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Itamar Marani On The Five Things You Can Do To Become More Resilient During Turbulent Times

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11 months ago

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Challenge Yourself — Challenge yourself on a daily or weekly basis to remember that you can be a savage. Train BJJ, say the necessary things that need to be said, go for a cold swim or take a cold shower, put yourself in a position that’s uncomfortable. Doing these things will remind you that you’re more capable than what you give yourself credit for.

Resilience has been described as the ability to withstand adversity and bounce back from difficult life events. Times are not easy now. How do we develop greater resilience to withstand the challenges that keep being thrown at us? In this interview series, we are talking to mental health experts, authors, resilience experts, coaches, and business leaders who can talk about how we can develop greater resilience to improve our lives.

As a part of this series, I had the pleasure of interviewing Itamar Marani.

Itamar Marani is an Israeli ex-special forces, was the youngest air marshal in Israel’s history and a Brazilian Jiu Jitsu black belt (ranked top 10 in the world at an amateur level). He now leads elite performance accelerators around mindset for 6–8 figure entrepreneurs. Itamar is a loving husband and devoted father to his 1 year old son and dog.

Thank you so much for joining us! Our readers would love to get to know you a bit better. Can you tell us a bit about your backstory?

My name is Itamar Marani. I was born in Israel, but spent 7 years of my childhood in the US. I served in the Israeli special forces, was the youngest air marshal in the country’s history, am a BJJ black (was ranked top ten in the world at the amateur level) and I now lead an elite performance accelerator focused on conquering fear and mental blocks for 6–8 figure entrepreneurs with online businesses.

I’ve lived in the USA, Brazil, Thailand, Germany, Israel, Vietnam and also spent 1.5 years working on a mega yacht as the chief of security. I’m also a devoted husband and father.

Can you share with us the most interesting story from your career? Can you tell us what lessons or ‘take aways’ you learned from that?

After giving a talk at a conference for entrepreneurs at the end of 2019 I was encouraged to launch a mindset coaching business.

A couple months in, COVID hit shattering my marketing plans and the nearly dozen speaking opportunities I had lined up across the US and Europe.

As soon as it happened I recognized that from a business standpoint, this was the biggest blessing I could ask for.

I realized that there would be a time of turbulence where people would need to have their head on straight to take advantage of the new opportunities that would emerge.

I transitioned to a fully online vehicle and aggressively put myself out there. I created a free 5-week Covid Crisis Mastermind that consisted of 11 groups of 6–8 figure entrepreneurs, gave many virtual talks and offered as much value as I could to as many entrepreneurs as possible.

Within 5 months of the business launching it hit 6 figures in profit which was a great relief as my wife and I had just discovered that we’d soon be expecting our first born.

The main lesson is that if you’re trying to grow, chaos can be your friend. Even if the pie as a whole will shrink, there will be even less people focused enough to keep their seat at the table… and that’s your opportunity.

The second key lesson is to not expect things to be fair. Most of the effort I put out during March and April of 2020 got me nothing in return. Talks that I stayed up late to give, masterminds groups I led, one-on-one consultations that didn’t create any sales for the business.

If I had cared about what was “fair” or not that would have frustrated me and I probably would’ve stopped. However fair wasn’t on my radar. The only thing I cared about providing for my growing family so providing outsized value to get what I wanted was something I was entirely at peace with.

What do you think makes your company stand out? Can you share a story?

Most performance accelerators or high performance coaches in the civilian world focus on motivation. They try to pump people up with mantras, tricks and various routines to get them motivated and hopefully achieve peak performance.

While it might work for a week it never lasts. It’s a motivational bandaid that eventually falls off. People fall back to their baseline soon after the motivational high wears off.

What we do differently is that we focus on addition through subtraction. Instead of motivating people, we focus on resolving their internal fears, doubts, mental blocks and insecurities — the internal friction that people usually have to get really motivated to push through.

That way, even when they have normal day-to-day “mediocre” motivation they can still take massive action because the internal friction isn’t there to stop them.

This approach allows people to achieve sustainable elite performance that lasts.

None of us are able to achieve success without some help along the way. Is there a particular person who you are grateful towards who helped get you to where you are? Can you share a story?

Glen Cohen. The former head of psychology of the Mosad and head hostage negotiator for the IDF. When I survived an attempted kidnapping by Al-Qaeda as an operative he helped me make sense of the fears and social issues it created.

Since that he’s helped me in many ways. He’s been a mentor and teacher I greatly appreciate.

Ok thank you for all that. Now let’s shift to the main focus of this interview. We would like to explore and flesh out the trait of resilience. How would you define resilience? What do you believe are the characteristics or traits of resilient people?

I would define resilience as the ability to overcome necessary hardships on your path to success.

This might be very different than the common answers of “discipline, toughness or grit” but the main characteristic I’ve found truly resilient people to have is purpose.

Nietzsche said “He who was a why to live by, can bear almost any how” and I’ve found that to be very true. Both for myself and others.

I’ve pushed through many hardships, but there have been times I didn’t. The only factor that was different was whether there was a purpose behind the challenge… And I see that across the board with other high achievers.

Courage is often likened to resilience. In your opinion how is courage both similar and different to resilience?

Resilience is more passive and courage is more active. Resilience is what you have to embrace when the world throws a challenge your way and you need to deal with it. Courage is different. With courage you’re actively seeking out challenges. If you really want to succeed in life, you have to be an active player. You must intentionally put yourself in scary situations that will force you to grow. For that you need courage.

When you think of resilience, which person comes to mind? Can you explain why you chose that person?

Viktor Frankl, the author of “Man’s Search for Meaning.”

My grandparents were Holocaust survivors so his stories about the horrors of the holocaust deeply moved me. What really left a mark was the perspective he shared in his writing. That we can’t avoid suffering, but we can chose how to deal with it. That if we choose to find purpose or utility in it and understand how it can make us better individuals we can view hardships as an opportunity, not just a burden.

His perspective allowed me to view situations where I had to muster up and display resiliency not as a necessary evil, but an opportunity to grow into the person I want to become.

Has there ever been a time that someone told you something was impossible, but you did it anyway? Can you share the story with us?

No. I’m very fortunate to have grown up in an environment where I was never told that. My parents allowed me to go for things, stumble, fail, get up and come to my own conclusions about limits. I’m very grateful for them and am trying to raise my son in the same way.

Did you have a time in your life where you had one of your greatest setbacks, but you bounced back from it stronger than ever? Can you share that story with us?

When I was 18 I was fortunate enough to get accepted and drafted into the most elite unit in the IDF special forces. It was just 12 of us from the entire draft class and I was very proud to have gotten my foot in the door.

Months 4–6 of the training are called Advanced Unit Bootcamp and are mentally and physically, the toughest part of the training. Imagine 2 months of constant fog, sleep deprivation, endless physical activity and exhaustion..

During the last week heavy rain started to come down just after the sun had set. Our officer told us to get our gear on and to prepare for a run. We never knew how long these runs would be.

Long runs have always been my weakness and after a while I found myself at the back of the pack. My officer came to me and asked if I was ok. I managed to get out “Yes, I’m fine,” between gasps of air. After a couple seconds he asked me again if I want to take a break for a second on the truck and I said ok.

The moment I sat on the truck was the moment I got kicked out of the unit.

It was a heartbreaking and devastating blow to my 18 year old ego.

I managed to go onto a different special forces unit, but what I’m really proud of is what I did afterwards.

After my military service ended I graduated from the Israeli Federal Agents program as the youngest air marshal in the country’s history.

I had a lot of cards stacked against me and despite all the challenges, I graduated with honors and went on to be well respected by my peers in the service.

All because I wasn’t willing to feel that painful feeling of regret after I gave up in the first unit. As my older brother later told me “pain is temporary, but pride is forever.“ Graduating as the youngest federal agent in Israel’s history is something I’m still proud of to this day.

How have you cultivated resilience throughout your life? Did you have any experiences growing up that have contributed to building your resiliency? Can you share a story?

I’ve constantly tried to push beyond my abilities and I intentionally put myself in situations where everyone is better than me. I’ve done this in business and athletics.

When I came to the decision that I wanted to become a BJJ world champion I moved to Rio de Janeiro, Brazil.

I looked for the gym with the toughest guys because my belief is that if you want to be the best you have to surround yourself with the best.

Sparring with black belts who are much better than you can be painful, both physically and for you ego.

Everyday I was there I dealt with nagging injuries, feelings of incompetence and even slept on gym mats, but I never thought about stopping. It taught me that it’s much easier to be resilient when you have an internal purpose to pull you through tough times.

Resilience is like a muscle that can be strengthened. In your opinion, what are 5 steps that someone can take to become more resilient? Please share a story or an example for each.

  1. Purpose — If there’s no reason to overcome a hardship then why do it? The more you can be in sync with the reward, the less difficult it will feel.
  2. Face The Core Human Fears — It’s much harder to face an obstacle when we attach emotional meaning to it. We think “If I don’t succeed then people will judge me because it’ll prove that I’m not good enough or worthy.” 
    The moment we can understand the irrational fears that hinder our performance, things feel less turbulent. When we practice detaching emotions from a situation displaying resilience becomes infinitely easier because the situation doesn’t seem as turbulent anymore.
  3. Practice Perspective — If I’m just living in the here and now a hardship on my path will simply be an inconvenient deterrent. If I have a long term vision of the person I want to be, then a hardship is an opportunity to grow into that resilient, stronger and more capable individual.
  4. Challenge Yourself — Challenge yourself on a daily or weekly basis to remember that you can be a savage. Train BJJ, say the necessary things that need to be said, go for a cold swim or take a cold shower, put yourself in a position that’s uncomfortable. Doing these things will remind you that you’re more capable than what you give yourself credit for.
  5. Rinse & Repeat — Those are the 4 main pillars to create more resilience. If you consistently practice these 4 pillars you will quickly become a much more resilient individual.

You are a person of great influence. If you could inspire a movement that would bring the most amount of good to the most amount of people, what would that be? You never know what your idea can trigger. ?

Without emotional resilience people will never have true resilience. Determination, grit and discipline will take them 95% of the way up the mountain, but the last 5% where the stakes are highest and the stress is at its peak is when emotional baggage is the heaviest and causes people to fall short.

It’s why so many talented and hard working people sell themselves short, hesitate and simply don’t reach their full potential.

My mission is to give high achievers the tools to conquer that last 5%. To get honest about their doubts, fears and insecurities so that when the pressure is on those mental blocks don’t stop them.

Everyone wants to be courageous, but no one wants to be vulnerable. Yet to get past that final 5% getting vulnerable and dealing with fear is crucial.

As Ray Dalio put it “Accepting your weaknesses isn’t surrendering to them. It’s the first step in overcoming them.”

We are blessed that some very prominent leaders read this column. Is there a person in the world, or in the US with whom you would love to have a private breakfast or lunch with, and why? He or she might just see this, especially if we tag them ?

Ray Dalio and Naval Ravikant have both been massive influences on me and I would be honored to sit with them.

How can our readers further follow your work online?

Go to www.itamarmarani.com and download the 9-step Blueprint to Elite Performance and join the mailing list for a weekly email with 3 quick ideas about conquering your mind (it’s a 2 minute high impact read to upgrade your mindset and win)

This was very inspiring. Thank you so much for joining us!

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New Study Reveals Majority of UK’s Young People Unaware of Careers Advice on Offer

Published

3 months ago

on

July 3, 2023

By

Jack Parsons

3rd July 2023, London, United Kingdom:

  • A new study from Youth Group finds three fifths (63%) of 18–25-year-olds are unaware of the current career advice available to them.
  • Just under half (48%) feel they are limited when it came to accessing vital career guidance.
  • Findings revealed to coincide with the anticipated launch of Season 3 of ‘My Duvet Flip: The careers show for young people’ fronted by UK’s Chief Youth Officer Jack Parsons.
  • The latest season of My Duvet Flip is backed by returning Season Two partners Aviva & EY, who are now joined leading UK jobs platform Totaljobs.
  • Season 3 is available to watch on LinkedIn, Youth Space, TikTok, and YouTube, starting from July 1, 2023.

Youth Group, the nation’s leading youth employment company with over 1.7 million members, have published new figures underlining the extent to which young people are being left without the necessary access support and guidance needed to successfully start their careers and navigate the UK’s turbulent job market.

Figures released by Youth Group reveal a clear gap between the guidance currently provided and the needs of young job seekers. The majority of young people (16–24-year-olds) are simply unaware of the available career advice resources on offer. A further 48% also found that when trying to access these resources they have felt restricted in terms of the advice they were able to access.

It is response to clear gap in careers guidance that ‘My Duvet Flip: The Careers Show for Young People’ is returns this July for its highly anticipated third season.

Backed by returning Season 2 partners Aviva & EY, season three also introduces a brand new partnership with leading UK recruitment solutions provider Totaljobs, part of global digital recruitment platform, The StepStone Group.

Totaljobs is well-aware of the considerable challenges being faced by young people in the UK. Their own report in the nation’s future talent, released in October 2022 found that half (48%) of 16-18 year olds in the UK believed they were receiving a lack of career advice at school.

Totaljobs has over 20 years’ experience helping individuals find the best job that suits their life circumstances. Whether it’s the first step in their career or a job to cover their expenses, together, this partnership seeks the best guest line-ups, whilst providing educational and job advice to instil confidence in young people across the UK to achieve their employment goals.

By joining forces with ‘My Duvet Flip‘ Totaljobs aims to empower and inspire the youth of the UK. Season Three, presented UK’s Chief Youth Officer, Jack Parsons will continue to engage in up-front, candid conversations with global business leaders, entrepreneurs, and politicians. The show explores their career journeys and seeks to extract valuable tips and advice for viewers from their own experiences. The series also offers insights into what motivates these leaders to succeed and what inspires them to start their day with a positive mindset.

Season Two saw an incredible line-up of guests, such as UK Prime Minister Rishi Sunak, Debbie Hewitt, FA Chairman, Sebastian Dettmers, Chief Executive Officer, of The Stepstone Group, and President of Google Europe; Matt Brittin.

The second season of ‘My Duvet Flip’ attracted an impressive 9 million views and generated over eight times more engagements compared to the previous season.

Jack Parsons, CEO of Youth Group and the UK’s Chief Youth Officer says:

“I’m excited to present the third season of ‘My Duvet Flip’ and share the motivational and honest conversations I’ve had the privilege to experience with some of Britain’s most successful business leaders, including Sebastian from The Stepstone Group,” shared Parsons. “The podcast is all about supporting the millions of young people across the UK and empowering them to achieve their goals.”

Sebastian Dettmers, Chief Executive Officer of The Stephone Group said:

“I am proud that Totaljobs will now be a partner of ‘The Duvet Flip’ for the 3rd season. Earlier this year, I guested on ‘My Duvet Flip’ and met Jack in person and was very excited by his mission: to be an inspiration and support to young people in the world of work. This fits very well with what we do at The Stepstone Group and at Totaljobs where we help to help find the right job for everyone.”

Jack Parsons, has already earned multiple accolades, including being recognised as LinkedIn’s ‘Top Voice for Young People’ and ‘Top 15 Young Entrepreneurs to Watch,’ hopes that the second season of ‘My Duvet Flip’ will inspire young individuals across the UK to realize and fulfil their potential.

-ENDS-

Notes to Editors:

Survey conducted by Youth Group between February to April 2023. The total survey sample was 15,847 young people between the ages of 18-25.

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Brayan Jimenez talks about Maximizing Business Growth: Unleashing the Power of a Strategic Financial Controller in Fintech and Business Improvement

Published

3 months ago

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June 27, 2023

By

Fintech

In the fast-paced world of business and fintech, organizations face unique challenges that demand a strategic approach to financial management and operational enhancement. A skilled and experienced strategic financial controller proficient in implementing Enterprise Resource Planning (ERP) systems and optimizing processes is the catalyst for unlocking growth potential and mitigating risks.

This article delves into the significance of having a strategic financial controller, the risks associated with neglecting one, and the exceptional value they bring to businesses in the fintech sector.

What is a Strategic Financial Controller?

A strategic financial controller is a highly skilled professional who plays a crucial role in managing an organization’s financial operations and driving its financial success. They possess a deep understanding of financial management, accounting principles, and business analytics, allowing them to provide strategic insights and guidance. Unlike traditional financial controllers, they take a proactive and forward-thinking approach, aligning financial strategies with the organization’s overall objectives.

They work closely with key stakeholders to develop and execute financial plans, optimize profitability, and mitigate risks. A strategic financial controller also excels in identifying opportunities for operational improvement, implementing efficient processes, and ensuring compliance with regulatory requirements.

Their expertise in ERP systems and data analysis enables them to provide accurate financial insights for informed decision-making. Overall, a strategic financial controller is an invaluable asset in driving financial stability, growth, and long-term success for businesses.

The Value a Strategic Financial Controller Brings to Businesses

A strategic financial controller brings immense value to fintech businesses, mitigating risks and driving growth through their expertise in various key areas.

  • Financial Strategy and Planning: A strategic financial controller aligns financial strategies with business objectives, providing guidance on capital allocation, funding strategies, and financial forecasting. This ensures businesses are well-positioned for growth and financial stability.
  • Operational Efficiency: By implementing ERP systems and optimizing business processes, a strategic financial controller enhances operational efficiency, minimizes costs, and maximizes resource allocation. This leads to improved productivity, reduced inefficiencies, and increased profitability.
  • Risk Management and Compliance: In the fintech sector, compliance with regulatory requirements is paramount. A strategic financial controller helps navigate complex regulations, ensuring compliance and mitigating legal and reputational risks. They also establish robust risk management frameworks, safeguarding against potential threats and strengthening data security measures.
  • Data-Driven Decision Making: A strategic financial controller has extensive knowledge of financial management and data analysis. They empower executives to make informed decisions, spot market trends, and spur innovation by converting complex financial data into usable insights. This gives companies a competitive edge and encourages long-term growth.

The Risks of Ignoring the Role of a Strategic Financial Controller

Failure to employ a strategic financial controller exposes businesses in the fintech sector to numerous difficulties and risks. Without their expertise, organizations may encounter:

  • Inefficient Financial Operations: Inadequate streamlining of financial processes leads to errors, delays, and subpar financial reporting, hampering decision-making and compliance efforts.
  • Regulatory Non-Compliance: The highly regulated fintech landscape requires meticulous adherence to complex regulatory requirements. Without a strategic financial controller’s guidance, organizations may struggle to navigate these regulations, resulting in legal and reputational risks.
  • Inadequate Risk Management: Fintech companies handle sensitive financial data and are prone to cybersecurity threats. The absence of a strategic financial controller increases vulnerability to data breaches and financial fraud.
  • Missed Growth Opportunities: Absence of a dedicated professional overseeing financial strategies may result in missed growth opportunities, failure to optimize revenue streams, and suboptimal investment decisions.

Conclusion

In the ever-evolving world of business and fintech, the role of a strategic financial controller is pivotal. Neglecting to employ one exposes businesses to inefficiencies, compliance risks, and missed growth opportunities. However, by harnessing the expertise of a strategic financial controller in ERP systems, financial management, and operational enhancement, fintech organizations can thrive, outpace their competitors, and achieve sustainable growth. Investing in a strategic financial controller is a strategic decision that ensures financial stability, streamlines operations, and propels businesses towards unprecedented success.

Contact:

Brayan Jimenez – LinkedIn

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Breast Cancer: Facts, Symptoms, Prevention and Latest Research

Published

3 months ago

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June 27, 2023

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Photo by Leeloo Thefirst: https://www.pexels.com/photo/a-brassiere-cutout-on-a-pink-surface-7805693/

Breast cancer is one of the most common cancers that affect women worldwide. While significant progress has been made in early detection and treatment options, it remains a serious health concern with potential life-altering consequences. This article provides an overview of breast cancer facts and statistics, symptoms to look out for, ways to lower risk factors, screening methods available for early detection, and the latest research developments in finding better prevention measures and treatments.

Facts and Statistics

Breast cancer is the most common cancer globally, accounting for 12.5% of all new annual cancer cases worldwide. In the U.S., an estimated 287,850 new cases of invasive breast cancer and 51,400 new cases of non-invasive (in situ) breast cancer are expected to be diagnosed in women in 2022. About 13% of U.S. women will develop invasive breast cancer during their lifetime.

The risk factors for developing breast cancer include being a woman and getting older; however, some genetic mutations can also contribute to its development. While about 85% of breast cancers occur in women with no family history of the disease, Ashkenazi Jewish women have a higher risk due to a higher rate of BRCA mutations.

Breast cancer death rates have been decreasing since 1989 due to treatment advances and earlier detection through screening; however, persistent disparities exist among different racial or ethnic groups. Black women are more likely than any other group to die from breast cancer due partially to high rates of triple-negative breast cancer diagnosis.

What Are the Symptoms of Breast Cancer?

Breast cancer symptoms can vary from person to person, and some individuals may not experience any signs or symptoms at all. However, there are warning signs that people should be aware of.

These include the appearance of a new lump in the breast or underarm, thickening or swelling of part of the breast, irritation or dimpling of breast skin, redness or flaky skin in the nipple area or on the breast, pulling in of the nipple or pain in this area, nipple discharge other than milk (including blood), and any change in size/shape/pain experienced within any portion(s) of your breasts.

It’s important to note that these symptoms can also occur due to non-cancerous conditions; thus it is recommended for an individual with such concerns to seek advice from their healthcare provider as soon as possible so they can determine if further testing is needed.

Ways to Lower the Risk of Breast Cancer

There is no guaranteed way to prevent breast cancer, but there are steps that can be taken which may help to reduce the risk. Some risk factors are beyond an individual’s control, such as age and gender; however, other factors like body weight and alcohol consumption can be modified.

For all women, maintaining a healthy weight throughout life by balancing food intake with physical activity is crucial in reducing the risk of developing breast cancer after menopause. Regular moderate-to-vigorous physical activity for at least 150-300 minutes per week (or any combination of these) is also recommended.

Alcohol should either be avoided or limited to one drink per day at most since even small amounts have been linked with an increase in breast cancer risk.

Breastfeeding for several months after childbirth might also lower the chances of developing breast cancer while using hormone therapy after menopause can increase the risk. In case hormonal treatment options are required post-menopause, non-hormonal options should be discussed with healthcare providers.

For women who are known to have an increased risk of developing breast cancer due to certain genetic mutations or family history etc., medical interventions like genetic counseling/testing and prescription medicines like tamoxifen and raloxifene could help lower their chances of getting it. Preventive surgery or close observation for early signs of this disease could also be considered based on individualized assessments made by healthcare professionals.

Screening for Breast Cancer

Breast cancer screening is used to detect the disease before symptoms appear. Tests like mammography, ultrasound, and magnetic resonance imaging (MRI) can be used for screening. The primary goals of breast cancer screening are early detection and reduction or elimination of deaths from the disease. Mammography is currently considered to be the best tool available for breast cancer screening as it has been shown to reduce fatalities resulting from this type of cancer.

While digital mammography may be more effective at identifying cancers in dense breasts, 3D mammograms may improve sensitivity even further by reducing false-positive results that lead to additional testing and anxiety. However, overdiagnosis remains a potential issue with this method.

Other tests such as ultrasounds and MRIs are not routinely recommended unless there is a high risk of developing breast cancer due to genetic mutations or other factors.

The frequency and type of breast cancer screenings recommended depend on individual risk factors, age, health status, etc., so it’s important to discuss options with your doctor. Different organizations have varying recommendations regarding when women should start getting screened for breast cancer as well as how often they should receive these tests.

It’s worth noting that while clinical breast examinations (CBEs) are included in some guidelines along with mammography, others do not recommend them for women who are not at an increased risk of developing breast cancer. Breast self-examination is also not proven to lower mortality rates but can help people become familiar with their bodies in order to better identify changes that could indicate a problem.

Latest Research on Breast Cancer

Researchers are studying various aspects of early-stage and locally advanced breast cancer to find ways to prevent the disease, provide better care, and improve treatments. This includes identifying causes such as environmental factors, lifestyle choices, and endocrine disruptors. Additionally, they are developing new methods for evaluating genes and proteins in order to determine the best treatment options for each individual patient.

Other areas of research include finding more effective ways to prevent breast cancer or detect it at an earlier stage; determining whether ductal carcinoma in situ (DCIS) should always be treated with surgery; identifying which molecular subtypes of cancer require chemotherapy; testing new drug therapies for different types of breast cancer; exploring approaches like targeted radiation therapy schedules and reconstructive surgery techniques; improving hormonal therapies for ER-positive breast cancer patients; managing symptoms associated with treatments that affect the quality of life.

Conclusion

In conclusion, breast cancer is a serious disease that affects many women worldwide. While there are steps to reduce risk factors and early detection through screening, ongoing research is necessary to improve treatment options and overall outcomes for patients. Recommendations include maintaining a healthy lifestyle, regular screenings based on individualized assessments by healthcare professionals, and staying informed about the latest research developments in breast cancer. It’s important for individuals to discuss any concerns or questions with their doctor and follow recommended guidelines for prevention and care.

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