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The COVID-19 pandemic brought to the surface the critical qualities of air – airflow, ventilation, particulates etc. – in relation to the well-being of people living in high-rise. Engineering and architectural research has burgeoned in response. However, in focusing on models of airflow, ventilation and particulates as discrete variables, engineering and architectural discourse fails to capture the diverse ways that air enters into and shapes the everyday lived experience of high-rise dwelling. Drawing on research in Sydney's Southwestern suburbs, we reveal high-rise as an assemblage that links apartment dwelling with air, via car-dependent suburbanisation, pollution and climate-change induced temperature extremes in the Anthropocene. In addition to viruses, air teems with carbon, insects, noise and pollutants, while viscerally mediating human encounters with fluctuating temperatures. Multiple relations between people, buildings and air unfold simultaneously, confounding attempts to account for air's elemental milieu through single variables like greenhouse gas or COVID-19. While embedded in relations of power, high-rise assemblages unleash vernacular adaptation that through low-tech and low-cost technologies work to connect suburban high-rise with evolving ecological systems. Recognising the pharmacological quality of air, as both 'poison' and 'cure', we contrast models of high-rise as encapsulated environments with resident (and other) experiments that orient high-rise to the elements, and the interlinked challenges of urban living in the Anthropocene. [ABSTRACT FROM AUTHOR]

OBJECTIVES: Limited research has assessed how virtual care (VC) affects cardiovascular disease (CVD) risk management, especially in community clinic settings. This study assessed change in community clinic patients' CVD risk management during the COVID-19 pandemic and CVD risk factor control among patients who had primarily in-person or primarily VC visits. STUDY DESIGN: Retrospective interrupted time-series analysis. METHODS: Data came from an electronic health record shared by 52 community clinics for index (March 1, 2019, to February 29, 2020) and follow-up (July 1, 2020, to February 28, 2022) periods. Analyses compared follow-up period changes in slope and level of population monthly means of 10-year reversible CVD risk score, blood pressure (BP), and hemoglobin A1c (HbA1c) among patients whose completed follow-up period visits were primarily in person vs primarily VC. Propensity score weighting minimized confounding. RESULTS: There were 10,028 in-person and 6593 VC patients in CVD risk analyses, 9874 in-person and 5390 VC patients in BP analyses, and 8221 in-person and 4937 VC patients in HbA1c analyses. The VC group was more commonly younger, female, White, and urban. Mean reversible CVD risk, mean systolic BP, and percentage of BP measurements that were 140/90 mm Hg or higher increased significantly from index to follow-up periods in both groups. Rate of change between these periods was the same for all outcomes in both groups, regardless of care modality. CONCLUSIONS: Among community clinic patients with CVD risk, receiving a majority of care in person vs a majority of care via VC was not significantly associated with longitudinal trends in reversible CVD risk score or key CVD risk factors. [ABSTRACT FROM AUTHOR]

Age-Friendly Health Systems (AFHS) commit to providing evidence-based, low-risk, coordinated care centered on what matters most to older adults, their families, and caregivers. Nova Southeastern University's South Florida Geriatric Workforce Enhancement Program (NSU SFGWEP) has partnered with primary care clinics to provide AFHS training and support to promote AFHS transformation in Broward and Miami-Dade Counties. NSU SFGWEP provides face-to-face and virtual training for AFHS and Electronic Health Record (EHR) documentation as part of the initiative. This project focuses on a group of primary care clinics in Broward County, Florida. In this paper, we evaluate the progress of AFHS transformation through six e-clinical measures that collectively provide indicators of the 4 M framework of AFHS (What Matters, Medication, Mentation, and Mobility). We used provider feedback and e-clinical measures aligned with the Center for Medicare & Medicaid Services (CMS) Merit-based Incentive Payment System (MIPS) to measure clinic outcomes. From Jan 1– Dec 31, 2019, to Jan 1–Dec 31, 2020, the clinics improved high-risk medication management (0–3.71%), advanced care planning (6.79%–20.74%), and fall risk assessment (no data- 46.72%). Results demonstrate some success and ongoing opportunities to continue and expand AFHS interventions for sustainability. [ABSTRACT FROM AUTHOR]

In response to the demand for more STEM-certified teachers, identity has emerged as a theoretical lens for examining how candidates can be recruited into and retained in the teaching profession. This study explores the intersection between teaching identity and disciplinary identity as they relate to the development of a disciplinary teaching identity. Survey responses were collected from students in a teaching recruitment class for STEM majors, and regression models were developed to predict disciplinary teaching identity and program persistence. Findings from both models indicated that teaching identity is a strong predictor of both disciplinary teaching identity and program persistence, but disciplinary identity plays less of a role. These findings align with previous qualitative research on teacher identity development. Additionally, these findings highlight a need to engage STEM faculty in efforts to recruit students who strongly identify with STEM into the teaching profession. [ABSTRACT FROM AUTHOR]

This article focuses on the predicament of owner-occupiers and small investors presently liable for the removal of combustible cladding on build-to-sell residential high-rise. We argue that while the proliferation of combustible materials has been shaped by cost-cutting and risk-shifting by construction firms, these practices did not on their own transfer the responsibility of remediation to consumers. Examining the attempts of one densifying nation, Australia, to locate responsibility for combustible cladding through two parliamentary inquiries, we analyse witness testimonies to show how public policies encouraged materials substitution, removed on-site inspection and protected corporations from litigation. Moving beyond neoliberalism, these policy reforms leveraged information asymmetries and the material complexity of residential high-rise to create a climate of "imperceptibility" towards unsafe materials. Together, material, financial and policy dimensions intersected to enable capital accumulation through the expansion of consumer harm in high-rise housing markets. We conclude that construction materials and processes are an overlooked, yet critical domain of governance in financialised housing regimes. [ABSTRACT FROM AUTHOR]

The financialisation of housing is seen to undermine tenants' rights, affordable housing and planning controls in order to make housing and homes more amenable to profit extraction. However, the extent to which owner-occupiers themselves seek to influence urban development and planning processes to protect their housing assets has been less well-considered. Through an online survey of 1122 owner-occupiers in Australia, this article redresses this gap. By identifying the financial values participants attach to their home, and their inclinations to join resident action groups, we reveal that those with the strongest investment values are also most inclined to join resident action groups. Expanding conceptualisations of investors beyond institutional investors, the article reveals the agency of financialised owner-occupiers who, as investor-activists, seek to influence planning processes to secure the profitability of their own housing assets. The article thus reconceptualises resident action as a financial strategy to protect long- and short-term housing investments and, in doing so, charts the urban implications of financialised home ownership and investor subjectivities. [ABSTRACT FROM AUTHOR]

As governments encourage circular economy (CE) initiatives, markets for waste recirculation are taking shape. But implementation is in its infancy and material circuits are emergent. Early food waste CEs shaped by commercial players emphasise capital investment, routinised forms of waged labour, processing sites distant from food waste sources, and transactional relationships. Less well understood is the potential for vernacular circularity beyond market-based, transactional frames. This paper reports from a collaborative research exercise with a non-profit community farm in nonmetropolitan Australia, seeking to connect with cafés to access food waste for composting. Cafés are a nexus of production and consumption, ubiquitous in the contemporary multicultural Australian context, and therefore ideal for grassroots CEs. Ten local cafes participated, reviewing existing food waste practices, motivations for circularity, and contextual factors including the regional setting. We found that food waste circularity emerges via divergent pathways related to enterprise type and scale, environmental values of actors, place embeddedness, and local relationships. These pathways reflect the place-based attributes and diverse sustainability values of residents and businesses in the coastal, industrial city of Wollongong, where the study is based. Contrasting distant, transactional circuits, are more-than-transactional food waste pathways, developed by microscale actors shaping vernacular material flows and "hacking" public provision of Food Organic and Garden Organic (FOGO) waste services to mobilise environmental values and community relationships. Overlooked by "big policy" more-than-transactional relationships bind producers, intermediaries and consumers in closer loops and, in so doing, enrich place and facilitate an ethic of care for soil and land. [ABSTRACT FROM AUTHOR]

We have not identified any studies that quantify the proportion of firearm injury survivors who did not seek hospital-based care and consequently are excluded from firearm injury prevalence calculations. Comment & Response B To the Editor b We submit this Letter in response to the recent Viewpoint[1] about a national surveillance system for firearm violence. [Extracted from the article]

After central business districts (CBD) emptied from COVID-19 pandemic lockdowns and widespread working-from-home, culture and creativity feature prominently within recovery strategies, enrolling the arts and events to enliven urban precincts and attract people back into city centres. We draw upon resilience theory and creative city policymaking to critique present formulations of CBD revitalisation, and suggest alternatives. Despite overtures to social inclusion and environmental sustainability, revitalisation strategies mobilise pre-existing "vehicular ideas" that support corporate business interests in and claims on central city space. We articulate concerns around inclusivity, financial and property interests, creativity as consumption rather than production, livelihood concerns, and underwhelming acknowledgement of pandemic disruption. Instead of placing creativity in service of the competitive positioning of the CBD, we ask: what is the very purpose of the post-pandemic CBD, and who is the CBD for? Answering these questions invitesmore courageous propositions that seize once-in-a-generation opportunities for transformational change. [ABSTRACT FROM AUTHOR]

OBJECTIVES: Understanding how the COVID-19 pandemic affected cardiovascular disease (CVD) risk monitoring in primary care may inform new approaches for addressing modifiable CVD risks. This study examined how pandemic-driven changes in primary care delivery affected CVD risk management processes. STUDY DESIGN: This retrospective study used electronic health record data from patients at 70 primary care community clinics with scheduled appointments from September 1, 2018, to September 30, 2021. METHODS: Analyses examined associations between appointment type and select care process measures: appointment completion rates, time to appointment, and up-to-date documentation for blood pressure (BP) and hemoglobin A1c (HbA1c). RESULTS: Of 1,179,542 eligible scheduled primary care appointments, completion rates were higher for virtual care (VC) vs in-person appointments (10.7 percentage points [PP]; 95% CI, 10.5-11.0; P < .001). Time to appointment was shorter for VC vs in-person appointments (--3.9 days; 95% CI, --4.1 to --3.7; P < .001). BP documentation was higher for appointments completed pre-- vs post pandemic onset (16.2 PP; 95% CI, 16.0-16.5; P < .001) and for appointments completed in person vs VC (54.9 PP; 95% CI, 54.6-55.2; P < .001). HbA1c documentation was higher for completed appointments after pandemic onset vs before (5.9 PP; 95% CI, 5.1-6.7; P < .001) and for completed VC appointments vs in-person appointments (3.9 PP; 95% CI, 3.0-4.7; P < .001). CONCLUSIONS: After pandemic onset, appointment completion rates were higher, time to appointment was shorter, HbA1c documentation increased, and BP documentation decreased. Future research should explore the advantages of using VC for CVD risk management while continuing to monitor for unintended consequences. [ABSTRACT FROM AUTHOR]

Introduction: Current guidelines continue to lead to under- and over-triage of injured patients in the pre-hospital setting. End-tidal carbon dioxide (ETCO2) has been correlated with mortality and hemorrhagic shock in trauma patients. This study examines the correlation between ETCO2 and in-hospital outcomes among non-intubated patients in the pre-hospital setting.Methods: We retrospectively studied a cohort of non-intubated adult trauma patients with initial pre-hospital side-stream capnography-obtained ETCO2 presenting via ground transport from a single North Carolina EMS agency to a level one trauma center from January 2018 to December 2018. Using the Liu method, the optimal threshold for low ETCO2 was ≤ 28.5 mmHg.Results: Initial pre-hospital ETCO2 was recorded for 324 (22.0%) of 1473 patients with EMS data. Patients with low ETCO2 (N = 98, 30.3% of cohort) were older (median 58y vs 45y), but mechanisms of injury and scene vital signs were similar (p>0.05) between low and normal/high ETCO2 cohorts. Median injury severity score (ISS) did not differ significantly between the low and normal/high ETCO2 groups (5 vs 8, p=0.48). Compared to normal/high ETCO2, low ETCO2 correlated with increased unadjusted odds of mortality (OR 5.06), in-hospital complications (OR 2.06), and blood transfusion requirement (OR 3.05), p<0.05. Low ETCO2 was associated with 7.25 odds of mortality (95% CI 2.19,23.97, p=0.001) and 3.94 odds of blood transfusion (95% CI 1.32-11.78) after adjusting for age, ISS, and scene GCS. All but one of the massive transfusion patients (N = 8/9) had a low pre-hospital ETCO2.Conclusions: Low initial pre-hospital ETCO2 associates with poor clinical outcomes despite similar ISS and mechanisms of injury. ETCO2 is a potentially useful pre-hospital point-of-care tool to aid triage of trauma patients as it may identify hemorrhaging patients and predict mortality. [ABSTRACT FROM AUTHOR]