You can tell this apple carrot beet smoothie is brimming with antioxidants from its vibrant red color! This delicious combination of beets, ginger, carrots, orange, and apple delivers a range of flavor in a satisfying juice drink to enjoy at breakfast or as an afternoon pick-me-up.
Lisa is a bestselling cookbook author, recipe developer, and YouTuber (with over 2.5 million subscribers) living in sunny Southern California. She started Downshiftology in 2014, and is passionate about making healthy food with fresh, simple and seasonal ingredients.
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loved the beet and ginger combo in this smoothie, but the carrots and beet together were just too much both flavor and texture. i prefer a 2:1 fruit to veg ration, so I replaced the carrots with fresh blueberries and about half the ginger on the second try. I also substituted pomegranate juice for the water and it was super tasty!
Mental health is essential, and one of the best ways to practice self-care is to take a few moments to yourself for a day. Meditation practice is a good way to do that, with many benefits, including decreased stress and negative emotions, increasing self-awareness, and general feelings of relaxation.
One of Calm's biggest draws for many is their collaborations with popular celebrities featured on the app as the readers of Sleep Stories. This tool is meant to help listeners have a more restful night through a growing library of famous narrators including LeBron James, Scottie Pippen, Matthew McConaughey, Laura Dern, Lucy Liu, and Kelly Rowland. Calm also features relaxing remixes of songs and albums by stars, including Ellie Goulding, Moby, and John Legend.
We are moderately confident that the following three factors were facilitators to implementation of an intervention: interventions that could be adapted for a local area; having effective communication, both formally within an organisation and informal or social networks; and having positive, safe and supportive learning environments for frontline healthcare professionals.
We included studies in which there is a mix of different frontline workers, if the majority were health and social care professionals. For example, where an intervention is given to all staff within a particular setting, and these staff include a mix of health and social care professionals and other frontline workers, such as cleaners, porters or receptionists. If possible, we included data from only the subgroup of health and social care professionals, but if these data were not available, we included the mixed frontline worker data and planned to explore the inclusion of this within sensitivity analyses.
We categorised included interventions using the headings and subgroups listed above, with the addition of new subgroups if necessary. We included multifaceted interventions that comprised a combination of interventions or strategies, including, but not limited to, those listed above.
Twelve studies described a lack of awareness regarding frontline staff needs, coupled with failure of frontline workers to recognise that they needed help, or organisations struggling to provide timely support (Belfroid 2018; Cao 2020; Chang 2006; Chen 2020; Cheung 2015; Cunningham 2017; De Jong 2019; Ferranti 2016; Klomp 2020; Lee 2005; Schreiber 2019; Waterman 2018).
Frontline health and social care workers in a pandemic or epidemic often have a dual role. They are expected successfully to deliver and implement an intervention to support resilience and mental health, but they were often the target population of these interventions (i.e. the 'patient'). For example, in De Jong 2019 the authors report that "most of the PFA providers interviewed had been selected for training because their role involved contact with distressed individuals, but some were selected because they were working in very distressing situations and were in need of emotional support themselves. In the absence of any kind of stress management programmes, they were selected for PFA training to help them learn ways to cope with the situation they were working in" (p8).
Eight studies described the importance of networks, communications and connectedness within an organisation (Belfroid 2018; Blake 2020; Cao 2020; Chang 2006; Cheung 2015; Cunningham 2017; Klomp 2020; Lee 2005).
Several of the studies included in the qualitative evidence synthesis were not presented as 'standard' reports of qualitative studies, with descriptions of study designs, interventions, participants and barriers and facilitators to implementation provided within narrative commentaries. Decisions to include these papers sometimes involved subjective decision making. Decisions were made through discussion between two or three review authors, and we aimed for transparent reporting of these decisions. Whilst we aimed for inclusivity, the nature of the narrative reporting of some studies within commentaries and editorials means that there is a risk that we may have excluded some potentially relevant studies during the title and abstract screening stages. Furthermore, there is therefore a risk that some of our decisions relating to these 'narrative' papers were influenced by the comprehensiveness of reporting of study details and results, and that we may have excluded some potentially relevant studies that were reported within narrative texts. Where we were uncertain we aimed to err on the side of caution and categorised studies as 'awaiting classification', in order to seek further information from the authors. Due to the timescale of this review, those studies where we require further information remain as 'awaiting classification'; had we had a longer period of time within which to complete this review, inclusion decisions could have been finalised and additional studies may have been included in this review.
We will include studies in which there are a mix of different frontline workers, if the majority are health and social care professionals. For example, where an intervention is given to all staff within a particular setting, and these staff include a mix of health and social care professionals and other frontline workers, such as cleaners, porters or receptionists. If possible, we will include data from only the subgroup of health and social care professionals, but if these data are not available, we will include the mixed frontline worker data and plan to explore the inclusion of this within sensitivity analyses.
We will categorise included interventions using the headings and subgroups listed above, with the addition of new subgroups if necessary. We will include multifaceted interventions which comprise a combination of interventions or strategies, including, but not limited to, those listed above.
Suzanne Hagen: grant holder on funding from the Chief Scientist Office, Scottish Government to support this review. Employed within a post at the NMAHP Research Unit which is supported by the Chief Scientist Office, Scottish Government. No other known conflict of interest.
Doreen McClurg: grant holder on funding from the Chief Scientist Office, Scottish Government to support this review. Employed within a post at the NMAHP Research Unit which is supported by the Chief Scientist Office, Scottish Government. No other known conflict of interest.
To avoid use of multiple different quality appraisal tools, we made the decision to use CASP 2018 for qualitative studies and the WEIRD tool for all other studies included within the qualitative evidence synthesis (Lewin 2019).
Alex Pollock: grant holder on funding from the Chief Scientist Office, Scottish Government to support this review. Employed within a post at the NMAHP Research Unit, which is supported by the Chief Scientist Office, Scottish Government. No other known conflict of interest
Andrew Elders: grant holder on funding from the Chief Scientist Office, Scottish Government to support this review. Employed within a post at the NMAHP Research Unit, which is supported by the Chief Scientist Office, Scottish Government. No other known conflict of interest
Suzanne Hagen: grant holder on funding from the Chief Scientist Office, Scottish Government to support this review. Employed within a post at the NMAHP Research Unit, which is supported by the Chief Scientist Office, Scottish Government. No other known conflict of interest
Doreen McClurg: grant holder on funding from the Chief Scientist Office, Scottish Government to support this review. Employed within a post at the NMAHP Research Unit, which is supported by the Chief Scientist Office, Scottish Government. DM was the chair of the Pelvic, Obstetric and Gynaecological Physiotherapy Professional Network of the Chartered Society of Physiotherapists in the UK and was the Chair of the International Continence Society Physiotherapy Committee. No other known conflict of interest
Margaret Maxwell: grant holder on funding from the Chief Scientist Office, Scottish Government to support this review. Employed within a post at the NMAHP Research Unit, which is supported by the Chief Scientist Office, Scottish Government. No other known conflict of interest
Unreal Engine 5.0 enables game developers and creators across industries to realize next-generation real-time 3D content and experiences with greater freedom, fidelity, and flexibility than ever before.
Leverage game-changing fidelity: Bring incredibly immersive and realistic interactive experiences to life with groundbreaking new features like Nanite and Lumen that provide a generational leap in visual fidelity, and enable worlds to be fully dynamic.
Lumen is a fully dynamic global illumination and reflections solution that immediately reacts to scene and light changes, offering artists and designers the ability to create more dynamic scenes with greater realism. Changing the angle of the sun, turning on a flashlight, opening an exterior door, or even blowing up a wall will cause a change to indirect lighting and reflections.
This allows for optimization of meshes during development by removing the least significant data first so that it's more akin to lossy compression. For example, in the technical demo "Lumen in the Land of Nanite," the chest piece of one of the statues was able to lose 88% of its triangles (and disk size) without any noticeable differences.
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