South Side Research Articles

Architectural Terms in the Epigraphs of the Panchalingeshwar Temple at Huli

The Panchalingesvara temple at Huli (Saundatti Taluk, Belgaum District, Karnataka ) is a temple of Dravida form with an unusual plan . It has a long rectangular garbhagriha, with its longer axis running north-south, which opens into a similar common gudhamandapa through three doorways. This garbhagriha is long enough to carry three superstructures in a line (PI. 1). There are two additional garbhagrihas connected to and flanking the gudhamandapa on the north and the south sides. These also carry a superstructure each. The gudhamandapa opens into a large open pillared agramandapa on the east. The temple now enshrines five lingas, three in a row in the principal garbhagriha and one each in the remaining two. Hence its current name Panchalingesvara. But in the inscription on one of its garbhagriha doorframes the temple is called Manikyatirtha (i.e., Manikyatirtha Basadi) and there are clear enough other indications (such as the seated jina figures under trichhatra on the lalatabimbas) to the effect that it was a Jaina temple originally. Going by the dated inscription on one of the doorframes (1220 A.D., see Inscription No. 4 below) and other features, the temple should be ascribed to the beginning of the thirteenth century A.D. One of the problems faced in the study of the medieval temples of Karnataka is that of appropriate terminology for different temple forms and components. It is now clear that architects of Karnataka, during the period of the Chalukyas of Kalyana, the Hoysalas and the Yadavas of Devagiri, had deviated considerably from the norms prescribed in the manuals of the "Southern" architectural tradition. They had acquaintance with the northern "Nagara" temple forms like Latina, Bhumija, Sekhari etc. This is confirmed not only by inscriptions, which refer to northern forms, and temple models found on contemporary temples (e.g., Kasivisvesvara temple, Lakkundi, Gadag Dist.) but also by actual temple specimens available in such places as Umapur (Bidar Dist.), Sirur (Bagalkot Dist., Siddhesvara Temple), Hataragi (Belgaum Dist., Sikharesvara Temple), Amaragol (Dharvad Dist., Banashankari Temple), Hanagal (Haveri Dist.Ganesha Temple), Belur (Hassan Dist., Channakesava temple,), Nuggehalli (Hassan Dist., Sadasiva temple) and Turuvekere (Mulesankara temple) etc. Hence for understanding the Karnataka temples of the medieval period, possible utility of surviving northern architectural manuals, like the marangana - sutradhara cannot be overlooked.

“Too weak to fight, too scared to scream”: Understanding experiences of sexual coercion of Black female adolescents through digital storytelling

Black female adolescents are less frequently viewed as victims of violence or as agents of resistance. This study analyzed the experiences of sexual coercion of Black female adolescents on the South Side of Chicago through narrative scripts used to create digital stories. Using Sexual Script Theory and applying an intersectional lens, we analyzed a collection of 46 narrative transcripts from Black female youth, living on the South Side of Chicago, five of which specifically focused on the theme of sexual coercion. Under the broader theme of sexual coercion, the following subthemes were identified: (1) broken expectations of romance, (2) sex as a means of seeking attention from a male partner, (3) sex as a means of maintaining a partner, and (4) rape. By better understanding the social context of relationships for Black adolescent girls in heterosexual relationships, we may be able to better design sexual and reproductive health interventions for young women of color.

Abstract 17255: Local Gunfire Exposure is Associated With Acutely Increased Blood Pressure on the South Side of Chicago

Hypertension is a leading risk factor for cardiovascular disease, which is especially prevalent among minority urban patients. Our group and others have previously shown that socio-environmental factors such as crime and poverty raise cardiovascular risk. However, the acute effects of local urban gunfire on patients’ blood pressure are unknown. We hypothesized that local gunfire in our South Side Chicago community was temporally associated with an acute rise in blood pressure for nearby patients. We performed a retrospective cohort study including 7,564 patients aged 18-104 who completed two or more outpatient clinic visits within 1 year at our academic tertiary-care center on the South Side of Chicago. We included 41,554 pre-pandemic clinic visits and recorded the blood pressure for each visit. Local gunfire was measured using ShotSpotter®, a network of microphones installed throughout the South Side of Chicago, which locates gunshots using auditory triangulation. Datasets of gunfire incidents are publically available from ShotSpotter® including date/time and geolocation of incidents. We focused on incidents that occurred within 1 km of each patient’s address and between two clinic visit dates (33 days, on average). Our primary outcome was the change in systolic blood pressure between the two clinic appointments. We excluded patients whose antihypertensive regimen was changed at the first appointment. Next, we utilized a multivariate regression model to assess the relationship between incidents of gunfire and seasonally-adjusted changes in blood pressure. Between-visit gunshot exposure ranged from 1 to 1,793 per patient. We found that each incident of gunfire was associated with a statistically significant acute increase in systolic blood pressure (0.0033 mmHg increase per gunfire incident [0.0022, 0.0044], p<0.0001). Results were similar regardless of whether total round count or total gunfire incidents were considered. In this study of urban patients, incidence of gunfire within 1 km of a patient’s address was associated with an acute rise in blood pressure over approximately 1 month. These findings implicate the adverse impact of local gunfire exposure and environmental stress on blood pressure in adults on the South Side of Chicago.

The spatial layout of community-based elderly care facilities in Lanzhou Chengguan district based on smart city construction

With the accelerated process of an aging society, the number of elderly people has increased dramatically, and community-based elderly care service has become a hot topic in recent years. Lanzhou City is a typical city suffering severe aging problems in the northwest region of China. This article takes Chengguan district in Lanzhou City as an example, focuses on community-based elderly care facilities, uses the network analysis method of public facility service areas via GIS software to analyze and evaluate the accessibility of three types of facility sitting, and proposes rational suggestions for the spatial configuration. The results show that the "Integrated Service Center for the Elderly" facilities are mainly concentrated in the downtown and the densely populated residential areas with a north-sparse and south-dense distribution pattern. The "Happy Kitchen" facilities are located mainly on the west side of the downtown, filled with many unit communities and thorough public infrastructure providing corresponding hardware support. The "Health Medical and Care Station" facilities are located on Qingbaishi Street in the northeast of the city, mainly relying on the newly built community health center. The uncovered areas mainly exist in the north and south sides of Chengguan district, because these areas are mountainous regions with fewer residential areas. This article suggests constructing elderly care facilities considering different facility functions and the needs of the elderly, carrying out the hierarchical layout of elderly care facilities according to the coverage range of accessibility, and building new elderly care facilities based on old sites and facilities.

Study on the settlements composition of Tana Toraja and Mamasa Toraja in Sulawesi, Indonesia

ABSTRACT This study aims to clarify the characteristics of settlement composition and house layout in Mamasa Toraja and Tana Toraja, Indonesia, focusing on spatial differences. The study reviewed relevant literature, selected settlements for the survey, and prepared settlement layout maps based on satellite imagery. Field surveys were conducted in 2022 to revise the settlement layout maps, record house plans, and interview local residents. The study found that despite having the same cultural roots, Tana Toraja and Mamasa Toraja have different settlement configurations and house layouts. The Tana Toraja settlements have a straight composition with warehouses on the north side and houses on the south side, flanked by a street-like plaza. In contrast, the composition of Mamasa Toraja settlements in the mountainous area is curvilinear, following the natural topography. Although social restrictions based on the caste system have long since been abolished, the layout of houses in the Toraja settlement, especially in Mamasa, still shows a social structure from when the caste system existed. This study provides insights into the unique spatial forms and cultural practices of the traditional villages in Mamasa Toraja and Tana Toraja, highlighting the importance of preserving their cultural heritage.

Numerical analysis for supporting and deformation of complex foundation pit groups in unstable areas of karst strata

Due to the extensive karst development zone in karst areas, the stability of the underground soil layer is poor. The support of foundation pits in this area will be affected by complex environmental factors, and if not handled properly, it will cause significant safety hazards and economic losses. In this paper, the three-dimensional finite element model of the complex foundation pit and adjacent foundation pit group was established with the help of Midas GTS NX numerical software, and numerical simulation was carried out for the whole foundation pit excavation and construction process, and the deformation results of the adjacent foundation pit support structure of the complex foundation pit group and the soil outside the foundation pit were obtained. The results show that the underground wall of the complex foundation pit shifted to the north under the action of buttresses, with a similar “cantilever” displacement pattern on the south side of the underground wall in the center, a “push-back displacement” on the north side of the underground wall in the center, and a “ventral” displacement pattern at the corners of the grounded wall and on the east and west sides. Combined with the field measurement data, the support piles in the internal support system have a “cantilever” displacement pattern under the condition of massive soil unloading in the vicinity of the foundation pit, while the supporting piles show a “parabolic” displacement pattern under the action of the corner internal support. The deformation characteristics of the foundation pit in the presence of adjacent pits are significantly different from the results based on empirical laws. The results of the above study will provide useful technical guidance for the safety of excavation support for foundation pit groups in complex environments and the reasonable control of the surrounding environment.

Numerical Simulations of Internal Tide Dynamics in a Steep Submarine Canyon

Abstract This study investigates three-dimensional semidiurnal internal tide (IT) energetics in the vicinity of La Jolla Canyon, a steep shelf submarine canyon off the Southern California coast, with the Stanford Unstructured Nonhydrostatic Terrain-Following Adaptive Navier–Stokes Simulator (SUNTANS) numerical simulator. Numerical simulations show vertical structure and temporal phasing consistent with detailed field observations. ITs induce large (approximately 34 m from peak to peak) isotherm displacements and net onshore IT energy flux up to 200 W m−1. Although the net IT energy flux is onshore, the steep supercritical slope around the canyon results in strong reflection. The model provides the full life span of internal tides around the canyon, including internal tide generation, propagation, and dissipation. ITs propagate into the canyon from the south and are reflected back toward offshore from the canyon’s north side. In the inner part of the canyon, elevated mixing occurs in the middle layer due to an interaction between incident mode-1 ITs and reflected higher-mode ITs. The magnitude of IT flux, generation, and dissipation on the south side of the canyon are higher than those on the north side. An interference pattern in horizontal kinetic energy and available potential energy with a scale of approximately 20–50 km arises due to low-mode wave reflections. Our results provide new insight into IT dynamics associated with a small-scale canyon topography. Significance Statement Internal waves play an important role in ocean circulations and ecosystems. In particular, internal waves with frequencies of tides, known as internal tides, strongly enhance energy, heat, and mass transport in coastal oceans. This study presents internal tide dynamics in La Jolla Canyon, California, using a high-resolution numerical model. Model results show energy convergence in the canyon leading to internal tide energy dissipation and mixing. Some parts of internal tide energy reflect back offshore resulting in standing internal waves off California. This study provides new insights into internal tide dynamics and energy budgets in submarine canyons.

Distribution characteristics and influencing factors of soil organic carbon in tidal flat wetland of central Jiangsu, China.

We measured winter and summer soil organic carbon (SOC) contents in two typical coastal wetlands, the Spartina alterniflora salt marsh and the non-vegetation mudflat, on the south side of the Chuandong River Estuary in Yancheng, Jiangsu Province. We investigated the spatiotemporal variations of soil organic carbon contents and its driving factors. The results showed that SOC content ranged from 0.75 to 2.38 g·kg-1 in the mudflat area and from 2.07 to 18.59 g·kg-1 in the S. alterniflora salt marsh area, showing a decreasing trend towards the sea. The SOC content in the S. alterniflora salt marsh area was approximately 2.5 to 3.5 times of that in the mudflat area. Within a depth range of 1 m, there was no vertical variation in SOC content in the mudflat area, but an increasing and then decreasing pattern in the S. alterniflora marsh area with the peak occurring in the depth range of 20 to 30 cm. Soil organic carbon content exhibited significant seasonal difference, with higher value in summer than in winter. The summer SOC content was 5% to 10% higher than that in winter in the S. alterniflora marsh area, while it was 43% higher in summer than in winter in the mudflat area. In the S. alterniflora marsh area, soil organic carbon content was positively correlated with soil moisture and salinity, but negatively correlated with sediment particle size. In contrast, there was no significant correlation between soil organic carbon content and soil physicochemi-cal factors in the mudflat area. Those results indicated that the correlation between various soil physicochemical factors and SOC is established on the basis of vegetation cover in coastal wetlands. Our findings could provide valuable insights for the conservation of blue carbon ecosystems in coastal wetlands in China.

Out-of-plane arrivals recorded by drifting hydrophones during the Northern Ocean Rapid Surface Evolution Experiment.

This paper reports on an observation of three-dimensional (3D) arrivals for which the change in the direction of horizontally refracted sound is nearly 180°. The experimental site is Jan Mayen Channel (JMCh), which connects the Greenland and Norwegian Seas. During the experiment, signals from a moored source transmitting a 500-1500 Hz sweep every 4 h were recorded by three surface drifters equipped with hydrophone arrays. Over a 3-day period, the drifters moved north across JMCh toward the moored source. In each recording, an in-plane arrival is identified. In a subset of these recordings, a second arrival is observed, having travel time consistent with propagation from the moored source, turning at the ridge on the south side of the channel, and arriving at the drifters. In a smaller subset of recordings, a third arrival is also observed having travel time consistent with a turning point on the face of the bathymetric rise on the west end of the channel that forms the Jan Mayen volcano. A 3D ray trace is employed to show the change in direction results from repeated reflections from the seafloor such that it is classified as horizontal refraction and not a single-bounce reflection.

ANALISIS PAPARAN RADIASI SKYSHINE DINDING RUANGAN ANGIOGRAFI/CATHLAB RUMAH SAKIT MITRA KELUARGA KEMAYORAN BERSUDUT GANTRY 0 DERAJAT

Based on NCRP (2005), skyshine radiation generally occurs in radiotherapy facilities, the cause of which is that some radiation facilities are designed with minimal shielding on the linear accelerator (Linac) ceiling. As time goes by, Skyshine radiation monitoring is not only focused on radiotherapy facilities, but radiodiagnostic facilities also need to be monitored, especially interventional radiology, which uses real-time X-ray radiation at certain times. Regarding this matter, it is necessary to check whether the walls of the existing angiography room or cath lab are protected from skyshine radiation. This study aims to determine whether the Angiography/Cathlab room at Mitra Keluarga Kemayoran Hospital does not produce skyshine radiation. The method for measuring skyshine radiation exposure uses a survey meter at a distance of 30 cm and 2 meters 3 times from the outer wall of the Angiography/Cathlab room on the north, south, and west sides of the gantry; then the gantry is positioned at 0 degree. The research results show that radiation exposure is 0.14 µSv/hour at a distance of 30 cm. Skyshine radiation was detected at a distance of 2 meters with an exposure value of 0.32 µSv/hour on the west side of the gantry and 0.39 µSv/hour on the north side of the gantry, this occurred due to the radiation barrier wall (Pb ) not complete until the ceiling is only 2 meters high from the floor. The conclusion is that the walls of the Angiography/Cathlab room at Mitra Keluarga Kemayoran Hospital have exposure to skyshine radiation at a distance of 2 meters measured from the outer walls of the Angiography/Cathlab room on the west and north sides of the gantry of 0.32 µSv/hour and 0.39 µSv/hour. Keywords: angiography/cath lab, radiation, X-ray, skyshine, interventional radiology.

Changes of tectonic regime of the East China Sea Shelf Basin since Mesozoic: Insights from the Tiantai slope belt, East China Sea

Because of its unique tectonic location, the East China Sea shelf basin is an ideal laboratory for studying the transition of the East Asian continent from the Paleo-Tethys tectonic domain to the Pacific tectonic domain. The Tiantai slope belt within the East China Sea shelf basin contains geological information regarding the Mesozoic tectonic system transformation of the basin. Therefore, understanding the structural characteristics and evolution process of the Tiantai slope belt is extremely important. The structural characteristics of the Tiantai slope belt are clarified through the interpretation of seismic data, and its structural model is established. The transition of the East China Sea shelf basin from the Paleo-Tethys tectonic domain to the Pacific tectonic domain is determined. The NWW-trending faults formed in the Jurassic were detachment fault systems. The stress direction shifted during the Early Cretaceous, forming an NE-trending structural feature. The difference in extensional strength between the north and south sides of the Tiantai slope belt allows the NWW-trending basement faults to slip as accommodation faults, regulating deformation and inducing shallow arcuate faults in their hanging wall. The tectonic evolution of the Tiantai slope belt indicates that the East China Sea shelf basin completed the transition from the Paleo-Tethys Ocean tectonic domain to the Pacific tectonic domain in the Early Cretaceous, and the East China Sea shelf basin has entered the back-arc rifting stage of the Pacific tectonic domain after the Jurassic continental marginal depression.

CommunityRx, a social care assistance intervention for family and friend caregivers delivered at the point of care: two concurrent blinded randomized controlled trials

BackgroundCommunityRx is an evidence-based social care intervention delivered to family and friend caregivers (“caregivers”) at the point of healthcare to address health-related social risks (HRSRs). Two CommunityRx randomized controlled trials (RCTs) are being fielded concurrently on Chicago’s South Side, a predominantly African American/Black community. CommunityRx-Hunger is a double-blind RCT enrolling caregivers of hospitalized children. CommunityRx-Dementia is a single-blind RCT enrolling caregivers of community-residing people with dementia. RCTs with caregivers face recruitment barriers, including caregiver burden and lack of systematic strategies to identify caregivers in clinical settings. COVID-19 pandemic-related visitor restrictions exacerbated these barriers and prompted the need for iteration of the protocols from in-person to remote operations. This study describes these protocols and methods used for successful iteration to overcome barriers.Methods and findingsCommunityRx uses individual-level data to generate personalized, local community resource referrals for basic, health and caregiving needs. In early 2020, two in-person RCT protocols were pre-tested. In March 2020, when pandemic conditions prohibited face-to-face clinical enrollment, both protocols were iterated to efficient, caregiver-centered remote operations. Iterations were enabled in part by the Automated Randomized Controlled Trial Information-Communication System (ARCTICS), a trial management system innovation engineered to integrate the data collection database (REDCap) with community resource referral (NowPow) and SMS texting (Mosio) platforms. Enabled by engaged Community Advisory Boards and ARCTICS, both RCTs quickly adapted to remote operations. To accommodate these adaptations, launch was delayed until November (CommunityRx-Hunger) and December (CommunityRx-Dementia) 2020. Despite the delay, 65% of all planned participants (CommunityRx-Hunger n = 417/640; CommunityRx-Dementia n = 222/344) were enrolled by December 2021, halfway through our projected enrollment timeline. Both trials enrolled 13% more participants in the first 12 months than originally projected for in-person enrollment.DiscussionOur asset-based, community-engaged approach combined with widely accessible institutional and commercial information technologies facilitated rapid migration of in-person trials to remote operations. Remote or hybrid RCT designs for social care interventions may be a viable, scalable alternative to in-person recruitment and intervention delivery protocols, particularly for caregivers and other groups that are under-represented in traditional health services research.Trial registrationClinicalTrials.gov: CommunityRx-Hunger (NCT04171999, 11/21/2019); CommunityRx for Caregivers (NCT04146545, 10/31/2019).

Analisis Pengaruh Pertumbuhan, Aglomerasi, PAD dan Investasi Terhadap Ketimpangan Pendapatan Antar Wilayah Pada Kabupaten/Kota di Yogyakarta Tahun 2011-2022

Income inequality between regions occurs because there are differences in the development process and differences in policies for each region. Income inequality between regions occurs in Yogyakarta, which is the province with the highest poverty rate in Java. One of the causes of poverty in Yogyakarta is inequality in the north and south sides. Development on the north side is progressing massively while development on the south side is relatively lagging behind. The purpose of this research is to analyze the effect and elasticity of per capita growth, agglomeration, local own-source revenue, and investment on income inequality between regions. This research is a quantitative research using secondary data. The data used in this research are inequality based on the Bonet index, GRDP (Gross Regional Domestic Product) per capita, agglomeration, local own-source revenue, and investment from 5 regencies/cities in Yogyakarta from 2011 to 2022. The data were obtained from BPS (Badan Pusat Statistik) Yogyakarta publications and DJPK (Direktorat Jenderal Perimbangan Keuangan) publications. Data were analyzed using panel data analysis with the fixed effect model. The results showed that per capita growth has a positive and significant effect on income inequality between regions, agglomeration has a positive and significant effect on income inequality between regions, local own-source revenue has a negative and significant effect on income inequality between regions, and investment has a negative and significant effect on income inequality between regions. Based on this research, it is hoped that local governments can increase economic growth and make investment equitable, especially in the southern region by considering the potential of the area they have.

Use of Photogrammetry and Terrestrial Laser Scanning to Measure Superficial Weathering Damage on the Façade of Hanfelden Castle, Austria

Hanfelden Castle is one of the few Renaissance castles in Austria, which were subsequently hardly redesigned and changed since the tower building from the 14th century, and the extension in the 16th century to the today's appearance. This includes the façade with plaster layers from the 16th to the 18th century on the south and west side. Under these conditions, the concept for future scientific research of the object should essentially cover two needs: On the one hand, a collection of 3D basic data as complete as possible should be created for further work with the help of geospatial-technological methods, and on the other hand, methodological-technical expertise should also be built up (no substantial investigations have been undertaken in this direction). Additionally, and with regard to the determination of mostly conservation measures- the façade should be preserved - it has been important to check the façade made of plaster, natural stone or brick for the extent of superficial damage - such as weathering, flaking, bulging or bending. Therefore, non-contact 3D measuring systems are compared and applied as an alternative to visual inspection using standard cherry pickers or scaffolding. These so-called geospatial technologies applied in this study include methodological aspects of terrestrial photogrammetry, UAV assisted photogrammetry, and terrestrial laser scanning (TLS). This study used historical data/recordings and photogrammetric results from 1986 as well as newer techniques from the structure from motion (SfM) method (2019, 2022) and terrestrial laser scanning (2019, 2022). The different data recording methods and different result data in a multi-temporal and multi-sensoral approach, comparable for the changes to the facade, were a challenge for the study. Despite the different methodological approaches of the technologies used, the overarching goals of the study were, on the one hand, to detect and map the damage to the facade that has become increasingly apparent over the years. On the other hand, it has been shown that the applied 3D methods used (individually or in combination) represent a time-saving and cost-effective alternative to visual examinations using lifting platforms. The data sets obtained in the campaigns described should be homogenized and summarized in the sense of a historical BIM and serve as a basis for further work on the object. The focus was on multi- and interdisciplinarity as well as on taking into account the needs of science to science and science to public dissemination.

THU333 Race Was Not A Predictor Of Poor Outcomes From COVID-19 At University Of Chicago Medicine Hospital

Abstract Disclosure: A. Rashied: None. J. Cursio: None. E.C. Hanlon: None. S. Pannain: None. University of Chicago Medicine (UCM) is a large, 800 bed, urban hospital located on the south side of Chicago that cares for a substantial number of African-American (AA) patients. The COVID-19 pandemic has impacted health drastically, especially for minorities (including AAs) and those with comorbid conditions. We examined COVID outcomes in our UCM patient population, including patterns by race, other demographic information (age, sex), and comorbidities, and the relationship with deaths, intensive care unit (ICU), and mechanical ventilator use. From the period March 2020 to February 2021, 61.6% (11,071/17,945) patients tested for COVID-19 at UCM were positive, and 52.8% (5,850/11,071) of these were hospitalized for further care. Of these hospitalized patients 3,171 were AA and 2,679 were all other races. AA had a higher percentage of patients who were female (62% vs 54%, p<0.0001), were older (49 vs 43 years, p<0.0001), had longer hospital stays (13.5 vs 13.0 days, p<0.0001), were admitted to the ICU (9% vs 4%, p<0.0001), and died (5% vs 2%, p<0.0001) compared to non-AA patients. In addition, the rates of comorbid conditions were higher for AAs compared to non-AAs for hypertension (52% vs 32%, p<0.0001), heart disease (15% vs 9%, p<0.0001), diabetes (36% vs 22%, p<0.0001), kidney disease (21% vs 8%, p<0.0001), and obesity (53% vs 40%, p<0.0001). To explore the relationship of race and death among patients hospitalized with COVID-19, a predictive model for death was estimated including age, race, gender, hospital stay in days, ICU length of stay, and indicators for obesity, heart disease, kidney disease, hypertension, and diabetes. The model shows that AA adults have a higher odds ratio (OR=1.08, p=0.71) for death than non-AA adults, however the p-value was insignificant. Instead, significant predictors of death included age (OR=1.058, p<0.0001) and kidney disease (OR=2.108, p=0.0002). Neither diabetes nor obesity were significant predictors of death in our cohort. Race was also not a predictor of mechanical ventilation or ICU status. However, obesity, diabetes and kidney disease were all significant predictors of requiring ventilation (all p<0.05). Moreover, age (OR=1.013, p=0.001), female gender (OR=0.687, p=0.002), kidney disease (OR=2.431, p<0.0001), and diabetes (OR=2.224, p<0.0001) were significant predictors of ICU admission. The model for death, ventilator, and ICU status for patients with COVID-19 at UCM show increased risks for AA versus non-AAs, however the odds ratios were insignificant. Instead, comorbidities like kidney disease were a significant predicator of death, as were obesity and diabetes for COVID-19 related ventilation and ICU admission. Thus, in our patient population that includes a significant number of AA adults, race was not a predictor of poor COVID-19 outcomes, but kidney disease, obesity, and diabetes were – irrespective of race. Presentation: Thursday, June 15, 2023

A descriptive survey of specialty pharmacy team members' perceptions of interactions with field representatives from pharmaceutical companies.

BACKGROUND: It is not well understood in literature what the time spent between health care professionals, including pharmacists and pharmacy technicians, and pharmaceutical field specialists equates to in terms of changes in productivity or lost time, the educational value provided, or the nature of the resources provided in terms of improving patient care. OBJECTIVE: To evaluate the volume of, and time spent in, pharmaceutical field representative (PFR) meetings by members of an integrated specialty pharmacy team at a large academic medical center. METHODS: A 16-item survey tool used skip and branching logic comprising binary, multiple-choice, multiple-select, and open-ended items was distributed to pharmacists and pharmacy technicians at a health-system specialty pharmacy on the south side of Chicago, Illinois. The survey assessed locations of interactions with PFR, who initiated the request, reason for interaction, time spent, whether the participant felt the interaction provided value, and whether it contributed to them working a longer shift or compromising time spent on patient care that day. RESULTS: There were a total of 108 responses. Of those, 44 responses documented having an interaction with a PFR, and the remaining responses indicated no interaction that week. Only 5 (11.4%) of the interactions were pharmacy team member initiated. Among the pharmacy team member-initiated meetings, all respondents stated that the interaction had provided value, and none reported that it led to a longer workday. Conversely, of the 36 pharmaceutical representative-initiated interactions, 15 (41.6%) found value and 5 (13.8%) said that their workday was elongated because of these interactions. CONCLUSIONS: Our findings demonstrate that the majority of encounters taking place between our specialty pharmacy team members and PFRs did not result in knowledge gained or provision of tools and resources to support our patients. The next steps include 3 specific proposed changes to how our team responds to meeting requests from PFRs, specifically aimed at reducing pipeline presentations, reducing meetings pertaining to limited distribution drugs not accessible to the specialty pharmacy, and reducing meetings with the intent of introduction or pass off of contacts between PFRs.

Cross-Generational Storytelling

Sarah Choi interviews Sasha Su-Ling Welland, chair and professor of Gender, Women, and Sexuality studies at University of Washington, Seattle, and Sabrina Craig, director of Community Engagement for South Side Home Movie Project in Chicago, to discuss their engagement in cross-generational storytelling. Acknowledging the vital role women’s shared memories have played in preserving historical knowledge, Welland and Craig make a connection between their pedagogical, ethnographic, and counterarchival practices, which situate cross-generational conversations at the heart of feminist historiography.

Effects of surface heating on precipitation over the Tibetan Plateau and its eastern margin

The high terrain of the Tibetan Plateau (TP) has a very important impact on the weather and climate of China, East Asia, South Asia, and even the Northern Hemisphere. However, in recent years, the reasons for the decrease in precipitation in the southeastern edge of the plateau have resulted in cutting-edge research regarding the impact of the TP and its surrounding areas on downstream weather and climate. In this study, the spatial and temporal distribution of surface heat flux and precipitation were analyzed from 1998 to 2022, and the possible mechanism of the decrease of precipitation in the eastern edge of the plateau is explored. The main conclusions are as follows: The annual average sensible heat flux in the TP and its east side is positive, with an average of 33.73 W/m2. The annual average latent heat flux is positive, with an average of 42.71 W/m2. Precipitation has a similar annual average and seasonal distribution, with modest amounts in the northwest and substantial amounts in the southeast. The average annual accumulated precipitation is 670.69 mm. The first mode of the Empirical Orthogonal Function (EOF) shows that sensible heat flux decreases first, then increases, and then finally decreases during 1998–2022. The modes show the opposite trend in middle part of the plateau. The latent heat flux initially decreases, then increases, and finally decreases in the western plateau and near Sichuan Basin. The mode, however, displays the opposite tendency throughout the rest of the region. The precipitation in the north and south sides of the plateau has decreased since 2013, which is consistent with the changing trend of sensible heat flux. In the rest of the region, the change trend is not obvious. The sensible heat of the main body of the plateau and its east side and Sichuan Basin is negatively correlated with precipitation, that is, when sensible heat flux of the main body of the plateau and its east side and Sichuan Basin is more (less), local precipitation is less (more). The latent heat of the main body of the plateau and its east side, Sichuan Basin is positively correlated with precipitation, indicating that when latent heat flux of the main body of the plateau and its east side, Sichuan Basin is more (less), local precipitation is more (less).

Empowering Future Physicians and Communities on Chicago's South Side through a 3-Arm Culinary Medicine Program.

The purpose of this pilot evaluation was to assess the impact of a university culinary medicine program on participating medical students and community members, which included individuals managing chronic illness and public middle school students. A total of 59 program participants enrolled in the study. Data were obtained using pre- and post-course surveys and qualitative interviews from September 2021-July 2023. Results show increased confidence in medical students' ability to provide nutrition counseling, with a high significance in their ability to provide counseling regarding chronic conditions. Participants managing chronic conditions demonstrated significant increases in self-reported confidence in their understanding of overall chronic disease management and care and in their kitchen skills, with participants who attended five or more classes having significantly higher means. Qualitative feedback from middle school students highlights their knowledge and willingness to try new foods after engaging with the curriculum. Findings add to the growing literature on culinary medicine and provide insight into the effectiveness of culinary medicine programming to increase knowledge and promote positive changes among future healthcare professionals and community members. However, more extensive research across a longer time span is needed to confirm the potential for sustained change.

292 Expanding HIV Screening in a Pediatric Emergency Department on Chicago’s South Side

292 Expanding HIV Screening in a Pediatric Emergency Department on Chicago’s South Side