Current evidence underscores a need to transform how we do clinical research, shifting from academic-driven priorities to co-led community partnership focused programs, accessible and relevant career pathway programs that expand opportunities for career development, and design of trainings and practices to develop cultural competence among research teams. Failures of equitable research translation contribute to health disparities. Drivers of this failed translation include lack of diversity in both researchers and participants, lack of alignment between research institutions and the communities they serve, and lack of attention to structural sources of inequity and drivers of mistrust for science and research. The Duke University Research Equity and Diversity Initiative (READI) is a program designed to better align clinical research programs with community health priorities through community engagement. Organized around three specific aims, READI-supported programs targeting increased workforce diversity, workforce training in community engagement and cultural competence, inclusive research engagement principles, and development of trustworthy partnerships.

A survey of academic medical-center hospital epidemiologists indicated substantial deviation from Centers for Disease Control and Prevention guidance regarding healthcare providers (HCPs) recovering from coronavirus disease 2019 (COVID-19) returning to work. Many hospitals continue to operate under contingency status and have HCPs return to work earlier than recommended.

Mitigating climate change requires a global transition from fossil fuels to a “green economy” driven by renewable energies. This shift has fostered massive investments in mining resources, notably lithium in South America, needed to store renewable energies. These mining ventures often produce harmful externalities where lithium is located. In Argentina, a major producer, striking variation has occurred in the fortunes of lithium-mining projects. In some instances, mining companies offered concessions that mitigated environmental damage and improved local socioeconomic conditions. In others, companies made minimal concessions, and in a third set they halted projects in response to local resistance. Why do mining ventures result alternatively in negotiated, unnegotiated, or aborted extraction? The article proposes a new typology of modes of extraction together with a multilevel explanatory framework that centers on the strengths and strategies of transnational mining companies, subnational governments, and local communities in setting the terms for extracting lithium.

Hospitals are increasingly consolidating into health systems. Some systems have appointed healthcare epidemiologists to lead system-level infection prevention programs. Ideal program infrastructure and support resources have not been described. We informally surveyed 7 healthcare epidemiologists with recent experience building and leading system-level infection prevention programs. Key facilitators and barriers for program structure and implementation are described.

Clarke and Beck import certain assumptions about the nature of numbers. Although these are widespread within research on number cognition, they are highly contentious among philosophers of mathematics. In this commentary, we isolate and critically evaluate one core assumption: the identity thesis.

Kostochka and Thomason independently showed that any graph with average degree $\Omega(r\sqrt{\log r})$ contains a $K_r$ minor. In particular, any graph with chromatic number $\Omega(r\sqrt{\log r})$ contains a $K_r$ minor, a partial result towards Hadwiger’s famous conjecture. In this paper, we investigate analogues of these results in the directed setting. There are several ways to define a minor in a digraph. One natural way is as follows. A strong $\overrightarrow{K}_{\!\!r}$ minor is a digraph whose vertex set is partitioned into r parts such that each part induces a strongly connected subdigraph, and there is at least one edge in each direction between any two distinct parts. We investigate bounds on the dichromatic number and minimum out-degree of a digraph that force the existence of strong $\overrightarrow{K}_{\!\!r}$ minors as subdigraphs. In particular, we show that any tournament with dichromatic number at least 2r contains a strong $\overrightarrow{K}_{\!\!r}$ minor, and any tournament with minimum out-degree $\Omega(r\sqrt{\log r})$ also contains a strong $\overrightarrow{K}_{\!\!r}$ minor. The latter result is tight up to the implied constant and may be viewed as a strong-minor analogue to the classical result of Kostochka and Thomason. Lastly, we show that there is no function $f\;:\;\mathbb{N} \rightarrow \mathbb{N}$ such that any digraph with minimum out-degree at least f(r) contains a strong $\overrightarrow{K}_{\!\!r}$ minor, but such a function exists when considering dichromatic number.