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Responses to the COVID-19 pandemic have been hindered by interrelated factors that include false information32, vaccine hesitancy33,34, inconsistent global coordination35, and the inequitable distribution of supplies36, vaccines37,38 and treatments39. Despite increased levels of trust in science during the pandemic23,40, there is information fatigue4 and waning compliance with those public health and social measures41,42,43 that remain in place, particularly those that affect daily lives44. Meanwhile, during periods of high community transmission, needs for services continue to exceed the capacity of many health systems45, which also are challenged by ongoing risks to the health of their workers46,47,48. Furthermore, long-standing social inequities have caused some populations to experience greater risk of COVID-19 infection, severe disease and death37. Many of these populations continue to have less access to COVID-19 vaccines37,49 and treatment39, as well as to resources to mitigate the mental health, social and economic consequences of the pandemic50,51,52.
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Health systems have experienced wide-ranging circumstances throughout the pandemic, from periods of relative calm to periods of near collapse. The broad agreement among panellists strongly suggests that, although many health systems will remain at risk of once again being overwhelmed, those risks can be mitigated. Certain sources of risk to health systems are essentially structural, such as the lack of implementation of an evidence-based, globally agreed-upon set of minimum COVID-19 pandemic response standards (Table 2 (STMT2.1)).
With respect to digital health, the recommendations encourage increasing investments in digital health infrastructure (Table 5 (REC2.13)), adapting user interfaces and experience to expand access, particularly for vulnerable groups (Table 4 (REC2.3)), and leveraging implementation science to determine which digital health solutions can be quickly scaled (Table 5 (REC2.12)).
The Portal is easy for teachers and students to use, encourages engagement, enhances the learning experience and helps to improve outcomes. Tools like MyEnglishLab and eText are accessed through the Portal.
These Blender Bundles allow artists to download a package to try different parts of Blender and enhance their out of the box experience. Expect many more bundles to be shared here in the coming period.
Grigorieva was born in Saransk, Russia.[1] Her parents were music professors.[1] She grew up in Ukraine,[2] and at the age of 15 moved to Moscow to attend university to learn piano.[1][2] She said of her experience of learning music as a child, "Diplomas were everything. It wasn't unusual for students to play ten hours a day. Our skin would start to crack. We'd literally have bleeding fingers."[1] Grigorieva finished conservatoire studies in Kazan,[1] and moved to London where she continued her studies and taught music to others.[1] After studying at the Royal College of Music,[2] she moved to the United States and spent time living in New York City and Los Angeles, California.[1] She taught music in the U.S., and patented a technique of instructing music notation to children.[1] Grigorieva composed and performed music, and produced works for theatre and advertisements.[1] A 2006 song she wrote, "Un Dia Llegara", became popular on the Josh Groban album, Awake; this garnered her recognition as a songwriter.[3][4][5]
Gibson served as director of four music videos intended to accompany the release of the album.[1][4] The music videos were filmed over a seven-day period in Mexico.[2] Grigorieva stated of working with Gibson as a music video director, "I kept asking him, 'Please, give me directions!' I said, 'You can yell at me if you want to'. But he said, 'No, you're doing just fine. You're a good actor'. He was very much into his own world, painting pictures with the camera."[1] In describing the music videos, she observed, "They're like dramatic miniature films a whirlpool of different, exciting, bright images."[15] Grigorieva toured to promote her album, during October 2009.[16] The first single from the album, "Say My Name", was released in June 2009 on the website People.com as a listening exclusive.[17] Beautiful Heartache was released on November 2, 2009.[1] It was made available in 2009 on iTunes,[9] and via download on the musician's official website, at www.oksana.fm.[10]
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These consultative meetings acted as an initial platform and stimulus for the first mhGAP pre-service training study. The events facilitated coordination with educators who had experience of introducing and implementing the mhGAP-IG in pre-service training at their own institutions. These medical educators were later contacted via email and invited to participate in the study.
Below we provide information about the experience of each academic institution with its implementation of the mhGAP-IG, including preparation activities, obstacles, teaching processes, supporting factors, and benefits and challenges (Table 1). 2ff7e9595c
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