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Medical researchers are increasingly prioritizing the inclusion of underserved communities in clinical studies. However, mere inclusion is not enough. People from underserved communities frequently experience chronic stress that may lead to accelerated biological aging and early morbidity and mortality. It is our hope and intent that the medical community come together to engineer improved health outcomes for vulnerable populations. Here, we introduce Health Equity Engineering (HEE), a comprehensive scientific framework to guide research on the development of tools to identify individuals at risk of poor health outcomes due to chronic stress, the integration of these tools within existing healthcare system infrastructures, and a robust assessment of their effectiveness and sustainability. HEE is anchored in the premise that strategic intervention at the individual level, tailored to the needs of the most at-risk people, can pave the way for achieving equitable health standards at a broader population level. HEE provides a scientific framework guiding health equity research to equip the medical community with a robust set of tools to enhance health equity for current and future generations.
The world is ageing, and this change will strongly impact the design of products, services and environments. Notwithstanding the proliferation of research initiatives, guidelines, policies and regulations, there is still a significant gap and lack of a uniformed strategy to guide engineers, designers, and architects to design inclusive environments. This article explores and summarizes through a review of international regulations and standards, the requirements that design practitioners need to consider when designing accessible, inclusive, smart, age-friendly environments. With this explorative study, we reviewed documentation and developed a comprehensive ontology comprised of people and design related criteria aiming to support the design of inclusive, smart and accessible buildings. The ontology was created by interpreting the criteria through semantics used in peoplecentered design approaches, where people's needs and design requirements are two fundamental phases for designing inclusively.
The results are intended to enable researchers and practitioners to better identify clusters of accessibility and inclusion criteria to facilitate the study and the design of accessible, inclusive, smart, age-friendly environments.
The Subglacial Antarctic Lakes Scientific Access (SALSA) Project accessed Mercer Subglacial Lake using environmentally clean hot-water drilling to examine interactions among ice, water, sediment, rock, microbes and carbon reservoirs within the lake water column and underlying sediments. A ~0.4 m diameter borehole was melted through 1087 m of ice and maintained over ~10 days, allowing observation of ice properties and collection of water and sediment with various tools. Over this period, SALSA collected: 60 L of lake water and 10 L of deep borehole water; microbes >0.2 μm in diameter from in situ filtration of ~100 L of lake water; 10 multicores 0.32–0.49 m long; 1.0 and 1.76 m long gravity cores; three conductivity–temperature–depth profiles of borehole and lake water; five discrete depth current meter measurements in the lake and images of ice, the lake water–ice interface and lake sediments. Temperature and conductivity data showed the hydrodynamic character of water mixing between the borehole and lake after entry. Models simulating melting of the ~6 m thick basal accreted ice layer imply that debris fall-out through the ~15 m water column to the lake sediments from borehole melting had little effect on the stratigraphy of surficial sediment cores.
Acculturation is the process of group and individual changes in culture and behaviour that result from intercultural contact. These changes have been taking place forever, and continue at an increasing pace as more and more peoples of different cultures move, meet and interact. Variations in the meanings of the concept, and some systematic conceptualisations of it are presented. This is followed by a survey of empirical work with indigenous, immigrant and ethnocultural peoples around the globe that employed both ethnographic (qualitative) and psychological (quantitative) methods. This wide-ranging research has been undertaken in a quest for possible general principles (or universals) of acculturation. This Element concludes with a short evaluation of the field of acculturation; its past, present and future.
In culturally diverse societies, one of the biggest questions on our minds is 'how shall we all live together?' Mutual Intercultural Relations offers an answer to this fundamental and topical issue. By exploring intercultural relationships between dominant/national and non-dominant/ethnic populations in seventeen societies around the world, the contributors are each able to chart the respective views of those populations and to generate 'general' principles of intercultural relations. The research reported in this book is guided by three psychological hypotheses which are evaluated by empirical research: multiculturalism, contact and integration. It was also carried out comparatively in order to gain knowledge about intercultural relations that may be general and not limited to a few social and political contexts. Understanding these general principles will offer help in the development of public policies and programmes designed to improve the quality of intercultural relations in culturally diverse societies around the world.
Discovery of strongly-lensed gravitational wave (GW) sources will unveil binary compact objects at higher redshifts and lower intrinsic luminosities than is possible without lensing. Such systems will yield unprecedented constraints on the mass distribution in galaxy clusters, measurements of the polarization of GWs, tests of General Relativity, and constraints on the Hubble parameter. Excited by these prospects, and intrigued by the presence of so-called “heavy black holes” in the early detections by LIGO-Virgo, we commenced a search for strongly-lensed GWs and possible electromagnetic counterparts in the latter stages of the second LIGO observing run (O2). Here, we summarise our calculation of the detection rate of strongly-lensed GWs, describe our review of BBH detections from O1, outline our observing strategy in O2, summarize our follow-up observations of GW170814, and discuss the future prospects of detection.