Categories
Health

Residing With O.C.D. in a Pandemic

If they find that looking at the tissue did not cause disease, therapy can progress to more provocative exposures like touching the tissue, etc., until they overcome their unrealistic fear of contamination. In particularly anxious patients, this therapeutic approach is often combined with a drug that counteracts depression or anxiety.

One silver lining of the pandemic is that it may have allowed more people to seek remote treatment through online health services. “With telemedicine, we are able to treat patients very effectively, regardless of where they live in relation to the therapist,” said Dr. Paint. “I can visit patients in 20 states without ever leaving central Oklahoma. Patients do not need to be within 30 miles of the therapist. Telemedicine is a real game changer for people who do not want to or cannot leave their home. “

For severely impaired obsessive-compulsive patients who have had nothing else to do, the newest option is transcranial magnetic stimulation, or TMS, a non-invasive technique that stimulates nerve cells in the brain and helps redirect neural circuits involved in obsessions and compulsions.

“It’s like the brain is stuck in a dead-end street, and TMS is helping the brain’s circuits take a different path,” said Dr. Paint. As with exposure and reaction prevention, he said, TMS uses provocative exposures but combines them with magnetic stimulation to help the brain respond to the urge to respond more effectively.

In a study published in May of 167 severely affected OCD patients at 22 clinical sites, 58 percent continued to offer significantly improved coverage after an average of 20 sessions with TMS.

Bradley Riemann, a psychologist with the Rogers Behavioral Health System in Oconomowoc, Wisc., Said his organization, with 20 locations in nine states, relies on treatment teams that include psychologists, psychiatrists, nurses, and social workers to provide both outpatient and inpatient treatments for OCD. Patients as early as 6 years of age. Too often, said Dr. Riemann, parents inadvertently exacerbate the problem by clearing a path for their child to avoid their obsessive fear and the resulting compulsive reaction. For example, they could routinely open doors to a child who is afraid of contagion.

The Boston-based nonprofit International OCD Foundation can help patients and families find therapists and support groups for those struggling with the disease. A message can be left at 617-973-5801.

Categories
Health

Brookdale Senior Dwelling mandates vaccine for workers

Brookdale Senior Living, a major operator of assisted living and skilled care facilities in the United States, will require its employees to be vaccinated against Covid, CEO Cindy Baier told CNBC on Friday.

The move is taking place as the highly transmissible Delta variant is causing an increase in coronavirus cases in the country, including in nursing homes. Between July 25 and August 1, coronavirus cases among nursing home residents rose 38%, although levels remain well below previous highs, according to the CDC.

Vaccines provide immune protection to vulnerable residents that was not provided in earlier stages of the pandemic, when long-term care facilities were epicentres for devastating outbreaks. At Brookdale Senior Living’s facilities, which are located in 41 states, 93% of residents are vaccinated, Baier told CNBC. The majority of Brookdale’s portfolio consists of assisted living and memory maintenance facilities.

“Given the widespread access of the vaccine, we are in a much better position to deal with the pandemic,” she said in an interview with the “Power Lunch”.

Still, the surge in coronavirus infection rates across the country puts nursing home residents at risk, many of whom are older and suffer from conditions that make Covid more dangerous to them. Rising vaccination rates among staff coming and going to the facility can play a crucial role in trying to limit the likelihood of an outbreak.

Covid vaccinations have not only been shown to be effective at reducing the risk of developing serious illness or death from the disease, but studies suggest that they can also provide protection against infection.

“We want [have] every Brookdale employee we can vaccinate. Although our efforts have been going on for several months and our vaccination rates are increasing, we would like them to be even higher, “said Baier.” That is why we have chosen a vaccine requirement with limited exemptions.

According to the Centers for Disease Control and Prevention, around 82% of nursing home residents in the US were fully vaccinated against the coronavirus by the end of July. However, the vaccination rates for health workers are lower at around 59%. Overall, 49.9% of the US population is fully vaccinated, while 58.2% received at least one vaccination, according to the CDC.

Earlier this week, Genesis Healthcare – another major U.S. nursing home operator – announced that workers would need to get the Covid vaccine in order to stay on the job. Outside of long-term care, a number of other big companies recently rolled out stricter vaccination policies for employees, including United Airlines on Friday.

The measures are seen as a shock to the country’s vaccination rate, which had slowed significantly since the spring and prompted U.S. health officials to step up efforts to convince hesitant Americans to get the Covid vaccinations.

Several southern states with low vaccination rates have seen increases in shots administered recently as the spread of the Covid Delta variant increased, according to a CNBC analysis of CDC data. In Mississippi, Louisiana, Alabama and Arkansas, the weekly average of the first daily doses reported has more than doubled since early July.

Categories
Business

Amplify to launch clear residing ETF, DTOX, monitoring surroundings and well being

The enthusiasm for clean living doesn’t stop with Corporate America.

The trend has now crept into the exchange-traded fund market, where Amplify ETFs – the company behind popular themed funds like the Amplify Seymour Cannabis ETF (CNBS) and the Amplify Transformational Data Sharing ETF (BLOK) – have now applied for an ETF focused on clean Life.

If the index-based fund is approved, it will be launched later this year under the ticker DTOX, Amplify founder and CEO Christian Magoon told CNBC’s “ETF Edge” this week.

DTOX will “track buildings and infrastructure, health, beauty, food, hospitality, energy and transportation companies that make products that are either better for the environment or better for the human body,” Magoon said in an interview Monday .

It sounds broad-based, but Amplify has proposed fairly strict rules for its holdings.

“They must have about 80% of their sales in these rooms,” said Magoon.

“It’s really one way of capitalizing on this trend that people want to be cleaner in terms of their footprint, health and environment,” he said. “We believe this is a trend that will continue for a while. We believe that companies that focus on it and get most of their revenue from it have a chance to produce alpha.”

While there are clean energy, health and wellness ETFs, DTOX would be the first to reflect both themes.

Categories
Business

Anime Is Booming. So Why Are Animators Residing in Poverty?

Download Audm for iPhone or Android to hear more audio stories from publishers like the New York Times.

TOKYO – Business has never been so good for Japanese anime. And that’s exactly why Tetsuya Akutsu is thinking about ending it.

When Mr. Akutsu became an animator eight years ago, the global anime market – including TV shows, films, and merchandise – was just over half what it would be by 2019, when it hit an estimated $ 24 billion. The pandemic boom in video streaming has further accelerated domestic and international demand as people see kid-friendly dishes like “Pokémon” and cyberpunk extravaganzas like “Ghost in the Shell”.

But little of the gust of wind reached Mr. Akutsu. Though he works almost every waking hour, as the top animator and occasional director on some of Japan’s most popular anime franchises, he takes home only $ 1,400-3800 a month.

And he’s one of the lucky ones: Thousands of lower rung illustrators do grueling piecework for just $ 200 a month. Rather than rewarding them, the explosive growth in the industry has only widened the gap between the profits they make and their meager wages, and many wonder if they can afford to keep following their passion.

“I want to work in the anime industry for the rest of my life,” said 29-year-old Akutsu during a telephone interview. But as he prepares to start a family, he feels severe financial pressure to leave. “I know it’s impossible to get married and raise a child.”

Low wages and miserable working conditions – hospitalization due to congestion can be a badge of honor in Japan – has disrupted the usual laws of business. Normally, rising demand would, in theory at least, stimulate competition for talent, raise wages for existing workers, and attract new ones.

This happens to some extent at the highest level of the company. According to statistics from the Japan Animation Creators Association, a labor organization, the average annual earnings for key illustrators and other top talent rose from around $ 29,000 in 2015 to around $ 36,000 in 2019.

These animators are known in Japanese as “Genga-Man”, the term for those who draw so-called keyframes. As one of them, Mr. Akutsu, a freelancer who hops around Japan’s many animation studios, makes enough to eat and rent a stamp from a studio apartment in suburban Tokyo.

But his wages are a far cry from what animators make in the US, where the average salary can be $ 65,000 a year or more and more advanced work costs around $ 75,000.

And it wasn’t long ago that Mr. Akutsu, who refused to comment on the specific compensation practices of the studios he worked for, worked as the “Douga man,” the entry level animators who do the frame-by – frame work that turns a Genga man’s illustrations into illusions of seamless movement. Those employees made an average of $ 12,000 in 2019, the Animation Association noted, but cautioned that that figure was based on a limited sample that didn’t include many of the freelancers who were paid even less.

The problem stems in part from the structure of the industry, which restricts the flow of profits to the studios. But studios can get away with the meager pay in part because there is an almost unlimited pool of young people who are passionate about anime and dream of making a name for themselves in the industry, said Simona Stanzani, who has worked as a translator for almost three years at Business has been in business for decades.

“There are a lot of artists who are great,” she said, adding that the studios “have a lot of cannon fodder – they have no reason to raise wages.”

Huge wealth has flooded the anime market in recent years. Chinese production companies have paid high premiums to Japanese studios for producing films for the domestic market. And in December, Sony – whose entertainment division has fallen sharply in the race to deliver content online – paid nearly $ 1.2 billion to purchase AT&T’s Crunchyroll anime video site.

Business is doing so well that almost every animation studio in Japan is solidly booked years in advance. According to Netflix, the number of households watching anime on their streaming service in 2020 increased by half from the previous year.

However, many studios have been banned from the bonanza due to an outdated production system that channels almost all of the industry’s profits to so-called production boards.

These committees are ad hoc coalitions of toy makers, comic book publishers, and other companies created to fund each project. They usually pay animation studios a set fee and reserve license fees for themselves.

While the system protects the studios from the risk of a flop, it also cuts them out of the windfalls caused by hits.

Rather than negotiating higher rates or profit-sharing with the production committees, many studios have continued to pressure the animators and cut costs by hiring them as freelancers. As a result, production costs for shows, which have long been well below those for projects in the US, have remained low despite rising profits.

Studios are typically run by “creatives who want to do something really good” and “they will try to bite off way too much and be way too ambitious,” said Justin Sevakis, founder of Anime News Network and managing director of MediaOCD. a company that produces anime for release in the United States.

“By the time they’re done, they may have lost money on the project,” he said. “Everyone knows it’s a problem, but unfortunately it’s so systemic that nobody really knows what to do about it.”

The same applies to the punishment for work. Even in a country with a sometimes fatal devotion to the office, the anime industry is notorious for its brutal demands on employees, and animators speak with perverted pride of such devotional acts as sleeping for weeks in their studios on a project.

In the first episode of “Shirobako,” an anime about young people’s efforts to break into the industry, an illustrator breaks down in a fever when a deadline looms. The cliffhanger ending doesn’t depend on her health, but on whether the show she is drawing will be ready in time.

Jun Sugawara, a computer animator and activist who runs a nonprofit that provides affordable housing to young illustrators, began campaigning for them in 2011 after learning of the difficult conditions under which workers were creating his favorite anime.

The animators’ long hours appear to be against Japanese labor regulations, but the authorities have shown little interest, although the government has made anime a central part of its public diplomacy efforts through its Cool Japan program.

“So far, national and local governments do not have effective strategies” to deal with the problem, Sugawara said. He added that “Cool Japan is a meaningless and irrelevant policy.”

In an interview, an official from Japan’s Ministry of Labor said the government was aware of the problem but had little recourse unless the animators filed a complaint.

A handful did. Last year at least two studios reached an agreement with employees over allegations that the studios violated Japanese labor laws by not paying for overtime.

In recent years, some of the bigger companies in the industry have changed their work practices after pressure from regulators and the public, said Joseph Chou, who owns a computer animation studio in Japan.

Netflix has also got involved, announcing this month that it will be partnering with WIT Studio to provide funding and training to young animators working on content for the studio. As part of the program, 10 animators will receive around $ 1,400 per month for six months.

But many of the smaller studios barely come by and don’t have much room to raise wages, Mr. Chou said. “It’s a very low-margin business,” he said. “It’s a very labor-intensive business.” He added that the studios that manage to adapt are the big ones that are public.

Not all studios pay such low wages: Kyoto Animation, the studio that an arsonist attacked in 2019, is known for avoiding freelancers in favor of employees, for example.

But these studios remain outliers. If something isn’t done soon, Sugawara believes, the industry could one day collapse as promising young talent drop out to find work that can make a better life.

Such was the case with Ryosuke Hirakimoto, who decided to leave the industry after giving birth to his first child. Working in the anime was his lifelong dream, he said, but even after years in the business, he never made more than $ 38 a day.

“I started to wonder if this lifestyle was enough,” he said during a video call.

Now he works in a nursing home, part of an industry where the high demand for workers in a rapidly aging society is rewarded with better wages.

“A lot of people just felt like being able to work on an anime they love was valuable,” said Hirakimoto. “No matter how little they got paid, they were ready to get the job done.”

Looking back on his departure, he said, “I don’t regret the decision at all.”