,880 AND SOCIETY OVEREMPHASIZED 1975 01:25:05,880 --> 01:25:07,600 BURDEN ON CHILDREN AND SAW WITH 1976 01:25:07,600 --> 01:25:10,320 HOW LONG SCHOOLS WERE LEFT 1977 01:25:10,320 --> 01:25:14,640 CLOSED IN SOME COMMUNITIES THAT 1978 01:25:14,640 --> 01:25:16,840 RETROSPECTIVELY OR EVEN 1979 01:25:16,840 --> 01:25:19,560 PROSPECTIVELY ONE COULD HAVE 1980 01:25:19,560 --> 01:25:23,000 FIGURED OUT IT WAS MORE DAMAGING 1981 01:25:23,000 --> 01:25:24,560 THAN OPENING THEM UP. 1982 01:25:24,560 --> 01:25:27,800 I THINK THAT IS SOMETHING TO BE 1983 01:25:27,800 --> 01:25:30,000 OPEN ABOUT AND DAMAGE OF HAVING 1984 01:25:30,000 --> 01:25:34,760 BEEN KEPT OUT OF SCHOOL FOR A 1985 01:25:34,760 --> 01:25:38,440 YEAR OR LONGER FOR SOCIO 1986 01:25:38,440 --> 01:25:39,000 ECONOMICALLY DISADVANTAGED 1987 01:25:39,000 --> 01:25:40,720 CHILDREN IS NOT RECOVERABLE AT 1988 01:25:40,720 --> 01:25:43,320 ALL. IT WILL TAKE A LOT OF 1989 01:25:43,320 --> 01:25:46,000 EFFORT AND REASON I SHOWED THAT 1990 01:25:46,000 --> 01:25:49,240 BURDEN TO SOCIETY WAS VERY SMALL 1991 01:25:49,240 --> 01:25:52,560 IN YOUNG CHILDREN AND RISK WAS 1992 01:25:52,560 --> 01:25:55,440 SMALL OPPOSED TO OLDER ADULTS 1993 01:25:55,440 --> 01:25:59,200 THAT WHERE YES CHANGES WILL 1994 01:25:59,200 --> 01:26:03,520 FLUCTUATE INFLUENZA .1 AND IS A 1995 01:26:03,520 --> 01:26:07,080 HIGHER RATE TO KEEP MONITORING 1996 01:26:07,080 --> 01:26:07,640 THAT. 1997 01:26:07,640 --> 01:26:12,280 HOPEFULLY COVID WON'T COME BACK 1998 01:26:12,280 --> 01:26:14,560 WITH VICIOUS NOWS EFFECTING US 1999 01:26:14,560 --> 01:26:18,280 IN 2020 AND 2021 WITH OMICRON 2000 01:26:18,280 --> 01:26:19,760 DAYS AND. 2001 01:26:19,760 --> 01:26:21,440 INCOME VARIES OVER THE COURSE OF 2002 01:26:21,440 --> 01:26:24,160 A LIFETIME AND USUALLY PEAKS 2003 01:26:24,160 --> 01:26:26,560 DURING WORKING YEARS AFTER A 2004 01:26:26,560 --> 01:26:30,720 CERTAIN AGE YOU ARE DEPENDENT ON 2005 01:26:30,720 --> 01:26:37,440 MORE STAGNANT INCOME FROM 2006 01:26:37,440 --> 01:26:39,880 RETIREMENT DEPENDING ON EQUITY 2007 01:26:39,880 --> 01:26:43,280 AND WEALTH AND PRIMARY MODE IS 2008 01:26:43,280 --> 01:26:44,840 THROUGH VALUE OF PROPERTY FOR 2009 01:26:44,840 --> 01:26:47,360 THOSE PURCHASING PROPERTY 2010 01:26:47,360 --> 01:26:48,600 CONSISTENTLY IS REPORTED THAT IF 2011 01:26:48,600 --> 01:26:51,880 YOU LIVE IN A NEIGHBORHOOD 2012 01:26:51,880 --> 01:26:53,040 PREDOMINANTLY POPULATED BY 2013 01:26:53,040 --> 01:26:55,360 AFRICAN AMERICANS OR LATINOS 2014 01:26:55,360 --> 01:26:58,240 VALUE OF PROPERTY IS LOWER FOR 2015 01:26:58,240 --> 01:26:59,560 EXACT SAME PROPERTY TYPE AND 2016 01:26:59,560 --> 01:27:01,440 SPACE AND QUALITY THAT IS 2017 01:27:01,440 --> 01:27:04,840 COMPARED TO THOSE WHO LIVE IN A 2018 01:27:04,840 --> 01:27:06,120 PREDOMINANTLY WHITE NEIGHBORHOOD 2019 01:27:06,120 --> 01:27:08,920 THAT IS TRUE IN 2023. 2020 01:27:08,920 --> 01:27:13,600 AND THEN THAT IS INHERITANCE AND 2021 01:27:13,600 --> 01:27:15,920 LEGACY OF STRUCTURAL RACISM AND 2022 01:27:15,920 --> 01:27:19,720 REDLINING AND POLICIES THAT WERE 2023 01:27:19,720 --> 01:27:23,080 IMPLEMENTED IN THE COUNTRY AND 2024 01:27:23,080 --> 01:27:31,600 THAT LEGACY HAS NOT CHANGED. 2025 01:27:31,600 --> 01:27:32,480 MOST CITIES IN THE UNITED STATES 2026 01:27:32,480 --> 01:27:35,040 WERE SUBJECTED TO REGULATIONS IN 2027 01:27:35,040 --> 01:27:39,200 ONE WAY OR ANOTHER THAT HAS 2028 01:27:39,200 --> 01:27:43,440 CREATED A LEGACY WE ARE TRYING 2029 01:27:43,440 --> 01:27:46,920 TO MANAGE INCOME IS IMPORTANT 2030 01:27:46,920 --> 01:27:50,800 AND WE MEASURE IN HEALTH AND 2031 01:27:50,800 --> 01:27:52,320 ASKING QUESTIONS AND PEOPLE GET 2032 01:27:52,320 --> 01:27:54,080 TIRED AND DON'T WANT TO TELL YOU 2033 01:27:54,080 --> 01:27:59,320 AND POINTING OUT HEALTH AND 2034 01:27:59,320 --> 01:28:00,720 RETIREMENT SURVEYS ONE OF THE 2035 01:28:00,720 --> 01:28:04,760 FEW THAT GETS AT QUESTION OF 2036 01:28:04,760 --> 01:28:06,920 WEALTH THAT IS ONE I THINK AND 2037 01:28:06,920 --> 01:28:09,320 MIGHT BE ANOTHER I'M NOT 2038 01:28:09,320 --> 01:28:10,840 THINKING OF AS WELL. 2039 01:28:10,840 --> 01:28:11,160 THANK YOU. 2040 01:28:11,160 --> 01:28:21,040 >>FINAL TWO QUESTIONS WE HAVE. 2041 01:28:21,040 --> 01:28:22,600 KEN ONLINE? 2042 01:28:22,600 --> 01:28:26,120 >>GOING BACK TO MORTGAGE AMOUNT 2043 01:28:26,120 --> 01:28:30,680 DATA VIDEO AND FUNNY QUIRK IF 2044 01:28:30,680 --> 01:28:36,440 YOU HAVE A THOUGHT MORE 60% LESS 2045 01:28:36,440 --> 01:28:40,560 THAN WHITES AND 70 OR 80% OF 2046 01:28:40,560 --> 01:28:42,680 AMERICANS AND IS THAT CONFIDENCE 2047 01:28:42,680 --> 01:28:44,480 INTERVAL? USUALLY IN OUR 2048 01:28:44,480 --> 01:28:45,280 STUDIES THEY DO WORSE. 2049 01:28:45,280 --> 01:28:46,960 >>THANK YOU, KEN, FOR THAT 2050 01:28:46,960 --> 01:28:48,600 QUESTION. I INTENTIONALLY 2051 01:28:48,600 --> 01:28:51,840 IGNORED IT AND FACT YOU ASKED 2052 01:28:51,840 --> 01:28:54,360 MEANS I SHOULDN'T. 2053 01:28:54,360 --> 01:28:54,720 >>SORRY. 2054 01:28:54,720 --> 01:28:57,520 I DON'T KNOW WHAT IT MEANS AND 2055 01:28:57,520 --> 01:28:59,080 SUSPECT THAT SOME MIGHT BE IN 2056 01:28:59,080 --> 01:29:05,200 WHO THEY CATEGORIZE THERE THEY 2057 01:29:05,200 --> 01:29:07,440 WILL ROBUST GROUP AND MAYBE THEY 2058 01:29:07,440 --> 01:29:09,480 TOOK OUT LATINO HISPANIC'S 2059 01:29:09,480 --> 01:29:11,760 MAKING UP 60% OF PEOPLE 2060 01:29:11,760 --> 01:29:13,200 REPORTING BEING MULTIRACIAL IN 2061 01:29:13,200 --> 01:29:16,920 2020 AND MIGHT BE A RESIDUAL 2062 01:29:16,920 --> 01:29:18,040 GROUP THAT IS SELECTED FOR 2063 01:29:18,040 --> 01:29:22,040 BETTER OUTCOMES AND I DON'T 2064 01:29:22,040 --> 01:29:24,560 KNOW. WHEN THEY HAVE REPORTED 2065 01:29:24,560 --> 01:29:27,240 MULTIRACIAL RATES IN BEHAVIORAL 2066 01:29:27,240 --> 01:29:28,440 ISSUES THEY DO WORSE WITH 2067 01:29:28,440 --> 01:29:30,120 SMOKING AS I'M SURE YOU ARE 2068 01:29:30,120 --> 01:29:33,520 FAMILIAR WITH, WITH SEXUAL RISK 2069 01:29:33,520 --> 01:29:35,480 AND A COUPLE ALCOHOL AS WELL. 2070 01:29:35,480 --> 01:29:38,520 SO, IT IS CURIOUS AND I DIDN'T 2071 01:29:38,520 --> 01:29:41,040 DELVE INTO DETAILS THAT WAS VERY 2072 01:29:41,040 --> 01:29:42,280 HIGH-LEVEL REPORT. THANK YOU 2073 01:29:42,280 --> 01:29:45,480 FOR HIGHLIGHTING THAT. 2074 01:29:45,480 --> 01:29:52,080 [NO AUDIO]. 2075 01:29:52,080 --> 01:29:57,720 MADE UP ACROSS NIH NOT JUST 2076 01:29:57,720 --> 01:29:59,520 NIHMD BUT COMMON FUND. ONE OF 2077 01:29:59,520 --> 01:30:02,640 STAFF WORKING ON THIS WAS 2078 01:30:02,640 --> 01:30:05,960 RECRUITED AWAY FROM NIMHD AND 2079 01:30:05,960 --> 01:30:07,800 OTHER INSTITUTES THAT HAPPENED 2080 01:30:07,800 --> 01:30:10,520 TO AS WELL AND PEOPLE LEND FOR A 2081 01:30:10,520 --> 01:30:16,160 TIME AND SHANNON ZENK WAS LEAD 2082 01:30:16,160 --> 01:30:17,400 INSTITUTE DIRECTOR INVOLVED WHO 2083 01:30:17,400 --> 01:30:19,000 ASKED ME AT ONE POINT WHEN 2084 01:30:19,000 --> 01:30:22,800 THINGS WERE MORE SUBTLE WITH RAD 2085 01:30:22,800 --> 01:30:25,240 XUP TO COME AND JOIN HER IN 2086 01:30:25,240 --> 01:30:29,240 AUGUST OF 2021 AND ALSO 2087 01:30:29,240 --> 01:30:32,720 COINCIDED WITH MIKE SAYER'S 2088 01:30:32,720 --> 01:30:35,040 RETIREMENT. WE SHAPED IT WITH 2089 01:30:35,040 --> 01:30:36,720 WORK GROUP AND GROUP WITH THE 2090 01:30:36,720 --> 01:30:40,720 COMMON FUND AND ACTUALLY HAVING 2091 01:30:40,720 --> 01:30:42,240 SEPARATE MEETINGS BETWEEN 2092 01:30:42,240 --> 01:30:46,880 CO-CHAIRS AT BEGINNING THAT 2093 01:30:46,880 --> 01:30:48,280 INCLUDED DAVID WILSON FROM 2094 01:30:48,280 --> 01:30:49,240 TRIBAL HEALTH RESEARCH OFFICE 2095 01:30:49,240 --> 01:30:53,320 AND WE HAD MEETINGS WITH LARRY 2096 01:30:53,320 --> 01:30:56,720 TABAK AND FRANCIS COLLINS TO 2097 01:30:56,720 --> 01:30:57,920 GIVE PRELIMINARY REPORT AND SOME 2098 01:30:57,920 --> 01:31:00,200 MEETINGS DIDN'T GO AS WELL AS WE 2099 01:31:00,200 --> 01:31:01,800 WOULD HAVE LIKED AND WE SHAPED 2100 01:31:01,800 --> 01:31:04,440 IT INTO WHAT WAS PRESENTED TO 2101 01:31:04,440 --> 01:31:05,240 DIRECTORS FOR APPROVAL. 2102 01:31:05,240 --> 01:31:08,280 AND THEN, YOU KNOW, GETTING 2103 01:31:08,280 --> 01:31:11,360 NUANCES AND DETAILS AND ALL THAT 2104 01:31:11,360 --> 01:31:12,800 EMERGED THROUGH MANY, MANY 2105 01:31:12,800 --> 01:31:15,120 DIFFERENT MEETINGS. 2106 01:31:15,120 --> 01:31:20,640 I FEEL WE HAVE GENERATED 2107 01:31:20,640 --> 01:31:22,680 EXPERTISE BEING HANDS-ON 2108 01:31:22,680 --> 01:31:24,760 CO-CHAIRS LOOKING AT EVERY 2109 01:31:24,760 --> 01:31:28,720 DOCUMENT THINKING ABOUT THE 2110 01:31:28,720 --> 01:31:29,200 DIRECTION. 2111 01:31:29,200 --> 01:31:31,240 PRINCIPLE OF FUNDING COMMUNITIES 2112 01:31:31,240 --> 01:31:33,120 FIRST EMERGED FROM THE PROCESS 2113 01:31:33,120 --> 01:31:36,480 IN THE BEGINNING AND THINK THAT 2114 01:31:36,480 --> 01:31:40,760 IS ONE I KEEP COMING BACK TO 2115 01:31:40,760 --> 01:31:44,720 THAT IS TRANSFORMATIVE AND WILL 2116 01:31:44,720 --> 01:31:53,200 IT INFLUENCE NIH AND DIRECTORS? 2117 01:31:53,200 --> 01:31:55,600 DEPENDING HOW IT GOES LOGISTICAL 2118 01:31:55,600 --> 01:31:57,480 OPERATIONAL CHALLENGES THAT 2119 01:31:57,480 --> 01:32:03,280 COULD MAKE THIS DIFFICULT AND WE 2120 01:32:03,280 --> 01:32:07,120 LEARNED FROM CEIL AND RAD XP NOT 2121 01:32:07,120 --> 01:32:12,640 GOING DIRECTLY TO COMMUNITIES. 2122 01:32:12,640 --> 01:32:16,640 WE HAVE TO SEE AND WILL SEE HOW 2123 01:32:16,640 --> 01:32:19,240 THINGS ARE AND FOLLOW UP IN A 2124 01:32:19,240 --> 01:32:21,400 COUPLE YEARS SEEING HOW IT IS 2125 01:32:21,400 --> 01:32:23,160 GOING AND GETTING STARTED AND WE 2126 01:32:23,160 --> 01:32:26,160 WERE EXTREMELY PLEASED WITH A 2127 01:32:26,160 --> 01:32:27,960 ROBUST RESPONSE AT THE SAME TIME 2128 01:32:27,960 --> 01:32:29,440 CHALLENGE BECAUSE OF THE FUNDING 2129 01:32:29,440 --> 01:32:32,120 THAT IS ONLY FOR UP TO AROUND 2130 01:32:32,120 --> 01:32:34,760 25. THESE ARE BIG GRANTS OR BIG 2131 01:32:34,760 --> 01:32:38,680 AWARDS I SHOULD SAY. THEY ARE 2132 01:32:38,680 --> 01:32:39,720 NOT GRANTS AND IT IS AN 2133 01:32:39,720 --> 01:32:42,400 EXPERIMENT THAT WE WILL SEE HOW 2134 01:32:42,400 --> 01:32:44,080 IT WORKS AND WHETHER IT WILL BE 2135 01:32:44,080 --> 01:32:45,960 A NEW PATTERN I WOULD BE 2136 01:32:45,960 --> 01:32:49,680 CAUTIOUS ABOUT THINKING THAT AND 2137 01:32:49,680 --> 01:32:53,800 THINK IT WILL DEPEND ON THESE 2138 01:32:53,800 --> 01:32:56,720 AND OUTCOMES AND HOPE THAT 2139 01:32:56,720 --> 01:33:00,760 COMMON FUND CAMPUSES ARE $400 2140 01:33:00,760 --> 01:33:03,520 MILLION IS THAT RIGHT NATE OVER 2141 01:33:03,520 --> 01:33:06,720 9 YEARS AND SO IT IS A TYPICAL 2142 01:33:06,720 --> 01:33:11,280 COMMON FUND PROGRAM THAT IS A 2143 01:33:11,280 --> 01:33:14,040 LARGE AWARD AND EMANSIVE 2144 01:33:14,040 --> 01:33:16,200 ALLOCATED FUNDS OVER TIME THAT I 2145 01:33:16,200 --> 01:33:19,720 WOULD BE CAUTIOUSLY OPTIMISTIC 2146 01:33:19,720 --> 01:33:25,720 AT THIS POINT. PAUL BACK YOU TO 2147 01:33:25,720 --> 01:33:26,920 AND THANK YOU FOR YOUR 2148 01:33:26,920 --> 01:33:28,560 ATTENTION. 2149 01:33:28,560 --> 01:33:31,800 >>I'M PATTY BRENNAN 2150 01:33:31,800 --> 01:33:34,400 DIRECTOR OF NATIONAL LIBRARY 2151 01:33:34,400 --> 01:33:35,760 OF MEDICINE AND THANK YOU FOR 2152 01:33:35,760 --> 01:33:36,240 BEING A TERRIFIC COLLEAGUE AND 2153 01:33:36,240 --> 01:33:38,680 KNOW THAT AT EVERY IC DIRECTOR'S 2154 01:33:38,680 --> 01:33:41,400 MEETING PERSPECTIVE OF THOSE NOT 2155 01:33:41,400 --> 01:33:43,080 WELL SERVED IS BROUGHT FORWARD 2156 01:33:43,080 --> 01:33:46,360 AND I'M GRATEFUL WITH A GENTLE 2157 01:33:46,360 --> 01:33:48,120 NUDGE AND SHOVE AND YOU HAVE TO 2158 01:33:48,120 --> 01:33:50,680 HEAR THIS IS A GOOD PARTNER 2159 01:33:50,680 --> 01:33:53,000 PARTNERING ACROSS NIH THAT THIS 2160 01:33:53,000 --> 01:33:58,000 IS WONDERFUL AND MONICA AND I 2161 01:33:58,000 --> 01:33:59,960 LEARNED TODAY AND WE HAVE BEEN 2162 01:33:59,960 --> 01:34:01,240 CLOSE PARTNERS GOING THROUGH RAD 2163 01:34:01,240 --> 01:34:05,600 X PROJECT AND WE HAVE GONE AND 2164 01:34:05,600 --> 01:34:07,560 WORKED MORE CLOSELY TOGETHER 2165 01:34:07,560 --> 01:34:10,840 THAN SOME OF OWN STAFF AT 2166 01:34:10,840 --> 01:34:11,480 NATIONAL LIBRARY OF MEDICINE AND 2167 01:34:11,480 --> 01:34:14,040 GIVING COMPLICATED CHARGE AND 2168 01:34:14,040 --> 01:34:17,440 LOOK AT DIGITAL NIH STRATEGY AND 2169 01:34:17,440 --> 01:34:19,600 DATA QUALITY AND INFRASTRUCTURE 2170 01:34:19,600 --> 01:34:21,560 AND COMMON DATA ELEMENTS THAT WE 2171 01:34:21,560 --> 01:34:23,880 ARE IN FOR A RIDE HERE. I WILL 2172 01:34:23,880 --> 01:34:25,760 TRY TO GO THROUGH YOUR -- YOU 2173 01:34:25,760 --> 01:34:27,080 WILL ADVANCE FOR ME? 2174 01:34:27,080 --> 01:34:29,600 THANK YOU. I WILL TRY TO GO 2175 01:34:29,600 --> 01:34:30,680 THROUGH REMARKS WITH SOME SPEED 2176 01:34:30,680 --> 01:34:33,160 SO WE CAN HAVE TIME FOR 2177 01:34:33,160 --> 01:34:35,720 CONVERSATION AND MY LSA WARNED 2178 01:34:35,720 --> 01:34:36,880 ME EVERYTHINGLY SAY WILL IGNORE 2179 01:34:36,880 --> 01:34:40,480 SOMEBODY IN THE ROOM, I'M AFRAID 2180 01:34:40,480 --> 01:34:45,160 AND WANT TO BEGIN IF YOU DIDN'T 2181 01:34:45,160 --> 01:34:49,080 TALK FAST I DIDN'T GET ANYTHING 2182 01:34:49,080 --> 01:34:51,560 I TALK FAST AND TOO LOUD AND IF 2183 01:34:51,560 --> 01:34:54,680 I TALK TOO FAST JUST WAVE THIS 2184 01:34:54,680 --> 01:34:58,240 IS EXCITING TIME FOR SCIENCE 2185 01:34:58,240 --> 01:35:00,400 BECAUSE NEVER BEFORE HAVE WE HAD 2186 01:35:00,400 --> 01:35:03,560 POWER FOR COMPUTING TO DRIVE 2187 01:35:03,560 --> 01:35:04,960 SCIENCE FOR THE FUTURE. 2188 01:35:04,960 --> 01:35:07,000 I WILL DISCUSS PLANNED AT NIH 2189 01:35:07,000 --> 01:35:08,880 AND DISCUSS HOW WE ARE 2190 01:35:08,880 --> 01:35:10,240 ADDRESSING DATA QUALITY THAT IS 2191 01:35:10,240 --> 01:35:11,560 CRITICAL WHEN YOU DEAL WITH 2192 01:35:11,560 --> 01:35:13,760 COMMUNITIES THAT DON'T LOOK AT 2193 01:35:13,760 --> 01:35:17,400 WHAT WE THINK MEAN STANDARD 2194 01:35:17,400 --> 01:35:21,200 DEVIATION LOOKS LIKE THAT IS 2195 01:35:21,200 --> 01:35:30,120 IMPORTANT PART OF MISSION AND WE 2196 01:35:30,120 --> 01:35:33,200 HAVE CONSIDERATIONS NEEDING 2197 01:35:33,200 --> 01:35:40,840 GUIDANCE FROM COUNCILS ON. 2198 01:35:40,840 --> 01:35:42,760 I DON'T KNOW IF YOU KNOW WE ARE 2199 01:35:42,760 --> 01:35:47,920 ON NIH CAMPUS AND COMING UP AND 2200 01:35:47,920 --> 01:35:51,080 RIGHT OUT OF BETHESDA YOU SEE 2201 01:35:51,080 --> 01:35:54,680 BUILDING WITH FUNNY PARABOLIC 2202 01:35:54,680 --> 01:36:01,120 PARABOLA AND IS A TALL BUILDING 2203 01:36:01,120 --> 01:36:04,000 WE HAVE SPACE AND TWO BUILDINGS 2204 01:36:04,000 --> 01:36:12,120 ON CAMPUS AND THREE OFF CAMPUS 2205 01:36:12,120 --> 01:36:13,480 AND THAT BUILDING WAS BUILT 2206 01:36:13,480 --> 01:36:15,040 DURING THE COLD WAR AND WE ARE 2207 01:36:15,040 --> 01:36:16,600 PART OF THE DEPARTMENT OF 2208 01:36:16,600 --> 01:36:18,680 DEFENSE AND ARMY FROM THE 2209 01:36:18,680 --> 01:36:23,560 HISTORY AND AROUND 1956 GENERALS 2210 01:36:23,560 --> 01:36:34,120 AND PUBLIC -- THEY DELIBERATELY 2211 01:36:52,640 --> 01:36:55,040 BUILD A BUILDING TO WITHSTAND 2212 01:36:55,040 --> 01:36:57,200 NUCLEAR ATTACK AND THOSE ARE 2213 01:36:57,200 --> 01:37:00,600 WINDOWS THAT IDEA IF A BOMB 2214 01:37:00,600 --> 01:37:03,720 DROPS ON PENTI GONE AND HITS 2215 01:37:03,720 --> 01:37:06,320 BETH ES DAH WILL HIT THE CORNER 2216 01:37:06,320 --> 01:37:08,360 WHERE YOU SEE THE LIGHT POLL AND 2217 01:37:08,360 --> 01:37:11,800 DRIVEN AROUND SIDES OF THE 2218 01:37:11,800 --> 01:37:12,560 BUILDING PUSHED AROUND THE TOP 2219 01:37:12,560 --> 01:37:14,680 AND WILL SLAM DOWN AND PULL THE 2220 01:37:14,680 --> 01:37:17,040 BOOKS IN GOOD IDEA AND 2221 01:37:17,040 --> 01:37:18,640 PROTECTING KNOWLEDGE OF PANELS 2222 01:37:18,640 --> 01:37:22,640 FOR FUTURE AND PHYSICS ARE WRONG 2223 01:37:22,640 --> 01:37:26,960 AND I DOENTS KNOW WHAT THEY 2224 01:37:26,960 --> 01:37:30,920 THOUGHT WOULD HAPPEN TO PEOPLE 2225 01:37:30,920 --> 01:37:41,480 BUT THEY WERE HOPING FOR IT -- 2226 01:37:46,120 --> 01:37:49,680 WE PREDATED NIH. 2227 01:37:49,680 --> 01:37:52,400 WE STARTED OFF WITH WE WERE AN 2228 01:37:52,400 --> 01:37:54,640 ARMY SHIELD DIRECTOR ASKING 2229 01:37:54,640 --> 01:37:56,640 SURGEON GENERAL BOOKS PERIOD OF 2230 01:37:56,640 --> 01:37:57,600 TIME CIVIL WAR AND BECAME A 2231 01:37:57,600 --> 01:38:00,880 COLLECTION OF BOOKS UP TO 1968 2232 01:38:00,880 --> 01:38:04,200 WE WERE NATION'S LIBRARY BY 2233 01:38:04,200 --> 01:38:05,120 LEGISLATED MANDATE REQUIRED TO 2234 01:38:05,120 --> 01:38:06,680 COLLECT INFORMATION ABOUT DATA 2235 01:38:06,680 --> 01:38:13,160 AND MEDICINE AND TRANSMITTING IT 2236 01:38:13,160 --> 01:38:18,680 -- WE ALSO SAW CREATION OF TWO 2237 01:38:18,680 --> 01:38:19,840 RESEARCH INSTITUTES AND THEY DID 2238 01:38:19,840 --> 01:38:22,640 A LOT OF WORK ON BIOMEDICAL AND 2239 01:38:22,640 --> 01:38:25,240 ON HIGH PERFORMANCE 2240 01:38:25,240 --> 01:38:26,480 COMMUNICATIONS INCLUDING 2241 01:38:26,480 --> 01:38:28,520 SATELLITE COMMUNICATION WE HAVE 2242 01:38:28,520 --> 01:38:30,680 SATELLITE UPLINK FROM OUR PLACE 2243 01:38:30,680 --> 01:38:32,280 AND HAPPENED DURING PERIOD OF 2244 01:38:32,280 --> 01:38:34,000 TIME AND UNDERSTANDING BODY 2245 01:38:34,000 --> 01:38:44,560 THROUGH SCANS NATIONAL SCIENCE 2246 01:39:01,560 --> 01:39:03,600 WE HAVE SEVERAL OUTREACH 2247 01:39:03,600 --> 01:39:06,560 ACTIVITIES SOME MIGHT BE UNHIP 2248 01:39:06,560 --> 01:39:08,560 RELATIONSHIP ENVIRONMENTAL 2249 01:39:08,560 --> 01:39:13,160 HEALTH PARTNERSHIPS IN LATE 60S 2250 01:39:13,160 --> 01:39:16,640 WITH REALIZATION -- POPULATE BID 2251 01:39:16,640 --> 01:39:18,200 NONMAJORITY RESIDENTS AT RISK 2252 01:39:18,200 --> 01:39:21,200 GETTING TROUBLE WITH ACCESS TO 2253 01:39:21,200 --> 01:39:22,160 TOXICOLOGY INFORMATION AND 2254 01:39:22,160 --> 01:39:23,840 TOXICOLOGY INFORMATION SERVICES 2255 01:39:23,840 --> 01:39:25,960 STARTED AND CONTINUE TO THIS 2256 01:39:25,960 --> 01:39:26,360 DAY. 2257 01:39:26,360 --> 01:39:27,400 NEXT SLIDE, PLEASE. 2258 01:39:27,400 --> 01:39:29,600 IT IS THROUGH OUR PRODUCTS MOST 2259 01:39:29,600 --> 01:39:31,840 PEOPLE KNOW US PUB MED AND PUB 2260 01:39:31,840 --> 01:39:35,480 MED CENTRAL AND BIOLOGICAL AND 2261 01:39:35,480 --> 01:39:37,480 GENOMIC DATA BASES GENE BANK OR 2262 01:39:37,480 --> 01:39:40,600 SRI AND WE IF YOU ARE ON 2263 01:39:40,600 --> 01:39:42,680 LEFT-HAND SIDE WE MANAGE FROM 2264 01:39:42,680 --> 01:39:45,200 COUNTRY HEALTH DATA STANDARDS 2265 01:39:45,200 --> 01:39:47,400 BUILT FROM HOSPITALS QUALITY 2266 01:39:47,400 --> 01:39:49,240 MODELING CAN BE DONE AND LOAN 2267 01:39:49,240 --> 01:39:50,960 SERVICE AND INTERESTING THERE 2268 01:39:50,960 --> 01:39:52,640 ALOUD TO CHARGE BUT NOT KEEP 2269 01:39:52,640 --> 01:39:54,200 MONEY AND EVERY YEAR SPEND A 2270 01:39:54,200 --> 01:39:55,680 MILLION DOLLARS PROVIDING 2271 01:39:55,680 --> 01:39:57,160 SERVICE AND GIVE BACK TO THE 2272 01:39:57,160 --> 01:39:58,520 TREASURY I DON'T UNDERSTAND THAT 2273 01:39:58,520 --> 01:40:00,400 ONE AND LARGE CONSUMER 2274 01:40:00,400 --> 01:40:01,800 INFORMATION RESOURCE AND GIVING 2275 01:40:01,800 --> 01:40:03,480 INFORMATION TO PUBLIC WITH 2276 01:40:03,480 --> 01:40:05,040 MEDICATIONS AND CLINICAL TRIALS, 2277 01:40:05,040 --> 01:40:05,360 ET CETERA. 2278 01:40:05,360 --> 01:40:07,800 WE ARE A LIBRARY THAT SERVES 2279 01:40:07,800 --> 01:40:09,160 GLOBALLY THE WORLD AND MILLIONS 2280 01:40:09,160 --> 01:40:10,640 OF PEOPLE USE RESOURCES EVERY 2281 01:40:10,640 --> 01:40:13,280 DAY AND HEAVILY DEPENDENT ON 2282 01:40:13,280 --> 01:40:14,600 INFORMATION TECHNOLOGY IN PART 2283 01:40:14,600 --> 01:40:16,760 IS WHY I'M ENGAGED STRONGLY WITH 2284 01:40:16,760 --> 01:40:18,400 DEVELOPMENT OF STRATEGIC PLAN 2285 01:40:18,400 --> 01:40:19,960 FOR INFORMATION TECHNOLOGY FOR 2286 01:40:19,960 --> 01:40:20,520 THE CAMPUS. 2287 01:40:20,520 --> 01:40:21,520 NEXT SLIDE, PLEASE. 2288 01:40:21,520 --> 01:40:23,520 OVER THE PAST TWO YEARS WE WORK 2289 01:40:23,520 --> 01:40:26,640 ACROSS THE NIH TO CREATE VISION 2290 01:40:26,640 --> 01:40:29,520 OF DIGITAL NIH TO ACCELERATE 2291 01:40:29,520 --> 01:40:31,360 SCIENCE THROUGH INNOVATION AND 2292 01:40:31,360 --> 01:40:32,560 TECHNOLOGY AND COMPUTATION AND 2293 01:40:32,560 --> 01:40:35,040 TAKE A FUNCTIONAL APPROACH TO 2294 01:40:35,040 --> 01:40:36,960 CREATING INFORMATION TECHNOLOGY 2295 01:40:36,960 --> 01:40:38,120 PLATFORM AND VISION AND NEXT 2296 01:40:38,120 --> 01:40:40,240 SLIDE IN PART INSPIRED BY FACT 2297 01:40:40,240 --> 01:40:41,640 THAT IN SCIENCE AND TECHNOLOGY 2298 01:40:41,640 --> 01:40:44,520 ARE INSEPARABLE AND CONDUCT OF 2299 01:40:44,520 --> 01:40:46,120 MODERN SCIENCE REQUIRES 2300 01:40:46,120 --> 01:40:48,160 TECHNOLOGY WHETHER DATABASE OR 2301 01:40:48,160 --> 01:40:50,680 SMART PHONE CAPTURING SOMEONE 2302 01:40:50,680 --> 01:40:52,520 WALKING HUE THROUGH PUTT AND 2303 01:40:52,520 --> 01:40:54,240 COMPUTING SYSTEM YOU CAN'T 2304 01:40:54,240 --> 01:40:55,680 SEPARATE SCIENCE FROM 2305 01:40:55,680 --> 01:40:55,960 TECHNOLOGY. 2306 01:40:55,960 --> 01:40:58,040 NEXT SLIDE, THROUGH INTERACTION 2307 01:40:58,040 --> 01:40:59,560 ACROSS THE CAMPUS WE LEARNED 2308 01:40:59,560 --> 01:41:01,720 LOTS OF THINGS AND DID A SURVEY 2309 01:41:01,720 --> 01:41:04,400 OF ENVIRONMENTAL STRUCTURES MANY 2310 01:41:04,400 --> 01:41:05,800 ORGANIZATIONS OF OUR SIGNS AND 2311 01:41:05,800 --> 01:41:07,560 ROLE OF SCIENCE AND TECHNOLOGY 2312 01:41:07,560 --> 01:41:08,800 IS CHANGING AND WE LEARN CLEARLY 2313 01:41:08,800 --> 01:41:11,200 THAT ADVANCING PROMISE OF 2314 01:41:11,200 --> 01:41:13,080 TECHNOLOGY REQUIRES NIH CAMPUS 2315 01:41:13,080 --> 01:41:16,160 NEW APPROACHES TO FUNDING AND 2316 01:41:16,160 --> 01:41:17,800 GOVERNANCE AND HAVE TRADITIONAL 2317 01:41:17,800 --> 01:41:20,400 APPROACH TO NIH THOSE WHO DO 2318 01:41:20,400 --> 01:41:23,280 HAVE CAN AND THOSE WHO CAN'T AND 2319 01:41:23,280 --> 01:41:25,720 END UP WITH GREAT DEAL OF 2320 01:41:25,720 --> 01:41:26,480 INFORMATION SCIENCES AND GREAT 2321 01:41:26,480 --> 01:41:31,040 DEAL OF RISK AND SECURITY IS 2322 01:41:31,040 --> 01:41:37,400 PREEMINENT IMPORTANCE IN -- WE 2323 01:41:37,400 --> 01:41:39,200 ARE DEVELOPING THIS FROM THIS 2324 01:41:39,200 --> 01:41:40,600 PERSPECTIVE AND NEXT SLIDE, 2325 01:41:40,600 --> 01:41:41,160 PLEASE. 2326 01:41:41,160 --> 01:41:44,280 WE BUILT A VISION OF DIGITAL NIH 2327 01:41:44,280 --> 01:41:46,440 ADAPTIVE GOVERNANCE MODEL 2328 01:41:46,440 --> 01:41:48,160 ALIGNING INSTITUTE AND CENTER 2329 01:41:48,160 --> 01:41:50,040 SPECIFIC TECHNOLOGY INVESTMENTS 2330 01:41:50,040 --> 01:41:53,680 WITH TRANCE NIH INVESTMENTS 2331 01:41:53,680 --> 01:41:54,840 EQUALIZING FLOOR AND MAKING SURE 2332 01:41:54,840 --> 01:41:58,680 PEOPLE HAVE WHAT THEY NEED AND 2333 01:41:58,680 --> 01:42:09,200 CONVERSATIONS TAKING PLACE WITH 2334 01:42:16,880 --> 01:42:18,440 WE HAVE TO LOOK AT GOVERNANCE 2335 01:42:18,440 --> 01:42:21,040 AND DECISION MAKING WITH 2336 01:42:21,040 --> 01:42:23,040 HOLISTIC INTEGRATED PLANNING AND 2337 01:42:23,040 --> 01:42:25,440 HEART AND LUNG BLOOD RESEARCH 2338 01:42:25,440 --> 01:42:27,640 LAYS OFF IS WHERE NO ONE REALLY 2339 01:42:27,640 --> 01:42:32,560 UNDERSTAND AND FALSE BOUNDARYIES 2340 01:42:32,560 --> 01:42:37,920 TO BE GOOD DATA STORAGE AND 2341 01:42:37,920 --> 01:42:39,120 WOULD LIKE EVERY IC AS THEY NEED 2342 01:42:39,120 --> 01:42:42,680 AND PRO EPT TO BE ON FOREFRONT 2343 01:42:42,680 --> 01:42:46,440 OF TECHNOLOGIES RELEVANT TO 2344 01:42:46,440 --> 01:42:53,200 RESEARCH MISSION -- FASTER 2345 01:42:53,200 --> 01:42:55,040 AUTOMATED APPROACHES TO DIGITAL 2346 01:42:55,040 --> 01:42:58,280 TECHNOLOGY AND WE HAVE 4,000 2347 01:42:58,280 --> 01:43:00,600 EMPLOYEES AND STAFF MEMBERS AT 2348 01:43:00,600 --> 01:43:04,800 NIH MAKING SURE THEY GET PAID ON 2349 01:43:04,800 --> 01:43:06,520 TIME DESPITE THIS THAT IS A 2350 01:43:06,520 --> 01:43:07,160 CHALLENGE TO INFORMATION 2351 01:43:07,160 --> 01:43:09,720 TECHNOLOGY AND AMAZED HOW MUCH 2352 01:43:09,720 --> 01:43:11,760 WE HAVE PAPER CARRYING AROUND 2353 01:43:11,760 --> 01:43:14,680 AND AROUND. NEXT SLIDE, PLEASE. 2354 01:43:14,680 --> 01:43:16,000 FRAMEWORK DEFINING HIGH 2355 01:43:16,000 --> 01:43:17,560 CAPABILITIES AND WHAT WE NEED TO 2356 01:43:17,560 --> 01:43:21,720 DO FOR SCIENCE AND SCIENTIFIC 2357 01:43:21,720 --> 01:43:22,280 MANAGEMENT THAT IS COMMON 2358 01:43:22,280 --> 01:43:24,480 AINSTITUTES AND CENTERS RATHER 2359 01:43:24,480 --> 01:43:26,160 THAN TAKING INSTITUTE AND CENTER 2360 01:43:26,160 --> 01:43:28,360 APPROACH TO BUILDING STRATEGIC 2361 01:43:28,360 --> 01:43:30,520 PLAN WE TAKE FUNCTIONAL APPROACH 2362 01:43:30,520 --> 01:43:32,400 WE HAVE THREE KEY FUNCTIONS WE 2363 01:43:32,400 --> 01:43:35,800 DO ON THIS CAMPUS MANAGING 2364 01:43:35,800 --> 01:43:36,800 EXTRAMURAL RESEARCH THAT GOES 2365 01:43:36,800 --> 01:43:39,560 END TO END FROM SOLICITING NEW 2366 01:43:39,560 --> 01:43:42,680 APPLICATIONS TO EVALUATING THEM 2367 01:43:42,680 --> 01:43:46,680 TO GRANTING FUNDING AND CLOSING 2368 01:43:46,680 --> 01:43:48,600 GRANTS HUGE OPERATION AND BEING 2369 01:43:48,600 --> 01:43:49,600 ADDRESSED MANY PEOPLE INVOLVED 2370 01:43:49,600 --> 01:43:52,840 ACROSS THE NIH AND LOCAL CULTURE 2371 01:43:52,840 --> 01:43:54,880 DRIVING INSTITUTES AND CENTERS 2372 01:43:54,880 --> 01:43:57,680 TO DO THIS SLIGHTLY DIFFERENTLY 2373 01:43:57,680 --> 01:44:01,080 AND MOVING TOWARDS STREAMLINED 2374 01:44:01,080 --> 01:44:02,840 END-TO-END PROCESS AND ARE 2375 01:44:02,840 --> 01:44:06,680 DEPENDENT ON TECHNOLOGIES 2376 01:44:06,680 --> 01:44:14,400 LARGELY AND WALKING IT DOWN 2377 01:44:14,400 --> 01:44:18,680 CENTER DRIVE THIS SHOULDN'T BE 2378 01:44:18,680 --> 01:44:24,760 HAPPENING ACROSS THE ENTIRE 2379 01:44:24,760 --> 01:44:26,680 ENTERPRISE LOOKING AT THINGS 2380 01:44:26,680 --> 01:44:28,120 LIKE SECURITY AND WORKFORCE 2381 01:44:28,120 --> 01:44:30,680 DEVELOPMENT AND ANALYTIC TOOLS 2382 01:44:30,680 --> 01:44:32,120 RESOLVED ON ENTERPRISE NOT 2383 01:44:32,120 --> 01:44:33,760 INDIVIDUAL LEVEL AND NEXT THREE 2384 01:44:33,760 --> 01:44:34,680 SLIDES NEXT SLIDE, PLEASE. 2385 01:44:34,680 --> 01:44:36,520 I WILL SHOW YOU WHAT EACH OF THE 2386 01:44:36,520 --> 01:44:39,200 TEAMS BEGIN TO WORK ON 2387 01:44:39,200 --> 01:44:42,680 CAPABILITIES FOR EXTRAMURAL 2388 01:44:42,680 --> 01:44:45,120 MANAGEMENT FUNDAMENTAL PORTFOLIO 2389 01:44:45,120 --> 01:44:46,400 MANAGEMENT TOOL AND GIVING 2390 01:44:46,400 --> 01:44:48,720 TECHNOLOGIES TO IMPLEMENT 2391 01:44:48,720 --> 01:44:51,080 CRITICAL POLICIES COMPUTING 2392 01:44:51,080 --> 01:44:53,760 COMPLIANCE AND FRANKLY FRAUD AND 2393 01:44:53,760 --> 01:44:55,760 USING FEDERAL DOLLAR PROPERLY 2394 01:44:55,760 --> 01:44:57,800 AND INCORPORATE LEARNING TO 2395 01:44:57,800 --> 01:44:59,000 ALERT CLINICAL TRIALS PROCEEDING 2396 01:44:59,000 --> 01:45:01,200 IN A TIMELY FASHION AND DO WE 2397 01:45:01,200 --> 01:45:02,680 HAVE RESEARCH IN ONE AREA THAN 2398 01:45:02,680 --> 01:45:04,640 ANOTHER AND DO WE HAVE RIGHT 2399 01:45:04,640 --> 01:45:06,080 REVIEWERS LOOKING AT RESEARCHERS 2400 01:45:06,080 --> 01:45:08,360 AND EXPECT THE FUTURE IN 2401 01:45:08,360 --> 01:45:10,120 RIGHT-HAD HAND COLUMN CUTTING 2402 01:45:10,120 --> 01:45:13,720 EDGE DIGITAL PLATFORMS FROM 2403 01:45:13,720 --> 01:45:14,680 PORTFOLIO MANAGEMENT TO TRAN 2404 01:45:14,680 --> 01:45:16,040 EXTEND THIS AND WE HAVE MORE AND 2405 01:45:16,040 --> 01:45:19,040 MORE SHARED PROJECTS COMMON FROM 2406 01:45:19,040 --> 01:45:20,560 PROJECTS INSTITUTE SPECIFIC 2407 01:45:20,560 --> 01:45:22,320 SOLUTIONS DON'T WORK AND WE WANT 2408 01:45:22,320 --> 01:45:24,440 TO REDUCE RESEARCHER AND STAFF 2409 01:45:24,440 --> 01:45:25,720 BURDEN IN THE COMMUNITY CHAL 2410 01:45:25,720 --> 01:45:28,240 TOEFRNG RESEARCHERS IS DATA 2411 01:45:28,240 --> 01:45:29,800 MANAGEMENT AND SHARING PLAN AND 2412 01:45:29,800 --> 01:45:31,200 PROVIDING WITH TOOLS TO 2413 01:45:31,200 --> 01:45:33,200 PARTICIPATE IN THAT STREAMLINE 2414 01:45:33,200 --> 01:45:36,240 PLANNING AND TRACKING ACROSS 2415 01:45:36,240 --> 01:45:37,640 GRANTS LIFE CYCLE AND IN PROGRAM 2416 01:45:37,640 --> 01:45:41,040 WE ARE KERNELED ABOUT INTRAMURAL 2417 01:45:41,040 --> 01:45:41,720 INVESTIGATORS UNDERSTANDING WHAT 2418 01:45:41,720 --> 01:45:44,960 IS GOING ON AND ASKING FOR 2419 01:45:44,960 --> 01:45:46,480 PORTFOLIO ALLOWING TO CONNECT 2420 01:45:46,480 --> 01:45:49,040 WITH OTHERS WITH RELATED DATA 2421 01:45:49,040 --> 01:45:52,640 AND RESEARCH AREA EXPANDING 2422 01:45:52,640 --> 01:45:55,480 INTRAMURAL -- COMMONLY USED 2423 01:45:55,480 --> 01:45:57,600 SCIENTIFIC SOFTWARE INSTEAD OF 2424 01:45:57,600 --> 01:46:00,640 BUYING 27 COPIES OF SAME 2425 01:46:00,640 --> 01:46:02,680 LICIENCE THAT GETS EXPENSIVE AND 2426 01:46:02,680 --> 01:46:04,760 TOOLS SUPPORTING CLINICAL TRIAL 2427 01:46:04,760 --> 01:46:06,400 MANAGEMENT AND HEARING ABOUT 2428 01:46:06,400 --> 01:46:07,600 ENTERPRISE ABOUT NEED TO IMPROVE 2429 01:46:07,600 --> 01:46:10,280 CLINICAL TRIALS MANAGEMENT FROM 2430 01:46:10,280 --> 01:46:12,600 STANDPOINT MANAGING AT NIH IN 2431 01:46:12,600 --> 01:46:14,640 ADDITION TO SUPPORTING COMMUNITY 2432 01:46:14,640 --> 01:46:18,680 AND HAVE DEMAND INSATIABLE 2433 01:46:18,680 --> 01:46:20,080 DEMAND COMPUTING POWER FOR LARGE 2434 01:46:20,080 --> 01:46:22,680 COMPLEX DATA SETS AND WHEN 2435 01:46:22,680 --> 01:46:26,440 MAKING INVESTMENTS ON RIGHT-HAND 2436 01:46:26,440 --> 01:46:29,240 SIDE AND -- RESEARCHERS CAN USE 2437 01:46:29,240 --> 01:46:31,120 TOOLS WE HAVE TO DESIGN CONDUCT 2438 01:46:31,120 --> 01:46:33,640 AND MANAGE STUDIES EASILY AND 2439 01:46:33,640 --> 01:46:36,160 INSECURELY AND PATIENT REPORTED 2440 01:46:36,160 --> 01:46:38,400 NEEDS ARE REPRESENTED IN CORE OF 2441 01:46:38,400 --> 01:46:40,800 NIH CLINICAL RESEARCH AND DOING 2442 01:46:40,800 --> 01:46:43,720 GOOD WITH ELECTRONIC HEALTH DATA 2443 01:46:43,720 --> 01:46:45,120 AND IS NOT ENOUGH TO BRING 2444 01:46:45,120 --> 01:46:46,600 UNDERSTANDING AND PATIENTS 2445 01:46:46,600 --> 01:46:48,240 INVOLVED IN CLINICAL TRIALS ARE 2446 01:46:48,240 --> 01:46:49,600 AT HOME MORE THAN ON CAMPUS AND 2447 01:46:49,600 --> 01:46:51,920 HAVE TO FIND WAYS TO KEBLTH TO 2448 01:46:51,920 --> 01:46:54,600 EVERY-DAY LIVES. 2449 01:46:54,600 --> 01:46:55,520 NEXT SLIDE, PLEASE. 2450 01:46:55,520 --> 01:46:57,880 IN TERMS OF ADMINISTRATION 2451 01:46:57,880 --> 01:47:00,440 MOVING TO PLATFORM-BASED 2452 01:47:00,440 --> 01:47:02,320 ADMINISTRATIONS TAILORED TO 2453 01:47:02,320 --> 01:47:03,720 INSTITUTE SPECIFIC NEEDS 2454 01:47:03,720 --> 01:47:06,680 PROVIDING COMMON WAY OF SOLVING 2455 01:47:06,680 --> 01:47:07,360 PROBLEMS ONBOARDING STAFF MEMBER 2456 01:47:07,360 --> 01:47:10,640 AND VALIDATING TIME OFF AND 2457 01:47:10,640 --> 01:47:12,760 ANALYTIC VISUALATION TOOLS 2458 01:47:12,760 --> 01:47:15,440 ALLOWING DECISIONS TO BE MADE 2459 01:47:15,440 --> 01:47:17,600 CALLING TRANSPARENCY AMONG 2460 01:47:17,600 --> 01:47:19,440 WORKFORCE AND CONGRESS AND 2461 01:47:19,440 --> 01:47:21,080 LEARNING SYSTEMS TOOLS AND GUY 2462 01:47:21,080 --> 01:47:22,640 OR POSSIBILITY I MIGHT USE A 2463 01:47:22,640 --> 01:47:24,440 PROGRAM ONCE A YEAR I SHOULDN'T 2464 01:47:24,440 --> 01:47:26,680 HAVE TO GO THROUGH TRAINING TO 2465 01:47:26,680 --> 01:47:29,080 USE THAT PROGRAM BUT CALL 2466 01:47:29,080 --> 01:47:30,640 SOMEONE TO WALK ME THROUGH WHEN 2467 01:47:30,640 --> 01:47:32,640 I HAVE A PROBLEM AND MORE AND 2468 01:47:32,640 --> 01:47:34,720 MORE MONEY WE CAN REDUCE 2469 01:47:34,720 --> 01:47:36,240 INVESTMENT ADMINISTRATION AND 2470 01:47:36,240 --> 01:47:38,520 MORE WE WILL HAVE FOR DIRECT 2471 01:47:38,520 --> 01:47:41,000 SCIENCE AND REDUCE MANUAL 2472 01:47:41,000 --> 01:47:41,600 ADMINISTRATIVE PROCESSES ARE 2473 01:47:41,600 --> 01:47:43,880 KEY. NEXT SLIDE, PLEASE. 2474 01:47:43,880 --> 01:47:44,800 LOOKING ACROSS WHAT WE RECOGNIZE 2475 01:47:44,800 --> 01:47:50,680 THE NIH NEEDS AND LACKS COMMON 2476 01:47:50,680 --> 01:47:53,800 ARCHITECTURE WITH WELL DEFINED 2477 01:47:53,800 --> 01:47:54,680 STANDARDS EVERY CAN BUILD TO 2478 01:47:54,680 --> 01:47:58,000 GENERAL PATTERN OR FRAMEWORK ALL 2479 01:47:58,000 --> 01:47:59,480 IT INVESTMENTS FIT IN AND 2480 01:47:59,480 --> 01:48:01,840 CONNECT TO EACH OTHER INNOVATIVE 2481 01:48:01,840 --> 01:48:04,000 STORAGE AND COMPUTATIONAL 2482 01:48:04,000 --> 01:48:07,720 INFRASTRUCTURE SHARED THAT IS 2483 01:48:07,720 --> 01:48:09,520 INCREASINGLY COMPETENT WORKFORCE 2484 01:48:09,520 --> 01:48:12,400 AND TWO WORKFORCES DEVELOPMENT 2485 01:48:12,400 --> 01:48:14,640 HERE AND BEING SUFFICIENTLY 2486 01:48:14,640 --> 01:48:16,560 TECHNOLOGY SAVVY TO USE TOOLS 2487 01:48:16,560 --> 01:48:18,680 AVAILABLE AND WE NEED DATA 2488 01:48:18,680 --> 01:48:21,200 SCIENCE SCHOLARLY WORKFORCE AND 2489 01:48:21,200 --> 01:48:23,240 NEED A HIGH TECH INFORMATION 2490 01:48:23,240 --> 01:48:26,400 TECHNOLOGY GROUP THAT CAN LEAD 2491 01:48:26,400 --> 01:48:28,480 US TO WHERE QUANTITATIVE 2492 01:48:28,480 --> 01:48:30,040 COMPUTING CAN TAKE US AND 2493 01:48:30,040 --> 01:48:31,920 LOOKING FOR TECHNOLOGY SUPPORT 2494 01:48:31,920 --> 01:48:33,240 ANYWHERE OR ANYTIME WORKPLACE IN 2495 01:48:33,240 --> 01:48:35,040 THE FUTURE TECHNOLOGY IS PIECE 2496 01:48:35,040 --> 01:48:36,280 OF THIS AND MANAGEMENT STRUCTURE 2497 01:48:36,280 --> 01:48:39,240 IS CRITICAL AND TO HAVE 2498 01:48:39,240 --> 01:48:40,640 RISK-BASED IMBEDDED CYBER 2499 01:48:40,640 --> 01:48:42,120 SECURITY PROGRAM AND HAVE SPENT 2500 01:48:42,120 --> 01:48:45,240 IN LAST THREE YEARS OVER $212 2501 01:48:45,240 --> 01:48:47,360 MILLION TRYING TO PLUG HOLES IN 2502 01:48:47,360 --> 01:48:51,000 SECURE SYSTEM TO MAKE SURE WE 2503 01:48:51,000 --> 01:48:53,320 ARE SECURE ENOUGH TO AVOID 2504 01:48:53,320 --> 01:48:56,200 INTRUSION AND LEEKS OF DATA AND 2505 01:48:56,200 --> 01:48:58,440 CONTINUE TO HAVE COMMITMENT TO 2506 01:48:58,440 --> 01:49:00,280 SECURITY AND EXPECT AND MOVE 2507 01:49:00,280 --> 01:49:02,640 QUICKLY ESTABLISHING STANDARDS 2508 01:49:02,640 --> 01:49:05,480 FOR SYSTEMS INTEROPERABILITY 2509 01:49:05,480 --> 01:49:08,680 STANDING TO CONSENSUS PROCESS 2510 01:49:08,680 --> 01:49:13,040 AND MODERNIZING TECHNOLOGICAL 2511 01:49:13,040 --> 01:49:16,120 SOLUTIONS NEXT SLIDE WE WON'T DO 2512 01:49:16,120 --> 01:49:22,360 IT AT ONCE WORKING TOWARDS THE 2513 01:49:22,360 --> 01:49:23,960 STRATEGY FOR GOVERNANCE THAT 2514 01:49:23,960 --> 01:49:26,680 ALLOWS FOR LOCAL INVESTMENT AND 2515 01:49:26,680 --> 01:49:28,800 BROAD BASED ACCOUNTABILITY. 2516 01:49:28,800 --> 01:49:31,080 NEXT SLIDE, PLEASE. 2517 01:49:31,080 --> 01:49:34,480 THIS ENVISIONING DIGITAL NIH 2518 01:49:34,480 --> 01:49:36,200 BEING 5 YEAR PLAN AND EXPECT 2519 01:49:36,200 --> 01:49:38,480 FIRST YEAR ESTABLISHING 2520 01:49:38,480 --> 01:49:39,880 CAPABILITIES PORTFOLIO 2521 01:49:39,880 --> 01:49:41,360 DEVELOPING A ROADMAP EXAMPLE AND 2522 01:49:41,360 --> 01:49:44,760 THROUGH YEARS REFINING ALIGNING 2523 01:49:44,760 --> 01:49:46,480 AND BUILDING SUCCESS AND NEXT 2524 01:49:46,480 --> 01:49:49,920 SLIDE, PLEASE. WE ARE TWO 2525 01:49:49,920 --> 01:49:57,320 MONTHS INTO THE PROCESS. 2526 01:49:57,320 --> 01:50:00,840 AND WE WILL CONTINUE TO DO WORK 2527 01:50:00,840 --> 01:50:02,440 CULMINATING IN DEMONSTRATION 2528 01:50:02,440 --> 01:50:04,200 PROJECT FOR EACH TEAM AND HAVE 2529 01:50:04,200 --> 01:50:07,160 OVER 100NIH STAFF MEMBERS 2530 01:50:07,160 --> 01:50:09,240 INVOLVED IN THIS IMPLEMENTATION 2531 01:50:09,240 --> 01:50:11,760 PROCESS AND LEARNED IN BUILD UP 2532 01:50:11,760 --> 01:50:13,800 OF PLAN TO ENGAGE PEOPLE EARLY 2533 01:50:13,800 --> 01:50:16,000 TO GET ENGAGE THE BUY-IN. 2534 01:50:16,000 --> 01:50:17,480 NEXT SLIDE, PLEASE. 2535 01:50:17,480 --> 01:50:19,520 NEXT PROCESS IS ENVISIONING A 2536 01:50:19,520 --> 01:50:21,720 FUTURE OF SCIENCE EMPOWERED BY 2537 01:50:21,720 --> 01:50:23,320 TECHNOLOGY AND WE WON'T DO THIS 2538 01:50:23,320 --> 01:50:25,120 ALONE. CONCURRENTLY, NEXT 2539 01:50:25,120 --> 01:50:25,960 SLIDE, PLEASE. 2540 01:50:25,960 --> 01:50:28,120 OFTS OF DATA SCIENCE STRATEGY IS 2541 01:50:28,120 --> 01:50:30,200 DEVELOPING A STRATEGIC PLAN FOR 2542 01:50:30,200 --> 01:50:31,320 DATA SCIENCE. 2543 01:50:31,320 --> 01:50:34,360 THIS GRAPHIC HERE SHOWS HOW 2544 01:50:34,360 --> 01:50:36,680 THESE PLANS FIT TOGETHER AND 2545 01:50:36,680 --> 01:50:40,720 BLUE DIAGRAM IS DIGITAL NIH -- 2546 01:50:40,720 --> 01:50:43,480 AND GREEN SHOWS YOU DATA SCIENCE 2547 01:50:43,480 --> 01:50:44,080 NEEDS. 2548 01:50:44,080 --> 01:50:48,120 DATA INSECURITY AND DATA SCIENCE 2549 01:50:48,120 --> 01:50:50,520 METHODS AND DATA DISCOVERY NOVEL 2550 01:50:50,520 --> 01:50:51,920 APPLICATIONS AND THESE FITTING 2551 01:50:51,920 --> 01:50:56,080 TOGETHER WITH DIGITAL NIH WITH 2552 01:50:56,080 --> 01:50:57,840 PIPES IN BOXES AND PLAN FOR DATA 2553 01:50:57,840 --> 01:50:59,760 SCIENCE IS ADDRESSING WHAT GOES 2554 01:50:59,760 --> 01:51:02,160 THROUGH IT WORKING HAND IN GLOVE 2555 01:51:02,160 --> 01:51:02,680 AND THEY HAVE DIFFERENT 2556 01:51:02,680 --> 01:51:04,720 EXPERTISE AND I WILL TELL YOU A 2557 01:51:04,720 --> 01:51:05,880 LITTLE ABOUT THE STRATEGIC PLAN 2558 01:51:05,880 --> 01:51:08,200 FOR DATA SCIENCE THAT IS UNDER 2559 01:51:08,200 --> 01:51:09,880 THE DEVELOPMENT RIGHT NOW. NEXT 2560 01:51:09,880 --> 01:51:10,400 SLIDE, PLEASE. 2561 01:51:10,400 --> 01:51:13,080 NEXT AFTER THIS. THANK YOU. IT 2562 01:51:13,080 --> 01:51:15,200 HAS 5 GOALS AND FIRST IS TO 2563 01:51:15,200 --> 01:51:17,720 INFORM TO SUPPORT NIH DATA 2564 01:51:17,720 --> 01:51:19,200 MANAGEMENT AND SHARING POLICY 2565 01:51:19,200 --> 01:51:20,600 PUTTING IN PLACE THINGS NEED 2566 01:51:20,600 --> 01:51:22,560 TOED R INVESTIGATORS AND CAMPUS 2567 01:51:22,560 --> 01:51:24,880 TO MAKE SURE POLICY IS FOLLOWED 2568 01:51:24,880 --> 01:51:26,680 STRONG COMMITMENT TO ENHANCING 2569 01:51:26,680 --> 01:51:29,200 HUMAN DERIVED DATA FOR RESEARCH 2570 01:51:29,200 --> 01:51:32,360 THIS HEALTH ELECTRONIC DATA AND 2571 01:51:32,360 --> 01:51:33,600 SUPPORT FOR INDIVIDUALS AND THIS 2572 01:51:33,600 --> 01:51:37,200 IS A NEW DATA TYPE FOR NIH AND 2573 01:51:37,200 --> 01:51:39,440 MUCH BETTER AT GENOMIC DATA THAN 2574 01:51:39,440 --> 01:51:41,400 HUMAN DATA AND LOTS TO WORK ON 2575 01:51:41,400 --> 01:51:44,720 HERE. THERE IS A COMMITMENT TO 2576 01:51:44,720 --> 01:51:46,840 INVESTING IN SOFTWARE 2577 01:51:46,840 --> 01:51:49,840 COMPUTATIONAL METHODS AND 2578 01:51:49,840 --> 01:51:50,760 ARTIFICIAL INTELLIGENCE WAY THAT 2579 01:51:50,760 --> 01:51:54,080 IS ETHICAL MAINTAINING 2580 01:51:54,080 --> 01:51:56,080 SCIENTIFIC RIGOR THAT NIH 2581 01:51:56,080 --> 01:51:58,560 REQUIRES AND FEDERATED DATA 2582 01:51:58,560 --> 01:52:00,240 INFRASTRUCTURE MEANING WE WON'T 2583 01:52:00,240 --> 01:52:01,760 BUILD A GREAT BIG DATA STORE 2584 01:52:01,760 --> 01:52:03,240 THAT EVERYTHING WILL BE DUMPED 2585 01:52:03,240 --> 01:52:05,120 INTO BUT WORK WITH WHAT IS 2586 01:52:05,120 --> 01:52:06,520 RELEVANT IN EXTRAMURAL COMMUNITY 2587 01:52:06,520 --> 01:52:08,480 TO MAINTAIN CONNECTIONS AND LAST 2588 01:52:08,480 --> 01:52:11,160 GOAL OF THEIRS IS STRENGTHENING 2589 01:52:11,160 --> 01:52:13,840 DATA SCIENCE WORKFORCE. 2590 01:52:13,840 --> 01:52:16,880 NEXT SLIDE, PLEASE. 2591 01:52:16,880 --> 01:52:20,640 CROSS-CUTTING THEMES CALLING 2592 01:52:20,640 --> 01:52:24,080 ATTENTION TO TWO AT BOTTOM. 2593 01:52:24,080 --> 01:52:26,280 ENGAGING RESEARCHERS AND 2594 01:52:26,280 --> 01:52:27,840 COMMUNITIES IN DATA SCIENCE. 2595 01:52:27,840 --> 01:52:30,080 THEY ARE LOVE THEY GOALS THAT 2596 01:52:30,080 --> 01:52:31,720 SOUND NICE AND TRANLSLATE THEM 2597 01:52:31,720 --> 01:52:33,160 INTO WHAT THEY WILL TURN INTO 2598 01:52:33,160 --> 01:52:37,080 FOR THIS OPERATION THAT MEANS 2599 01:52:37,080 --> 01:52:39,200 GOING YOBEYOND SAYING WE WILL HE 2600 01:52:39,200 --> 01:52:41,760 ETHICAL AI AND EVERY STEP OF 2601 01:52:41,760 --> 01:52:42,680 ALGORITHM TO UNDERSTAND WHERE 2602 01:52:42,680 --> 01:52:44,560 DATA CAME FROM AND HOW 2603 01:52:44,560 --> 01:52:46,000 REPRESENTATIVE IT IS AND IS 2604 01:52:46,000 --> 01:52:48,280 THERE BIAS IN ALGORITHM AND HOW 2605 01:52:48,280 --> 01:52:50,320 IS IT BEING MANAGED AND YOU CAN 2606 01:52:50,320 --> 01:52:52,320 DISCUSS IN DEPTH AND ASKED TO 2607 01:52:52,320 --> 01:52:54,640 TALK ABOUT A LITTLE OF SOME KEY 2608 01:52:54,640 --> 01:52:56,280 ISSUES RELATED TO DEALING WITH 2609 01:52:56,280 --> 01:52:59,400 DATA AND TURNING ATTENTION FOR A 2610 01:52:59,400 --> 01:53:03,160 FEW MINUTES TO COMMON DATA 2611 01:53:03,160 --> 01:53:04,880 ELEMENTS. NEXT SLIDE, PLEASE. 2612 01:53:04,880 --> 01:53:07,160 IT IS BUILDING QUALITY UPSTREAM 2613 01:53:07,160 --> 01:53:09,120 AND HAVING RESEARCHERS COLLECT 2614 01:53:09,120 --> 01:53:11,520 SAME CONCEPT OF DATA IN SAME 2615 01:53:11,520 --> 01:53:13,440 MANNER IN CONSISTENT FASHION AND 2616 01:53:13,440 --> 01:53:15,360 GROUP HAS DEBATED ISSUE OF 2617 01:53:15,360 --> 01:53:17,040 COMMON DATA ELEMENTS 2618 01:53:17,040 --> 01:53:18,560 PARTICULARLY COMING TO 2619 01:53:18,560 --> 01:53:19,960 DEMOGRAPHICS AND NIH IS 2620 01:53:19,960 --> 01:53:22,680 COMMITTED TO BUILDING COMMON 2621 01:53:22,680 --> 01:53:24,840 DATA ELEMENTS RELEVANT AND 2622 01:53:24,840 --> 01:53:26,960 JERMAINE TO SPECIFIC INSTITUTE 2623 01:53:26,960 --> 01:53:28,040 RESEARCH OR PARTICULAR 2624 01:53:28,040 --> 01:53:29,120 INITIATIVES AND IN ADDITION 2625 01:53:29,120 --> 01:53:31,040 THERE IS A PRESS RIGHT NOW. 2626 01:53:31,040 --> 01:53:33,280 IT IS I'M NOT FRANKLY A BIG 2627 01:53:33,280 --> 01:53:35,880 SUPPORTER OF IT TO BUILD CORE 2628 01:53:35,880 --> 01:53:37,080 COMMON DATA ELEMENT SET FOR 2629 01:53:37,080 --> 01:53:40,200 EVERY NIH STUDY INVOLVING HUMANS 2630 01:53:40,200 --> 01:53:41,800 DISCUSSING CHALLENGE OF THAT AND 2631 01:53:41,800 --> 01:53:44,480 IDEA IS DESCRIBING ALL HUMAN 2632 01:53:44,480 --> 01:53:45,840 PARTICIPANTS IN THE SAME 2633 01:53:45,840 --> 01:53:46,120 FASHION. 2634 01:53:46,120 --> 01:53:47,560 NEXT SLIDE, PLEASE. 2635 01:53:47,560 --> 01:53:49,880 COMMON DATA ELEMENTS ARE 2636 01:53:49,880 --> 01:53:51,000 ESSENTIALLY DEFINED VARIABLE 2637 01:53:51,000 --> 01:53:52,000 QUESTION THAT IS SEEKING 2638 01:53:52,000 --> 01:53:53,800 INFORMATION THAT IS ABOUT A 2639 01:53:53,800 --> 01:53:56,640 PARTICULAR CONCEPT PAIRED WITH A 2640 01:53:56,640 --> 01:53:59,200 SPECIFIED SET OF CODED 2641 01:53:59,200 --> 01:54:00,400 PERMISSIBLE RESPONSES THAT IS A 2642 01:54:00,400 --> 01:54:03,240 QUESTION AND ANSWER CONVERSATION 2643 01:54:03,240 --> 01:54:05,560 THAT IS COMMON TO PARTICULAR 2644 01:54:05,560 --> 01:54:06,880 THEMATIC AREAS OF RESEARCH OR 2645 01:54:06,880 --> 01:54:08,600 PARTICULAR INSTITUTES AND 2646 01:54:08,600 --> 01:54:10,680 CENTERS THAT COULD BE STRUCTURED 2647 01:54:10,680 --> 01:54:13,360 AS SINGLE DATA ELEMENT HOW IS 2648 01:54:13,360 --> 01:54:13,920 HEALTH STATUS TODAY OR 2649 01:54:13,920 --> 01:54:15,600 COLLECTION OF DATA ELEMENTS 2650 01:54:15,600 --> 01:54:18,480 COMBINE THE INTO A SCORE FOR 2651 01:54:18,480 --> 01:54:20,920 EXAMPLE PHQ9 AND COMMON DATA 2652 01:54:20,920 --> 01:54:22,360 ELEMENTS HAVE TWO PORTIONS. 2653 01:54:22,360 --> 01:54:23,560 NEXT SLIDE, PLEASE. 2654 01:54:23,560 --> 01:54:25,520 AN EXAMPLE I KNOW FAMILIAR TO 2655 01:54:25,520 --> 01:54:28,760 MANY ACROSS THE NIH WE HAVE A 2656 01:54:28,760 --> 01:54:30,680 CONCEPT SEX AGE RACE DISABILITY 2657 01:54:30,680 --> 01:54:31,920 AND HAVE DEFINITION THAT COULD 2658 01:54:31,920 --> 01:54:34,240 BE DEFINED IN LOTS OF WAYS AND 2659 01:54:34,240 --> 01:54:35,440 REMEMBER FOR EXAMPLE SEX COULD 2660 01:54:35,440 --> 01:54:37,840 BE DEFINED SEX TO WHICH YOU 2661 01:54:37,840 --> 01:54:39,280 IDENTIFY IN THIS MOMENT AND IN 2662 01:54:39,280 --> 01:54:41,160 THIS PARTICULAR CASE DEFINITION 2663 01:54:41,160 --> 01:54:44,560 IS SEX IS BIRTH AND ALLOWABLE 2664 01:54:44,560 --> 01:54:46,160 INDICATORS MALE AND FEMALE 2665 01:54:46,160 --> 01:54:47,720 INTERSECTS THIS IS INCREDIBLE TO 2666 01:54:47,720 --> 01:54:49,720 GET AGREEMENT ABOUT AND ONE 2667 01:54:49,720 --> 01:54:51,800 STUDY TEAM AND WE KNOW GOING 2668 01:54:51,800 --> 01:54:53,880 THROUGH RAD X PROCESS MOVING 2669 01:54:53,880 --> 01:54:55,280 TOWARDS COMMON DATA ELEMENTS 2670 01:54:55,280 --> 01:54:56,800 LEVEL OF SPECIFICITY HAS TO BE 2671 01:54:56,800 --> 01:54:59,080 AT THIS DEGREE. NEXT SLIDE, 2672 01:54:59,080 --> 01:54:59,320 PLEASE. 2673 01:54:59,320 --> 01:55:01,440 WE HAVE TO HAVE LEVEL OF CODING 2674 01:55:01,440 --> 01:55:06,040 AT THIS DEGREE AND HOW RAD XUPT 2675 01:55:06,040 --> 01:55:08,760 TEAM CODES THREE ASPECTS OF RACE 2676 01:55:08,760 --> 01:55:12,360 AND ETHNICITY ASIAN PACIFIC 2677 01:55:12,360 --> 01:55:13,680 ISLANDER AND WIDE RANGE OF 2678 01:55:13,680 --> 01:55:14,960 IDENTITIES AND THIRD TO THE 2679 01:55:14,960 --> 01:55:17,640 RIGHT IS HISPANIC'S NUMBER OF 2680 01:55:17,640 --> 01:55:19,080 OPTIONS OF ALLOWABLE RESPONSES 2681 01:55:19,080 --> 01:55:21,120 TO BE MADE AND TALKING ABOUT 2682 01:55:21,120 --> 01:55:22,680 COMMON DATA ELEMENTS IN LARGE 2683 01:55:22,680 --> 01:55:25,040 GROUP LIKE THIS THEY SEEM 2684 01:55:25,040 --> 01:55:26,040 CONCEPTUALLY NEUTRAL AND GOOD 2685 01:55:26,040 --> 01:55:27,520 IDEA GETTING DOWN TO COLLECTING 2686 01:55:27,520 --> 01:55:29,920 IN A FIELD IT GETS VERY 2687 01:55:29,920 --> 01:55:31,000 COMPLICATED AND NEXT SLIDE, 2688 01:55:31,000 --> 01:55:31,400 PLEASE. 2689 01:55:31,400 --> 01:55:35,160 ASKED TO MAKE NIHCD OR COMMON 2690 01:55:35,160 --> 01:55:37,760 DATA ELEMENT ENDORSEMENTS AND 2691 01:55:37,760 --> 01:55:38,640 GOVERNANCE STRUCTURE TO ALLOW 2692 01:55:38,640 --> 01:55:41,640 FOR REVIEW OF DATA ELEMENTS TO 2693 01:55:41,640 --> 01:55:43,520 BE CERTIFIED IF YOU WILL AS 2694 01:55:43,520 --> 01:55:46,680 RELEVANT OR APPROPRIATE FOR NIH 2695 01:55:46,680 --> 01:55:48,560 AND RIGHT-HAND SIDE CE 2696 01:55:48,560 --> 01:55:51,280 GOVERNANCE COMMITTEE IS SUBSIDY 2697 01:55:51,280 --> 01:55:54,640 OF TASKFORCE COORDINATING 2698 01:55:54,640 --> 01:55:57,120 INSTITUTE REPORTING SCIENTIFIC 2699 01:55:57,120 --> 01:55:58,680 DATA COUNCIL REPORTING TO 2700 01:55:58,680 --> 01:56:00,440 STEERING COMMITTEE AND TEAM OF 2701 01:56:00,440 --> 01:56:02,520 PEOPLE MAKING SURE IF NIH SAYS 2702 01:56:02,520 --> 01:56:04,480 THIS IS RIGHT WAY TO MEASURE 2703 01:56:04,480 --> 01:56:06,200 WHATEVER CONCEPT IS IT HAS BEEN 2704 01:56:06,200 --> 01:56:08,280 REVIEWED AND CRITERIA ARE ON 2705 01:56:08,280 --> 01:56:12,160 LEFT SIDE AND RELIABILITY AND 2706 01:56:12,160 --> 01:56:12,680 PSYCHOMETRICS, ET CETERA. 2707 01:56:12,680 --> 01:56:14,360 NEXT SLIDE, PLEASE. 2708 01:56:14,360 --> 01:56:16,240 THERE IS ENORMOUS OPPORTUNITY 2709 01:56:16,240 --> 01:56:17,760 AND CHALLENGE NOW WORKING ON 2710 01:56:17,760 --> 01:56:21,040 COMMON DATA ELEMENTS FOR OVER A 2711 01:56:21,040 --> 01:56:21,600 DECADE. THERE IS GREATER 2712 01:56:21,600 --> 01:56:23,480 INTEREST THAN EVER BEFORE AND 2713 01:56:23,480 --> 01:56:25,520 THIS COMMON DATA ELEMENT IS 2714 01:56:25,520 --> 01:56:27,120 ESSENTIAL PART OF RESEARCH 2715 01:56:27,120 --> 01:56:28,040 INFRASTRUCTURE AND WE RECOGNIZE 2716 01:56:28,040 --> 01:56:29,520 THAT WE HAVE LOTS OF DIFFERENT 2717 01:56:29,520 --> 01:56:32,360 RESOURCES AND INSTITUTES AND 2718 01:56:32,360 --> 01:56:33,960 CENTERS STILL DEFINE COMMON DATA 2719 01:56:33,960 --> 01:56:36,120 ELEMENTS IN LIKENESS THAT LEADS 2720 01:56:36,120 --> 01:56:38,080 SOMETIMES TO CONFUSION CROSSING 2721 01:56:38,080 --> 01:56:39,560 INSTITUTES AND CENTERS AND 2722 01:56:39,560 --> 01:56:41,600 DEVELOPING COMMON DATA ELEMENTS 2723 01:56:41,600 --> 01:56:44,720 REPOSITORY ON BEHALF OF NIH TO 2724 01:56:44,720 --> 01:56:46,040 HAVE A PLACE TO STORE AND 2725 01:56:46,040 --> 01:56:48,040 INDICATE LEVEL OF APPROVAL FOR 2726 01:56:48,040 --> 01:56:50,200 COMMON DATA ELEMENTS. 2727 01:56:50,200 --> 01:56:51,880 COMMON DATA ELEMENTS CRITICAL TO 2728 01:56:51,880 --> 01:56:53,920 GATHERING OF DATA AND SWITCHING 2729 01:56:53,920 --> 01:56:55,960 CONVERSATION TO STORAGE OF DATA 2730 01:56:55,960 --> 01:56:57,480 AND TALKING ABOUT LIFE CYCLE 2731 01:56:57,480 --> 01:56:59,920 STORAGE AND THIS GROUP HAS BEEN 2732 01:56:59,920 --> 01:57:02,680 CONSIDERING THIS WITHIN NIMHD 2733 01:57:02,680 --> 01:57:04,440 PORTFOLIO. NEXT SLIDE, PLEASE. 2734 01:57:04,440 --> 01:57:07,720 WORKING WITH DATA OF LIFE CYCLE 2735 01:57:07,720 --> 01:57:08,960 CONSIDERATIONS DATA COLLECTED 2736 01:57:08,960 --> 01:57:11,400 ONCE NEEDS TO BE REUSABLE AND 2737 01:57:11,400 --> 01:57:13,640 ACCESSIBLE IN PROTECTED AND 2738 01:57:13,640 --> 01:57:16,400 SECURE FASHION. NEXT SLIDE. 2739 01:57:16,400 --> 01:57:18,640 SO, WHAT WE ARE -- I WANT TO 2740 01:57:18,640 --> 01:57:20,040 PRESENT FOR YOUR UNDERSTANDING 2741 01:57:20,040 --> 01:57:21,240 TWO SETS OF CONSIDERATION AND 2742 01:57:21,240 --> 01:57:23,080 ONE IS FOR INDEX RESEARCHERS 2743 01:57:23,080 --> 01:57:24,880 THAT IS FIRST TIME THAT DATA IS 2744 01:57:24,880 --> 01:57:26,680 BEING COLLECTED AND ASK PEOPLE 2745 01:57:26,680 --> 01:57:28,720 TO THINK ABOUT DATA SHARING 2746 01:57:28,720 --> 01:57:30,080 BEGINNING AT DESIGN PHASE AND 2747 01:57:30,080 --> 01:57:31,200 WHERE POSSIBLE TO USE COMMON 2748 01:57:31,200 --> 01:57:33,280 DATA ELEMENTS SO DATA COULD BE 2749 01:57:33,280 --> 01:57:36,560 EASILY REUSED TO EMPLOY STANDARD 2750 01:57:36,560 --> 01:57:38,720 TERMS AND FORMATS FOR EXAMPLE 2751 01:57:38,720 --> 01:57:42,280 THIS NOMENCLATURE OR FIRE 2752 01:57:42,280 --> 01:57:44,440 MESSAGING STANDARD TO HAVE 2753 01:57:44,440 --> 01:57:46,680 INTEROPERABILITY STANDARD AND 2754 01:57:46,680 --> 01:57:48,880 OBTAINED REUSE THAT IS CRITICAL 2755 01:57:48,880 --> 01:57:51,000 FOR RAD X PROJECTS TO HELP 2756 01:57:51,000 --> 01:57:51,800 PEOPLE UNDERSTAND AT VERY 2757 01:57:51,800 --> 01:57:52,920 BEGINNING WHAT DOES IT MEAN TO 2758 01:57:52,920 --> 01:57:54,880 SAY YOU CAN HAVE DATA FOR THIS 2759 01:57:54,880 --> 01:57:56,440 STUDY AND LOTS OF OTHER STUDIES 2760 01:57:56,440 --> 01:57:58,840 IN THE FUTURE AND HOW DO WE HELP 2761 01:57:58,840 --> 01:58:00,080 PEOPLE UNDERSTAND AND ENSURE WE 2762 01:58:00,080 --> 01:58:02,080 ARE PROTECTING THAT? 2763 01:58:02,080 --> 01:58:03,960 WE NEED TO HAVE APPROPRIATE 2764 01:58:03,960 --> 01:58:06,120 REPOSITORIES AND INVESTIGATORS 2765 01:58:06,120 --> 01:58:07,160 HAS CONTROL OVER WHICH 2766 01:58:07,160 --> 01:58:08,920 REPOSITORY TO USE NIH IS NOT 2767 01:58:08,920 --> 01:58:10,240 SAYING YOU MUST USE THIS OR THAT 2768 01:58:10,240 --> 01:58:13,440 ONE AND NEED TO BE ABLE TO 2769 01:58:13,440 --> 01:58:15,960 DEPOSIT DATA. IN FUTURE 2770 01:58:15,960 --> 01:58:18,120 RESEARCHERS USING DATA FOCUS ON 2771 01:58:18,120 --> 01:58:20,040 TWO ASPECTS CAN RESEARCHERS 2772 01:58:20,040 --> 01:58:22,000 DISCOVER AND EVALUATE DATA 2773 01:58:22,000 --> 01:58:25,120 RELEVANT TO RESEARCH QUESTIONS 2774 01:58:25,120 --> 01:58:26,680 ENSURING THEY COMPLY WITH 2775 01:58:26,680 --> 01:58:27,360 EXISTING STIPULATIONS AND RIGHT 2776 01:58:27,360 --> 01:58:31,560 TO USE DATA THAT IS PROPERLY 2777 01:58:31,560 --> 01:58:33,280 SUPERVISED WRABD ACCESS 2778 01:58:33,280 --> 01:58:34,680 COMMITTEES COME INTO PLAY. 2779 01:58:34,680 --> 01:58:36,560 RIGHT NOW NIH HAS 2780 01:58:36,560 --> 01:58:37,600 RECOMMENDATIONS IN FOUR KEY 2781 01:58:37,600 --> 01:58:38,920 AREAS FIRST OF ALL 2782 01:58:38,920 --> 01:58:41,000 RECOMMENDATIONS FOR OPEN ACCESS 2783 01:58:41,000 --> 01:58:42,680 DATA REPOSITORIES THAT IS NOT 2784 01:58:42,680 --> 01:58:44,920 DATA ABOUT HUMANS OR NOT 2785 01:58:44,920 --> 01:58:47,240 CONTROLLED ATTACHING DATA SETS 2786 01:58:47,240 --> 01:58:49,440 TO PUB MED CENTRAL CITATIONS AND 2787 01:58:49,440 --> 01:58:54,600 WE CAN OR HAVE RELATIONSHIPS 2788 01:58:54,600 --> 01:58:55,440 WITH GENERALIST REPOSITORIES 2789 01:58:55,440 --> 01:58:57,800 LIKE FIGURE SHARE AND DE NOVO 2790 01:58:57,800 --> 01:59:00,800 CONNECTING THEM TO CITATIONS IN 2791 01:59:00,800 --> 01:59:03,040 PUB MED AND STRIDE INITIATIVE 2792 01:59:03,040 --> 01:59:06,080 AND NIH IS WORKING ON 2793 01:59:06,080 --> 01:59:07,720 FOORMALLIZING CONTROL AND WE 2794 01:59:07,720 --> 01:59:10,640 HAVE 17 DIFFERENT COMMITTEES 2795 01:59:10,640 --> 01:59:11,760 OVERSEEING ADJUDICATING 2796 01:59:11,760 --> 01:59:14,200 SECONDARY REUSE OF DATA SET 2797 01:59:14,200 --> 01:59:15,280 TRYING TO STREAMLINE THAT TO 2798 01:59:15,280 --> 01:59:18,400 MAKE IT ACCESSIBLE AND AVAILABLE 2799 01:59:18,400 --> 01:59:20,480 2023 DATA MANAGEMENT SHARING 2800 01:59:20,480 --> 01:59:21,880 PLANS REQUIRED OF EVERY RESEARCH 2801 01:59:21,880 --> 01:59:24,120 PROJECT NOW. ALL DATA MUST BE 2802 01:59:24,120 --> 01:59:26,200 MANAGED BUT NOT SHARED THAT IS 2803 01:59:26,200 --> 01:59:29,840 ACCEPTABLE TO PUT RESTRICTIONS 2804 01:59:29,840 --> 01:59:32,240 ON SHARING AND ELEMENTS 2805 01:59:32,240 --> 01:59:33,960 INVESTIGATOR NEEDS TO PUT IN 2806 01:59:33,960 --> 01:59:35,360 PLACE INCLUDING PRESERVATION 2807 01:59:35,360 --> 01:59:38,680 STRATEGIES AND HOW WE MANAGE 2808 01:59:38,680 --> 01:59:41,280 CONSENT OVERALL AND 2809 01:59:41,280 --> 01:59:42,280 AUTHENTICATING AUTHORIZATIONS 2810 01:59:42,280 --> 01:59:44,880 AND WORKING ON DATA REPOSITORIES 2811 01:59:44,880 --> 01:59:46,760 WHERE WILL WE KEEP THIS AND HOW 2812 01:59:46,760 --> 01:59:49,400 MUCH TO COST AND SPENDING $8.5 2813 01:59:49,400 --> 01:59:53,440 MILLION ALONE STORING DATA IN 2814 01:59:53,440 --> 01:59:55,760 SEQUENCE ARCHIVE AND SPENDING 2815 01:59:55,760 --> 01:59:57,240 $1.8 BILLION A YEAR DATA 2816 01:59:57,240 --> 01:59:58,960 INFORMATION AND TECHNOLOGY AND 2817 01:59:58,960 --> 02:00:00,560 BETTER TO MANAGE IT BETTER WE 2818 02:00:00,560 --> 02:00:02,000 CAN MEET OUR FUTURE. 2819 02:00:02,000 --> 02:00:03,240 NEXT SLIDE, PLEASE. 2820 02:00:03,240 --> 02:00:04,920 LET ME STOP HERE SAYING OH, DEAR 2821 02:00:04,920 --> 02:00:06,480 YOU CAN'T READ THIS. IF YOU 2822 02:00:06,480 --> 02:00:09,240 WOULD LIKE TO REACH OUT TO ME 2823 02:00:09,240 --> 02:00:10,920 I'M AT NATIONAL LIBRARY OF 2824 02:00:10,920 --> 02:00:14,680 MEDICINE AT NIH.GOV. DENNIS IS 2825 02:00:14,680 --> 02:00:16,840 CIO AND DATA STRATEGY FOR SUSAN 2826 02:00:16,840 --> 02:00:18,880 I WILL GET THIS IN WHITE SO YOU 2827 02:00:18,880 --> 02:00:23,360 CAN SEE THEM AND DIDN'T HIT 508 2828 02:00:23,360 --> 02:00:24,520 COMPLIANCE OBVIOUSLY VERY WELL. 2829 02:00:24,520 --> 02:00:25,680 I WILL STOP THERE AND I DON'T 2830 02:00:25,680 --> 02:00:27,240 KNOW IF YOU HAVE TIME FOR 2831 02:00:27,240 --> 02:00:28,920 QUESTIONS AND MOVING TO NEXT 2832 02:00:28,920 --> 02:00:32,400 SPEAKER. DR. COTTON, WHAT IS 2833 02:00:32,400 --> 02:00:37,440 YOUR NEXT ADVICE? I CAN TAKE 2834 02:00:37,440 --> 02:00:43,040 BRIEF QUESTIONS OR COMMENTS. 2835 02:00:43,040 --> 02:00:44,600 YES? 2836 02:00:44,600 --> 02:00:46,680 >>[INDISCERNIBLE]. 2837 02:00:46,680 --> 02:00:48,920 >>SORRY THAT WAS GREAT. I HAD 2838 02:00:48,920 --> 02:00:51,080 TWO BRIEF QUESTIONS. 2839 02:00:51,080 --> 02:00:53,640 ONE IS WITH LARGE DATASETS THERE 2840 02:00:53,640 --> 02:00:55,720 IS OFTEN ISSUES OF PROGRAMMING. 2841 02:00:55,720 --> 02:00:56,240 >>YEAH. 2842 02:00:56,240 --> 02:00:58,680 >>YOU SHOWED COMPLEXITY AROUND 2843 02:00:58,680 --> 02:01:01,120 RACE. WILL THERE BE COMMON 2844 02:01:01,120 --> 02:01:03,000 RECOMMENDATIONS HOW TO MANAGE IN 2845 02:01:03,000 --> 02:01:04,800 CODE AND BE MADE AVAILABLE SO 2846 02:01:04,800 --> 02:01:07,640 THAT OFTEN IF YOU USE A BIG 2847 02:01:07,640 --> 02:01:08,520 MEDICARE DATA SET. 2848 02:01:08,520 --> 02:01:09,000 >>RIGHT. 2849 02:01:09,000 --> 02:01:10,680 >>ISSUE IS NOT GETTING SAME 2850 02:01:10,680 --> 02:01:12,280 DATA THAT IS MORE ABOUT HAD HOW 2851 02:01:12,280 --> 02:01:14,240 DO PEOPLE PRODUCE SAME ANSWERS 2852 02:01:14,240 --> 02:01:17,200 LOOKING AT TRYING TO DO THE SAME 2853 02:01:17,200 --> 02:01:17,480 QUESTION? 2854 02:01:17,480 --> 02:01:19,080 SECOND ONE WAS ARE THERE ANY 2855 02:01:19,080 --> 02:01:22,280 PLANS FOR THIS IS A DIGITAL NIH 2856 02:01:22,280 --> 02:01:23,840 PLAN AND ARE THERE OTHER 2857 02:01:23,840 --> 02:01:25,400 GOVERNMENT AGENCIES THAT 2858 02:01:25,400 --> 02:01:27,960 REPRESENT THE BA TO UNIFY ACROSS 2859 02:01:27,960 --> 02:01:30,320 AREAS WHERE LARGE DATA SETS 2860 02:01:30,320 --> 02:01:30,640 EXIST? 2861 02:01:30,640 --> 02:01:32,560 >>SURE. THANK YOU VERY MUCH. 2862 02:01:32,560 --> 02:01:35,040 WE WORK CLOSELY WITH VA AND NOAH 2863 02:01:35,040 --> 02:01:37,520 AND DEPARTMENT OF ENERGY. WE 2864 02:01:37,520 --> 02:01:38,920 HAVE AND THEY HAVE LARGE DATA. 2865 02:01:38,920 --> 02:01:41,080 WE ARE LEARNING FROM EACH OTHER. 2866 02:01:41,080 --> 02:01:43,960 OUR PLAN ROLLS UP INTO HHS 2867 02:01:43,960 --> 02:01:45,200 STRATEGIC PLAN FOR INFORMATION 2868 02:01:45,200 --> 02:01:48,240 AND DATA ROLLING UP INTO 2869 02:01:48,240 --> 02:01:50,400 TRANSGOVERNMENT PLAN. WE HAVE 2870 02:01:50,400 --> 02:01:51,840 FORMAL CHAIN AND FROM MY GROUP 2871 02:01:51,840 --> 02:01:54,520 WE HAVE LOTS PLACED AT 2872 02:01:54,520 --> 02:01:55,360 CROSS-GOVERNMENT TO MAKE SURE 2873 02:01:55,360 --> 02:01:57,120 THIS IS GOING IS FIRST ISSUE AND 2874 02:01:57,120 --> 02:02:00,080 SECOND IS REALLY HARD TAKING 2875 02:02:00,080 --> 02:02:01,960 EXISTING DATA SET LIKE MEDICARE 2876 02:02:01,960 --> 02:02:08,360 CLAIMS DATA OR NHANES THAT THEY 2877 02:02:08,360 --> 02:02:10,680 HAVE A GRAMMAR AND TERMS 2878 02:02:10,680 --> 02:02:12,400 ASSOCIATED AND PEOPLE DO IT IN 2879 02:02:12,400 --> 02:02:14,120 DIFFERENT WAYS OR THERE IS 2880 02:02:14,120 --> 02:02:16,280 MISSING DATA AND THEY HAVE TO DO 2881 02:02:16,280 --> 02:02:16,600 IMPUTATION. 2882 02:02:16,600 --> 02:02:18,880 WHAT WE ARE SEEING FROM THE 2883 02:02:18,880 --> 02:02:20,760 SCIENTIFIC SIDE THAT IS MORE 2884 02:02:20,760 --> 02:02:22,640 UNDER DATA STRATEGIC PLAN FOR 2885 02:02:22,640 --> 02:02:26,680 DATA MANAGEMENT IS DOCUMENTING 2886 02:02:26,680 --> 02:02:29,320 METADATA FOR ANALYTIC DATA SET 2887 02:02:29,320 --> 02:02:31,640 AND SOURCE DATA SET IS 2888 02:02:31,640 --> 02:02:33,000 TRANSFORMATION THAT INDIVIDUAL 2889 02:02:33,000 --> 02:02:34,320 INVESTIGATORS WHAT SHOULD BE 2890 02:02:34,320 --> 02:02:36,640 STORED OR MADE AVAILABLE FOR THE 2891 02:02:36,640 --> 02:02:38,680 FUTURE IS GRAMMAR THAT EXPLAINS 2892 02:02:38,680 --> 02:02:42,680 HOW I TOOK ORIGINAL DATA 2893 02:02:42,680 --> 02:02:44,120 TRANSFORMING IT INTO HERE THERE 2894 02:02:44,120 --> 02:02:44,880 IS FORMAL STRUCTURES THAT COULD 2895 02:02:44,880 --> 02:02:47,320 BE USED AND YOU SAW DETAIL 2896 02:02:47,320 --> 02:02:49,240 LOOKING AT DATA RACE AND 2897 02:02:49,240 --> 02:02:52,760 ETHNICITY AND TRANSFORMING OF 2898 02:02:52,760 --> 02:03:03,280 THAT LEVEL OF IMPORTANT RISH 2899 02:03:05,120 --> 02:03:13,000 KNOWLEDGE AND POTENTIAL FOR AND 2900 02:03:13,000 --> 02:03:16,320 DATA TO GREATER COMPOSITES 2901 02:03:16,320 --> 02:03:18,200 BECOMES VALUABLE TO MOST USERS 2902 02:03:18,200 --> 02:03:19,280 RECOGNIZING LIKE WITH INSTITUTES 2903 02:03:19,280 --> 02:03:22,000 AND CENTERS AT NIH. VALUE OF 2904 02:03:22,000 --> 02:03:24,000 DATA IS CLOSELY UNDERSTOOD BY 2905 02:03:24,000 --> 02:03:26,440 PEOPLE WHO COLLECT IT AND 2906 02:03:26,440 --> 02:03:29,440 MAINTAINING RICHNESS WHILE 2907 02:03:29,440 --> 02:03:30,520 ENSURING INTEROPERABILITY IS 2908 02:03:30,520 --> 02:03:31,840 WHERE CHALLENGE OF NEXT FIVE 2909 02:03:31,840 --> 02:03:33,520 YEARS WILL BE AND DON'T BELIEVE 2910 02:03:33,520 --> 02:03:35,240 THAT CHATGPT WILL HELP WITH THAT 2911 02:03:35,240 --> 02:03:38,680 BY THE WAY AND WE ARE BUILDING 2912 02:03:38,680 --> 02:03:42,600 METADATA STRATEGIES THAT WILL. 2913 02:03:42,600 --> 02:03:45,120 >>THANK YOU VERY MUCH. I'M SO 2914 02:03:45,120 --> 02:03:48,360 INTRIGUED BY HOW ORGANIZATIONS 2915 02:03:48,360 --> 02:03:50,680 LIKE YOURS ORGANIZE THEMSELVES 2916 02:03:50,680 --> 02:03:53,000 AND APPRECIATE THE WINDOW IN. 2917 02:03:53,000 --> 02:03:55,440 ONE QUESTION IS A LITTLE TO GO 2918 02:03:55,440 --> 02:03:56,800 OFF WHAT DR. LONG SAID ABOUT 2919 02:03:56,800 --> 02:03:58,640 INTERSECTION THAT YOU HAVE WITH 2920 02:03:58,640 --> 02:04:00,040 VARIOUS INSTITUTES. 2921 02:04:00,040 --> 02:04:00,600 >>YES. 2922 02:04:00,600 --> 02:04:03,000 >>NICHD HAS DASH AND HEARD 2923 02:04:03,000 --> 02:04:05,320 ABOUT DATA PORTALS AND 2924 02:04:05,320 --> 02:04:06,920 DEVELOPMENT AND HOW YOU KEEP OR 2925 02:04:06,920 --> 02:04:09,280 INTERSECT WITH INSTITUTES TO 2926 02:04:09,280 --> 02:04:10,960 HELP REDUCE REDUNDANCY WITH 2927 02:04:10,960 --> 02:04:12,760 THINGS YOU ARE ALREADY DOING. 2928 02:04:12,760 --> 02:04:15,200 >>I WANT TO SAY THERE IS NOT 2929 02:04:15,200 --> 02:04:18,120 ALWAYS GREAT ENTHUSIASM TO 2930 02:04:18,120 --> 02:04:19,720 REDUCE REDUNDANCY AND DESIRE TO 2931 02:04:19,720 --> 02:04:22,040 MAKE THINGS POSSIBLE WILL I 2932 02:04:22,040 --> 02:04:25,360 UNIQUE AND REDUNDANT AS THEY 2933 02:04:25,360 --> 02:04:28,400 COULD EVER BE PERSONAL STRATEGY 2934 02:04:28,400 --> 02:04:30,600 WITH THIS IS MULTI-PRONGED 2935 02:04:30,600 --> 02:04:33,040 APPROACH AND HAVE FORMAL ROLE 2936 02:04:33,040 --> 02:04:33,840 AND RESPONSIBILITIES TO HELP TO 2937 02:04:33,840 --> 02:04:36,160 CRAFT DIGITAL NIH PLAN AND 2938 02:04:36,160 --> 02:04:38,640 CO-LED THAT PROGRAM AND ADVISED 2939 02:04:38,640 --> 02:04:40,760 SUSAN ON THE DATA SCIENCE 2940 02:04:40,760 --> 02:04:41,040 STRATEGY. 2941 02:04:41,040 --> 02:04:44,000 I POSITIONED MYSELF OR MY TEAM 2942 02:04:44,000 --> 02:04:46,760 IN VARIOUS PLACES AND FRANKLY I 2943 02:04:46,760 --> 02:04:49,880 STRONG ARM MY IC DIRECTOR 2944 02:04:49,880 --> 02:04:51,280 COLLEAGUES INTO CONVERSATIONS 2945 02:04:51,280 --> 02:04:52,560 AND OVER THIS PERIOD OF TIME 2946 02:04:52,560 --> 02:04:55,160 SUSAN AND I ARE MEETING WITH 7IC 2947 02:04:55,160 --> 02:04:57,440 DIRECTOR COLLEAGUES MEETING WITH 2948 02:04:57,440 --> 02:04:58,680 [INDISCERNIBLE] WHO COME FROM 2949 02:04:58,680 --> 02:04:59,440 DIFFERENT INSTITUTES TALKING 2950 02:04:59,440 --> 02:05:01,240 ABOUT WHAT BIG DATA INVESTMENTS 2951 02:05:01,240 --> 02:05:03,600 ARE AND PRIORITIES AND WHAT NIH 2952 02:05:03,600 --> 02:05:05,360 CAN DO TO MAKE THEM BETTER AND 2953 02:05:05,360 --> 02:05:07,360 WHAT YOU ARE WILLING TO NOT HAVE 2954 02:05:07,360 --> 02:05:08,720 DONE CENTRALLY AND THAT 2955 02:05:08,720 --> 02:05:10,480 CONVERSATION HAS TO FRANKLY BE 2956 02:05:10,480 --> 02:05:12,120 HAD IN HIGH LEVEL OF CONFIDENCE 2957 02:05:12,120 --> 02:05:15,280 AND SECURITY THAT DIRECTOR CAN 2958 02:05:15,280 --> 02:05:17,720 EXPRESS IDEA AND VISION WITHOUT 2959 02:05:17,720 --> 02:05:19,760 IT BECOMING PUBLIC POLICY 2960 02:05:19,760 --> 02:05:22,000 IMMEDIATELY AND WORK WITH DR. 2961 02:05:22,000 --> 02:05:24,000 TAI BECK AND SHA WETS AND DR. 2962 02:05:24,000 --> 02:05:26,360 JOHNSON TO LOOK AT WHERE WE HAVE 2963 02:05:26,360 --> 02:05:27,640 POSSIBLE GOVERNANCE LEVERS AND 2964 02:05:27,640 --> 02:05:30,960 NOW WE HAVE BEEN WORKING WITH 2965 02:05:30,960 --> 02:05:33,440 DR. JOHNSON IS HEAD OF 2966 02:05:33,440 --> 02:05:33,760 MANAGEMENT. 2967 02:05:33,760 --> 02:05:35,800 AND WE NEED TO FIND A WAY TO 2968 02:05:35,800 --> 02:05:37,320 TRACKING EVERY DOLLAR THAT IS 2969 02:05:37,320 --> 02:05:40,440 SPENT ON IT EVEN IF CONTROLLED 2970 02:05:40,440 --> 02:05:44,920 BY NINID OR NHCID AND WHERE IT 2971 02:05:44,920 --> 02:05:46,120 IS SPENT AND EXPOSING IF YOU 2972 02:05:46,120 --> 02:05:47,960 WILL THINGS THAT COULD OR 2973 02:05:47,960 --> 02:05:50,080 COULDN'T BE SHARED AND IS 2974 02:05:50,080 --> 02:05:51,480 ANOTHER CONVERSATION WITH IC 2975 02:05:51,480 --> 02:05:54,080 DIRECTORS AND NIH LEADERSHIP AND 2976 02:05:54,080 --> 02:05:55,680 SMALL GROUP BRINGING THROUGH 2977 02:05:55,680 --> 02:05:57,280 GOVERNANCE PROCESS AND I LEARNED 2978 02:05:57,280 --> 02:06:00,320 AT NIH THAT IS EXTREMELY 2979 02:06:00,320 --> 02:06:03,200 CHALLENGING FOR ME AND CAME FROM 2980 02:06:03,200 --> 02:06:04,560 UNIVERSITY OF WISCONSIN MADISON 2981 02:06:04,560 --> 02:06:07,920 AND DID FACULTY GOVERNANCE AS 2982 02:06:07,920 --> 02:06:09,000 HIERARCH AND THOUGHT I 2983 02:06:09,000 --> 02:06:11,800 UNDERSTOOD THIS STUFF. NO WAY. 2984 02:06:11,800 --> 02:06:13,640 GOVERNANCE STRUCTURE AT NIH WE 2985 02:06:13,640 --> 02:06:15,360 WORK THROUGH THIS PROVIDING 2986 02:06:15,360 --> 02:06:17,160 COORDINATION RESPECTING LOCAL 2987 02:06:17,160 --> 02:06:19,240 CONTROL AND I'M GRADUALLY 2988 02:06:19,240 --> 02:06:20,760 PUSHING TOWARDS ENTERPRISE 2989 02:06:20,760 --> 02:06:22,200 THOUGHT IN THEIR INVESTMENTS 2990 02:06:22,200 --> 02:06:24,760 THAT IS COMING SLOWLY AND 2991 02:06:24,760 --> 02:06:27,280 FRANKLY IS INTEREST A COUPLE 2992 02:06:27,280 --> 02:06:30,600 LEVELS BELOW CIOS INSTITUTES 2993 02:06:30,600 --> 02:06:32,760 SAYING WHY PAYING TWICE FOR SAME 2994 02:06:32,760 --> 02:06:36,040 UTILITY AND BUNKER AND SAME 2995 02:06:36,040 --> 02:06:38,000 TOOLS AND PRESSURE IS COMING UP 2996 02:06:38,000 --> 02:06:39,800 AND DOWN AND WOULD HAVE TO SAY 2997 02:06:39,800 --> 02:06:41,000 IN 7 YEARS WOULDN'T THINK WE 2998 02:06:41,000 --> 02:06:42,440 WOULD GET THIS FAR. I HAVE TO 2999 02:06:42,440 --> 02:06:45,040 SAY IT IS COMING AND COMING 3000 02:06:45,040 --> 02:06:47,720 SLOWLY AND THINGS LIKE DASH YOU 3001 02:06:47,720 --> 02:06:49,640 REMEMBER BIOSPECIMEN AND DATA 3002 02:06:49,640 --> 02:06:51,240 REPOSITORIES HAVE DIFFERENT 3003 02:06:51,240 --> 02:06:52,240 STRUCTURES AROUND THEM THAN 3004 02:06:52,240 --> 02:06:56,120 SOMETHING LIKE SRI AND HUMAN 3005 02:06:56,120 --> 02:06:58,640 SEQUENCE DATA IS AVAIL BABLE IN 3006 02:06:58,640 --> 02:06:59,560 THE CLOUD FOR EVERYONE WANTING 3007 02:06:59,560 --> 02:07:03,280 TO USE IT. I FOUND SMALL 3008 02:07:03,280 --> 02:07:05,120 MEETINGS WORK BEST AND SMALL 3009 02:07:05,120 --> 02:07:08,320 WORKING GROUP ON HUMAN DATA AND 3010 02:07:08,320 --> 02:07:11,200 DATA REPOSITORY AND DATA 3011 02:07:11,200 --> 02:07:13,360 INVESTMENT SHARING AND SMALL 3012 02:07:13,360 --> 02:07:14,800 GROUP ON DATA FINANCE. I WILL 3013 02:07:14,800 --> 02:07:20,600 TELL YOU HOW IT WORKS OUT. 3014 02:07:20,600 --> 02:07:25,080 IN TERMS OF ALGORITHMIC BIAS. 3015 02:07:25,080 --> 02:07:25,480 >>YES. 3016 02:07:25,480 --> 02:07:27,480 >>I WOULD LIKE TO HEAR COMMENTS 3017 02:07:27,480 --> 02:07:33,280 AND THOUGHTS ON IMPORTANCE OF 3018 02:07:33,280 --> 02:07:38,000 WHO DATA SCIENTIST IS. 3019 02:07:38,000 --> 02:07:42,360 THEY ADVISED THAT CONTAINED IN 3020 02:07:42,360 --> 02:07:44,000 ALGORITHM IS REALLY THERE AS A 3021 02:07:44,000 --> 02:07:47,200 RESULT OF BIAS AND PERSON THAT 3022 02:07:47,200 --> 02:07:50,240 DEVELOPED IT, THE ALGORITHM. 3023 02:07:50,240 --> 02:07:53,360 SO, THAT IS GETTING TO THE ISSUE 3024 02:07:53,360 --> 02:07:57,240 OF IMPORTANCE OF DIVERSITY AND 3025 02:07:57,240 --> 02:07:58,880 DATA SCIENCE WORKFORCE. I WOULD 3026 02:07:58,880 --> 02:08:00,920 LIKE TO HAVE YOUR THOUGHTS AND 3027 02:08:00,920 --> 02:08:02,280 COMMENTS ON IMPORTANCE OF THAT 3028 02:08:02,280 --> 02:08:05,200 AND WHERE YOU THINK IT IS GOING. 3029 02:08:05,200 --> 02:08:07,760 >>I DON'T KNOW IF YOU SEE 3030 02:08:07,760 --> 02:08:09,400 ENORMOUS SMILE ON MY FACE THAT 3031 02:08:09,400 --> 02:08:13,680 IS A QUESTION THAT HASN'T BEEN 3032 02:08:13,680 --> 02:08:14,840 BROUGHT FORWARD SO CLEARLY 3033 02:08:14,840 --> 02:08:17,240 BEFORE THAT IS CRITICAL AND 3034 02:08:17,240 --> 02:08:19,320 INVESTIGATOR UNKNOWINGLY BRINGS 3035 02:08:19,320 --> 02:08:20,960 PERSPECTIVE INTO ANALYTICS AND 3036 02:08:20,960 --> 02:08:22,680 IS INSENSITIVE TO IT AND CALL 3037 02:08:22,680 --> 02:08:25,440 YOUR ATTENTION TO WORK OF DIANA 3038 02:08:25,440 --> 02:08:27,760 FORSIEJ NOW DECREASED AND IN 3039 02:08:27,760 --> 02:08:29,320 NIEPTIES WROTE BEAUTIFUL PIECES 3040 02:08:29,320 --> 02:08:31,320 ABOUT HOW WE DETERMINE AMOUNT OF 3041 02:08:31,320 --> 02:08:33,160 INVESTIGATOR AND SHE IS 3042 02:08:33,160 --> 02:08:34,680 INTERESTING IN COMPUTER 3043 02:08:34,680 --> 02:08:36,240 PROGRAMMERS BIAS BUILT INTO 3044 02:08:36,240 --> 02:08:38,400 SYSTEMS AND SHE HAS VERY 3045 02:08:38,400 --> 02:08:40,600 INTERESTING ETHNO GRAPHIC WORK 3046 02:08:40,600 --> 02:08:41,160 ON THAT. 3047 02:08:41,160 --> 02:08:47,120 I CALL YOUR ATTENTION TO NIST AI 3048 02:08:47,120 --> 02:08:51,280 FRAMEWORK AND DEVISED AI-RISK 3049 02:08:51,280 --> 02:08:53,200 MANAGEMENT FRAMEWORK AND IT WAS 3050 02:08:53,200 --> 02:08:54,240 RELEASED ABOUT A MONTH AGO. 3051 02:08:54,240 --> 02:08:56,320 REASON IT IT IS IMPORTANT IS IT 3052 02:08:56,320 --> 02:08:58,640 PROVIDES A PLAYBOOK HOW YOU 3053 02:08:58,640 --> 02:09:01,120 ADDRESS AT EVERY STEP ALONG THE 3054 02:09:01,120 --> 02:09:05,200 WAY UNCOVERING WHAT IS 3055 02:09:05,200 --> 02:09:06,480 CONSTITUTING BIASED AND HOW IT 3056 02:09:06,480 --> 02:09:07,720 WILL BE MANAGED AND EVERYTHING 3057 02:09:07,720 --> 02:09:09,720 WILL HAVE BIAS IN IT AND IS NO 3058 02:09:09,720 --> 02:09:12,520 WAY IN AVOIDING THIS AND 3059 02:09:12,520 --> 02:09:13,560 PERSPECTIVE IS NOT UNIVERSAL AND 3060 02:09:13,560 --> 02:09:16,520 WE HAVE TO BUILD AWARENESS OF 3061 02:09:16,520 --> 02:09:17,800 AND MITIGATION FOR BIAS AND 3062 02:09:17,800 --> 02:09:19,960 TELLING A CLINICIAN IN A BUSY 3063 02:09:19,960 --> 02:09:28,480 CLINIC YOU HAVE TO MAKE SURE AI 3064 02:09:28,480 --> 02:09:30,680 ALGORITHM AND TRUSTING THAT 3065 02:09:30,680 --> 02:09:33,960 ALGORITHM IS RIDICULOUS YOU HAVE 3066 02:09:33,960 --> 02:09:38,240 TO BUILD A TRAIN OF TRUST IN THE 3067 02:09:38,240 --> 02:09:41,520 BEGINNING AND SHOULD LEAD TO 3068 02:09:41,520 --> 02:09:49,600 BETTER AWARENESS HOW BIAS IS 3069 02:09:49,600 --> 02:09:51,560 LEADING INTO MANAGING IT. 3070 02:09:51,560 --> 02:09:56,240 BIAS IS A HUMAN PHENOMENON AND 3071 02:09:56,240 --> 02:10:00,680 MITIGATION OF IT MUST BE SHARED 3072 02:10:00,680 --> 02:10:06,640 BY ALL EVERY IC DIRECTOR'S 3073 02:10:06,640 --> 02:10:10,280 MEETING EASY TO IGNORE IT CAN'T 3074 02:10:10,280 --> 02:10:13,000 FIX AT END. BUILD UPSTREAM AND 3075 02:10:13,000 --> 02:10:15,280 PROGRAM AIM AHEAD INITIATIVE $50 3076 02:10:15,280 --> 02:10:18,320 MILLION INVESTED TWO YEARS AGO 3077 02:10:18,320 --> 02:10:19,920 TO IMPROVE CAPACITY FOR TRAINING 3078 02:10:19,920 --> 02:10:22,880 OF INVESTIGATORS AS WELL AS 3079 02:10:22,880 --> 02:10:25,760 DEVELOPING FOR RESOURCES 3080 02:10:25,760 --> 02:10:27,280 CAPACITY BUILDING REDUCING 3081 02:10:27,280 --> 02:10:29,680 HEALTH DISPARITIES AND IMPRESSED 3082 02:10:29,680 --> 02:10:33,280 WITH WHAT GROUP HAS DONE AND 3083 02:10:33,280 --> 02:10:34,560 TAKEN CONVERSATIONAL APPROACH 3084 02:10:34,560 --> 02:10:37,000 EVERY WEEK THERE ARE TRAINING 3085 02:10:37,000 --> 02:10:40,640 MEETINGS AND IDEA IS NOT TO SAY 3086 02:10:40,640 --> 02:10:42,640 YOU WILL BE FREE OF BIAS WHEN 3087 02:10:42,640 --> 02:10:44,440 GETTING THROUGH PROCESS BUT IDEA 3088 02:10:44,440 --> 02:10:46,760 RAISING AWARENESS HOW BIAS 3089 02:10:46,760 --> 02:10:49,160 ENTERS HOW TO MITIGATE IT AND 3090 02:10:49,160 --> 02:10:52,440 HOW IT PERPETUATES AND RISK WE 3091 02:10:52,440 --> 02:10:56,080 HAVE WITH AI IS ALGORITHMS ARE 3092 02:10:56,080 --> 02:10:59,360 MORE DRIVEN BY DATA THAN 3093 02:10:59,360 --> 02:11:01,120 INVESTIGATOR AND REGRESSION 3094 02:11:01,120 --> 02:11:02,560 MODEL ENTERING IN FACTORS YOU 3095 02:11:02,560 --> 02:11:04,320 HAVE GOOD IDEA WHICH SHOULD BE 3096 02:11:04,320 --> 02:11:06,680 ORGANIZED IN DATA SET AND 3097 02:11:06,680 --> 02:11:09,320 ANALYSIS RUNNING A NEURAL 3098 02:11:09,320 --> 02:11:12,120 NETWORK OR LARGE LANGUAGE MODEL 3099 02:11:12,120 --> 02:11:14,680 OVER UNSTRUCTURED DATA SET IS 3100 02:11:14,680 --> 02:11:17,240 NOT THE FREQUENCY OF APPEARANCE 3101 02:11:17,240 --> 02:11:19,200 BUT ORDER OF APPEARANCE BECOME 3102 02:11:19,200 --> 02:11:23,000 IN ITSELF FACTORS NOT ALWAYS 3103 02:11:23,000 --> 02:11:25,480 HUMAN INTERPRABLE AND AT THIS 3104 02:11:25,480 --> 02:11:27,800 POINT ABL TO UNDERSTAND BIAS 3105 02:11:27,800 --> 02:11:30,640 FROM PHILOSOPHICAL PERSPECTIVE 3106 02:11:30,640 --> 02:11:32,640 NOT JUST SOCIAL BIAS BROUGHT BY 3107 02:11:32,640 --> 02:11:34,680 COGNITIVE EXPERIENCE FROM THE 3108 02:11:34,680 --> 02:11:37,120 INDIVIDUAL BUT IMBEDDED BIAS BY 3109 02:11:37,120 --> 02:11:41,240 DATA ITSELF THAT IS DIFFICULT TO 3110 02:11:41,240 --> 02:11:44,240 DETECT VARIOUS WEIGHTS IF YOU 3111 02:11:44,240 --> 02:11:45,240 WILL CONTRIBUTION TO FINAL 3112 02:11:45,240 --> 02:11:47,560 SOLUTIONS OF ASPECTS IS 3113 02:11:47,560 --> 02:11:50,160 CONSTANTLY CHANGE RING AS MODELS 3114 02:11:50,160 --> 02:11:52,280 CHANGE AND ARE DYNAMIC AND NOT 3115 02:11:52,280 --> 02:11:54,080 SURE IF TOO GEEKY SUMMARIZING BY 3116 02:11:54,080 --> 02:11:57,840 TWO THINGS WE HAVE TO DIVERSIFY 3117 02:11:57,840 --> 02:11:59,920 WORKFORCE BY CONVERSATION AND IT 3118 02:11:59,920 --> 02:12:04,320 IS STRUCTURAL BIAS INTRODUCED BY 3119 02:12:04,320 --> 02:12:06,560 [INDISCERNIBLE] THIRD FRAMEWORKS 3120 02:12:06,560 --> 02:12:14,160 LIKE NIST INTERRUPT WITH THE 3121 02:12:14,160 --> 02:12:15,600 PROCESS ALL THE WAY THROUGH. 3122 02:12:15,600 --> 02:12:16,400 >>THANK YOU FOR EXCELLENT WORK 3123 02:12:16,400 --> 02:12:18,640 YOU ARE DOING. 3124 02:12:18,640 --> 02:12:19,080 >>THANK YOU. 3125 02:12:19,080 --> 02:12:20,240 >>AND PRESENTATION AND THINKING 3126 02:12:20,240 --> 02:12:22,440 AGAIN THESE ARE OUT OF SCOPE OF 3127 02:12:22,440 --> 02:12:24,520 WHAT YOU ARE DOING AND THINKING 3128 02:12:24,520 --> 02:12:26,640 YOU HAVE PROBABLY PROJECTS AS 3129 02:12:26,640 --> 02:12:33,000 WELL AND GIVING ACCESS TO MAYBE 3130 02:12:33,000 --> 02:12:36,560 LIKE DIFFERENT LEVELS IN 3131 02:12:36,560 --> 02:12:39,520 MINORITY SERVING INSTITUTIONS 3132 02:12:39,520 --> 02:12:42,680 AND DATA AND TRAINING YOU HAVE 3133 02:12:42,680 --> 02:12:44,920 AT BEGINNING OF PROCESS. 3134 02:12:44,920 --> 02:12:47,600 SOMEONE MENTIONED HERE USING 3135 02:12:47,600 --> 02:12:50,640 DATA THAT IS COMPLEX AND 3136 02:12:50,640 --> 02:12:53,040 REQUIRES A LOT OF INVESTMENT 3137 02:12:53,040 --> 02:12:55,560 OVER TIME AND INSTITUTIONS MAY 3138 02:12:55,560 --> 02:12:57,040 NOT HAVE EXPERTISE AND FOR 3139 02:12:57,040 --> 02:13:02,680 EXAMPLE WHAT WE DO AT USC AND 3140 02:13:02,680 --> 02:13:05,600 UNIVERSITY OF SOUTHERN 3141 02:13:05,600 --> 02:13:10,280 CALIFORNIA AND WE HAVE THROUGH 3142 02:13:10,280 --> 02:13:12,600 CENTERS WHAT IS A REALLY SMALL 3143 02:13:12,600 --> 02:13:14,960 SCALE AND USING MEDICARE DATA 3144 02:13:14,960 --> 02:13:17,960 AND WE TRAIN THEM FROM MINORITY 3145 02:13:17,960 --> 02:13:18,680 SERVING INSTITUTION AND TRAIN 3146 02:13:18,680 --> 02:13:23,280 THEM TO USE DATA AND CAN THERE 3147 02:13:23,280 --> 02:13:26,160 BE ORDER LIKE LARGER INITIATIVE 3148 02:13:26,160 --> 02:13:29,800 SO THAT YOU -- LIKE UNIVERSITIES 3149 02:13:29,800 --> 02:13:31,160 AND UNIVERSITIES AND RESEARCH 3150 02:13:31,160 --> 02:13:33,280 CENTERS WITH LOTS OF RESOURCES 3151 02:13:33,280 --> 02:13:36,680 WORKING ON SPECIFIC DATA SETS 3152 02:13:36,680 --> 02:13:41,200 HOW TO GIVE INCENTIVES TO 3153 02:13:41,200 --> 02:13:42,720 INCORPORATE STUDENTS OR SCHOLARS 3154 02:13:42,720 --> 02:13:44,880 FROM UNIVERSITIES WITHOUT AS 3155 02:13:44,880 --> 02:13:46,760 MUCH ACCESS TO EXPERTISE. 3156 02:13:46,760 --> 02:13:48,920 >>THANK YOU VERY MUCH. NOT 3157 02:13:48,920 --> 02:13:51,000 EASY QUESTION, AS YOU CAN 3158 02:13:51,000 --> 02:13:53,640 IMAGINE. WEBSITE SHARING.NIH 3159 02:13:53,640 --> 02:13:56,480 THAT IS OUR DATA SHARING SITE 3160 02:13:56,480 --> 02:13:58,880 WITH LINKS TO TRAINING AND 3161 02:13:58,880 --> 02:14:02,640 ANALYTICS TOOLS AND HAVE A 3162 02:14:02,640 --> 02:14:08,160 COLLEAGUE ANNA WITH NIHCD THAT I 3163 02:14:08,160 --> 02:14:10,600 HAVE TO GET HER WHO IS BUILDING 3164 02:14:10,600 --> 02:14:11,760 TRAINING MODULES WITH TARGET 3165 02:14:11,760 --> 02:14:14,560 THAT SPECIFIC STEPS IN UPLOADING 3166 02:14:14,560 --> 02:14:15,960 DATA CLOUD ENTERPRISE AND 3167 02:14:15,960 --> 02:14:17,800 UNDERSTANDING THEM AND GETTING 3168 02:14:17,800 --> 02:14:23,560 ACCESS TO SPECIFIC ANALYTICS. 3169 02:14:23,560 --> 02:14:25,680 THIRD IS PROGRAMS INITIATIVES 3170 02:14:25,680 --> 02:14:26,920 ARE OPEN TO EVERYONE. 3171 02:14:26,920 --> 02:14:29,680 I WILL MAKE SURE THAT DR. COTTON 3172 02:14:29,680 --> 02:14:32,920 HAS AIM HEAD ADDRESS FOR YOU. 3173 02:14:32,920 --> 02:14:35,720 THE CHALLENGE IS IT IS LIKE 3174 02:14:35,720 --> 02:14:37,120 CEMETERY PLOTS YOU DON'T REALIZE 3175 02:14:37,120 --> 02:14:38,480 YOU NEED SOMETHING UNTIL YOU 3176 02:14:38,480 --> 02:14:39,880 NEED IT TODAY. DON'T WANT TO 3177 02:14:39,880 --> 02:14:42,480 SPEND A LOT OF TIME DOING 3178 02:14:42,480 --> 02:14:44,080 COMPARATIVE SHOPPING. JUST GET 3179 02:14:44,080 --> 02:14:46,960 ME ONE. WHAT WE NEED I WAS 3180 02:14:46,960 --> 02:14:49,160 TALKING ABOUT IN DEMAND TRAINING 3181 02:14:49,160 --> 02:14:51,280 WORKFORCE AND THINKING ABOUT IN 3182 02:14:51,280 --> 02:14:53,160 MOMENT NEEDS AND INVESTIGATOR 3183 02:14:53,160 --> 02:14:54,480 STUCK AND HOW TO GET TO NEXT 3184 02:14:54,480 --> 02:14:56,560 STEP AND WHERE I ACTUALLY 3185 02:14:56,560 --> 02:14:58,200 BELIEVE THAT SOME AI TOOLS WILL 3186 02:14:58,200 --> 02:15:00,200 HELP US AND GONE THIS FAR IN 3187 02:15:00,200 --> 02:15:02,200 ANALYSIS AND WHAT IS NEXT STEP? 3188 02:15:02,200 --> 02:15:04,840 WE HAVE TO BUILD IN WAY EARLIER 3189 02:15:04,840 --> 02:15:06,240 CRITICAL THINKING IN SCHOLARS 3190 02:15:06,240 --> 02:15:07,880 THAT IS NOT COMPUTATIONAL 3191 02:15:07,880 --> 02:15:10,320 CHALLENGES AND ARE REALLY WE ARE 3192 02:15:10,320 --> 02:15:12,000 SHIFTING FROM PRODUCTION MODE 3193 02:15:12,000 --> 02:15:13,680 HOW DO I PRODUCE INTERESTING 3194 02:15:13,680 --> 02:15:17,120 QUESTION OR PAPER TO EVALUATIVE 3195 02:15:17,120 --> 02:15:18,680 MODE? DO I BELIEVE OR THINK 3196 02:15:18,680 --> 02:15:21,800 THIS TRAIN OF TRUST IS RIGHT AND 3197 02:15:21,800 --> 02:15:24,720 PLEA IS FOR KINDERGARTEN 3198 02:15:24,720 --> 02:15:26,680 CURRICULUM FOR DATA SCIENCE WASH 3199 02:15:26,680 --> 02:15:29,960 HANDS AFTER GOING TO POTTY FOR 3200 02:15:29,960 --> 02:15:31,360 INFECTION CONTROL. THEY KNOW 3201 02:15:31,360 --> 02:15:33,960 HOW TO TAKE CARE AND HAVE TO 3202 02:15:33,960 --> 02:15:36,320 BUILD CONCEPT OF DATA TO EVERY 3203 02:15:36,320 --> 02:15:38,360 DAY LIVES AND ALL THE WAY 3204 02:15:38,360 --> 02:15:39,960 THROUGH SO NOT SHOCK OWNER WHAT 3205 02:15:39,960 --> 02:15:42,560 DO YOU MEAN I HAVE TO USE R? 3206 02:15:42,560 --> 02:15:44,280 THEY ARE CHALLENGING MOMENTS FOR 3207 02:15:44,280 --> 02:15:46,680 PEOPLE AND PUTTING PLEA OUT 3208 02:15:46,680 --> 02:15:47,680 TRAINING PROGRAMS THROUGHOUT 3209 02:15:47,680 --> 02:15:50,320 COUNTRY HAPPY TO PARTNER AND 3210 02:15:50,320 --> 02:15:51,240 SHARE RESOURCES AND PROVIDE 3211 02:15:51,240 --> 02:15:53,960 INDIVIDUAL TRAINEESHIPS FOR F30S 3212 02:15:53,960 --> 02:15:56,760 AND F3 ONES INTERESTED IN DATA 3213 02:15:56,760 --> 02:15:58,560 SCIENCE AND THANK R YOU VERY 3214 02:15:58,560 --> 02:16:00,560 MUCH FOR YOUR TIME. 3215 02:16:00,560 --> 02:16:02,880 THANK YOU ELISEO. 3216 02:16:02,880 --> 02:16:05,480 >>THANK YOU, PATTY. FOR A 3217 02:16:05,480 --> 02:16:07,200 WONDERFUL PRESENTATION AND 3218 02:16:07,200 --> 02:16:09,280 CERTAINLY SETTING OUT CHALLENGES 3219 02:16:09,280 --> 02:16:10,640 FOR US. 3220 02:16:10,640 --> 02:16:13,280 WE WILL PROCEED WITH OUR NEXT 3221 02:16:13,280 --> 02:16:15,760 PRESENTER, RIGHT? 3222 02:16:15,760 --> 02:16:17,480 DR. LISA BARNES. 3223 02:16:17,480 --> 02:16:20,680 I WILL SAY A COUPLE THINGS ABOUT 3224 02:16:20,680 --> 02:16:25,920 DR. BARNES. SHE IS A SOLOMON 3225 02:16:25,920 --> 02:16:28,200 JAZZ PROFESSOR OF GERONTOLOGY 3226 02:16:28,200 --> 02:16:31,320 AND NEUROMEDICINE AND WITH RUSH 3227 02:16:31,320 --> 02:16:32,560 ALZHEIMER'S DISEASE CENTER AT 3228 02:16:32,560 --> 02:16:34,800 RUSH UNIVERSITY MEDICAL CENTER 3229 02:16:34,800 --> 02:16:38,000 AND ASSOCIATE DIRECTOR OF RUSH 3230 02:16:38,000 --> 02:16:39,240 ALZHEIMER'S DISEASE RESEARCH 3231 02:16:39,240 --> 02:16:42,680 CENTER AND PHD FROM UNIVERSITY 3232 02:16:42,680 --> 02:16:44,800 OF MICHIGAN IN BIOPSYCHOLOGY AND 3233 02:16:44,800 --> 02:16:46,800 COMPLETED POST DOCTORAL 3234 02:16:46,800 --> 02:16:50,040 FELLOWSHIP AT UNIVERSITY OF 3235 02:16:50,040 --> 02:16:52,240 CALIFORNIA DAVIS AND JOINED 3236 02:16:52,240 --> 02:16:54,480 FACULTY RUSH ASSISTANT PROFESSOR 3237 02:16:54,480 --> 02:16:57,280 IN 1999 AND FUNDED WITH NIH 3238 02:16:57,280 --> 02:17:00,920 GRANTS PUBLISHED OVER 300 3239 02:17:00,920 --> 02:17:01,520 MANUSCRIPTS INTERNATIONALLY 3240 02:17:01,520 --> 02:17:02,680 RECOGNIZED FOR SCIENCE AND 3241 02:17:02,680 --> 02:17:05,120 LEADERSHIP IN THIS AREA. I 3242 02:17:05,120 --> 02:17:06,680 FIRST REMEMBER HEARING ABOUT 3243 02:17:06,680 --> 02:17:08,760 LISA WHEN I WAS ON NATIONAL 3244 02:17:08,760 --> 02:17:12,480 INSTITUTE ON AGING COUNCIL AND 3245 02:17:12,480 --> 02:17:14,200 HER DIRECTOR OF THAT CENTER THAT 3246 02:17:14,200 --> 02:17:15,880 CAME AND TALKED ABOUT SOME OF 3247 02:17:15,880 --> 02:17:17,600 THE WONDERFUL STUDIES THAT THEY 3248 02:17:17,600 --> 02:17:22,200 WERE DOING INCLUDING THIS 3249 02:17:22,200 --> 02:17:27,720 INCREDIBLE RESOURCE OF BRAINS OF 3250 02:17:27,720 --> 02:17:30,200 AFRICAN AMERICANS PASSING AWAY 3251 02:17:30,200 --> 02:17:32,800 WITH COGNITIVE IMPAIRMENT AND IS 3252 02:17:32,800 --> 02:17:34,640 A DELIGHT TO HAVE LISA ON THE 3253 02:17:34,640 --> 02:17:36,360 COUNCIL AND TODAY I ASKED HER TO 3254 02:17:36,360 --> 02:17:37,880 PRESENT. SHE WILL TALK TO US 3255 02:17:37,880 --> 02:17:41,480 ABOUT IMPACTS OF DISCRIMINATION 3256 02:17:41,480 --> 02:17:47,200 ON BRAIN HEALTH IN OLDER AFRICAN 3257 02:17:47,200 --> 02:17:48,040 AMERICANS. LISA? 3258 02:17:48,040 --> 02:17:48,480 >>THANK YOU. 3259 02:17:48,480 --> 02:17:50,640 >>GREAT INTRODUCTION. CAN'T 3260 02:17:50,640 --> 02:17:52,160 FIGURE OUT HOW TO ADVANCE THE 3261 02:17:52,160 --> 02:17:56,240 SLIDES AND NO THING UP HERE. 3262 02:17:56,240 --> 02:18:04,920 SHOWING A KEYBOARD? 3263 02:18:04,920 --> 02:18:08,160 THERE IS A MOUSE UNDER HERE. 3264 02:18:08,160 --> 02:18:10,880 OKAY. THANK YOU FOR THIS 3265 02:18:10,880 --> 02:18:12,240 OPPORTUNITY TO PRESENT WORK TO 3266 02:18:12,240 --> 02:18:13,920 COUNCIL. THIS HAS BEEN A PEAK 3267 02:18:13,920 --> 02:18:15,960 OF MY CAREER THAT IS BEING ON 3268 02:18:15,960 --> 02:18:17,400 COUNCIL AND I'M NOT SAYING IT 3269 02:18:17,400 --> 02:18:19,360 BECAUSE I'M ROTATING OFF. I 3270 02:18:19,360 --> 02:18:21,800 MEAN, SERIOUSLY, IT HAS REALLY 3271 02:18:21,800 --> 02:18:24,120 -- I DREAMED OF BEING ON COUNCIL 3272 02:18:24,120 --> 02:18:26,000 YEARS AGO AND ACTUALLY HAVING 3273 02:18:26,000 --> 02:18:27,240 OPPORTUNITIES AND THREE THINGS I 3274 02:18:27,240 --> 02:18:29,160 KNOW I WILL TAKE AWAY. 3275 02:18:29,160 --> 02:18:31,160 ONE IS EXPOSURE TO ALL OTHER 3276 02:18:31,160 --> 02:18:32,840 INSTITUTES THAT I NEVER WOULD 3277 02:18:32,840 --> 02:18:34,040 HAVE GOTTEN THAT INFORMATION, I 3278 02:18:34,040 --> 02:18:34,720 DON'T THINK. 3279 02:18:34,720 --> 02:18:36,440 SO, YOU KNOW, BRINGING PEOPLE IN 3280 02:18:36,440 --> 02:18:39,080 TO TALK TO US AND LEARNING ABOUT 3281 02:18:39,080 --> 02:18:41,280 DIFFERENT INITIATIVES THAT HAS 3282 02:18:41,280 --> 02:18:42,440 BEEN REALLY INFORMATIVE AND 3283 02:18:42,440 --> 02:18:43,680 SECOND THING IS WORKING WITH 3284 02:18:43,680 --> 02:18:48,640 STAFF AND FEELING IN SOME SMALL 3285 02:18:48,640 --> 02:18:52,720 WAY AND I'M HELPING TO SHAPE 3286 02:18:52,720 --> 02:18:54,240 SCIENCE MOVING FORWARD AND 3287 02:18:54,240 --> 02:18:55,600 ANNOUNCEMENT AND NO GUARANTEE 3288 02:18:55,600 --> 02:18:56,840 FOR THAT AND LAST THING IS 3289 02:18:56,840 --> 02:18:58,080 CONNECTIONS WITH ALL OF YOU AND 3290 02:18:58,080 --> 02:19:00,640 FEEL AT END OF THE DAY THAT IS 3291 02:19:00,640 --> 02:19:02,400 MOST IMPORTANT THAT I WILL TAKE 3292 02:19:02,400 --> 02:19:03,600 THAT AWAY AND I ALREADY 3293 02:19:03,600 --> 02:19:05,040 CONNECTED WITH PEOPLE ROTATING 3294 02:19:05,040 --> 02:19:06,960 OFF AND HOPE THIS IS NOT THE END 3295 02:19:06,960 --> 02:19:09,280 FOR US WHO ARE ON HERE NOW THAT 3296 02:19:09,280 --> 02:19:11,880 WE WILL CONTINUE TO WORK 3297 02:19:11,880 --> 02:19:12,200 TOGETHER. 3298 02:19:12,200 --> 02:19:13,760 I WANT TO TALK TODAY A LITTLE 3299 02:19:13,760 --> 02:19:15,720 ABOUT WORK I HAVE BEEN DOING AT 3300 02:19:15,720 --> 02:19:17,520 RUSH TO UNDERSTAND WHAT I THINK 3301 02:19:17,520 --> 02:19:21,280 IS REALLY IMPORTANT FOR OLDER 3302 02:19:21,280 --> 02:19:22,360 AFRICAN AMERICANS. 3303 02:19:22,360 --> 02:19:23,880 SO, JUST AS A SORT OF BACKGROUND 3304 02:19:23,880 --> 02:19:26,240 THAT I WILL TALK ABOUT, I WANT 3305 02:19:26,240 --> 02:19:30,120 TO START OFF BY DESCRIBING SOME 3306 02:19:30,120 --> 02:19:34,480 CHALLENGES THAT WE FACE AS A 3307 02:19:34,480 --> 02:19:36,120 FIELD IN UNDERSTANDING 3308 02:19:36,120 --> 02:19:38,640 ALZHEIMER'S DEMENTIAL AND 3309 02:19:38,640 --> 02:19:41,680 PROGRAM THAT WE TRY TO DO AS 3310 02:19:41,680 --> 02:19:43,840 CENTER OF DIVERSITY AND HONING 3311 02:19:43,840 --> 02:19:45,080 IN ON A PARTICULAR FACTOR 3312 02:19:45,080 --> 02:19:46,800 CRUCIAL TO UNDERSTAND THAT WE 3313 02:19:46,800 --> 02:19:50,520 HEARD ABOUT IT IN LSAO'S 3314 02:19:50,520 --> 02:19:52,080 PRESENTATION IMPACT OF 3315 02:19:52,080 --> 02:19:53,640 DISCRIMINATION AS IMPORTANT 3316 02:19:53,640 --> 02:19:55,480 CORRELATE OF ASIAN AND OLDER 3317 02:19:55,480 --> 02:19:56,720 AFRICAN AMERICANS. 3318 02:19:56,720 --> 02:19:58,680 SO, WE -- I DON'T KNOW IF THIS 3319 02:19:58,680 --> 02:20:02,480 INSTITUTE HEARS A LOT ABOUT 3320 02:20:02,480 --> 02:20:02,960 ALZHEIMER'S DISEASE. 3321 02:20:02,960 --> 02:20:05,280 IT IS ONE OF THE MOST OR AMONG 3322 02:20:05,280 --> 02:20:07,640 THE MOST FEARED DISEASES OF OLD 3323 02:20:07,640 --> 02:20:10,240 AGE. IT IS AMONG THE LEADING 3324 02:20:10,240 --> 02:20:12,240 CAUSES OF DEATH AND IS ONLY ONE 3325 02:20:12,240 --> 02:20:14,680 THAT CANNOT BE SLOWED OR CURED 3326 02:20:14,680 --> 02:20:16,880 OR PREVENTED. 3327 02:20:16,880 --> 02:20:20,840 AND THIS IS SOME DATA THAT WE 3328 02:20:20,840 --> 02:20:22,680 RECENTLY PUBLISHED TO GIVE 3329 02:20:22,680 --> 02:20:27,160 OVERALL ESTIMATES OF BURDEN OF 3330 02:20:27,160 --> 02:20:28,480 ALZHEIMER'S DISEASE IN THE US 3331 02:20:28,480 --> 02:20:31,360 AND USING A LIKELIHOOD SCORE 3332 02:20:31,360 --> 02:20:35,440 APPROACH AND USING DATA FROM A 3333 02:20:35,440 --> 02:20:38,640 LARGE POPULATION STUDIES HOUSING 3334 02:20:38,640 --> 02:20:42,080 PROJECT WE ESTIMATED 6 MILLION 3335 02:20:42,080 --> 02:20:45,480 ADULTS OVERAGE 65 HAD CLINICAL 3336 02:20:45,480 --> 02:20:48,600 ALZHEIMER'S DISEASE IN 2020 AND 3337 02:20:48,600 --> 02:20:50,960 ALZHEIMER'S IS HIGHLY AGE 3338 02:20:50,960 --> 02:20:52,520 CORRELATED AND OVER AGE OF 75 3339 02:20:52,520 --> 02:20:57,360 AND 85 HAVE GREATER RISK AND 3340 02:20:57,360 --> 02:21:00,240 2060 THIS WILL INCREASE TO 14 3341 02:21:00,240 --> 02:21:03,280 MILLION UNLESS FINDING WAY TO 3342 02:21:03,280 --> 02:21:05,240 TREAT OR CURE THIS DISEASE AND 3343 02:21:05,240 --> 02:21:07,400 WE ARE ALL AGING AND HAVE TO BE 3344 02:21:07,400 --> 02:21:08,400 CONCERNED ABOUT THIS AND SAME 3345 02:21:08,400 --> 02:21:10,640 TIME WE HAVE A PUBLIC HEALTH 3346 02:21:10,640 --> 02:21:13,720 CRISIS THAT IS HAPPENING ON 3347 02:21:13,720 --> 02:21:15,760 BACKDROP OF POPULATION BECOMING 3348 02:21:15,760 --> 02:21:18,240 MORE DIVERSE AND I WILL SHOW 3349 02:21:18,240 --> 02:21:21,200 DATA FOR OLDER ADULTS OVER 65 BY 3350 02:21:21,200 --> 02:21:24,480 RACE AND ETHNICITY FROM US 3351 02:21:24,480 --> 02:21:27,280 CENSUS AND IF IN 2014 WHITE 3352 02:21:27,280 --> 02:21:31,440 OLDER ADULTS MADE UP 78% OF THE 3353 02:21:31,440 --> 02:21:33,280 POPULATION AND BY 2060 NUMBERS 3354 02:21:33,280 --> 02:21:35,840 WILL DECREASE TO 55% AND AT SAME 3355 02:21:35,840 --> 02:21:37,760 TIME ALL OTHER RACES AND 3356 02:21:37,760 --> 02:21:39,560 ETHNICITIES WILL INCREASE WITH 3357 02:21:39,560 --> 02:21:42,640 ACTUALLY HISPANIC LATINOS THAT 3358 02:21:42,640 --> 02:21:44,560 ARE INCREASING THE MOST AND ALL 3359 02:21:44,560 --> 02:21:45,480 COMMUNITIES OF COLOR WILL 3360 02:21:45,480 --> 02:21:47,920 INCREASE SO THAT WHITES WILL NO 3361 02:21:47,920 --> 02:21:52,640 LONGER BE MAJORITY BY 2060. 3362 02:21:52,640 --> 02:21:54,280 SO, YOU HAVE AGING POPULATIONS 3363 02:21:54,280 --> 02:21:56,800 GROWING RAPIDLY AND ARE BECOMING 3364 02:21:56,800 --> 02:21:57,880 MUCH MORE DIVERSE AS A 3365 02:21:57,880 --> 02:22:00,520 POPULATION AND THIS IS A 3366 02:22:00,520 --> 02:22:03,280 PARTICULAR PROBLEM FOR AFRICAN 3367 02:22:03,280 --> 02:22:04,320 AMERICANS THAT IS THOUGHT THAT 3368 02:22:04,320 --> 02:22:06,440 IS 2 TIMES MORE LIKELY THAN 3369 02:22:06,440 --> 02:22:09,280 WHITE AMERICANS TO HAVE 3370 02:22:09,280 --> 02:22:12,040 ALZHEIMER'S DEMENTIA AND COMES 3371 02:22:12,040 --> 02:22:13,520 FROM LARGE AND NATIONAL STUDIES 3372 02:22:13,520 --> 02:22:16,200 AND IS A STUDY THAT I REALLY 3373 02:22:16,200 --> 02:22:18,440 LIKE AND UNLIKE PREVIOUS STUDIES 3374 02:22:18,440 --> 02:22:21,040 THAT FOCUS ON BLACK AND WHITE 3375 02:22:21,040 --> 02:22:22,560 AND LATINOS ARE COMING UP MORE 3376 02:22:22,560 --> 02:22:25,000 AND MORE AND THIS STUDY HAD A 3377 02:22:25,000 --> 02:22:26,440 NICE REPRESENTATION OF ALL OTHER 3378 02:22:26,440 --> 02:22:28,720 RACES AND ETHNICITIES WE CARE 3379 02:22:28,720 --> 02:22:31,920 ABOUT HERE AS AN INSTITUTE THAT 3380 02:22:31,920 --> 02:22:36,280 IS A DATA FROM KAISER AND 3381 02:22:36,280 --> 02:22:38,040 NORTHERN ILLINOIS AND STANDARD 3382 02:22:38,040 --> 02:22:40,080 RATES BY RACE AND ETHNICITY 3383 02:22:40,080 --> 02:22:42,120 BETWEEN 2000 AND 2013 AND YOU 3384 02:22:42,120 --> 02:22:44,840 CAN SEE AFRICAN AMERICANS HAVE 3385 02:22:44,840 --> 02:22:48,400 HIGHEST INCIDENCE RATES AND 3386 02:22:48,400 --> 02:22:50,640 AMERICAN INDIAN AND ALASKA 3387 02:22:50,640 --> 02:22:53,000 NATIVES LATINOS AND PACIFIC 3388 02:22:53,000 --> 02:22:55,520 ISLANDERS ARE LOWER AND INDIANS 3389 02:22:55,520 --> 02:22:57,440 AND ALASKA NATIVES ARE HIGHER 3390 02:22:57,440 --> 02:22:59,680 THAN AFRICAN AMERICANS AND ASIAN 3391 02:22:59,680 --> 02:23:01,640 AMERICANS ARE LOWER AND A LITTLE 3392 02:23:01,640 --> 02:23:03,280 BIT PROTECTED AND SOMETHING WE 3393 02:23:03,280 --> 02:23:05,920 SEE IN OTHER OUTCOMES AS WELL. 3394 02:23:05,920 --> 02:23:10,880 OF COURSE, YOU KNOW WE KNOW 3395 02:23:10,880 --> 02:23:12,920 SUBGROUPS ARE WITH THESE GROUPS 3396 02:23:12,920 --> 02:23:14,880 AND NONE IS A MONOLITH AND IS 3397 02:23:14,880 --> 02:23:18,240 ADVANCED IN WHAT WE HAVE BEEN 3398 02:23:18,240 --> 02:23:21,200 DOING IN THE PAST LOOKING AT 3399 02:23:21,200 --> 02:23:25,480 MAINLY BLACKS AND WHITES AND 3400 02:23:25,480 --> 02:23:27,640 DATA IS OLD AND HAS BEEN 3401 02:23:27,640 --> 02:23:31,840 REPLICATED BY VA AND TEAMS 3402 02:23:31,840 --> 02:23:33,680 SEEING SIMILAR PATTERN WITH 3403 02:23:33,680 --> 02:23:35,720 AFRICAN AMERICANS HAVING A 3404 02:23:35,720 --> 02:23:38,240 HIGHER RISK AND THERE ARE REAL 3405 02:23:38,240 --> 02:23:40,720 CHALLENGES WE HAVE TO FACE TO 3406 02:23:40,720 --> 02:23:42,280 REALLY UNDERSTAND THE IMPACT OF 3407 02:23:42,280 --> 02:23:44,160 THESE DATA AND WHAT WE CAN DO 3408 02:23:44,160 --> 02:23:47,640 ABOUT THEM MOVING FORWARD. 3409 02:23:47,640 --> 02:23:49,640 SO, THERE IS FOUR CHALLENGES I 3410 02:23:49,640 --> 02:23:51,040 WANT TO RAISE AND HOPEFULLY BY 3411 02:23:51,040 --> 02:23:52,800 THE END OF THE PRESENTATION YOU 3412 02:23:52,800 --> 02:23:55,240 WILL UNDERSTAND WHAT WE ARE 3413 02:23:55,240 --> 02:23:57,400 DOING TO TRY TO COMBAT SOME 3414 02:23:57,400 --> 02:23:59,040 CHALLENGES OR DEAL WITH 3415 02:23:59,040 --> 02:23:59,400 CHALLENGES. 3416 02:23:59,400 --> 02:24:01,960 FIRST ONE IS THE RECRUITMENT 3417 02:24:01,960 --> 02:24:04,240 PRACTICES THAT I'M SURE WE ARE 3418 02:24:04,240 --> 02:24:08,280 AWARE OF AS AN NIMHD INSTITUTE 3419 02:24:08,280 --> 02:24:10,080 AND MOST CLINICAL RESEARCH AT 3420 02:24:10,080 --> 02:24:13,520 LEAST IN ALZHEIMER'S DISEASE 3421 02:24:13,520 --> 02:24:15,000 REALLY USES THESE PASSIVE 3422 02:24:15,000 --> 02:24:17,120 STRATEGIES WHERE RECRUITMENT IS 3423 02:24:17,120 --> 02:24:19,080 NOT CENTERED IN COMMUNITIES OF 3424 02:24:19,080 --> 02:24:21,280 COLOR AND RECRUIT FROM 3425 02:24:21,280 --> 02:24:22,760 WELL-RESOURCED CLINICS AND 3426 02:24:22,760 --> 02:24:24,200 ACADEMIC MEDICAL CENTERS 3427 02:24:24,200 --> 02:24:26,520 SELECTION BIAS YOU HAVE IF IN 3428 02:24:26,520 --> 02:24:29,800 SAMPLES AND INCONSISTENT RESULTS 3429 02:24:29,800 --> 02:24:31,640 ACROSS STUDIES THAT OFTEN NOT 3430 02:24:31,640 --> 02:24:33,640 GENERALIZABLE AND WHAT IS STILL 3431 02:24:33,640 --> 02:24:37,360 HAPPENING IS INCLUSION AND 3432 02:24:37,360 --> 02:24:40,280 EXCLUSION CRITERIA STILL TEND TO 3433 02:24:40,280 --> 02:24:42,480 FAVOR WHITE PARTICIPANTS GETTING 3434 02:24:42,480 --> 02:24:46,680 PURE ALZHEIMER'S DISEASE 3435 02:24:46,680 --> 02:24:48,080 PARTICIPANTS AND WANT PEOPLE 3436 02:24:48,080 --> 02:24:50,440 WITH FEW CHRONIC COMORBIDITIES 3437 02:24:50,440 --> 02:24:52,320 AND ACCESS TO TRANSPORTATION TO 3438 02:24:52,320 --> 02:24:54,640 COME TO BUSY MEMORY CLINICS. 3439 02:24:54,640 --> 02:24:56,600 THESE THINGS FAVOR PEOPLE WITH 3440 02:24:56,600 --> 02:24:58,360 MORE RESOURCES AND PEOPLE THAT 3441 02:24:58,360 --> 02:24:58,960 ARE HEALTHIER. 3442 02:24:58,960 --> 02:25:02,760 YOU GET REALLY A SORT OF BIASED 3443 02:25:02,760 --> 02:25:03,240 SAMPLE. 3444 02:25:03,240 --> 02:25:05,360 YOU KNOW, THIS IS WHERE 3445 02:25:05,360 --> 02:25:06,560 REFLECTED WHERE YOU THINK ABOUT 3446 02:25:06,560 --> 02:25:08,320 WHERE OUR KNOWLEDGE IS COMING 3447 02:25:08,320 --> 02:25:09,680 FROM CURRENTLY IN THIS FIELD. 3448 02:25:09,680 --> 02:25:11,800 THERE WAS A STUDY RECENTLY DONE 3449 02:25:11,800 --> 02:25:15,280 WHERE THEY LOOKED AT CURRENT 3450 02:25:15,280 --> 02:25:17,480 LANDSCAPE OF ALZHEIMER'S STUDIES 3451 02:25:17,480 --> 02:25:19,520 AND 8 TO 10 STUDIES AND FOUND 3452 02:25:19,520 --> 02:25:21,560 THAT THE MAJORITY OF 3453 02:25:21,560 --> 02:25:23,520 PARTICIPANTS WERE WHITE ADULTS 3454 02:25:23,520 --> 02:25:26,680 AND 79% THAT YOU CAN SEE THE 3455 02:25:26,680 --> 02:25:28,640 BREAKDOWN FOR OTHER GROUPS. 3456 02:25:28,640 --> 02:25:30,560 KNOWLEDGE-BASE WE ARE GAINING IN 3457 02:25:30,560 --> 02:25:32,560 THIS FIELD IS COMING 3458 02:25:32,560 --> 02:25:33,720 PREDOMINANTLY FROM ONE 3459 02:25:33,720 --> 02:25:34,080 POPULATION. 3460 02:25:34,080 --> 02:25:37,520 IT IS JUST REALLY UNACCEPTABLE. 3461 02:25:37,520 --> 02:25:39,880 IF WE LOOK, YOU KNOW, IN 3462 02:25:39,880 --> 02:25:42,640 CLINICAL TRIALS WHERE WE ARE 3463 02:25:42,640 --> 02:25:43,880 DEVELOPING THERAPEUTICS AND 3464 02:25:43,880 --> 02:25:46,640 TESTING NEW MEDICINES THAT IS 3465 02:25:46,640 --> 02:25:50,400 REALLY VERY EVIDENT THERE IS A 3466 02:25:50,400 --> 02:25:50,680 PROBLEM. 3467 02:25:50,680 --> 02:25:54,440 SO, ON THE LEFT IS DATA AND 3468 02:25:54,440 --> 02:25:55,520 NIA-FUNDED TRIALS THAT YOU CAN 3469 02:25:55,520 --> 02:25:57,640 SEE THE REPRESENTATION THAT 3470 02:25:57,640 --> 02:26:00,080 MATCHES EPIDEMIOLOGIC STUDIES 3471 02:26:00,080 --> 02:26:02,680 ABOUT 77% OF PARTICIPANTS IN 3472 02:26:02,680 --> 02:26:05,080 THOSE TRIALS ARE WHITE. AFRICAN 3473 02:26:05,080 --> 02:26:08,920 AMERICANS ARE ABOUT 14%. 3474 02:26:08,920 --> 02:26:10,720 INDUSTRY-FUNDED TRIALS, 3475 02:26:10,720 --> 02:26:12,040 ENROLLMENT IS WORSE FOR GROUPS 3476 02:26:12,040 --> 02:26:14,640 AND OVERALL IS LESS THAN 5% OF 3477 02:26:14,640 --> 02:26:17,200 TRIAL PARTICIPANTS COME FROM 3478 02:26:17,200 --> 02:26:18,640 MINORITIZED BACKGROUNDS THAT YOU 3479 02:26:18,640 --> 02:26:19,840 PROBABLY HAVE HEARD THAT THERE 3480 02:26:19,840 --> 02:26:30,520 HAS BEEN BUZZ RECENT BUZZ -- AND 3481 02:26:34,560 --> 02:26:38,040 THEY ACTUALLY INCLUDED LESS THAN 3482 02:26:38,040 --> 02:26:40,200 2% BLACKS IN TREATMENT ARMS 3483 02:26:40,200 --> 02:26:41,480 HIGHLIGHTING NUMBERS THERE AND 3484 02:26:41,480 --> 02:26:42,640 HAVING SOMETHING LIKE THIS YOU 3485 02:26:42,640 --> 02:26:45,200 ARE UNABLE TO ASSESS 3486 02:26:45,200 --> 02:26:47,200 EFFECTIVENESS IN BLACK PATIENTS 3487 02:26:47,200 --> 02:26:49,560 AND ASSESS DRUG SAFETY AND 3488 02:26:49,560 --> 02:26:51,160 SIDE-EFFECTS IN BLACK PATIENTS 3489 02:26:51,160 --> 02:26:53,400 AND THERE IS LOTS OF 3490 02:26:53,400 --> 02:26:55,600 SIDE-EFFECTS FOR PATIENTS THAT 3491 02:26:55,600 --> 02:26:57,560 CARRY ALLELE THAT IS HIGHER IN 3492 02:26:57,560 --> 02:27:00,320 BLACK PEOPLE AND IS AN ARTICLE 3493 02:27:00,320 --> 02:27:03,720 RECENTLY WRITTEN BY JENNIFER 3494 02:27:03,720 --> 02:27:05,320 MANLY AND MARIA AND JAMMA IN 3495 02:27:05,320 --> 02:27:06,720 NEUROLOGY THAT IS REALLY THE 3496 02:27:06,720 --> 02:27:08,920 CRUX OF THE ISSUE AND TOOK OUT 3497 02:27:08,920 --> 02:27:12,280 THE QUOTE HERE. IT SAYS THAT 3498 02:27:12,280 --> 02:27:14,200 DECISION TO APPROVE 3499 02:27:14,200 --> 02:27:14,960 [INDISCERNIBLE] ASSESSING 3500 02:27:14,960 --> 02:27:17,520 EVIDENCE INCLUDING ONLY SIX 3501 02:27:17,520 --> 02:27:19,240 PLAQUE PATIENTS AS SUFFICIENT 3502 02:27:19,240 --> 02:27:21,360 REVEALS LOW PRIORITY GIVEN TO 3503 02:27:21,360 --> 02:27:23,360 BLACK TRIAL PARTICIPANTS AND 3504 02:27:23,360 --> 02:27:25,040 HEALTH OF BLACK PEOPLE. 3505 02:27:25,040 --> 02:27:27,520 SO, THAT IS ONE CHALLENGE AND 3506 02:27:27,520 --> 02:27:29,480 SECOND CHALLENGE IS REALLY, YOU 3507 02:27:29,480 --> 02:27:31,960 KNOW, BORN OUT OF THAT. IT IS 3508 02:27:31,960 --> 02:27:34,280 REALLY THE RESULT OUT OF 3509 02:27:34,280 --> 02:27:36,920 EXCLUSION WHEN NOT INCLUDED IN 3510 02:27:36,920 --> 02:27:38,360 THESE TYPES OF STUDIES WE END UP 3511 02:27:38,360 --> 02:27:40,400 NOT BEING TRUSTED BY THE 3512 02:27:40,400 --> 02:27:41,560 COMMUNITY WHETHER CAUSE OR 3513 02:27:41,560 --> 02:27:44,120 CONSEQUENCE THAT IS DEBATABLE 3514 02:27:44,120 --> 02:27:45,560 AND ALZHEIMER'S ASSOCIATION 3515 02:27:45,560 --> 02:27:48,000 RECENTLY HELD A NUMBER OF FOCUS 3516 02:27:48,000 --> 02:27:50,400 GROUPS WITH DIFFERENT PEOPLE 3517 02:27:50,400 --> 02:27:54,120 FROM DIFFERENT RACES AND 3518 02:27:54,120 --> 02:27:55,400 ETHNICITIES AND REALLY TELLING 3519 02:27:55,400 --> 02:27:58,760 FOR THE ISSUE, BLACK AMERICANS 3520 02:27:58,760 --> 02:28:00,840 ARE MOST LIKELY OF ALL OF THE 3521 02:28:00,840 --> 02:28:02,680 OTHER GROUPS TO BELIEVE THAT 3522 02:28:02,680 --> 02:28:04,360 MEDICAL RESEARCH IS BIASED 3523 02:28:04,360 --> 02:28:06,800 AGAINST PEOPLE OF COLOR AND THEY 3524 02:28:06,800 --> 02:28:09,840 ARE LEAST LIKELY TO TRUST THAT 3525 02:28:09,840 --> 02:28:13,520 ALZHEIMER'S CURE WILL BE SHARED 3526 02:28:13,520 --> 02:28:14,400 EQUALLY REGARDLESS OF RACE COLOR 3527 02:28:14,400 --> 02:28:15,960 AND ETHNICITY AND SHOWING WE 3528 02:28:15,960 --> 02:28:18,520 HAVE WORK TO DO TO REALLY GAIN 3529 02:28:18,520 --> 02:28:20,160 TRUST OF THE COMMUNITY AND CAN'T 3530 02:28:20,160 --> 02:28:22,400 KEEP SAYING THAT COMMUNITY 3531 02:28:22,400 --> 02:28:24,600 DOESN'T TRUST US. WE HAVE TO 3532 02:28:24,600 --> 02:28:26,680 THINK ABOUT RESEARCHERS AND US 3533 02:28:26,680 --> 02:28:29,040 AND WHY WE ARE NOT TRUSTWORTHY 3534 02:28:29,040 --> 02:28:30,640 AND THIRD CHALLENGE THAT COMES 3535 02:28:30,640 --> 02:28:33,880 ON HEALS OF THAT IS A LITTLE 3536 02:28:33,880 --> 02:28:34,680 MORE TECHNICAL. 3537 02:28:34,680 --> 02:28:36,600 IT IS IMPORTANT. YOU KNOW, 3538 02:28:36,600 --> 02:28:38,240 STUDIES IN THIS AREA THAT ARE 3539 02:28:38,240 --> 02:28:40,560 LOOKING AT DISPARITIES BETWEEN 3540 02:28:40,560 --> 02:28:42,320 BLACKS AND WHITES THAT HAVE 3541 02:28:42,320 --> 02:28:44,640 MAINLY BEEN FOCUSED ON 3542 02:28:44,640 --> 02:28:46,720 CROSS-SECTIONAL DESIGNS AND 3543 02:28:46,720 --> 02:28:48,720 AFRICAN AMERICANS TEND TO 3544 02:28:48,720 --> 02:28:50,680 PERFORM LOWER ON COGNITIVE 3545 02:28:50,680 --> 02:28:52,440 FUNCTION TESTS SHOWN FOR MANY, 3546 02:28:52,440 --> 02:28:54,600 MANY YEARS AND TESTS USED TO 3547 02:28:54,600 --> 02:28:57,400 MAKE ALZHEIMER'S DIAGNOSIS AND 3548 02:28:57,400 --> 02:28:58,640 PERFORMANCE IS CORRELATED WITH 3549 02:28:58,640 --> 02:29:03,080 MANY THINGS OUTSIDE OF COGNITION 3550 02:29:03,080 --> 02:29:04,640 ITSELF LIKE EDUCATION AND HAVE 3551 02:29:04,640 --> 02:29:06,520 OTHER THINGS LISTED ON THE SLIDE 3552 02:29:06,520 --> 02:29:09,520 AND MANY FACTORS VARY BY RACE. 3553 02:29:09,520 --> 02:29:12,040 OFTEN WE ARE NOT CONTROLLING FOR 3554 02:29:12,040 --> 02:29:14,920 THESE THINGS AND CAN'T POSSIBLY 3555 02:29:14,920 --> 02:29:16,360 CONTROL FOR EVERYTHING DIFFERENT 3556 02:29:16,360 --> 02:29:18,120 BETWEEN BLACKS AND WHITE AND IF 3557 02:29:18,120 --> 02:29:20,120 WE TAKE A SNAPSHOT LOOK AT 3558 02:29:20,120 --> 02:29:21,760 PERFORMANCE WE WILL GET A 3559 02:29:21,760 --> 02:29:23,160 DIFFERENT RESULT AND WHAT I HAVE 3560 02:29:23,160 --> 02:29:25,520 ARGUED IS THAT WE HAVE TO 3561 02:29:25,520 --> 02:29:27,240 COMPLEMENT THESE CROSS-SECTIONAL 3562 02:29:27,240 --> 02:29:28,760 DESIGNS WITH LONGITUDINAL 3563 02:29:28,760 --> 02:29:30,440 DESIGNS AND IF WE ARE REALLY 3564 02:29:30,440 --> 02:29:33,240 INTERESTED IN AGING THAT IS 3565 02:29:33,240 --> 02:29:34,680 FUNDAMENTALLY A CHANGE OR 3566 02:29:34,680 --> 02:29:36,240 PROCESS OF CHANGE OVER TIME, WHY 3567 02:29:36,240 --> 02:29:38,920 ARE WE NOT LOOKING AT HOW PEOPLE 3568 02:29:38,920 --> 02:29:41,000 ARE CHANGING TO SEE IF THERE ARE 3569 02:29:41,000 --> 02:29:42,680 RACIAL DIFFERENCES THERE? 3570 02:29:42,680 --> 02:29:45,080 THIS SLIDE SHOWS YOU THAT 3571 02:29:45,080 --> 02:29:46,840 EVERYONE HAS TO HAVE A SORT OF 3572 02:29:46,840 --> 02:29:49,480 NORMAL AGING PROCESS AND 3573 02:29:49,480 --> 02:29:50,320 EXPERIENCING SLIGHT CHANGES 3574 02:29:50,320 --> 02:29:53,960 DURING AGING AND IS A LONG 3575 02:29:53,960 --> 02:29:54,720 PRECLINICAL PHASE BEFORE PEOPLE 3576 02:29:54,720 --> 02:29:59,280 START TO MANIFEST THE SYMPTOMS 3577 02:29:59,280 --> 02:30:01,520 AND RED LINE YOU HAVE CLINICAL 3578 02:30:01,520 --> 02:30:05,560 SYMPTOMS OF DEMENTIA AND MANY 3579 02:30:05,560 --> 02:30:08,120 STUDIES TAKE PEOPLE ACROSS 3580 02:30:08,120 --> 02:30:08,840 DIFFERENT CROSS-SECTIONAL POINTS 3581 02:30:08,840 --> 02:30:11,600 AND COMPARING ACROSS RACE AND I 3582 02:30:11,600 --> 02:30:13,160 WANT TO COMPARE PEOPLE AND SEE 3583 02:30:13,160 --> 02:30:16,080 HOW TRAJECTORIES ARE CHANGING 3584 02:30:16,080 --> 02:30:17,840 OVER TIME AND FINAL CHALLENGE I 3585 02:30:17,840 --> 02:30:19,720 THINK IS WE ARE MISSING 3586 02:30:19,720 --> 02:30:21,680 NARRATIVES AND LIVED EXPERIENCES 3587 02:30:21,680 --> 02:30:24,040 OF PEOPLE MOST AT RISK FOR THIS 3588 02:30:24,040 --> 02:30:24,320 DISEASE. 3589 02:30:24,320 --> 02:30:26,320 I POINT TO YOU, AGAIN, TO 3590 02:30:26,320 --> 02:30:27,200 KNOWLEDGE THAT WE ARE GAINING 3591 02:30:27,200 --> 02:30:29,640 AND WE ARE MOVING SO QUICKLY AND 3592 02:30:29,640 --> 02:30:30,920 WE ARE LEARNING ABOUT 3593 02:30:30,920 --> 02:30:33,160 ALZHEIMER'S THAT IS COMING FROM 3594 02:30:33,160 --> 02:30:36,280 A HOMOGENOUS POPULATION AND 3595 02:30:36,280 --> 02:30:38,480 PEOPLE MOST AT RISK THAT THEIR 3596 02:30:38,480 --> 02:30:39,400 NARRATIVES ARE NOT BEING 3597 02:30:39,400 --> 02:30:41,920 INCLUDED AND WHY I STARTED AS A 3598 02:30:41,920 --> 02:30:45,240 COHORT MANY YEARS AGO. I COULD 3599 02:30:45,240 --> 02:30:48,480 TRY TO UNDERSTAND AND ASK 3600 02:30:48,480 --> 02:30:49,880 QUESTIONS THAT ARE RELEVANT TO 3601 02:30:49,880 --> 02:30:51,560 AGING PROCESS. 3602 02:30:51,560 --> 02:30:53,560 I WANT TO DESCRIBE RESEARCH THAT 3603 02:30:53,560 --> 02:30:55,920 WE STARTED THAT TRIES TO CENTER 3604 02:30:55,920 --> 02:30:56,920 DIVERSITY AND OBJECTIVE OF 3605 02:30:56,920 --> 02:31:01,520 PROGRAM IS REALLY TO BUILD AN 3606 02:31:01,520 --> 02:31:08,400 INFRASTRUCTURE AND RESOURCE FOR 3607 02:31:08,400 --> 02:31:11,640 INVESTIGATORS PRIMARILY TO 3608 02:31:11,640 --> 02:31:13,040 UNDERSTAND COGNITIVE AGING AND 3609 02:31:13,040 --> 02:31:15,960 WANT TO GIVE A VOICE TO THOSE 3610 02:31:15,960 --> 02:31:18,240 HISTORICALLY EXCLUDED FROM 3611 02:31:18,240 --> 02:31:19,800 ALZHEIMER'S STUDIES SO WE CAN 3612 02:31:19,800 --> 02:31:22,160 IDENTIFY RISK AND PROTECTIVE 3613 02:31:22,160 --> 02:31:24,120 FACTORS FOR COGNITIVE DESIGN AND 3614 02:31:24,120 --> 02:31:26,680 ALZHEIMER'S DEMENTIA AND IN 2004 3615 02:31:26,680 --> 02:31:31,080 I STARTED A STUDY MINORITY AGE 3616 02:31:31,080 --> 02:31:33,280 RESEARCH STUDY KNOWN AS MARS IN 3617 02:31:33,280 --> 02:31:35,520 THE COMMUNITY AND STUDY CONSISTS 3618 02:31:35,520 --> 02:31:37,520 OF OVER 800 AFRICAN-AMERICANS 3619 02:31:37,520 --> 02:31:40,120 AND STARTED AND 350 AND ONGOING 3620 02:31:40,120 --> 02:31:42,720 ENROLLMENT THAT IS FUNDED BY NIA 3621 02:31:42,720 --> 02:31:44,920 SINCE 2004 AND ONLY CRITERIA TO 3622 02:31:44,920 --> 02:31:46,640 GET INTO THE STUDY YOU HAVE TO 3623 02:31:46,640 --> 02:31:49,280 BE AT LEAST 65 YEARS OF AGE AND 3624 02:31:49,280 --> 02:31:50,960 CAN'T HAVE KNOWN DEMENTIA AND 3625 02:31:50,960 --> 02:31:54,080 TAKING MEDICATIONS AND HAVING A 3626 02:31:54,080 --> 02:31:54,640 DIAGNOSIS. 3627 02:31:54,640 --> 02:31:57,280 RATHER THAN HANGING A FLYER IN 3628 02:31:57,280 --> 02:31:59,400 OUR MEMORY CLINIC WE GO TO THE 3629 02:31:59,400 --> 02:32:01,640 COMMUNITY AND RECRUIT FROM THE 3630 02:32:01,640 --> 02:32:03,120 COMMUNITY PRIMARILY CHURCHES AND 3631 02:32:03,120 --> 02:32:04,400 SENIOR BUILDINGS AND 3632 02:32:04,400 --> 02:32:08,160 ORGANIZATIONS AND FRATERNITY AND 3633 02:32:08,160 --> 02:32:10,680 SORORITIES IN CHICAGO TO GET, 3634 02:32:10,680 --> 02:32:11,760 YOU KNOW, BETTER REPRESENTATION 3635 02:32:11,760 --> 02:32:13,680 WHAT IS OUT THERE AND WE KNOW 3636 02:32:13,680 --> 02:32:15,160 THAT MANY AFRICAN AMERICANS 3637 02:32:15,160 --> 02:32:17,120 NEVER MAKE IT TO MEDICAL 3638 02:32:17,120 --> 02:32:18,720 ATTENTION IF THEY ESPECIALLY 3639 02:32:18,720 --> 02:32:21,240 HAVE MEMORY CONCERNS AND ANOTHER 3640 02:32:21,240 --> 02:32:23,440 BARRIER WE TRY TO OVERCOME IS WE 3641 02:32:23,440 --> 02:32:25,400 DON'T HAVE PEOPLE COME TO RUSH 3642 02:32:25,400 --> 02:32:27,080 EVER. WE GO TO THEM AND SEND A 3643 02:32:27,080 --> 02:32:29,960 TEAM OUT AND RESEARCH ASSISTANCE 3644 02:32:29,960 --> 02:32:33,480 AND PHLEBOTOMISTS AND NURSES AND 3645 02:32:33,480 --> 02:32:35,520 DOCTORS TO DO TESTING IN COMFORT 3646 02:32:35,520 --> 02:32:37,440 OF THEIR HOME AND DO 3647 02:32:37,440 --> 02:32:39,320 COMPREHENSIVE COGNITIVE EXAMPLE 3648 02:32:39,320 --> 02:32:40,880 ABOUT 19 DIFFERENT TEST AND 3649 02:32:40,880 --> 02:32:43,560 MEASURE A VARIETY OF RISK 3650 02:32:43,560 --> 02:32:44,440 FACTORS AND EVEN TAKE BLOOD IN 3651 02:32:44,440 --> 02:32:47,480 THE HOME. FOLLOW UP RATE IS 3652 02:32:47,480 --> 02:32:50,320 REALLY GOOD OVER 90% AMONG 3653 02:32:50,320 --> 02:32:51,400 SURVIVORS EVERYONE STARTS OUT 3654 02:32:51,400 --> 02:32:54,560 WITH DEMENTIA AND BASELINE AND 3655 02:32:54,560 --> 02:32:56,640 10% DEVELOPED ALZHEIMER'S OVER 3656 02:32:56,640 --> 02:32:59,440 TIME AND 2011 WE STARTED TO 3657 02:32:59,440 --> 02:33:00,960 RECRUIT FOR BRAIN AUTOPSY AND I 3658 02:33:00,960 --> 02:33:02,400 LOOKED OUT THERE IN THE 3659 02:33:02,400 --> 02:33:03,880 LITERATURE AND THERE WAS HARDLY 3660 02:33:03,880 --> 02:33:05,880 ANY DATA ON THE UNDERLYING 3661 02:33:05,880 --> 02:33:08,680 PATHOLOGY IN THE BRAINS OF OLDER 3662 02:33:08,680 --> 02:33:10,320 AFRICAN AMERICANS AND THIS HAS 3663 02:33:10,320 --> 02:33:12,040 BEEN MOST CHALLENGING ASPECT OF 3664 02:33:12,040 --> 02:33:14,120 THE STUDY. IT IS REALLY, REALLY 3665 02:33:14,120 --> 02:33:16,680 HARD TO RECRUIT FOR BRAIN 3666 02:33:16,680 --> 02:33:19,760 AUTOPSY AND MINORITIZED 3667 02:33:19,760 --> 02:33:21,880 POPULATIONS AND WE HAVE 160 3668 02:33:21,880 --> 02:33:24,200 AUTOPSIES TO DATE AND WILL NOTE 3669 02:33:24,200 --> 02:33:26,400 IF YOU GO TO AN ALZHEIMER'S 3670 02:33:26,400 --> 02:33:28,680 CENTER YOU WILL GET BRAINS FROM 3671 02:33:28,680 --> 02:33:29,440 AFRICAN AMERICANS AND PEOPLE 3672 02:33:29,440 --> 02:33:32,080 HAVE DEMENTIA AND SHOW UP TO THE 3673 02:33:32,080 --> 02:33:33,880 CLINIC AND WANT AUTOPSY WHEN 3674 02:33:33,880 --> 02:33:35,480 THEY DIED TO SEE WHAT THE 3675 02:33:35,480 --> 02:33:37,440 DIAGNOSIS WAS. IT THIS STUDY IS 3676 02:33:37,440 --> 02:33:39,280 PEOPLE SIGNING UP WITHOUT 3677 02:33:39,280 --> 02:33:41,360 DEMENTIA FOLLOWING OVER TIME AND 3678 02:33:41,360 --> 02:33:42,880 THEY DIE AND AT END THERE ARE 3679 02:33:42,880 --> 02:33:45,080 PEOPLE WITH DEMENTIA AND SOME 3680 02:33:45,080 --> 02:33:46,120 DON'T. WE DON'T HAVE ANYTHING 3681 02:33:46,120 --> 02:33:47,440 LIKE THIS IN THE FIELD. IT IS 3682 02:33:47,440 --> 02:33:50,000 REALLY GOING TO BE A GREAT 3683 02:33:50,000 --> 02:33:52,920 RESOURCE FOR PEOPLE WHO WANT TO 3684 02:33:52,920 --> 02:33:54,640 UNDERSTAND UNDERLYING 3685 02:33:54,640 --> 02:33:56,000 NEUROBIOLOGY OF ALZHEIMER'S AND 3686 02:33:56,000 --> 02:34:02,560 TO DO A STUDY LIKE THIS THOUGH 3687 02:34:02,560 --> 02:34:04,000 IS INTENSIVE COMMUNITY-BASED 3688 02:34:04,000 --> 02:34:06,280 WORK AND PHILOSOPHY TO GIVE 3689 02:34:06,280 --> 02:34:07,480 FIRST AND MEET COMMUNITY NEEDS 3690 02:34:07,480 --> 02:34:10,840 AND BEFORE I GOT FUNDED I WAS IN 3691 02:34:10,840 --> 02:34:12,680 THE COMMUNITY GIVING 3692 02:34:12,680 --> 02:34:14,120 PRESENTATIONS HOSTING HEALTH 3693 02:34:14,120 --> 02:34:15,320 FAIRS AND DOING MEMORY SCREENS 3694 02:34:15,320 --> 02:34:17,200 AND TRYING TO BUILD A 3695 02:34:17,200 --> 02:34:18,680 RELATIONSHIP WITH PEOPLE SO WHEN 3696 02:34:18,680 --> 02:34:20,960 I FINALLY GOT FUNDED I WAS ABLE 3697 02:34:20,960 --> 02:34:22,800 TO RECRUIT 200 PEOPLE IN THE 3698 02:34:22,800 --> 02:34:25,360 FIRST YEAR THAT IS CONTINUOUSLY 3699 02:34:25,360 --> 02:34:27,760 GROWING AND DURING COVID 3700 02:34:27,760 --> 02:34:31,520 ALTHOUGH WE HAVE TO HALT OUR 3701 02:34:31,520 --> 02:34:34,080 IN-PERSON RESEARCH, OBVIOUSLY. 3702 02:34:34,080 --> 02:34:35,840 WE STILL CONTINUE TO DO THINGS 3703 02:34:35,840 --> 02:34:37,240 OVER THE PHONE AND KEPT 3704 02:34:37,240 --> 02:34:38,640 COMMUNITY PRESENCE BY TRYING TO 3705 02:34:38,640 --> 02:34:41,800 DO THINGS, YOU KNOW, LIKE COVID 3706 02:34:41,800 --> 02:34:43,200 TESTING AND SCREENING AND 3707 02:34:43,200 --> 02:34:45,120 ESSENTIAL WORKERS WHO STILL HAVE 3708 02:34:45,120 --> 02:34:46,440 TO GO TO WORK EVEN THOUGH 3709 02:34:46,440 --> 02:34:50,680 EVERYONE ELSE IS AT HOME WE HAVE 3710 02:34:50,680 --> 02:34:52,120 LAUNDROMAT EVENTS WASHING 3711 02:34:52,120 --> 02:34:53,720 CLOTHES OF CENTRAL WORKERS TO 3712 02:34:53,720 --> 02:34:55,200 HAVE PRESENCE TO THE COMMUNITY 3713 02:34:55,200 --> 02:34:58,400 AND KEEP GIVING BACK TO THE 3714 02:34:58,400 --> 02:34:59,560 COMMUNITY THAT REALLY PAID OFF 3715 02:34:59,560 --> 02:35:01,200 AND OTHER THING THAT IS REALLY 3716 02:35:01,200 --> 02:35:03,240 IMPORTANT IS I AS A PI, I'M IN 3717 02:35:03,240 --> 02:35:05,800 THE COMMUNITY WITH, YOU KNOW, 3718 02:35:05,800 --> 02:35:09,120 THE PARTICIPANTS. IT IS NOT 3719 02:35:09,120 --> 02:35:11,200 JUST MY STAFF. WE ARE OUT THERE 3720 02:35:11,200 --> 02:35:12,920 ENGAGING WITH THE COMMUNITY AND 3721 02:35:12,920 --> 02:35:14,240 TRYING TO HOLD AND HOST 3722 02:35:14,240 --> 02:35:16,080 COMPLUNTY CENTERED RETENTION 3723 02:35:16,080 --> 02:35:18,680 EVENTS WHERE WE ARE GIVING BACK 3724 02:35:18,680 --> 02:35:19,000 INFORMATION. 3725 02:35:19,000 --> 02:35:21,840 WE ARE NO THE DOING A HELICOPTER 3726 02:35:21,840 --> 02:35:23,720 THING ROLLING IN GRABBING DATA 3727 02:35:23,720 --> 02:35:30,720 AND LEF LEAVING. WI ARE THERE 3728 02:35:30,720 --> 02:35:32,640 THE LONG HAUL AND BUMP IN THE 3729 02:35:32,640 --> 02:35:34,280 GRANT REMAINING STAY IN 3730 02:35:34,280 --> 02:35:36,000 COMMUNITY AND PARTNERS 3731 02:35:36,000 --> 02:35:37,600 THROUGHOUT AND THAT PAID OFF AND 3732 02:35:37,600 --> 02:35:40,000 IS HOW COHORT LOOKS CURRENTLY 3733 02:35:40,000 --> 02:35:42,360 OVER 800 SELF-IDENTIFIED AFRICAN 3734 02:35:42,360 --> 02:35:44,000 AMERICANS PREDOMINANTLY WOMEN 3735 02:35:44,000 --> 02:35:47,080 THAT IS CONSISTENT WITH MOST 3736 02:35:47,080 --> 02:35:49,080 AGING RESEARCH WOMEN TEND TO 3737 02:35:49,080 --> 02:35:51,600 VOLUNTEER LONGER AND MEN HAVE 3738 02:35:51,600 --> 02:35:53,880 PROTECTION AND DIE EARLY AND 3739 02:35:53,880 --> 02:35:55,920 DON'T END UP IN STUDIES AND MAIN 3740 02:35:55,920 --> 02:35:58,160 EDUCATION IS RELATIVELY HIGH FOR 3741 02:35:58,160 --> 02:36:00,680 THIS COHORT I WILL ADMIT THAT, 3742 02:36:00,680 --> 02:36:03,320 THAT IS REFLECTIVE ON HEALTHY 3743 02:36:03,320 --> 02:36:04,360 VOLUNTEER COHORT. 3744 02:36:04,360 --> 02:36:06,040 WE HAVE A RANGE. SOME PEOPLE 3745 02:36:06,040 --> 02:36:07,960 HAVE FOUR YEARS OF EDUCATION UP 3746 02:36:07,960 --> 02:36:10,440 TO 30 YEARS OF EDUCATION. 3747 02:36:10,440 --> 02:36:12,920 ABOUT HALF OF THE COHORTS SO FAR 3748 02:36:12,920 --> 02:36:15,000 HAS AGREED TO BRING DONATION. 3749 02:36:15,000 --> 02:36:17,240 THIS IS A CONTINUOUS EDUCATION 3750 02:36:17,240 --> 02:36:18,840 PIECE THAT WE ARE ALWAYS, YOU 3751 02:36:18,840 --> 02:36:20,440 KNOW, EVERY YEAR WE ARE ASKING 3752 02:36:20,440 --> 02:36:21,800 PEOPLE DO YOU WANT TO GIVE YOUR 3753 02:36:21,800 --> 02:36:23,640 BRAIN AND GIVING THEM EDUCATION 3754 02:36:23,640 --> 02:36:26,440 ABOUT WHY IT IS IMPORTANT. 3755 02:36:26,440 --> 02:36:29,400 97% HAVE STORED PLASMA AND SERUM 3756 02:36:29,400 --> 02:36:32,120 AND 95% OF DNA AND CURRENTLY IN 3757 02:36:32,120 --> 02:36:33,640 YEARS 16 TO 20. 3758 02:36:33,640 --> 02:36:35,120 THROUGH THIS RESOURCE WE HAVE 3759 02:36:35,120 --> 02:36:37,120 BEEN ABLE TO LEVERAGE AND BUILD 3760 02:36:37,120 --> 02:36:39,120 INTO THE STUDY OTHER STUDIES. 3761 02:36:39,120 --> 02:36:41,760 WE HAVE BRAIN IMAGING AND 3762 02:36:41,760 --> 02:36:43,400 DECISION MAKING SMART HOMES 3763 02:36:43,400 --> 02:36:44,640 NUTRITION AND MEDICARE. PEOPLE 3764 02:36:44,640 --> 02:36:47,640 ARE COMING TO ME CONSTANTLY WITH 3765 02:36:47,640 --> 02:36:50,920 REQUESTS TO ADD STUDIES THAT HAS 3766 02:36:50,920 --> 02:36:53,120 BECOME A RESOURCE. MARS IS 3767 02:36:53,120 --> 02:36:54,680 COMPLETELY AFRICAN AMERICAN AND 3768 02:36:54,680 --> 02:36:57,280 I'M INTERESTED AND WITHIN RACE 3769 02:36:57,280 --> 02:36:57,640 HETEROGENEITY. 3770 02:36:57,640 --> 02:36:59,560 THERE IS QUESTIONS YOU NEED TO 3771 02:36:59,560 --> 02:37:00,800 ASK ACROSS RACE AND WE HAVE 3772 02:37:00,800 --> 02:37:05,000 ANOTHER COHORT THAT HAS BEEN 3773 02:37:05,000 --> 02:37:07,320 ONGOING FOR OVER 25 YEARS RUSH 3774 02:37:07,320 --> 02:37:10,240 AGING PROJECT AND THIS COHORT IS 3775 02:37:10,240 --> 02:37:12,280 2,000 OLDER PERSONS WITHOUT 3776 02:37:12,280 --> 02:37:15,240 DEMENTIA RECRUITING THROUGHOUT 3777 02:37:15,240 --> 02:37:17,480 CHICAGO IN NORTHEASTERN ILLINOIS 3778 02:37:17,480 --> 02:37:19,560 IS PREDOMINANTLY WHITE AND 3779 02:37:19,560 --> 02:37:21,200 SIMILAR TO MARS THEY AGREE TO 3780 02:37:21,200 --> 02:37:23,760 ANNUAL DETAILED EVALUATIONS RISK 3781 02:37:23,760 --> 02:37:25,760 FACTOR ASSESSMENT AND BLOOD 3782 02:37:25,760 --> 02:37:27,200 DONATION AND UNLIKE MARS TO BE 3783 02:37:27,200 --> 02:37:30,400 IN THIS STUDY YOU HAVE TO AGREE 3784 02:37:30,400 --> 02:37:32,200 TO ORGAN DONATION AT DEATH THAT 3785 02:37:32,200 --> 02:37:34,400 IS A CONDITION OF ENTRY AND AS A 3786 02:37:34,400 --> 02:37:36,520 RESULT THEY HAVE VERY FEW 3787 02:37:36,520 --> 02:37:37,920 MINORITIZED PEOPLE AND IS 3788 02:37:37,920 --> 02:37:39,200 SIGNIFICANT OVERLAP IN RISK 3789 02:37:39,200 --> 02:37:42,200 FACTORS WITH MARS AND USE 3790 02:37:42,200 --> 02:37:44,200 HARMONIZED COGNITIVE BATTERY 3791 02:37:44,200 --> 02:37:46,200 ALLOWING TO MERGE DATA LOOKING 3792 02:37:46,200 --> 02:37:47,880 ACROSS RACE WHEN WE WANT TO. 3793 02:37:47,880 --> 02:37:49,800 THIS IS DESIGN OF BOTH STUDIES 3794 02:37:49,800 --> 02:37:51,840 THAT WE ENROLL PEOPLE AT 3795 02:37:51,840 --> 02:37:53,760 BASELINE WITH NO DISEASE AND 3796 02:37:53,760 --> 02:37:55,560 DOCUMENT RISK FACTORS AND TEST 3797 02:37:55,560 --> 02:37:57,040 THEM EVERY YEAR ANNUALLY WITH 3798 02:37:57,040 --> 02:38:00,120 THE SAME BATTERY OF TESTS TO 3799 02:38:00,120 --> 02:38:01,960 MEASURE THEIR PERFORMANCE OVER 3800 02:38:01,960 --> 02:38:04,320 TIME AND AT SOME POINT SOME 3801 02:38:04,320 --> 02:38:09,280 PEOPLE WILL DEVELOP INCIDENT ALZ 3802 02:38:09,280 --> 02:38:10,840 SDIEMERS AND SOME WILL REMAIN 3803 02:38:10,840 --> 02:38:14,520 COGNITIVELY UNIMPAIRED AND THOSE 3804 02:38:14,520 --> 02:38:17,560 COMING TO AUTOPSY WE RELAY RISK 3805 02:38:17,560 --> 02:38:19,640 FACTORS TO PATHOLOGY IN THE 3806 02:38:19,640 --> 02:38:21,280 BRAIN TO NO PATHOLOGY TO 3807 02:38:21,280 --> 02:38:23,320 SOMETHING SEVERE AND SEE IF 3808 02:38:23,320 --> 02:38:26,120 PATHOLOGY MIGHT BE MEDIATING 3809 02:38:26,120 --> 02:38:27,160 ASSOCIATION BETWEEN RISK FACTORS 3810 02:38:27,160 --> 02:38:30,680 AND OUTCOMES MEASURING CHANGE IN 3811 02:38:30,680 --> 02:38:31,720 PERFORMANCE OR INCIDENCE DISEASE 3812 02:38:31,720 --> 02:38:34,480 THAT HAS BEEN A REALLY POWERFUL 3813 02:38:34,480 --> 02:38:36,400 DESIGN TO UNDERSTAND AND LOOK AT 3814 02:38:36,400 --> 02:38:37,080 RACIAL DIFFERENCES AND HOW 3815 02:38:37,080 --> 02:38:39,160 PEOPLE ARE CHANGING OVER TIME. 3816 02:38:39,160 --> 02:38:41,560 SO, WHEN WE LOOK AT, YOU KNOW, 3817 02:38:41,560 --> 02:38:44,840 JUST HOW PEOPLE CHANGE, I'M 3818 02:38:44,840 --> 02:38:47,360 SHOWING YOU HERE A SPAGHETTI 3819 02:38:47,360 --> 02:38:49,760 PLOT OF RANDOM SAMPLES OF BLACKS 3820 02:38:49,760 --> 02:38:53,200 AND WHITES AND TWO STUDIES AND Y 3821 02:38:53,200 --> 02:38:57,240 AXIS IS A COMPOSITE MEASURE OF 3822 02:38:57,240 --> 02:38:58,400 GLOBAL COGNITIVE FUNCTION AND 3823 02:38:58,400 --> 02:39:00,280 POSITIVE NUMBERS ARE BETTER AND 3824 02:39:00,280 --> 02:39:03,800 NEGATIVE NUMBERS WORSE AND WE 3825 02:39:03,800 --> 02:39:05,520 PLOT AGAINST AGE. 3826 02:39:05,520 --> 02:39:06,840 BLACK PEOPLE ARE BLACK LINES AND 3827 02:39:06,840 --> 02:39:08,280 RED LINES ARE WHITE PEOPLE AND 3828 02:39:08,280 --> 02:39:12,720 YOU CAN SEE THERE IS A LOT OF 3829 02:39:12,720 --> 02:39:13,640 HETEROGENEITY IN HOW PEOPLE 3830 02:39:13,640 --> 02:39:18,360 CHANGE AND SOME ARE DECLINING 3831 02:39:18,360 --> 02:39:19,680 PRECIPITOUSLY AND SOME STAYING 3832 02:39:19,680 --> 02:39:22,240 STABLE AND SOME GETTING BETTER 3833 02:39:22,240 --> 02:39:23,840 AND SMOOTHING OUT CURVES AND 3834 02:39:23,840 --> 02:39:26,680 LOOKING AT MIXED EFFECTS MODELS 3835 02:39:26,680 --> 02:39:28,440 PATTERN LIKE THIS IF NO MATTER 3836 02:39:28,440 --> 02:39:30,600 WHAT DOMAIN FUNCTION YOU LOOK AT 3837 02:39:30,600 --> 02:39:33,960 TOP GRAPH SHOWING PERFORMANCE ON 3838 02:39:33,960 --> 02:39:36,000 SEMANTICS MEMORY AND MEMORY FOR 3839 02:39:36,000 --> 02:39:37,840 FACTS AND POSITIVE NUMBERS ARE 3840 02:39:37,840 --> 02:39:38,920 BETTER AND NEGATIVE ARE WORSE 3841 02:39:38,920 --> 02:39:41,000 AND YOU SEE WHITES ARE SHOWN IN 3842 02:39:41,000 --> 02:39:43,280 GREEN LINES AND EACH LINE IS AN 3843 02:39:43,280 --> 02:39:45,040 ESTIMATE OF SOMEONE WHO STARTED 3844 02:39:45,040 --> 02:39:46,520 THE STUDY AT A CERTAIN AGE AND 3845 02:39:46,520 --> 02:39:49,560 THERE IS FOLLOW UP FOR ABOUT 5 3846 02:39:49,560 --> 02:39:52,040 OR 6 YEARS AND BLACK STRONG AND 3847 02:39:52,040 --> 02:39:54,240 BLUE LINES ARE ALWAYS BELOW AND 3848 02:39:54,240 --> 02:39:56,280 THAT IS RESULT I TOLD YOU ABOUT 3849 02:39:56,280 --> 02:39:58,120 EARLIER. BLACK PEOPLE ARE 3850 02:39:58,120 --> 02:40:00,800 SCORING LOWER ON THESE TESTS. 3851 02:40:00,800 --> 02:40:03,240 LOOKING AT TRAJECTORIES THERE 3852 02:40:03,240 --> 02:40:04,960 ARE SLOPES AND NO DIFFERENCE HOW 3853 02:40:04,960 --> 02:40:06,680 PEOPLE ARE CHANGING AND FAR OUT 3854 02:40:06,680 --> 02:40:10,760 INTO OLDER AGES LIKE AGE 90 3855 02:40:10,760 --> 02:40:12,360 LOOKS LIKE WHITE PEOPLE ARE 3856 02:40:12,360 --> 02:40:16,760 DECLINING FASTER AND OUT THERE 3857 02:40:16,760 --> 02:40:19,000 IN OLDER AGES INTERPRETING WITH 3858 02:40:19,000 --> 02:40:20,800 CAUTION AND POINT IS WE DON'T 3859 02:40:20,800 --> 02:40:22,040 SEE A DIFFERENCE IN HOW PEOPLE 3860 02:40:22,040 --> 02:40:24,480 CHANGE OVER TIME AND THIS IS A 3861 02:40:24,480 --> 02:40:25,720 VOLUNTEER COHORT AND THEY ARE 3862 02:40:25,720 --> 02:40:28,240 HEALTHY AND EDUCATED AND WE 3863 02:40:28,240 --> 02:40:30,200 REPLICATED THIS IN CHICAGO 3864 02:40:30,200 --> 02:40:32,600 HEALTH AND AGING PROJECT 3865 02:40:32,600 --> 02:40:34,200 POPULATION-BASED STUDY 10,000 3866 02:40:34,200 --> 02:40:36,640 BLACKS AND WHITES YOU SEE A 3867 02:40:36,640 --> 02:40:38,800 SIMILAR FINDING WHITES STARTING 3868 02:40:38,800 --> 02:40:43,080 AGE 68, 73 OR 78 ARE PERFORMING 3869 02:40:43,080 --> 02:40:46,440 AT A HIGHER LEVEL AND LINES 3870 02:40:46,440 --> 02:40:47,880 BETWEEN BLACKS AND WHITES ARE 3871 02:40:47,880 --> 02:40:49,280 PARALLEL AND THERE IS NO 3872 02:40:49,280 --> 02:40:50,520 DIFFERENCE BETWEEN HOW PEOPLE 3873 02:40:50,520 --> 02:40:52,280 ARE CHANGING OVER TIME AND I'M 3874 02:40:52,280 --> 02:40:54,520 SHOWING THERE ARE SEEMING TO BE 3875 02:40:54,520 --> 02:40:58,040 INCREASED RISK OF ALZHEIMER'S 3876 02:40:58,040 --> 02:40:59,760 AMONG AFRICAN AMERICANS DATA 3877 02:40:59,760 --> 02:41:02,160 LIKE KAISER AND VA AND WE DON'T 3878 02:41:02,160 --> 02:41:03,960 SEE DIFFERENCES IN DECLINE AND 3879 02:41:03,960 --> 02:41:07,240 SEE LEVEL DIFFERENCES; RIGHT? 3880 02:41:07,240 --> 02:41:09,400 MY QUESTION HAS BEEN HOW DO I 3881 02:41:09,400 --> 02:41:10,920 UNDERSTAND WHAT IS ACCOUNTING 3882 02:41:10,920 --> 02:41:13,800 FOR LEVEL DIFFERENCES AND I WANT 3883 02:41:13,800 --> 02:41:15,800 TO JUST RUN THROUGH 3884 02:41:15,800 --> 02:41:17,760 DISCRIMINATION AS A POTENTIAL 3885 02:41:17,760 --> 02:41:19,200 CORRELATE OF COGNITIVE AGING 3886 02:41:19,200 --> 02:41:21,160 THAT WE HAVE SHOWN IN A NUMBER 3887 02:41:21,160 --> 02:41:22,560 OF DIFFERENT STUDIES TO BE 3888 02:41:22,560 --> 02:41:24,040 IMPORTANT IN AFRICAN AMERICANS. 3889 02:41:24,040 --> 02:41:26,440 WE KNOW THERE IS A NUMBER OF 3890 02:41:26,440 --> 02:41:28,440 ESTABLISHED RISK FACTORS FOR 3891 02:41:28,440 --> 02:41:29,920 THIS DISEASE AND SOME TO 3892 02:41:29,920 --> 02:41:31,320 INCREASE YOUR RISK AND SOME 3893 02:41:31,320 --> 02:41:34,240 DECREASE YOUR RISK. MOST OF 3894 02:41:34,240 --> 02:41:37,240 THESE ARE NON-MODIFIABLE AND 3895 02:41:37,240 --> 02:41:39,080 EXCEPT FOR EDUCATION MAYBE; 3896 02:41:39,080 --> 02:41:39,360 RIGHT? 3897 02:41:39,360 --> 02:41:41,200 I'M REALLY INTERESTED IN YOU 3898 02:41:41,200 --> 02:41:43,040 KNOW THE SOCIAL FACTORS BECAUSE 3899 02:41:43,040 --> 02:41:46,120 WE KNOW THAT RACE IS A SOCIAL 3900 02:41:46,120 --> 02:41:47,600 POLITICAL CONSTRUCT THAT IS 3901 02:41:47,600 --> 02:41:49,200 ROOTED IN CULTURAL IDENTITY AND 3902 02:41:49,200 --> 02:41:52,440 SHAPED BY HISTORIC EVENTS AND I 3903 02:41:52,440 --> 02:41:55,080 WANT TO UNDERSTAND HOW DO SOCIAL 3904 02:41:55,080 --> 02:41:56,680 DETERMINANTS INFLUENCE BRAIN 3905 02:41:56,680 --> 02:41:58,160 HEALTH? WE ARE STUDYING PEOPLE 3906 02:41:58,160 --> 02:42:01,040 IN 70S AND 80S NOW AND WHO CAME 3907 02:42:01,040 --> 02:42:02,920 AT AN AGE OF TIME THAT IS 3908 02:42:02,920 --> 02:42:05,360 DIFFERENT FROM NOW; RIGHT? 3909 02:42:05,360 --> 02:42:06,800 THEY LIVE THROUGH JIM CROW AND 3910 02:42:06,800 --> 02:42:10,320 ALL KINDS OF LITERALLY NASTY 3911 02:42:10,320 --> 02:42:12,760 EVENTS AND HOW HAS THAT IMPACTED 3912 02:42:12,760 --> 02:42:14,720 AGING PROFILE OF OLDER ADULTS 3913 02:42:14,720 --> 02:42:16,880 AND ONE QUESTION THAT IS EASY 3914 02:42:16,880 --> 02:42:20,200 QUESTION THAT WE ASKED PEOPLE IS 3915 02:42:20,200 --> 02:42:21,840 WHERE WERE YOU BORN AND LIVING 3916 02:42:21,840 --> 02:42:24,760 AT AGE 12 AND EVERYONE IN THE 3917 02:42:24,760 --> 02:42:26,720 STUDY LIVES IN CHICAGO NOW AND 3918 02:42:26,720 --> 02:42:29,280 IS A GREAT MIGRATION IN 1970S 3919 02:42:29,280 --> 02:42:31,760 AND EARLIER WHERE ABOUT 6 3920 02:42:31,760 --> 02:42:34,200 MILLION SOUTHERNERS RELOCATED 3921 02:42:34,200 --> 02:42:37,720 FROM THE SOUTH AND ARE DIFFERENT 3922 02:42:37,720 --> 02:42:39,520 PATTERNS AND LARGE PROPORTION 3923 02:42:39,520 --> 02:42:41,120 KACHL FROM SOUTH TO CHICAGO AND 3924 02:42:41,120 --> 02:42:43,240 LOTS OF PEOPLE ARE IN STUDIES 3925 02:42:43,240 --> 02:42:44,600 NOW AND WE ASK PEOPLE WHERE WERE 3926 02:42:44,600 --> 02:42:46,040 YOU BORN AND WE LOOK AT 3927 02:42:46,040 --> 02:42:47,360 COGNITION AND YOU SEE PEOPLE WHO 3928 02:42:47,360 --> 02:42:49,840 ARE BEAU RN IN THE SOUTH ARE 3929 02:42:49,840 --> 02:42:52,040 LIVING IN SOUTH AT AGE 12 3930 02:42:52,040 --> 02:42:53,640 PERFORM MORE POORLY ON OUR TESTS 3931 02:42:53,640 --> 02:42:56,240 SHOWN WITH RED BARS THAN THOSE 3932 02:42:56,240 --> 02:42:58,920 BORN IN THE NORTH OR LIVING IN 3933 02:42:58,920 --> 02:43:01,320 THE NORTH AT AGE 12 AND ARE 3934 02:43:01,320 --> 02:43:02,520 DIFFERENCES BETWEEN SOUTH AND 3935 02:43:02,520 --> 02:43:03,680 NORTH ESPECIALLY DURING THAT 3936 02:43:03,680 --> 02:43:05,080 TIME AND ONE THING WE KNOW THAT 3937 02:43:05,080 --> 02:43:08,320 IS DIFFERENT IS THE EDUCATIONAL 3938 02:43:08,320 --> 02:43:09,280 EXPERIENCE. 3939 02:43:09,280 --> 02:43:10,960 BECAUSE SEGREGATED SCHOOLS WERE 3940 02:43:10,960 --> 02:43:14,520 OUTLAWED IN 1954 WITH BROWN 3941 02:43:14,520 --> 02:43:16,560 VERSUS BOARD OF EDUCATION AND 3942 02:43:16,560 --> 02:43:18,680 LOTS OF PARTICIPANTS HAD TO 3943 02:43:18,680 --> 02:43:20,360 UNDERGO THIS WHOLE PROCESS OF, 3944 02:43:20,360 --> 02:43:22,600 YOU KNOW, OF DEALING WITH 3945 02:43:22,600 --> 02:43:25,320 SEGREGATED SCHOOLS AND GOING TO 3946 02:43:25,320 --> 02:43:26,320 INTEGRATIVE SCHOOLS AND WE ASK 3947 02:43:26,320 --> 02:43:28,320 ABOUT EXPERIENCES WITH 3948 02:43:28,320 --> 02:43:30,360 SEGREGATION AND DID THEY ATTEND 3949 02:43:30,360 --> 02:43:32,000 LEGALLY SEGREGATED SCHOOLS? 3950 02:43:32,000 --> 02:43:34,680 IF SO, FOR HOW LONG? 3951 02:43:34,680 --> 02:43:37,760 WE DIDN'T SEE SEGREGATION ITSELF 3952 02:43:37,760 --> 02:43:38,680 EFFECTED COGNITIVE TEST 3953 02:43:38,680 --> 02:43:42,040 PERFORMANCE BUT SAW REALLY 3954 02:43:42,040 --> 02:43:43,920 INTERESTING INTERACTIONS SUCH 3955 02:43:43,920 --> 02:43:45,600 THAT THOSE WHO WERE EDUCATED IN 3956 02:43:45,600 --> 02:43:50,360 THE SOUTH AND ATTENDED LEGALLY 3957 02:43:50,360 --> 02:43:51,280 DESEGREGATED SCHOOLS PERFORM 3958 02:43:51,280 --> 02:43:53,120 MORE POORLY THAN ANY OTHER 3959 02:43:53,120 --> 02:43:54,800 PARTICIPATE YANTSS AND YOU CAN 3960 02:43:54,800 --> 02:43:56,840 SEE RED AND GREEN LINES SHOW 3961 02:43:56,840 --> 02:43:58,640 PEOPLE BORN IN THE NORTH AND 3962 02:43:58,640 --> 02:43:59,800 THEIR PERFORMANCE IS HIGHER LIKE 3963 02:43:59,800 --> 02:44:01,880 I SHOWED YOU IN PREVIOUS SLIDE 3964 02:44:01,880 --> 02:44:03,480 AND PEOPLE WERE GOING TO SCHOOL 3965 02:44:03,480 --> 02:44:06,240 IN THE SOUTH AND HAVE LOWER 3966 02:44:06,240 --> 02:44:08,040 PERFORMANCE. YOU CAN SEE THAT, 3967 02:44:08,040 --> 02:44:10,040 YEAH. IT IS EVEN PEOPLE WHO 3968 02:44:10,040 --> 02:44:12,880 WENT TO SCHOOL IN DESEGREGATED 3969 02:44:12,880 --> 02:44:14,520 SCHOOLS THAT THEIR PERFORMANCE 3970 02:44:14,520 --> 02:44:17,360 IS WORSE THAN THOSE WHO ATTENDED 3971 02:44:17,360 --> 02:44:18,560 LEGALLY SEGREGATED SCHOOLS AND 3972 02:44:18,560 --> 02:44:19,600 EVERYTHING I READ ABOUT 3973 02:44:19,600 --> 02:44:20,880 SEGREGATION AT THAT TIME SAID 3974 02:44:20,880 --> 02:44:22,560 THAT SEGREGATED SCHOOLS WERE 3975 02:44:22,560 --> 02:44:24,960 WORSE AND FEWER RESOURCES AND 3976 02:44:24,960 --> 02:44:26,680 LOWER QUALITY TEACHERS AND ALL 3977 02:44:26,680 --> 02:44:29,480 THESE THINGS. 3978 02:44:29,480 --> 02:44:31,120 I DIDN'T EXPECT THIS FINDING AND 3979 02:44:31,120 --> 02:44:33,400 NOT SAYING THAT INTEGRATION IS 3980 02:44:33,400 --> 02:44:35,240 BAD BUT CONTEXT IS IMPORTANT. 3981 02:44:35,240 --> 02:44:38,000 INTEGRATION AT THAT TIME WHERE 3982 02:44:38,000 --> 02:44:39,680 WE KNOW THAT BLACK STUDENTS ARE 3983 02:44:39,680 --> 02:44:42,360 NOT WANTED AND PARENTS ARE 3984 02:44:42,360 --> 02:44:45,280 SPITTING AT YOU CALLING YOU 3985 02:44:45,280 --> 02:44:47,200 NAMES AND CHILDREN BEING NASTY 3986 02:44:47,200 --> 02:44:49,800 TO YOU IS TRAUMATIC I'M SURE FOR 3987 02:44:49,800 --> 02:44:51,760 A YOUNG PERSON. WE CAN SEE 3988 02:44:51,760 --> 02:44:53,560 EFFECTS OF THAT NOW THAT THEY 3989 02:44:53,560 --> 02:44:58,400 ARE IN 50S, 60S AND 70S AND NO 3990 02:44:58,400 --> 02:45:02,400 DIFFERENCE IN RESEARCH IN WHITE 3991 02:45:02,400 --> 02:45:05,000 ADULTS LOOKING AT HOLOKOUFT AND 3992 02:45:05,000 --> 02:45:07,280 SAME AGE AND FACTOR TO PAY 3993 02:45:07,280 --> 02:45:08,760 ATTENTION TO WHERE PEOPLE WERE 3994 02:45:08,760 --> 02:45:10,600 BORN AND EARLY LIFE EXPERIENCE 3995 02:45:10,600 --> 02:45:12,440 AND THAT IS PLAYING A ROLE IN 3996 02:45:12,440 --> 02:45:14,280 HOW PEOPLE ARE AGING AND ANOTHER 3997 02:45:14,280 --> 02:45:15,760 FACTOR REALLY IMPORTANT TO 3998 02:45:15,760 --> 02:45:16,800 UNDERSTAND IS DISCRIMINATION 3999 02:45:16,800 --> 02:45:19,040 BECAUSE OF THINGS I TOLD YOU 4000 02:45:19,040 --> 02:45:20,480 ALREADY ABOUT PEOPLE COMING UP 4001 02:45:20,480 --> 02:45:22,320 DURING THIS TIME AND WE LOOKED 4002 02:45:22,320 --> 02:45:24,360 AT A NUMBER OF DIFFERENT 4003 02:45:24,360 --> 02:45:27,280 OUTCOMES AND SEE THAT 4004 02:45:27,280 --> 02:45:32,960 DISCRIMINATION EFFECTS ALL 4005 02:45:32,960 --> 02:45:35,640 DIFFERENT OUTCOMES SHOWING A FEW 4006 02:45:35,640 --> 02:45:37,920 OF THEM PUBLISHING INFORMATION 4007 02:45:37,920 --> 02:45:39,240 DISCRIMINATION ASSOCIATED WITH 4008 02:45:39,240 --> 02:45:41,480 MORTALITY IN CHICK AGROHEALTH 4009 02:45:41,480 --> 02:45:44,280 AND AGING PROJECT AND POTENT 4010 02:45:44,280 --> 02:45:46,640 RISK FACTOR TO PAY ATTENTION TO 4011 02:45:46,640 --> 02:45:47,960 LOOKING AT THIS POPULATION AND 4012 02:45:47,960 --> 02:45:51,120 ONE OF THE FIRST GROUPS TO SHOW 4013 02:45:51,120 --> 02:45:52,400 THIS IS AN IMPORTANT EXPOSURE 4014 02:45:52,400 --> 02:45:54,600 FOR OLDER ADULTS WITH COGNITION 4015 02:45:54,600 --> 02:45:56,680 AND MOST RESEARCH BEFORE WE 4016 02:45:56,680 --> 02:45:57,560 PUBLISHED THIS HAD BEEN DONE 4017 02:45:57,560 --> 02:46:00,360 WITH MIDDLE AGED AND YOUNGER 4018 02:46:00,360 --> 02:46:02,000 ADULTS AND WHAT I FIND 4019 02:46:02,000 --> 02:46:05,520 FASCINATING IS OLDER ADULTS WE 4020 02:46:05,520 --> 02:46:07,960 KNOW EXPERIENCE HORRENDOUS 4021 02:46:07,960 --> 02:46:09,240 DISCRIMINATION AND REPORTS ON 4022 02:46:09,240 --> 02:46:10,640 SCALES ARE REALLY LOW. 4023 02:46:10,640 --> 02:46:12,320 THEY ARE REALLY LOW. 4024 02:46:12,320 --> 02:46:14,560 WE DON'T KNOW WHY THAT IS. IS 4025 02:46:14,560 --> 02:46:17,160 IT AN EMOTIONAL SELECTIVITY 4026 02:46:17,160 --> 02:46:18,640 EFFECT OR ARE THEY COMPARING NOW 4027 02:46:18,640 --> 02:46:20,480 TO HOW THINGS USED TO BE AND 4028 02:46:20,480 --> 02:46:22,640 EVEN THOUGH NUMBERS ARE SO MUCH 4029 02:46:22,640 --> 02:46:24,520 LOWER, WE ARE STILL SEEING THAT 4030 02:46:24,520 --> 02:46:26,560 IT EFFECTS THESE IMPORTANT 4031 02:46:26,560 --> 02:46:28,360 OUTCOMES AND HERE WE SEE THAT IT 4032 02:46:28,360 --> 02:46:33,280 EFFECTS COGNITION AND PRIMARILY 4033 02:46:33,280 --> 02:46:35,920 EPISODIC MEMORY AND PERCEPTUAL 4034 02:46:35,920 --> 02:46:38,480 SPAEK SPEECH AND IS ASSOCIATED 4035 02:46:38,480 --> 02:46:40,360 WITH PROTEIN MEASURED IN BLOOD 4036 02:46:40,360 --> 02:46:42,920 AND SUGGESTING POTENTIAL 4037 02:46:42,920 --> 02:46:45,240 INFLAMMATORY MECHANISM AND 4038 02:46:45,240 --> 02:46:46,680 LINKING DISCRIMINATION TO POOR 4039 02:46:46,680 --> 02:46:49,760 HEALTH REPLICATED IN HRS STUDY. 4040 02:46:49,760 --> 02:46:52,760 WE EVEN TRIED TO UNDERSTAND HOW 4041 02:46:52,760 --> 02:46:56,920 DISCRIMINATION MIGHT BE GET 4042 02:46:56,920 --> 02:46:58,560 UNDER THE SKIN AND INTO THE 4043 02:46:58,560 --> 02:47:00,960 BRAIN EFFECTING BRAIN HEALTH AND 4044 02:47:00,960 --> 02:47:05,160 IN A STUDY WE FOUND FMRI AND 4045 02:47:05,160 --> 02:47:06,120 DISCRIMINATION ASSOCIATED WITH 4046 02:47:06,120 --> 02:47:07,560 CHANGES AND CONNECTIVITY IN 4047 02:47:07,560 --> 02:47:09,160 AREAS THAT ARE IMPORTANT FOR 4048 02:47:09,160 --> 02:47:10,560 TRUST PERCEPTION AND IN OUR 4049 02:47:10,560 --> 02:47:13,360 STUDY THAT I'M TRYING TO GET 4050 02:47:13,360 --> 02:47:16,040 PUBLISHED, WE LOOKED AT THE 4051 02:47:16,040 --> 02:47:18,000 EFFECT OF DISCRIMINATION ON 4052 02:47:18,000 --> 02:47:18,640 DIFFERENT PATHOLOGIES AND THEY 4053 02:47:18,640 --> 02:47:21,040 ARE MEASURED IN THE BRAIN AND WE 4054 02:47:21,040 --> 02:47:24,920 FOUND IT WAS ACTUALLY ASSOCIATED 4055 02:47:24,920 --> 02:47:27,240 WITH MORE ATHERO SCLEROSIS AND 4056 02:47:27,240 --> 02:47:31,880 LATE THAT IS TDP43 PATHOLOGY 4057 02:47:31,880 --> 02:47:33,880 SUGGESTING AGAIN SOME VASCULAR 4058 02:47:33,880 --> 02:47:35,400 COMPONENT TO DISCRIMINATION 4059 02:47:35,400 --> 02:47:35,680 EXPOSURE. 4060 02:47:35,680 --> 02:47:37,600 IT IS NOT JUST, YOU KNOW, 4061 02:47:37,600 --> 02:47:38,000 DISCRIMINATION. 4062 02:47:38,000 --> 02:47:41,240 IT IS PERCEIVED STR ES THAT IS 4063 02:47:41,240 --> 02:47:43,200 ALSO SEEMING TO BE A POTENT 4064 02:47:43,200 --> 02:47:44,720 FACTOR AND PEOPLE THAT REPORT 4065 02:47:44,720 --> 02:47:47,160 HIGHER LEVELS OF PERCEIVED 4066 02:47:47,160 --> 02:47:49,800 STRESS USING COHEN PERCEIVED 4067 02:47:49,800 --> 02:47:51,960 STRESS SCALE ASKING HOW MUCH IS 4068 02:47:51,960 --> 02:47:54,560 YOUR LIFE UNPREDICTABLE AND 4069 02:47:54,560 --> 02:47:55,960 OVERLOADING AND PEOPLE REPORTING 4070 02:47:55,960 --> 02:47:57,800 HIGHER LEVELS OF PERCEIVED 4071 02:47:57,800 --> 02:48:00,040 STRESS HAVE FASTER RATES OF 4072 02:48:00,040 --> 02:48:03,200 DECLINE AND PEOPLE WITH 90TH 4073 02:48:03,200 --> 02:48:05,400 PERCENTILE OF STRESS COMPARED TO 4074 02:48:05,400 --> 02:48:08,520 WITH 10TH PERCENTILE ARE TRUE 4075 02:48:08,520 --> 02:48:12,480 FOR EPISOTIC MEMORY TESTS AND 4076 02:48:12,480 --> 02:48:14,520 VISUOSPATIAL TESTS AND LAST RISK 4077 02:48:14,520 --> 02:48:16,280 FACTOR I WILL SHARE IS WE ARE 4078 02:48:16,280 --> 02:48:18,120 NOT JUST INTERESTED IN 4079 02:48:18,120 --> 02:48:19,280 DISCRIMINATION AS AN EXPOSURE 4080 02:48:19,280 --> 02:48:22,200 BUT COPING WITH IT AND JOHN 4081 02:48:22,200 --> 02:48:25,600 HENRY AS YOU KNOW IS A RISK 4082 02:48:25,600 --> 02:48:28,680 FACTOR DEVELOPED OR ESTABLISHED 4083 02:48:28,680 --> 02:48:32,840 BY SHERMAN JAMES AND NOTED 4084 02:48:32,840 --> 02:48:35,880 EPIDEMIOLOGISTS THAT HE -- JOHN 4085 02:48:35,880 --> 02:48:40,160 HENRY WAS A FIKTTIVE CHARACTER 4086 02:48:40,160 --> 02:48:42,680 TRYING TO BEAT A STILL MACHINE 4087 02:48:42,680 --> 02:48:44,000 AND EFFORT HE WENT THROUGH TO 4088 02:48:44,000 --> 02:48:45,960 BEAT THIS MACHINE IS A MEASURE 4089 02:48:45,960 --> 02:48:48,160 OF JOHN HENRY WITH THIS EFFORT 4090 02:48:48,160 --> 02:48:51,120 OF COPING AND SHERMAN JAMES 4091 02:48:51,120 --> 02:48:53,320 LOOKING AT IT WITH 4092 02:48:53,320 --> 02:48:54,080 CARDIOVASCULAR DISEASE AND BLACK 4093 02:48:54,080 --> 02:48:57,960 MEN WANTED SEE IF IT WOULD BE 4094 02:48:57,960 --> 02:48:59,920 ASSOCIATED WITH MEN AND OLDER 4095 02:48:59,920 --> 02:49:02,320 ADULTS AND FOUND ASSOCIATED WITH 4096 02:49:02,320 --> 02:49:03,800 WORST COGNITION AND SIMILAR WITH 4097 02:49:03,800 --> 02:49:06,280 EFFECT OF HAVING FEWER YEARS OF 4098 02:49:06,280 --> 02:49:08,680 EDUCATION AND PEOPLE SCORING 4099 02:49:08,680 --> 02:49:11,200 HIGHER ON JOHN HENRY MORE EFFORT 4100 02:49:11,200 --> 02:49:14,480 FOR COPING ARE HAVING LOWER 4101 02:49:14,480 --> 02:49:15,080 PERFORMANCE ON COGNITIVE 4102 02:49:15,080 --> 02:49:16,000 FUNCTION. 4103 02:49:16,000 --> 02:49:18,400 SO, TO CONCLUDE, YOU KNOW, I 4104 02:49:18,400 --> 02:49:19,920 HAVE SHOWN YOU RACIAL 4105 02:49:19,920 --> 02:49:22,240 DIFFERENCES IN ALZHEIMER'S AND 4106 02:49:22,240 --> 02:49:23,880 DEMENTIA, I THINK I NEED MORE 4107 02:49:23,880 --> 02:49:26,160 DATA. I THINK THEY ARE LIKELY 4108 02:49:26,160 --> 02:49:27,640 DUE TO RACIAL DIFFERENCES AND 4109 02:49:27,640 --> 02:49:29,360 WHERE PEOPLE START. YOU KNOW? 4110 02:49:29,360 --> 02:49:31,960 WHEN WE LOOK AT LONGITUDINAL 4111 02:49:31,960 --> 02:49:33,440 STUDIES WE DON'T REALLY SEE 4112 02:49:33,440 --> 02:49:36,240 RACIAL DIFFERENCES IN DECLINE 4113 02:49:36,240 --> 02:49:39,840 THAT IS A HALLMARK FEATURE OF 4114 02:49:39,840 --> 02:49:41,200 ALZHEIMER'S AND DIDN'T SHOW DATA 4115 02:49:41,200 --> 02:49:43,520 TODAY BUT WE HAVE PATHOLOGY DATA 4116 02:49:43,520 --> 02:49:48,360 AND DIDN'T SEE DIFFERENCES IN 4117 02:49:48,360 --> 02:49:50,000 UNDERLYING PATHOLOGY EITHER AND 4118 02:49:50,000 --> 02:49:51,920 UNDERSTANDING OF CLINIC SEEING 4119 02:49:51,920 --> 02:49:53,000 DIFFERENCES FROM PEOPLE IN 4120 02:49:53,000 --> 02:49:55,840 COMMUNITY STARTING OUT WITH 4121 02:49:55,840 --> 02:49:56,960 DEMENTIA FOLLOWING THEM TO DEATH 4122 02:49:56,960 --> 02:49:59,480 NOT SEEING DIFFERENCES IN 4123 02:49:59,480 --> 02:50:00,720 UNDERLYING PATHOLOGY ASSOCIATED 4124 02:50:00,720 --> 02:50:03,400 WITH ALZHEIMER'S AND SOMETHING 4125 02:50:03,400 --> 02:50:09,040 ABOUT STARTING LEVEL PLAYING A 4126 02:50:09,040 --> 02:50:11,240 ROLE IN HIGHER RISK OF 4127 02:50:11,240 --> 02:50:15,200 ALZHEIMER'S APPEARING TO BE 4128 02:50:15,200 --> 02:50:18,440 ASSOCIATED WITH BRAIN HEALTH AND 4129 02:50:18,440 --> 02:50:20,720 OUTCOMES COGNITION INFLAMMATION 4130 02:50:20,720 --> 02:50:23,840 AND NEURAL COGNITION IN NEURAL 4131 02:50:23,840 --> 02:50:26,680 PATHOLOGY AND INCLUDING 4132 02:50:26,680 --> 02:50:28,680 UNDER-REPRESENTED POPULATIONS 4133 02:50:28,680 --> 02:50:32,560 INCLUDING SOCIAL DETERMINANTS 4134 02:50:32,560 --> 02:50:34,480 ADVANCING SCIENCE MOVING TOWARDS 4135 02:50:34,480 --> 02:50:36,640 HEALTH EQUITY I SETTING STAGE 4136 02:50:36,640 --> 02:50:39,320 AND POLICY WORK TO HELP 4137 02:50:39,320 --> 02:50:41,600 ELIMINATE DISPARITIES AND 4138 02:50:41,600 --> 02:50:43,640 THANKING AND ACKNOWLEDGING 4139 02:50:43,640 --> 02:50:45,120 FUNDERS FOR WORK AND DIDN'T TALK 4140 02:50:45,120 --> 02:50:47,360 ABOUT FORMER P. 20 AND GOT ME 4141 02:50:47,360 --> 02:50:49,880 ON MAP FOR NIHD AND THOUGHT I 4142 02:50:49,880 --> 02:50:53,480 WOULD APPRECIATE THAT SUPPORT 4143 02:50:53,480 --> 02:51:00,920 AND PARTICIPANTS WE COULDN'T DO 4144 02:51:00,920 --> 02:51:01,800 WORK WITHOUT AND 4145 02:51:01,800 --> 02:51:03,280 INTERDISCIPLINARY AREA AND 4146 02:51:03,280 --> 02:51:05,240 THANKING COLLEAGUES AT RUSH AND 4147 02:51:05,240 --> 02:51:07,160 STRATEGIC PARTNERS AND THIS IS A 4148 02:51:07,160 --> 02:51:11,400 RESOURCE FOR THE FIELD AS I 4149 02:51:11,400 --> 02:51:15,240 SAID. I HOPE INVESTIGATORS HERE 4150 02:51:15,240 --> 02:51:22,880 WILL FIND INTEREST AND GOING TO 4151 02:51:22,880 --> 02:51:27,880 RESOURCE PORTAL WE HAVE AGING 4152 02:51:27,880 --> 02:51:31,400 OUTCOMES AND BLOOD AND BRAIN. 4153 02:51:31,400 --> 02:51:34,360 WHATEVER YOUR INTEREST MIGHT BE 4154 02:51:34,360 --> 02:51:37,720 WE HAVE SOMETHING FOR YOU. 4155 02:51:37,720 --> 02:51:41,800 THANK YOU. DO WE HAVE TIME FOR 4156 02:51:41,800 --> 02:51:44,520 QUESTIONS? 4157 02:51:44,520 --> 02:51:45,000 >>YES. 4158 02:51:45,000 --> 02:51:46,000 >> WE HAVE TIME. 4159 02:51:46,000 --> 02:51:48,000 >>THANK YOU FOR A WONDERFUL 4160 02:51:48,000 --> 02:51:49,880 PRESENTATION AND REALLY 4161 02:51:49,880 --> 02:51:52,320 IMPRESSIVE WORK AND I APPRECIATE 4162 02:51:52,320 --> 02:51:55,880 THE EMPHASIS ON DISCRIMINATION 4163 02:51:55,880 --> 02:52:00,280 AND DATA ON WHERE PEOPLE ARE 4164 02:52:00,280 --> 02:52:03,400 BORN AND HOSTED DIRECTOR SEMINAR 4165 02:52:03,400 --> 02:52:07,720 WITH DIRECTOR MARK HAIWARD WHO 4166 02:52:07,720 --> 02:52:10,560 SHARED SIMILAR FINDINGS OF 4167 02:52:10,560 --> 02:52:12,240 EFFECTS OF BEING BORN IN JIM 4168 02:52:12,240 --> 02:52:14,360 CROW SOUTH AS HE CALLED IT ON 4169 02:52:14,360 --> 02:52:20,840 FUNCTION IN OLDER ADULTS THAT IS 4170 02:52:20,840 --> 02:52:22,200 CONSISTENT. DID YOU COLLABORATE 4171 02:52:22,200 --> 02:52:22,440 WITH? 4172 02:52:22,440 --> 02:52:24,840 >>I HAVE A PAPER TOGETHER. 4173 02:52:24,840 --> 02:52:26,920 >>MAKES SENSE. THERE ARE 4174 02:52:26,920 --> 02:52:33,280 PARALLELS IN WORK AROUND LATINO 4175 02:52:33,280 --> 02:52:37,920 HISPANIC WORK AND IMMIGRANT 4176 02:52:37,920 --> 02:52:38,760 HISPANIC'S EXPLAINING THAT AND 4177 02:52:38,760 --> 02:52:42,680 WITHIN US TERRITORIES IN YOUTH 4178 02:52:42,680 --> 02:52:45,240 AND BORN AND GREW UP IN PUERTO 4179 02:52:45,240 --> 02:52:47,520 RICO COMPARED TO THOSE IN NEW 4180 02:52:47,520 --> 02:52:52,000 YORK OR CHICK AGROMOST LIKELY 4181 02:52:52,000 --> 02:52:54,280 ANY THINK MARGUERITA WHO 4182 02:52:54,280 --> 02:52:56,840 PRESENTED DATA HERE A FEW YEARS 4183 02:52:56,840 --> 02:53:00,800 AGO AND WAS AROUND DIFFERENCES 4184 02:53:00,800 --> 02:53:03,520 IN SOME BEHAVIORAL OUTCOMES THAT 4185 02:53:03,520 --> 02:53:05,680 WOULD REALLY IMPLY IMPORTANCE OF 4186 02:53:05,680 --> 02:53:07,320 EXPOSURE WITH CRUDE MEASURE 4187 02:53:07,320 --> 02:53:10,680 SAYING WHERE WERE YOU BORN? 4188 02:53:10,680 --> 02:53:11,800 >>RIGHT. 4189 02:53:11,800 --> 02:53:14,520 I WOULD VENTURE TO SAY MOST 4190 02:53:14,520 --> 02:53:15,760 CLINICIANS DON'T KNOW OR ASK 4191 02:53:15,760 --> 02:53:21,920 THAT QUESTION OF THEIR PATIENTS. 4192 02:53:21,920 --> 02:53:24,480 MAYBE NOT. MAYBE IT HAS 4193 02:53:24,480 --> 02:53:26,000 CHANGED, I GUESS. 4194 02:53:26,000 --> 02:53:27,240 >>OPENING UP FOR QUESTIONS FROM 4195 02:53:27,240 --> 02:53:30,960 THE -- I THINK I SEE KIMBERLY 4196 02:53:30,960 --> 02:53:31,160 NOW. 4197 02:53:31,160 --> 02:53:36,360 >>THANK YOU. THAT WAS REALLY 4198 02:53:36,360 --> 02:53:38,480 OUTSTANDING TO HAVE GREAT 4199 02:53:38,480 --> 02:53:39,240 OPPORTUNITY TO LEARN ABOUT YOUR 4200 02:53:39,240 --> 02:53:41,240 WORK EVEN IF WE ARE AT END OF 4201 02:53:41,240 --> 02:53:43,240 THE COUNCIL TOGETHER. I HAVE A 4202 02:53:43,240 --> 02:53:46,680 QUESTION IN LSAO'S PRESENTATION 4203 02:53:46,680 --> 02:53:48,760 THAT HE MENTIONED RECENT 4204 02:53:48,760 --> 02:53:50,680 WORKSHOP ON INCLUSION AND 4205 02:53:50,680 --> 02:53:51,600 RESEARCH PARTICIPATION AND HE 4206 02:53:51,600 --> 02:53:54,200 MENTIONED IMPLEMENTATION OF THE 4207 02:53:54,200 --> 02:53:57,080 TABLES THAT WE ALL COMPLETE OF 4208 02:53:57,080 --> 02:53:58,600 DEMOGRAPHICS ABOUT OUR RESEARCH 4209 02:53:58,600 --> 02:54:00,280 PARTICIPANTS. YOU SHOWED DATA 4210 02:54:00,280 --> 02:54:01,640 WE ARE ALL FAMILIAR WITH 4211 02:54:01,640 --> 02:54:05,240 PARTICULARLY IN AGING AND IN 4212 02:54:05,240 --> 02:54:14,080 OTHER FEEMDS ABOUT FIELDS ABOUT 4213 02:54:14,080 --> 02:54:15,840 CHALLENGES IN THIS AND DATA 4214 02:54:15,840 --> 02:54:18,960 REPORTING AND COUPLE THINGS. 4215 02:54:18,960 --> 02:54:20,920 ONE HOW DATA WE REPORT SHOULD BE 4216 02:54:20,920 --> 02:54:24,160 USE BD I FUNDERS AND REGULATORY 4217 02:54:24,160 --> 02:54:25,760 AGENCIES TO CREATE SOME 4218 02:54:25,760 --> 02:54:28,080 ACCOUNTABILITY AROUND WHO IS 4219 02:54:28,080 --> 02:54:30,240 PARTICIPATING IN STUDIES AND 4220 02:54:30,240 --> 02:54:34,200 ULTIMATELY COMPLETION OF STUDIES 4221 02:54:34,200 --> 02:54:36,360 OR ALSO APPROVAL OF DRUGS AND 4222 02:54:36,360 --> 02:54:38,440 REALLY WHAT ARE REGULATORY 4223 02:54:38,440 --> 02:54:39,640 LABORS AND ACCOUNTABILITY 4224 02:54:39,640 --> 02:54:42,200 POLICIES THAT NIH AND FDA SHOULD 4225 02:54:42,200 --> 02:54:45,160 BE USING AND THINKING ABOUT. 4226 02:54:45,160 --> 02:54:47,280 THE OTHER PIECE I'M OFTEN ASKED 4227 02:54:47,280 --> 02:54:49,760 IS WHAT -- HOW SHOULD WE BE 4228 02:54:49,760 --> 02:54:50,480 THINKING ABOUT APPROPRIATE 4229 02:54:50,480 --> 02:54:51,880 REPRESENTATION AND IF YOU SHOW 4230 02:54:51,880 --> 02:54:54,120 DATA AND SOMETIMES PEOPLE THINK 4231 02:54:54,120 --> 02:54:57,720 ABOUT DEMOGRAPHIC MAKEUP OF A 4232 02:54:57,720 --> 02:54:58,840 PARTICULAR MINORITIZED GROUP AND 4233 02:54:58,840 --> 02:55:02,320 ARE GROUPS THAT ARE 4234 02:55:02,320 --> 02:55:03,840 OVERREPRESENTED FOR PEOPLE WITH 4235 02:55:03,840 --> 02:55:05,200 PARTICULAR DISEASES AND THINKING 4236 02:55:05,200 --> 02:55:06,200 ABOUT WHAT ARE APPROPRIATE 4237 02:55:06,200 --> 02:55:08,640 REPRESENTATION FOR PEOPLE IN 4238 02:55:08,640 --> 02:55:08,880 STUDIES. 4239 02:55:08,880 --> 02:55:11,120 >>GREAT QUESTIONS, KIMBERLY. 4240 02:55:11,120 --> 02:55:12,960 FIRST IS I DON'T KNOW WHAT ARE 4241 02:55:12,960 --> 02:55:18,680 SORT OF REGULATORY POLICIES. I 4242 02:55:18,680 --> 02:55:24,920 THINK THERE IS ACCOUNTABILITY IN 4243 02:55:24,920 --> 02:55:26,080 STUDY SECTIONS PEOPLE MADE 4244 02:55:26,080 --> 02:55:29,320 PROMISES YOU COME BACK AND SEE 4245 02:55:29,320 --> 02:55:31,960 THEY DIDN'T FULFILL PROMISES NO 4246 02:55:31,960 --> 02:55:34,160 ACCOUNTABILITY AT ALL AND IS 4247 02:55:34,160 --> 02:55:37,040 CHANGING IN ALZHEIMER'S FIELD 4248 02:55:37,040 --> 02:55:39,600 MOVING TOWARDS ACCOUNTABILITY 4249 02:55:39,600 --> 02:55:41,640 MAKING SURE PEOPLE HAVE REGULAR 4250 02:55:41,640 --> 02:55:44,040 UPDATES TO RECRUITMENT EFFORTS 4251 02:55:44,040 --> 02:55:46,040 AND OTHER AREAS, THINKING ABOUT 4252 02:55:46,040 --> 02:55:48,680 THEM IT IS DEFINITELY NEEDED AND 4253 02:55:48,680 --> 02:55:49,400 SECOND QUESTION ABOUT 4254 02:55:49,400 --> 02:55:50,680 REPRESENTATION I TRY TO THINK 4255 02:55:50,680 --> 02:55:53,400 ABOUT IT NOT REPRESENTATIVE BUT 4256 02:55:53,400 --> 02:55:55,280 AS FAR AS COMMUNITY YOU ARE 4257 02:55:55,280 --> 02:55:57,320 LIVING IN BUT OUTCOME YOU ARE 4258 02:55:57,320 --> 02:55:59,280 LOOKING AT FOR ME ALZHEIMER'S 4259 02:55:59,280 --> 02:56:03,000 DISEASE IS SUPPOSED TO BE MORE 4260 02:56:03,000 --> 02:56:05,240 PREVALENT IN HIGHER RISK FOR 4261 02:56:05,240 --> 02:56:06,680 AFRICAN AMERICANS THAT SHOULD BE 4262 02:56:06,680 --> 02:56:08,080 OVERREPRESENTED IN STUDIES AND 4263 02:56:08,080 --> 02:56:10,560 OFTEN ARE NOT AND WE ARE NOT 4264 02:56:10,560 --> 02:56:12,160 GETTING A COMPLETE PICTURE WHAT 4265 02:56:12,160 --> 02:56:15,920 IS REALLY GOING ON AND SOMETIMES 4266 02:56:15,920 --> 02:56:18,400 I QUESTION ALZHEIMER'S DATA I'M 4267 02:56:18,400 --> 02:56:20,160 SURE THEY ARE RIGHT AND WHAT IS 4268 02:56:20,160 --> 02:56:22,560 DUE TO IS PROBABLY ISSUE; RIGHT? 4269 02:56:22,560 --> 02:56:25,040 WE HAVE TO THINK ABOUT IF 4270 02:56:25,040 --> 02:56:28,680 COMMUNITY IS AT RISK FOR A 4271 02:56:28,680 --> 02:56:30,720 PARTICULAR OUTCOME NO REASON TO 4272 02:56:30,720 --> 02:56:36,880 BE UNDERINCLUDED IN STUDY NOT 4273 02:56:36,880 --> 02:56:38,800 ENOUGH TO SAY 12% IN ILLINOIS 4274 02:56:38,800 --> 02:56:42,640 THAT IS NOT GOOD ENOUGH TO ME 4275 02:56:42,640 --> 02:56:45,000 I'M ONE PERSON SO. 4276 02:56:45,000 --> 02:56:50,640 >>TO EXTEND ON THIS WE TAKE 4277 02:56:50,640 --> 02:56:56,560 INCLUSION DATA SERIOUS LY THERE 4278 02:56:56,560 --> 02:57:01,920 IS TRIENIAL REPORT AND LAST ONE 4279 02:57:01,920 --> 02:57:05,320 WE MONITOR NIH FUNDED HUMAN 4280 02:57:05,320 --> 02:57:08,440 STUDIES AND HAVE BEEN STUCK 4281 02:57:08,440 --> 02:57:13,760 AROUND 30%. 4282 02:57:13,760 --> 02:57:15,520 IT IS NOT TERRIBLE BUT NOT GOING 4283 02:57:15,520 --> 02:57:18,360 UP IN 6 OR 7 YEARS AND WHAT YOU 4284 02:57:18,360 --> 02:57:24,120 PRESENTED IS EMBARRASSING IN OUR 4285 02:57:24,120 --> 02:57:28,120 INDUSTRY ISSUE IS AT MOST VAST 4286 02:57:28,120 --> 02:57:30,160 MAJORITY OF DRUG OR 4287 02:57:30,160 --> 02:57:31,720 PHARMACEUTICAL STUDIES ARE DONE 4288 02:57:31,720 --> 02:57:33,080 CONNECTED BY INDUSTRY AND THEY 4289 02:57:33,080 --> 02:57:37,720 HAVE TO -- ONES THAT HAVE TO 4290 02:57:37,720 --> 02:57:44,280 MODIFY THIS INVESTING PROPERLY 4291 02:57:44,280 --> 02:57:46,600 FOR DIVERSE TREATMENT AND WHERE 4292 02:57:46,600 --> 02:57:50,640 IT EFFECTS COMMUNITIES OF COLOR 4293 02:57:50,640 --> 02:57:53,200 AND WITHIN STATES AND 4294 02:57:53,200 --> 02:57:54,640 INTERNATIONAL STUDIES THAT THIS 4295 02:57:54,640 --> 02:57:56,840 GETS MORE AND MORE COMPLEX AND 4296 02:57:56,840 --> 02:57:58,840 FDA HAS THIS SNAPSHOT ACING 4297 02:57:58,840 --> 02:57:59,280 CRESS. 4298 02:57:59,280 --> 02:58:04,840 SO, IT CAN TELL YOU NOW WITH 4299 02:58:04,840 --> 02:58:10,680 REASONABLY GOOD ASCERTAINMENT 4300 02:58:10,680 --> 02:58:11,880 REQUIRING STUDIES UNTIL 27 4301 02:58:11,880 --> 02:58:15,280 TAEN-I THINK THEY DIDN'T 4302 02:58:15,280 --> 02:58:19,680 ACTUALLY REQUIRE HISPANIC LATINO 4303 02:58:19,680 --> 02:58:23,680 STUDY BE REPORTED DIDN'T KNOW 4304 02:58:23,680 --> 02:58:25,680 HISPANIC OR LATINO BACKGROUNDS 4305 02:58:25,680 --> 02:58:28,000 WERE THERE WITH STUDIES AND 4306 02:58:28,000 --> 02:58:29,840 PROGRESS IS PRESENT AND IS SLOW. 4307 02:58:29,840 --> 02:58:33,840 I THINK THAT 2020 PANDEMIC AND 4308 02:58:33,840 --> 02:58:36,160 DISPROPORTIONATE BURDEN AND 4309 02:58:36,160 --> 02:58:37,280 VACCINE TRIALS RAISE 4310 02:58:37,280 --> 02:58:38,640 CONSCIOUSNESS AND AWARENESS AND 4311 02:58:38,640 --> 02:58:41,960 GET SOME PEOPLE INTERESTED IN 4312 02:58:41,960 --> 02:58:43,800 THIS. INDUSTRY HAD MADE SIGNALS 4313 02:58:43,800 --> 02:58:48,040 THEY WANT TO DO MORE AND YOU 4314 02:58:48,040 --> 02:58:50,960 KNOW IT HASN'T HAPPENED YET. WE 4315 02:58:50,960 --> 02:58:52,720 WILL SEE. 4316 02:58:52,720 --> 02:58:56,120 >>YEAH. THANK YOU FOR THE 4317 02:58:56,120 --> 02:58:57,120 EXCELLENT PRESENTATION. AND 4318 02:58:57,120 --> 02:58:57,880 TERRIFIC PROJECT. 4319 02:58:57,880 --> 02:58:59,000 >>THANK YOU. 4320 02:58:59,000 --> 02:59:01,080 >>I WANTED TO -- I THOUGHT IT 4321 02:59:01,080 --> 02:59:03,280 MIGHT BE INTERESTING WHEN YOU 4322 02:59:03,280 --> 02:59:04,600 SHOWED DIFFERENCES BETWEEN A 4323 02:59:04,600 --> 02:59:09,120 BLACK AND WHITE IF YOU COULD 4324 02:59:09,120 --> 02:59:11,440 PROVE THE COMPARISON GROUP OF 4325 02:59:11,440 --> 02:59:14,040 THOSE WITH LOW SOCIOECONOMIC 4326 02:59:14,040 --> 02:59:17,000 STATUS ARE [INDISCERNIBLE] AND 4327 02:59:17,000 --> 02:59:18,320 LOWER LEVELS OF [INDISCERNIBLE] 4328 02:59:18,320 --> 02:59:20,800 TO SEE WHAT IS GAP BETWEEN THEM. 4329 02:59:20,800 --> 02:59:22,680 >>GREAT IDEA. WE CAN DO THAT 4330 02:59:22,680 --> 02:59:26,040 BECAUSE WE HAVE A PRETTY WIDE 4331 02:59:26,040 --> 02:59:29,000 RANGE OF EDUCATION AND IN OUR 4332 02:59:29,000 --> 02:59:30,360 WHITE PARTICIPANTS AND SES THERE 4333 02:59:30,360 --> 02:59:33,280 IS NOT REALLY OVERLAP AND BLACK 4334 02:59:33,280 --> 02:59:34,800 PARTICIPANTS HAVE LOWER SES. I 4335 02:59:34,800 --> 02:59:36,600 THINK IT WILL BE INTERESTING TO 4336 02:59:36,600 --> 02:59:38,880 LOOK AT EDUCATION TO SEE IF WE 4337 02:59:38,880 --> 02:59:41,200 SEE THE SAME TRAJECTORIES AND IS 4338 02:59:41,200 --> 02:59:42,920 DEFINITELY SOMETHING I CAN DO. 4339 02:59:42,920 --> 02:59:45,880 THANK YOU FOR THAT. 4340 02:59:45,880 --> 02:59:50,560 >>THE OTHER THING IS ABOUT 4341 02:59:50,560 --> 02:59:52,320 CONSERVATION AND LISTING A STUDY 4342 02:59:52,320 --> 02:59:54,280 WE ARE CURRENTLY WORKING AND 4343 02:59:54,280 --> 02:59:55,480 [INDISCERNIBLE] WITH POPULATION 4344 02:59:55,480 --> 02:59:58,320 AND MEXICAN MINORITY AND 4345 02:59:58,320 --> 03:00:00,240 OCCUPATION SEEMS TO BE A 4346 03:00:00,240 --> 03:00:01,560 PROTECTIVE FACTOR. FOR THOSE 4347 03:00:01,560 --> 03:00:03,800 WITH VERY LOW LEVELS OF 4348 03:00:03,800 --> 03:00:06,520 EDUCATION AND 0 NUMBER OF YEARS 4349 03:00:06,520 --> 03:00:09,280 TO 6 YEARS OF EDUCATION AND FOR 4350 03:00:09,280 --> 03:00:12,920 THOSE IT SEEMS THAT OCCUPATION 4351 03:00:12,920 --> 03:00:15,200 WITH COMPLEX COGNITIVE DEMAND, 4352 03:00:15,200 --> 03:00:17,920 YOU KNOW, HELPS THEM PROTECT. 4353 03:00:17,920 --> 03:00:19,120 SO, EVEN WHEN THEY HAVE LOW 4354 03:00:19,120 --> 03:00:21,520 LEVELS OF EDUCATION, IT THEY 4355 03:00:21,520 --> 03:00:24,120 ACTUALLY THE OCCUPATION HELPS 4356 03:00:24,120 --> 03:00:24,640 AND REVIEWS RISK. 4357 03:00:24,640 --> 03:00:26,720 >>THAT IS INTERESTING. LIKE A 4358 03:00:26,720 --> 03:00:27,560 COGNITIVE RESERVE? 4359 03:00:27,560 --> 03:00:28,280 >>YES. 4360 03:00:28,280 --> 03:00:30,120 >>WE IN OUR DATA WE HAVE A 4361 03:00:30,120 --> 03:00:33,120 STUDY WE ARE LOOKING AT 4362 03:00:33,120 --> 03:00:36,320 OCCUPATIONAL COMPLEXITY. WE SEE 4363 03:00:36,320 --> 03:00:38,800 THAT PEOPLE WHO HAVE LOWER 4364 03:00:38,800 --> 03:00:40,640 COMPLEXITY FOR THEIR OCCUPATION 4365 03:00:40,640 --> 03:00:42,520 AND HAVE FASTER RATES OF DECLINE 4366 03:00:42,520 --> 03:00:44,880 HAVE NOT LOOKED AT IT AS A 4367 03:00:44,880 --> 03:00:47,760 MEASURE OF SES OR EDUCATION TO 4368 03:00:47,760 --> 03:00:49,440 SEE IF THERE MIGHT BE AN 4369 03:00:49,440 --> 03:00:50,880 INTERESTING INTERACTION AND 4370 03:00:50,880 --> 03:00:52,800 POINTING TO LOOK AT INTERSECTION 4371 03:00:52,800 --> 03:00:55,040 OF DIFFERENT SES MEASURES THAT 4372 03:00:55,040 --> 03:00:57,760 IS A GREAT DIRECTION TO GO NEXT. 4373 03:00:57,760 --> 03:00:59,880 WE ARE NOT SAY TG IS PROTECTIVE 4374 03:00:59,880 --> 03:01:01,440 BUT IS OPPOSITE AND MAYBE WE 4375 03:01:01,440 --> 03:01:02,640 WILL SEE SOMETHING DIFFERENT IF 4376 03:01:02,640 --> 03:01:08,280 WE LOOK AT LOW AND HIGH SES. 4377 03:01:08,280 --> 03:01:10,520 >>AND INDICES PERHAPS OF 4378 03:01:10,520 --> 03:01:12,440 COGNITIVE COMPLEXITY I THINK 4379 03:01:12,440 --> 03:01:14,600 MIGHT BE BIASED WELL TOWARDS 4380 03:01:14,600 --> 03:01:16,000 [INDISCERNIBLE] HAVING 4381 03:01:16,000 --> 03:01:18,040 OCCUPATIONS AND USING COMPUTERS 4382 03:01:18,040 --> 03:01:20,360 THAT ARE HIGHLY CORRELATED TO 4383 03:01:20,360 --> 03:01:23,320 EDUCATION AND DON'T THINK THEY 4384 03:01:23,320 --> 03:01:27,640 EXCLUDE ALL DIFFERENT 4385 03:01:27,640 --> 03:01:28,880 CHARACTERISTICS THAT 4386 03:01:28,880 --> 03:01:32,040 [INDISCERNIBLE] HAVE. 4387 03:01:32,040 --> 03:01:32,840 >>YEAH. 4388 03:01:32,840 --> 03:01:35,120 >>WE HAVE CORE THAT IS SIMILAR 4389 03:01:35,120 --> 03:01:39,880 TO OURS MUCH YOUNGER STARTED IN 4390 03:01:39,880 --> 03:01:42,400 2015 ABOUT 300 LATINOS AND 4391 03:01:42,400 --> 03:01:44,040 HAVING SAME MEASURES LOOKING AT 4392 03:01:44,040 --> 03:01:45,280 QUESTIONS THERE AND SAYING 4393 03:01:45,280 --> 03:01:47,560 SOMETHING ABOUT IMMIGRANT 4394 03:01:47,560 --> 03:01:50,680 POPULATION VERSUS AFRICAN 4395 03:01:50,680 --> 03:01:52,920 AMERICANS IN THE US. 4396 03:01:52,920 --> 03:01:53,640 THANK YOU. 4397 03:01:53,640 --> 03:01:54,680 >>WHY HE. 4398 03:01:54,680 --> 03:01:57,280 >>THANK YOU FOR AN ABSOLUTELY 4399 03:01:57,280 --> 03:01:58,440 WONDERFUL TALK AND ONE COMMENT 4400 03:01:58,440 --> 03:01:59,920 AND QUESTION THAT IS REGARDING 4401 03:01:59,920 --> 03:02:02,680 OR WORKING WITH INDUSTRY ON 4402 03:02:02,680 --> 03:02:04,080 INCLUSION CRITERIA IN TRIALS IS 4403 03:02:04,080 --> 03:02:05,680 SOMETHING WE HAVE BEEN REALLY 4404 03:02:05,680 --> 03:02:07,080 TRYING TO INFLUENCE HOWEVER WE 4405 03:02:07,080 --> 03:02:14,640 CAN TO MAKE 4406 03:02:14,640 --> 03:02:17,200 BROADER APPLICABLE AND FROM 4407 03:02:17,200 --> 03:02:19,880 INDUSTRY TRIAL AND LARGE 4408 03:02:19,880 --> 03:02:21,160 PHARMACEUTICAL COMPANY REQUIRING 4409 03:02:21,160 --> 03:02:24,160 PAYPAL AND INCENTIVE AND PUTTING 4410 03:02:24,160 --> 03:02:26,600 IN INCLUSION CRITERIA MUST HAVE 4411 03:02:26,600 --> 03:02:29,120 A CREDIT CARD YOU NEED ONE TO 4412 03:02:29,120 --> 03:02:30,120 GET A PAYPAL ACCOUNT AND THEY 4413 03:02:30,120 --> 03:02:34,080 WERE APPALLED THAT WAS A 4414 03:02:34,080 --> 03:02:36,000 BUILT-IN SELECTOR THEY HAD AND 4415 03:02:36,000 --> 03:02:37,840 THEY MAY CHANGE POLICY THAT THEY 4416 03:02:37,840 --> 03:02:39,800 HAVE IN ENTIRE COMPANY FOR THAT. 4417 03:02:39,800 --> 03:02:40,280 >>GREAT. 4418 03:02:40,280 --> 03:02:43,560 >>WE NEED TO LOOK FOR BIG 4419 03:02:43,560 --> 03:02:44,680 CHANGES AND LITTLE CHANGES TO 4420 03:02:44,680 --> 03:02:48,360 MAKE ALONG THE WAY. 4421 03:02:48,360 --> 03:02:49,560 >>ABSOLUTELY. 4422 03:02:49,560 --> 03:02:51,280 >>MY QUESTION IS REALLY ONE OF 4423 03:02:51,280 --> 03:02:54,520 THE STATISTICS THAT ALWAYS IS SO 4424 03:02:54,520 --> 03:02:56,120 STARK TO ME IS IN LIFE 4425 03:02:56,120 --> 03:02:58,240 EXPECTANCY AND KNOW IN 4426 03:02:58,240 --> 03:02:59,920 MINORITIZED POPULATIONS WE SEE 4427 03:02:59,920 --> 03:03:01,240 LOWER LIFE EXPECTANCY. 4428 03:03:01,240 --> 03:03:04,680 HOW DOES IT RELATE TO RATES YOU 4429 03:03:04,680 --> 03:03:06,440 SHARED FOR ALZHEIMER'S AND ARE 4430 03:03:06,440 --> 03:03:08,760 YOU ABLE TO INCORPORATE THAT IN? 4431 03:03:08,760 --> 03:03:10,360 >>SOME STUDIES LOOK AT 4432 03:03:10,360 --> 03:03:12,040 COMPETING RISK OF DEATH AND WE 4433 03:03:12,040 --> 03:03:14,000 HAVE NOT LOOKED AT IN OUR 4434 03:03:14,000 --> 03:03:15,320 STUDIES IS SOMETHING WE NEED TO 4435 03:03:15,320 --> 03:03:16,920 THINK ABOUT AND I DON'T KNOW IF 4436 03:03:16,920 --> 03:03:18,160 YOU KNOW ABOUT THE CROSSOVER 4437 03:03:18,160 --> 03:03:21,360 EFFECT THAT HAS BEEN REPORTED 4438 03:03:21,360 --> 03:03:24,640 WHERE EVEN THOUGH MINORITIES 4439 03:03:24,640 --> 03:03:28,040 TEND TO HAVE LOWER LIFE 4440 03:03:28,040 --> 03:03:29,000 EXPECTANCY AT CERTAIN POINT 4441 03:03:29,000 --> 03:03:33,720 MAYBE 85 HAVE GREATER LIFE 4442 03:03:33,720 --> 03:03:35,880 EXPECTANCIES AND IS CROSSOVER 4443 03:03:35,880 --> 03:03:37,640 EFFECT AND DEBATE AND GOING OVER 4444 03:03:37,640 --> 03:03:39,800 THAT DATA AS WELL AND WE HAVE 4445 03:03:39,800 --> 03:03:41,800 HEALTHY PEOPLE LIVING TO 85 OR 4446 03:03:41,800 --> 03:03:43,960 90 AND DON'T KNOW IF WE HAVE 4447 03:03:43,960 --> 03:03:45,800 POWER TO LOOK AT COMPETING RISKS 4448 03:03:45,800 --> 03:03:48,720 AND SOME HAD. ARE. S AND 4449 03:03:48,720 --> 03:03:51,880 NATIONAL STUDIES LOOK AT THAT IN 4450 03:03:51,880 --> 03:03:53,280 OUR DATA. 4451 03:03:53,280 --> 03:03:56,520 >>JUST TO ADD A COMMENT ON 4452 03:03:56,520 --> 03:03:59,600 THAT. THE DIFFERENCE IN LIFE 4453 03:03:59,600 --> 03:04:00,680 EXPECTANCY BETWEEN AFRICAN 4454 03:04:00,680 --> 03:04:03,280 AMERICANS AND WHITES OVER AGE 65 4455 03:04:03,280 --> 03:04:08,240 WAS ELIMINATED IN 2008 AND 2009 4456 03:04:08,240 --> 03:04:09,640 THAT IS PREDOMINANTLY BECAUSE OF 4457 03:04:09,640 --> 03:04:11,600 BLACK WOMEN THAT ARE LIVING 4458 03:04:11,600 --> 03:04:13,560 LONGER THAT ACTUALLY CAME OUT OF 4459 03:04:13,560 --> 03:04:17,800 NIH DATA AS WELL AS NATIONAL 4460 03:04:17,800 --> 03:04:19,480 MORTALITY STATISTICS AND QUALITY 4461 03:04:19,480 --> 03:04:24,360 OF LIFE MEASURES OR BURDEN OF 4462 03:04:24,360 --> 03:04:26,120 DISEASE RELATED TO DEATH OF 4463 03:04:26,120 --> 03:04:29,120 COURSE THAT IS GREATER AMONG 4464 03:04:29,120 --> 03:04:30,800 AFRICAN AMERICANS AND CONCEPT OF 4465 03:04:30,800 --> 03:04:33,280 HEALTHY LIFE EXPECTANCY IS 4466 03:04:33,280 --> 03:04:35,520 COMING TO BECOMING EDUS THAT IS 4467 03:04:35,520 --> 03:04:39,280 SHORTER AND I DON'T KNOW WHAT 4468 03:04:39,280 --> 03:04:41,040 AFTER EFFECTS OF COVID WILL BE 4469 03:04:41,040 --> 03:04:42,240 ON THAT BENEFIT. 4470 03:04:42,240 --> 03:04:46,680 YOU -- THERE SHOULD BE -- EVEN 4471 03:04:46,680 --> 03:04:48,800 INDEPENDENT OF A CROSSOVER IS 4472 03:04:48,800 --> 03:04:51,280 SIMILAR LIFE EXPECTANCY AND WHEN 4473 03:04:51,280 --> 03:04:54,680 YOU GET TO 65. 4474 03:04:54,680 --> 03:05:01,040 >>KEN IS ONLINE. YOU WANT TO 4475 03:05:01,040 --> 03:05:01,200 -- 4476 03:05:01,200 --> 03:05:03,880 >>THANK YOU FOR THE AMAZING 4477 03:05:03,880 --> 03:05:05,040 PRESENTATION, LISA. 4478 03:05:05,040 --> 03:05:06,080 OBSERVATION AND QUESTION. 4479 03:05:06,080 --> 03:05:09,280 WHEN I SEE YOUR DATA, I SORT OF 4480 03:05:09,280 --> 03:05:13,240 SEE THE EFFECTS OF DEPLETION 4481 03:05:13,240 --> 03:05:16,680 THAT IS PSYCHOLOGICAL DEPLETION 4482 03:05:16,680 --> 03:05:20,480 AND LONG-TERM EFFECTS OF 4483 03:05:20,480 --> 03:05:22,520 FAIRNESS AND WONDER IF ADDING 4484 03:05:22,520 --> 03:05:24,640 MEASURE OR TWO TO MEASURING 4485 03:05:24,640 --> 03:05:26,680 CONSTRUCTS THAT IS AT TERNTIVE 4486 03:05:26,680 --> 03:05:28,720 WAY TO VIEW WEATHERING I'M 4487 03:05:28,720 --> 03:05:30,160 FIGHTING SO MUCH AND SICK AND 4488 03:05:30,160 --> 03:05:32,280 TIRED OF BEING SICK AND TIRED 4489 03:05:32,280 --> 03:05:34,520 AND PEOPLE ARE DEPLETE THADZ 4490 03:05:34,520 --> 03:05:36,880 LEADS TO PHYSIOLOGIC EFFECTS AND 4491 03:05:36,880 --> 03:05:38,080 MY QUESTION IS WHEN -- WHEN I 4492 03:05:38,080 --> 03:05:41,840 LOOK AT THE DATA THAT YOU 4493 03:05:41,840 --> 03:05:44,440 PRESENTED BOTH ON BEING RAISED 4494 03:05:44,440 --> 03:05:46,640 IN THE SOUTH IN DESEGREGATED 4495 03:05:46,640 --> 03:05:49,480 SCHOOLS AND DATA ON JOHN 4496 03:05:49,480 --> 03:05:52,040 HENRYISM, I WONDER IF YOU HAVE 4497 03:05:52,040 --> 03:05:53,760 THOUGHTS ON WHAT INTERVENTIONS 4498 03:05:53,760 --> 03:05:57,120 WE COULD TRY TO BUFFER EFFECTS 4499 03:05:57,120 --> 03:05:59,640 OF JOHN HENRYISM EXCESSIVE 4500 03:05:59,640 --> 03:06:01,440 COPING AND LINGERING EFFECTS 4501 03:06:01,440 --> 03:06:03,280 GROWING UP IN THE SOUTH AND IS 4502 03:06:03,280 --> 03:06:05,320 NOTHING WE CAN DO THAT IS 4503 03:06:05,320 --> 03:06:06,960 IMPRINTED AND IS WHAT IT IS AND 4504 03:06:06,960 --> 03:06:08,160 WHAT DO YOU THINK ABOUT 4505 03:06:08,160 --> 03:06:09,040 INTERVENING SF? 4506 03:06:09,040 --> 03:06:11,120 >>THAT IS A GREAT QUESTION, 4507 03:06:11,120 --> 03:06:13,160 CANON. I WAS THINKING THAT 4508 03:06:13,160 --> 03:06:16,840 ACTUALLY WHEN LSAO PRESENTED HE 4509 03:06:16,840 --> 03:06:18,240 PRESENTED SO MUCH ABOUT 4510 03:06:18,240 --> 03:06:19,640 DISCRIMINATION FOR DIFFERENT 4511 03:06:19,640 --> 03:06:20,960 HEALTH OUTCOMES AND WONDER IS 4512 03:06:20,960 --> 03:06:22,800 THERE INTERVENTION THAT WE COULD 4513 03:06:22,800 --> 03:06:23,600 DO? 4514 03:06:23,600 --> 03:06:24,920 YOU CAN'T CHANGE HOW OTHER 4515 03:06:24,920 --> 03:06:26,480 PEOPLE TREAT YOU. YOU KNOW, YOU 4516 03:06:26,480 --> 03:06:29,160 CAN'T CHANGE. WE ARE TRYING TO 4517 03:06:29,160 --> 03:06:30,600 CHANGE STRUCTURES THAT TAKES 4518 03:06:30,600 --> 03:06:32,240 LONGER AND MAYBE WE CAN 4519 03:06:32,240 --> 03:06:33,560 INTERVENE HOW YOU RESPOND TO THE 4520 03:06:33,560 --> 03:06:35,360 DISCRIMINATION THAT MIGHT BE THE 4521 03:06:35,360 --> 03:06:39,640 AREA OF MOST EFFECT. YOU KNOW, 4522 03:06:39,640 --> 03:06:41,040 CLEARLY THE HIGH EFFORT FOR 4523 03:06:41,040 --> 03:06:45,080 COPING IS BAD FOR YOU LOOKING AT 4524 03:06:45,080 --> 03:06:46,600 CARDIOVASCULAR DISEASE OR BRAIN 4525 03:06:46,600 --> 03:06:49,880 HEALTH AND TEACHING PEOPLE TO 4526 03:06:49,880 --> 03:06:52,440 HAVE BETTER COPING SKILLS IN 4527 03:06:52,440 --> 03:06:55,320 HAVE FACE OF ADVERSITY OR 4528 03:06:55,320 --> 03:06:56,760 DISCRIMINATION AND DON'T WORK IN 4529 03:06:56,760 --> 03:06:58,120 INTERVENTION SPACE BUT DID A 4530 03:06:58,120 --> 03:06:59,520 TRIAL AND IS NOT NORMALLY WHAT I 4531 03:06:59,520 --> 03:07:01,800 DO AND LOOK TO ALL OF YOU TO 4532 03:07:01,800 --> 03:07:04,040 MAKE THOSE STUDIES THAT I THINK 4533 03:07:04,040 --> 03:07:05,840 IS PROBABLY THE BEST WE CAN DO 4534 03:07:05,840 --> 03:07:07,120 AND OTHER THAN CHANGING 4535 03:07:07,120 --> 03:07:09,280 STRUCTURES, THESE THINGS ARE 4536 03:07:09,280 --> 03:07:11,320 INSTITUTIONALIZED AND IS A 4537 03:07:11,320 --> 03:07:12,680 HARDER INTERVENTION TO CHANGE. 4538 03:07:12,680 --> 03:07:16,840 YOU CAN CHANGE HOW PEOPLE 4539 03:07:16,840 --> 03:07:20,200 RESPOND TO THINGS AND 4540 03:07:20,200 --> 03:07:21,280 PSYCHOLOGICAL DEPLETION IF YOU 4541 03:07:21,280 --> 03:07:22,280 HAVE MEASURES I WOULD LOVE TO 4542 03:07:22,280 --> 03:07:23,880 SEE WHAT THEY ARE. I THOUGHT 4543 03:07:23,880 --> 03:07:27,800 ABOUT ADDING THINGS LIKE 4544 03:07:27,800 --> 03:07:30,440 WEATHERING OR SOMETHING CALLED A 4545 03:07:30,440 --> 03:07:31,720 SUPERWOMAN SCHEMA AND THINGS TO 4546 03:07:31,720 --> 03:07:37,040 GET AT OTHER WAYS OF THIS SORT 4547 03:07:37,040 --> 03:07:37,960 OF PSYCHOLOGICAL DEPLETION AND 4548 03:07:37,960 --> 03:07:39,920 HOPE YOU KNOW OF SCALES I CAN 4549 03:07:39,920 --> 03:07:41,400 INCORPORATE THAT IS NICE OF 4550 03:07:41,400 --> 03:07:43,080 HAVING YOUR OWN COHORT TO ADD 4551 03:07:43,080 --> 03:07:44,280 THINGS WHEN YOU WANT TO. 4552 03:07:44,280 --> 03:07:47,960 >>I WILL SEND YOU. THANKS. 4553 03:07:47,960 --> 03:07:49,600 >>THANK YOU. PHIL? 4554 03:07:49,600 --> 03:07:52,680 >>FIRST, I WANTED TO JOIN THE 4555 03:07:52,680 --> 03:07:54,640 CHORUS OF ALL OF THOSE 4556 03:07:54,640 --> 03:07:56,240 COMPLEMENTING YOU ON YOUR WORK. 4557 03:07:56,240 --> 03:07:57,840 VERY, VERY IMPRESSIVE. 4558 03:07:57,840 --> 03:07:58,640 >>THANK YOU. 4559 03:07:58,640 --> 03:08:00,560 >>MY QUESTION IS I THINK IN ONE 4560 03:08:00,560 --> 03:08:06,480 OF YOUR SLIDES YOUCADED THAT 4561 03:08:06,480 --> 03:08:08,640 RATE TO ALZHEIMER'S DEMENTIA IS 4562 03:08:08,640 --> 03:08:10,880 10% IN YOUR COHORT. DO YOU KNOW 4563 03:08:10,880 --> 03:08:13,280 WHAT RATE IS AT AUTOPSY? 4564 03:08:13,280 --> 03:08:16,080 IS IT STILL 10% THAT IS 4565 03:08:16,080 --> 03:08:17,560 CHANGING? 4566 03:08:17,560 --> 03:08:22,640 >>SO, WHEN PEOPLE COME TO AUD 4567 03:08:22,640 --> 03:08:25,240 OPSY AND PEOPLE THAT HAVE DIED 4568 03:08:25,240 --> 03:08:26,400 AND ALZHEIMER'S DISEASE AND 4569 03:08:26,400 --> 03:08:29,040 PATHOLOGY THAT DEFINES 4570 03:08:29,040 --> 03:08:31,080 ALZHEIMER'S DISEASE, WE HAVE 30% 4571 03:08:31,080 --> 03:08:33,000 THAT HAVE ACTUALLY THE 4572 03:08:33,000 --> 03:08:34,640 UNDERLYING PATHOLOGY THAT IS 4573 03:08:34,640 --> 03:08:37,120 HIGHER THAN 10% SHOWING CLINICAL 4574 03:08:37,120 --> 03:08:42,680 SYMPTOMS AND PEOPLE ARE STILL 4575 03:08:42,680 --> 03:08:49,360 DYING I EXPECT NUMBER MIGHT GO 4576 03:08:49,360 --> 03:08:52,160 UP AND DEMENTIA IS A MIXED 4577 03:08:52,160 --> 03:08:54,440 PATHOLOGY PICTURE AND THERE IS 4578 03:08:54,440 --> 03:08:55,560 OTHER PATHOLOGIES IN THE BRAIN 4579 03:08:55,560 --> 03:08:57,080 AND TRYING TO SEE IF DIFFERENCES 4580 03:08:57,080 --> 03:08:58,800 IN RACE AND UNDERLYING PATHOLOGY 4581 03:08:58,800 --> 03:09:01,200 AND SO FAR WE ARE NOT SEEING 4582 03:09:01,200 --> 03:09:01,400 THAT. 4583 03:09:01,400 --> 03:09:02,400 >>THANK YOU. ONE OF THE 4584 03:09:02,400 --> 03:09:05,840 QUESTIONS IS THAT YOU KNOW IN 4585 03:09:05,840 --> 03:09:09,280 SOME [INDISCERNIBLE] PEOPLE USE 4586 03:09:09,280 --> 03:09:13,080 EXERCISE AS A STRESS RELIEVER. 4587 03:09:13,080 --> 03:09:15,760 DO YOU SEE BENEFITS OF EXERCISE 4588 03:09:15,760 --> 03:09:17,520 AS PEOPLE IN THIS COHORT? 4589 03:09:17,520 --> 03:09:19,920 >>NOT IN THIS COHORT. WE HAVE 4590 03:09:19,920 --> 03:09:21,760 REALLY CRAPPY PHYSICAL ACTIVITY 4591 03:09:21,760 --> 03:09:24,600 MEASURES AND WOULD LOVE TO DO 4592 03:09:24,600 --> 03:09:25,880 SOMETHING LIKE SOME KIND OF 4593 03:09:25,880 --> 03:09:27,560 WEARABLE ON PARTICIPANTS THAT 4594 03:09:27,560 --> 03:09:29,200 HAS BEEN DIFFICULT AND PEOPLE 4595 03:09:29,200 --> 03:09:30,680 LIVE IN INDIVIDUAL HOMES AND WE 4596 03:09:30,680 --> 03:09:32,520 GO TO THEIR HOMES AND I THINK 4597 03:09:32,520 --> 03:09:34,440 THAT PHYSICAL ACTIVITY WOULD BE 4598 03:09:34,440 --> 03:09:36,960 AN EASY WAY ESPECIALLY IN OLDER 4599 03:09:36,960 --> 03:09:39,280 ADULTS EVEN IF JUST WALKING TO 4600 03:09:39,280 --> 03:09:41,400 SEE HOW IT EFFECTS BRAIN HEALTH 4601 03:09:41,400 --> 03:09:43,880 THAT IS NOT SHOWING UP REALLY IN 4602 03:09:43,880 --> 03:09:46,360 DATA. QUESTIONS ARE NOT VERY 4603 03:09:46,360 --> 03:09:47,240 GOOD. 4604 03:09:47,240 --> 03:09:48,320 THANK YOU. 4605 03:09:48,320 --> 03:09:51,320 >>WE HAVE A QUESTION FROM ONE 4606 03:09:51,320 --> 03:09:53,880 NIH DEPUTY DIRECTORS. 4607 03:09:53,880 --> 03:09:56,280 >>THANK YOU SO MUCH FOR 4608 03:09:56,280 --> 03:09:58,680 ENTERPTAINING THIS QUESTION AND 4609 03:09:58,680 --> 03:10:00,680 WONDERFUL PRESENTATION FROM 4610 03:10:00,680 --> 03:10:02,680 NIDCR AND DENTAL INSTITUTE AND 4611 03:10:02,680 --> 03:10:05,000 QUESTION IS HAVE YOU CONSIDERED 4612 03:10:05,000 --> 03:10:07,200 STRATIFYING BASED ON ORAL HEALTH 4613 03:10:07,200 --> 03:10:08,880 OR PERIODONTAL DISEASE? 4614 03:10:08,880 --> 03:10:11,040 REASON I ASKED IS BECAUSE THERE 4615 03:10:11,040 --> 03:10:13,720 ARE SIGNIFICANT ORAL HEALTH 4616 03:10:13,720 --> 03:10:16,040 DISPARITIES OF SAME POPULATION 4617 03:10:16,040 --> 03:10:18,080 WITH AFRICAN AMERICANS HAVING 4618 03:10:18,080 --> 03:10:20,240 HIGHEST LEVELS OF DISEASES THAT 4619 03:10:20,240 --> 03:10:22,480 ARE ASSOCIATED WITH SYSTEMIC 4620 03:10:22,480 --> 03:10:24,080 INFLAMMATION AND HIGHER LEVELS 4621 03:10:24,080 --> 03:10:27,720 OF CRP AND DETECTION OF SOME 4622 03:10:27,720 --> 03:10:31,640 PERIODONTAL ORGANISMS IN BRAINS 4623 03:10:31,640 --> 03:10:33,320 OF INDIVIDUALS THAT HAVE 4624 03:10:33,320 --> 03:10:35,280 ALZHEIMER'S DISEASE AND ALSO 4625 03:10:35,280 --> 03:10:38,640 ASSOCIATION BETWEEN HAVING IT 4626 03:10:38,640 --> 03:10:41,360 THIS ORAL INFLAMMATION AND 4627 03:10:41,360 --> 03:10:43,680 NEURAL INFLAMMATION AND IS AN 4628 03:10:43,680 --> 03:10:44,760 EXCELLENT, EXCELLENT POINT THAT 4629 03:10:44,760 --> 03:10:47,360 I HAVE NOT LOOKED AT THAT. I 4630 03:10:47,360 --> 03:10:49,680 DON'T HAVE THAT EXPERTISE. I AM 4631 03:10:49,680 --> 03:10:51,880 SO OPEN TO WORKING WITH SOMEONE 4632 03:10:51,880 --> 03:10:53,840 WHO HAS THAT EXPERTISE. 4633 03:10:53,840 --> 03:10:56,000 ONE THING THAT REALLY HELPS THE 4634 03:10:56,000 --> 03:10:57,920 COHORT KEEP GOING IS WE GIVE 4635 03:10:57,920 --> 03:10:58,840 BACK OUR RESULTS. 4636 03:10:58,840 --> 03:11:02,520 SO, TO BE ABLE TO DO A DENTAL 4637 03:11:02,520 --> 03:11:04,840 EXAM AND MEASURE, YOU KNOW, 4638 03:11:04,840 --> 03:11:06,520 DIFFERENT ORAL ISSUES AND GIVE 4639 03:11:06,520 --> 03:11:08,520 THAT BACK TO PARTICIPANTS SO 4640 03:11:08,520 --> 03:11:09,840 THEY CAN ACTUALLY CHANGE 4641 03:11:09,840 --> 03:11:11,680 SOMETHING WOULD BE TREMENDOUS. 4642 03:11:11,680 --> 03:11:13,800 SO, IF YOU KNOW OF 4643 03:11:13,800 --> 03:11:15,200 COLLABORATORS, SEND THEM MY WAY. 4644 03:11:15,200 --> 03:11:17,200 >>YOU HAVE A DENTAL SCHOOL. 4645 03:11:17,200 --> 03:11:19,520 >>AT UIC. I KNOW. 4646 03:11:19,520 --> 03:11:20,520 >>THAT IS GOOD. 4647 03:11:20,520 --> 03:11:22,240 >>ANYBODY INTERESTED IN 4648 03:11:22,240 --> 03:11:23,520 DISPARITIES? I DON'T KNOW. I 4649 03:11:23,520 --> 03:11:24,520 HAVE TO LOOK. 4650 03:11:24,520 --> 03:11:26,000 >>YES. [INDISCERNIBLE] HAS 4651 03:11:26,000 --> 03:11:28,000 BEEN A WONDERFUL CHAMPION. 4652 03:11:28,000 --> 03:11:29,040 >>MY GOODNESS. 4653 03:11:29,040 --> 03:11:31,160 >>HAPPY TO TOUCH BASE AND 4654 03:11:31,160 --> 03:11:32,040 PROVIDE YOU GUYS. 4655 03:11:32,040 --> 03:11:42,560 >>PLEASE. THANK YOU SO MUCH. 4656 03:11:45,360 --> 03:11:48,800 >>THANK YOU VERY MUCH. 4657 03:11:48,800 --> 03:11:51,120 >>THAT IS IT. WE ARE DONE. 4658 03:11:51,120 --> 03:11:53,640 >>YES. YOU CAN -- THANK YOU. 4659 03:11:53,640 --> 03:11:58,240 THANK YOU. OUTSTANDING 4660 03:11:58,240 --> 03:11:59,600 PRESENTATION. NOW, WHAT I WILL 4661 03:11:59,600 --> 03:12:08,680 DO IS I WILL ALLOW YOU TO HAVE A 4662 03:12:08,680 --> 03:12:12,840 LUNCH BREAK. PLEASE, PLEASE 4663 03:12:12,840 --> 03:12:16,160 COME BACK AT -- [LAUGHING]. 4664 03:12:16,160 --> 03:12:18,600 AT -- LET'S SEE. 12:45. 4665 03:12:18,600 --> 03:12:21,200 I WILL GIVE YOU A FEW EXTRA 4666 03:12:21,200 --> 03:12:23,160 MINUTES THERE. IF YOU CAN COME 4667 03:12:23,160 --> 03:12:26,840 BACK AT 12:45. 4668 03:12:26,840 --> 03:12:29,400 THE CAFETERIA, THEY HAVE BEEN 4669 03:12:29,400 --> 03:12:31,400 WAITING ON YOU. 4670 03:12:31,400 --> 03:12:36,400 THEY ARE PROBABLY LOOKING FOR ME 4671 03:12:36,400 --> 03:12:40,000 AND PROMISED A LOT OF THINGS AND 4672 03:12:40,000 --> 03:12:41,720 THANK YOU VERY MUCH AND PLEASE 4673 03:12:41,720 --> 03:12:43,280 RETURN AT 12:45 AND PLEASE BE IN 4674 03:12:43,280 --> 03:12:44,160 YOUR SEATS. 4675 03:12:44,160 --> 03:12:46,800 THANK YOU. 4676 03:12:46,800 --> 03:12:50,080 I'M DEBRA LINARES, PROGRAM OFFICIAL IN 4677 03:12:50,080 --> 03:12:51,720 BIOLOGICAL AND BEHAVIORAL 4678 03:12:51,720 --> 03:12:53,000 SCIENCES AND TITLE OF CONCEPT 4679 03:12:53,000 --> 03:12:55,320 I'M PRESENTING ON TODAY IS 4680 03:12:55,320 --> 03:12:56,720 MULTILEVEL PATHWAYS AND 4681 03:12:56,720 --> 03:13:00,160 INTERVENTIONS TO PROMOTE VACCINE 4682 03:13:00,160 --> 03:13:02,080 UPTAKE AMONGST POPULATIONS 4683 03:13:02,080 --> 03:13:03,760 EXPERIENCING HEALTH DISPARITIES 4684 03:13:03,760 --> 03:13:05,800 AND THANK YOU TO COLLEAGUES WHO 4685 03:13:05,800 --> 03:13:09,880 SUPPORTED ME ON THIS CONCEPT. 4686 03:13:09,880 --> 03:13:12,040 THERE WE GO. OBJECTIVE TO 4687 03:13:12,040 --> 03:13:14,360 INITIATIVE IS SUPPORTING 4688 03:13:14,360 --> 03:13:16,040 RESEARCH EXAMINING MULTILEVEL 4689 03:13:16,040 --> 03:13:17,800 PATHWAYS AND INTERVENTIONS 4690 03:13:17,800 --> 03:13:20,480 PROMOTING VACCINE UPTAKE AND 4691 03:13:20,480 --> 03:13:24,800 POPULATIONS EXPERIENCING HEALTH 4692 03:13:24,800 --> 03:13:26,400 DISPARITIES. 4693 03:13:26,400 --> 03:13:28,720 SO, VACCINES PROVIDE MULTIPLE 4694 03:13:28,720 --> 03:13:30,320 BENEFITS FOR PREVENTION AND 4695 03:13:30,320 --> 03:13:32,720 REDUCTION OF DISEASE AND SERIOUS 4696 03:13:32,720 --> 03:13:36,360 ILLNESS OR DEATH WHILE PROVIDING 4697 03:13:36,360 --> 03:13:37,480 PROTECTION AGAINST TRANSMISSION 4698 03:13:37,480 --> 03:13:39,720 AND DESPITE MULTIPLE BENEFITS OF 4699 03:13:39,720 --> 03:13:41,520 VACCINATION, DISPARITIES EXIST 4700 03:13:41,520 --> 03:13:44,120 AND CONTINUE TO GROW FOR VACCINE 4701 03:13:44,120 --> 03:13:47,160 UPTAKE AMONG ADULT AND CHILD 4702 03:13:47,160 --> 03:13:48,000 POPULATIONS WHO EXPERIENCE 4703 03:13:48,000 --> 03:13:49,880 HEALTH DISPARITIES THAT ARE 4704 03:13:49,880 --> 03:13:52,520 RACIAL AND ETHNIC MINORITY 4705 03:13:52,520 --> 03:13:52,800 PERSONS. 4706 03:13:52,800 --> 03:13:55,680 PEOPLE WITH LOW SOCIOECONOMIC 4707 03:13:55,680 --> 03:13:58,120 STATUS AND SEXUAL AND GENDER 4708 03:13:58,120 --> 03:14:00,120 MINORITY PERSONS AND INDIVIDUALS 4709 03:14:00,120 --> 03:14:03,760 LIVING IN RURAL AREAS AND FOR 4710 03:14:03,760 --> 03:14:05,160 EXAMPLE INFLUENZA OR FLU CAN 4711 03:14:05,160 --> 03:14:07,360 CAUSE SERIOUS COMPLICATIONS FOR 4712 03:14:07,360 --> 03:14:08,720 CHILDREN UNDER 2 AND PREGNANT 4713 03:14:08,720 --> 03:14:11,320 PEOPLE AND ADULTS UNDER AGE 65 4714 03:14:11,320 --> 03:14:14,920 AND PEOPLE WITH CHRONIC HEALTH 4715 03:14:14,920 --> 03:14:19,360 CONDITIONS AND RECEIPT OF 4716 03:14:19,360 --> 03:14:22,000 VACC 4717 03:14:22,000 --> 03:14:23,560 VACCINE -- ON LEFT SIDE OF THE 4718 03:14:23,560 --> 03:14:28,000 SLIDE YOU CAN SEE DATA SHOWING 4719 03:14:28,000 --> 03:14:29,680 INFLUENZA VACCINE DISPARITIES 4720 03:14:29,680 --> 03:14:32,320 FOR RACE AND ETHNICITY WITH 4721 03:14:32,320 --> 03:14:34,720 CHILDREN WITH LOWEST RATES OF 4722 03:14:34,720 --> 03:14:37,520 HISPANIC AND AMERICAN INDIAN AND 4723 03:14:37,520 --> 03:14:39,560 ALASKA NATIVES AND THOSE 4724 03:14:39,560 --> 03:14:42,080 INDIVIDUALS AND HIGHER 4725 03:14:42,080 --> 03:14:42,680 HOSPITALIZATION RATES AMONG 4726 03:14:42,680 --> 03:14:44,720 BLACK AND AMERICAN INDIAN AND 4727 03:14:44,720 --> 03:14:47,200 ALASKA NATIVE PERSONS AND 4728 03:14:47,200 --> 03:14:48,160 DISPARITIES EXIST AMONG 4729 03:14:48,160 --> 03:14:50,800 INDIVIDUALS IN RURAL AREAS AND 4730 03:14:50,800 --> 03:14:52,760 FROM LOWER SOCIOECONOMIC BACK 4731 03:14:52,760 --> 03:14:55,360 GROUNDS AND IS LIMITED 4732 03:14:55,360 --> 03:14:57,600 INFORMATION ON FLU VACCINE 4733 03:14:57,600 --> 03:15:00,680 UPTAKE. BECAUSE MANY OF THE 4734 03:15:00,680 --> 03:15:01,960 STATUSES INTERSECT AMONG 4735 03:15:01,960 --> 03:15:02,920 POPULATIONS IT IS VERY IMPORTANT 4736 03:15:02,920 --> 03:15:07,080 FOR US TO UNDERSTAND WHY THESE 4737 03:15:07,080 --> 03:15:09,160 DISPARITIES EXIST AND TO DEVELOP 4738 03:15:09,160 --> 03:15:11,920 EFFECTIVE STRATEGIES AND VACCINE 4739 03:15:11,920 --> 03:15:14,520 HESITANCY THAT IS DELAY OR 4740 03:15:14,520 --> 03:15:16,680 REFUSAL TO ACCEPT VACCINE 4741 03:15:16,680 --> 03:15:20,120 DESPITE IT BEING AVAILABLE 4742 03:15:20,120 --> 03:15:21,800 VARIES ACROSS VACCINE AND MAY 4743 03:15:21,800 --> 03:15:23,680 CHANGE OVER ONE TIME AND VACCINE 4744 03:15:23,680 --> 03:15:26,240 UPTAKE AND CULTURAL RELIGIOUS 4745 03:15:26,240 --> 03:15:28,040 FACTORS LACK OF ACCURATE 4746 03:15:28,040 --> 03:15:30,640 INFORMATION AND EXPOSURE TO 4747 03:15:30,640 --> 03:15:31,080 MISINFORMATION AND 4748 03:15:31,080 --> 03:15:32,360 DISINFORMATION ARE OTHER FACTORS 4749 03:15:32,360 --> 03:15:35,160 THAT COULD INFLUENCE VACCINE 4750 03:15:35,160 --> 03:15:36,800 UPTAKE AND FURTHERMORE UPSTREAM 4751 03:15:36,800 --> 03:15:38,320 SOCIAL DETERMINANTS OF HEALTH 4752 03:15:38,320 --> 03:15:40,720 SERVE AS BARRIERS TO VACCINE 4753 03:15:40,720 --> 03:15:42,920 ACCESS SUCH AS OUT OF POCKET 4754 03:15:42,920 --> 03:15:44,800 COSTS HAVING A PRIMARY CARE 4755 03:15:44,800 --> 03:15:47,720 PROVIDER GIVEN ONGOING 4756 03:15:47,720 --> 03:15:49,720 CHALLENGES AND DISPARITIES 4757 03:15:49,720 --> 03:15:51,200 IMPERATIVE TO UNDERSTAND AND 4758 03:15:51,200 --> 03:15:52,600 PROMOTE VACCINE UPTAKE. 4759 03:15:52,600 --> 03:15:55,240 SO, WE CONDUCTED A PORTFOLIO 4760 03:15:55,240 --> 03:15:58,160 ANALYSIS ON NIH FUNDED RESEARCH 4761 03:15:58,160 --> 03:16:00,240 PROJECT GRANTS ON VACCINES FROM 4762 03:16:00,240 --> 03:16:04,120 FISCAL YEARS 2017 TO 2022 4763 03:16:04,120 --> 03:16:06,040 FINDING 470 FUNDED STUDIES 4764 03:16:06,040 --> 03:16:07,360 INCLUDING POPULATIONS 4765 03:16:07,360 --> 03:16:09,880 EXPERIENCING HEALTH DISPARITIES 4766 03:16:09,880 --> 03:16:11,080 AND OVERALL WE FOUND A FEW 4767 03:16:11,080 --> 03:16:14,160 STUDIES ON MECHANISMS AND 4768 03:16:14,160 --> 03:16:16,240 INTERVENTIONS -- MOST FOCUSED ON 4769 03:16:16,240 --> 03:16:17,280 VACCINE DEVELOPMENT AND 4770 03:16:17,280 --> 03:16:19,360 RESPONSES TO VACCINES AND 4771 03:16:19,360 --> 03:16:22,800 LOOKING SPECIFICALLY AT NIMHG WE 4772 03:16:22,800 --> 03:16:25,160 FUNDED 45 GRANTS AND 18 ARE 4773 03:16:25,160 --> 03:16:28,120 INTERVENTIONS AND 15 ARE ITOLOGY 4774 03:16:28,120 --> 03:16:31,360 BASED AND PART OF ARE COVID-19 4775 03:16:31,360 --> 03:16:35,640 TESTING INITIATIVE AND NIMHD HAD 4776 03:16:35,640 --> 03:16:37,920 THREE NO SEES VACCINE UPTAKE 4777 03:16:37,920 --> 03:16:41,440 DURING FISCAL YEARS 2021 TO 2023 4778 03:16:41,440 --> 03:16:44,160 AND FUNDED 12 R01S THUS FAR 4779 03:16:44,160 --> 03:16:46,520 THROUGH NO SEES AND HOWEVER MOST 4780 03:16:46,520 --> 03:16:49,320 STUDIES FOCUSED ON COVID-19 4781 03:16:49,320 --> 03:16:52,480 VACCINE UPTAKE AMONG ADULTS AND 4782 03:16:52,480 --> 03:16:53,960 NIMHD WOULD LIKE TO EXPAND 4783 03:16:53,960 --> 03:16:56,560 RESEARCH ON VACCINES TO OTHER 4784 03:16:56,560 --> 03:16:59,360 AGES GIVEN ONGOING ISSUES WITH 4785 03:16:59,360 --> 03:17:03,800 VACCINE UPTAKE AND THUS FAR NIMH 4786 03:17:03,800 --> 03:17:06,240 GRANTS FOCUS ON FOLLOWING 4787 03:17:06,240 --> 03:17:08,560 VACCINES HERE COVID-19 INFLUENZA 4788 03:17:08,560 --> 03:17:11,480 AND HPV UPTAKE AND SEVERAL 4789 03:17:11,480 --> 03:17:13,720 STUDIES WORK WITHIN THE 4790 03:17:13,720 --> 03:17:15,560 COMMUNITY OR COMMUNITY-BASED 4791 03:17:15,560 --> 03:17:17,080 ORGANIZATIONS AND A FEW STUDIES 4792 03:17:17,080 --> 03:17:20,720 ARE FOCUSED ON AMERICAN INDIAN 4793 03:17:20,720 --> 03:17:23,840 ALASKA NATIVES SEXUAL GENDER 4794 03:17:23,840 --> 03:17:25,360 MINORITIES AND CHILDREN AND 4795 03:17:25,360 --> 03:17:27,040 PARENTS AND FROM A LIFE COURSE 4796 03:17:27,040 --> 03:17:29,680 PERSPECTIVE YOU CAN SEE CRITICAL 4797 03:17:29,680 --> 03:17:31,600 GAPS PERSIST AMONG VACCINE 4798 03:17:31,600 --> 03:17:32,920 UPTAKE AMONG POPULATIONS THAT 4799 03:17:32,920 --> 03:17:35,000 ARE EXPERIENCING HEALTH 4800 03:17:35,000 --> 03:17:36,280 DISPARITIES AND THEREFORE WE 4801 03:17:36,280 --> 03:17:39,640 PROPOSE THE FOLLOWING INITIATIVE 4802 03:17:39,640 --> 03:17:42,080 TO SOLICIT MULTI-DISCIPLINARY 4803 03:17:42,080 --> 03:17:43,040 PROJECTS EXAMINING MECHANISMS 4804 03:17:43,040 --> 03:17:45,280 AND INTERVENTIONS AT MULTIPLE 4805 03:17:45,280 --> 03:17:47,960 LEVELS PROMOTING VACCINE UPTAKE 4806 03:17:47,960 --> 03:17:50,840 AMONG THOSE EXPERIENCING HEALTH 4807 03:17:50,840 --> 03:17:54,600 DISPARITIES PROPOSING ETIOLOGY 4808 03:17:54,600 --> 03:17:58,120 BASED TOPICS INCLUDE 4809 03:17:58,120 --> 03:17:59,360 POLICY-BASED STUDIES ON 4810 03:17:59,360 --> 03:18:01,280 EFFECTIVENESS OF VACCINE 4811 03:18:01,280 --> 03:18:04,720 MANDATES AND PROMOTION EFFORTS 4812 03:18:04,720 --> 03:18:06,240 MULTILEVEL FACTORS INCLUDING 4813 03:18:06,240 --> 03:18:11,000 VACCINE HESITANCY AND UPTAKE 4814 03:18:11,000 --> 03:18:12,680 CULTURAL MIS AND DISINFORMATION 4815 03:18:12,680 --> 03:18:14,400 AND BELIEFS AND TRAITS 4816 03:18:14,400 --> 03:18:16,440 UNDERLYING VACCINE HESITANCY 4817 03:18:16,440 --> 03:18:17,840 USING ARTIFICIAL INTELLIGENCE 4818 03:18:17,840 --> 03:18:21,640 AND AI APPROACHES TO UNDERSTAND 4819 03:18:21,640 --> 03:18:23,920 HOW DISINFORMATION IS CREATED IN 4820 03:18:23,920 --> 03:18:25,320 TRANSMITTING UNDERSTANDING 4821 03:18:25,320 --> 03:18:27,560 VACCINE HESITANCY AT COMMUNITY 4822 03:18:27,560 --> 03:18:28,840 AND SOCIETAL LEVELS AND 4823 03:18:28,840 --> 03:18:30,520 UNDERSTANDING VACCINE HESITANCY 4824 03:18:30,520 --> 03:18:32,520 ACROSS THE LIFE COURSE AND 4825 03:18:32,520 --> 03:18:35,960 POTENTIAL RESEARCH TOPICS 4826 03:18:35,960 --> 03:18:37,360 INCLUDE EXAMINING CRITICAL -- 4827 03:18:37,360 --> 03:18:40,000 PROMOTE VACCINE UPTAKE AND 4828 03:18:40,000 --> 03:18:41,040 EVALUATE EFFECTIVE VACCINE 4829 03:18:41,040 --> 03:18:43,040 RELATED MESSAGING TO PROMOTE 4830 03:18:43,040 --> 03:18:46,520 VACCINE UPTAKE AND ADDRESS 4831 03:18:46,520 --> 03:18:47,480 MISINFORMATION. 4832 03:18:47,480 --> 03:18:49,400 SO, FOR INTERVENTION STUDIES 4833 03:18:49,400 --> 03:18:52,000 POTENTIAL TOPICS INCLUDE STUDIES 4834 03:18:52,000 --> 03:18:54,160 WITHIN COMMUNITY AND HEALTH CARE 4835 03:18:54,160 --> 03:18:56,080 SETTINGS OR USING COMMUNITY 4836 03:18:56,080 --> 03:19:00,160 HEALTH WORKERS STUDIES USING 4837 03:19:00,160 --> 03:19:02,920 DISSEMINATION AND IMPLEMENTATION 4838 03:19:02,920 --> 03:19:04,640 FRAMEWORKS AND DIVERSE 4839 03:19:04,640 --> 03:19:06,160 POPULATIONS AND LIFE STAGES 4840 03:19:06,160 --> 03:19:08,680 DIGITAL BASED INTERVENTIONS AND 4841 03:19:08,680 --> 03:19:12,080 THOSE INCLUDING HARNESSING HSI 4842 03:19:12,080 --> 03:19:14,080 AND ECONOMICS UNDERSTANDING 4843 03:19:14,080 --> 03:19:16,000 EFFECTIVE STRATEGIES FOR VACCINE 4844 03:19:16,000 --> 03:19:18,240 UPTAKE AND SYSTEMS LEVELS 4845 03:19:18,240 --> 03:19:19,400 STUDIES AND RESEARCH TOPICS 4846 03:19:19,400 --> 03:19:20,840 INCLUDE INTERVENTIONS IF IN 4847 03:19:20,840 --> 03:19:24,480 HEALTH CARE SETTINGS TO PROMOTE 4848 03:19:24,480 --> 03:19:26,880 VACCINE UPTAKE ACROSS THE 4849 03:19:26,880 --> 03:19:29,320 LIFESPAN AND FAMILY OR EXCUSE ME 4850 03:19:29,320 --> 03:19:31,280 SYSTEMS LEVEL INTERVENTIONS 4851 03:19:31,280 --> 03:19:36,080 ADDRESSING BARRIERS TO VACCINE 4852 03:19:36,080 --> 03:19:36,320 ACCESS. 4853 03:19:36,320 --> 03:19:37,320 I WANT TO THANK MY COLLEAGUES 4854 03:19:37,320 --> 03:19:38,840 THAT HELPED ME WITH THIS. I 4855 03:19:38,840 --> 03:19:40,720 WILL OPEN IT TO COUNCIL FOR 4856 03:19:40,720 --> 03:19:43,800 FEEDBACK AND QUESTIONS. 4857 03:19:43,800 --> 03:19:51,680 THANK YOU. 4858 03:19:51,680 --> 03:19:56,920 >>DOCTOR, DO YOU HAVE COMMENTS? 4859 03:19:56,920 --> 03:19:58,880 >>JUST YOU A FEW POSITIVE 4860 03:19:58,880 --> 03:20:00,520 STRENGTHS ABOUT CONCEPT AND LIKE 4861 03:20:00,520 --> 03:20:02,680 THE INTERGENERATIONAL AND 4862 03:20:02,680 --> 03:20:04,520 INTERSECTIONAL FOCUS FOR EXAMPLE 4863 03:20:04,520 --> 03:20:06,720 RACE AND SEXUAL IDENTITY 4864 03:20:06,720 --> 03:20:08,320 INTERACT AND FOCUS ON 4865 03:20:08,320 --> 03:20:09,760 INTERVENTIONS NO THE JUST 4866 03:20:09,760 --> 03:20:11,560 DESCRIPTIVE STUDIES AND 4867 03:20:11,560 --> 03:20:13,160 POTENTIAL USING COMMUNITY HEALTH 4868 03:20:13,160 --> 03:20:14,680 WORKERS AND DIGITAL 4869 03:20:14,680 --> 03:20:16,560 INTERVENTIONS TO RECOGNIZE JUST 4870 03:20:16,560 --> 03:20:27,000 A TECHNICAL NOTE THAT -- 4871 03:20:28,800 --> 03:20:32,560 >>DOCTOR, I THINK WE MIGHT HAVE 4872 03:20:32,560 --> 03:20:42,760 LOST YOU. 4873 03:20:57,760 --> 03:20:59,800 >>OKAY. THANKS SO MUCH. I 4874 03:20:59,800 --> 03:21:04,680 THINK THIS IS AN IMPORTANT AND 4875 03:21:04,680 --> 03:21:06,520 TIMELY OPPORTUNITY. I 4876 03:21:06,520 --> 03:21:07,480 APPRECIATE YOUR COMMENT. 4877 03:21:07,480 --> 03:21:08,680 >>SORRY. 4878 03:21:08,680 --> 03:21:10,040 >>MY LAPTOP DIED IN THE MIDDLE 4879 03:21:10,040 --> 03:21:14,800 OF IT. I GOT MY PHONE OUT. 4880 03:21:14,800 --> 03:21:19,360 >>OWE E NO. 4881 03:21:19,360 --> 03:21:20,400 I WILL TAKE A COUPLE SECONDS AND 4882 03:21:20,400 --> 03:21:22,360 FOCUS IS ON MULTILEVEL 4883 03:21:22,360 --> 03:21:23,920 INTERVENTIONS AND IN ADDITION I 4884 03:21:23,920 --> 03:21:26,800 THINK YOU MIGHT WANT TO ALLOW 4885 03:21:26,800 --> 03:21:28,600 WHERE APPROPRIATE SINGLE LEVEL 4886 03:21:28,600 --> 03:21:29,960 INTERVENTION SUCH AS DIGITAL 4887 03:21:29,960 --> 03:21:31,000 INTERVENTION THAT MIGHT ADDRESS 4888 03:21:31,000 --> 03:21:33,840 IN A TAILORED WAY SOMEONE'S 4889 03:21:33,840 --> 03:21:37,320 BARRIERS AND MISCONCEPTIONS, ET 4890 03:21:37,320 --> 03:21:37,560 CETERA. 4891 03:21:37,560 --> 03:21:40,400 THERE IS REALLY INTERESTING 4892 03:21:40,400 --> 03:21:43,320 STUDIES RECENTLY ADDRESSING 4893 03:21:43,320 --> 03:21:51,520 WHETHER OR NOT THE HEZ TANS 4894 03:21:51,520 --> 03:21:55,040 REGARDING COVID-19 VACCINE IS 4895 03:21:55,040 --> 03:21:56,400 DIFFERENT -- AND YOU SHOULD 4896 03:21:56,400 --> 03:21:59,400 INCUR AS A RESEARCH TOPIC STATE 4897 03:21:59,400 --> 03:22:01,200 VERSUS TRAIT ISSUE ARE DRIVERS 4898 03:22:01,200 --> 03:22:03,480 OF COVID-19 SIMILAR TO WHAT WE 4899 03:22:03,480 --> 03:22:05,040 HAVE SEEN HISTORICALLY WITH 4900 03:22:05,040 --> 03:22:08,040 OTHER VACCINES OR THERE IS A 4901 03:22:08,040 --> 03:22:10,960 SPECIFIC SET OF COVID-19 4902 03:22:10,960 --> 03:22:14,520 BARRIERS OR HESITANCIES THAT 4903 03:22:14,520 --> 03:22:17,360 SHOULD BE EXAMINED. 4904 03:22:17,360 --> 03:22:20,720 THERE IS SOME INTERESTING DATA 4905 03:22:20,720 --> 03:22:23,520 THAT IS ABOUT PERSONALITY VERSUS 4906 03:22:23,520 --> 03:22:25,360 ATTITUDINAL DIFFERENCE AND STATE 4907 03:22:25,360 --> 03:22:27,080 VERSUS TRAIT SHOULD ALSO BE 4908 03:22:27,080 --> 03:22:29,040 BROUGHT INTO PLAY IN THAT SENSE 4909 03:22:29,040 --> 03:22:31,040 AND FOR EXAMPLE DATA THAT 4910 03:22:31,040 --> 03:22:34,040 PERSONALITY ATTRIBUTES OF 4911 03:22:34,040 --> 03:22:36,160 DOGMATISM AND PARANOIA AND 4912 03:22:36,160 --> 03:22:37,880 REACTANCE WITH REGARDS TO NOT 4913 03:22:37,880 --> 03:22:41,760 JUST VACCINE BUT PERSONALITY 4914 03:22:41,760 --> 03:22:46,880 ATTRIBUTE ARE ASSOCIATED WITH 4915 03:22:46,880 --> 03:22:48,680 VACCINE UPTAKE AND RESEARCH AND 4916 03:22:48,680 --> 03:22:51,480 LOOKING AT WHETHER OR NOT IT IS 4917 03:22:51,480 --> 03:22:53,320 A LOOK AT GLOBAL HEZ TANS OR 4918 03:22:53,320 --> 03:22:58,360 UNIQUE TO COVID-19 ONE THING TO 4919 03:22:58,360 --> 03:23:01,120 CONSIDER INCLUDING AS A RESEARCH 4920 03:23:01,120 --> 03:23:02,880 PRIORITY IS PRESUMPTIVE 4921 03:23:02,880 --> 03:23:04,560 INTERVENTIONS THAT WOULD INCLUDE 4922 03:23:04,560 --> 03:23:07,360 WHEN A PATIENT COMES TO SEE A 4923 03:23:07,360 --> 03:23:09,200 PROVIDER THAT PROVIDER MIGHT SAY 4924 03:23:09,200 --> 03:23:11,280 WE HAVE VACCINE WAITING FOR YOU 4925 03:23:11,280 --> 03:23:13,040 IN THE WAITING ROOM AND PATIENT 4926 03:23:13,040 --> 03:23:14,600 HAS TO PUSH AGAINST THAT. 4927 03:23:14,600 --> 03:23:16,640 DEFAULT IS YOU WILL GET THAT. 4928 03:23:16,640 --> 03:23:18,840 THERE IS EVIDENCE THAT COULD BE 4929 03:23:18,840 --> 03:23:20,680 EFFECTIVE. THERE MIGHT BE 4930 03:23:20,680 --> 03:23:21,600 INTERESTING ETHICAL INFORMATION 4931 03:23:21,600 --> 03:23:24,680 THERE AND POPULATIONS WHICH THAT 4932 03:23:24,680 --> 03:23:27,480 CERTAIN INTERVENTION COULD MAKE 4933 03:23:27,480 --> 03:23:29,080 THINGS REVERSE AND PRIMIARY 4934 03:23:29,080 --> 03:23:31,240 RESEARCH AND FOR COVID-19 4935 03:23:31,240 --> 03:23:34,120 VACCINE AS WELL AS VACCINES MORE 4936 03:23:34,120 --> 03:23:36,040 GLOBALLY. THERE IS A FAIR BIT 4937 03:23:36,040 --> 03:23:40,000 OF WORK LARGELY FROM THE KAISER 4938 03:23:40,000 --> 03:23:42,600 ONGOING SURVEY DATA ABOUT 4939 03:23:42,600 --> 03:23:44,080 AUDIENCE SEGMENTS AND THERE IS 4940 03:23:44,080 --> 03:23:46,120 HUGE RACIAL DIFFERENCE IN 4941 03:23:46,120 --> 03:23:47,520 LATENCY CATEGORY AND AFRICAN 4942 03:23:47,520 --> 03:23:49,280 AMERICANS WERE MORE LIKELY WHEN 4943 03:23:49,280 --> 03:23:52,080 THE VACCINE FIRST CAME OUT TO BE 4944 03:23:52,080 --> 03:23:55,200 IN THE WAIT AND SEE CATEGORY AND 4945 03:23:55,200 --> 03:23:56,920 MOST PEOPLE GOT VACCINATED AND 4946 03:23:56,920 --> 03:24:01,040 WHITE FOLKS WERE LARGELY HEAVILY 4947 03:24:01,040 --> 03:24:02,520 NAVIGATED IN NEVER EVER OR 4948 03:24:02,520 --> 03:24:04,720 STRONG HESITANCY GROUP THAT 4949 03:24:04,720 --> 03:24:07,000 DIDN'T CHANGE AT ALL AND STAYED 4950 03:24:07,000 --> 03:24:08,760 AT 13% FOR THE ENTIRE TWO YEARS 4951 03:24:08,760 --> 03:24:17,080 THEY WERE MONITORING IT. 4952 03:24:17,080 --> 03:24:19,280 I THINK THAT IS GOOD ENOUGH FOR 4953 03:24:19,280 --> 03:24:25,040 ME. I LOST A MINUTE OR 2 IN MY 4954 03:24:25,040 --> 03:24:25,840 REBOOT. THANKS. 4955 03:24:25,840 --> 03:24:28,560 >>THANK YOU. WE WILL 4956 03:24:28,560 --> 03:24:29,120 INCORPORATE THE COMMENT. 4957 03:24:29,120 --> 03:24:31,080 >>AGAIN, I WANT TO MENTION IT 4958 03:24:31,080 --> 03:24:33,920 IS TIMELY AND IMPORTANT 4959 03:24:33,920 --> 03:24:35,840 OPPORTUNITY AND APPRECIATE 4960 03:24:35,840 --> 03:24:37,120 DOCTOR'S POINT IN UNDERSTANDING 4961 03:24:37,120 --> 03:24:40,760 IMPORTANCE OF COVID ON VACCINE 4962 03:24:40,760 --> 03:24:44,120 HESITANCY AND ACCEPTANCY AND 4963 03:24:44,120 --> 03:24:45,760 IMPLICATION FOR OTHER VACCINES 4964 03:24:45,760 --> 03:24:47,560 AS WELL AS UNDERSTANDING OF 4965 03:24:47,560 --> 03:24:49,000 POTENTIAL INCENTIVES AND 4966 03:24:49,000 --> 03:24:51,320 COMMUNITY HEALTH WORKERS IN 4967 03:24:51,320 --> 03:24:52,840 FACILITATING THOSE EFFORTS. 4968 03:24:52,840 --> 03:24:55,320 I ALSO APPRECIATE THE EMPHASIS 4969 03:24:55,320 --> 03:24:58,360 ON MULTILEVEL AND MULTIDOMAIN 4970 03:24:58,360 --> 03:24:59,600 INTERVENTIONS THAT IS A CLEAR 4971 03:24:59,600 --> 03:25:01,360 LESSON FROM INCREASING VACCINE 4972 03:25:01,360 --> 03:25:03,880 UPTAKE DURING THE COVID PANDEMIC 4973 03:25:03,880 --> 03:25:06,600 THAT IS REALLY CHALLENGES 4974 03:25:06,600 --> 03:25:08,240 WOUNDED IN SOCIAL DETERMINANTS 4975 03:25:08,240 --> 03:25:11,280 OF HEALTH AND LIMITED TO ACCESS 4976 03:25:11,280 --> 03:25:14,400 TO HEALTHCARE AND PERVASIVE 4977 03:25:14,400 --> 03:25:17,400 SURGE AND IN TERMS OF 4978 03:25:17,400 --> 03:25:19,040 ACCELERATING MISINFORMATION AND 4979 03:25:19,040 --> 03:25:20,080 DISINFORMATION AND CREATING 4980 03:25:20,080 --> 03:25:21,680 MISTRUST IN VACCINES AND 4981 03:25:21,680 --> 03:25:23,320 UNDERSTANDING WHAT IMPLICATIONS 4982 03:25:23,320 --> 03:25:26,840 ARE FOR HPV AND HEPATITIS B AND 4983 03:25:26,840 --> 03:25:28,400 OTHER VACCINES WILL BE REALLY 4984 03:25:28,400 --> 03:25:30,400 IMPORTANT AND OTHER THING I WANT 4985 03:25:30,400 --> 03:25:32,400 TO REALLY HIGHLIGHT IS POTENTIAL 4986 03:25:32,400 --> 03:25:36,120 OPPORTUNITY AND ENCOURAGING 4987 03:25:36,120 --> 03:25:36,800 APPLICANTS TO CONSIDER USE OF 4988 03:25:36,800 --> 03:25:41,320 IMPLEMENTATION AND DISSEMINATION 4989 03:25:41,320 --> 03:25:43,360 FRAMEWORKS AND ADAPTATION TOOLS 4990 03:25:43,360 --> 03:25:44,920 AND THOSE WITH HIGH PERCENTAGE 4991 03:25:44,920 --> 03:25:48,160 OF EJ LISH EFFICIENCY AND 4992 03:25:48,160 --> 03:25:49,880 COMMUNITIES WITHIN SECOND 4993 03:25:49,880 --> 03:25:50,560 GENERATION [INDISCERNIBLE]. 4994 03:25:50,560 --> 03:25:53,280 AS NOTED EARLIER THERE IS 4995 03:25:53,280 --> 03:25:55,080 SUBSTANTIAL EVIDENCE AROUND 4996 03:25:55,080 --> 03:25:57,840 COMMUNITY CLINICAL LINKAGES 4997 03:25:57,840 --> 03:25:59,840 CLINICAL STRATEGY TO UNDERSERVED 4998 03:25:59,840 --> 03:26:01,640 COMMUNITIES AND ENCOURAGE THAT 4999 03:26:01,640 --> 03:26:03,440 EMPHASIS AND HAS BEEN REALLY 5000 03:26:03,440 --> 03:26:06,760 IMPORTANT AND EFFECTIVE SYSTEM 5001 03:26:06,760 --> 03:26:09,480 LEVEL INTERVENTIONS INTEGRATING 5002 03:26:09,480 --> 03:26:12,400 ERH BASED AND COMMUNITY HEALTH 5003 03:26:12,400 --> 03:26:14,400 WORKER STRATEGIES AND REALLY 5004 03:26:14,400 --> 03:26:15,640 APPRECIATE THAT EMPHASIS IN THE 5005 03:26:15,640 --> 03:26:17,920 CONCEPT AND OTHER THING TO NOTE 5006 03:26:17,920 --> 03:26:21,120 IS MANY LOW INCOME FAMILIES MAY 5007 03:26:21,120 --> 03:26:23,720 WITH YOUNG CHILDREN MAY NOT HAVE 5008 03:26:23,720 --> 03:26:27,600 A RIGHT PEDIATRICIAN OR RIGHT 5009 03:26:27,600 --> 03:26:28,960 CARE INCREASING ACCESS IN 5010 03:26:28,960 --> 03:26:32,400 SCHOOL-BASED CLINICS OR CLINICS 5011 03:26:32,400 --> 03:26:34,280 REACHING CHILDREN AND 5012 03:26:34,280 --> 03:26:35,280 ADOLESCENTS IS IMPORTANT AND USE 5013 03:26:35,280 --> 03:26:38,240 OF ALTERNATIVE MODELS AND IS 5014 03:26:38,240 --> 03:26:41,600 INCREASING EVIDENCE OF THE ROLE 5015 03:26:41,600 --> 03:26:46,040 OF PHARMACIES IN TERMS OF 5016 03:26:46,040 --> 03:26:47,520 INCREASING VACCINE UPTAKE FOR 5017 03:26:47,520 --> 03:26:48,800 INDIVIDUALS WITHOUT A REGULAR 5018 03:26:48,800 --> 03:26:55,160 HOME OR PROVIDER AND NOTING 5019 03:26:55,160 --> 03:26:57,720 ENTERING POST PANDEMIC PHRASE 5020 03:26:57,720 --> 03:27:00,280 THERE IS HEIGHTENED SCIENCE 5021 03:27:00,280 --> 03:27:03,680 AMONG MINORITY POPULATIONS AND 5022 03:27:03,680 --> 03:27:05,000 ENCOURAGING STRONG COMMUNITY 5023 03:27:05,000 --> 03:27:06,240 ENGAGEMENT STRATEGIES IS 5024 03:27:06,240 --> 03:27:07,840 IMPORTANT AND KEY AND NOTING IN 5025 03:27:07,840 --> 03:27:09,680 YOUR PRESENTATION THAT I THOUGHT 5026 03:27:09,680 --> 03:27:12,400 IT WAS VERY INTERESTING DATA ON 5027 03:27:12,400 --> 03:27:16,240 API FLU VACCINES THAT MIGHT 5028 03:27:16,240 --> 03:27:17,480 OBSCURE DIFFERENCES IN SUBGROUPS 5029 03:27:17,480 --> 03:27:21,920 AND AS WELL AS NATIVE HAWAIIAN 5030 03:27:21,920 --> 03:27:23,520 PACIFIC ISLANDERS AND ENSURING 5031 03:27:23,520 --> 03:27:24,800 APPLICANTS WITH DATA COLLECTION 5032 03:27:24,800 --> 03:27:26,960 AND TARGETED INTERVENTIONS ARE 5033 03:27:26,960 --> 03:27:31,120 REALLY IMPORTANT AND ENCOURAGING 5034 03:27:31,120 --> 03:27:33,320 USING SEXUAL ORIENTATION AND 5035 03:27:33,320 --> 03:27:35,400 GENDER IDENTITY MEASURES AND 5036 03:27:35,400 --> 03:27:37,640 APPLICANTS NOT TARGETING SEXUAL 5037 03:27:37,640 --> 03:27:40,680 AND GENDER MINORITIES TO JUST 5038 03:27:40,680 --> 03:27:43,040 IMPROVE DISAGGREGATED DATA AND 5039 03:27:43,040 --> 03:27:45,880 DATA COLLECTION AND STUDIES ON 5040 03:27:45,880 --> 03:27:47,240 YOU KNOW IN THOSE COMMUNITIES 5041 03:27:47,240 --> 03:27:52,720 AND OTHER THING TO NOTE IS AS WE 5042 03:27:52,720 --> 03:27:54,880 ENTER THIS NEW ERA OF GENERATIVE 5043 03:27:54,880 --> 03:28:00,960 ARTIFICIAL INTELLIGENCE AND 5044 03:28:00,960 --> 03:28:01,680 SCOMPLO 5045 03:28:01,680 --> 03:28:05,640 SCOMPLO RING POTENTIAL OF AI 5046 03:28:05,640 --> 03:28:15,240 THAT IS MOVING FAST ENCOURAGING 5047 03:28:15,240 --> 03:28:18,160 APPLICANTS IN THAT ROLE AND 5048 03:28:18,160 --> 03:28:19,680 TOOLS TO COMBAT THAT INFORMATION 5049 03:28:19,680 --> 03:28:22,360 AND LAST TO MENTION IS VACCINE 5050 03:28:22,360 --> 03:28:24,240 HESITANCY IS NUANCED AND WE HAVE 5051 03:28:24,240 --> 03:28:28,200 SEEN IN OWN EXPERIENCES WHERE 5052 03:28:28,200 --> 03:28:30,120 PARENTS MAY BE RECEPTIVE 5053 03:28:30,120 --> 03:28:31,960 RECEIVING VACCINES AND HAVING 5054 03:28:31,960 --> 03:28:34,640 THEM DONE FOR OLDER-AGED 5055 03:28:34,640 --> 03:28:36,160 CHILDREN AND THEY MIGHT HAVE A 5056 03:28:36,160 --> 03:28:38,280 DIFFERENT PERSPECTIVE FOR 5057 03:28:38,280 --> 03:28:40,320 YOUNGER AGED CHILDREN WITH 5058 03:28:40,320 --> 03:28:41,200 HIGHER RISK OF CERTAIN 5059 03:28:41,200 --> 03:28:43,160 CONDITIONS AND TRYING TO 5060 03:28:43,160 --> 03:28:45,240 UNDERSCORE THE ROLE OF CONTEXT 5061 03:28:45,240 --> 03:28:48,680 AND HOW IT MIGHT CHANGE WITHIN 5062 03:28:48,680 --> 03:28:51,800 FAMILIES BASED ON THE AGE OF THE 5063 03:28:51,800 --> 03:28:52,360 CHILDREN. 5064 03:28:52,360 --> 03:28:55,040 AND VACCINE HESITANCY IS VERY 5065 03:28:55,040 --> 03:28:56,320 CENTERED AT INDIVIDUAL AND 5066 03:28:56,320 --> 03:28:57,960 FAMILY LEVEL AND WE HAVE TALKED 5067 03:28:57,960 --> 03:29:00,720 ABOUT IT BROADLY IN TERMS OF 5068 03:29:00,720 --> 03:29:02,400 COMMUNITY-LEVEL IMPLICATIONS AND 5069 03:29:02,400 --> 03:29:04,720 WONDER IF THERE IS A BETTER 5070 03:29:04,720 --> 03:29:07,360 MEASURE OR THAT CAPTURES THAT OR 5071 03:29:07,360 --> 03:29:09,960 AT A COMMUNITY LEVEL AND IF 5072 03:29:09,960 --> 03:29:12,680 THERE ARE STUDIES OR EVEN JUST 5073 03:29:12,680 --> 03:29:15,160 THE ABILITY TO VALIDATE AS 5074 03:29:15,160 --> 03:29:17,000 CONSTRUCTS AND JUST AKIN TO THE 5075 03:29:17,000 --> 03:29:19,040 NOTION OF EXAMINING SOCIAL 5076 03:29:19,040 --> 03:29:20,800 SUPPORT AT THE INDIVIDUAL LEVEL 5077 03:29:20,800 --> 03:29:22,200 VERSUS SOCIAL CAPITAL OR 5078 03:29:22,200 --> 03:29:24,680 COHESION AND WANTED TO REALLY 5079 03:29:24,680 --> 03:29:27,120 CAPTURE NUANCES THAT OTHERWISE I 5080 03:29:27,120 --> 03:29:27,840 THINK WAS EXCELLENT. 5081 03:29:27,840 --> 03:29:30,080 >>THANK YOU SO MUCH. WE AGREE 5082 03:29:30,080 --> 03:29:32,320 WITH COMMENTS ABOUT 5083 03:29:32,320 --> 03:29:34,320 DISAGGREGATING. WE WILL INCLUDE 5084 03:29:34,320 --> 03:29:36,320 THOSE AS WE CONSIDER THIS. 5085 03:29:36,320 --> 03:29:36,920 THANK YOU. 5086 03:29:36,920 --> 03:29:39,200 >>DO WE HAVE ANY OTHER COUNCIL 5087 03:29:39,200 --> 03:29:40,480 MEMBERS WITH A QUESTION OR 5088 03:29:40,480 --> 03:29:43,800 COMMENT THAT IS REGARDING THIS 5089 03:29:43,800 --> 03:29:47,160 CONC 5090 03:29:47,160 --> 03:29:47,400 CONCEPT. 5091 03:29:47,400 --> 03:29:57,840 LET ME CHECK ON THEM. 5092 03:29:59,200 --> 03:30:01,400 OKAY. 5093 03:30:01,400 --> 03:30:05,760 SEEING NONE, CAN I HAVE A 5094 03:30:05,760 --> 03:30:11,280 MOTION? FOR ACCEPTANCE OF THIS 5095 03:30:11,280 --> 03:30:12,960 CONCEPT MOVING FORWARD. 5096 03:30:12,960 --> 03:30:14,640 >>I PUT FORWARD A MOTION. 5097 03:30:14,640 --> 03:30:20,680 >>CAN I HAVE A SECOND? 5098 03:30:20,680 --> 03:30:22,480 >>I SECOND. 5099 03:30:22,480 --> 03:30:28,720 >>ALL IN FAVOR BY SHOW OF 5100 03:30:28,720 --> 03:30:30,560 HANDS? ANY OPPOSED? 5101 03:30:30,560 --> 03:30:33,680 MOTION PASSES. 5102 03:30:33,680 --> 03:30:43,880 THANK YOU. 5103 03:31:32,200 --> 03:31:34,800 >>OKAY. ALL RIGHT. GOOD 5104 03:31:34,800 --> 03:31:36,600 AFTERNOON, EVERYONE. I'M 5105 03:31:36,600 --> 03:31:38,600 ARIELLE GILLMAN PROGRAM OFFICER 5106 03:31:38,600 --> 03:31:41,240 IN DEPARTMENT OF INTEGRATIVE 5107 03:31:41,240 --> 03:31:44,600 BIOLOGICAL SCIENCES AT NIMHD AND 5108 03:31:44,600 --> 03:31:46,120 HAPPY TO PRESENT THIS CONCEPT 5109 03:31:46,120 --> 03:31:48,720 TODAY ON INTERVENTIONS TO REDUCE 5110 03:31:48,720 --> 03:31:51,400 HEALTH DISPARITIES AND THANKING 5111 03:31:51,400 --> 03:31:56,680 COLLEAGUES NANCY JONES AND RINA 5112 03:31:56,680 --> 03:31:59,280 DAAS FOR WORKING ON THIS CONCEPT 5113 03:31:59,280 --> 03:32:04,680 WITH ME AND NIH SLEEP RESEARCH 5114 03:32:04,680 --> 03:32:06,440 COORDINATING COMMITTEE FOR THEIR 5115 03:32:06,440 --> 03:32:09,160 FEEDBACK ON IDEAS ON THIS 5116 03:32:09,160 --> 03:32:13,160 CONCEPT. OBJECTIVE OF PROPOSED 5117 03:32:13,160 --> 03:32:16,440 INITIATIVE IS SUPPORTING 5118 03:32:16,440 --> 03:32:16,880 NON-PHARMACOLOGICAL 5119 03:32:16,880 --> 03:32:18,000 INTERVENTIONS PROMOTING SLEEP 5120 03:32:18,000 --> 03:32:21,600 HEALTH AND DISPARITIES AND 5121 03:32:21,600 --> 03:32:26,680 MODIFIABLE FACTORS FOR HEALTH 5122 03:32:26,680 --> 03:32:30,160 DISPARITIES AND DISTAL OUTCOMES 5123 03:32:30,160 --> 03:32:31,560 AND POOR SLEEP QUALITY AND 5124 03:32:31,560 --> 03:32:34,080 IRREGULAR TIMING OF SLEEP AND 5125 03:32:34,080 --> 03:32:36,680 SLEEP OR CIRCKADIAN DISORDERS 5126 03:32:36,680 --> 03:32:38,880 ARE PROPORTIONALLY DISTRIBUTED 5127 03:32:38,880 --> 03:32:40,840 AMONGST POPULATIONS EXPERIENCING 5128 03:32:40,840 --> 03:32:42,520 HEALTH DISPARITIES AND FOR 5129 03:32:42,520 --> 03:32:45,040 EXAMPLE YOU CAN SEE ON GRAPH ON 5130 03:32:45,040 --> 03:32:48,400 LEFT-HAND SIDE HERE ACCORDING TO 5131 03:32:48,400 --> 03:32:50,120 CDC SURVEY DATA PREVALENCE OF 5132 03:32:50,120 --> 03:32:53,760 AGE ADJUSTED 7 HOURS OR LESS OF 5133 03:32:53,760 --> 03:32:55,760 RECOMMENDED SLEEP IS LOWER OR IS 5134 03:32:55,760 --> 03:32:58,680 HIGHER FOR GROUPS IN GOLD. 5135 03:32:58,680 --> 03:33:00,960 AMERICAN INDIAN OR ALASKA 5136 03:33:00,960 --> 03:33:03,120 NATIVES AND BLACK AFRICAN 5137 03:33:03,120 --> 03:33:05,800 AMERICANS AND NATIVE HAWAIIAN OR 5138 03:33:05,800 --> 03:33:07,920 PACIFIC ISLANDERS ARE LIKELY TO 5139 03:33:07,920 --> 03:33:09,560 REPORT INSUFFICIENT SLEEP 5140 03:33:09,560 --> 03:33:12,000 COMPARED TO ASIAN LATINO AND 5141 03:33:12,000 --> 03:33:13,400 WHITE AMERICANS THAT ARE SHOWN 5142 03:33:13,400 --> 03:33:14,520 IN PURPLE. 5143 03:33:14,520 --> 03:33:17,040 SLEEP DEFICIENCIES HAVE CURRENT 5144 03:33:17,040 --> 03:33:19,960 HIGHER RATES FOR UNEMPLOYED 5145 03:33:19,960 --> 03:33:22,120 INDIVIDUAL AND FOR THOSE WITH 5146 03:33:22,120 --> 03:33:23,720 LESS EDUCATION AND WHERE YOU 5147 03:33:23,720 --> 03:33:26,320 LIVE MATTERS COMING TO SLEEP 5148 03:33:26,320 --> 03:33:28,640 HEALTH YOU SEE DEPICTED ON 5149 03:33:28,640 --> 03:33:30,560 RIGHT-HAND SIDE AND GEOGRAPHIC 5150 03:33:30,560 --> 03:33:32,280 CLUSTERING OF HEALTH DISPARITIES 5151 03:33:32,280 --> 03:33:36,400 IN THE US AND -- IN SOUTHEASTER 5152 03:33:36,400 --> 03:33:38,760 AND APPALACHIAN REGIONS AND 5153 03:33:38,760 --> 03:33:41,200 LOWEST IS OBSERVED IN GREAT 5154 03:33:41,200 --> 03:33:43,160 PLAINS STATES SOCIAL 5155 03:33:43,160 --> 03:33:44,680 DETERMINANCE OF SLEEP HEALTH 5156 03:33:44,680 --> 03:33:47,280 BETWEEN REGIONS AND WE KNOW 5157 03:33:47,280 --> 03:33:50,560 IMPORTANTLY SLEEP DEFICIENCIES 5158 03:33:50,560 --> 03:33:52,600 INCLUDE -- ASSOCIATED WITH 5159 03:33:52,600 --> 03:33:56,080 NEGATIVE HEALTH OUTCOMES 5160 03:33:56,080 --> 03:33:58,040 HYPERTEJS STROKE DIABETES 5161 03:33:58,040 --> 03:33:59,800 OPIECETY MENTAL HEALTH 5162 03:33:59,800 --> 03:34:01,120 DISORDERERS AND POOR 5163 03:34:01,120 --> 03:34:03,880 COULDINGTIVE EMOTIONAL AND 5164 03:34:03,880 --> 03:34:06,280 SOCIAL FUNCTIONING OVERALL AND 5165 03:34:06,280 --> 03:34:09,680 OUTCOMES OBSERVED DISPARITIES 5166 03:34:09,680 --> 03:34:11,640 AND ALL THESE CONDITIONS ARE 5167 03:34:11,640 --> 03:34:13,160 TIED ALSO TO SOCIAL DETERMINANTS 5168 03:34:13,160 --> 03:34:16,440 OF HEALTH AND IS EVIDENCE THAT 5169 03:34:16,440 --> 03:34:19,000 TREATING SLEEP DISORDERS SUCH AS 5170 03:34:19,000 --> 03:34:20,920 OBSTRUCTIVE SLEEP APP KNEE AH IS 5171 03:34:20,920 --> 03:34:23,040 ASSOCIATED WITH IMPROVEMENTS IN 5172 03:34:23,040 --> 03:34:26,000 HEALTH AND METROBOLIC HEALTH AND 5173 03:34:26,000 --> 03:34:28,840 OVERALL QUALITY OF LIFE. 5174 03:34:28,840 --> 03:34:34,360 SO FROM 2017 TO 2022NIMHD 5175 03:34:34,360 --> 03:34:37,160 COLLABORATED WITH CENTERS TO 5176 03:34:37,160 --> 03:34:47,720 HAVE -- THROUGH PAR17 -- THESE 5177 03:34:50,440 --> 03:34:54,200 OPPORTUNITIES PROMOTED RESEARCH 5178 03:34:54,200 --> 03:34:56,520 TO UNDERSTAND SLEEP DISPARITIES 5179 03:34:56,520 --> 03:34:58,240 IN POPULATIONS WITH SLEEP 5180 03:34:58,240 --> 03:35:00,000 DISPARITIES FOCUS ON SOCIAL 5181 03:35:00,000 --> 03:35:01,680 DETERMINANTS OF HEALTH 5182 03:35:01,680 --> 03:35:03,000 INFLUENCING SLEEP AND DISTAL 5183 03:35:03,000 --> 03:35:06,040 HEALTH OUTCOMES AND 24 GRANTS 5184 03:35:06,040 --> 03:35:07,880 FUNDED ACROSS NIH INSTITUTES AND 5185 03:35:07,880 --> 03:35:12,720 9 WERE FUNDED BY NIMHD. 5186 03:35:12,720 --> 03:35:16,080 IN 2018 IN COLLABORATION WITH 5187 03:35:16,080 --> 03:35:20,960 NHLBI AND OBSSR HAD WORK TO 5188 03:35:20,960 --> 03:35:23,400 ADDRESS HEALTH DISPARITIES 5189 03:35:23,400 --> 03:35:24,560 PUBLISHED RESULTS FROM WORKSHOP 5190 03:35:24,560 --> 03:35:27,560 WERE PUBLISHED IN A WORKSHOP 5191 03:35:27,560 --> 03:35:29,760 REPORT IN 2020 AND FIRST 5192 03:35:29,760 --> 03:35:31,000 ITERATION OF FUNDING 5193 03:35:31,000 --> 03:35:32,680 OPPORTUNITIES I DISCUSSED 5194 03:35:32,680 --> 03:35:33,920 PREVIOUSLY ADDRESSED THE FIRST 5195 03:35:33,920 --> 03:35:35,280 STRATEGY THAT WAS DISCUSSED 5196 03:35:35,280 --> 03:35:37,280 DURING THAT WORKSHOP THAT IS 5197 03:35:37,280 --> 03:35:40,320 DEVELOPING AND PROMOTING 5198 03:35:40,320 --> 03:35:41,720 INTEGRATIVE RESEARCH TO 5199 03:35:41,720 --> 03:35:42,760 INVESTIGATE CAUSES AND 5200 03:35:42,760 --> 03:35:44,720 CONSEQUENCES OF HEALTH 5201 03:35:44,720 --> 03:35:46,520 DISPARITIES AND FEEL IT IS AN 5202 03:35:46,520 --> 03:35:48,480 OPPORTUNE TIME TO MOVE TO THE 5203 03:35:48,480 --> 03:35:49,720 NEXT CONCLUSION THAT IS THAT 5204 03:35:49,720 --> 03:35:53,800 THERE IS A NEED TO DEVELOP 5205 03:35:53,800 --> 03:35:57,720 INTERVENTIONS IN THIS SPACE. 5206 03:35:57,720 --> 03:35:58,000 WHOOPS. 5207 03:35:58,000 --> 03:35:59,760 YOU CAN FINALLY SEE ON THE RIGHT 5208 03:35:59,760 --> 03:36:03,120 HERE WE CONDUCTED A PORTFOLIO 5209 03:36:03,120 --> 03:36:04,960 ANALYSIS OF SLEEP INTERVENTIONS 5210 03:36:04,960 --> 03:36:08,440 FUNDED ACROSS NIH THAT IS A 5211 03:36:08,440 --> 03:36:11,280 PORTFOLIO ANALYSIS FROM 2018 TO 5212 03:36:11,280 --> 03:36:13,480 2022 AND IDENTIFIED 27 SLEEP 5213 03:36:13,480 --> 03:36:14,720 INTERVENTION STUDIES DURING THIS 5214 03:36:14,720 --> 03:36:16,720 TIME AND 2 OF WHICH WERE FUNDED 5215 03:36:16,720 --> 03:36:23,160 BY NIMHD AND 7R0I ONES FUNDED 5216 03:36:23,160 --> 03:36:25,840 ACROSS NIH AND IMPORTANTLY FEW 5217 03:36:25,840 --> 03:36:27,600 OF THESE SLEEP INTERVENTION 5218 03:36:27,600 --> 03:36:29,600 STUDIES HAD A FOCUS ON A 5219 03:36:29,600 --> 03:36:31,400 POPULATION THAT IS EXPERIENCING 5220 03:36:31,400 --> 03:36:33,360 HEALTH DISPARITIES AND THAT WAS 5221 03:36:33,360 --> 03:36:36,040 LESS THAN 1 IN FIVE STUDIES. 5222 03:36:36,040 --> 03:36:39,200 OF THOSE STUDIES, ONLY BLACK 5223 03:36:39,200 --> 03:36:42,680 LATINO OR LOW SES POPULATIONS 5224 03:36:42,680 --> 03:36:45,080 WERE REPRESENTED AND KNOW OTHER 5225 03:36:45,080 --> 03:36:48,720 GROUPS EXPERIENCE HEALTH 5226 03:36:48,720 --> 03:36:51,480 DISPARITIES AMERICAN INDIANS AND 5227 03:36:51,480 --> 03:36:52,920 ALASKA NATIVES AND UNDERSERVED 5228 03:36:52,920 --> 03:36:54,680 RURAL INDIVIDUALS AND FURTHER WE 5229 03:36:54,680 --> 03:36:57,120 KNOW THAT SLEEP DISPARITIES 5230 03:36:57,120 --> 03:36:59,680 EMERGE AS EARLY AS VERY EARLY 5231 03:36:59,680 --> 03:37:01,400 CHILDHOOD AND MAJORITY OF 5232 03:37:01,400 --> 03:37:03,880 STUDIES FOCUS ON ADULTHOOD AND 5233 03:37:03,880 --> 03:37:08,280 LESS SO ACROSS THE LIFESPAN. 5234 03:37:08,280 --> 03:37:10,640 SO, THERE ARE FOUR BASED ON 5235 03:37:10,640 --> 03:37:12,000 BACKGROUND BUILDING ON PREVIOUS 5236 03:37:12,000 --> 03:37:13,680 INITIATIVES IN THE AREA WE 5237 03:37:13,680 --> 03:37:15,680 PROPOSE INITIATIVE TO SUPPORT 5238 03:37:15,680 --> 03:37:18,080 DEVELOPMENT AND TESTING OF 5239 03:37:18,080 --> 03:37:20,240 MULTILEVEL DOMAIN INTERVENTIONS 5240 03:37:20,240 --> 03:37:23,240 PROMOTING SLEEP HEALTH REDUCING 5241 03:37:23,240 --> 03:37:24,720 HEALTH DISPARITIES MODIFYING 5242 03:37:24,720 --> 03:37:27,880 SLEEP AS A MODIFIABLE FACTOR FOR 5243 03:37:27,880 --> 03:37:30,160 DISPARITIES FOR HEALTH OUTCOMES 5244 03:37:30,160 --> 03:37:33,280 AND INITIATIVE TO FOCUS ON ONE 5245 03:37:33,280 --> 03:37:35,880 OR MORE NIH -- AND DISSEMINATION 5246 03:37:35,880 --> 03:37:37,520 OF RESULTS TO COMMUNITIES WOULD 5247 03:37:37,520 --> 03:37:40,280 BE ENCOURAGED AND FOR THIS 5248 03:37:40,280 --> 03:37:43,720 INITIATIVE WE ARE EMPHASIZING 5249 03:37:43,720 --> 03:37:44,680 NON-PHARMACOLOGICAL 5250 03:37:44,680 --> 03:37:45,960 INTERVENTIONS FOCUSING ON 5251 03:37:45,960 --> 03:37:48,680 MODIFYING SOCIAL BEHAVIOR 5252 03:37:48,680 --> 03:37:49,840 ENVIRONMENTAL AND STRUCTURAL 5253 03:37:49,840 --> 03:37:51,480 DETERMINANTS OF HEALTH TO 5254 03:37:51,480 --> 03:37:53,520 PROMOTE SLEEP HEALTH AND ARE 5255 03:37:53,520 --> 03:37:55,720 INTERESTED IN STUDIES TO 5256 03:37:55,720 --> 03:37:59,080 ENCOURAGE HEALTHY SLEEPING 5257 03:37:59,080 --> 03:38:01,360 BEHAVIOR AND DISORDERS SUCH AS 5258 03:38:01,360 --> 03:38:04,000 INSOMNIA OR SLEEP APP KNEE AH 5259 03:38:04,000 --> 03:38:06,120 AND CONSIDERING IMPORTANT SOCIAL 5260 03:38:06,120 --> 03:38:10,240 CONTEXT INFLUENCING HEALTH AND 5261 03:38:10,240 --> 03:38:11,600 DEFICIENCIES AND FAMILY SCHOOL 5262 03:38:11,600 --> 03:38:13,680 AND COMMUNITY FACTORS 5263 03:38:13,680 --> 03:38:15,080 COMORBIDITIES INCLUDING MENTAL 5264 03:38:15,080 --> 03:38:18,240 HEALTH COMORBIDITIES AND AGE OF 5265 03:38:18,240 --> 03:38:19,920 PARTICIPANTS ACROSS THE LIFE 5266 03:38:19,920 --> 03:38:20,800 COURSE AND WHETHER IMPORTANT 5267 03:38:20,800 --> 03:38:23,360 LIFE TRANSITIONS ARE INFLUENCING 5268 03:38:23,360 --> 03:38:24,680 SLEEP AS WELL AS THE 5269 03:38:24,680 --> 03:38:26,480 INTERSECTIONS BETWEEN ALL OF 5270 03:38:26,480 --> 03:38:27,720 THESE CONTEXTUAL FACTORS. 5271 03:38:27,720 --> 03:38:30,720 WE ENCOURAGE THE CONSIDERATION 5272 03:38:30,720 --> 03:38:32,840 OF MULTIPLE FACETS OF SLEEP 5273 03:38:32,840 --> 03:38:34,880 HEALTH INTERVENTIONS AND 5274 03:38:34,880 --> 03:38:35,760 MEASUREMENT INCLUDING SLEEP 5275 03:38:35,760 --> 03:38:38,280 QUALITY EFFICIENCY AND TIMING 5276 03:38:38,280 --> 03:38:40,840 AND WE WOULD ENCOURAGE OBJECTIVE 5277 03:38:40,840 --> 03:38:42,400 MEASUREMENT OF SLEEP THROUGH 5278 03:38:42,400 --> 03:38:44,600 WEARABLES AND OTHER METHODS WHEN 5279 03:38:44,600 --> 03:38:46,000 APPROPRIATE AND INTERVENTIONS 5280 03:38:46,000 --> 03:38:48,240 SHOULD BE BUILT UPON A 5281 03:38:48,240 --> 03:38:50,640 THEORETICAL AND CONCEPTUAL MODEL 5282 03:38:50,640 --> 03:38:53,400 AND EXAMINING MECHANISMS BY 5283 03:38:53,400 --> 03:38:55,280 WHICH THEY HAVE INTERVENTIONS OF 5284 03:38:55,280 --> 03:38:56,880 HEALTH OUTCOMES OF INTEREST AND 5285 03:38:56,880 --> 03:38:58,480 FINALLY I HAVE A LIST HERE OF 5286 03:38:58,480 --> 03:39:00,920 SOME EXAMPLES OF RESEARCH 5287 03:39:00,920 --> 03:39:02,240 PRIORITIES FOR THE INITIATIVE 5288 03:39:02,240 --> 03:39:04,520 THAT WOULD INCLUDE AND ARE NOT 5289 03:39:04,520 --> 03:39:06,200 LIMITED TO INTERVENTIONS 5290 03:39:06,200 --> 03:39:08,000 EVALUATING POLICIES PROMOTING 5291 03:39:08,000 --> 03:39:10,120 SLEEP HEALTH SUCH AS LATER 5292 03:39:10,120 --> 03:39:12,240 SCHOOL START TIMES INCLUDING 5293 03:39:12,240 --> 03:39:14,640 IMPACT ON SLEEP ACADEMIC 5294 03:39:14,640 --> 03:39:16,480 PERFORMANCE AND OTHER HEALTH 5295 03:39:16,480 --> 03:39:18,120 OUTCOMES AMONG CHILDREN AND 5296 03:39:18,120 --> 03:39:20,240 THOSE EXAMINING ENVIRONMENTAL 5297 03:39:20,240 --> 03:39:22,120 AND HIGHER LEVEL SOCIAL FACTORS 5298 03:39:22,120 --> 03:39:24,600 THAT ARE SUCH AS INTERVENTIONS 5299 03:39:24,600 --> 03:39:27,440 ADDRESSING THE HOME-BUILT 5300 03:39:27,440 --> 03:39:28,680 ENVIRONMENT THROUGH EXAMPLE 5301 03:39:28,680 --> 03:39:31,040 THROUGH WEATHERIZATION TO REDUCE 5302 03:39:31,040 --> 03:39:33,280 NEGATIVE IMPACTS OF HEAT 5303 03:39:33,280 --> 03:39:35,440 EXPOSURE ON SLEEP THAT IS ONE 5304 03:39:35,440 --> 03:39:36,840 EXAMPLE AND STUDIES COULD 5305 03:39:36,840 --> 03:39:39,560 INCLUDE COST EFFECTIVENESS 5306 03:39:39,560 --> 03:39:39,960 ANALYSIS. 5307 03:39:39,960 --> 03:39:41,680 WE ARE INTERESTED IN 5308 03:39:41,680 --> 03:39:43,280 INTERVENTION THAT IS MORE 5309 03:39:43,280 --> 03:39:44,680 EDUCATION OR HEALTH 5310 03:39:44,680 --> 03:39:46,280 COMMUNICATION BASED FOCUSING ON 5311 03:39:46,280 --> 03:39:47,800 INDIVIDUAL KNOWLEDGE SUCH AS 5312 03:39:47,800 --> 03:39:49,800 IMPROVING SLEEP HEALTH AWARENESS 5313 03:39:49,800 --> 03:39:51,720 AND LATER COURSE SLEEP AT 5314 03:39:51,720 --> 03:39:54,200 INDIVIDUAL AND FAMILY LEVELS AND 5315 03:39:54,200 --> 03:39:56,680 INCLUDING CLINICAL SETTINGS AND 5316 03:39:56,680 --> 03:39:58,120 NEED RESEARCH SPANNING LIFESPAN 5317 03:39:58,120 --> 03:40:00,960 NOT ONLY THAT CONSIDERS KEY LIFE 5318 03:40:00,960 --> 03:40:04,000 TRANSITION POINTS SUCH AS EARLY 5319 03:40:04,000 --> 03:40:05,800 CHILDHOOD PARENTHOOD 5320 03:40:05,800 --> 03:40:08,120 UNEMPLOYMENT AND PREAND 5321 03:40:08,120 --> 03:40:11,920 PERINATAL PERIODS AND 5322 03:40:11,920 --> 03:40:12,480 INTERVENTIONS CULTURALLY 5323 03:40:12,480 --> 03:40:14,280 IMPORTANT FOR -- DEVELOPING 5324 03:40:14,280 --> 03:40:16,720 TOOLS ANDEND USERS IN MIND AND 5325 03:40:16,720 --> 03:40:18,920 FINALLY INTERESTED IN HOW SLEEP 5326 03:40:18,920 --> 03:40:22,360 CAN IMPROVE DISTAL OUTCOMES FOR 5327 03:40:22,360 --> 03:40:23,640 HEALTH DISPARITIES AND SLEEPING 5328 03:40:23,640 --> 03:40:25,400 PRIMARY PREVENTION FOR MENTAL 5329 03:40:25,400 --> 03:40:27,640 AND PHYSICAL HEALTH CONDITIONS 5330 03:40:27,640 --> 03:40:29,320 AND STUDIES LOOKING AT MEDIATING 5331 03:40:29,320 --> 03:40:32,680 AND MODERATING INTERVENTION 5332 03:40:32,680 --> 03:40:33,880 EFFECTIVENESS THROUGHOUT 5333 03:40:33,880 --> 03:40:35,480 OUTCOMES AND INTERVENTIONS 5334 03:40:35,480 --> 03:40:38,400 TREATING SLEEP APP KNEE AH AND 5335 03:40:38,400 --> 03:40:40,040 INTERVENTIONS EXAMINING SLEEP AS 5336 03:40:40,040 --> 03:40:42,600 A MEDIATOR AND MODERATOR FOR 5337 03:40:42,600 --> 03:40:44,680 EFFECT OF PHYSICAL ACTIVITY OF 5338 03:40:44,680 --> 03:40:47,240 MENTAL HEALTH FITTING INTO THIS 5339 03:40:47,240 --> 03:40:49,120 INITIATIVE AND INTERVENTIONS NOT 5340 03:40:49,120 --> 03:40:51,160 INTERVENING DIRECTLY ON SLEEP 5341 03:40:51,160 --> 03:40:53,840 AND EXAMINING INDIRECT EFFECTS 5342 03:40:53,840 --> 03:40:56,680 OF INTERVENTIONS AND MENTAL 5343 03:40:56,680 --> 03:40:58,600 HEALTH INFORMATION THAT IS ON 5344 03:40:58,600 --> 03:41:00,320 SLEEP OUTCOMES WOULD FIT INTO 5345 03:41:00,320 --> 03:41:02,560 PRIORITIES FOR THIS INITIATIVE. 5346 03:41:02,560 --> 03:41:04,680 AND WITH THAT, I AM LOOKING 5347 03:41:04,680 --> 03:41:09,080 FORWARD TO THE COUNCIL'S 5348 03:41:09,080 --> 03:41:09,480 FEEDBACK. 5349 03:41:09,480 --> 03:41:11,000 >>THANK YOU VERY MUCH. 5350 03:41:11,000 --> 03:41:12,920 THANK YOU FOR THE OPPORTUNITY TO 5351 03:41:12,920 --> 03:41:14,280 REVIEW THIS IMPORTANT CONCEPT. 5352 03:41:14,280 --> 03:41:15,960 WHEN YOU LOOK BACK IN HISTORY 5353 03:41:15,960 --> 03:41:18,520 HOW SLEEP HAS BEEN EVALUATED IN 5354 03:41:18,520 --> 03:41:20,720 CLINIC ENVIRONMENTS AND AS WELL 5355 03:41:20,720 --> 03:41:23,040 AS RESEARCH FOR A LONG TIME WAS 5356 03:41:23,040 --> 03:41:27,000 THOUGHT TO BE A SYMPTOM OF 5357 03:41:27,000 --> 03:41:30,040 UNDERLYING PATHOLOGY AND IN 5358 03:41:30,040 --> 03:41:31,440 INSTANCES LARGER ROLE FOR HEALTH 5359 03:41:31,440 --> 03:41:34,960 AND WELLBEING IS BECOMING 5360 03:41:34,960 --> 03:41:35,960 APPARENT INCREASINGLY AND YOU 5361 03:41:35,960 --> 03:41:37,080 INCLUDE WITHIN CONCEPT LOOKING 5362 03:41:37,080 --> 03:41:40,280 AT BENEFITS TARGETING SLEEP AS 5363 03:41:40,280 --> 03:41:42,040 PRIMARY MEANS TO INTERVENTION TO 5364 03:41:42,040 --> 03:41:44,080 EFFECT IMPORTANT HEALTH OUTCOMES 5365 03:41:44,080 --> 03:41:47,160 AND LAST MONTH A GROUP FROM NEW 5366 03:41:47,160 --> 03:41:51,360 ZEALAND PUBLISHED MANUSCRIPT OF 5367 03:41:51,360 --> 03:41:52,000 SLEEP INTERVENTION IN INFANTS 5368 03:41:52,000 --> 03:41:58,280 THAT DECREASED RISK OBESITY AGE 5369 03:41:58,280 --> 03:42:00,680 3.5 AND ESSENTIAL ELEMENT OF 5370 03:42:00,680 --> 03:42:02,800 HEALTH AND GREAT NEED FOR 5371 03:42:02,800 --> 03:42:04,400 INTERVENTIONS AND ITEMS TO BE 5372 03:42:04,400 --> 03:42:05,400 IMPORTANT TO CONSIDER DEVELOPING 5373 03:42:05,400 --> 03:42:09,000 THIS CONCEPT IS A REFLECTED ON A 5374 03:42:09,000 --> 03:42:11,040 CONVERSATION I HAD RECENTLY WITH 5375 03:42:11,040 --> 03:42:13,400 PRIMARY CARE PROVIDERS AND 5376 03:42:13,400 --> 03:42:14,760 PEDIATRICIANS IN PARTICULAR AND 5377 03:42:14,760 --> 03:42:17,320 ASKED THEM WHAT TOOLS THEY 5378 03:42:17,320 --> 03:42:19,480 WISHED THEY HAD TO BEST TREAT 5379 03:42:19,480 --> 03:42:21,920 THEIR PATIENTS SLEEP WAS AT TOP 5380 03:42:21,920 --> 03:42:26,080 OF THE LIST AND CHALLENGES SLEEP 5381 03:42:26,080 --> 03:42:27,560 INTERVENTIONS REQUIRING TIME 5382 03:42:27,560 --> 03:42:28,760 TRADITIONAL FOR APPOINTMENT AND 5383 03:42:28,760 --> 03:42:30,760 RESEARCH ON INTERVENTIONS IS 5384 03:42:30,760 --> 03:42:33,000 DEVELOPED OUTSIDE OF THE CLINIC 5385 03:42:33,000 --> 03:42:34,560 ENVIRONMENTS THAT ARE ACTUALLY 5386 03:42:34,560 --> 03:42:36,800 SEEING IT THESE KIDS AND THINK A 5387 03:42:36,800 --> 03:42:38,840 GOOD AND IMPORTANT ELEMENT TO 5388 03:42:38,840 --> 03:42:40,080 POTENTIALLY INCLUDE FOR 5389 03:42:40,080 --> 03:42:40,840 APPLICATIONS WOULD BE 5390 03:42:40,840 --> 03:42:42,880 PARTNERSHIP WITH ENTITIES THAT 5391 03:42:42,880 --> 03:42:46,440 MAY BE ABLE TO INTEGRATE 5392 03:42:46,440 --> 03:42:48,680 INTERVENTIONS IN SERVICE 5393 03:42:48,680 --> 03:42:50,960 DELIVERY MODELS HOME VISITATION 5394 03:42:50,960 --> 03:42:53,600 PROGRAMS VICS AND CLINICS AND 5395 03:42:53,600 --> 03:42:55,280 ONE WAY TO GET INTERVENTIONS 5396 03:42:55,280 --> 03:42:57,480 FROM RESEARCH BASED TO 5397 03:42:57,480 --> 03:42:59,080 APPLICATION BASED. LOTS OF THE 5398 03:42:59,080 --> 03:43:01,760 SLEEP LITERATURE IS BASED ON 5399 03:43:01,760 --> 03:43:03,120 SELF-REPORT OUTCOME MEASURES 5400 03:43:03,120 --> 03:43:06,600 THAT WE TEND TO NOT BE VERY GOOD 5401 03:43:06,600 --> 03:43:08,400 EVALUATORS OF OUR OWN SLEEP AT 5402 03:43:08,400 --> 03:43:10,200 TIMES AND WHILE THOSE DO HAVE 5403 03:43:10,200 --> 03:43:12,480 VALUE ESPECIALLY IF LOOKING AT 5404 03:43:12,480 --> 03:43:15,200 QUALITY OF SLEEP AND OTHER 5405 03:43:15,200 --> 03:43:16,080 DIFFERENT INDICES THAT YOU 5406 03:43:16,080 --> 03:43:18,080 MENTION, THERE IS INCREASED 5407 03:43:18,080 --> 03:43:19,680 ACCESS TO WEARABLE DEVICES THAT 5408 03:43:19,680 --> 03:43:23,080 COULD BE USED TO MORE PRECISELY 5409 03:43:23,080 --> 03:43:24,640 MEASURE SLEEP ARKING TEXTURE 5410 03:43:24,640 --> 03:43:26,920 THAT WOULD HELP ADVANCE AND MOVE 5411 03:43:26,920 --> 03:43:29,800 THE FIELD FORWARDIN CORPORATING 5412 03:43:29,800 --> 03:43:31,240 COST EFFECTIVENESS MEASURES 5413 03:43:31,240 --> 03:43:32,520 PREVENTION AND TREATMENT OF 5414 03:43:32,520 --> 03:43:35,040 VARIETY OF OUTCOMES EFFICIENT 5415 03:43:35,040 --> 03:43:36,520 FOR STUDIES TO INCREASE COVERAGE 5416 03:43:36,520 --> 03:43:39,120 FOR SLEEP INTERVENTIONS AND 5417 03:43:39,120 --> 03:43:42,200 INFLUENCE POLICY AND SLEEP IS AN 5418 03:43:42,200 --> 03:43:43,640 OPPORTUNE TIME TO RETURN 5419 03:43:43,640 --> 03:43:45,160 RESEARCH RESULTS TO PARTICIPANTS 5420 03:43:45,160 --> 03:43:47,240 THAT IS BECOMING INCREASINGLY 5421 03:43:47,240 --> 03:43:48,640 IMPORTANT AREA RESEARCHERS HAVE 5422 03:43:48,640 --> 03:43:51,160 TO INTEND TO PLAN FOR DESIGNING 5423 03:43:51,160 --> 03:43:52,840 RESEARCH STUDIES AND RECOMMEND 5424 03:43:52,840 --> 03:43:53,880 SPECIFICALLY HIGHLIGHTING THIS 5425 03:43:53,880 --> 03:43:55,560 AS AN AREA FOR CONSIDERATION. 5426 03:43:55,560 --> 03:43:57,880 THANK YOU, AGAIN, FOR PUTTING OR 5427 03:43:57,880 --> 03:43:58,600 MOVING THIS FORWARD. 5428 03:43:58,600 --> 03:44:01,520 >>THANK YOU SO MUCH, DR. 5429 03:44:01,520 --> 03:44:03,840 ELLIOT. WE WILL ABSOLUTELY TAKE 5430 03:44:03,840 --> 03:44:06,160 GREAT COMMENTS INTO -- AND 5431 03:44:06,160 --> 03:44:08,720 INTEGRATE THEM INTO THINGS WHEN 5432 03:44:08,720 --> 03:44:10,200 WE MOVE FORWARD. 5433 03:44:10,200 --> 03:44:11,920 >>THANK YOU FOR THAT REALLY 5434 03:44:11,920 --> 03:44:14,440 IMPORTANT CONCEPT. I'M NOT A 5435 03:44:14,440 --> 03:44:15,800 SLEEP EXPERT LIKE MY COLLEAGUE 5436 03:44:15,800 --> 03:44:18,480 HERE. JUST A FEW ADDITIONAL 5437 03:44:18,480 --> 03:44:20,000 COMMENTS. ONE, YOU MENTIONED 5438 03:44:20,000 --> 03:44:21,440 THIS A NUMBER OF TIMES. 5439 03:44:21,440 --> 03:44:23,720 IT IS REALLY SOMETHING TO BE 5440 03:44:23,720 --> 03:44:25,120 HIGHLIGHTED IN YOUR CONCEPT AND 5441 03:44:25,120 --> 03:44:27,200 FOR ME CERTAINLY AS A CLINICIAN 5442 03:44:27,200 --> 03:44:29,200 IT GETS TO THE HEART OF WHAT IS 5443 03:44:29,200 --> 03:44:31,680 IMPORTANT THAT IS REALLY 5444 03:44:31,680 --> 03:44:34,520 MEASURING PROXIMAL OUTCOMES 5445 03:44:34,520 --> 03:44:35,800 INCREASED TO SLEEP DURATION AND 5446 03:44:35,800 --> 03:44:39,120 QUALITY AND FOCUS ON 5447 03:44:39,120 --> 03:44:42,360 INVESTIGATORS INCLUDING DISTAL 5448 03:44:42,360 --> 03:44:44,320 MEASURES OF OUTCOMES FOR THIS 5449 03:44:44,320 --> 03:44:47,120 AND YOU PROVIDED EXAMPLES OF 5450 03:44:47,120 --> 03:44:49,000 THAT AND VAST MAJORITY IF NOT 5451 03:44:49,000 --> 03:44:52,840 ALL STUDIES SHOULD TRY TO 5452 03:44:52,840 --> 03:44:55,720 INCLUDE MEASURES OF HEALTH 5453 03:44:55,720 --> 03:44:58,080 OUTCOMES BEYOND JUST SLEEP AND A 5454 03:44:58,080 --> 03:45:00,280 COUPLE COMMENTS THAT YOU FOCUSED 5455 03:45:00,280 --> 03:45:03,040 ON A WIDE RANGE OF INTERVENTIONS 5456 03:45:03,040 --> 03:45:04,840 INTERVENTION TARGET IMPACTING 5457 03:45:04,840 --> 03:45:06,800 SLEEP DIRECTLY AND THINGS 5458 03:45:06,800 --> 03:45:09,120 IMPACTING SLEEP AND IMPROVING 5459 03:45:09,120 --> 03:45:10,720 OTHER THINGS LIKE EXERCISE AND 5460 03:45:10,720 --> 03:45:13,080 DIET THAT IS GREAT AND FINALLY 5461 03:45:13,080 --> 03:45:14,800 WOULD SAY YOU TOUCHED ON THIS 5462 03:45:14,800 --> 03:45:16,160 THAT IS INCREASINGLY IMPORTANT 5463 03:45:16,160 --> 03:45:18,480 IN WORK WE DO THAT IS THINKING 5464 03:45:18,480 --> 03:45:21,760 ABOUT REALLY THE INTERSECTION OF 5465 03:45:21,760 --> 03:45:23,760 CONTEXTUAL FACTORS THAT ARE UP 5466 03:45:23,760 --> 03:45:26,320 THERE AND MEASURING SOCIAL 5467 03:45:26,320 --> 03:45:27,480 DETERMINANTS ENCOURAGING 5468 03:45:27,480 --> 03:45:30,400 INVESTIGATORS TO EXAMINE 5469 03:45:30,400 --> 03:45:31,520 EFFECTIVENESS OF INTERVENTIONS 5470 03:45:31,520 --> 03:45:35,120 THAT ARE FOR PATIENTS FOR WHOM 5471 03:45:35,120 --> 03:45:38,560 IS INTERSECTION OF FACTORS THAT 5472 03:45:38,560 --> 03:45:41,960 IS WORK AND COMORBIDITY IN 5473 03:45:41,960 --> 03:45:44,840 ADDITIVE WAY OF IMPACT AND SLEEP 5474 03:45:44,840 --> 03:45:45,120 OUTCOMES. 5475 03:45:45,120 --> 03:45:46,960 >>THANK YOU DR. JOHNSON. I 5476 03:45:46,960 --> 03:45:48,200 APPRECIATE THOSE COMMENTS. 5477 03:45:48,200 --> 03:45:50,280 WE WILL CERTAINLY INCLUDE THEM 5478 03:45:50,280 --> 03:45:51,040 MOVING FORWARD. 5479 03:45:51,040 --> 03:45:53,000 >>ARE THERE ANY OTHER COUNCIL 5480 03:45:53,000 --> 03:45:54,480 MEMBERS THAT HAVE A COMMENT OR 5481 03:45:54,480 --> 03:45:58,200 QUESTION THAT IS REGARDING THIS 5482 03:45:58,200 --> 03:45:58,720 CONCEPT? 5483 03:45:58,720 --> 03:46:04,680 >>SEEING NONE, DO WE HAVE A 5484 03:46:04,680 --> 03:46:05,040 MOTION? 5485 03:46:05,040 --> 03:46:07,760 >>I MOTION TO MOVE FORWARD THIS 5486 03:46:07,760 --> 03:46:09,520 CONCEPT FOR FURTHER DEVELOPMENT. 5487 03:46:09,520 --> 03:46:10,280 >>I SECOND. 5488 03:46:10,280 --> 03:46:19,920 >>ALL IN FAVOR? OPPOSED? 5489 03:46:19,920 --> 03:46:30,200 MOTION PASSES. 5490 03:47:21,200 --> 03:47:22,760 >>GOOD AFTERNOON, EVERYONE. 5491 03:47:22,760 --> 03:47:25,000 I'M A PROGRAM OFFICIAL IN 5492 03:47:25,000 --> 03:47:28,000 DIVISION OF CLINICAL HEALTH 5493 03:47:28,000 --> 03:47:31,680 SERVICES RESEARCH AT NIMHD AND 5494 03:47:31,680 --> 03:47:35,520 WILL PRESENT A CAN NEW CONCEPT 5495 03:47:35,520 --> 03:47:37,400 -- SERVING POPULATIONS 5496 03:47:37,400 --> 03:47:38,600 EXPERIENCING HEALTH DISPARITIES 5497 03:47:38,600 --> 03:47:40,040 AND HIGHLIGHTING THE TEAM THAT 5498 03:47:40,040 --> 03:47:42,560 HAS WORKED ON THIS CONCEPT WITH 5499 03:47:42,560 --> 03:47:46,040 ME INCLUDING DR. RATA DOGGER AND 5500 03:47:46,040 --> 03:47:51,440 DR. ARUNA AND DR. SIMERON AND 5501 03:47:51,440 --> 03:47:58,800 DR. NATHAN STINSON AND MARISSA 5502 03:47:58,800 --> 03:48:03,960 AVILA -- AND NIMHD WHO HAS 5503 03:48:03,960 --> 03:48:07,400 SUPPORTED AND THANKING 5504 03:48:07,400 --> 03:48:10,000 ADDITIONALLY COLLABORATORS AT 5505 03:48:10,000 --> 03:48:11,000 NINR AS WELL. 5506 03:48:11,000 --> 03:48:11,360 NEXT. 5507 03:48:11,360 --> 03:48:13,520 THE GOAL OF THE INITIATIVE IS 5508 03:48:13,520 --> 03:48:16,520 THREE FOLD. FIRST, TO 5509 03:48:16,520 --> 03:48:18,400 UNDERSTAND ETIOLOGICAL FACTORS 5510 03:48:18,400 --> 03:48:20,520 AT THE SYSTEMS LEVEL 5511 03:48:20,520 --> 03:48:22,400 CONTRIBUTING TO HEALTH CARE 5512 03:48:22,400 --> 03:48:26,080 WORKER WELLBEING AND WORKFORCE 5513 03:48:26,080 --> 03:48:28,080 CHALLENGES IN SETTINGS 5514 03:48:28,080 --> 03:48:29,720 EXPERIENCING HEALTH DISPARITIES 5515 03:48:29,720 --> 03:48:31,440 AND WHAT ARE SPECIFIC 5516 03:48:31,440 --> 03:48:33,840 CONTRIBUTING FACTORS TO BURNOUT 5517 03:48:33,840 --> 03:48:35,160 AND HEALTH CARE WORKER SHORTAGES 5518 03:48:35,160 --> 03:48:38,120 AND FACTORS PRO E- MOTING 5519 03:48:38,120 --> 03:48:40,680 RESILIENCE AND WELLBEING IN THE 5520 03:48:40,680 --> 03:48:42,960 WORKFORCE SETTING FEDERALLY 5521 03:48:42,960 --> 03:48:45,520 QUALIFIED CENTERS SAFETY NET 5522 03:48:45,520 --> 03:48:48,080 FACILITIES RURAL FACILITIES AND 5523 03:48:48,080 --> 03:48:49,480 FACILITIES TAKING CARE OF LARGE 5524 03:48:49,480 --> 03:48:51,160 PROPORTIONS OF PATIENTS 5525 03:48:51,160 --> 03:48:53,680 EXPERIENCING HEALTH DISPARITIES 5526 03:48:53,680 --> 03:48:57,920 IN IN-PATIENT AND OUTPATIENT 5527 03:48:57,920 --> 03:48:59,920 FACILITIES AND EVALUATING EFFECT 5528 03:48:59,920 --> 03:49:01,720 OF HEALTH CARE WORKER WELLBEING 5529 03:49:01,720 --> 03:49:04,280 AND WORKFORCE CHALLENGES ON 5530 03:49:04,280 --> 03:49:05,400 HEALTH POPULATIONS EXPERIENCING 5531 03:49:05,400 --> 03:49:07,800 HEALTH DISPARITIES AND NO. 3 5532 03:49:07,800 --> 03:49:10,280 SUPPORTING TARGETED MULTILEVEL 5533 03:49:10,280 --> 03:49:11,560 INTERVENTIONS ADDRESSING 5534 03:49:11,560 --> 03:49:13,880 WORKFORCE CHALLENGES PROER 5535 03:49:13,880 --> 03:49:16,520 MOTING WELLBEING IN HEALTH CARE 5536 03:49:16,520 --> 03:49:19,280 SETTINGS IN POPULATIONS THAT ARE 5537 03:49:19,280 --> 03:49:22,600 EXPERIENCING HEALTH DISPARITIES 5538 03:49:22,600 --> 03:49:22,720 . 5539 03:49:22,720 --> 03:49:23,920 NEXT 5540 03:49:23,920 --> 03:49:26,640 I WILL GIVE BACKGROUND. 5541 03:49:26,640 --> 03:49:28,120 HEALTHCARE WORKFORCE CHALLENGES 5542 03:49:28,120 --> 03:49:31,440 ARE OFTEN SYSTEMIC IN NATURE 5543 03:49:31,440 --> 03:49:33,200 INCLUDING A DIVERSE ARRAY OF 5544 03:49:33,200 --> 03:49:35,280 ISSUES SUCH AS BUT NOT LIMITED 5545 03:49:35,280 --> 03:49:37,880 TO ATTRITION AND WORKFORCE 5546 03:49:37,880 --> 03:49:40,800 SHORTAGES AND HEALTHCARE WORKER 5547 03:49:40,800 --> 03:49:42,840 BURNOUT LEADING TO DETRIMENTAL 5548 03:49:42,840 --> 03:49:44,920 EFFECTS OF PATIENT CARE AND 5549 03:49:44,920 --> 03:49:46,720 WELLBEING OF HEALTH CARE WORKERS 5550 03:49:46,720 --> 03:49:50,120 AND SURVEY PUBLISHED BY ELSEVIER 5551 03:49:50,120 --> 03:49:53,800 IN 2020244% OF HEALTH CARE 5552 03:49:53,800 --> 03:49:54,960 WORKERS PLAN TO LEAVE CURRENT 5553 03:49:54,960 --> 03:49:58,040 ROLE IN NEXT 2 TO 3 YEARS. 5554 03:49:58,040 --> 03:50:00,200 FACILITIES TREATING PATIENTS 5555 03:50:00,200 --> 03:50:01,880 EXPERIENCING HEALTH DISPARITIES 5556 03:50:01,880 --> 03:50:04,080 ARE PARTICULARLY SUSCEPTIBLE TO 5557 03:50:04,080 --> 03:50:05,520 WORKFORCE CHALLENGES FACING 5558 03:50:05,520 --> 03:50:08,840 LIMITED RESOURCES AND WORKFORCE 5559 03:50:08,840 --> 03:50:12,240 SHORTAGES THAT MAY EXACERBATE 5560 03:50:12,240 --> 03:50:16,960 HEALTH CARE WORKER BURNOUT -- 5561 03:50:16,960 --> 03:50:19,840 DEPERSONALIZATION AND LOW SENSE 5562 03:50:19,840 --> 03:50:22,800 OF PERSONAL ACCOMPLISHMENT OF 5563 03:50:22,800 --> 03:50:24,880 WORK AND SURGEON GENERAL CAME 5564 03:50:24,880 --> 03:50:28,280 OUT WITH ADVISORY ADDRESSING 5565 03:50:28,280 --> 03:50:31,160 BURNOUT IN 20202 CALLING FOR 5566 03:50:31,160 --> 03:50:32,840 URGENT ACTION TO THIS ISSUE 5567 03:50:32,840 --> 03:50:35,640 ACCORDING TO SURVEY BY THE 5568 03:50:35,640 --> 03:50:37,920 AMERICAN MEDICAL ASSOCIATION AT 5569 03:50:37,920 --> 03:50:41,200 END OF 2021, NUMBER OF 5570 03:50:41,200 --> 03:50:43,120 PHYSICIANS EXPERIENCING BURNOUTS 5571 03:50:43,120 --> 03:50:46,720 SPIKED TO 63%. HOWEVER, 5572 03:50:46,720 --> 03:50:49,400 ALTHOUGH COVID WORSENED BURNOUT 5573 03:50:49,400 --> 03:50:51,600 AND WORKFORCE SHORTAGES BURNOUT 5574 03:50:51,600 --> 03:50:53,960 IS ISSUE PRE-EXISTING PANDEMIC 5575 03:50:53,960 --> 03:50:58,760 WITH 33 TO 55% OF NURSES AND 5576 03:50:58,760 --> 03:51:00,320 PHYSICIANS AND -- REPORTING 5577 03:51:00,320 --> 03:51:02,080 SYMPTOMS OF BURNOUT PRIOR TO THE 5578 03:51:02,080 --> 03:51:05,800 PANDEMIC ACCORDING TO NATIONAL 5579 03:51:05,800 --> 03:51:07,480 ACADEMIES OF MEDICINE GIVEN 5580 03:51:07,480 --> 03:51:10,400 LONGSTANDING NATURE OF ISSUES IN 5581 03:51:10,400 --> 03:51:12,400 EXACERBATING EFFECTS OF 5582 03:51:12,400 --> 03:51:15,040 PANDEMIC, IF IN 2022 NATIONAL 5583 03:51:15,040 --> 03:51:18,200 ACADEMIES OF MEDICINE LAUNCHED 5584 03:51:18,200 --> 03:51:20,400 NATIONAL PLAN FOR HEALTH 5585 03:51:20,400 --> 03:51:21,680 WORKFORCE WELLBEING HIGHLIGHTING 5586 03:51:21,680 --> 03:51:24,800 NEED FOR THRIVING WORKFORCE TO 5587 03:51:24,800 --> 03:51:28,600 DELIVER SAFE HIGH QUALITY AND 5588 03:51:28,600 --> 03:51:32,000 PATIENT CENTERED CARE. 5589 03:51:32,000 --> 03:51:35,920 AT NIH WE CONDUCTED PORTFOLIO 5590 03:51:35,920 --> 03:51:38,040 ANALYSIS ON BURNOUT THAT IS ONE 5591 03:51:38,040 --> 03:51:40,600 OF THE MOST PRESSING WORKFORCE 5592 03:51:40,600 --> 03:51:43,160 CHALLENGES EFFECTING HEALTHCARE 5593 03:51:43,160 --> 03:51:44,600 WORKERS WELLBEING THAT IS 5594 03:51:44,600 --> 03:51:46,760 ACCORDING TO THE SURGEON GENERAL 5595 03:51:46,760 --> 03:51:48,720 ADVISORY AND ACCORDING TO 5596 03:51:48,720 --> 03:51:50,400 NATIONAL ACADEMIES OF MEDICINE 5597 03:51:50,400 --> 03:51:53,240 AND LOOKED AT GRANTS FUNDED 5598 03:51:53,240 --> 03:51:55,960 BETWEEN 2012 AND EARLIER IN THE 5599 03:51:55,960 --> 03:52:00,200 YEAR, 2023. IN TOTAL WE FOUND 9 5600 03:52:00,200 --> 03:52:01,800 BURNOUT RELATED GRANTS FUNDED 5601 03:52:01,800 --> 03:52:05,080 ACROSS ENTIRE NIH. OF NINE 5602 03:52:05,080 --> 03:52:09,480 GRANTS, TWO PERTAIN TO HEALTH 5603 03:52:09,480 --> 03:52:12,360 DISPARITIES BOTH FUNDED BY NIMHD 5604 03:52:12,360 --> 03:52:14,880 AND LOW PROGRAM -- IMPACT OF 5605 03:52:14,880 --> 03:52:18,360 BURNOUT ON DIABETES OUTCOMES ONE 5606 03:52:18,360 --> 03:52:19,000 IN FEDERALLY QUALIFIED HEALTH 5607 03:52:19,000 --> 03:52:21,480 CENT AND OTHER IN HEALTH 5608 03:52:21,480 --> 03:52:22,640 PROFESSIONAL SHORTAGE AREA AND 5609 03:52:22,640 --> 03:52:25,640 BOTH BY SAME PI AND OF NINE 5610 03:52:25,640 --> 03:52:28,720 GRANTS ONE WAS R01 LOOKING AT 5611 03:52:28,720 --> 03:52:30,360 BIOMARKERS PREDICTING BURNOUT 5612 03:52:30,360 --> 03:52:32,000 AND COGNITIVE FUNCTIONING NEXT R 5613 03:52:32,000 --> 03:52:34,120 CLINICIANS NO THE RELATED TO 5614 03:52:34,120 --> 03:52:36,680 HEALTH DISPARITIES AND THIS 5615 03:52:36,680 --> 03:52:38,880 INITIATIVE WILL FOCUS ON 5616 03:52:38,880 --> 03:52:40,800 RESEARCH THAT IS INVOLVING 5617 03:52:40,800 --> 03:52:42,640 LONGITUDINAL STUDIES CLINICAL 5618 03:52:42,640 --> 03:52:45,240 TRIALS NATURAL EXPERIENCES MIXED 5619 03:52:45,240 --> 03:52:46,960 METHODS QUASI EXPERIMENTAL 5620 03:52:46,960 --> 03:52:49,280 DESIGNS AND QUALITY IMPROVEMENT 5621 03:52:49,280 --> 03:52:53,320 STUDIES FOCUSING ON NO. 1 5622 03:52:53,320 --> 03:52:55,480 UNDERSTANDING THE IMPACT OF -- 5623 03:52:55,480 --> 03:52:59,120 IMPACT OF HEALTH CARE WORKFORCE 5624 03:52:59,120 --> 03:53:00,400 WELLBEING AND WORKFORCE 5625 03:53:00,400 --> 03:53:02,320 CHALLENGES ON BURNOUT ON 5626 03:53:02,320 --> 03:53:04,720 POPULATIONS EXPERIENCING HEALTH 5627 03:53:04,720 --> 03:53:06,600 DISPARITIES AND NO. 2 WILL FOCUS 5628 03:53:06,600 --> 03:53:09,680 ON ADDRESSING HEALTH CARE 5629 03:53:09,680 --> 03:53:12,600 WORKFOR CHALLENGES PROMOTING 5630 03:53:12,600 --> 03:53:14,600 WORKFORCE WELLBEING IN SETTINGS 5631 03:53:14,600 --> 03:53:16,440 SERVING THESE POPULATIONS AND 5632 03:53:16,440 --> 03:53:18,960 NOTING HEALTH CARE WORKER 5633 03:53:18,960 --> 03:53:21,160 DEFINED AS PHYSICIANS MEDICAL 5634 03:53:21,160 --> 03:53:23,120 WORKERS SOCIAL WORKERS MENTAL 5635 03:53:23,120 --> 03:53:25,720 HEALTH CARE WORKERS OCCUPATIONAL 5636 03:53:25,720 --> 03:53:26,520 THERAPIST AND PHYSICAL 5637 03:53:26,520 --> 03:53:28,880 THERAPISTS AND PROVIDERS HAVING 5638 03:53:28,880 --> 03:53:30,720 DIRECT PATIENT CARE INTERACTIONS 5639 03:53:30,720 --> 03:53:34,440 AND STUDENTS COULD ALSO BE 5640 03:53:34,440 --> 03:53:37,080 CONSIDERED. RESEARCH PRIORITIES 5641 03:53:37,080 --> 03:53:38,560 FOR THIS INITIATIVE COULD 5642 03:53:38,560 --> 03:53:42,400 INCLUDE BUT ARE NOT LIMITED TO 5643 03:53:42,400 --> 03:53:45,200 THE FOLLOWING AND STUDIES 5644 03:53:45,200 --> 03:53:47,040 EVALUATING ETIOLOGY OF BURNOUT 5645 03:53:47,040 --> 03:53:49,920 AND HEALTHCARE WORKFORCE 5646 03:53:49,920 --> 03:53:51,360 CHALLENGES AND SETTINGS 5647 03:53:51,360 --> 03:53:54,920 POPULATIONS EXPERIENCING HEALTH 5648 03:53:54,920 --> 03:53:57,000 DISPARITIES FOR EXAMPLE STUDIES 5649 03:53:57,000 --> 03:54:00,480 EVALUATING ECONOMIC FACTORS 5650 03:54:00,480 --> 03:54:02,200 CONTRIBUTING TO BURNOUT 5651 03:54:02,200 --> 03:54:05,760 WORKFORCE SYSTEMS ECONOMIC 5652 03:54:05,760 --> 03:54:06,640 UNDERINVESTMENTS IN WORKFORCE 5653 03:54:06,640 --> 03:54:09,360 SETTING SERVING POPULATIONS 5654 03:54:09,360 --> 03:54:10,680 EXPERIENCING HEALTH DISPARITIES 5655 03:54:10,680 --> 03:54:14,840 AND ROLE OF HEALTH IT AND 5656 03:54:14,840 --> 03:54:16,200 ELECTRONIC HEALTH RECORD SYSTEM 5657 03:54:16,200 --> 03:54:17,720 TEAM STRUCTURES AND 5658 03:54:17,720 --> 03:54:19,280 UNDERSTAFFING AND STUDIES AS 5659 03:54:19,280 --> 03:54:22,240 WELL AS EVALUATING EXTENT AND 5660 03:54:22,240 --> 03:54:25,400 IMPACT OF BURNOUT AND STAFF 5661 03:54:25,400 --> 03:54:27,120 SHORTAGES AND OTHER WORKFORCE 5662 03:54:27,120 --> 03:54:28,760 CHALLENGES IN SETTINGS SERVING 5663 03:54:28,760 --> 03:54:31,440 POPULATIONS EXPERIENCING HEALTH 5664 03:54:31,440 --> 03:54:33,720 DISPARITIES AND FOR EXAMPLE WHAT 5665 03:54:33,720 --> 03:54:35,760 ARE DIFFERENTIAL EFFECTS BY 5666 03:54:35,760 --> 03:54:36,800 DIFFERENT HEALTHCARE OCCUPATIONS 5667 03:54:36,800 --> 03:54:39,640 SUCH AS PHYSICIANS AND NURSES 5668 03:54:39,640 --> 03:54:41,400 AND DIFFERENTIAL EFFECTS WHAT 5669 03:54:41,400 --> 03:54:42,840 ARE THEY BY EXPERIENCE? JUST 5670 03:54:42,840 --> 03:54:45,400 SOMEONE COMING IN BEING A NEW 5671 03:54:45,400 --> 03:54:46,840 HEALTHCARE WORKER VERSUS SOMEONE 5672 03:54:46,840 --> 03:54:48,680 WITH MORE EXPERIENCE AND WHAT 5673 03:54:48,680 --> 03:54:51,400 ARE DIFFERENTIAL EFFECTS BY 5674 03:54:51,400 --> 03:54:53,400 MINORITY STATUS AND LEVEL OF 5675 03:54:53,400 --> 03:54:55,200 BURNOUT AND WHAT ARE 5676 03:54:55,200 --> 03:54:56,920 DISAGGREGATED EFFECTS OF COVID 5677 03:54:56,920 --> 03:54:59,720 AND OF PRE-PANDEMIC FACTORS ON 5678 03:54:59,720 --> 03:55:02,240 BURNOUT AND STAFFING SHORTAGES. 5679 03:55:02,240 --> 03:55:04,480 WHAT ARE DIFFERENTIAL EFFECTS OF 5680 03:55:04,480 --> 03:55:06,600 DIFFERENT DOMAINS OF BURNOUT AND 5681 03:55:06,600 --> 03:55:09,800 FOR EXAMPLE WHAT EFFECT DOES 5682 03:55:09,800 --> 03:55:13,000 EMOTIONAL EXHAUSTION HAVE VERSUS 5683 03:55:13,000 --> 03:55:14,360 DEPERSONALIZATION AND IS ALSO 5684 03:55:14,360 --> 03:55:15,880 IMPORTANT TO CONSIDER HOW 5685 03:55:15,880 --> 03:55:18,720 BURNOUT IS AND WELLBEING ARE 5686 03:55:18,720 --> 03:55:19,800 MEASURES. 5687 03:55:19,800 --> 03:55:22,360 ADDITIONALLY STUDIES EVALUATING 5688 03:55:22,360 --> 03:55:24,400 IMPACT OF WORKFORCE CHALLENGES 5689 03:55:24,400 --> 03:55:27,120 SUCH AS BURNOUT AND ATTRITION 5690 03:55:27,120 --> 03:55:28,320 AND NONCLINICAL DISEASE OUTCOMES 5691 03:55:28,320 --> 03:55:31,440 IN POPULATIONS EXPERIENCING 5692 03:55:31,440 --> 03:55:33,240 HEALTH DISPARITIES AND IMPACT 5693 03:55:33,240 --> 03:55:36,400 BURNOUT COULD HAVE ON DIABETES 5694 03:55:36,400 --> 03:55:37,920 MANAGEMENT CHOLESTEROL CONTROL 5695 03:55:37,920 --> 03:55:40,680 AND VARIOUS HEALTH OUTCOMES 5696 03:55:40,680 --> 03:55:43,640 STUDIES EVALUATING HEALTHCARE 5697 03:55:43,640 --> 03:55:45,360 WORKER BURNOUT AND WELLBEING 5698 03:55:45,360 --> 03:55:47,160 QUALITY OF CARE ACCESS TO CARE 5699 03:55:47,160 --> 03:55:49,960 AND UTILIZATION OF HEALTH CARE 5700 03:55:49,960 --> 03:55:51,520 SERVICES FOR EXAMPLE STUDIES 5701 03:55:51,520 --> 03:55:54,360 LOOKING AT MEDICAL ERROR RATE 5702 03:55:54,360 --> 03:55:56,200 PATIENT CLINICIAN SATISFACTION, 5703 03:55:56,200 --> 03:55:57,640 DELAYS IN CARE AND MISSED 5704 03:55:57,640 --> 03:56:00,840 APPOINTMENTS AND ER VISITS THAT 5705 03:56:00,840 --> 03:56:03,440 ARE -- THAT FOR AMBULATORY 5706 03:56:03,440 --> 03:56:06,280 CONDITIONS IN POPULATIONS 5707 03:56:06,280 --> 03:56:07,560 EXPERIENCING HEALTH DISPARITIES 5708 03:56:07,560 --> 03:56:10,280 AND STUDIES EVALUATING 5709 03:56:10,280 --> 03:56:11,680 MECHANISMS THAT WORKFORCE 5710 03:56:11,680 --> 03:56:14,640 BURNOUT CAN IMPACT HEALTH 5711 03:56:14,640 --> 03:56:16,080 POPULATIONS EXPERIENCING HEALTH 5712 03:56:16,080 --> 03:56:18,200 DISPARITIES FOR EXAMPLE 5713 03:56:18,200 --> 03:56:19,120 DEVELOPMENT OF COMPASSION AND 5714 03:56:19,120 --> 03:56:21,240 FATIGUE THAT IS IMPACTING 5715 03:56:21,240 --> 03:56:23,360 PATIENT CLINICIAN RELATIONSHIP 5716 03:56:23,360 --> 03:56:25,800 AND THUS HEALTH OUTCOMES AND 5717 03:56:25,800 --> 03:56:28,720 DEVELOPMENT OF TAILORED 5718 03:56:28,720 --> 03:56:31,000 INTERVENTIONS TO ADDRESS BURNOUT 5719 03:56:31,000 --> 03:56:33,200 AND WELLBEING OF HEALTH CARE 5720 03:56:33,200 --> 03:56:37,160 WORKERS AT SYSTEMS LEVEL AND FOR 5721 03:56:37,160 --> 03:56:47,680 EXAMPLE -- ON HEALTH OF HEALTH 5722 03:56:53,120 --> 03:56:56,080 CARE WORKERS IN HEALTH SETTINGS 5723 03:56:56,080 --> 03:56:58,800 IN PROVIDERS MEMBERS OF 5724 03:56:58,800 --> 03:57:02,720 POPULATIONS EXPERIENCING HEALTH 5725 03:57:02,720 --> 03:57:06,920 DISPARITY AND RACIAL/ETHNIC 5726 03:57:06,920 --> 03:57:07,280 MINORITIES. 5727 03:57:07,280 --> 03:57:10,520 ANG SKYTY DEPRESSION AND 5728 03:57:10,520 --> 03:57:12,720 SUICIDALITY AND HEALTH CARE 5729 03:57:12,720 --> 03:57:16,080 WORKERS AND PHYSICAL AFFECTS OF 5730 03:57:16,080 --> 03:57:25,680 STRESS MINORITY TAX STUDIES 5731 03:57:25,680 --> 03:57:28,560 EVALUATING RESILIENCE AND 5732 03:57:28,560 --> 03:57:30,120 PROTECTIVE FACTORS AND WELLBEING 5733 03:57:30,120 --> 03:57:32,520 AND STUDIES EVALUATING THINGS 5734 03:57:32,520 --> 03:57:35,360 LIKE FACTORS INCREASING PROVIDER 5735 03:57:35,360 --> 03:57:39,960 SATISFACTION OR THINGS LIKE 5736 03:57:39,960 --> 03:57:40,280 UNIONIZATION. 5737 03:57:40,280 --> 03:57:47,880 WITHOUT FURTHER ADO, THAT IS ALL 5738 03:57:47,880 --> 03:57:51,600 I HAVE AND WELCOME FEEDBACK FROM 5739 03:57:51,600 --> 03:57:53,120 COUNCIL MEMBERS. THANK YOU. 5740 03:57:53,120 --> 03:57:55,200 >>THANKS SO MUCH FOR THIS 5741 03:57:55,200 --> 03:57:57,120 CONCEPT. I LIKE THIS CONCEPT 5742 03:57:57,120 --> 03:57:58,880 AND THINK THERE ARE TWO 5743 03:57:58,880 --> 03:58:01,000 IMPORTANT POINTS OF EMPHASIS 5744 03:58:01,000 --> 03:58:03,160 HERE IN YOUR WORK THAT I THINK 5745 03:58:03,160 --> 03:58:05,560 REALLY ARE POTENTIALLY IMPACT 5746 03:58:05,560 --> 03:58:08,360 AND FOCUS ON HEALTH DISPARITY 5747 03:58:08,360 --> 03:58:09,760 POPULATIONS AND INSTITUTIONS 5748 03:58:09,760 --> 03:58:11,000 PARTICULARLY WHERE THEY RECEIVE 5749 03:58:11,000 --> 03:58:12,800 A LARGE PORTION OF CARE AND 5750 03:58:12,800 --> 03:58:14,440 FOCUS ON HEALTH CARE WORKERS 5751 03:58:14,440 --> 03:58:16,680 THAT ARE MEMBERS OF HEALTH 5752 03:58:16,680 --> 03:58:17,840 DISPARITY POPULATIONS THAT I 5753 03:58:17,840 --> 03:58:19,720 THINK ARE REALLY IMPORTANT 5754 03:58:19,720 --> 03:58:21,600 THINGS SINCE BOTH GROUPS ARE AT 5755 03:58:21,600 --> 03:58:26,800 RISK FOR IN CASE OF PATIENT POOR 5756 03:58:26,800 --> 03:58:28,560 OUTCOMES AND WORKERS NOT ONLY 5757 03:58:28,560 --> 03:58:32,120 POOR OUTCOMES BUT OTHER HARMFUL 5758 03:58:32,120 --> 03:58:34,440 CONSEQUENCES OCCURRING IN THE 5759 03:58:34,440 --> 03:58:37,360 WORKPLACE AND IN ADDITION TO 5760 03:58:37,360 --> 03:58:39,000 COMMENTS I THINK AS I READ THIS 5761 03:58:39,000 --> 03:58:42,400 I WAS CONCERNED THAT SCOPE WAS 5762 03:58:42,400 --> 03:58:44,320 WIDE AND SHOWS WORK OR POSITY OF 5763 03:58:44,320 --> 03:58:46,640 WORK THAT HAS BEEN DONE ALREADY 5764 03:58:46,640 --> 03:58:48,280 AND CERTAINLY SEEMS APPROPRIATE 5765 03:58:48,280 --> 03:58:50,240 TO THINK ABOUT UNDERSTANDING 5766 03:58:50,240 --> 03:58:52,360 MORE BETOLOGY AND MECHANISMS 5767 03:58:52,360 --> 03:58:56,680 IMPACT AS WELL AS UNDERSTANDING 5768 03:58:56,680 --> 03:58:58,640 POTENTIAL EFFECTIVENESS OF 5769 03:58:58,640 --> 03:58:59,480 INTERVENTIONS THAT YOU TOUCHED 5770 03:58:59,480 --> 03:59:03,520 ISSUES OF MEASURES THAT MIGHT BE 5771 03:59:03,520 --> 03:59:07,240 USEFUL TO PROVIDE EXAMPLES AND 5772 03:59:07,240 --> 03:59:08,840 APPOINT INVESTIGATORS THINKING 5773 03:59:08,840 --> 03:59:11,640 OF MEASURES OF WELLBEING AND OF 5774 03:59:11,640 --> 03:59:12,800 BURNOUT WHAT ARE THINGS YOU 5775 03:59:12,800 --> 03:59:14,400 MIGHT WANT THEM TO 5776 03:59:14,400 --> 03:59:15,600 OPERATIONALIZE OR USE IN 5777 03:59:15,600 --> 03:59:21,440 THINKING ABOUT THOSE CONCEPTS? 5778 03:59:21,440 --> 03:59:24,360 IN TERMS OF FACILITIES I LIKE 5779 03:59:24,360 --> 03:59:26,480 FOCUS ON SAFETY NET FACILITIES 5780 03:59:26,480 --> 03:59:28,640 AND COMMUNITY HOUSEHOLDS AND 5781 03:59:28,640 --> 03:59:30,040 BEING CLEAR IF INTERESTED ALSO 5782 03:59:30,040 --> 03:59:31,480 IN FACILITIES THAT MIGHT NOT 5783 03:59:31,480 --> 03:59:33,960 HAVE LABELS BUT HAVE A LARGE 5784 03:59:33,960 --> 03:59:35,320 POPULATION OF PEOPLE WHO 5785 03:59:35,320 --> 03:59:37,120 EXPERIENCE HEALTH DISPARITIES 5786 03:59:37,120 --> 03:59:39,920 AND IN TERMS OF SCOPE OF THE 5787 03:59:39,920 --> 03:59:40,360 SETTINGS. 5788 03:59:40,360 --> 03:59:43,280 IS IT OUTPATIENT OR IN-PATIENT 5789 03:59:43,280 --> 03:59:45,160 AND INTERESTED IN PRIMARY CARE 5790 03:59:45,160 --> 03:59:47,320 ONLY OR POTENTIALLY SPECIALTY 5791 03:59:47,320 --> 03:59:48,800 CARE DELIVERY AS WELL. 5792 03:59:48,800 --> 03:59:52,200 YOU REALLY HAD A NICE RANGE OF 5793 03:59:52,200 --> 03:59:54,000 CLINICAL AND DISEASE-SPECIFIC 5794 03:59:54,000 --> 03:59:57,040 OUTCOMES AS WELL AS THOSE 5795 03:59:57,040 --> 03:59:59,040 RELATING TO PROCESS LIKE MISSED 5796 03:59:59,040 --> 04:00:01,840 APPOINTMENTS OR SEEKING CARE 5797 04:00:01,840 --> 04:00:02,880 ELSEWHERE THAT IS REALLY 5798 04:00:02,880 --> 04:00:05,480 IMPORTANT AS WELL. I LIKE 5799 04:00:05,480 --> 04:00:06,320 MULTILEVEL FOCUS. 5800 04:00:06,320 --> 04:00:09,160 I THINK IT IS A EXAMPLE OF A -- 5801 04:00:09,160 --> 04:00:11,000 PARTICULARLY AS YOU THINK ABOUT 5802 04:00:11,000 --> 04:00:13,440 WORK FORCE AND WELLBEING AS WE 5803 04:00:13,440 --> 04:00:15,280 THINK ABOUT INDIVIDUAL RESPONSES 5804 04:00:15,280 --> 04:00:17,520 TO THEIR WORK ENVIRONMENT AND 5805 04:00:17,520 --> 04:00:19,040 THINKING REALLY ABOUT HOW 5806 04:00:19,040 --> 04:00:20,680 ORGANIZATIONS THROUGH STRUCTURES 5807 04:00:20,680 --> 04:00:22,720 AND PROCESSES MIGHT ACTUALLY 5808 04:00:22,720 --> 04:00:25,400 REDUCE BURNOUT AND IMPROVE 5809 04:00:25,400 --> 04:00:27,640 WELLBEING FOR EMPLOYEES AND 5810 04:00:27,640 --> 04:00:29,440 ULTIMATELY IMPACT PATIENT 5811 04:00:29,440 --> 04:00:30,240 OUTCOMES THAT IS REALLY 5812 04:00:30,240 --> 04:00:32,320 IMPORTANT AND IN TERMS OF OTHER 5813 04:00:32,320 --> 04:00:34,680 AREAS TO THINK ABOUT, I THINK 5814 04:00:34,680 --> 04:00:36,080 YOU TALKED A LOT ABOUT THIS AND 5815 04:00:36,080 --> 04:00:38,360 INCLUDING MORE OF IT IN THE 5816 04:00:38,360 --> 04:00:43,440 WRITTEN CONCEPT IS INTEREST IN 5817 04:00:43,440 --> 04:00:45,680 VARIATION VARIATION AND BURNOUT 5818 04:00:45,680 --> 04:00:48,240 AND WELLBEING DIFFERS IN 5819 04:00:48,240 --> 04:00:49,840 POPULATIONS AND HEALTHCARE 5820 04:00:49,840 --> 04:00:52,320 WORKERS EXPERIENCING DISPARITIES 5821 04:00:52,320 --> 04:00:53,960 OR NOT AND BY SETTINGS OF CARE 5822 04:00:53,960 --> 04:00:57,160 AND SOMETHING THAT IS ABOUT 5823 04:00:57,160 --> 04:01:00,560 WORKING IN ONE SETTING AND 5824 04:01:00,560 --> 04:01:05,440 ANOTHER REDUCED RISK OF BURNOUT 5825 04:01:05,440 --> 04:01:06,640 AND RESPONSIBILITY FOR INSTANCE 5826 04:01:06,640 --> 04:01:08,080 MORE HELP THAT IS CERTAINLY ALSO 5827 04:01:08,080 --> 04:01:11,880 IMPORTANT AND GETTING AT HOW 5828 04:01:11,880 --> 04:01:13,960 VARIATION LEADS ULTIMATELY TO 5829 04:01:13,960 --> 04:01:17,520 VARIATION IN PATIENT OUTCOMES 5830 04:01:17,520 --> 04:01:20,040 AND FINALLY THINK THAT LAST 5831 04:01:20,040 --> 04:01:21,480 BULLET POINT ON SLIDE IS ONE 5832 04:01:21,480 --> 04:01:23,360 THAT WILL DEFINITELY DEVELOP AS 5833 04:01:23,360 --> 04:01:25,960 WE THINK A LOT ABOUT WHAT 5834 04:01:25,960 --> 04:01:28,720 HEALTHCARE WORKERS ARE GOING 5835 04:01:28,720 --> 04:01:30,240 THROUGH ON NEGATIVE SIDE AND 5836 04:01:30,240 --> 04:01:32,120 ENVIRONMENT THINKING ABOUT WAYS 5837 04:01:32,120 --> 04:01:33,200 IN WHICH INDIVIDUALS AND 5838 04:01:33,200 --> 04:01:36,480 ORGANIZATIONS HAVE MANAGED TO 5839 04:01:36,480 --> 04:01:38,760 PROMOTE WELLBEING AND WHAT 5840 04:01:38,760 --> 04:01:41,840 FACTORS ARE RELATE TODAY 5841 04:01:41,840 --> 04:01:44,680 RESILIENCE IN ALL LEVELS AND 5842 04:01:44,680 --> 04:01:46,160 WHAT ARE FACTORS WHEN THERE IS 5843 04:01:46,160 --> 04:01:49,240 NOT SO MUCH WELLBEING THAT WE 5844 04:01:49,240 --> 04:01:52,440 ULTIMATELY LIKE IMPACT ON 5845 04:01:52,440 --> 04:01:52,840 PATIENT OUTCOMES. 5846 04:01:52,840 --> 04:01:53,320 THANK YOU. 5847 04:01:53,320 --> 04:01:56,960 >>THANK SO YOU MUCH. WE WILL 5848 04:01:56,960 --> 04:02:00,400 INCORPORATE THAT WONDERFUL 5849 04:02:00,400 --> 04:02:03,960 FEEDBACK INTO THE CONCEPT. 5850 04:02:03,960 --> 04:02:06,320 >>THANK YOU VERY MUCH. THIS IS 5851 04:02:06,320 --> 04:02:08,160 AN INCREDIBLY IMPORTANT TOPIC 5852 04:02:08,160 --> 04:02:12,080 AND JOTTING DOWN NOTES I WILL 5853 04:02:12,080 --> 04:02:15,680 READ IN THE INTEREST OF TIME 5854 04:02:15,680 --> 04:02:18,680 PROBLEMS NATION FACES WITH THE 5855 04:02:18,680 --> 04:02:21,760 WORKFORCE ARE CRITICAL IN THIS 5856 04:02:21,760 --> 04:02:24,480 COUNTRY AND DESPERATELY FINDING 5857 04:02:24,480 --> 04:02:27,640 NEW NORMAL DISRUPTION THAT IS BY 5858 04:02:27,640 --> 04:02:28,720 COVID PANDEMIC AND APPLAUD 5859 04:02:28,720 --> 04:02:30,840 CONCEPT AND AUTHORS FOR CONCEPT 5860 04:02:30,840 --> 04:02:32,640 AND VISION OF WORK AND LIKE 5861 04:02:32,640 --> 04:02:35,200 BROAD VIEW OF CONCEPT. I WOULD 5862 04:02:35,200 --> 04:02:39,520 STILL GREATLY LIKE TO SEE THE 5863 04:02:39,520 --> 04:02:42,800 NUMBER OF TIMES WE TALK ABOUT 5864 04:02:42,800 --> 04:02:46,960 BURNOUT REDUCED THERE IS 5865 04:02:46,960 --> 04:02:48,280 OVEREMPHASIS ON BURNOUT IN WAY 5866 04:02:48,280 --> 04:02:49,480 YOU DESCRIBE THIS AND THING 5867 04:02:49,480 --> 04:02:53,440 ABOUT BURNOUT PUTTING IN 5868 04:02:53,440 --> 04:02:56,720 DEFINITION LOSS OF ENTHUSIASM 5869 04:02:56,720 --> 04:03:00,120 AND EXHAUSTION AND CYNICISM AND 5870 04:03:00,120 --> 04:03:02,480 PERSONAL ACCOMPLISHMENT LOSS AND 5871 04:03:02,480 --> 04:03:04,160 SEEMS TO ME IS LIKE BLAMING 5872 04:03:04,160 --> 04:03:06,800 VICTIM AND PROVIDERS ARE VICTIMS 5873 04:03:06,800 --> 04:03:10,600 HERE AND TERM BURNOUT BELIES 5874 04:03:10,600 --> 04:03:11,840 SYSTEMIC ISSUES IN HEALTHCARE 5875 04:03:11,840 --> 04:03:13,960 THAT ARE TRUE CAUSES OF 5876 04:03:13,960 --> 04:03:16,040 WORKFORCE PROBLEMS INCLUDING 5877 04:03:16,040 --> 04:03:19,240 PROVIDER BURNOUT AND HEALTHCARE 5878 04:03:19,240 --> 04:03:21,400 WORKFORCE ISSUES ARE BROADER AND 5879 04:03:21,400 --> 04:03:24,480 MORE COMPLICATED POINTING OUT 5880 04:03:24,480 --> 04:03:25,760 SINGULAR ISSUE OF HEALTH CARE 5881 04:03:25,760 --> 04:03:29,440 STAFF EXPERIENCING BURNOUT AND 5882 04:03:29,440 --> 04:03:31,240 CHALLENGES EXISTING BEFORE COVID 5883 04:03:31,240 --> 04:03:36,360 WILL CONTINUE TO EXIST EVEN 5884 04:03:36,360 --> 04:03:38,280 AFTER COVID IS LONG GONE THAT 5885 04:03:38,280 --> 04:03:40,480 HAPPENS ALREADY AND EFFECTS 5886 04:03:40,480 --> 04:03:44,400 HISTORICALLY MEDICALLY 5887 04:03:44,400 --> 04:03:49,240 UNDERSERVED COMMUNITIES -- 5888 04:03:49,240 --> 04:03:51,560 INABILITY TO RECRUIT STAFF AND 5889 04:03:51,560 --> 04:03:52,760 SUPPORT WORKLOAD THAT COMES TO 5890 04:03:52,760 --> 04:03:55,160 SAFETY NET AND ADDITIONALLY IS A 5891 04:03:55,160 --> 04:03:57,160 COMMON EXPERIENCE OF 5892 04:03:57,160 --> 04:03:58,480 INEXPERIENCED STAFF COMING TO 5893 04:03:58,480 --> 04:04:00,360 WORK AND SAFETY NET HOSPITALS 5894 04:04:00,360 --> 04:04:02,240 AND COMMUNITY HEALTH CENTERS 5895 04:04:02,240 --> 04:04:03,720 GAINING EXPERIENCE THERE LEAVING 5896 04:04:03,720 --> 04:04:06,960 FOR LESS TAXING AND MORE 5897 04:04:06,960 --> 04:04:08,600 LUCRATIVE EMPLOYMENT FOR 5898 04:04:08,600 --> 04:04:10,240 PROFITABLE PARTS OF THE HEALTH 5899 04:04:10,240 --> 04:04:12,680 CARE SYSTEM AND HAVE TO LOOK AT 5900 04:04:12,680 --> 04:04:14,800 ECONOMICS OF THE HEALTH CARE 5901 04:04:14,800 --> 04:04:16,320 SYSTEM IF WE WILL UNDERSTAND HOW 5902 04:04:16,320 --> 04:04:19,800 IT FUNCTIONS AND ALL THIS IN MY 5903 04:04:19,800 --> 04:04:21,840 OPINION RESULTS FROM 5904 04:04:21,840 --> 04:04:24,680 UNDERINVESTMENT THIS COUNTRY 5905 04:04:24,680 --> 04:04:28,720 MAKES IN PAYING FOR CARE OF 5906 04:04:28,720 --> 04:04:30,680 THOSE UNENSURED AND REDUCE 5907 04:04:30,680 --> 04:04:33,400 PAYMENTS FROM PROVIDERS FOR 5908 04:04:33,400 --> 04:04:36,200 HEALTH CARE EXCHANGES -- 5909 04:04:36,200 --> 04:04:39,520 PROVIDING SERVICES AND PROVIDING 5910 04:04:39,520 --> 04:04:41,280 SERVICES THROUGHOUT HEALTH CARE 5911 04:04:41,280 --> 04:04:44,560 SAFETY NET AND PAYMENTS DON'T 5912 04:04:44,560 --> 04:04:47,800 INCREASE IN RATES THAT ARE CLOSE 5913 04:04:47,800 --> 04:04:53,720 TO RATES OF ININFLATION FOR 5914 04:04:53,720 --> 04:04:59,240 PERSONNEL COSTS. 5915 04:04:59,240 --> 04:05:01,960 RESULT IS SAFETY NET 5916 04:05:01,960 --> 04:05:04,560 ORGANIZATIONS ARE FREQUENTLY 5917 04:05:04,560 --> 04:05:06,080 UNDERSTAFFED AND LOOKING AT 5918 04:05:06,080 --> 04:05:07,920 ETIOLOGY OF BURNOUT AND SUGGEST 5919 04:05:07,920 --> 04:05:10,360 WE INCLUDE FOCUS ON ECONOMICS OF 5920 04:05:10,360 --> 04:05:12,760 THE HEALTH CARE SYSTEM AS PART 5921 04:05:12,760 --> 04:05:17,160 OF THE ETIOLOGY AND FOR 5922 04:05:17,160 --> 04:05:20,440 ESPECIALLY PROVIDERS SERVING 5923 04:05:20,440 --> 04:05:22,560 POPULATIONS WE ARE CONCERNED 5924 04:05:22,560 --> 04:05:23,800 ABOUT THAT WILL HELP US 5925 04:05:23,800 --> 04:05:32,160 UNDERSTAND THINGS HAPPENING NOW 5926 04:05:32,160 --> 04:05:35,080 IMPACT IN SYSTEMS AND OTHER 5927 04:05:35,080 --> 04:05:38,480 PARTS OF FOR PROFIT HEALTH 5928 04:05:38,480 --> 04:05:41,920 SYSTEM AND SUPPORTS ENABLE 5929 04:05:41,920 --> 04:05:43,480 INSTITUTIONS TO OUTCOMPETE 5930 04:05:43,480 --> 04:05:53,200 SAFETY PROVIDERS FOR WORK FORCE 5931 04:05:53,200 --> 04:05:55,400 THEY NEED JOBS HAVE BECOME -- 5932 04:05:55,400 --> 04:05:56,360 BURDEN ON STAFF AND NEW 5933 04:05:56,360 --> 04:05:59,160 INFORMATION COMING INTO EHR FROM 5934 04:05:59,160 --> 04:06:02,240 OUTSIDE SOURCES AND MEDICATIONS 5935 04:06:02,240 --> 04:06:03,720 PRESCRIBED ELSEWHERE AND 5936 04:06:03,720 --> 04:06:05,280 INFORMATION ON WHO FILLED 5937 04:06:05,280 --> 04:06:07,120 PRESCRIPTIONS AND WHO DIDN'T AND 5938 04:06:07,120 --> 04:06:09,160 MESSAGES COME IN BY DOZENS AND 5939 04:06:09,160 --> 04:06:11,640 QUESTIONS FROM PATIENTS AND SOME 5940 04:06:11,640 --> 04:06:15,320 ABOUT RECENT VISITS AND SOME TO 5941 04:06:15,320 --> 04:06:18,680 AVOID VISITS AND DOCTORS UNDER 5942 04:06:18,680 --> 04:06:23,680 STAFF UNDER CONSTANT SCRUTINY 5943 04:06:23,680 --> 04:06:25,920 FOR VARIETY OF PREVENTIVE HEALTH 5944 04:06:25,920 --> 04:06:27,960 MEASURES PART OF VALUE-BASED 5945 04:06:27,960 --> 04:06:30,160 PAYMENT SYSTEM PEOPLE ARE PAID 5946 04:06:30,160 --> 04:06:32,680 BASED ON THEIR OUTCOMES AND 5947 04:06:32,680 --> 04:06:35,120 THEREFORE REQUIRES REALLY STRONG 5948 04:06:35,120 --> 04:06:36,800 HEALTHCARE TEAMS THAT WORK 5949 04:06:36,800 --> 04:06:38,200 TOGETHER TO BUILD EXPERIENCE 5950 04:06:38,200 --> 04:06:38,920 TOGETHER. 5951 04:06:38,920 --> 04:06:42,680 SO, THE TURNOVER OF STAFF IS A 5952 04:06:42,680 --> 04:06:45,560 MAJOR DETRIMENT TO THE FORMATION 5953 04:06:45,560 --> 04:06:47,880 OF TEAMS AND THEIR ABILITY TO 5954 04:06:47,880 --> 04:06:49,480 ACHIEVE OUTCOMES THAT THEY ARE 5955 04:06:49,480 --> 04:06:50,720 LOOKING TO ACHIEVE. 5956 04:06:50,720 --> 04:06:52,920 WHEN ADEQUATE STAFFING IS IN 5957 04:06:52,920 --> 04:06:55,400 PLACE WE CAN'T OPTIMIZE CARE AND 5958 04:06:55,400 --> 04:06:57,880 DEMAND AN UNSUSTAINABLE EFFORT 5959 04:06:57,880 --> 04:06:59,760 FROM STAFF WHO ARE ON SITE AND 5960 04:06:59,760 --> 04:07:03,560 MANY OF WHOM ARE DOING WORK 2 OR 5961 04:07:03,560 --> 04:07:05,800 3 MORE PEOPLE DO TO VACANCIES IN 5962 04:07:05,800 --> 04:07:06,800 THE WORKFORCE. 5963 04:07:06,800 --> 04:07:09,000 WITH THAT AS A BACKGROUND, THIS 5964 04:07:09,000 --> 04:07:10,840 CONCEPT IS GOOD. I THINK IT 5965 04:07:10,840 --> 04:07:12,840 NEEDS TO BE DEFINED IN THE 5966 04:07:12,840 --> 04:07:14,280 CONTEXT OF LOOKING AT SOME OF 5967 04:07:14,280 --> 04:07:17,080 THE ECONOMICS AND I THINK THAT I 5968 04:07:17,080 --> 04:07:21,080 WOULD LIKE TO SEE IT REDUCE THE 5969 04:07:21,080 --> 04:07:24,560 USE OF THE TERM BURNOUT THAT I 5970 04:07:24,560 --> 04:07:26,880 THINK REALLY POINTS THEIR FINGER 5971 04:07:26,880 --> 04:07:28,080 AT PROVIDERS AS IF THEY WERE 5972 04:07:28,080 --> 04:07:30,480 SORT OF THE PROBLEM AND IN FACT 5973 04:07:30,480 --> 04:07:32,560 THEY ARE JUST THE VICTIMS OF THE 5974 04:07:32,560 --> 04:07:34,200 PROBLEM AND THINK THAT WE WANT 5975 04:07:34,200 --> 04:07:36,560 TO LOOK AT ETIOLOGIES OF 5976 04:07:36,560 --> 04:07:39,000 WORKFORCE ISSUES WAY YOU 5977 04:07:39,000 --> 04:07:41,320 DESCRIBE THEM BROADLY AND WHAT 5978 04:07:41,320 --> 04:07:43,440 IMPACTS WORKFORCE ISSUES THAT 5979 04:07:43,440 --> 04:07:45,640 THEY HAVE ON PEOPLE THAT ARE 5980 04:07:45,640 --> 04:07:47,400 MOST CONCERNED AND RESEARCH 5981 04:07:47,400 --> 04:07:49,760 REALLY NEEDS TO LOOK AND TEST 5982 04:07:49,760 --> 04:07:53,720 WAYS OF SORT OF MITIGATING THESE 5983 04:07:53,720 --> 04:07:55,920 ISSUES AND PEOPLE WILL HAVE TO 5984 04:07:55,920 --> 04:07:58,240 BE VERY CREATIVE ABOUT HOW TO DO 5985 04:07:58,240 --> 04:08:01,480 THIS AND IN CONTEXT OF CURRENT 5986 04:08:01,480 --> 04:08:03,440 ECONOMIC ENVIRONMENT THAT I 5987 04:08:03,440 --> 04:08:06,120 THINK WILL CONTINUE TO WORK 5988 04:08:06,120 --> 04:08:08,040 AGAINST THIS. 5989 04:08:08,040 --> 04:08:09,800 YOU DO MENTION STUDENTS IN WUNL 5990 04:08:09,800 --> 04:08:12,680 OF THE SLIDES THAT I THINK IS 5991 04:08:12,680 --> 04:08:14,280 REALLY IMPORTANT AND ONE THING 5992 04:08:14,280 --> 04:08:16,640 I'M ALWAYS CONCERNED ABOUT IS 5993 04:08:16,640 --> 04:08:18,360 NEGATIVE ATMOSPHERE THAT WE ARE 5994 04:08:18,360 --> 04:08:20,840 OR HAVE CREATED THROUGH 5995 04:08:20,840 --> 04:08:22,720 WORKFORCE SHORTAGES THAT 5996 04:08:22,720 --> 04:08:24,800 BASICALLY HAS IMPACT ON DESIRE 5997 04:08:24,800 --> 04:08:28,720 OF STUDENTS TO ENTER INTO THE 5998 04:08:28,720 --> 04:08:30,560 HEALTHCARE WORKFORCE AS DOCTORS 5999 04:08:30,560 --> 04:08:33,160 OR NURSES OR OTHER PERSONNEL AND 6000 04:08:33,160 --> 04:08:37,360 WE HAVE TO BE REALLY CONCERNED 6001 04:08:37,360 --> 04:08:40,680 AND IF WE DISCOVER STUDENTS NOW 6002 04:08:40,680 --> 04:08:42,200 ENTERING WORKFORCE PROBLEMS 6003 04:08:42,200 --> 04:08:44,920 CONTINUE TO GET WORSE AND WORSE 6004 04:08:44,920 --> 04:08:46,840 AND THAT TERM BURNOUT IS 6005 04:08:46,840 --> 04:08:48,680 SOMETHING THAT REALLY 6006 04:08:48,680 --> 04:08:50,040 DISCOURAGES PEOPLE AND WHO WANTS 6007 04:08:50,040 --> 04:08:52,040 TO GO WORK IN A PLACE OR STUDY 6008 04:08:52,040 --> 04:08:53,640 IN A PLACE WHERE PEOPLE ARE 6009 04:08:53,640 --> 04:08:54,760 QUOTE BURNED OUT. 6010 04:08:54,760 --> 04:08:57,480 IT IS NOT A GOOD WAY FOR US TO 6011 04:08:57,480 --> 04:08:58,760 BE DESCRIBING THE ENVIRONMENTS 6012 04:08:58,760 --> 04:09:00,680 THAT WE ARE TRYING TO CREATE, 6013 04:09:00,680 --> 04:09:04,480 YOU KNOW, FROM A POSITIVE IMAGE 6014 04:09:04,480 --> 04:09:06,600 OF IMPROVING WELLNESS BECAUSE OF 6015 04:09:06,600 --> 04:09:08,840 HOW IT COULD NEGATIVELY IMPACT 6016 04:09:08,840 --> 04:09:09,920 FUTURE PROVIDERS. 6017 04:09:09,920 --> 04:09:11,880 I SUPPORT IT THIS CONCEPT. 6018 04:09:11,880 --> 04:09:16,200 I WOULD LIKE TO SEE IT TWEAKED A 6019 04:09:16,200 --> 04:09:18,400 LITTLE BIT THAT IS REALLY I 6020 04:09:18,400 --> 04:09:20,200 THINK ON THE RIGHT TRACK AND WE 6021 04:09:20,200 --> 04:09:21,440 SHOULD SUPPORT IT. THANK YOU. 6022 04:09:21,440 --> 04:09:24,240 >>THANK YOU SO MUCH FOR YOUR 6023 04:09:24,240 --> 04:09:26,480 FEEDBACK, DR. CALMAN. YOU HIT 6024 04:09:26,480 --> 04:09:28,080 THE NAIL ON THE HEAD WITH LOTS 6025 04:09:28,080 --> 04:09:30,480 OF POINTS YOU MADE ABOUT 6026 04:09:30,480 --> 04:09:32,440 SYSTEMIC ISSUES WE ARE FACING 6027 04:09:32,440 --> 04:09:33,880 AND I APPRECIATE IT. 6028 04:09:33,880 --> 04:09:36,080 >>ARE THERE ANY OTHER COUNCIL 6029 04:09:36,080 --> 04:09:37,760 MEMBERS THAT HAVE COMMENTS OR 6030 04:09:37,760 --> 04:09:41,080 QUESTIONS REGARDING THIS 6031 04:09:41,080 --> 04:09:43,840 CONCEPT? 6032 04:09:43,840 --> 04:09:46,560 >>I LIKE THIS CONCEPT A LOT AND 6033 04:09:46,560 --> 04:09:48,840 WOULD LIKE TO UNDERSCORE THE 6034 04:09:48,840 --> 04:09:51,400 IDEA OF REFRAMING IT FROM 6035 04:09:51,400 --> 04:09:53,680 BURNOUT BASED ON WHAT NEIL 6036 04:09:53,680 --> 04:09:56,320 SHARED, THAT -- IN WORK WE HAVE 6037 04:09:56,320 --> 04:10:01,480 DONE AROUND HEALTH DISPARITIES 6038 04:10:01,480 --> 04:10:04,560 WORKING WITH COMMUNITIES AND 6039 04:10:04,560 --> 04:10:06,600 REMOVING STIGMA OF DISEASE OR 6040 04:10:06,600 --> 04:10:08,720 DEFICITS IS IMPORTANT TO REALLY 6041 04:10:08,720 --> 04:10:10,840 HELP SUPPORT EQUITY AND CHANGE 6042 04:10:10,840 --> 04:10:12,680 AND IS SORT OF ALIGNED WITH THE 6043 04:10:12,680 --> 04:10:15,520 NOTION OF MOVING TOWARDS 6044 04:10:15,520 --> 04:10:17,760 RESILIENCY OR SATISFACTION OR 6045 04:10:17,760 --> 04:10:19,880 WELLBEING OR IMPROVED QUALITY 6046 04:10:19,880 --> 04:10:22,000 WITHIN THE WORKPLACE. 6047 04:10:22,000 --> 04:10:24,000 ALSO, IMPROVE HOPEFULLY CARE 6048 04:10:24,000 --> 04:10:25,680 OUTCOMES FOR THE COMMUNITIES 6049 04:10:25,680 --> 04:10:27,960 THAT WE ARE SERVING AND THINKING 6050 04:10:27,960 --> 04:10:30,280 ABOUT FRAMING AND ALSO WANTED TO 6051 04:10:30,280 --> 04:10:32,400 UNDERSCORE THE POINT THAT DR. 6052 04:10:32,400 --> 04:10:34,240 JOHNSON MADE ALSO ABOUT MAYBE WE 6053 04:10:34,240 --> 04:10:37,280 ALSO WANT TO ENCOURAGE MORE 6054 04:10:37,280 --> 04:10:38,600 MEASURES AND I'M NOT FAMILIAR 6055 04:10:38,600 --> 04:10:40,200 WITH THE TOPIC AND THINK THERE 6056 04:10:40,200 --> 04:10:44,160 IS A LOT WE MIGHT WANT TO 6057 04:10:44,160 --> 04:10:49,200 UNCOVER AND UNDERSTAND. 6058 04:10:49,200 --> 04:10:50,440 >>THANK YOU. 6059 04:10:50,440 --> 04:10:52,720 >>I WILL ADD ANOTHER COMMENT 6060 04:10:52,720 --> 04:10:54,720 AND AGREE CERTAINLY WITH THE 6061 04:10:54,720 --> 04:10:56,840 IDEA TO HAVE A POSITIVE FRAME 6062 04:10:56,840 --> 04:10:59,800 AND THINK ABOUT WELLBEING AND 6063 04:10:59,800 --> 04:11:00,880 OTHER THINGS AND WANT TO ALSO 6064 04:11:00,880 --> 04:11:02,480 RECOGNIZE THAT LANGUAGE OF 6065 04:11:02,480 --> 04:11:04,360 BURNOUT IS THROUGHOUT THE 6066 04:11:04,360 --> 04:11:05,960 CURRENT LITERATURE AND AS 6067 04:11:05,960 --> 04:11:08,040 INVESTIGATORS LOOK FOR MEASURES 6068 04:11:08,040 --> 04:11:11,680 OR DESIGN US THAT IS A PIECE OF 6069 04:11:11,680 --> 04:11:12,560 LITERATURE THEY WILL WANT TO 6070 04:11:12,560 --> 04:11:14,680 CITE AS A FRAMEWORK FOR SOME OR 6071 04:11:14,680 --> 04:11:16,320 PROBABLY MANY OF THEIR STUDIES 6072 04:11:16,320 --> 04:11:19,120 AND WHILE ADDING A POSITIVE 6073 04:11:19,120 --> 04:11:20,440 FRAME REALLY RECOGNIZING CURRENT 6074 04:11:20,440 --> 04:11:22,360 LITERATURE FROM WHICH 6075 04:11:22,360 --> 04:11:23,280 INVESTIGATORS WILL PULL TO 6076 04:11:23,280 --> 04:11:25,160 DEVELOP MANY OF THE PROJECTS YOU 6077 04:11:25,160 --> 04:11:27,440 WILL SEE. 6078 04:11:27,440 --> 04:11:28,280 >>THANK YOU. 6079 04:11:28,280 --> 04:11:38,840 >>AN EXAMPLE OF SOME SETTINGS. 6080 04:11:50,840 --> 04:11:53,280 >>YEAH. DEFINITELY. THANK 6081 04:11:53,280 --> 04:11:55,320 YOU. I APPRECIATE EVERYONE'S 6082 04:11:55,320 --> 04:11:55,600 FEEDBACK. 6083 04:11:55,600 --> 04:11:57,000 >>I WILL SAY THAT IF YOU GO 6084 04:11:57,000 --> 04:12:00,800 BACK TO THE DEFINITION OF 6085 04:12:00,800 --> 04:12:03,040 BURNOUT IN YOUR FIRST SLIDE, I 6086 04:12:03,040 --> 04:12:05,240 THINK THAT IS ENOUGH TO SCARE 6087 04:12:05,240 --> 04:12:08,680 PEOPLE FROM NEVER ENTERING THE 6088 04:12:08,680 --> 04:12:19,160 FIELD OF HEALTH CARE ALONE. 6089 04:12:21,320 --> 04:12:23,800 THAT SCARES ME AND FEELS THAT 6090 04:12:23,800 --> 04:12:24,920 WHOLE DESCRIPTION OF -- WHERE IS 6091 04:12:24,920 --> 04:12:28,360 IT? IT IS NOT REALLY? 6092 04:12:28,360 --> 04:12:29,840 >>IN THE MIDDLE. 6093 04:12:29,840 --> 04:12:33,440 >>I THINK IT IS -- YOU KNOW, 6094 04:12:33,440 --> 04:12:40,400 THAT DESCRIPTION OF HE 6095 04:12:40,400 --> 04:12:43,480 WROTE IT DOWN DEPERSONALIZATION 6096 04:12:43,480 --> 04:12:48,480 CYNICISM AND SENSE OF LOW 6097 04:12:48,480 --> 04:12:56,400 PERSONAL SELF-ACCOMPLISHMENT A E 6098 04:12:56,400 --> 04:13:00,720 TO THINK OF AND PEOPLE CAN BE 6099 04:13:00,720 --> 04:13:02,960 THERE SHORT PERIODS OF TIME AND 6100 04:13:02,960 --> 04:13:07,480 ANYBODY THAT IS THERE IS NOT 6101 04:13:07,480 --> 04:13:08,400 GONE AND FUNCTIONAL IN HEALTH 6102 04:13:08,400 --> 04:13:10,200 CARE SYSTEM AND WE HAVE TO 6103 04:13:10,200 --> 04:13:12,680 REFRAME THIS IN A WAY TO BUILD 6104 04:13:12,680 --> 04:13:14,400 UP AND RECOGNIZE PROBLEMS IN WAY 6105 04:13:14,400 --> 04:13:18,560 THAT THEY COULD BE BUILT UP AND 6106 04:13:18,560 --> 04:13:28,960 STUDY THEM IN THAT WAY. 6107 04:13:58,200 --> 04:13:59,960 THIS IS A SYMPTOM THAT IS LARGE 6108 04:13:59,960 --> 04:14:01,960 THAT WE ARE OBSERVING AND IS 6109 04:14:01,960 --> 04:14:03,520 IMPORTANT TO LOOK AT UNDERLYING 6110 04:14:03,520 --> 04:14:04,680 CAUSE AS YOU STATE. 6111 04:14:04,680 --> 04:14:06,240 >>IT WOULD BE GREAT TO BILL THE 6112 04:14:06,240 --> 04:14:08,400 STATEMENT INTO THE CONCEPT TOO. 6113 04:14:08,400 --> 04:14:12,720 IT REALLY IS A SMALL AMOUNT OF 6114 04:14:12,720 --> 04:14:14,440 THIS THAT IS INTERPERSONAL OR 6115 04:14:14,440 --> 04:14:16,440 PERSONAL. THAT WOULD BE VERY 6116 04:14:16,440 --> 04:14:19,160 HELPFUL. THANK YOU. 6117 04:14:19,160 --> 04:14:24,640 >>THANK YOU. 6118 04:14:24,640 --> 04:14:27,640 >>ARE WE READY FOR A MOTION? 6119 04:14:27,640 --> 04:14:30,280 >>I MOVE TO APPROVE THE 6120 04:14:30,280 --> 04:14:30,560 CONCEPT. 6121 04:14:30,560 --> 04:14:30,920 >>SECOND IT. 6122 04:14:30,920 --> 04:14:35,560 >>BY SHOW OF HANDS, ALL IN 6123 04:14:35,560 --> 04:14:42,200 FAVOR? 6124 04:14:42,200 --> 04:14:44,640 >>OPPOSED? 6125 04:14:44,640 --> 04:14:45,920 MOTION PASSES. 6126 04:14:45,920 --> 04:14:46,760 >>THANK YOU. 6127 04:14:46,760 --> 04:14:57,240 >>THANK YOU ALL VERY MUCH. 6128 04:14:58,440 --> 04:14:59,840 >>WE WANT TO GIVE AN 6129 04:14:59,840 --> 04:15:01,480 OPPORTUNITY FOR RETIRING COUNCIL 6130 04:15:01,480 --> 04:15:04,480 MEMBERS TO GIVE A REFLECTION. A 6131 04:15:04,480 --> 04:15:06,120 BRIEF REFLECTION, I SEE. PEOPLE 6132 04:15:06,120 --> 04:15:16,480 ARE LOOKING AT ME AND A THEIR T 6133 04:15:16,480 --> 04:15:21,480 ON COUNCIL. 6134 04:15:21,480 --> 04:15:24,680 >>NEIL IT LOOKING AT ME AND 6135 04:15:24,680 --> 04:15:33,120 MEANS IT IS MY TURN AND LISA RE 6136 04:15:33,120 --> 04:15:34,800 RETIRING COUNCIL MEMBER THAT IS 6137 04:15:34,800 --> 04:15:42,800 GREAT AND IN TERMS OF REFLECTION 6138 04:15:42,800 --> 04:15:44,440 -- FOLLOWED UP WITH GEE I HAVE 6139 04:15:44,440 --> 04:15:46,640 SO MANY OTHER THINGS TO DO AND 6140 04:15:46,640 --> 04:15:49,200 SHOULD I TAKE ON ONE MORE THING? 6141 04:15:49,200 --> 04:15:52,440 I'M ABSOLUTELY GLAD I DID AND 6142 04:15:52,440 --> 04:15:54,360 HAD OPPORTUNITY TO SPEND MOST 6143 04:15:54,360 --> 04:15:55,680 COUNCIL TIME AT HOME ONLINE 6144 04:15:55,680 --> 04:15:57,800 RATHER THAN IN PERSON AND WE 6145 04:15:57,800 --> 04:15:59,840 HAVE ONE OR MAYBE TWO IN PERSON 6146 04:15:59,840 --> 04:16:01,480 MEETINGS BEFORE THE PANDEMIC 6147 04:16:01,480 --> 04:16:03,200 STARTED AND THINK THAT SIMILAR 6148 04:16:03,200 --> 04:16:04,680 TO LISA SOME REALLY GREAT THINGS 6149 04:16:04,680 --> 04:16:06,640 ABOUT BEING ON COUNCIL IS HOW 6150 04:16:06,640 --> 04:16:08,680 MUCH YOU LEARN ABOUT THE INNER 6151 04:16:08,680 --> 04:16:15,840 WORKINGS OF NIMHD AND KIND OF 6152 04:16:15,840 --> 04:16:17,280 INNER WORKINGS AND OTHER 6153 04:16:17,280 --> 04:16:19,120 INFORMATION ABOUT ASPECTS OF NIH 6154 04:16:19,120 --> 04:16:20,960 AND COUNCIL DISCUSSIONS AND 6155 04:16:20,960 --> 04:16:22,760 NEVER WOULD HAVE HAD OPPORTUNITY 6156 04:16:22,760 --> 04:16:27,880 TO GET INSIDE VIEW OF THAT. 6157 04:16:27,880 --> 04:16:29,920 OTHER PIECE THAT IS IMPORTANT TO 6158 04:16:29,920 --> 04:16:32,680 INTERACT WITH NIMHD STAFF AND 6159 04:16:32,680 --> 04:16:34,600 HAVING OPPORTUNITY TO MEET AND 6160 04:16:34,600 --> 04:16:37,440 INTERACT WITH LSAO AND OTHER 6161 04:16:37,440 --> 04:16:40,680 STAFF MEMBERS AND WELCOMING 6162 04:16:40,680 --> 04:16:42,880 MONICA WHEN SHE JOINS. I WAS 6163 04:16:42,880 --> 04:16:44,960 HERE WHEN SHE JOINED AND EXCITED 6164 04:16:44,960 --> 04:16:47,440 ABOUT THAT AND FINALLY THINGS I 6165 04:16:47,440 --> 04:16:48,680 WILL REMEMBER MOST IS 6166 04:16:48,680 --> 04:16:49,840 INTERACTIONS WITH COUNCIL 6167 04:16:49,840 --> 04:16:51,640 MEMBERS AND LEARNING A LOT ABOUT 6168 04:16:51,640 --> 04:16:53,480 WORK AND THEIR APPROACH AND ALSO 6169 04:16:53,480 --> 04:16:55,040 I THINK THAT WE ALL FEEL LIKE 6170 04:16:55,040 --> 04:16:56,640 FRIENDS AND FAMILY BY THE END 6171 04:16:56,640 --> 04:16:59,040 AND I CAN CALL THEM UP WHEN I 6172 04:16:59,040 --> 04:17:00,680 NEED THEM TO COME AND SPEAK AND 6173 04:17:00,680 --> 04:17:03,000 OTHER THINGS THAT MIGHT BE 6174 04:17:03,000 --> 04:17:04,120 IMPORTANT FOR CAREER PROGRESSION 6175 04:17:04,120 --> 04:17:06,280 AND LOOKING FORWARD TO REALLY 6176 04:17:06,280 --> 04:17:09,680 STAYING IN TOUCH AND THANK YOU 6177 04:17:09,680 --> 04:17:20,080 FOR THE OPPORTUNITY. 6178 04:17:21,840 --> 04:17:24,720 >>I WANT TO THANK NSL FOR 6179 04:17:24,720 --> 04:17:30,440 INVITING ME TO BE ON THE COUNCIL 6180 04:17:30,440 --> 04:17:32,120 AND ENJOYED IT AND IT HAS BEEN A 6181 04:17:32,120 --> 04:17:34,120 DELIGHT AND ONE OF THE BEST 6182 04:17:34,120 --> 04:17:35,800 THINGS ABOUT IT IS THE PEOPLE 6183 04:17:35,800 --> 04:17:38,760 THAT I MET BOTH NIH STAFF AS 6184 04:17:38,760 --> 04:17:42,840 WELL AS COUNCIL AND COLLEAGUES 6185 04:17:42,840 --> 04:17:45,280 THAT I THINK I HAVE MADE 6186 04:17:45,280 --> 04:17:46,400 RELATIONSHIPS THAT WILL BE 6187 04:17:46,400 --> 04:17:49,880 FRIENDS FOR A LONG TIME AND THAT 6188 04:17:49,880 --> 04:17:53,280 REALLY MEANS A LOT AND LEARNING 6189 04:17:53,280 --> 04:17:56,000 ABOUT HOW NIH WORKS AND OTHER 6190 04:17:56,000 --> 04:17:57,320 COUNCIL MEMBERS HAVE SAID AS 6191 04:17:57,320 --> 04:17:59,320 WELL AND MOST MAY KNOW THAT I 6192 04:17:59,320 --> 04:18:00,920 WORK AT HOWARD UNIVERSITY THAT 6193 04:18:00,920 --> 04:18:02,880 IS A FEW MILES IN THAT 6194 04:18:02,880 --> 04:18:04,240 DIRECTION. 6195 04:18:04,240 --> 04:18:06,840 SO, IF ANY OF YOU ARE EVER IN DC 6196 04:18:06,840 --> 04:18:09,240 AND WANT TO BE AT HOWARD 6197 04:18:09,240 --> 04:18:11,400 UNIVERSITY GIVE ME A CALL AND I 6198 04:18:11,400 --> 04:18:16,200 KNOW A PLACE WE CAN GET SOME 6199 04:18:16,200 --> 04:18:20,360 GOOD FRIED CAT FISH AND COLLARD 6200 04:18:20,360 --> 04:18:23,360 GREENS AND DEEP FRIED CORNBREAD. 6201 04:18:23,360 --> 04:18:24,680 LORD HAVE MERCURY. 6202 04:18:24,680 --> 04:18:25,880 >>[LAUGHING]. 6203 04:18:25,880 --> 04:18:29,320 >>SO, NSAO, THANKS SO MUCH. I 6204 04:18:29,320 --> 04:18:30,600 APPRECIATE. IT HAS BEEN A JOY. 6205 04:18:30,600 --> 04:18:35,120 I ENJOYED IT A LOT. THANK YOU. 6206 04:18:35,120 --> 04:18:37,440 >>SO, I WILL REFLECT ON WHERE I 6207 04:18:37,440 --> 04:18:41,400 WAS WHEN LSAO MADE THE FATEFUL 6208 04:18:41,400 --> 04:18:45,200 CALL. I WAS ON VACATION IN ROAD 6209 04:18:45,200 --> 04:18:48,080 ISLAND RELAXING ENJOYING BEING 6210 04:18:48,080 --> 04:18:49,280 AWAY FROM WORK. 6211 04:18:49,280 --> 04:18:51,960 THE PHONE RANG. LSAO ASKED, YOU 6212 04:18:51,960 --> 04:18:53,480 KNOW, IF I WOULD BE INTERESTED 6213 04:18:53,480 --> 04:18:56,560 IN SERVING AND I DIDN'T REALIZE 6214 04:18:56,560 --> 04:18:58,960 HOW MUCH I DIDN'T KNOW ABOUT THE 6215 04:18:58,960 --> 04:19:01,920 RESEARCH WORLD UNTIL I CAME 6216 04:19:01,920 --> 04:19:04,840 HERE. I AM NOT A FULL-TIME 6217 04:19:04,840 --> 04:19:07,680 RESEARCHER. IT SHOULD BE 6218 04:19:07,680 --> 04:19:08,960 OBVIOUS TO EVERYBODY. 6219 04:19:08,960 --> 04:19:11,720 YOU KNOW, I SPEND MOST OF MY 6220 04:19:11,720 --> 04:19:13,360 TIME IN THE HEALTH CARE DELIVERY 6221 04:19:13,360 --> 04:19:16,120 SYSTEM AND HAVE LEARNED A 6222 04:19:16,120 --> 04:19:17,680 TREMENDOUS AMOUNT FROM YOU. I 6223 04:19:17,680 --> 04:19:19,080 KNOW I HAVE LEARNED MORE THAN I 6224 04:19:19,080 --> 04:19:21,000 HAVE BEEN ABLE TO SHARE BUT HAS 6225 04:19:21,000 --> 04:19:24,360 BEEN A GREAT EXPERIENCE. 6226 04:19:24,360 --> 04:19:28,440 I HAVE JUST REALLY ENJOYED THE 6227 04:19:28,440 --> 04:19:30,240 COMRADEREE OF ALL OF YOU FOLKS 6228 04:19:30,240 --> 04:19:31,640 AND THINGS I HAVE BEEN ABLE TO 6229 04:19:31,640 --> 04:19:33,320 LEARN. I JUST THINK THAT THE 6230 04:19:33,320 --> 04:19:34,440 HIGHLIGHT OF THE MEETINGS FOR ME 6231 04:19:34,440 --> 04:19:38,520 ARE YOU GOING THROUGH WHEN LSAO 6232 04:19:38,520 --> 04:19:40,480 GOES THROUGH THE -- THE SYNOPSIS 6233 04:19:40,480 --> 04:19:43,040 OF THE -- OF THE RESEARCH GRANTS 6234 04:19:43,040 --> 04:19:44,880 THAT HAVE BEEN GIVEN AND RESULTS 6235 04:19:44,880 --> 04:19:48,360 AND THINGS TO JUST SEE THE 6236 04:19:48,360 --> 04:19:51,200 BREADTH OF THE WORK THAT THE 6237 04:19:51,200 --> 04:19:51,760 AGENCY DOES. 6238 04:19:51,760 --> 04:19:53,960 AND REALLY SOME OF THE 6239 04:19:53,960 --> 04:19:57,520 ASTOUNDING RESULTS THAT WE HEAR 6240 04:19:57,520 --> 04:19:58,760 ABOUT AT EVERY MEETING. 6241 04:19:58,760 --> 04:20:01,800 I JUST FIND THAT TO BE REALLY 6242 04:20:01,800 --> 04:20:03,720 EYE-OPENING AND I AM SORRY THAT 6243 04:20:03,720 --> 04:20:05,040 WE ARE NOT ON ZOOM BECAUSE I WAS 6244 04:20:05,040 --> 04:20:08,240 -- I USED TO TAKE SNAPSHOTS. 6245 04:20:08,240 --> 04:20:10,920 AM I ALLOWED TO SAY THIS? I 6246 04:20:10,920 --> 04:20:13,120 USED TO TAKE SNAPSHOTS OF SOME 6247 04:20:13,120 --> 04:20:16,000 OF THE SLIDES SO I COULD STUDY 6248 04:20:16,000 --> 04:20:17,280 THEM AFTERWARDS AND LOOK AT THEM 6249 04:20:17,280 --> 04:20:18,800 AND SHARE SOME OF THE FACTS THAT 6250 04:20:18,800 --> 04:20:21,120 CAME OUT OF THE RESEARCH WITHOUT 6251 04:20:21,120 --> 04:20:23,000 HAVING TO READ THE WHOLE PAPERS. 6252 04:20:23,000 --> 04:20:24,520 SO, THEY WERE -- YOU KNOW, IT 6253 04:20:24,520 --> 04:20:30,880 WAS A WAY OF SHARING SOME OF NEW 6254 04:20:30,880 --> 04:20:32,360 INFORMATION THAT WAS SORT OF HOT 6255 04:20:32,360 --> 04:20:34,600 OFF THE PRESS AND FIND IT TO BE 6256 04:20:34,600 --> 04:20:36,320 REALLY IMPORTANT. I HAVE JUST 6257 04:20:36,320 --> 04:20:38,240 ENJOYED IT AND I WOULD HOPE THAT 6258 04:20:38,240 --> 04:20:39,840 THERE WILL BE REPRESENTATION OF 6259 04:20:39,840 --> 04:20:42,880 OTHER PEOPLE WHO ARE NOT 6260 04:20:42,880 --> 04:20:43,440 FULL-TIME RESEARCHERS AND 6261 04:20:43,440 --> 04:20:44,680 CONTINUE TO HAVE PEOPLE LIKE 6262 04:20:44,680 --> 04:20:46,480 THAT ON COUNCIL. 6263 04:20:46,480 --> 04:20:50,520 I DO THINK THAT THE PERSPECTIVE 6264 04:20:50,520 --> 04:20:52,760 OF PEOPLE WHO ARE, YOU KNOW, 6265 04:20:52,760 --> 04:20:54,520 DOING OUT IN THE COMMUNITY ARE 6266 04:20:54,520 --> 04:20:56,520 DOING WORK ON THE POPULATIONS 6267 04:20:56,520 --> 04:20:58,640 THAT WE CARE ABOUT THAT ARE 6268 04:20:58,640 --> 04:21:02,160 IMPORTANT BOTH TO PUT SOME 6269 04:21:02,160 --> 04:21:03,480 PERSPECTIVE -- A DIFFERENT 6270 04:21:03,480 --> 04:21:04,680 PERSPECTIVE ON SOME OF THE WORK 6271 04:21:04,680 --> 04:21:07,240 AND ALSO BECAUSE IT HELPS US 6272 04:21:07,240 --> 04:21:08,400 LEARN THINGS THAT WE WOULDN'T 6273 04:21:08,400 --> 04:21:09,960 HAVE OPPORTUNITIES TO LEARN 6274 04:21:09,960 --> 04:21:10,600 OTHERWISE. 6275 04:21:10,600 --> 04:21:13,160 I REALLY VALUE THIS AND HOPE 6276 04:21:13,160 --> 04:21:14,920 THERE WILL BE WAYS TO CONTINUE 6277 04:21:14,920 --> 04:21:16,800 TO STAY INVOLVED EVEN IF NOT 6278 04:21:16,800 --> 04:21:19,120 BEING ON COUNCIL AND WOULD BE 6279 04:21:19,120 --> 04:21:21,080 REALLY, REALLY HELPFUL. 6280 04:21:21,080 --> 04:21:23,280 THANK YOU VERY MUCH. 6281 04:21:23,280 --> 04:21:25,440 NATE, JUST TO BE IN YOUR 6282 04:21:25,440 --> 04:21:31,400 PRESENCE IS ALWAYS AMAZING. AS 6283 04:21:31,400 --> 04:21:36,520 TWO OLD GUYS PROBABLY IN THE 6284 04:21:36,520 --> 04:21:39,040 RO 6285 04:21:39,040 --> 04:21:39,240 ROOM. 6286 04:21:39,240 --> 04:21:41,000 >>THANK YOU. MY TIME ON 6287 04:21:41,000 --> 04:21:42,560 COUNCIL HAS BEEN SHORT. AS YOU 6288 04:21:42,560 --> 04:21:44,480 GUYS KNOW, I FILLED IN FOR 6289 04:21:44,480 --> 04:21:45,680 SOMEONE AND DO REMEMBER GETTING 6290 04:21:45,680 --> 04:21:48,080 THE E-MAIL FROM LSAO AS WELL AND 6291 04:21:48,080 --> 04:21:51,360 HAD TO READ IT A FEW TIMES AND 6292 04:21:51,360 --> 04:21:53,400 IT HAS TRULY BEEN AN HONOR EVEN 6293 04:21:53,400 --> 04:21:55,600 THOUGH I HAVE ONLY BEEN HERE A 6294 04:21:55,600 --> 04:21:57,280 YEAR AND A HALF TO MEET EACH AND 6295 04:21:57,280 --> 04:21:59,280 EVERY ONE OF YOU AND LEARNED SO 6296 04:21:59,280 --> 04:22:00,560 MUCH TODAY. I WROTE DOWN ALL 6297 04:22:00,560 --> 04:22:04,440 THESE IDEAS AND, YOU KNOW, I 6298 04:22:04,440 --> 04:22:06,560 HAVEN'T ATTENDED AN ALZHEIMER'S 6299 04:22:06,560 --> 04:22:10,520 TALK IN A WHILE AND 3 YEARS OLD 6300 04:22:10,520 --> 04:22:12,000 IS MY GERIATRIC POPULATION AND 6301 04:22:12,000 --> 04:22:13,400 PARALLELS OF THINGS YOU CAN TALK 6302 04:22:13,400 --> 04:22:15,560 ABOUT TO APPLY WITHIN OUR OWN 6303 04:22:15,560 --> 04:22:17,120 WORK HAS BEEN AN INSPIRATION TO 6304 04:22:17,120 --> 04:22:19,120 BE ABLE TO SEE AND ONE THING TO 6305 04:22:19,120 --> 04:22:21,840 SAY IS TO NIHD STAFF, THE WORK 6306 04:22:21,840 --> 04:22:23,840 YOU DO IS SO IMPORTANT AND TO BE 6307 04:22:23,840 --> 04:22:24,880 ABLE TO SEE PASSION AND TIME 6308 04:22:24,880 --> 04:22:27,600 THAT IT TAKES FOR YOU TO BRING A 6309 04:22:27,600 --> 04:22:31,880 CONCEPT FROM IDEA TO THE 6310 04:22:31,880 --> 04:22:33,680 ADVISORY BOARD AND TO FUNDING. 6311 04:22:33,680 --> 04:22:35,760 WE ARE ONLY SEEING LIKE VERY 6312 04:22:35,760 --> 04:22:38,880 MUCH THE TIP OF THE ICEBERG ON 6313 04:22:38,880 --> 04:22:40,400 ALL THINGS DO YOU. PLEASE KNOW 6314 04:22:40,400 --> 04:22:44,160 YOUR WORK IS APPRECIATED AND 6315 04:22:44,160 --> 04:22:45,200 SEEN AND I'M GUESSING THERE 6316 04:22:45,200 --> 04:22:47,320 MIGHT BE PIS THAT GIVE YOU A 6317 04:22:47,320 --> 04:22:50,040 HARD TIME ONCE IN A WHILE. 6318 04:22:50,040 --> 04:22:50,920 JUST CRAZY GUESS. 6319 04:22:50,920 --> 04:22:53,120 SO, HOPEFULLY YOU WOULD TAKE ALL 6320 04:22:53,120 --> 04:22:56,480 THOSE AND JUST MAGNIFY THIS 6321 04:22:56,480 --> 04:22:58,520 COMMENT BY 1,000. 6322 04:22:58,520 --> 04:23:00,640 THAT IS TRULY THE SENTIMENT. 6323 04:23:00,640 --> 04:23:04,480 SO, THANK YOU FOR ASKING ME. 6324 04:23:04,480 --> 04:23:07,520 >>KEN? 6325 04:23:07,520 --> 04:23:17,520 >>>>I ALSO VERY MUCH ENJOYED 6326 04:23:17,520 --> 04:23:20,360 LSAO'S TOP 10 PAPERS FROM THAT 6327 04:23:20,360 --> 04:23:21,960 QUARTER OR THREE MONTH PERIOD. 6328 04:23:21,960 --> 04:23:24,120 ALTHOUGH WE HAVE SO FAR TO GO, I 6329 04:23:24,120 --> 04:23:26,720 LEAVE THIS EXPERIENCE VERY 6330 04:23:26,720 --> 04:23:29,000 OPTIMISTIC AND I'M SO PLEASED TO 6331 04:23:29,000 --> 04:23:32,480 SEE HOW LSAO AND MONICA AND THE 6332 04:23:32,480 --> 04:23:34,640 TEAM REALLY LET DATA SPEAK FOR 6333 04:23:34,640 --> 04:23:34,880 ITSELF. 6334 04:23:34,880 --> 04:23:38,680 AND THE QUALITY OF THE RESEARCH 6335 04:23:38,680 --> 04:23:40,320 BOTH INTRAMURAL AND EXTRAMURAL 6336 04:23:40,320 --> 04:23:42,440 IS JUST OUTSTANDING AND REALLY 6337 04:23:42,440 --> 04:23:45,520 GIVES ME HOPE THAT WILL CONTINUE 6338 04:23:45,520 --> 04:23:48,520 TO CHISEL AWAY AND HAVE 6339 04:23:48,520 --> 04:23:49,840 EVENTUALLY TIPPING POINTS WHERE 6340 04:23:49,840 --> 04:23:51,600 THINGS WILL REALLY BEGIN TO 6341 04:23:51,600 --> 04:23:53,360 ACCELERATE AND LAST NOTE IS I 6342 04:23:53,360 --> 04:23:55,120 THINK BEING IN THIS WORLD FOR A 6343 04:23:55,120 --> 04:23:56,960 LONG TIME, YOU ALWAYS WONDER 6344 04:23:56,960 --> 04:23:58,640 WHAT IS THE RIGHT AMOUNT OF 6345 04:23:58,640 --> 04:24:01,680 ANGER AND HOW PISSED OFF SHOULD 6346 04:24:01,680 --> 04:24:03,720 WE BE ABOUT THIS? 6347 04:24:03,720 --> 04:24:06,720 AMAZING THE EXAMPLE YOU SAID 6348 04:24:06,720 --> 04:24:08,760 LSAO AND TO YOUR TEAM IS TO ME 6349 04:24:08,760 --> 04:24:11,080 THE EXACT RIGHT TO ENAND YOU 6350 04:24:11,080 --> 04:24:14,960 PRESENT DATA THAT IS OUTLANDISH 6351 04:24:14,960 --> 04:24:19,400 AND INCREDIBLY A ANNOYING AND 6352 04:24:19,400 --> 04:24:22,200 YOU DO IT WITH A TO ENTHAT HELPS 6353 04:24:22,200 --> 04:24:24,920 US GAIN MORE ALLIES AND MAYBE 6354 04:24:24,920 --> 04:24:26,680 ONE REASON THAT YOUR FUNDING HAS 6355 04:24:26,680 --> 04:24:30,880 GONE UP AND YOU PLAY IT SO 6356 04:24:30,880 --> 04:24:34,120 PERFECTLY AND THREAD THE NEEDLE 6357 04:24:34,120 --> 04:24:35,760 SO WELL EACH TIME AND THIS IS 6358 04:24:35,760 --> 04:24:38,200 ONE OF THE MOST I THINK 6359 04:24:38,200 --> 04:24:39,000 REWARDING EXPERIENCES OF MY 6360 04:24:39,000 --> 04:24:42,600 CAREER AND THANK YOU FOR THAT 6361 04:24:42,600 --> 04:24:43,240 PHONE CALL AND THAT I ALSO 6362 04:24:43,240 --> 04:24:45,160 REMEMBER WHERE I WAS WHEN I 6363 04:24:45,160 --> 04:24:48,320 RECEIVED IT. THANKS. 6364 04:24:48,320 --> 04:24:50,720 >>THANK YOU. I WILL NOW TURN 6365 04:24:50,720 --> 04:24:56,080 THE MEETING BACK OVER TO DR. 6366 04:24:56,080 --> 04:24:58,880 PEREZ ALVAREZ FOR CLOSING 6367 04:24:58,880 --> 04:24:59,760 REMARKS AND THE JOURNAL. 6368 04:24:59,760 --> 04:25:02,080 >>SO, THAT WAS A WONDERFUL WAY 6369 04:25:02,080 --> 04:25:04,280 TO BRING THIS MEETING TO A 6370 04:25:04,280 --> 04:25:05,800 CLOSE. THANK YOU FOR ALL YOU 6371 04:25:05,800 --> 04:25:07,320 HAVE DONE FOR THE INSTITUTE AND 6372 04:25:07,320 --> 04:25:09,280 ALL YOU HAVE DONE FOR NIH AND 6373 04:25:09,280 --> 04:25:10,920 YOU DO FOR OUR COMMUNITIES. 6374 04:25:10,920 --> 04:25:13,120 IT IS REALLY IMPORTANT TO US. 6375 04:25:13,120 --> 04:25:15,280 IT IS NOT -- YOU ARE NOT DONE 6376 04:25:15,280 --> 04:25:16,880 YET. YOU KNOW, WE WILL CONTINUE 6377 04:25:16,880 --> 04:25:18,760 TO ASK YOU TO DO THINGS. 6378 04:25:18,760 --> 04:25:22,560 DON'T GO AND HIDEAWAY. 6379 04:25:22,560 --> 04:25:24,360 AND EVEN RETIREMENT IS NOT GOOD 6380 04:25:24,360 --> 04:25:27,960 ENOUGH AND I HAVE TO ACKNOWLEDGE 6381 04:25:27,960 --> 04:25:30,640 A COUNCIL MEMBER EXOFISH YO THAT 6382 04:25:30,640 --> 04:25:35,040 IS NO LONGER ONLINE, CHRISTINE 6383 04:25:35,040 --> 04:25:36,840 HUNTER WHO IS ACTING DIRECTOR OF 6384 04:25:36,840 --> 04:25:39,400 OFFICE OF BEHAVIORAL SCIENCE 6385 04:25:39,400 --> 04:25:41,200 RESEARCH WHO IS RETIRING AT THE 6386 04:25:41,200 --> 04:25:43,880 END OF THE MONTH. FOR HER, I'M 6387 04:25:43,880 --> 04:25:45,760 ACKNOWLEDGING HER SUPPORT AND 6388 04:25:45,760 --> 04:25:47,000 HER OFFICE HAS BEEN AN IMPORTANT 6389 04:25:47,000 --> 04:25:48,560 PART OF THIS. 6390 04:25:48,560 --> 04:25:50,680 AND IN ALL SORT OF CORRECTING 6391 04:25:50,680 --> 04:25:52,640 THE RECORD, I DIDN'T ASK YOU TO 6392 04:25:52,640 --> 04:25:56,480 SERVE. I -- I SAID I WAS GOING 6393 04:25:56,480 --> 04:25:58,560 TO NOMINATE YOU. 6394 04:25:58,560 --> 04:26:00,520 BECAUSE ONLY THE SECRETARY OF 6395 04:26:00,520 --> 04:26:05,440 HEALTH AND HUMAN SERVICES CAN 6396 04:26:05,440 --> 04:26:08,240 ACTUALLY APPOINT YOU AS SPECIAL 6397 04:26:08,240 --> 04:26:09,720 FEDERAL EMPLOYEES AND NOW I HAVE 6398 04:26:09,720 --> 04:26:12,360 LEARNED TO MAKE SURE THAT WHEN 6399 04:26:12,360 --> 04:26:15,160 THIS INVITATION TO BE NOMINATED, 6400 04:26:15,160 --> 04:26:17,560 I HAVE BEEN TURNED DOWN, BY THE 6401 04:26:17,560 --> 04:26:20,320 WAY. IT HASN'T ALWAYS BEEN 6402 04:26:20,320 --> 04:26:21,560 AGREEABLE TO THE INDIVIDUAL, TO 6403 04:26:21,560 --> 04:26:23,760 WARN THEM IT MIGHT TAKE A YEAR 6404 04:26:23,760 --> 04:26:26,480 BEFORE YOU FIND OUT. SO, I 6405 04:26:26,480 --> 04:26:28,640 GUESS SOME PEOPLE GET QUITE 6406 04:26:28,640 --> 04:26:29,800 AVERAGE SHOUS ABOUT IT. 6407 04:26:29,800 --> 04:26:33,240 I HAVE ALSO JUST WANTED TO 6408 04:26:33,240 --> 04:26:35,360 REMARK THAT I LEARN A LOT FROM 6409 04:26:35,360 --> 04:26:36,520 THE MEETINGS AND LEARN A LOT 6410 04:26:36,520 --> 04:26:40,520 FROM EACH OF YOU. I THINK THAT 6411 04:26:40,520 --> 04:26:42,440 INSTITUTE HAS A CERTAIN UNITY OF 6412 04:26:42,440 --> 04:26:45,760 MISSION THAT ALLOWS US TO BE 6413 04:26:45,760 --> 04:26:48,480 MORE COHESIVE IN SOME OF THE 6414 04:26:48,480 --> 04:26:50,840 THINGS THAT WE DO. 6415 04:26:50,840 --> 04:26:54,760 WE DON'T WORRY ABOUT VERY MUCH 6416 04:26:54,760 --> 04:26:56,960 ABOUT YOU KNOW RESEARCH AT THE 6417 04:26:56,960 --> 04:27:00,400 CELL OR ANIMAL LEVEL. WE START 6418 04:27:00,400 --> 04:27:02,480 WITH HUMANS ONWARD. 6419 04:27:02,480 --> 04:27:06,840 SO, WE CAN ALL FEEL A CERTAIN 6420 04:27:06,840 --> 04:27:08,280 LEVEL OF EXPERTISE AND KNOWLEDGE 6421 04:27:08,280 --> 04:27:11,040 IN THAT AREA. YES. I -- YOU 6422 04:27:11,040 --> 04:27:13,280 COULD HAVE FOOLED ME, NEIL, THAT 6423 04:27:13,280 --> 04:27:15,040 YOU WEREN'T A FULL-TIME 6424 04:27:15,040 --> 04:27:16,880 RESEARCHER. I COME FROM A 6425 04:27:16,880 --> 04:27:20,480 CULTURE OF RESEARCHERS NEED TO 6426 04:27:20,480 --> 04:27:24,520 SEE PATIENTS IN ORDER TO BE PART 6427 04:27:24,520 --> 04:27:28,080 OF A UNIT AND TEACH, OF COURSE, 6428 04:27:28,080 --> 04:27:31,480 AND DO OTHER THINGS AND THINK 6429 04:27:31,480 --> 04:27:36,080 THAT IS -- THAT IS A MODEL I 6430 04:27:36,080 --> 04:27:37,920 REALLY APPRECIATE AND SUPPORT AS 6431 04:27:37,920 --> 04:27:39,840 A CAREER AND STRIVE TO MAKE SURE 6432 04:27:39,840 --> 04:27:43,680 IT IS THERE AND WE HAVEN'T ALSO 6433 04:27:43,680 --> 04:27:46,800 RELIED ON NHMD FUNDED SCIENTISTS 6434 04:27:46,800 --> 04:27:50,960 TO COME TO COUNCIL AND IS ROOM 6435 04:27:50,960 --> 04:27:55,360 FOR PUBLIC MEMBERS AND THINK 6436 04:27:55,360 --> 04:27:56,840 SOMETIMES, YESTERDAY ONE OF YOU 6437 04:27:56,840 --> 04:27:58,960 ASKED ME HOW YOU DECIDE WHO WILL 6438 04:27:58,960 --> 04:28:02,400 GO ON COUNCIL? 6439 04:28:02,400 --> 04:28:06,720 IT IS A PROCESS. 6440 04:28:06,720 --> 04:28:11,320 I THINK WE RARELY TAKE MISSTEPS 6441 04:28:11,320 --> 04:28:14,120 AND THINK VALUE AND QUALITY AND 6442 04:28:14,120 --> 04:28:17,400 DEDICATION HAS TO BE A GIVEN IF 6443 04:28:17,400 --> 04:28:23,400 IT IS NOT THERE, WE WON'T 6444 04:28:23,400 --> 04:28:24,080 NECESSA 6445 04:28:24,080 --> 04:28:25,800 NECESSARILY GO IN THAT DIRECTION 6446 04:28:25,800 --> 04:28:27,440 AND APPRECIATE ALL OF YOU AND 6447 04:28:27,440 --> 04:28:30,640 ALL THINGS YOU HAVE DONE IN 6448 04:28:30,640 --> 04:28:33,200 THESE FOUR YEARS. 6449 04:28:33,200 --> 04:28:35,360 IT HAS BEEN A SPECIAL TIME YOU 6450 04:28:35,360 --> 04:28:40,400 KNOW IN FORMATS AND WAYS OF 6451 04:28:40,400 --> 04:28:41,640 COMMUNICATING CHANGE AND 6452 04:28:41,640 --> 04:28:45,280 EXTERNAL WORLD REALLY TOOK A BIT 6453 04:28:45,280 --> 04:28:47,600 OF CHANGE ON US AND THINK AT ONE 6454 04:28:47,600 --> 04:28:49,400 POINT ONE OF THE MEETINGS, 6455 04:28:49,400 --> 04:28:50,640 SOMEONE SAID, WHAT DID YOU LEARN 6456 04:28:50,640 --> 04:28:55,000 FROM THE PANDEMIC AND WHAT DID 6457 04:28:55,000 --> 04:28:55,760 NMHT GET? 6458 04:28:55,760 --> 04:28:57,600 WE CONTINUE TO TALK ABOUT IT 6459 04:28:57,600 --> 04:28:59,800 ALTHOUGH LESS AND LESS AS TIME 6460 04:28:59,800 --> 04:29:00,280 GOES BY. 6461 04:29:00,280 --> 04:29:03,360 ONE OF THE THINGS THAT YOU KNOW 6462 04:29:03,360 --> 04:29:06,080 I WAS -- I AM VERY PROUD OF HOW 6463 04:29:06,080 --> 04:29:11,320 NIH RESPONDED TO THE PANDEMIC 6464 04:29:11,320 --> 04:29:13,440 AND THINK IT WAS A UNIQUE EFFORT 6465 04:29:13,440 --> 04:29:16,160 THAT WE ALL SORT OF SAID, WELL, 6466 04:29:16,160 --> 04:29:17,200 WHAT CAN WE DO? 6467 04:29:17,200 --> 04:29:20,480 EVERY SINGLE PERSON THAT I KNOW 6468 04:29:20,480 --> 04:29:22,160 AT THE AGENCY WAS REALLY PUSHING 6469 04:29:22,160 --> 04:29:24,320 THE LIMITS OF WHAT THEY COULD 6470 04:29:24,320 --> 04:29:26,960 DO. I KNOW THAT IN THE 6471 04:29:26,960 --> 04:29:29,080 HEALTHCARE WORLD, THAT WAS ALSO 6472 04:29:29,080 --> 04:29:31,720 THE CASE TO A LARGE EXTENT EVEN 6473 04:29:31,720 --> 04:29:33,320 THOUGH I DIDN'T LIVE IT AS YOU 6474 04:29:33,320 --> 04:29:35,480 -- AS SOME OF YOU DID. 6475 04:29:35,480 --> 04:29:40,080 AND I THINK THAT IS AN ADMIRABLE 6476 04:29:40,080 --> 04:29:42,320 RESPONSE AND STORY THAT SOME DAY 6477 04:29:42,320 --> 04:29:46,720 WILL BE MORE APPRECIATED RATHER 6478 04:29:46,720 --> 04:29:48,840 THAN THE TRANSIENT 15 SECONDS OR 6479 04:29:48,840 --> 04:29:52,520 WHATEVER IT IS THAT WE ARE -- 6480 04:29:52,520 --> 04:29:55,200 THAT PEOPLE HAVE OF FAME THAT IS 6481 04:29:55,200 --> 04:29:57,160 REFLECTING BACK ON THAT TIME. I 6482 04:29:57,160 --> 04:30:00,400 THINK IT WILL BE A REALLY SHARED 6483 04:30:00,400 --> 04:30:02,640 EXPERIENCE THAT BONDS PEOPLE 6484 04:30:02,640 --> 04:30:07,960 TOGETHER AS TO HOW THEY ADDRESS 6485 04:30:07,960 --> 04:30:11,280 ISSUES AND WASN'T JUST COVID AND 6486 04:30:11,280 --> 04:30:12,760 PEOPLE DYING OR GOING TO 6487 04:30:12,760 --> 04:30:14,840 HOSPITAL AND DYING ALONE AND 6488 04:30:14,840 --> 04:30:16,480 FEAR THAT PERVADED THROUGHOUT 6489 04:30:16,480 --> 04:30:20,120 THE COMMUNITIES AND FEAR I KNOW 6490 04:30:20,120 --> 04:30:24,280 I HAD THAT I DIDN'T TALK ABOUT 6491 04:30:24,280 --> 04:30:26,960 THAT WE KNOW WILL HAPPEN IN THE 6492 04:30:26,960 --> 04:30:29,440 WORLD THAT IS A SORT OF 6493 04:30:29,440 --> 04:30:31,080 EXISTENTIAL THREAT TO HUMANITY 6494 04:30:31,080 --> 04:30:32,680 IS REALLY THE THING THAT I THINK 6495 04:30:32,680 --> 04:30:36,280 OR I FELT AT THE SAME TIME THAT 6496 04:30:36,280 --> 04:30:39,400 MY RATIONAL SIDE WAS SAYING, NO, 6497 04:30:39,400 --> 04:30:42,240 NO. THINK OF THE FLU PANDEMIC 6498 04:30:42,240 --> 04:30:44,960 AND 100 YEARS AGO IT WENT AWAY 6499 04:30:44,960 --> 04:30:47,400 AND 3 YEARS LATER WE ARE SORT OF 6500 04:30:47,400 --> 04:30:55,120 SEEING THE OTHER SIDE OF THE 6501 04:30:55,120 --> 04:30:55,480 PE 6502 04:30:55,480 --> 04:30:55,680 PEAK. 6503 04:30:55,680 --> 04:30:56,320 CHALLENGES HAVE BEEN SOMETHING 6504 04:30:56,320 --> 04:30:59,120 THAT HAVE GROWN ON US AND WE 6505 04:30:59,120 --> 04:31:00,600 HAVE MURDER OF GEORGE FLOYD EVEN 6506 04:31:00,600 --> 04:31:02,760 IF TRANSFORMED EVEN TEMPORARILY 6507 04:31:02,760 --> 04:31:06,080 AND PERCEPTION WHAT RACISM AND 6508 04:31:06,080 --> 04:31:07,400 DISCRIMINATION MEANT TO OUR 6509 04:31:07,400 --> 04:31:12,440 SOCIETY AND TO ALL MEMBERS OF 6510 04:31:12,440 --> 04:31:14,720 SOCIETY NOT JUST SOME OF THE 6511 04:31:14,720 --> 04:31:17,920 GROUP AND FOR A PROFOUND 6512 04:31:17,920 --> 04:31:20,080 REFLECTION IN MANY OF OUR 6513 04:31:20,080 --> 04:31:22,560 INSTITUTIONS TO REALLY THINK 6514 04:31:22,560 --> 04:31:25,880 WHAT SHOULD WE DO DIFFERENT? 6515 04:31:25,880 --> 04:31:27,640 NIH I THINK STEPPED INTO THAT 6516 04:31:27,640 --> 04:31:29,000 DISCUSSION AND CONTINUES TO DO 6517 04:31:29,000 --> 04:31:31,760 SO. I KNOW THAT MANY OF YOUR 6518 04:31:31,760 --> 04:31:32,520 INSTITUTIONS DID AS WELL. % 6519 04:31:32,520 --> 04:31:35,680 AND THEN, YOU KNOW, SORT OF OUR 6520 04:31:35,680 --> 04:31:41,760 MISSION NOW IS IN PART TO KEEP 6521 04:31:41,760 --> 04:31:45,520 THAT GOING AND ENERGY AND 6522 04:31:45,520 --> 04:31:46,760 ENTHUSIASM TO MAKE CHANGE THAT 6523 04:31:46,760 --> 04:31:49,280 WE LIKELY WITNESS THAT IS TO BE 6524 04:31:49,280 --> 04:31:51,400 SUSTAINABLE AND WE AIM FOR 6525 04:31:51,400 --> 04:31:52,040 INCREMENTAL GROWTH AND CHANGE 6526 04:31:52,040 --> 04:31:54,480 THAT IS ONE OF THE WAYS TO DO 6527 04:31:54,480 --> 04:31:54,960 IT. 6528 04:31:54,960 --> 04:31:59,640 SO, WE WILL MEET IN PERSON AGAIN 6529 04:31:59,640 --> 04:32:02,960 IN SEPTEMBER. 6530 04:32:02,960 --> 04:32:07,200 ACTUALLY, AUGUST 31ST/SEPTEMBER 6531 04:32:07,200 --> 04:32:08,960 1. WE BASE DATES ON 6532 04:32:08,960 --> 04:32:11,200 AVAILABILITY OF ROOMS, I THINK. 6533 04:32:11,200 --> 04:32:15,520 NOT TO SPOIL YOUR HOLIDAY 6534 04:32:15,520 --> 04:32:16,200 WEEKENDS. 6535 04:32:16,200 --> 04:32:19,600 AND WE LOOK FORWARD TO ENGAGING 6536 04:32:19,600 --> 04:32:21,440 DISCUSSION. WE WILL DO THIS 6537 04:32:21,440 --> 04:32:24,560 HYBRID THING BETTER AND I DO 6538 04:32:24,560 --> 04:32:26,120 ENCOURAGE AND WE WILL HAVE A NEW 6539 04:32:26,120 --> 04:32:28,480 GROUP OF COUNCIL MEMBERS AND 6540 04:32:28,480 --> 04:32:30,600 THOSE WHO WILL BE INVITED TO 6541 04:32:30,600 --> 04:32:34,000 COME TO THE MEETING, PLEASE DO 6542 04:32:34,000 --> 04:32:36,120 ATTEND IN PERSON. IT REALLY 6543 04:32:36,120 --> 04:32:38,920 MAKES A BIG AND QUALITATIVE 6544 04:32:38,920 --> 04:32:40,520 DIFFERENCE. WITHOUT ANY FURTHER 6545 04:32:40,520 --> 04:32:41,960 COMMENTS, I WANT TO THANK 6546 04:32:41,960 --> 04:32:43,560 EVERYONE FOR COMING AND WILL SEE 6547 04:32:43,560 --> 04:32:53,960 SOME OF YOU LATER THIS