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This study focuses on local ice-breaking tourism initiatives in Kemi (Finland), Mombetsu (Japan), and Abashiri (Japan). It adds to research on winter and cruise tourism and analyzes multiscalar challenges— ranging from the global warming and COVID-19 pandemic to dependency on local governmental support—threatening the future of tourism dependent on frozen maritime conditions and vulnerable to changing climate conditions. As the case study cities have invested significantly in tourism built around the uncontrollable natural phenomenon, changes in this industry can lead to substantial spillover effects in the surrounding communities. This qualitative comparative research is based on extensive fieldwork and utilizes the concept of resilience to discuss the means of responding to existing and predicted disturbances. The results of this study show that the recent adaptation and resiliency-building strategies have focused on searching for alternative use of old, new, and renovated ice-breaking vessels, attraction of new types of (often domestic) visitors, and development of activities and facilities that are less sensitive to seasonal variation and climate change. While introducing new local ideas concerning ecological and educational tourism, e-tourism, and community-oriented tourism, this article contributes to the understanding of resilience-building processes in tourism © 2023 Cognizant, LLC
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Evaluation of the impacts of government policies during an economic crisis is often delayed until the outcomes are realized. Policies can be better guided if they can be evaluated amid a crisis, before the realization of outcomes. This study examines whether survey data on the expectations of small business managers can help evaluate two high-stake subsidies for firms amid the COVID-19 crisis in Japan, namely, Subsidy Program for Sustaining Businesses (SPSB) and Employment Adjustment Subsidy (EAS). We evaluate the accuracy of managers' expectations, estimate the impact of subsidies on the expected firm survival, and compare it with the estimated impact on realized survival. We find that the managers' expectations on their future sales, survival rate, and the possibility of receiving these subsidies predict the realized outcomes, although they were highly pessimistic about their survival rates. We find that the estimated impacts of the SPSB on the expected survival rates have the same sign as the estimated impact on the realized survival rates, but the size is more than twice because of the pessimism on survival. The estimated impacts of the EAS are both insignificant. Therefore, although its impact may be overestimated, managers' expectations are useful for selecting an effective policy. © 2023 The Authors. Journal of Economics & Management Strategy published by Wiley Periodicals LLC.
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We propose a method that uses an emotion analysis for PBL education. The emotion analysis is a method of analyzing a person's emotions from the person's remarks or facial expressions. In this method, teachers understand the situation of students from the results of the emotion analysis and give accurate advice. PBL education often involves group activities. The students conducted groups discuss, propose ideas, select ideas, and make the products. However, not all students are able to participate in discussions and express their opinions. It is the teacher's duty to provide guidance to such students. Therefore, we propose the use of the emotion analysis techniques to identify and guide students who have problems, such as those who cannot participate in discussions. The method is possible for one teacher to grasp multiple groups at the same time and to help developing the students' ability to learn. Under COVID-19, face-to-face classes were restricted. Online classes using Zoom etc. have also been introduced in PBL education. In online classes, it is difficult to grasp the situation of students. This was a big difference from face-to-face classes. So we looked at ways to keep track of the situation for all students. This is because the gap between students who are willing to take classes and those who are reluctant to take classes has widened due to the shift to online classes. As a result of the adaption to the classes, the number of students who actively participate in the classes has increased. The effectiveness of the proposed method was confirmed. © 2022 SEFI 2022 - 50th Annual Conference of the European Society for Engineering Education, Proceedings. All rights reserved.
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OBJECTIVES: The coronavirus pandemic significantly impacted endoscopic practice. During lower gastrointestinal endoscopy, infectious substances disseminate;therefore, we developed an infection control device (STEP-L) for lower gastrointestinal endoscopy and examined its usefulness. METHODS: STEP-L wraps around the patient's buttocks and covers the endoscope. Using lower endoscopy training models, three endoscopists performed 18 colonoscopies with STEP-L (group S) and without (group C). Endoscopic insertion time and pigmented areas of gloves and diapers after the examination were compared between both groups. RESULTS: Insertion of the endoscope up to the cecum was possible in all 18 examinations. The insertion time to the cecum was 52.4 ± 19.0 s in group S and 53.9 ± 13.3 s in group C. The pigmented areas of the gloves measured 39,108.0 ± 16,155.3 pixels in group C, but were significantly reduced to 2610.5 ± 4333.8 pixels in group S (p < 0.05). The pigmented areas of the diapers measured 2280.9 ± 3285.2 pixels in group C, but were significantly reduced to 138.0 ± 82.9 pixels in group S (p < 0.05). CONCLUSIONS: Using STEP-L does not change the insertion time, and is technically feasible. STEP-L significantly reduces the adhesion of virtual pollutants to the surroundings, suggesting that this device is useful for infection control during lower gastrointestinal endoscopy.
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Background/Purpose: Numerous case reports have referred to new onset or flare of SLE after SARS-CoV2 mRNA vaccines. Several observational studies showed that the short-term flare rate of SLE after SARS-CoV2 vaccination is low. However, no well-controlled clinical surveys are currently available, and the medium-term impact of SARS-CoV2 mRNA vaccines against the flare of SLE is still unknown. Therefore, we aimed to analyze the association between vaccination and medium-term subjective and objective disease activities of SLE and flares by using matched-pair methods. Method(s): One hundred-fifty SLE patients from the Kyoto Lupus Cohort were included. Patients who received two doses of SARS-CoV2 mRNA vaccines were 1:1 matched with unvaccinated patients based on the first vaccination date. The outcome measures were the SLEDAI, the Japanese version of the SLE symptom checklist questionnaire (SSC-J), and the Safety of Estrogens in Lupus Erythematosus National Assessment (SELENA)-SLEDAI flare index 30, 60, and 90 days after vaccination. Result(s): SLEDAI 30, 60 and 90 days after the second vaccination was not significantly different in SLE patients vaccinated and unvaccinated with SARS-CoV2 vaccines using a mixed-effects model (adjusted estimate [95% CI]: 30 days: -0.46 [-1.48-0.56], P = 0.39;60 days: 0.38 [-0.64-1.40], P = 0.47;90 days: 0.40 [-0.54-1.34], P = 0.41). The similar results were observed in SSC-J score (adjusted estimate [95% CI], 30 days: 0.05 [-1.46-1.56], P = 0.95;60 days: -0.63 [-2.08-0.82], P = 0.40;90 days: 0.27 [-1.04-1.58], P = 0.69) and flare index (adjusted odds ratio [95% CI], 30 days: 0.81 [0.36-1.85], P = 0.62;60 days: 1.13 [0.50-2.54], P = 0.77;90 days: 0.85 [0.32-2.26], P = 0.74). Restricting the patients with high disease activity at baseline (SLEDAI > 10), SLEDAI and SSC-J scores did not differ between the two groups (SLEDAI: adjusted estimate [95% CI], 30 days: -0.95 [-3.13-1.23], P = 0.40;60 days: 0.50 [-2.32-3.32], 0.73;90 days: 1.22 [-1.31-3.75], P = 0.35;SSC-J: adjusted estimate [95% CI], 30 days: 0.74 [-1.63-3.11], P = 0.55;60 days: -0.61 [-3.06-1.84], P = 0.63;90 days: -0.81 [-4.28-2.66], P = 0.65). Conclusion(s): SARS-CoV2 vaccination did not significantly influence the medium-term subjective and objective disease activities or flares of SLE until 90 days after the second vaccination. Even in patients with high disease activities, vaccination was not associated with increased disease activity.
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Background: The COVID-19 pandemic and the government's emergency declarations in Japan may have influenced people's mental health. In particular, among women, there are concerns about the occurrence of neuroses, such as depression and anxiety. Objective(s): This study aimed to identify the factors related to mental distress among women in Japan who were raising children amid the COVID-19 pandemic. Method(s): An online survey was conducted in 2020 among 730 Japanese women raising preschoolers. The survey included questions about child-rearing, anxiety, and the 12-item General Health Questionnaire (GHQ-12). The average age of the respondents was 34.4 years (21-52 years), and 31.5% of the respondents were living in "Prefectures under Specific Cautions" areas. Result(s): The prevalence of clinically significant levels of mental distress according to GHQ-12 scores was 41.5%. The highest predictor of mental distress was "Maternal anxiety about child-rearing" (Odds Ratio = 3.27, 95% Confidence Interval: 2.41-4.45). Other factors that affected their mental condition included concerns about children's health and avoiding visiting hospitals for treatment. Conclusion(s): Mothers raising preschoolers experienced increased mental distress because of pandemic-related closures and heightened maternal anxiety about child-rearing. Thus, women who are raising preschoolers and confined to their homes need to be provided mental healthcare. Copyright © 2022 Sumiyoshi et al.
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Background: Childhood obesity is a prevalent chronic disease associated with multiple comorbodities that disproprionately impacts children from minority communities of lower socioeconomic status. Many affected children do not have access to high-quality, evidence-informed treatment programs. The COVID 19 pandemic worsened childhood obesity, but transformed the delivery of care at the WELL Clinic at Children's Primary Care Medical Group, which transitioned to a 100% telemedicine-based program, increasing access for patients affected by obesity across San Diego and Riverside Counties. Methods: The WELL Clinic is a primary-care based specialty clinic at Children's Primary Care Medical Group, a large single-specialty pediatrics group with 35 offices across San Diego and Riverside Counties. When the COVID-19 pandemic began the WELL clinic transitioned to a fully virtual program. The WELL clinic includes 20-minute theme-based telemedicine sessions based on the Wheel of Health which includes nutrition, physical activity, sleep, screen use, and social/emotional wellness. Patients are referred to the WELL clinic from their primary care pediatrician. The visits are held with a specially-trained board-certified pediatrician or nurse practitioner and coded as obesity and any related comorbidities and nutrition and/or exercise counseling. A certified health coach supports patients in scheduling, follow up, and care coordination. Results: In the year since the WELL clinic transitioned from in-person to video visits, pediatricians submitted 2536 referrals from all sites, of which 48% of patients have Medicaid coverage. The WELL clinic team completed 542 initial visits and 1227 follow up visits. The no-show rate decreased with the telemedicine format. All visits were covered by insurance. Conclusion: A primary-care based childhood obesity intervention delivered via telemedicine is a clinically and financially feasible approach to improve access to a high quality evidence-informed childhood obesity management program for children of diverse backgrounds.
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Introduction & Objectives: The COVID19 pandemic has had enormous impacts on the health of our population. With health services under significant strain, prostate cancer was subject to strict changes in referral criteria. In our network the PSA thresholds for cancer referral criteria were raised, to >10ng/mL and >20ng/mL for those aged <70 years and 70-75 years respectively, for 3 months. Materials & Methods: We modelled the effects of these restricted referral criteria on patients, applying them to our prospective multicentre database of consecutive men referred to our cancer network from 04/2017-07/2020. We calculated the total numbers and proportions of significant cancers - by grade or T-stage - that may have been missed when these restrictions were applied. Four definitions of ‘significance’ were used;Gleason 3+4, 4+3, UCL1 (>/=4+3 OR maximum cancer core length (MCCL) >/=6mm) and UCL2 (>/=3+4 OR MCCL >/=4mm). Results: 2107/3014 (69.9%) of patients would not have been referred under the restricted referral criteria, including 199 (9.4%) and 486 (23.1%) significant cancers depending on the definition of significance. During the restricted period, this represents an expected 162 men who would not have been referred, including between 15 and 37 significant cancers by grade, and 1 and 7 by T-stage. Conclusions: The COVID19 pandemic had significant impact on our prostate cancer pathways. Potentially, up to 1 in 4 men who ordinarily would have had curable disease identified early, and treated, will not have done. Efforts must be made to identify these men before they represent with disease states of poorer prognosis.
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This paper presents data from the Love and Sex in the Time of COVID survey, an online survey with US gay, bisexual and other men who have sex with men. The first round of the Love and Sex in the Time of COVID-19 survey was conducted online from April to May, 2020: the second round was collected November 2020 to January 2021. GBMSM were recruited through advertisements featured on social networking platforms. Analysis examines changes in self-reported measures of sexual behavior (number of sex partners, number of anal sex partners and number of anal sex partners not protected by pre-exposure prophylaxis (PrEP) or condoms) between those with complete data for round one and round two of the surveys (n = 280). While in round one, men reported a moderate willingness to have sex during COVID-19 (3.5 on a scale from 1 to 5), this had reduced significantly to 2.1 by round two. Men reported declines in the number of unprotected anal sex partners since pre-COVID. Perceptions of a longer time until the end of the COVID-19 pandemic were associated with increases in the number of sex partners and UAI partners. The results illustrate some significant declines in sexual behavior among GBMSM as the COVID-19 pandemic progressed. As vaccine programs continue to roll out across the U.S, as lockdowns ease and as we return to some normalcy, it will be important to continue to think critically about ways to re-engage men in HIV prevention.
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COVID-19 , Sexual Behavior , Sexual and Gender Minorities , COVID-19/epidemiology , COVID-19/prevention & control , Communicable Disease Control , Cross-Sectional Studies , HIV Infections/prevention & control , Homosexuality, Male , Humans , Male , Pandemics , Surveys and Questionnaires , Unsafe Sex/statistics & numerical dataABSTRACT
This paper proposes the project-based learning (PBL) education system which uses Artificial Intelligence (AI) instead of teachers’ direct instruction. Kanazawa Institute of Technology (KIT) applies PBL to its design and engineering programme as Project Design (PD) Programme. Students form small groups to discuss real-life problems and sometimes collaborate with local communities. However, in order to prevent COVID-19 infection, students cannot go to school. Instead, e-Syllabus and the web meeting Zoom (videoconferencing software) are used to take lectures at home. Adding to the PBL class implementation experience under the impact of COVID-19 and to the review results of the progress of digital technology, the outline, and the feature of the on-line PBL education system using chatbot and AI is proposed. Although the system is still under development, some of the components are introduced. © PDE 2021.
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Comprehensive proteomic studies of HSC derived from bone marrow of healthy human subjects (n = 59) in different age groups (range: 20 - 72 years) showed that aging HSCs are characterized not only by myeloid lineage skewing, senescence associated secretory phenotype (SASP), accumulation of reactive oxygen species (ROS), anti-apoptosis, but prominently by elevated glycolysis, glucose uptake, and accumulation of glycogen. This is caused by a subset of HSC that has become more glycolytic than others and not on a per cell basis. Subsequent comparative transcriptome studies of HSCs from human subjects >60 years versus those from <30 years have confirmed this association of elevated glycolysis with aging transcriptome signature. Provided with this background and based on glucose metabolism levels, we have developed a method to isolate human HSCs (CD34+ cells) from bone marrow into three distinct subsets with high, intermediate, and low glucose uptake (GU) capacity (GU high, GU inter, GU low). For human subjects >60 years old (n=9), the proportions of these subsets are: GU high= 5.4+3.5 %, GU inter= 66.4+22.5 %, GU low= 28.2+21.7 %. For subjects <30 years (n=5), the proportions are GU high= 1.7+1.5 %, GU inter= 66.5+36.9 %, GU low= 31.8+36.7. Single-cell RNA-sequencing (scRNA-seq) studies and gene ontology analysis of biological processes revealed that, compared to the GU inter and GU low subsets, the GU high cells showed a significantly higher expression of genes involved in myeloid development, inflammation response (AIF1, CASP2, ANXA1, ZFP36), anti-apoptosis (GSTP1, NME1, BCL2, DMNT1, BAX), cell cycle checkpoint (MCL1, CDK1, CDK4, EIF5A), histone regulation (BCL6, EGR1, KDM1A, MLLT3), b-galactosidase, and significantly lower expressions of genes involved in lymphoid development, and of MDM4, MDM2, FOXP1, SOX4, RB1. Functional studies indicated that the glycolytic enzymes were elevated in elderly HSCs, and the GU low subset corresponded to primitive and more pluripotent HSCs than the GU interand GU high subsets. Pathway analyses have then demonstrated that the GU high subset is associated with up-regulated p53 as well as JAK/STAT signaling pathways, characteristic of senescent HSCs observed in murine models. Applying Gene Set Enrichment Analysis (GSEA) algorithms, we have compared the scRNA-seq data of CD34+ cells derived from young (<30 years) versus older (>60 years) subjects, as well as the scRNA-seq data from GU high subset versus GU inter and GU lowsubsets from each individual subject (n = 6). The results are shown in Figure 1. In analogy to the comparison between old (>60 years) versus young (<30 years) HSCs (CD34+ cells), GSEA of the GU high versus GU inter and GU low subsets shows the same pattern of changes - significant upregulation of gene-set expressions for (a) inflammatory response (b) G2M checkpoint, (c) MTORC1, (d) ROS, (Fig. 1B), (e) allograft rejection;and down-regulation of gene-set expressions for (f) pluripotency, (g) androgen response, (h) UV response (Fig. 1C) as well as (i) interferon-a induction during SARS-CoV2-infection (data not shown in Fig. 1). Thus, our novel findings of elevated glycolysis coupled with significant activation of MTORC1 in the senescent cells of the HSC compartment have provided evidence for the important role of calorie restriction (CR) for healthy aging of HSCs. In numerous animal models, aging has been shown to be driven by the nutrient-sensing MTORC1 network. In animal models of aging, CR has been reported to deactivate the MTOR pathway, thus slowing aging and delaying diseases of aging. Conclusion: In a series of multi-omics studies, we have demonstrated that the GU high subset is identical to the senescent cells (SCs) in human HSC compartment. Studies in animal models have shown that SCs in murine bone marrow are responsible for driving the aging process, and elimination of this subset by inhibitors of anti-apoptotic factors is able to rejuvenate hematopoiesis in mice. Our present results have provided cellular and molecular evidence that SCs in human HSC compartment re also dependent on anti-apoptotic factors, elevated MTORC1 as well as increased glycolysis for survival. Inhibition of MTORC1 or glycolysis, either by specific inhibitors or by CR, may eliminate senescent HSCs and promote rejuvenation of human hematopoiesis. [Formula presented] Disclosures: No relevant conflicts of interest to declare.
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BACKGROUND: Central to measuring the impact of the COVID-19 pandemic on HIV is understanding the role of loss of access to essential HIV prevention and care services created by clinic and community-based organization closures. In this paper, we use a comprehensive list of HIV prevention services in four corridors of the US heavily impacted by HIV, developed as part of a large RCT, to illustrate the potential impact of service closure on LGBTQ+ youth. METHODS: We identified and mapped LGBTQ+ friendly services offering at least one of the following HIV-related services: HIV testing; STI testing; PrEP/PEP; HIV treatment and care; and other HIV-related services in 109 counties across four major interstate corridors heavily affected by HIV US Census regions: Pacific (San Francisco, CA to San Diego, CA); South-Atlantic (Washington, DC to Atlanta, GA); East-North-Central (Chicago, IL to Detroit, MI); and East-South-Central (Memphis, TN to New Orleans, LA). RESULTS: There were a total of 831 LGBTQ+ youth-friendly HIV service providers across the 109 counties. There was a range of LGBTQ+ youth-friendly HIV-service provider availability across counties (range: 0-14.33 per 10,000 youth aged 13-24 (IQR: 2.13), median: 1.09); 9 (8.26%) analyzed counties did not have any LGBTQ+ youth-friendly HIV service providers. The Pearson correlation coefficient for the correlation between county HIV prevalence and LGBTQ+ youth-friendly HIV service provider density was 0.16 (p = 0.09), suggesting only a small, non-statistically significant linear relationship between a county's available LGBTQ+ youth-friendly HIV service providers and their HIV burden. CONCLUSIONS: As the COVID-19 pandemic continues, we must find novel, affordable ways to continue to provide sexual health, mental health and other support services to LGBTQ+ youth.
Subject(s)
COVID-19/epidemiology , Delivery of Health Care/methods , HIV Infections/prevention & control , Pandemics , Sexual and Gender Minorities/education , Adolescent , Adult , Humans , Prevalence , Randomized Controlled Trials as Topic , United States/epidemiology , Young AdultABSTRACT
Racist rhetoric blaming the Asian, Asian American, and Pacific Islander (AAAPI) community for the COVID-19 pandemic has precipitated a surge of violence against the AAAPI community in the United States, including the Atlanta mass shooting on March 16, 2021. These incidents resurfaced the ongoing racism against AAAPIs that has largely been unaddressed despite lasting almost 2 centuries. The erasure of AAAPIs’ historical oppression, unique cultures, languages, immigration experiences, and contributions to scientific and social justice advancement in the United States has hindered AAAPI voices from being heard. School psychologists are ethically bound to promote equity and dismantle racism;it is imperative to increase visibility of AAAPIs’ experiences across training levels (P–12 and graduate programs), settings, and systems. In this unified statement, school psychology organizations have come together to reaffirm the field’s commitment to anti-racism by offering proactive strategies to effectively promote visibility and equity for AAAPI students, families, and communities. Impact Statement Although there has been a complete absence of discussion of anti-AAAPI racism and anti-racism in school psychology, the field is actively committed to dismantling systemic racism and inequalities in P–12 schools, institutions of higher education, and communities across our nation. This statements seeks to address this absence by providing (a) a much-needed starting point for school psychologists to learn about the history of discrimination, racism, and violence targeting AAAPIs in the United States that has been virtually unaddressed;(b) a critical context for the recent rise in COVID-19-related anti-AAAPI violence while shedding critical light on the deep-seated racism that has oppressed AAAPIs for centuries in America;and (c) beginning strategies that school psychology faculty members, practitioners, and students can engage in to dismantle anti-AAAPI racism across individual and systems levels. © 2021 National Association of School Psychologists.
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Clinicians and patients must weigh the risk of treatment of prostate cancer during a global pandemic with the risk of cancer treatment delays. With the possibility of another peak, public confidence in cancer treatments requiring general anaesthetic will be critical. We report on the safety of performing focal therapy in the UK during the initial Covid-19 peak. Patients and Methods: Consecutive patients treated in 8 centres (23/3/20-23/7/20) were contacted at least 2 weeks after receiving focal ablative therapy. Treatment modalities included high intensity focused ultrasound (HIFU, n=90), cryotherapy (n=32) or irreversible electroporation (IRE, n=6). Results: 128/129 patients treated during the study period were successfully contacted. 107/ 128 (83.5%) underwent primary focal treatment, all had D'Amico intermediate or high-risk disease. National guidelines varied throughout the period. Treating sites requested formal shielding from May 2020 and done in 48/128 (37.5%). 20/128 (15.6%) underwent pre-operative swab tests and 5/128 (3.9%) pre-operative chest imaging. Two (1.6%) had intra-operative complications secondary to catheterisation, but none required overnight admission. No COVID-19 related post-treatment admissions were reported;2 (1.6%) had Covid-19 related symptoms but were not tested as symptoms spontaneously resolved. 3 were admitted for non- COVID-19 issues and one was directly due to treatment related clot retention resulting in the only reported Clavien-Dindo score >2 complication [Table 1]. Conclusions: Focal therapy for non-metastatic prostate cancer was a safe treatment option during a COVID-19 pandemic when appropriate precautions are taken and should be discussed with eligible patients.
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The case report: VLSC, female, 62 years, cefaleia and loss of quality of right eye vision 8, jun,2020. No complain of fever or infection conditions. She has at neuro-ophthalmologist and confirm a loss of visual field on right eye and a diagnosis of Neuropathy of Optic nerve. We performed a BDORT evaluation of this case. Mapping optic nerve, optic chiasma, and optic tract to the lateral geniculate nucleus. The examination show: very low Vitality parameters;high amount of resonance of many microorganisms such as Candida albicans, Chlamydia trachomatis, Herpes virus, Covid-19;high levels of inflammatory parameters.
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I have been treating patients with neurological and neuropsychiatric syndromes of unknown etiology for some years. The signs and symptoms can range from peripheral disorders such as pariahs / paresthesia's of the extremities or affecting the scapular, pelvic girdles (some similar to myopathies);cognitive changes and dementia. In this year of 2020, during Pandemic the frequency of patients with Inflammatory Brain Syndrome increased significantly. In the examination of the cephalic segment by the Virtual Test through BDORT, we find deposits of heavy metals, the presence of numerous microorganisms, alteration of the microcirculation, reduction of neurotransmitters and inflammatory markers. When investigating resonance for SARS-COV-2 (COVID-19), the virtual test reveals a high viral load (measured in units of coronavirus-UCV images);High index of cerebral vasculopathy (resonance obtained with images of cerebral vasculitis);Purpose of the presentation: Identification of the inflammatory brain condition (encephalitis) and treatment instituted through BDORT Material and method: 1. Patients with varied signs and symptoms;some associated with dermatitis;covering all age groups. Children, teenagers with more agitated and aggressive behavior. Associated complaint more frequent headache, distraction, extreme tiredness/fatigue, anxious and depressive symptoms;difficulty concentrating, difficulties with recent memory, unjustified aggression, delusions, etc. (All negative for PCR;serology Covid) 2. Mapping the cephalic segment of these patients. Inflammation of the internal carotid artery (resonance with the human histological lamina of the spleen) and vertebral arteries (resonance with the gallbladder lamina) is observed 3. Therapeutic approach: 3.1 Medication: A. The Natural antivirals (Omega-3, propolis, herbal medicines);coriander, antiinflammatories - DHEA, arnica, antioxidants, Vit D3, Prebiotics, alkalizing foods B. Ivermectin comp 6mg or 5CH homeopathic formula;(as anti-inflammatory 200 or 400 mg) or 5CH homeopathic formula 3.2 Procedures: A. Acupuncture, moxa, Ionic pumping with Manaka cables, Infiltrations with Traumeel's + Lidocaine2% or Procaine2% B. Selective drug capture method: digital pressure in the representative areas of the organs;Use of Red Laser or Led on body areas, etc. .
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Purpose: Women are underrepresented in interventional radiology, with less than 10% in practice and 15% in training. Prior studies have indicated that connections made at meetings and symposia help foster IR interest amongst female medical students. However, due to COVID-19 many events have been canceled thus networking opportunities have decreased. The purpose of this study is to determine if virtual hangout sessions with female medical students, trainees, and attendings is a feasible solution for creating mentorship while in-person events are on hold. Materials and Methods: An anonymous 8-item survey was created consisting of multiple choice, 5-point Likert scale, and free-response questions aimed at assessing factors motivating medical students to pursue a career in IR. The survey was sent to medical students registered for the Women in IR (WIR) Virtual Hangout event. The event was split into eight 1-hour sessions with up to 10 students and 3 or 4 trainees or attendings per session. After the event, an anonymous post-event survey was created and sent to attendees consisting of the same questions as the pre-survey, with additional questions regarding their experience of the event in order to assess changes in the factors that may influence their decision to choose a career in IR. Data was collected and presented as frequencies. Differences between groups assessed via Fisher’s exact test. Results: Of the 79 students who were sent the pre-survey, 53 (67%) responded. Of the 45 students who attended the event and sent the post-survey, 28 (62%) responded. When comparing pre- and post-survey responses, there was a significant statistically significant decrease in concern about limited female mentorship (86.8% to 60.7%, P = 0.01). While not statistically significant, large decreases in concern were noted for radiation exposure (64.1% to 42.9%;P = 0.1) and financial compensation (39.6% to 17.9%;P = 0.051). Furthermore, 78.6% reported an increased likelihood of applying to IR after attending the event, and 96.4% would recommend the event to others. Conclusions: Because of COVID-19, in-person events are no longer feasible at this time, resulting in decreased networking and mentorship events for women. The WIR Virtual Hangout session has shown to be a promising solution, with reported increased likelihood of applying to IR and attending future events. This along with decreases in prevalent concerns such as radiation exposure and perceived limited female mentorship demonstrates that virtual hangout sessions can be effective in recruiting female medical students to pursue IR, thus closing the gender gap.
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Stay at home orders-intended to reduce the spread of COVID-19 by limiting social contact-have forced people to remain in their homes. The additional stressors created by the need to stay home and socially isolate may act as triggers to intimate partner violence (IPV). In this article, we present data from a recent online cross-sectional survey with gay, bisexual and other men who have sex with men (GBMSM) in the United States to illustrate changes in IPV risks that have occurred during the U.S. COVID-19 epidemic. The Love and Sex in the Time of COVID-19 survey was conducted online from April to May 2020. GBMSM were recruited through paid banner advertisements featured on social networking platforms, recruiting a sample size of 696 GBMSM. Analysis considers changes in victimization and perpetration of IPV during the 3 months prior to the survey (March-May 2020) that represents the first 3 months of lockdown during the COVID-19 epidemic. During the period March-May 2020, 12.6% of participants reported experiencing any IPV with higher rates of emotional IPV (10.3%) than sexual (2.2%) or physical (1.8%) IPV. Of those who reported IPV victimization during lockdown, for almost half this was their first time experience: 5.3% reported the IPV they experienced happened for the first time during the past 3 months (0.8% physical, 2.13% sexual, and 3.3% emotional). Reporting of perpetration of IPV during lockdown was lower: only 6% reported perpetrating any IPV, with perpetration rates of 1.5% for physical, 0.5% for sexual, and 5.3% for emotional IPV. Of those who reported perpetration of IPV during lockdown, very small percentages reported that this was the first time they had perpetrated IPV: 0.9% for any IPV (0.2% physical, 0.2% sexual, and 0.6% emotional). The results illustrate an increased need for IPV resources for GBMSM during these times of increased stress and uncertainty, and the need to find models of resource and service delivery that can work inside of social distancing guidelines while protecting the confidentiality and safety of those who are experiencing IPV.