Addressing Minority Health Disparities in Richmond: Results from a Health Needs Assessment of a Southside Community

Background: Evidence shows the effectiveness of integrating community health workers (CHWs) into care models serving high-risk patients to reduce emergency department (ED) use, increase primary care use, and address adverse social determinants of health (SDH). The Southwood Resource Center, part of a network of clinics established by Richmond City Health Department, utilizes CHWs to address disparities affecting underserved populations through primary care referrals and additional resource linkages. Local student-volunteers in partnership with CHWs conducted a community needs assessment to identify patient resource gaps, aid in design and implementation of SDH interventions, and examine the relationship between chronic disease management and ED use reductions. Methods: English and Spanish-language surveys were conducted during patient visits to the SRC, in addition to other settings to facilitate representative sampling. A total of 134 responses were received, with Blacks (34%) and Hispanic/Latinos (65%) well represented. Results: Significant social determinants identified by the needs assessment included housing stability, and transportation and food access. Respondents indicated need for support managing chronic conditions including heart disease, diabetes, mental health and asthma. 1 in 3 respondents (31%) reported using the ED for primary care, and nearly 2 in 3 (66%) reported not having a family doctor. Barriers to health care included cost (35.6%), insurance status (50.4%) and transportation access (29.6%). Conclusions: CHWs play an important role in identifying community strengths and resource gaps and linking patients to additional resources. Opportunities for service improvements include bilingual care coordination, chronic care management, health insurance navigation, food subsistence resources, and transportation support.https://scholarscompass.vcu.edu/gradposters/1104/thumbnail.jp

Energy Burden and Owning a Home: Understanding the Effect of Energy Costs on the Owner-Occupied Housing Rate

This paper examines the factors that are associated with owner-occupied housing rates in Southern California cities during 2021. The data is from the United States Census Bureau and the United States Department of Energy. In addition to factors included in previous studies, such as demographic and characteristics about the real estate market as well as the local economy, this study examines the burden of energy costs on owner-occupied housing rates. It is expected that the relationship between energy burden (percent of income spent on energy costs) and the owner-occupied housing rate is negative. The model will factor in demographic, real estate market, general well-being, and economic variables to best explain the variance among entities

Galaxy-Scale Outflows Driven by Active Galactic Nuclei

We present hydrodynamical simulations of major mergers of galaxies and study the effects of winds produced by active galactic nuclei (AGN) on interstellar gas in the AGN's host galaxy. We consider winds with initial velocities ~ 10,000 km/s and an initial momentum (energy) flux of ~ tau_w L/c (~ 0.01 tau_w L), with tau_w ~ 1-10. The AGN wind sweeps up and shock heats the surrounding interstellar gas, leading to a galaxy-scale outflow with velocities ~ 1000 km/s, peak mass outflow rates comparable to the star formation rate, and a total ejected gas mass ~ 3 x 10^9 M_sun. Large momentum fluxes, tau_w > 3, are required for the AGN-driven galactic outflow to suppress star formation and accretion in the black hole's host galaxy. Less powerful AGN winds (tau_w < 3) still produce a modest galaxy-scale outflow, but the outflow has little global effect on the ambient interstellar gas. We argue that this mechanism of AGN feedback can plausibly produce the high velocity outflows observed in post-starburst galaxies and the massive molecular and atomic outflows observed in local ultra-luminous infrared galaxies. Moreover, the outflows from local ultra-luminous infrared galaxies are inferred to have tau_w ~ 10, comparable to what we find is required for AGN winds to regulate the growth of black holes and set the M_BH-sigma relation. We conclude by discussing theoretical mechanisms that can lead to AGN wind mass-loading and momentum/energy fluxes large enough to have a significant impact on galaxy formation.Comment: 12 pages, 7 figures; final version accepted by MNRAS; references and minor clarifications added, conclusions unchange

Geometry, kinematics and rates of deformation in a normal fault segment boundary, central Greece

The geometry, kinematics and rates of deformation within a fault segment boundary between the ends of two major active normal fault segments have been investigated through examination of a faulted 126 ka marine terrace. Slip‐vector azimuths defined by striations on the faults indicate N‐S extension on c. E‐W faults, sub‐parallel to those from earthquake focal mechanisms, together with significant and contemporaneous E‐W extension on c. N‐S faults. Summed rates of E‐W extension along a c. 550 m transect (0.17 mm/yr) are comparable with those for N‐S extension (0.20 mm/yr) along a c. 350 m transect. Our observations show that distributed non‐plane strain extension occurs in fault segment boundaries and this should be noted when studying fault‐tip fracture toughness and regional deformation rates

Terahertz single pixel imaging based on a Nipkow disk

We describe a terahertz single pixel imaging system based on a Nipkow disk. Nipkow disks have been used for fast scanning imaging systems since the first experimental television was invented in 1926. In our work, a Nipkow disk with 24 scanning lines was used to provide an axial resolution of 2 mm/pixel. We also show that by implementing a microscanning technique the axial resolution can be further improved to 0.5 mm/pixel. Imaging of several objects was demonstrated to show that this simple scanning system is promising for fast and/or real time terahertz imaging applications

Circumference of 3-connected claw-free graphs and large Eulerian subgraphs of 3-edge-connected graphs

AbstractThe circumference of a graph is the length of its longest cycles. Results of Jackson, and Jackson and Wormald, imply that the circumference of a 3-connected cubic n-vertex graph is Ω(n0.694), and the circumference of a 3-connected claw-free graph is Ω(n0.121). We generalize and improve the first result by showing that every 3-edge-connected graph with m edges has an Eulerian subgraph with Ω(m0.753) edges. We use this result together with the Ryjáček closure operation to improve the lower bound on the circumference of a 3-connected claw-free graph to Ω(n0.753). Our proofs imply polynomial time algorithms for finding large Eulerian subgraphs of 3-edge-connected graphs and long cycles in 3-connected claw-free graphs

Spectral correlations of the massive QCD Dirac operator at finite temperature

We use the graded eigenvalue method, a variant of the supersymmetry technique, to compute the universal spectral correlations of the QCD Dirac operator in the presence of massive dynamical quarks. The calculation is done for the chiral Gaussian unitary ensemble of random matrix theory with an arbitrary Hermitian matrix added to the Dirac matrix. This case is of interest for schematic models of QCD at finite temperature.Comment: 19 pages, no figures, LaTeX (elsart.cls) minor changes, one reference adde