Introduction: We need to understand the continued concerns and acceptability of COVID-19 vaccines within marginalized communities in the United States. Our study explores the concerns and acceptability of COVID-19 vaccines, by language group, at a Federally Qualified Health Center (FQHC) in Rhode Island. Methods: We conducted an exploratory, mixed data collection telephone survey in languages spoken in the community (Spanish, Cape Verdean (CV) Creole/Portuguese, and English). Participants were asked about their COVID-19 vaccination status, as well as vaccine concerns and acceptability via 9 closed-ended and 2 open-ended questions. Chi squared and multivariate analysis was used to compare concerns and acceptability across languages. Coding and immersion/crystallization techniques were used to identify qualitative data themes. Results: The overall response rate was 58%. Side effects were cited as the most frequent (66%) concern among all language groups. Concern about the speed of vaccine development, vaccine ingredients, and being in a research trial varied significantly by language. Qualitative findings included concerns about chronic medical conditions and generalized fear of vaccine safety. English speakers were the most likely to report concerns and CV Creole/Portuguese speakers were the least likely to report concerns about the vaccine. Spanish and CV Creole/Portuguese participants who were not yet vaccinated reported higher acceptability to receive the vaccine compared to English speakers, with odds ratios of 2.00 (95% CI: 1.00-4.00) and 1.27 (95% CI: 0.62-2.60), respectively. Conclusion: To mitigate the effects of the COVID-19 pandemic and prepare for future pandemics, strategies must be based on understanding the beliefs and perceptions of marginalized communities.
The theoretical discoveries of the Sanal flow choking [V. R. Sanal Kumar et al., “Sanal flow choking: A paradigm shift in computational fluid dynamics code verification and diagnosing detonation and hemorrhage in real-world fluid-flow systems,” Global Challenges 4, 2000012 (2020)] and streamtube flow choking [V. R. Sanal Kumar et al., “Deflagration to detonation transition in chemical rockets with sudden expansion/divergence regions,” AIAA Paper No. 2020-3520, 2020] achieved significant contemplation in all branches of science and engineering for resolving various unanswered scientific questions brought onward from the beginning of this era [V. R. Sanal Kumar et al., “A closed-form analytical model for predicting 3D boundary layer displacement thickness for the validation of viscous flow solvers,” AIP Adv. 8, 025315 (2018)]. The applications of these flow choking phenomena are more significant in aerospace industries [V. R. Sanal Kumar et al., “Nanoscale flow choking and spaceflight effects on cardiovascular risk of astronauts—A new perspective,” AIAA Paper No. 2021-0357, 2021] and medical sciences [V. R. Sanal Kumar et al., “Lopsided blood-thinning drug increases the risk of internal flow choking leading to shock wave generation causing asymptomatic cardiovascular disease,” Global Challenges 2021, 2000076]. Herein, as an offshoot of the Sanal flow choking phenomena, the proof of the concept of boundary-layer-blockage (BLB) persuaded external-flow-choking (EFC) at aircraft-in-ground (AIG)-effect is presented. When the aircraft's ground clearance is relatively low, the evolving BLB factor from both planes (the bottom surface of the aircraft and the ground) creates a transient fluid-throat, leading to the Sanal flow choking and supersonic flow development in the duct flow region. In this physical situation, the pressure ratio (Ptotal/Pstatic) at the external flow choking region is exclusively a function of the specific heat ratio of the fluid. The EFC is more prone for the low wing aircraft flying in the near vicinity to the ground and/or sea with relatively high subsonic Mach number and low angle of attack. At this flying condition, the underside of the aircraft (fuselage and/or wing) and the ground creates the convergent-divergent duct flow effect leading to the EFC at the critical total-to-static pressure ratio. The accurate estimation of the BLB factor at the location of the EFC at AIG effect is presented in this manuscript as a universal yardstick for two-dimensional (2D) in silico simulation. For establishing the proof of the concept of external flow choking and supersonic flow development and shock wave generation, the 2D in silico results are presented for both stationary and moving airfoils in ground effect. In silico results show that the airfoil at stationary position exhibits relatively higher BLB factor and an immediate occurrence of the EFC than the same airfoil moving with the identical inflow Mach number and Reynolds number. We could establish herein that the moving vehicle simulation is inevitable for capturing actual flow physics and further precise examination of the BLB factor and the possibilities of the occurrence of the EFC for credible trajectory optimization of high-speed ground-effect vehicles.
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