Vulnerabilidades das travestis e das mulheres trans no contexto pandêmico

Este artigo objetiva analisar os impactos da pandemia de Covid-19 na comunidade LGBTQIA+, em específico a situação das travestis e mulheres trans. Nessa direção, este texto privilegia a análise secundária em uma pesquisa direcionada à população nacional LGBTQIA+ e outra pesquisa direcionada às travestis e mulheres trans da cidade de São Paulo, bem como a revisão bibliográfica do tema proposto. Para tanto, nos apropriamos das categorias que perpassam e vão além da questão de gênero e incorporam a diversidade humana, contemplando as relações sociais de sexo, raça e classe social, bem como aquelas que determinam as mutações do mundo do trabalho no contexto do "capitalismo pandêmico”.Alternate :This article aims to analyze the impact of pandemic the new coronavirus of Covid-19 on the LGBTQIA+ community, particularly the situation of transvestites and transgender women. With this in mind, this text advocates a secondary analysis in one research aimed at the national LGBTQIA+ population and another research aimed at transvestites and transgender women in the city of São Paulo, as well as the bibliographical review of the proposed. To this end, we use the categories that permeate and go beyond gender and include human diversity, taking into account the social relationships of gender, race and social class, as well as those that determine the changes in the world of work in the context of "pandemic capitalism”.

The impact of transgender minority stress and emotion regulation on suicidality and self-harm

Transgender and gender diverse (TGD) individuals experience high levels of minority stress, as well as a high prevalence of suicidality and self-harm. The current study investigates if emotion regulation mediates the relationships of minority stressors with self-harm and suicidality. TGD adult primary care patients (N = 115) completed a survey including measures of minority stressors, emotion dysregulation, self-harm, and suicidality. Emotion regulation mediated the relationship between victimisation and suicidality. Emotion regulation did not mediate the relationship between victimisation and self-harm. TGD individuals' suicide risk may be increased when they experience victimisation through increased emotion dysregulation.

Depressive and Anxiety Symptoms Were More Common for Transgender Individuals Whose Gender-Affirming Surgeries Were Cancelled or Delayed Due to COVID-19: A Global Cross-Sectional Study

Gender-affirming surgeries, which have well-established mental health benefits, were cancelled and delayed for transgender people worldwide during the COVID-19 crisis. Of 253 scheduled gender-affirming surgeries among transgender adults across 35 countries in late 2020, 27% (n=69) reported that the COVID-19 crisis limited their access to gender-affirming surgery (i.e., cancelled, postponed indefinitely, or rescheduled). In adjusted models, respondents with reduced access to surgeries were somewhat more likely to screen positive for depressive or anxiety symptoms, whereas those who maintained access were more likely to report higher levels of happiness. Our findings illustrate the transgender-specific harms of the COVID-19 crisis on gender-affirming surgeries and mental health.

Mental Health Disparities Among Cisgender, Transgender, and Gender Nonconforming College Students in the United States

Many researchers attribute factors of identity, acculturation, sexual orientation, and substance use and other maladaptive behaviors as potential risk factors associated with increased mental illnesses reported by college students (Castillo & Schwartz, 2013;Wyatt & Oswalt, 2013). [...]the COVID-19 pandemic has further exacerbated mental health problems in college students (Lopez Steinmetz et al., 2021;Son et al., 2020), with 71% experiencing more stress, anxiety, problems with concentration, and worry about a loved one's health as well as their own (Son et al., 2020). Approximately 75% of first-year college students with any mental illness do not seek help (Bruffaerts et al, 2019). [...]there is a growing need to address possible factors contributing to reduced help seeking and to identify vulnerable groups in college populations (Castillo & Schwartz, 2013). Men's decreased treatment utilization may be in part due to shame, stigma, and parental and peer norms toward seeking out mental health services (Seehuus et al, 2021). Given the impact that gender-related stressors play in the rise of mental illness in college students, this study aims to bridge the gap in mental health clinicians' and researchers' understanding of how diverse gender identities influence mental health-related outcomes and mental illness. [...]this study addresses two research questions: (1) Do gender differences (i.e., between cisgender men, cisgender women, and TGNC individuals) exist among college students in the prevalence of mental illness, utilization of psychological services, and mental health-related outcomes (i.e., psychological distress, stress, resilience, overall health, and loneliness)? (2) Do mental health-related variables differentially predict mental illness diagnoses among college students? METHOD Participants and Data Collection The ACHA (2020) National College Health Assessment-Ill Fall 2020 (NCHA-III) is a survey that gathers information regarding students' health.

A Rose by Any Other Name: Gender-Affirming Care and Severe Mental Illness

The transgender population has higher rates of psychiatric disorders and stigma within medical settings. Literature suggests that gender-affirming care is the standard when working with such patients. There are limited studies regarding treating these patients with severe mental illness (SMI). This article explores how to treat SMI that impacts patients' reality to the point where their assigned sex cannot be acknowledged. The case presented is that of a transgender woman, where clarification of her natal sex was crucial to treatment. The patient denied her natal sex, endorsing a history of miscarriage. Studies on treatment of transgender SMI patients are limited. Gender-affirming treatment is the standard of care for these patients. Training how to ask pertinent questions and communicate effectively is necessary to prevent misdiagnosis, unnecessary treatment, and agitation. [Psychiatr Ann. 2023;53(5):221–223.]

Trans Comedy as Trans Care

Malatino compares two billboards, one declaring "Trans lives are sacred," found in Detroit in July 2019, and one stating "Trans people deserve health care, support, justice, safety, love," stationed near the border of Joshua Tree and Twentynine Palms in November 2018 (2020, 25–26 and 30–31). (Nothing works for staving off isolation, illness, and routine workplace discrimination like stabbing your friends dressed as a neon cartoon alien with funky accessories, am I right?) Play, laughter, and jokes—collective endeavors, done with others, whether real or imaginary, present or distant (Freud 1905, Bergson 1912)—are key to trans care via media2. Playing together, via media, including the comedy of our own making, on the other hand, can take on a form of care, and we in turn keep each other alive. The newest iteration of the decades-long irony wherein cis/straight people reveal themselves as relying on the very healthcare they would deny trans and queer folks but with a new toxic twist, a spoof image of the cover of trans theorist Paul B. Preciado's Testo Junkies with Rogan photoshopped on the cover was soon circulating through the trans internet.

Pandemic Rendering the Transgender People More Vulnerable, as If It Was Not Already Enough: A Qualitative Exploration from Odisha, India

The COVID-19 pandemic impacted people's livelihoods worldwide to an unprecedented magnitude, the most affected being the socially and economically disadvantaged and marginalized communities, including the transgender people that constitute one of the most vulnerable sections that are often subjected to discriminated in various sectors such as education, health, housing, and livelihood opportunities. The present study attempts to offer insights into the impact of the pandemic on the livelihood of transgender people in India, given that the pandemic adversely affected their primary sources of livelihood, such as begging, sex-work, singing, and dancing, due mainly to the restrictive measures: lockdown, shutdown, social/physical distancing, etc., imposed by government authorities to curb the spread of the virus, in turn depriving them of their livelihood choices and rendering them even more vulnerable. This study draws from twelve transgender respondents in the city of Bhubaneswar, India recruited through the snowball method and uses thematic analysis of qualitative data obtained through telephonic interviews. The study finds that the pandemic-induced measures have negatively affected the lives and livelihood of transgender people during this time of crisis. Despite the government's sustained efforts in providing temporary livelihood options and monetary supports during the crisis, the transgender people continued to remain marginalized. Approaches to making them self-sufficient over a longer term and empowering them financially would have been of more significant impact.

122nd Annual Meeting Medical Library Association, Inc. New Orleans, LA May 3–6, 2022

The Medical Library Association (MLA) held its 122nd annual meeting May 3-6, 2022, in New Orleans LA. The meeting was entitled "MLA '22: Reconnect. Renew. Reflect" and utilized a hybrid model with some events in person, and some virtually. The virtual meeting was again broken into segments, all available using a variety of online platforms. Total attendance for the meeting was 1,250 with 575 attending in-person, and 675 virtually. Additional meeting content--including the meeting program and various electronic presentations from the business meetings, plenary sessions, poster sessions, and program sessions can be accessed by all meeting registrants via the MLA '22 website.

TRANSGENDER PERSON-CENTERED CARE IN PANDEMIC TIMES

Introduction and Objectives: This article aims to outline the need for a person-centered approach to sexual health for transgender people in COVID-19 pandemic times.Methods: These involved reviews of international healthcare standards and the principles and strategies of person-centered health care, which articulate science and humanism. Ethical imperatives, including respect for all persons' dignity and "first do not harm” as well as scientific considerations, including recognition of the eco-bio-psycho-social-spiritual multidimensionality of person and health were attended to.Results: The approach outlined here attends to Universal Sexual Rights, and the multidimensionality of persons' sexual diversity, in the context of the current pandemic. This is illustrated through the Gender Identity Law enacted by the Argentine Ministry of Health in 2014 and its 2020 amendment, formulated in the face of the pandemic. The healthcare approach outlined here involves recommendations to promote access to health care for transgender, transvestite, and sexual non-binary people in the context of the pandemic.Conclusions: All persons can present and experience a unique and multidimensional sexual profile that should be assessed thoroughly within the multidimensional framework of total health and total person. Health care should be scientifically thorough, provided prudently, informed by the "first do not harm” ethical principle, fully respectful of human and sexual rights and responsibilities, and aimed at advancing total health and complete well-being for all throughout their life course.

Introduction

[...]shifting ideologies surrounding "the family” inform and carry implications for economic, political, cultural, and social practices and activities. [...]of this dominance and influence of the family, this special issue centers on family-focused library and information science (LIS) research and is borne from conversations and reflections posed at a 2019 iConference Session for Interaction and Engagement of the same name. [...]in "Students and Parents: How Academic Libraries Serve a Growing Population,” Marta Bladek employs multiple sources of data to draw attention to the challenges and barriers postsecondary students who are also parents must contend with as they attempt to access academic library services and supports. [...]the articles in this issue also highlight the diverse areas within LIS that may be enriched by a consideration of the family context, including the study of information practices (Han;McKenzie;Ortiz-Myers and Costello), archival practices and personal information management (Krtalić, Dinneen, Liew, and Goulding), consumer health information (Charbonneau and Akers), reader response theory (Velez), early literacy (Prendergast and Sharkey), and library service provision (Bladek).

Eating habits and nutritional adequacy of the transgender (Hijra) community residing in and around Mumbai

For centuries, the Hijra enjoyed a special respect in the Hindu and Islamic cultures however, over the time, stigmatization took its toll and today the community is pushed to live on extreme societal margin. The present study was undertaken to assess the nutritional status of 304 transgender (Male to Female) residing in and around Mumbai using a mixed method approach. Participants were selected using a purposive sampling technique with the help of three Community Based Organisations (CBOs) working in close association with transgender. Data related to their nutritional status was collected before the pandemic using Food Frequency Questionnaire, 24-hr Recall and anthropometric measurements. Data related to impact of COVID-19 pandemic on food habits of transgender was collected from eight key informants working with CBOs using in-depth telephonic interviews. Results indicated that consumption of calorie dense junk foods was high and that of immunity building micronutrient dense foods such as fruits, vegetables and milk was notably low. Mean intake of macronutrients was adequate but that of micronutrients was lower for the majority. BMI assessment showed that 13 and 49% were underweight and overweight /obese respectively. COVID-19 pandemic further worsened nutritional status. The findings of the study may serve as basis for formulation of effective nutrition intervention programmes for transgender community.

Pengetahuan HIV/AIDS dan Faktor Keterlibatan dalam Hubungan Romantik serta Ketertarikan Seks Sesama Jantina : Kajian Kes dalam kalangan Mahasiswa Gay

Kajian ini bertujuan meneroka pengetahuan mahasiswa tentang risiko jangkitan HIV/AIDS, faktor keterlibatan dalam hubungan romantik dan ketertarikan seks sesama jantina. Masih kurang kajian yang memberi tumpuan kepada amalan hubungan romantik dan ketertarikan seks sesama jantina serta kesedaran mahasiswa tentang HIV/AIDS impak daripada tingkah laku seks berisiko ini. Banyak kajian terdahulu lebih menumpu kepada faktor keterlibatan dalam hubungan romantik dan ketertarikan seks sesama jantina tanpa mengaitkannya dengan kesedaran mahasiswa gay terhadap jangkitan HIV. Kajian ini menggunakan pendekatan kajian kes dan direkabentuk bersesuaian kaedah kajian kualitatif. Seramai empat informan dalam kalangan mahasiswa Institusi Pengajian Tinggi di Malaysia yang membuat pengakuan identiti gay telah terlibat dalam kajian ini. Pemilihan informan adalah menggunakan teknik Persampelan Snow Ball. Pengumpulan data telah dijalankan secara atas talian dengan menggunakan medium Google Meet. Semua informan ditemubual dalam talian secara konferen video. Data temu bual dianalisis menggunakan analisis tematik. Hasil analisis menunjukkan terdapat empat faktor risiko keterlibatan mahasiswa dalam hubungan romantik dan tingkah laku seksual sesama jantina iaitu (i) pengalaman menjadi mangsa gangguan seksual semasa kecil, (ii) faktor naluri semulajadi, (iii) pengaruh rakan/komuniti berisiko gay dan (iv) pengaruh negatif daripada media sosial dan internet. Informan juga mempunyai pengetahuan asas tentang risiko jangkitan HIV. Walau bagaimanapun, kesemua informan percaya tingkah laku mereka mempunyai risiko rendah dan tidak mudah untuk dijangkiti HIV. Salah faham tentang risiko jangkitan HIV bagi seks tidak selamat dan seks luar tabi' dipercayai mendorong amalan hubungan seks sesama jantina dilakukan tanpa rasa takut dan menurunnya keprihatinan kepada seks selamat dalam kalangan mahasiswa gay. Kajian mencadangkan salah faham tentang risiko jangkitan HIV sebagai faktor baharu penyebab amalan seks sesama jantina yang berterusan dalam kalangan informan yang dikaji. Intervensi perlu dibentuk bersesuaian faktor risiko hubungan romantik dan tingkah laku seksual sesama jantina agar ia dapat dibendung daripada menular dalam kalangan mahasiswa gay.Alternate :This study aims to explore the knowledge of HIV/AIDS infection risk and the factors that contribute to same-sex romantic relationship involvement and same-sex sexual attractions among university students. Less studies have been done focusing on same-sex romantic relationships and same-sex sexual attraction among self-identified gay university students and their awareness of the HIV/AIDS impact due to risky sexual behaviour. Many previous studies were found to focus only on gay students' romantic relationships and samesex sexual attraction involvement factors without relating these factors with their awareness of HIV infection. This study uses a case study approach and is designed following qualitative research methods. Four students who self-identified as gay were selected as informants. Snow Ball Sampling is used as the informants' selection technique. Data collection was conducted online using the Google Meet platform. All informants were interviewed online via video conference. The thematic analysis has been used to analyse the interview data. The study analysis demonstrated four risk factors conduce to a same-sex romantic relationship and samesex sexual behaviours among gay students: (i) sexual abuse experienced during childhood;(ii) same-sex sexual attraction as an instinct factor;(iii) gay friends/community influenced and (iv) internet and social media negative influence. All informants are identified to have basic HIV risk infection knowledge. However, those in a same-sex relationship believe same-sex romantic relationships and same-sex sexual practices have a low risk of HIV infection. The misunderstanding of HIV infection in same-sex sexual practices and unsafe sex is believed to contribute to a consistent no fear of same-sex sexual practices and less concern towards safe sex among ay students. This study suggests a misunderstanding of HIV infection as the new factor contributing to continuous same-sex sexual practices among studied informants. Intervention needs to be developed tailored to the same-sex romantic relationship and same-sex sexual attraction risk factors to curb the spread among gay students.

Queering public health: a critical examination of healthcare access and gender expression among trans, nonbinary, and other gender nonconforming people during COVID-19

Research documenting the impact of COVID-19 on Two-Spirit, lesbian, gay, bisexual, transgender, and queer (2SLGBTQ+) populations in Canada is limited. Our objectives were to investigate the impact of COVID-19 lockdown measures on the lives of trans, nonbinary, and other gender nonconforming (TGNC) people. Engage COVID-19 is a mixed methods study examining the impact of COVID-19 on gay, bisexual, queer, and other men who have sex with men (GBQM) living in Vancouver, Toronto, and Montreal, Canada. Using purposive sampling, we conducted in-depth qualitative interviews (between November 2020-February 2021 and June-October 2021) with 93 participants who discussed the impact of COVID-19 on their lives. Seventeen participants were identiAed as TGNC. TGNC participants reported barriers to trans healthcare during the initial months of the COVID-19 pandemic. Several participants indicated that some public health interventions during COVID-19 (i.e., lockdowns) eased the pressure to "perform" gender due to fewer in-person interactions. During lockdowns, TGNC participants increasingly cultivated community networks online. Nevertheless, participants reported longing for the social support that was available to them during pre-COVID. Lack of access to community spaces during lockdowns had a negative impact on participants' mental health, despite reduced pressure to perform gender and opportunities for social engagement in online spaces.

Exclusionary Behaviors Reinforce Historical Biases and Contribute to Loss of Talent in the Earth Sciences

Geosciences remain one of the least diverse fields. Efforts to diversify the discipline need to address the role of hostile and exclusionary work and learning environments. A workplace climate survey distributed to five professional organizations illustrates varied experiences of earth and space scientists over a 12-month period (pre-COVID). A majority experienced positive interactions in the workplace. However, scientists of color, women and non-binary individuals, scientists with disabilities, and lesbian, gay, bisexual, queer, pansexual, and asexual (LGBQPA+) scientists more frequently experienced negative interactions, including interpersonal mistreatment, discriminatory language, and sexual harassment. Geoscientists of color were more likely to experience devaluation of their work than white scientists. More than half of women and non-binary respondents, as well as those who identify as LGBQPA+ experienced identity-based discriminatory remarks. Disabled geoscientists were more likely to hear negative identity-based language than those who did not disclose a disability. Overall, 14% of all respondents experienced sexual harassment in the previous year. Rates were greatest for historically excluded groups: non-binary (51%), LGBQPA+ (33%), disabled (26%), women (20%), and geoscientists of color (17%). A majority of geoscientists reported avoiding their colleagues and almost a third considered leaving their institution or a career change. Historically excluded groups were more likely to report opting out of professional activities with potential career consequences. To address continued exclusion and low retention in the earth and space sciences, recruitment is not enough. We need to create environments that ensure opportunities for all to thrive.

How Can I Keep Them Singing? Exploring 'Tumult and Strife' in Male Adolescent Voice Change

Within the field of music education, there is extensive literature that speaks to the importance of singing for an individual's musical development (Williams, 2019;Welch, 2012). Aside from its musical benefits, Welch (2012) identifies the role of singing in improved respiratory and cardiac function, communication skills, and sense of social inclusion. With a more thorough understanding of TIVC, music educators will be better equipped to assess their students' voices and address their vocal needs during voice change. By expanding vocal pedagogy lessons to include voice change and its impact on vocal anatomy, music educators can provide clarity for adolescent boys as they navigate their changing voices.

Canadian Adolescents' Mental Health and Substance Use During the COVID-19 Pandemic: Associations With COVID-19 Stressors

There have been significant concerns regarding the mental health impact of coronavirus disease 2019 (COVID-19) due to isolation, anxiety around the pandemic, and increased conflict in the home. The purpose of this study was to examine the rates of mental health symptoms of clinical concern and substance use, and to assess which COVID-19 related stressors were predictors of these symptoms and substance use in a large Canadian sample of adolescents, with comparisons across genders. Participants (N = 809, Mage = 15.67, SD = 1.37) identified as a girl (56.2%), boy (38.7%), or trans/nonbinary individuals (TNBI;5.1%) and were recruited via social media to complete an online survey. A high proportion of adolescents reported symptoms of clinical concern for depression (51%), anxiety (39%), and posttraumatic stress disorder (45%). Other mental health problems ranged from 9% to 20%. Adolescents were mainly concerned with the health of family members and vulnerable populations, as well as the increased family stress at home during COVID-19. Rates of substance use were higher than expected, with over 50% of youth engaging in some form of substance use in the past 90 days, and almost 20% engaging in substance use at least once a week. TNBI and girls reported higher rates of mental health problems compared to boys. Family stress due to confinement and violence at home predicted higher mental health symptoms, but not substance use problems. Increased rates of mental health problems and substance use necessitate targeted supports that encourage positive coping amidst the additional stresses of COVID-19.

Liver function in transgender persons: Challenges in the COVID-19 era.

Transgender persons constitute a non-negligible percentage of the general population. Physical gender-transitioning in trans persons is mainly achieved with hormonal cross-sex therapy and sex reassignment surgeries that aim to align bodily appearance with gender identity. Hormonal treatment acts via suppressing the secretion of the endogenous sex hormones and replacing them with the hormones of the desired sex. The administration of testosterone is the typical masculinizing treatment in trans men, whilst trans women are routinely treated with estradiol agents in combination with anti-androgens or gonadotrophin-releasing hormone agonists if testes are present. Exogenous androgenic steroids, estradiol agents, and anti-androgens have been implicated in a series of hepatotoxic effects. Thus, liver integrity is a major concern with the long-term administration of cross-sex therapy. Hepatic tissue is susceptible to coronavirus disease 19 (COVID-19) through various pathophysiological mechanisms. Special consideration should be paid to minimize the risk of hepatic damage from the potential cumulative effect of COVID-19 and gender-affirming treatment in transgender patients. Appropriate care is significant, with continuous laboratory monitoring, clinical observation and, if needed, specific treatment, especially in severe cases of infection and in persons with additional liver pathologies. The pandemic can be an opportunity to provide equal access to care for all and increase the resilience of the transgender population.

Acknowledgment to Referees

Pim Aarts, The Netherlands Masashi Akiyama, Japan Berna Aksoy, Turkey Afsaneh Alavi, USA Riccardo Asero, Italy Kurt Ashack, USA Deepak M.W. Balak, The Netherlands Federico Bardazzi, Italy Nicole Basset-Seguin, France Francesco Bellinato, Italy Luigi Bennardo, Italy Marie Beylot-Barry, France Neal Bhatia, USA Ruth Board, UK Luca Borradori, Switzerland Francisco G. Bravo, Peru Valeria Brazzelli, Italy Ashley Budu-Aggrey, UK Cheryl M. Burgess, USA Jefferey P. Callen, USA Marzia Caproni, Italy Adela R. Cardones, USA Jill Carlton, UK Jennifer C. Cather, USA Tania F. Cestari, Brazil WenChieh Chen, Germany Pavel V. Chernyshov, Ukraine Anna L. Chien, USA Keith A. Choate, USA Jeong-Hee Choi, Republic of Korea Raj Chovatiya, USA Chia-Yu Chu, Taiwan, Republic of China Laura C. Coates, UK Arnon D. Cohen, Israel Mark D.P. Davis, USA Marjolein S. de Bruin-Weller, The Netherlands James Q. Del Rosso, USA Clio Dessinioti, Greece Kossara Drenovska, Bulgaria Aaron Drucker, Canada Klaus Eisendle, Italy Robert English, USA Scott Ernst, Canada Zeynep Eroglu, USA Mehdi Farshchian, USA Steven R. Feldman, USA Laurence Feldmeyer, Switzerland Francesca L. Filon, Italy Alexandra Flamm, USA Regina Folster-Holst, Germany Egidio Freitas, Portugal John W. Frew, Australia Yasuhiro Fujisawa, Japan Hideki Fujita, Japan Atsushi Fukunaga, Japan Amit Garg, USA Kirk Geale, Sweden Shamir Geller, Israel Ana Gimenez-Arnau, Spain Donald A. Glass, USA Michael H. Gold, USA Michael T. Goldfarb, USA Minerva Gomez-Flores, Mexico Miguel Ángel Gonzalez-Gay, Spain Melinda Gooderham, Canada Emmanuella Guenova, Switzerland Alexander Guminski, Australia Rolland Gyulai, Hungary Philip J. Hampton, UK George Han, USA Eckart Haneke, Germany Catherine A. Harwood, UK Takashi Hashimoto, Japan Erica N. Hasimoto, Brazil Guido Heine, Germany Michihiro Hide, Japan Jennifer L. Hsiao, USA Michael Jacobson, USA Mohammad Jafferany, USA Agata Janowska, Italy Ahmed Kazmi, Australia Binod K. Khaitan, India Niloufer Khan, USA Meenal Kheterpal, USA Nour Kibbi, USA Line Kibsgaard, Denmark Fadime Kilinc, Turkey Wei-Liang Koh, Singapore Taro Kono, Japan Andreas E. Kremer, Switzerland Johannes Kristensen, Denmark Joseph Lam, Canada Peter K.H. Lau, Australia Alison M. Layton, UK Haur Yueh Lee, Singapore Ju Hee Lee, Republic of Korea Solam Lee, Republic of Korea Charussri Leeyaphan, Thailand David J. Leffell, USA Paul Leighton, UK Yael A. Leshem, Israel Jonathan Leventhal, USA Monica K. Li, Canada Henry W. Lim, USA Shari Lipner, USA Ivan Litvinov, Canada Vikram K. Mahajan, India Satveer Mahil, UK Tarja Malkonen, Finland Woraphong Manuskiatti, Thailand Joaquim Marcoval, Spain David J. Margolis, USA Angelo V. Marzano, Italy Christopher McCormack, Australia Amy J. McMichael, USA Catriona McNeil, Australia Martin Metz, Germany Brigitte Milpied-Homsi, France Laurent Misery, France Hideaki Miyachi, Japan Trinidad Montero-Vilchez, Spain Marie-Anne Morren, Switzerland Klara Mosterd, The Netherlands Arielle R. Nagler, USA Luigi Naldi, Italy Iman Nasr, Oman Aude Nassif, France Ruud Nellen, The Netherlands Amanda M. Nelson, USA Caroline A. Nelson, USA Samantha Neves, Brazil Cuong Nguyen, USA Dennis Niebel, Germany Megan Noe, USA Robert Ofenloch, Germany Anna M. Offidani, Italy Caroline Olesen, Denmark Alex Ortega-Loayza, USA Simona Panelli, Italy Hyun-sun Park, Republic of Korea Anisha B. Patel, USA José-Juan Pereyra-Rodriguez, Spain Lourdes Perez-Chada, USA Jonny Peter, South Africa James Piercy, UK Thomas A.E. Platts-Mills, USA Miriam K. Pomeranz, USA Martina L. Porter, USA Lluís Puig, Spain Adriana Rakowska, Poland Michele L. Ramien, Canada Andréia N. Ramos, Brazil Leena Raveendra, India Adam Reich, Poland Rachel V. Reynolds, USA Simone Ribero, Italy Christopher T. Richardson, USA Bertrand J. Richert, Belgium Alfredo Rossi, Italy Piotr Rutkowski, Poland Marcus Schmitt-Egenolf, Sweden Lutz Schmitz, Germany Maria C. Schneeweiss, USA Patrick Schummer, Germany Christina Schut, Germany Robert A. Schwartz, USA Alexander Shayesteh, Sweden Minxue Shen, China Bridget E. Shields, USA Tetsuo Shiohara, Japan tyendra K. Singh, India Suvi-Paivikki Sinikumpu, Finland Malgorzata Sokolowska-Wojdylo, Poland Reinhart Speeckaert, Belgium Julia Spoendlin, Switzerland Caroline Stamu-O'Brien, USA Sonja Ständer, Germany Michela Starace, Italy Poonkiat Suchonwanit, Thailand Cord Sunderkotter, Germany Axel Svedbom, Sweden Paul Swiecicki, USA Jacek C. Szepietowski, Poland Mircea Tampa, Romania Ryoji Tanei, Japan Carol Stephanie C. Tan-Lim, Philippines Soheil Tavakolpour, Islamic Republic of Iran Daniel Torocsik, Hungary Heiko Traupe, Germany Ralph M. Trueb, Switzerland Stephen K. Tyring, USA Thrasivoulos Tzellos, Norway Nelson Ugwu, USA Peter C.M. van de Kerkhof, The Netherlands Sheryl van Nunen, Australia Ron Vender, Canada David Wada, USA Hiroyuki Wakiguchi, Japan Daniel Wallach, France Richard Wang, USA Guy F. Webster, USA Jonathan S. Weiss, USA Nelson Wolosker, Brazil Toshiyuki Yamamoto, Japan Sejung Yang, Republic of Korea Jensen Yeung, Canada Zenas Z.N. Yiu, UK Jasmine Zain, USA Through the hard work of our authors and reviewers, we continue to see great gains in article usage. Granuloma Annulare: An Updated Review of Epidemiology, Pathogenesis, and Treatment Options Effects of Topical Retinoids on Acne and Post-inflammatory Hyperpigmentation in Patients with Skin of Color: A Clinical Review and Implications for Practice Pyoderma Gangrenosum: An Updated Literature Review on Established and Emerging Pharmacological Treatments Pruritus in Pregnancy Treatment Options and Goals for Patients with Generalized Pustular Psoriasis Treating Acne in Transgender Persons Receiving Testosterone: A Practical Guide Dupilumab Provides Acceptable Safety and Sustained Efficacy for up to 4 Years in an Open-Label Study of Adults with Moderate-to-Severe Atopic Dermatitis Long-Term Efficacy and Safety of Dupilumab in Adolescent s with Moderate-to- Severe Atopi c Dermatitis: Resul ts Through Week 52 from a Phase III Open-Label Extension Trial (LIBERTY AD PED-OLE) A Review of Existing Therapies for Actinic Keratosis: Current Status and Future Directions Social media sharing and other online mentions of information are other metrics with which to measure the reach of articles. Pharmacokinetics of Roflumilast Cream in Chronic Plaque Psoriasis: Data from Phase I to Phase III Studies Tralo kinum ab Plus Topical Corticoste roids as Needed Provides Progressive and Susta ined Effic acy in Adult s with Moderate-to-Severe Atopic Dermatitis Over a 32-Week Period: An ECZTRA 3 Post Hoc Analysis Effect of Roflumilast Cream (ARQ-151) on Itch and Itch-Related Sleep Loss in Adults with Chronic Plaque Psoriasis: Patient-Reported Itch Outcomes of a Phase 2b Trial Treating Acne in Transgender Persons Receiving Testosterone: A Practical Guide Cutaneous Manifestations of SARS-CoV-2 Infection Long-Term Efficacy and Safety of Dupilumab in Adolescents with Moderate-to- Severe Atopi c Dermatitis: Resul ts Through Week 52 from a Phase III Open-Label Extension Trial (LIBERTY AD PED-OLE) Photoprotection for Skin of Color I am also very grateful to the members of the journal's Honorary Editorial Board, who have acted as peer reviewers and authors, and have provided guidance on journal content, policy, and processes: Dietrich Abeck, Group Practice for Dermatology and Allergology, Munich, Germany Tina S. Alster, Washington Institute of Dermatologic Laser Surgery, Washington DC, USA Emily M. Altman, Summit Medical Group, Berkeley Heights, NJ, USA Kyle T. Amber, Rush University Medical Center, Chicago, IL, USA Enzo Berardesca, University of Miami, Miami, FL, USA Jose-Manuel Carrascosa, Hospital Universitari Germans Trias i Pujol, Badalona, Barcelona, Spain Clay J. Cockerell, University of Texas Southwestern Medical Center, Dallas, TX, USA Philip R. Cohen, University of California San Diego, San Diego, CA, USA Steven Daveluy, Wayne State University, Dearborn, MI, USA Robert P. Dellavalle, University of Colorado School of Medicine, Aurora, CO, USA Brigitte Dréno, Nantes University, Nantes, France Madeleine Duvic, University of Texas, Houston, TX, USA Peter Elsner, Friedrich Schiller Univers ty, Jena, Germany Joseph C. English III, University of Pittsburgh, Pittsburgh, PA, USA Vincent Falanga, Boston University School of Medicine, Boston, MA, USA Alice B. Gottlieb, New York Medical College, Valhalla, NY, USA Christopher E.M. Griffiths, University of Manchester, Manchester, UK Aditya K. Gupta, Mediprobe Research Inc., London, ON, Canada C. William Hanke, Laser and Skin Surgery Center of Indiana, Carmel, IN, USA Rod J. Hay, International Foundation for Dermatology, London, UK Amor Khachemoune, Veterans Affairs Medical Center, Brooklyn, NY