11, Apr 2024
T-Medical Group Inc.’s Subsidiary 365Telamind

New York, NY, April 11, 2024 — T-Medical Group Inc., a pioneering force in the healthcare solutions industry, today announced that its wholly-owned subsidiary, 365Telamind, is set to sponsor an exclusive women’s mental health empowerment event on April 28, 2024, from 3 pm to 7 pm in Westbury, New York. This groundbreaking initiative aims to foster a deeper understanding of the unique mental health challenges faced by women while inspiring them to embrace their inherent strengths and unleash their full potential.

At the core of this transformative event lies a profound belief in the power of open dialogue and the promotion of mental well-being among women from all walks of life. In line with this vision, the event will feature renowned speakers and thought leaders who will delve into the multifaceted aspects of women’s mental health, underscoring the critical need for compassionate understanding and robust support systems within our communities.

Headlining the event will be Dr. Lena G. Clark, the esteemed CEO of T-Medical Group Inc., and Quenton “QdaBoss” Brown, the event organizer and founder of Empowered Dynasty a highly acclaimed motivational speaker and mental health advocate. These exceptional figures will share their invaluable insights, inspiring attendees to embrace self-acceptance, resilience, and the pursuit of personal growth.

“As a society, we must actively work towards supporting and lifting up one another, particularly when it comes to mental health matters,” Dr. Lena G. Clark passionately expressed. “By facilitating open discussions and providing valuable resources, we can cultivate an atmosphere of inclusivity wherein every woman feels seen, heard, and appreciated.”

Attendees of the event can expect an immersive and transformative experience that transcends traditional lectures. They will have the unique opportunity to interact with experts, connect with fellow participants who share a passion for mental health advocacy, and partake in thought-provoking activities designed to ignite personal growth and foster lasting change.

“We are thrilled to host this groundbreaking event and contribute to the ongoing conversation surrounding women’s mental health,” said Dr. Lena G. Clark, CEO of T-Medical Group, Inc. “By bringing together influential voices and creating a safe space for dialogue, we aim to empower women to embrace their authentic selves and forge a path towards collective healing and empowerment.”

This exclusive event promises to be a catalyst for positive change, igniting a movement that celebrates the resilience and strength of women while promoting mental well-being as a fundamental human right. Don’t miss this extraordinary opportunity to learn, grow, and forge meaningful connections with those who share your dedication to enhancing women’s mental health. Mark your calendars for April 28, 2024, and join them in shaping a brighter future for all.

11, Apr 2024
Boiron’s Wellness Kits Offer Holistic Approach to Pain Management

Newtown Square, PA, April 11, 2024 –Boiron, world leader in homeopathic medicines, introduces its new Arnicare Wellness Kits as convenient and comprehensive solutions for painsleep and stress relief. The kits are designed to provide individuals with daytime and nighttime options to manage pain with occasional sleeplessness and symptoms of stress.

“Pain can often lead to frequent nighttime awakenings, disrupting sleep patterns and causing discomfort,” said Ken Redcross, a board-certified internal medicine physician. He said research indicates those who experience poor or insufficient sleep are more likely to report higher levels of pain sensitivity, creating a challenging cycle that hampers well-being. Additionally, stress can also heighten the perception of pain and contribute to sleeplessness.

“Many individuals actively search for solutions to address pain, sleep, and stress symptoms which are all interconnected so they can better manage their pain which enhances their overall well-being,” Dr. Redcross said.

“I always advise my patients to consider ‘closer to the earth’ remedies, such as homeopathic medicines, which carry a very low risk of side effects and can be safely used alongside other treatments,” he continued, noting that many people may resort to taking multiple medications when addressing these concerns.

Included in the kits is Arnicare Cream, formulated with Arnica to relieve muscle pain and stiffness, swelling from injuries, and bruises.* To complement the cream, the kits contain either melatonin-free SleepCalm® Meltaway Tablets for night use or StressCalm® Meltaway Tablets for daytime. SleepCalm offers a non-habit forming solution to relieve occasional sleeplessness, restless sleep, and intermittent awakening.* For daytime use, StressCalm provides non-drowsy relief for occasional nervous tension, irritability, hypersensitivity, and fatigue due to everyday stress.*

11, Apr 2024
Ombra Group Acquires 75% of IUT Medical GmbH

New York, NY, April 11, 2024 –Ombra Group Inc, a global pioneer in advanced technology solutions, today announced its acquisition of IUT Medical GmbH, a world-renowned German company specializing in cutting-edge gas and hazardous chemical detection systems. Founded in 1998 by the late Prof. Dr. Jürgen Leonhardt, IUT Medical has solidified its reputation as an industry leader, delivering unparalleled accuracy and reliability to clients across the globe.

This strategic move underscores Ombra Group’s commitment to the rapidly evolving environmental and industrial safety market, forecasted to reach a staggering US $60 billion by 2030, according to a comprehensive report by MarketsandMarkets Research. A key driver behind the acquisition is Ombra Group’s ambition to harness IUT Medical’s pioneering breath analysis technology for detecting controlled substances such as fentanyl, methamphetamine, and tetrahydrocannabinol (THC). Additionally, the combined entity aims to empower law enforcement agencies worldwide with advanced solutions for identifying and dismantling clandestine drug production facilities.

By integrating IUT Medical’s decades of expertise in gas and chemical detection with Ombra Group’s cutting-edge artificial intelligence (AI) and software engineering capabilities, the two companies are poised to usher in a new era of innovation within the public health and safety sector. This powerful synergy will catalyze the development of next-generation detection solutions that are not only more intelligent and efficient but also unprecedented in their accuracy and reliability.

“Acquiring IUT Medical is a strategic move that will propel our future product development initiatives to new heights,” said Dominick Bianco, CEO of Ombra Group. “Their superior detection technology, coupled with our proficiency in AI and software, creates a formidable foundation for introducing ultra-intelligent solutions that will redefine industry standards. We are excited to combine our respective strengths and unlock the full potential of IUT Medical’s groundbreaking systems.”

The acquisition promises to yield significant benefits for both companies and their respective customers:

Heightened Product Value: By seamlessly integrating Ombra Group’s AI and software capabilities into IUT Medical’s existing suite of detection systems, the combined entity will deliver smarter, more efficient, and highly competitive solutions that cater to the evolving needs of the market.

Accelerated Technological Advancements: The collective knowledge, resources, and expertise of these two industry leaders will fuel the rapid development of novel, high-tech gas and chemical detection devices, solidifying their position at the forefront of innovation.

Enhanced Operational Efficiencies: By streamlining operations and leveraging shared resources, the combined entity will benefit from increased operational efficiencies, enabling faster time-to-market for new products and solutions.

Expanded Global Reach: Leveraging Ombra Group’s management and extensive global footprint, IUT Medical’s cutting-edge products will gain access to new markets and customer segments across diverse environmental and industrial safety domains.

“This acquisition marks a significant milestone for IUT Medical and a testament to Prof. Leonhardt’s enduring legacy,” stated Franz Finsch, spokesperson for IUT Medical. “Joining forces with Ombra Group ensures the continued growth and evolution of our cutting-edge detection technologies, while providing us with the resources and expertise to tackle some of the most pressing challenges in the realms of illegal drug production and use. We are excited to embark on this new chapter and seize the myriad opportunities that lie ahead in the rapidly expanding gas and chemical detection market.”

11, Apr 2024
Answers by Dr. S.A. Rehman, General Medicine, Associate Prof. Noida International Institute of Medical Sciences and Hospital, NIU

By Dr. S.A. Rehman, General Medicine, Associate Prof. Noida International Institute of Medical Sciences and Hospital, NIU

What do tongue colors reveal about health?
The color of the tongue can provide vital information about general health. Here’s a breakdown of what varied tongue colors could imply about health:
1. Pink: A healthy tongue is usually pink, with a thin white coating. This signifies proper circulation and overall health.
2. White Coating: A thick white layer on the tongue may indicate oral thrush (a fungal infection), dehydration, or poor oral hygiene.
3. Red or Strawberry Tongue: A vivid red or strawberry-like look could indicate a vitamin deficiency, Kawasaki disease in children, or scarlet fever.
4. Yellow Coating: A yellowish coating may indicate liver or gallbladder issues, jaundice, or stomach problems.
5. Blue or Purple Tongue: A bluish or purple discoloration may suggest poor circulation, oxygen deprivation, or cyanosis, which can be a sign of underlying health conditions such as heart or lung problems.

What is considered a normal tongue color?
Normal Tongue Color: A healthy tongue is usually pink with a thin white covering. This signifies proper circulation and overall health.

What does it mean to have a black hairy tongue?
Black Hairy Tongue: This ailment arises when the microscopic bumps on the surface of the tongue grow larger, resulting in a black, hairy look. It is frequently caused by poor dental hygiene, smoking, excessive alcohol consumption, or certain drugs. While it may appear alarming, it is mostly harmless and can be managed by improving dental hygiene and treating underlying problems.

Other tongue colors that could be concerning?
Other Concerning Tongue Colors:

  • – White Coating: A thick white layer on the tongue may indicate oral thrush (a fungal infection), dehydration, or poor oral hygiene.
  • – Red or Strawberry Tongue: A bright red or strawberry-colored tongue could indicate a vitamin deficiency, Kawasaki disease in children, or scarlet fever.
  • – Yellow Coating: A yellowish coating on the tongue may indicate liver or gallbladder difficulties, jaundice, or stomach problems.
  • – Blue or Purple Tongue: A bluish or purple tint on the tongue may indicate poor circulation, oxygen deprivation, or cyanosis, all of which can be symptoms of underlying health conditions such as heart or lung difficulties.

While changes in tongue color might provide health hints, they should be addressed in conjunction with other symptoms and medical history to ensure an appropriate assessment. If you detect any persistent changes in the color or texture of your tongue, you should speak with a healthcare professional for an accurate diagnosis and treatment.

10, Apr 2024
FuseBio Presents New Data at AACR

Woburn, MA, April 10, 2024 — Fuse Biotherapeutics, Inc., a biotechnology company developing functionally-selective cytokines for cancer and autoimmune disease, today announced the presentation of new data with respect to their lead asset PD1-F18, at the American Association for Cancer Research (AACR) Annual Meeting being held on April 5-10, 2024, in San Diego, CA. The Fuse Biotherapeutics team will present data on April 9, 2024 that strongly supports the use of PD1-F18 as a highly differentiated PD-1 targeted IL-18 with first and best in class potent single agent antitumor activity.

FuseBio has leveraged its immuno-oncology and protein engineering capabilities to functionally optimize IL-18 (F-18), creating an IL-18 binding protein-resistant molecule with 1 million percent reduced activity in circulation while retaining nearly full affinity for the IL-18 receptor complex when targeted to an immune cell of interest. F-18 was fused onto a PD-1 inhibitor to create a first-in-class PD1-F18 immunocytokine designed for full PD-1 checkpoint blockade while safely delivering IL-18.

“A tremendous amount of effort was made to design a therapeutic to overcome resistance to PD-1 inhibitors such as Keytruda,” said Brian Rabinovich, Ph.D, Chief Scientific Officer of Fuse Biotherapeutics. “Since the immune cells that remain functional and kill tumors in response to PD-1 inhibitors preferentially express the receptor complex for IL-18, the safe and selective delivery of F18 to these cells not only augments their anti-tumor capabilities but also preserves their capacity to respond to a the drug class that placed immunotherapy firmly on the cancer treatment map.” Jeff Takimoto, Ph.D, the Chief Executive Officer of Fuse Biotherapeutics continued, “That we are able to abolish aggressive and PD-1 inhibitor resistant tumors in animal models without side effects is an incredible achievement for our team. We are excited to embark on moving PD1-F18 to the clinic and view our finding as providing much needed hope for the more than 80% of cancer patients that are either resistant or become resistant to PD-1 inhibitors.”

10, Apr 2024
Enhanced rock weathering results in higher crop yields and improved crop health

Enhanced rock weathering – a nature-based carbon dioxide removal process that accelerates natural weathering – results in significantly higher first-year crop yields, improved soil pH, and higher nutrient uptake, according to a new scientific paper, released in PLOS ONE today.

Enhanced rock weathering (ERW) involves spreading finely crushed silicate rock such as basalt on agricultural land. It is a scalable and permanent climate technology with the potential to sequester gigatonnes of carbon dioxide from the atmosphere. Co-authored by scientists at UNDO, a leading enhanced rock weathering project developer, and Newcastle University, the peer-reviewed publication is the latest enhanced rock weathering (ERW) study assessing the impact on crops in a temperate climate.

Dr XinRan Liu, Head of Science and Research at UNDO and co-author of the paper, commented: “Nutrient limitations in agricultural soils are a major concern for farmers about sustaining and increasing crop yields. This latest study highlights how the spreading of basalt rock on farmland can lead to higher crop yields and can be effective in a temperate climate. This research demonstrates the potential for enhanced rock weathering to contribute to improved farmer livelihoods and food production, whilst also removing CO2 from the atmosphere.”

The results from the ongoing trial’s first year demonstrate that the crop yield was on average 15% higher (9.3% and 20.5% between plowed and direct drill amended plots respectively) across two different cultivation techniques.

The trial results also showed a stabilizing effect on the soil pH, with the soil pH being on average 0.2 and 0.29 pH units higher in the basalt-amended plots, compared to the control plots. This change is a result of alkaline products generated as the rock minerals dissolve. The effect of silicate mineral dissolution on the soil pH could represent an attractive agronomic benefit for farmers as an elevated soil pH allows crops to access more nutrients in the soil.

Basalt rock is rich in minerals that slowly release nutrients during dissolution. These nutrients act as a natural soil amendment and are essential for plant growth. The study found higher nutrient concentrations in the crops grown in the basalt-amended soil, including tissue calcium, grain, and tissue potassium, suggesting that ERW can boost nutrient availability for plants and, as a result, may improve crop yield.

Taking account of the unusually dry growing season conditions in 2022, these findings indicate that basalt amendment could enhance productivity and crop yields, contributing to more sustainable and resilient food production systems in the face of future changes in growing season weather as a result of global warming.

Professor David Manning, Professor of Soil Science, Newcastle University, and co-author of the paper, commented: “The results of this trial give further scientific credibility for enhanced rock weathering and greatly improve its value proposition to farmers. Newcastle University is pleased to partner with UNDO. Our joint research into the co-benefits for farmers of basalt amendment is helping to pave the way for the widespread adoption of enhanced rock weathering in the agricultural community.”

The trial results also show no additional toxic elements taken up by crops in the plots where basalt had been spread. There was no negative impact on the natural environment in this trial, which indicates the food produced from it is safe for consumption. UNDO’s basalt has been approved for use in organic farming systems by respected certification bodies such as the Soil Association.

Yit Arn Teh, Professor of Soil Science, Newcastle University, said: “Independent bodies, such as the IPCC and UK Committee for Climate Change, have repeatedly highlighted the urgent need for climate action in the agriculture and land use sector to counter the effects of dangerous climate change. At the same time, the agricultural sector is under increasing pressure to meet key sustainability and environmental targets, against a backdrop of rising farm operating costs, driven by the cost of living crisis.

“Use of enhanced rock weathering to remove carbon dioxide and naturally enhance soil health represents a potential win-win for farmers and climate as this technology is able to capture carbon dioxide while simultaneously supplying some of the key nutrients that crops require for successful growth. By using locally-sourced rocks, rather than inputs (e.g. fertilizers) obtained from overseas, supply chains are also shortened, further reducing the overall carbon footprint of food production.

“Crucially, enhanced rock weathering is a technology that can be readily adopted by the agricultural sector because it does not require farmers to invest in new equipment, technology or training, but simply utilizes the existing equipment and infrastructure for spreading fertilizer or other soil amendments.”

The authors of the paper hope that the agronomic co-benefits of enhanced rock weathering will further incentivize farmers across the UK and worldwide to take advantage of this nature-based carbon removal solution.

9, Apr 2024
Sakra World Hospital Successfully Performs 100 Robotic GI Surgeries, Enhances Patient Outcomes

Bengaluru 9th April 2024: Sakra World Hospital, a pioneering healthcare facility in India funded entirely by foreign direct investment (FDI), has completed 100 robotic gastrointestinal (GI) surgeries. In the medical field, robotic-assisted surgical procedures are steadily on the rise. The increasing acceptance of robotic surgeries can be attributed to their accuracy, minimally invasive techniques, and capacity to improve surgical outcomes. With a group of skilled surgeons and cutting-edge facilities, Sakra World Hospital has become a pioneer in leveraging this technology to help patients suffering from gastrointestinal surgical issues.

Robotic-assisted surgery enables the performance of intricate procedures across a wide spectrum, including colorectal cancers, and benign and malignant conditions of the liver, biliary system, and pancreas, apart from complex hernia repairs, gallbladder removals, and abdominal wall reconstruction. With a focus on less trauma and greater precision in these surgical interventions, Sakra tremendously benefits patients specializing in upper gastrointestinal surgeries, such as giant hiatal hernias, gastroesophageal reflux disease (GERD), Heller’s myotomy, and even uncommon conditions like median arcuate ligament syndrome.

“We take immense pride in reaching a significant milestone in robotic GI surgeries, underscoring the skill and commitment of our proficient surgical team,” lauded Lovekesh Phasu, Chief Operating Officer, Sakra World Hospital, Bengaluru, adding, “At Sakra, we’re committed to setting high standards and achieving them, to benefit our patients and provide quality healthcare for all.”

The application of robot-assisted technologies has greatly improved surgical capabilities in GI surgeries. These systems are operated directly by surgeons, in contrast to autonomous systems, which enable careful dissection around target organs. Although laparoscopic surgery provides benefits such as accurate dissection under high-resolution imaging and minimally invasive procedures, it has limitations due to the limited dexterity of the instruments. These limitations are overcome by the existing robotic system’s articulated instruments, vibration filtering, and motion scaling functions. These capabilities allow surgeons to perform more versatile surgeries than they could with standard laparoscopic equipment.

Moreover, the robotic system’s instruments with wrist-like movements and dexterity assures delicate tissue handling and precision surgery with minimal bleeding. This capability, coupled with three-dimensional magnified, enhanced imaging, provides a platform wherein complex procedures in critical places and organs can be safely performed. Through these innovations, robotics surgery in the gastrointestinal realm continues to push boundaries, enhancing surgical precision and expanding treatment options for patients.

Robotic GI surgery has emerged as a reassuring alternative to traditional methods, dispelling common fears. The robotic system not only provides surgeons with better visualization and precision, but the patient also benefits from smaller incisions, less blood loss, quicker recovery, and reduced post-operative pain.

“The completion of 100 robotic GI surgeries at Sakra World Hospital not only marks a numerical achievement but also serves as evidence of the hospital’s steadfast dedication to delivering top-notch care to its patients,” remarked Dr Sadiq Saleem Sikora, Director of Gastrointestinal Surgery and Liver Transplantation at Sakra World Hospital, Bengaluru.

9, Apr 2024
Lorrinda Gray-Davis to Speak at TRIO’s Remember & Rejoice Event

Lorrinda Gray-Davis to Speak at TRIO's Remember & Rejoice Event

Oklahoma City, OK, April 09, 2024 — Transplant Recipients International Organization (TRIO) is thrilled to announce that Lorrinda Gray-Davis, a distinguished advocate for organ donation and transplantation, will be a guest speaker at the upcoming “Remember & Rejoice” ecumenical service. This event, dedicated to honoring organ, eye, and tissue donor families and celebrating transplant recipients, will take place on Saturday, April 6, 2024, at the historic St. Patrick’s Cathedral on 5th Avenue in New York City.

Lorrinda Gray-Davis is widely recognized for her unwavering commitment to promoting awareness about organ donation and advocating for policies that support transplant recipients and their families. As a transplant recipient herself, Gray-Davis brings a deeply personal perspective to her advocacy work, inspiring others with her resilience, courage, and passion for making a difference in the lives of those affected by organ failure.

“Remember & Rejoice” stands as the single largest gathering of donor families and transplant recipients in the country, providing a sacred space for reflection, remembrance, and rejoicing. Through heartfelt testimonials, musical performances, and moments of unity, attendees will pay tribute to the selfless donors and their families who have forever changed the lives of others through the gift of life.

As a guest speaker, Lorrinda Gray-Davis will share her personal journey of hope, resilience, and gratitude, highlighting the profound impact of organ donation on individuals, families, and communities. Her presence underscores the importance of raising awareness about the critical need for organ donors and supporting initiatives that promote transplantation as a life-saving treatment option.

“Remember & Rejoice” is open to all members of the community who wish to honor the legacy of organ donors, celebrate the resilience of transplant recipients, and support the cause of transplantation. Together, we can unite in solidarity to inspire others to register as organ donors and help save lives.

9, Apr 2024
Introducing Crane Wellness

Introducing Crane Wellness

Santa Ana, CA, April 09, 2024 –Fine USA Trading, a pioneer in the beauty and wellness industry, is proud to unveil its latest venture, Crane Wellness. Rooted in a family legacy of excellence dating back to 1974, Crane Wellness represents a fusion of cutting-edge science, premium ingredients, and Japanese ancient wisdom and traditions.

Crafted at our state-of-the-art facilities in Osaka, Japan, Crane Wellness embodies a commitment to holistic well-being, harnessing the power of nature and technology to redefine beauty and wellness standards. Our meticulously curated range of products is designed to nourish both body and soul, empowering individuals to embrace their full potential and thrive better, longer.

“We are thrilled to introduce Crane Wellness to the world,” said Hiroo Kato, CEO at Fine USA Trading. “With our decades-long expertise and dedication to quality, we aim to inspire a new era of self-care, where beauty radiates from within and longevity and wellness is a way of life. By sharing our ancient Japanese secrets with the world, we hope to encourage holistic habits for longevity and thriving to 100.”

At Crane Wellness, they believe in the transformative power of nature’s finest ingredients, combined with the latest advancements in scientific research. Each product is thoughtfully formulated to deliver tangible results, whether it’s promoting radiant and youthful skin, supporting overall vitality, or enhancing daily life.

By using traditional, time tested ingredients to create uniquely formulated non-gmo, gluten free products. The Nattokinase Blend for blood and heart health, Tone & Glow which is a Coix Seed Extract Powder for beauty-from-within, Pure Oceanic Root Iodine – a kelp fronds extract sourced from regenerative ocean farms off the northern coast of Japan, to name a few. Crane Wellness shows their dedication to sustainability, ethical sourcing, and recyclable packaging, making it a responsible choice for a thriving individual and a thriving planet.

As they embark on this exciting journey, Crane Wellness invites you to join them in embracing a lifestyle that celebrates beauty, wellness, and the harmony between mind, body, and spirit.

9, Apr 2024
PocketRN Brings No Cost Virtual Nurse for Life

PocketRN Brings No Cost Virtual Nurse for Life

Washington, DC, April 09, 2024 — PocketRN, a leading provider of virtual nursing care, today announced its acceptance as a participant in the Guiding an Improved Dementia Experience (GUIDE) Model by the Centers for Medicare & Medicaid Services (CMS) Innovation Center. The CMS GUIDE Model is a groundbreaking initiative designed to enhance the quality of life for individuals with dementia and alleviate the burden on their caregivers.

As a GUIDE participant, PocketRN’s innovative “Virtual Nurse for Life” approach will allow dementia patients and caregivers to be specialty-matched to nurses, who become trusted companions that establish a profound and lifelong relationship with patients and families. PocketRN nurses also encourage openness to better understand individualized challenges, and serve as continuous sources of education, coaching, monitoring, emotional support, and a 24/7 lifeline. Under the GUIDE Model, PocketRN will be available at no cost to eligible members, with $0 copays.

The anticipated outcomes of the GUIDE Model include increased caregiver empowerment and a reduction in Medicare and Medicaid expenditures–primarily achieved by preventing or delaying long-term nursing home stays. Additionally, the program aims to bring about a secondary reduction in hospital, emergency department, and post-acute care utilization. These outcomes closely align with the work that PocketRN is already doing and its mission to close the gap between home and healthcare.

“We couldn’t be more thrilled to bring our revolutionary nurse-led care model to the millions of dementia patients and families who need it most,” said CEO Jenna Morgenstern-Gaines. “With PocketRN, patients and families get unwavering support from a ‘virtual nurse for life’ as they navigate the complexities of managing dementia at NO cost to them. Nurses are hands-down the best clinicians to be the ‘glue’ to dementia patients and families throughout their journey–they’ve been doing so forever, and it’s high-time their work is valued by our system.”

PocketRN’s Head of Innovation, Samuel Thomas, also expressed, “Ultimately, this is a way to provide more equitable, accessible care to a vast population of dementia patients and families that we’re already serving and haven’t been able to serve yet because of existing reimbursement frameworks. It’s an incredible opportunity to bring about positive change and enhance the lives of those who truly need more support, in the most cost-effective and highest-quality way.”

PocketRN will utilize its national network of expert nurses to dramatically expand access for dementia patients and families who otherwise may go without care. Its participation in the GUIDE Model will span eight years, with a one-year pre-implementation period for program development, community engagement, and infrastructure scaling before rolling out with a cohort of initial partners.