Accessing hemodialysis clinics during the COVID-19 pandemic.

Transportation is a key element of access to healthcare. The COVID-19 pandemic posed unique and unforeseen challenges to patients receiving hemodialysis who rely on three times weekly transportation to receive their life-saving treatments, but there is little data on the problems they faced. This study explores the attitudes, fears, and concerns of hemodialysis patients during the pandemic with a focus on their travel to/from dialysis treatments.

Travel behaviour and greenhouse gas emissions during the COVID-19 pandemic: A case study in a university setting.

The year 2020 was characterized by a marked shift in daily travel patterns due to the COVID-19 pandemic. While we know that overall travel decreased, less is known about modal shift among those who continued to travel during the pandemic or about the impact of these travel-behaviour changes on transport-related greenhouse gas emissions. Focusing on a university setting and drawing from a travel survey conducted in Fall 2020 in Montreal, Canada (n = 3358), this study examines modal shifts and quantifies greenhouse gas emissions at three time periods in the year 2020: pre-pandemic, early pandemic, and later pandemic.

Fusing subnational with national climate action is central to decarbonization: the case of the United States.

Approaches that root national climate strategies in local actions will be essential for all countries as they develop new nationally determined contributions under the Paris Agreement. The potential impact of climate action from non-national actors in delivering higher global ambition is significant. Sub-national action in the United States provides a test for how such actions can accelerate emissions reductions.

Management of effort thrombosis of the subclavian vein: today's treatment.

"Spontaneous" subclavian vein ("effort") thrombosis is usually related to extrinsic compression of the vein at the costoclavicular junction. Our experience with this entity over the past decade was reviewed with specific focus on the role of thrombolysis and our selection algorithm. All patients treated for this problem at the University of Rochester over the past decade were identified and records retrospectively reviewed.