Nearly 1 in 10 American adults and 1 in 5 teens report having depression according to a new study, reflecting a general decline in wellbeing in the U.S. even before the pandemic began. The study found high rates of depression among certain groups.
When is the best time to get a flu shot? Here’s what doctors say.
Fall season usually means the start of people wearing cozy sweaters, sipping pumpkin spice lattés — and getting the flu.
2 Imp Questions on Software Testing and Cyclomatic complexity is explained
Q. Which of the following is white box technique?
(a) Path coverage
(b) Equivalence class testing
(c) Cause effect graphing
(d) State based testing
What it's like to be a Muslim in America
To be a Muslim in America is a gift to be sure. We are honored with 24 hours of running water, power, right to cast a ballot, security, opportunity to rehearse our religion, and so on. Any Law-standing Muslim living in America can live with a true serenity.
That being said, there are surely things that I accept that we can improve or change.
What Islam really says about women
Ladies in Islam don't seek similar treatment as their western partners do and Islam's treatment of ladies has been a subject of tremendous discussion of late. Some vibe that Islam's treatme
When is the best time to get a flu shot? Here’s what doctors say.
Fall season usually means the start of people wearing cozy sweaters, sipping pumpkin spice lattés — and getting the flu.
2 Imp Questions on Software Testing and Cyclomatic complexity is explained
Q. Which of the following is white box technique?
(a) Path coverage
(b) Equivalence class testing
(c) Cause effect graphing
(d) State based testing
What it's like to be a Muslim in America
To be a Muslim in America is a gift to be sure. We are honored with 24 hours of running water, power, right to cast a ballot, security, opportunity to rehearse our religion, and so on. Any Law-standing Muslim living in America can live with a true serenity.
That being said, there are surely things that I accept that we can improve or change.
What Islam really says about women
Ladies in Islam don't seek similar treatment as their western partners do and Islam's treatment of ladies has been a subject of tremendous discussion of late. Some vibe that Islam's treatme
Novavax Offers More Traditional COVID-19 Vaccine Option
San Diegans presently have a more customary choice with regards to COVID-19 immunizations. The protein-based Novavax COVID-19 antibody is generally accessible across the district.
Computers vs. TV: Which is less likely to promote dementia?
When it comes to health issues, not all forms of being sedentary are equal.
JOHN TIMMER - 8/22/2022, 4:14 PM
Standing work areas — and in any event, trekking work areas — are a reaction to a developing collection of studies showing that a stationary way of life makes numerous wellbeing gambles. Ordinary actual work seems to present a level of insurance from different issues, both physical and mental, and many outcomes show that this doesn't need Olympic-level training. Basically strolling around the condo a couple of times each day seems to help.
Computers vs. TV: Which is less likely to promote dementia?
When it comes to health issues, not all forms of being sedentary are equal.
JOHN TIMMER - 8/22/2022, 4:14 PM
Standing work areas — and in any event, trekking work areas — are a reaction to a developing collection of studies showing that a stationary way of life makes numerous wellbeing gambles. Ordinary actual work seems to present a level of insurance from different issues, both physical and mental, and many outcomes show that this doesn't need Olympic-level training. Basically strolling around the condo a couple of times each day seems to help.
Dozens of dogs killed by mysterious parvo-like illness in Michigan
Michigan canine proprietors are urged to keep their creatures close and get them appropriately immunized
Many canines in Michigan have purportedly been nauseated and killed by a parvovirus-like disease, neighborhood creature covers said.
The revelation of poliovirus in New York state, London and Jerusalem this year has shocked numerous — yet general wellbeing scientists battling to destroy the sickness say it was inevitable.
"No country on the planet is safe with the impacts of polio," says Zulfiqar Bhutta, a worldwide wellbeing specialist at the Aga Khan University in Karachi, Pakistan. "It's undeniably interconnected."
We were able to lessen our food waste by making simple changes to how we store our produce, so we decided to share these tips with you so they can help you do the same!
- OPEN FOR MORE + THE RECIPES -
Health Tips Video
This video is an important one. Health is the root of all happiness. We are aware of health protection. The health video contains 10 important tips. I request everyone to watch the video.https://oke.io/yDqOeCtU
The Most Important Skill Set in Mental Health
CENTRAL ISSUES
WE DISSECTED 54,633 EXAMINATIONS TO REALIZE WHAT TRULY ASSISTS INDIVIDUALS WITH ROLLING OUT AN IMPROVEMENT.
THE MOST WELL-KNOWN PATHWAY OF PROGRESS WAS MENTAL ADAPTABILITY AND CARE ABILITIES.
Breast Cancer Treatment
Bosom Cancer is the malignant growth that is created in the bosom tissues for the most part in the inward coating of milk conduits or in the lobules which supply milk to the pipes. Contingent upon the spot of start, they are known as ductal carcinoma, whenever began in the milk channels or lobular carcinoma when begun in the lobules. Bosom diseases are likewise delegated chemical positive or a chemical negative malignant growth which is concluded in light of their aversion to chemicals like progesterone and estrogen.
MY CANCER STORY • Cervical Cancer • Symptoms, Diagnosis, Treatment • My cervical Cancer story
"The number of approaches to being are there, sweet companion?" asks Grandmother Growth in her warm way. You sense this is a significant inquiry, and you dread you don't have the foggiest idea about the right response.
The primary or chief name of GOD ALMIGHTY is "ALLAH". There is no plural of this word. Comparative word is likewise accessible in the New Testament (Gospel). It is an assessment that this word signifies "Al-Elah" i.e "The Deity". "Elah" means "God" and "Al" for "The" in Arabic.
CHAPTER 1 SEMESTER V - ROLE OF PEADIATRIC NURSE.pdfSachin Sharma
Pediatric nurses play a vital role in the health and well-being of children. Their responsibilities are wide-ranging, and their objectives can be categorized into several key areas:
1. Direct Patient Care:
Objective: Provide comprehensive and compassionate care to infants, children, and adolescents in various healthcare settings (hospitals, clinics, etc.).
This includes tasks like:
Monitoring vital signs and physical condition.
Administering medications and treatments.
Performing procedures as directed by doctors.
Assisting with daily living activities (bathing, feeding).
Providing emotional support and pain management.
2. Health Promotion and Education:
Objective: Promote healthy behaviors and educate children, families, and communities about preventive healthcare.
This includes tasks like:
Administering vaccinations.
Providing education on nutrition, hygiene, and development.
Offering breastfeeding and childbirth support.
Counseling families on safety and injury prevention.
3. Collaboration and Advocacy:
Objective: Collaborate effectively with doctors, social workers, therapists, and other healthcare professionals to ensure coordinated care for children.
Objective: Advocate for the rights and best interests of their patients, especially when children cannot speak for themselves.
This includes tasks like:
Communicating effectively with healthcare teams.
Identifying and addressing potential risks to child welfare.
Educating families about their child's condition and treatment options.
4. Professional Development and Research:
Objective: Stay up-to-date on the latest advancements in pediatric healthcare through continuing education and research.
Objective: Contribute to improving the quality of care for children by participating in research initiatives.
This includes tasks like:
Attending workshops and conferences on pediatric nursing.
Participating in clinical trials related to child health.
Implementing evidence-based practices into their daily routines.
By fulfilling these objectives, pediatric nurses play a crucial role in ensuring the optimal health and well-being of children throughout all stages of their development.
Explore our infographic on 'Essential Metrics for Palliative Care Management' which highlights key performance indicators crucial for enhancing the quality and efficiency of palliative care services.
This visual guide breaks down important metrics across four categories: Patient-Centered Metrics, Care Efficiency Metrics, Quality of Life Metrics, and Staff Metrics. Each section is designed to help healthcare professionals monitor and improve care delivery for patients facing serious illnesses. Understand how to implement these metrics in your palliative care practices for better outcomes and higher satisfaction levels.
India Clinical Trials Market: Industry Size and Growth Trends [2030] Analyzed...Kumar Satyam
According to TechSci Research report, "India Clinical Trials Market- By Region, Competition, Forecast & Opportunities, 2030F," the India Clinical Trials Market was valued at USD 2.05 billion in 2024 and is projected to grow at a compound annual growth rate (CAGR) of 8.64% through 2030. The market is driven by a variety of factors, making India an attractive destination for pharmaceutical companies and researchers. India's vast and diverse patient population, cost-effective operational environment, and a large pool of skilled medical professionals contribute significantly to the market's growth. Additionally, increasing government support in streamlining regulations and the growing prevalence of lifestyle diseases further propel the clinical trials market.
Growing Prevalence of Lifestyle Diseases
The rising incidence of lifestyle diseases such as diabetes, cardiovascular diseases, and cancer is a major trend driving the clinical trials market in India. These conditions necessitate the development and testing of new treatment methods, creating a robust demand for clinical trials. The increasing burden of these diseases highlights the need for innovative therapies and underscores the importance of India as a key player in global clinical research.
Novavax Offers More Traditional COVID-19 Vaccine Option
San Diegans presently have a more customary choice with regards to COVID-19 immunizations. The protein-based Novavax COVID-19 antibody is generally accessible across the district.
Computers vs. TV: Which is less likely to promote dementia?
When it comes to health issues, not all forms of being sedentary are equal.
JOHN TIMMER - 8/22/2022, 4:14 PM
Standing work areas — and in any event, trekking work areas — are a reaction to a developing collection of studies showing that a stationary way of life makes numerous wellbeing gambles. Ordinary actual work seems to present a level of insurance from different issues, both physical and mental, and many outcomes show that this doesn't need Olympic-level training. Basically strolling around the condo a couple of times each day seems to help.
Computers vs. TV: Which is less likely to promote dementia?
When it comes to health issues, not all forms of being sedentary are equal.
JOHN TIMMER - 8/22/2022, 4:14 PM
Standing work areas — and in any event, trekking work areas — are a reaction to a developing collection of studies showing that a stationary way of life makes numerous wellbeing gambles. Ordinary actual work seems to present a level of insurance from different issues, both physical and mental, and many outcomes show that this doesn't need Olympic-level training. Basically strolling around the condo a couple of times each day seems to help.
Dozens of dogs killed by mysterious parvo-like illness in Michigan
Michigan canine proprietors are urged to keep their creatures close and get them appropriately immunized
Many canines in Michigan have purportedly been nauseated and killed by a parvovirus-like disease, neighborhood creature covers said.
The revelation of poliovirus in New York state, London and Jerusalem this year has shocked numerous — yet general wellbeing scientists battling to destroy the sickness say it was inevitable.
"No country on the planet is safe with the impacts of polio," says Zulfiqar Bhutta, a worldwide wellbeing specialist at the Aga Khan University in Karachi, Pakistan. "It's undeniably interconnected."
We were able to lessen our food waste by making simple changes to how we store our produce, so we decided to share these tips with you so they can help you do the same!
- OPEN FOR MORE + THE RECIPES -
Health Tips Video
This video is an important one. Health is the root of all happiness. We are aware of health protection. The health video contains 10 important tips. I request everyone to watch the video.https://oke.io/yDqOeCtU
The Most Important Skill Set in Mental Health
CENTRAL ISSUES
WE DISSECTED 54,633 EXAMINATIONS TO REALIZE WHAT TRULY ASSISTS INDIVIDUALS WITH ROLLING OUT AN IMPROVEMENT.
THE MOST WELL-KNOWN PATHWAY OF PROGRESS WAS MENTAL ADAPTABILITY AND CARE ABILITIES.
Breast Cancer Treatment
Bosom Cancer is the malignant growth that is created in the bosom tissues for the most part in the inward coating of milk conduits or in the lobules which supply milk to the pipes. Contingent upon the spot of start, they are known as ductal carcinoma, whenever began in the milk channels or lobular carcinoma when begun in the lobules. Bosom diseases are likewise delegated chemical positive or a chemical negative malignant growth which is concluded in light of their aversion to chemicals like progesterone and estrogen.
MY CANCER STORY • Cervical Cancer • Symptoms, Diagnosis, Treatment • My cervical Cancer story
"The number of approaches to being are there, sweet companion?" asks Grandmother Growth in her warm way. You sense this is a significant inquiry, and you dread you don't have the foggiest idea about the right response.
The primary or chief name of GOD ALMIGHTY is "ALLAH". There is no plural of this word. Comparative word is likewise accessible in the New Testament (Gospel). It is an assessment that this word signifies "Al-Elah" i.e "The Deity". "Elah" means "God" and "Al" for "The" in Arabic.
CHAPTER 1 SEMESTER V - ROLE OF PEADIATRIC NURSE.pdfSachin Sharma
Pediatric nurses play a vital role in the health and well-being of children. Their responsibilities are wide-ranging, and their objectives can be categorized into several key areas:
1. Direct Patient Care:
Objective: Provide comprehensive and compassionate care to infants, children, and adolescents in various healthcare settings (hospitals, clinics, etc.).
This includes tasks like:
Monitoring vital signs and physical condition.
Administering medications and treatments.
Performing procedures as directed by doctors.
Assisting with daily living activities (bathing, feeding).
Providing emotional support and pain management.
2. Health Promotion and Education:
Objective: Promote healthy behaviors and educate children, families, and communities about preventive healthcare.
This includes tasks like:
Administering vaccinations.
Providing education on nutrition, hygiene, and development.
Offering breastfeeding and childbirth support.
Counseling families on safety and injury prevention.
3. Collaboration and Advocacy:
Objective: Collaborate effectively with doctors, social workers, therapists, and other healthcare professionals to ensure coordinated care for children.
Objective: Advocate for the rights and best interests of their patients, especially when children cannot speak for themselves.
This includes tasks like:
Communicating effectively with healthcare teams.
Identifying and addressing potential risks to child welfare.
Educating families about their child's condition and treatment options.
4. Professional Development and Research:
Objective: Stay up-to-date on the latest advancements in pediatric healthcare through continuing education and research.
Objective: Contribute to improving the quality of care for children by participating in research initiatives.
This includes tasks like:
Attending workshops and conferences on pediatric nursing.
Participating in clinical trials related to child health.
Implementing evidence-based practices into their daily routines.
By fulfilling these objectives, pediatric nurses play a crucial role in ensuring the optimal health and well-being of children throughout all stages of their development.
Explore our infographic on 'Essential Metrics for Palliative Care Management' which highlights key performance indicators crucial for enhancing the quality and efficiency of palliative care services.
This visual guide breaks down important metrics across four categories: Patient-Centered Metrics, Care Efficiency Metrics, Quality of Life Metrics, and Staff Metrics. Each section is designed to help healthcare professionals monitor and improve care delivery for patients facing serious illnesses. Understand how to implement these metrics in your palliative care practices for better outcomes and higher satisfaction levels.
India Clinical Trials Market: Industry Size and Growth Trends [2030] Analyzed...Kumar Satyam
According to TechSci Research report, "India Clinical Trials Market- By Region, Competition, Forecast & Opportunities, 2030F," the India Clinical Trials Market was valued at USD 2.05 billion in 2024 and is projected to grow at a compound annual growth rate (CAGR) of 8.64% through 2030. The market is driven by a variety of factors, making India an attractive destination for pharmaceutical companies and researchers. India's vast and diverse patient population, cost-effective operational environment, and a large pool of skilled medical professionals contribute significantly to the market's growth. Additionally, increasing government support in streamlining regulations and the growing prevalence of lifestyle diseases further propel the clinical trials market.
Growing Prevalence of Lifestyle Diseases
The rising incidence of lifestyle diseases such as diabetes, cardiovascular diseases, and cancer is a major trend driving the clinical trials market in India. These conditions necessitate the development and testing of new treatment methods, creating a robust demand for clinical trials. The increasing burden of these diseases highlights the need for innovative therapies and underscores the importance of India as a key player in global clinical research.
Defecation
Normal defecation begins with movement in the left colon, moving stool toward the anus. When stool reaches the rectum, the distention causes relaxation of the internal sphincter and an awareness of the need to defecate. At the time of defecation, the external sphincter relaxes, and abdominal muscles contract, increasing intrarectal pressure and forcing the stool out
The Valsalva maneuver exerts pressure to expel faeces through a voluntary contraction of the abdominal muscles while maintaining forced expiration against a closed airway. Patients with cardiovascular disease, glaucoma, increased intracranial pressure, or a new surgical wound are at greater risk for cardiac dysrhythmias and elevated blood pressure with the Valsalva maneuver and need to avoid straining to pass the stool.
Normal defecation is painless, resulting in passage of soft, formed stool
CONSTIPATION
Constipation is a symptom, not a disease. Improper diet, reduced fluid intake, lack of exercise, and certain medications can cause constipation. For example, patients receiving opiates for pain after surgery often require a stool softener or laxative to prevent constipation. The signs of constipation include infrequent bowel movements (less than every 3 days), difficulty passing stools, excessive straining, inability to defecate at will, and hard feaces
IMPACTION
Fecal impaction results from unrelieved constipation. It is a collection of hardened feces wedged in the rectum that a person cannot expel. In cases of severe impaction the mass extends up into the sigmoid colon.
DIARRHEA
Diarrhea is an increase in the number of stools and the passage of liquid, unformed feces. It is associated with disorders affecting digestion, absorption, and secretion in the GI tract. Intestinal contents pass through the small and large intestine too quickly to allow for the usual absorption of fluid and nutrients. Irritation within the colon results in increased mucus secretion. As a result, feces become watery, and the patient is unable to control the urge to defecate. Normally an anal bag is safe and effective in long-term treatment of patients with fecal incontinence at home, in hospice, or in the hospital. Fecal incontinence is expensive and a potentially dangerous condition in terms of contamination and risk of skin ulceration
HEMORRHOIDS
Hemorrhoids are dilated, engorged veins in the lining of the rectum. They are either external or internal.
FLATULENCE
As gas accumulates in the lumen of the intestines, the bowel wall stretches and distends (flatulence). It is a common cause of abdominal fullness, pain, and cramping. Normally intestinal gas escapes through the mouth (belching) or the anus (passing of flatus)
FECAL INCONTINENCE
Fecal incontinence is the inability to control passage of feces and gas from the anus. Incontinence harms a patient’s body image
PREPARATION AND GIVING OF LAXATIVESACCORDING TO POTTER AND PERRY,
An enema is the instillation of a solution into the rectum and sig
CHAPTER 1 SEMESTER V PREVENTIVE-PEDIATRICS.pdfSachin Sharma
This content provides an overview of preventive pediatrics. It defines preventive pediatrics as preventing disease and promoting children's physical, mental, and social well-being to achieve positive health. It discusses antenatal, postnatal, and social preventive pediatrics. It also covers various child health programs like immunization, breastfeeding, ICDS, and the roles of organizations like WHO, UNICEF, and nurses in preventive pediatrics.
Leading the Way in Nephrology: Dr. David Greene's Work with Stem Cells for Ki...Dr. David Greene Arizona
As we watch Dr. Greene's continued efforts and research in Arizona, it's clear that stem cell therapy holds a promising key to unlocking new doors in the treatment of kidney disease. With each study and trial, we step closer to a world where kidney disease is no longer a life sentence but a treatable condition, thanks to pioneers like Dr. David Greene.
Empowering ACOs: Leveraging Quality Management Tools for MIPS and BeyondHealth Catalyst
Join us as we delve into the crucial realm of quality reporting for MSSP (Medicare Shared Savings Program) Accountable Care Organizations (ACOs).
In this session, we will explore how a robust quality management solution can empower your organization to meet regulatory requirements and improve processes for MIPS reporting and internal quality programs. Learn how our MeasureAble application enables compliance and fosters continuous improvement.
The dimensions of healthcare quality refer to various attributes or aspects that define the standard of healthcare services. These dimensions are used to evaluate, measure, and improve the quality of care provided to patients. A comprehensive understanding of these dimensions ensures that healthcare systems can address various aspects of patient care effectively and holistically. Dimensions of Healthcare Quality and Performance of care include the following; Appropriateness, Availability, Competence, Continuity, Effectiveness, Efficiency, Efficacy, Prevention, Respect and Care, Safety as well as Timeliness.
Health Education on prevention of hypertensionRadhika kulvi
Hypertension is a chronic condition of concern due to its role in the causation of coronary heart diseases. Hypertension is a worldwide epidemic and important risk factor for coronary artery disease, stroke and renal diseases. Blood pressure is the force exerted by the blood against the walls of the blood vessels and is sufficient to maintain tissue perfusion during activity and rest. Hypertension is sustained elevation of BP. In adults, HTN exists when systolic blood pressure is equal to or greater than 140mmHg or diastolic BP is equal to or greater than 90mmHg. The
Antibiotic Stewardship by Anushri Srivastava.pptxAnushriSrivastav
Stewardship is the act of taking good care of something.
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
WHO launched the Global Antimicrobial Resistance and Use Surveillance System (GLASS) in 2015 to fill knowledge gaps and inform strategies at all levels.
ACCORDING TO apic.org,
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
ACCORDING TO pewtrusts.org,
Antibiotic stewardship refers to efforts in doctors’ offices, hospitals, long term care facilities, and other health care settings to ensure that antibiotics are used only when necessary and appropriate
According to WHO,
Antimicrobial stewardship is a systematic approach to educate and support health care professionals to follow evidence-based guidelines for prescribing and administering antimicrobials
In 1996, John McGowan and Dale Gerding first applied the term antimicrobial stewardship, where they suggested a causal association between antimicrobial agent use and resistance. They also focused on the urgency of large-scale controlled trials of antimicrobial-use regulation employing sophisticated epidemiologic methods, molecular typing, and precise resistance mechanism analysis.
Antimicrobial Stewardship(AMS) refers to the optimal selection, dosing, and duration of antimicrobial treatment resulting in the best clinical outcome with minimal side effects to the patients and minimal impact on subsequent resistance.
According to the 2019 report, in the US, more than 2.8 million antibiotic-resistant infections occur each year, and more than 35000 people die. In addition to this, it also mentioned that 223,900 cases of Clostridoides difficile occurred in 2017, of which 12800 people died. The report did not include viruses or parasites
VISION
Being proactive
Supporting optimal animal and human health
Exploring ways to reduce overall use of antimicrobials
Using the drugs that prevent and treat disease by killing microscopic organisms in a responsible way
GOAL
to prevent the generation and spread of antimicrobial resistance (AMR). Doing so will preserve the effectiveness of these drugs in animals and humans for years to come.
being to preserve human and animal health and the effectiveness of antimicrobial medications.
to implement a multidisciplinary approach in assembling a stewardship team to include an infectious disease physician, a clinical pharmacist with infectious diseases training, infection preventionist, and a close collaboration with the staff in the clinical microbiology laboratory
to prevent antimicrobial overuse, misuse and abuse.
to minimize the developme
Medical Technology Tackles New Health Care Demand - Research Report - March 2...pchutichetpong
M Capital Group (“MCG”) predicts that with, against, despite, and even without the global pandemic, the medical technology (MedTech) industry shows signs of continuous healthy growth, driven by smaller, faster, and cheaper devices, growing demand for home-based applications, technological innovation, strategic acquisitions, investments, and SPAC listings. MCG predicts that this should reflects itself in annual growth of over 6%, well beyond 2028.
According to Chris Mouchabhani, Managing Partner at M Capital Group, “Despite all economic scenarios that one may consider, beyond overall economic shocks, medical technology should remain one of the most promising and robust sectors over the short to medium term and well beyond 2028.”
There is a movement towards home-based care for the elderly, next generation scanning and MRI devices, wearable technology, artificial intelligence incorporation, and online connectivity. Experts also see a focus on predictive, preventive, personalized, participatory, and precision medicine, with rising levels of integration of home care and technological innovation.
The average cost of treatment has been rising across the board, creating additional financial burdens to governments, healthcare providers and insurance companies. According to MCG, cost-per-inpatient-stay in the United States alone rose on average annually by over 13% between 2014 to 2021, leading MedTech to focus research efforts on optimized medical equipment at lower price points, whilst emphasizing portability and ease of use. Namely, 46% of the 1,008 medical technology companies in the 2021 MedTech Innovator (“MTI”) database are focusing on prevention, wellness, detection, or diagnosis, signaling a clear push for preventive care to also tackle costs.
In addition, there has also been a lasting impact on consumer and medical demand for home care, supported by the pandemic. Lockdowns, closure of care facilities, and healthcare systems subjected to capacity pressure, accelerated demand away from traditional inpatient care. Now, outpatient care solutions are driving industry production, with nearly 70% of recent diagnostics start-up companies producing products in areas such as ambulatory clinics, at-home care, and self-administered diagnostics.
1. Nearly 1 in 10 American adults, 1 in
5 teens report having depression
Information reflects 'general wellbeing emergency strengthening
in the U.S. indeed, even before beginning of the pandemic'
Click the link details: https://oke.io/7MbQnyy7