Foundation Support Research Articles

Abstract P6-05-49: Modeling a public-private grant initiative to address breast cancer care disparities at the community level

Abstract Background: Breast cancer disparities between Black and White women have persisted in the US, with breast cancer death rates 40% higher in Black women compared to White women (American Cancer Society Cancer Facts & Figures for African American/Black People 2022-2024). Education and interventions at the community level can potentially reduce racial gaps, particularly in curbing late-stage diagnoses that disproportionately affect Black women with breast cancer. Together, the American Cancer Society (ACS) and Pfizer Global Medical Grants (Pfizer) developed a collaborative model to support health systems in engaging communities to reduce breast cancer disparities between Black and White women. This collaboration aimed to identify novel interventions and provide foundational support for these communities to advance their work in bridging the gap in breast cancer disparities. Methods: This collaborative grant program divided project responsibilities, in which Pfizer provided funding and ACS provided project oversight and technical support. An advisory committee provided input on the areas of most need, impact and project direction. Funding applicants were required to partner with local organizations to implement evidence-based initiatives for education and/or quality improvement within the respected community. The grant award selection committee comprised of experts in the field, including breast cancer survivors and individuals from racial/ethnic minority groups. In response to a Request for Proposals, over 100 applications were systematically reviewed based on the National Cancer Institute grant selection process. The committee selected 9 grantees with innovative proposals addressing breast cancer disparities for Black women along the cancer-care continuum. Bi-annual progress reports were used to measure progress, with a final report to mark projects’ impact and reach. The COVID-19 pandemic presented numerous obstacles during the project period and the ability to convene with partners virtually through web-based sessions helped to foster opportunities for collaboration and knowledge sharing among leaders in cancer disparities research. Results: The projects occurred from January 2020 to June 2022, with no-cost extensions given to accommodate COVID-19 pandemic delays. During this period grantees successfully completed project goals in one of three areas: screening, identifying areas of need and education. Approximately 10,000 patients and 200 healthcare professions were impacted among three projects focused on increasing mammography efforts in Black women during the project period. Three projects incorporated surveys and focus groups to identify novel areas for intervention/need and interviewed over 350 patients and over 60 health care professionals. The remaining three grantee projects that focused on education successfully implemented advertisement campaigns and lecture series to target patients and healthcare professionals. The projects selected under this model independently completed their goals within the project period while also laying a foundation to continue work in reducing disparities along the cancer care continuum with their enhanced community partner relations. Additionally, the project period also provided opportunities for external collaborations and discussion among all grantees through 8 ACS-coordinated online sessions and 3 summits. Conclusions: Projects selected by the public-private grant initiative model can enhance community relationships and provide infrastructure to continue work along the cancer care continuum. We believe this collaborative competitive grant program can be used for future efforts to address breast cancer and other health disparities at the community level. Similar collaborative funding projects related to prostate and pan-tumor disparities have been launched and are currently ongoing. Citation Format: Emily C. Marlow, Kristen Wehling, Karla Wysocki, Jacqueline Waldrop, Arlen (Dewayne) Brumlow. Modeling a public-private grant initiative to address breast cancer care disparities at the community level [abstract]. In: Proceedings of the 2022 San Antonio Breast Cancer Symposium; 2022 Dec 6-10; San Antonio, TX. Philadelphia (PA): AACR; Cancer Res 2023;83(5 Suppl):Abstract nr P6-05-49.

Grand strategy or grant strategy? Philanthropic foundations, strategic studies and the American academy

ABSTRACT The relationship between Strategic Studies and the American academy has always been a tenuous one. Tolerated when fully funded, the field quickly lost its place on campus when it failed to attract grant money. Only with the support of philanthropic foundations did it manage to gain a foothold in American universities. What emerges from our investigation is how the field has feasted during times when foundation money was available and suffered periods of famine when these funds were withdrawn. In addition, we show that during and immediately after the Cold War, the political interests of philanthropic foundations were broadly balanced. By contrast, over the last two decades, the field has been increasingly linked to financial support provided by politically right-leaning foundations. This is happening while funding from more centrist and left-leaning foundations has become much less prominent. When looking ahead at the field’s future health, we cannot but help be concerned about the implications of this development.

Experimental Study on Shear Strength Parameters of Round Gravel Soils in Plateau Alluvial-Lacustrine Deposits and Its Application

The shear strength parameters of conglomerate soils are crucial to the stability analysis of foundation support when excavating and supporting ultra-deep foundation pits in the highland alluvial lacustrine layer. The difference in water content of conglomerate soils in different regions will directly affect the values of shear strength parameters. At the same time, more research on the shear strength of conglomerate soils under different water contents is required. In this study, a series of large-scale direct shear tests were carried out on the round gravel soil in the plateau alluvial-lacustrine deposit, and the round gravel soil’s shear strength curves under natural and saturated conditions and water content were obtained. The influence of different water content on the shear strength characteristics of the round gravel soil was discussed, and the shear strength parameters of the round gravel soil with different water content were used in the numerical simulation of ultra-deep foundation pit excavation and support. The stress and deformation laws of the foundation pit support were analyzed. The results show that the peak strength of the round gravel soil in the natural water content state appears between 30% and 45% of the shear displacement, while the peak strength in the saturated water content state appears around 45–55% of the shear displacement. The shear strength tends to be stable or slightly weakened with the increase of the shear displacement. The angle of internal friction and cohesion of round gravel soil in the natural water content state is greater than those in the saturated water content state. The simulation of the foundation excavation support shows that the shear strength parameter of the round gravel soil influences the force deformation of the support structure. The higher the water content of the round gravel soil, the more the shear strength parameter affects the soil displacement. The research results can provide some reference for optimizing project design parameters.

Research and Practice of Rebar Engineering Quantity Calculation for Underground Diaphragm Wall of Intercity Railway Based on BIM and Planar Representation Method of Rebar

Underground diaphragm wall is a typical form of deep foundation support for intercity railroad, which has the characteristics of high wall strength, high stiffness and large amount of steel reinforcement. In the process of quantity calculation, there are problems such as unreasonable calculation method of reinforcement quantity and inaccurate and non-uniform calculation results. This paper briefly discusses the research on quantity calculation based on BIM model by combining the classification form of underground diaphragm wall, sorting out the rules of quantity calculation and steel flat method labeling. It also discusses the functions of the rebar information extraction system based on the rebar flat method labeling and the flow structure of the rebar quantity calculation process of intercity railroad underground diaphragm wall based on BIM and rebar flat method labeling. Finally, the accuracy of the calculation results of the diameter, length and number of longitudinal bars, hoop bars and tension bars of the underground diaphragm wall of the intercity railroad is compared with the traditional calculation mode by combining the calculation model. The data showed that the accuracy rate of calculation based on BIM and steel flat marking method was higher than that of traditional calculation mode, and the accuracy rate of BIM and steel flat marking method reached 97.9% on average, while the accuracy rate of traditional calculation mode was only about 85% on average. Therefore, it is verified that the calculation of intercity railroad underground diaphragm wall reinforcement based on BIM and steel flat method has good effect.

Research on the Stress and Deformation Characteristics of Circular Foundation Pit during Excavation in Sand Soil

The stress and deformation response characteristics of the support structure in the process of excavation and support of circular sand foundation pit are complex. The existing research results lack a general analysis method for the mutual check between the field monitoring data and the numerical simulation results. This research relies on the excavation and support project of a circular foundation pit in the sandy soil layer of the west anchorage of Humen Second Bridge. The force and deformation characteristics of foundation pit soil are monitored and structure is supported during construction. A new method for checking simulation parameters based on the excursion monitoring data of the diaphragm wall is proposed. The modeling and calculation theory of foundation pit excavation and support process is established. The superposition calculation of pore water pressure is used to realize the foundation pit seepage-stress coupling. The effects of steady-state seepage conditions on the equivalent strain of foundation pit soil, the displacement of the diaphragm wall, and the axial force of the lining are compared and analyzed. The stress and deformation mechanism of the soil layer and supporting structure during the excavation and support of a circular foundation pit in the sand layer is obtained.

Removal of typical pollutant ciprofloxacin using iron-nitrogen co-doped modified corncob in the presence of hydrogen peroxide.

Iron-nitrogen co-doped modified corncob (Fe-N-BC) was synthesized using a hydrothermal and calcination method. The material shows excellent oxidation performance and environmental friendliness. When the dosage of Fe-N-BC was 0.6 g L-1, the concentration of H2O2 was 12 mM and pH was 4, ciprofloxacin (CIP) was virtually totally eliminated in 240 min under Fe-N-BC/H2O2 conditions. The TOC removal efficiency was 54.6%, and the effects of various reaction parameters on the catalytic activity of Fe-N-BC were thoroughly assessed. Through electron paramagnetic resonance (EPR) analyses and free radical quenching experiments, it was established that the reactive oxygen species (˙OH, ˙O2-, 1O2) were crucial in the elimination of CIP. Furthermore, the degradation of CIP was accelerated by the synergistic interaction between the transition metal and PFRs. A thorough evaluation was conducted to assess the respective contributions of adsorption and catalytic oxidation in the system. The degradation mechanism of CIP was proposed under Fe-N-BC/H2O2 conditions. Meanwhile, the possible degradation intermediates and pathways were proposed, and the toxicity of the degradation products of CIP was also meticulously investigated in the study. These findings offered the elimination of CIP in water a theoretical foundation and technical support.

Application of High-pressure Jet Grouting Pile in Deep Foundation Pit Excavation and Support Scheme around the Original Natural Foundation

Application of High-pressure Jet Grouting Pile in Deep Foundation Pit Excavation and Support Scheme around the Original Natural Foundation

Guest Editorial Introduction to the Special Issue on Cognitive Networking for Intelligent Transportation Systems

Cognitive networking is expected to analyze and utilize the various information for improving the intelligence of transportation systems. For example, through the Vehicleto-Vehicle (V2V), Infrastructure-to-Vehicle, and Vehicular-to-Infrastructure (V2I) communications, which are the foundation and key support technologies determining the overall performance of advanced Intelligent Transportation Systems (ITS), road safety and traffic efficiency are significantly improved.

Optical system design method of the all-day starlight refraction navigation system

The application of starlight refraction navigation to spacecraft and space weapons is a significant development direction. Observing enough refracted stars for the star sensor in a strong limb background is an urgent problem. The all-day optical system parameters are analyzed based on the star detection requirement and navigation accuracy. Combined with primary aberration theory, the prime-focus catadioptric optical system is selected to meet the design requirements of a wide field of view (FOV) and tight structure. An H-band (1.52 μm–1.78 μm) star sensor is designed with an FOV of 6°, a focal length of 831 mm, an effective aperture of 253 mm, and a relative distortion of 0.03%. The energy concentration of the star point is 85% within 30 μm, and the maximum lateral chromatic aberration is 2.9 μm, which meets the imaging requirements. Furthermore, a baffle is designed to avoid the influence of direct sunlight on stellar imaging. The proposed method can provide a theoretical foundation and technical support for the optical design of the refraction star navigation.

The Witch in Flight

The Witch in Flight

Will Ezhou become an air cargo superhub in China? A comparison to Memphis

Purpose: As China boosts high-end manufacturing and modern services along with industrial relocation to its central and west regions, air cargo hubs become more critical for development in these regions. Meanwhile, aviation logistics has been listed as a new momentum for further economic growth in multiple Chinese cities, among which Ezhou is said to become Asia’s first and the world’s fourth professional cargo airport. This article assesses the possibility for Ezhou to realize this goal, based on a comparison to the US busiest air cargo hub, Memphis.Design/methodology/approach: Factors under comparison include Geographical location, city foundation, weather conditions, traffic connections, and policy support. Also, this article evaluates Ezhou’s privileges against other Chinese cities, taking Zhengzhou as an example.Findings: Ezhou is finally found to be more suited to be a Chinese Memphis.Originality/value: This article is the first to analyze the possible rise of an air cargo hub in China in English literature.

1650. Efficacy of β-Lactam Therapy against Infections Caused by Metallo-β-lactamase (MBL)-Producing Enterobacterales: Bridging the Susceptibility Testing Gap

Abstract Background In vitro-in vivo discordance in the activity of β-lactams against MBL-producing Enterobacterales has been described. This discordance is likely attributed to the supra-physiologic zinc level in the in vitro testing media, which facilitates the bicyclic β-lactam ring hydrolysis. In this study, we compared the outcome of empirical non-MBL-active β-lactam therapy (carbapenems and ceftazidime/avibactam) and MBL-active β-lactam therapy (ceftazidime/avibactam plus aztreonam) among patients with bloodstream infections due to NDM-producing Klebsiella pneumoniae. Validation of the efficacy of carbapenem in a murine septicemia model was conducted. In vitro susceptibility testing conditions were altered to better predict the in vivo outcome. Methods A retrospective observational study of patients admitted to hospitals in Italy. The primary outcome was 14-day all-cause mortality. Cox regression analysis was performed to evaluate primary outcome. Kaplan Meier survival and log-rank test were used to compare 14-day mortality between patient’s cohorts. Septicemia was induced in mice via intraperitoneal inoculation with the isolates retrieved from the patients then clinical exposure of meropenem (MEM; 2 g q8h 3h infusion) was given for 2 days. Survival was recorded for 4 days and compared with sham controls. Unbound zinc levels were measured in human and infected mice plasma. MEM MICs were determined in Mueller Hinton Broth (MHB) and MHB adjusted to the physiologic zinc levels. Results Of the patients identified, 29 received empirical non-MBL-active β-lactams for median duration 4 days while 29 received MBL-active β-lactams. The 14-day mortality rate was 21% in the non-MBL-active group vs 14% in the MBL-active group (P = 0.73) and survival patterns were not significantly different (Fig. 1). Cox regression showed that use of non-MBL-active therapy was not associated with significantly increased 14-day mortality (hazard ratio = 1.45; P = 0.57). MEM treatment resulted in protection from mortality in mice (Fig. 2). MEM MICs in zinc-adjusted MHB were 1- to > 16-fold lowered relative to MICs in MHB ( ≥ 64 mg/L). Conclusion Our data provide foundational support to help establish PK/PD relationships using MICs derived in physiologic zinc levels which may better predict β-lactam therapy outcome. Disclosures Kamilia Abdelraouf, PhD, Evopoint Biosciences Co., Ltd: Grant/Research Support|Venatorx Pharmaceuticals, Inc.: Grant/Research Support Christian M. Gill, PharmD, Everest Medicines, Shionogi, Cepheid: Grant/Research Support Matthew Gethers, PhD, Thermo Fisher: Employee Marco Falcone, MD, PhD, GILEAD: Grant/Research Support|GSK: Honoraria|MENARINI: Advisor/Consultant|MENARINI: Grant/Research Support|MSD: Honoraria|PFIZER: Honoraria|SHIONOGI: Grant/Research Support Francesco Menichetti, n/a, Aneglini: Advisor/Consultant|Aneglini: Board Member|Aneglini: Grant/Research Support|Aneglini: Honoraria|Astellas: Advisor/Consultant|Astellas: Honoraria|Becton: Advisor/Consultant|Becton: Honoraria|bioMérieux: Advisor/Consultant|bioMérieux: Honoraria|Biotest: Advisor/Consultant|Biotest: Board Member|Biotest: Honoraria|Bristol-Myers Squibb: Advisor/Consultant|Bristol-Myers Squibb: Honoraria|Correvio: Advisor/Consultant|Correvio: Speaker honoraria|Dickinson: Advisor/Consultant|Dickinson: Honoraria|Gilead: Advisor/Consultant|Gilead: Grant/Research Support|Janssen: Advisor/Consultant|Janssen: Honoraria|MSD: Advisor/Consultant|MSD: Speaker honoraria|Nordic pharma: Board Member|Nordic pharma: Honoraria|Pfizer: Advisor/Consultant|Pfizer: Honoraria|Shionogi: Advisor/Consultant|Shionogi: Honoraria|ViiV: Advisor/Consultant|ViiV: Honoraria David P. Nicolau, PharmD, Shionogi: Grant/Research Support.

Numerical Simulation of Anchorage Force and Deformation of Pile in Deep Mixed Soil Foundation Pit

Foundation pit support plays a pivotal role in the process of urbanization in our country. The emergence of new support forms has dramatically enriched the diversity of foundation pit support. The pile-anchor support structure is a new type of support structure that has emerged with the development of foundation pit engineering in recent years. However, the current theoretical research on the foundation pit pile-anchor support system often cannot meet the improvement of the on-site construction technology level, and many calculation models based on assumptions cannot truly reflect the relationship between the foundation pit support structure and the soil layer, and the piles The stress and deformation characteristics of the anchor support system itself[1]. With the rapid economic development and the continuous expansion of the urban construction scale, the foundation pit problem caused by high-rise buildings and underground traffic has become a hot issue in civil engineering. Foundation pit accidents often occur due to design errors. 3D numerical simulation can better simulate the whole process of foundation pit excavation and support, and provide displacement and internal force prediction data for actual construction, thereby effectively preventing foundation pit accidents. Midas finite element software performs numerical simulation analysis of deep foundation pit support. Through further analysis of vertical deformation and horizontal displacement, the deformation value of the supporting structure is extracted and compared with the measured deformation value to guide the deformation control design and engineering monitor.

Current Situation and Construction of Recycling System in China for Post-Consumer Textile Waste

Waste recycling is an effective way to improve waste management, which is closely related to the support of social and economic foundations. With the development of a circular economy, green consumption is imperative. Most of the environmental protection brand enterprises are now almost limited to the environmental protection of clothing raw materials. However, there are still many problems in the overall industrial chain of the clothing industry, such as the pollution in the processes of processing, transportation and laundry, and the waste of resources caused by a large amount of textile waste after consumption. Starting from the theme of environmental protection and sustainable development of the clothing industry, this paper discusses the necessity of building a recycling system for post-consumer textile waste. Through the investigation of the recycling and reuse of domestic post-consumer textile waste, the existing problems are analyzed, such as the recycling supervision mechanism’s imperfections, the trust crisis and a lack of recycling channels. Combined with the successful cases abroad, some solutions and suggestions are put forward for the regeneration and reuse of post-consumer textile waste, and a preliminary conception of the charitable market system is made.

Biocontrol and plant growth promotion by combined Bacillus spp. inoculation affecting pathogen and AMF communities in the wheat rhizosphere at low salt stress conditions.

Applying plant growth-promoting rhizobacteria (PGPR) improves the efficiency of soil-borne disease control and is considered a sustainable practice. However, the effect of PGPR on the fungal community, especially pathogenic fungi and arbuscular mycorrhizal fungi (AMF), remains unclear. In this study, we examined the effects of a compound microbial agent (consisting of Bacillus subtilis HG-15 and Bacillus velezensis JC-K3) on the incidence and yield of wheat under low salt stress, as well as compared the diversity and community composition of the rhizosphere fungal and AMF communities of wheat in the CK (not inoculated bacterial agent) and BIO (inoculated with a bacterial agent) groups. Chlorophyll relative content (SPAD), net photosynthesis rate (Pn), transpiration rate (Tr), leaf water use efficiency (WUE L), grains per spike and wheat yield in the BIO group increased more than in the CK group. The number of diseased plants and disease incidence was observed to be reduced. The relative efficacy reached 79.80%. We classified 1007 fungal operational taxonomic units (OTU) based on Miseq sequencing data: 11 phyla, 173 families, 319 genera, and 521 species. Fifty-four OTUs were classified from the AMF effective sequences, including 1 phylum, 3 families, 3 genera, and 17 species. The inoculation of bacterial agents reduced the relative abundance of pathogen genera such as Gibberella, Fusarium, Cladosporium, and Alternaria in wheat rhizosphere. It increased the relative abundance of AMF species such as Glomus-group-B-Glomus-lamellosu-VTX00193, Glomus-viscosum-VTX00063, and Glomus-Glo2-VTX00280. In addition, pH, EC, exchangeable K, available N, total N, organic matter, and olsen P were the main driving forces for shaping wheat rhizosphere fungi. The pH value was positively correlated with the relative abundance of fungal communities in soil, especially Gibberella, Cladosporium, Fusarium, and Alternaria. In summary, inoculation with Bacillus subtilis HG-15 and Bacillus velezensis JC-K3 affected wheat yield, incidence, rhizosphere soil chemical properties, rhizosphere fungi, and AMF fungal diversity and community. The findings may provide a theoretical foundation and strain support for constructing efficient PGPR-community and clarifying its mechanism of pathogenic bacteria inhibition.

Chiral Lewis Acid-Catalyzed Norrish Type II Cyclization to Synthesize α-Oxazolidinones via Enantioselective Protonation

Chiral Lewis Acid-Catalyzed Norrish Type II Cyclization to Synthesize α-Oxazolidinones via Enantioselective Protonation

Optical System Design Method of Near-Earth Short-Wave Infrared Star Sensor

In order to meet the urgent needs of short-wave infrared (SWIR) star sensors in near-ground navigation applications, starting from the detection capability and detection accuracy, a design method for the optical system of near-earth space star sensor is proposed, including the selection method of optical parameters and the determination method of structure parameters. Based on the presented method, the index requirements are given, and an <inline-formula xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink"> <tex-math notation="LaTeX">${H}$ </tex-math></inline-formula> -band catadioptric star sensor optical system with a focal length of 1174 mm, an aperture of 200 mm, and an entire field of view (FOV) of 0.8° is designed. The relative distortion is lower than 0.02%, the chromatic aberration is less than 0.1 pixels, over 90% of the star point energy is distributed in <inline-formula xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink"> <tex-math notation="LaTeX">$3\times $ </tex-math></inline-formula> 3 pixels, the ambient temperature adaptability is acceptable, the expected consequence is achieved, and the feasibility of the method is proven. Furthermore, the stray light elimination system is designed to avoid the influence of direct sunlight on stellar imaging, and an integrated navigation system (INS) is designed to reduce the interference of solid sky background on stellar detection. The derived information of sky background radiation, degree of polarization, and angle of polarization is used to improve navigation reliability. This article can provide a theoretical foundation and technical support for the engineering application of star sensors in tanks, ships, aircraft, and missiles.

Application of Microstructural Studies in the Development of Complicated Fault-block

The geological conditions of the Liaohe oilfield are complex and the fracture system is developed. It is particularly important to study the tectonic characteristics of development blocks in the process of oil and gas resources and geothermal resources development. How to effectively identify microstructures becomes the key to capacity building and rolling stock increase during the development of old areas. By carrying out microstructural research, the research idea of microstructural description for complex fault blocks is proposed, and the fracture system is finely carved through different fault distance faults with hierarchical and methodological interpretation, and the velocity field establishment method is preferably selected, combined with the inclination guide body to finely carve the micro-amplitude tectonic morphology, which can effectively carve microstructures and provide reliable geological foundation support for the development of oil and gas resources and geothermal resources in complicated fault-blocks.

Stability analysis of the turbine rotor system with foundation support under impact excitation

Considering the stability changes of the whole steam turbine system with and without shock excitation, based on the combined methods of modeling simulation, multi-point analysis and multi-feature map analysis, the support structure of the whole steam turbine rotor under the action of unbalance and shock excitation is analyzed. Stability changes were analyzed. By analyzing the time-domain waveform, frequency spectrum and axis locus of the model casing, the typical support points of the high-pressure rotor section and the low-pressure rotor section under the sudden shock excitation and unbalanced force, the time-domain waveform, frequency spectrum and axis locus of the axis can be grasped. The influence on the structural stability and vibration characteristics of the steam turbine can provide a reference for the shock resistance design of the whole steam turbine system.

Perspectives about COVID-19 vaccine boosters among the U.S. paralysis community.

We sought to explore perspectives of the paralysis community about COVID-19 vaccine boosters. Data were collected through an online survey with multiple choice and open-ended questions from adult persons with paralysis (PWP), persons with other disabilities, and other members of the paralysis community (Christopher & Dana Reeve Foundation Supporters, FS). PWP and persons with other disabilities were grouped into one group (persons with disabilities, PWD) for most analyses. Multiple choice questions were analyzed using descriptive statistics and chi-square analyses were conducted to compare the PWD and FS groups; open-ended responses were coded using Hamilton's rapid assessment process. A total of 774 participants (740 PWD and 304 FS) responded to the survey. PWD were less likely to agree that they felt well-informed about boosters, that the boosters were safe, and that their state and federal governments provide transparent information about boosters. Of those who had not received a booster, PWP were less likely than the rest of the sample to plan to receive one. Both groups expressed similar concerns about the boosters, but distrust was a more common concern for PWD than for FS. Both groups expressed concerns about side effects and the boosters affecting a health condition, but PWP expressed concerns unique to paralysis and neurological difficulties. Although PWD shared concerns with the FS group, distrust is a larger issue and concerns unique to PWD that must be considered in public health efforts to ensure that the paralysis community is treated equitably. (PsycInfo Database Record (c) 2022 APA, all rights reserved).