ECU Health team members gather around to recognize Veteran's Day.

Each year on Veterans Day, Vidant Health honors and thanks the nation’s military veterans for their bravery and service for our country.

This year, ECU Health Medical Center (VMC) hosted a Veterans Day celebration on Wednesday, Nov. 10, to honor the nearly 500 veterans, in addition to the hundreds of military and veteran family members and those currently serving in a Reserve or Guard capacity, who are Vidant team members. Team members who have served in all branches of the military attended the event at VMC, which began with the Pledge of Allegiance.

Reverend Raynard Griffin of Vidant’s pastoral team led attendees in prayer to reflect on their service. Van Smith, executive vice president at VMC, thanked team members for their service and for their hard work and dedication to caring for the community.

ECU Health team members gather around to recognize Veteran's Day.

“Military service requires a commitment that is beyond the ability and comprehension of many,” said Smith. “In times of peace, and especially in times of war, it necessitates an allegiance to something greater than oneself. Here at ECU Health Medical Center, we’re also called to a common purpose as stated in our mission statement: to improve the health and well-being of eastern North Carolina. In our veteran colleagues that we have here and that are serving right now throughout ECU Health Medical Center and all across Vidant Health, we are fortunate to have people who know what it means to make a commitment like that. They’ve done it.”

Proud Air Force veteran now CVIU Staff Nurse at VMC

Among the 500 military veterans who now serve as Vidant team members is Audrey “Lee” Webb.

Born and raised in Windsor, North Carolina, Webb comes from a long line of family members who served in the military. Both her father and brother retired from the United States Army, while she was the first in her family to enlist and serve in the United States Air Force.

During her eight years in the Air Force, Lee traveled the world. She was stationed in Virginia, South Korea, Germany and Oklahoma. It was during her time in South Korea, that she picked up the nickname “Lee,” and it stuck with her ever since. Lee also served during Desert Shield in Saudi Arabia, and when her unit first arrived in the country, she was one of two women in a group of 67 men.

While enlisted, Lee worked in Non-Destructive Inspections (NDI). NDI personnel identify possible defects in systems and equipment. Wear, tear and fatigue occur in metals without visible signs. Similar to employing x-rays to visualize internal body parts, NDI personnel use non-invasive methods to inspect the insides of metal objects.

One of her most memorable times was being awarded the “Below the Zone.” Below the Zone is a competitive early promotion program that offers exceptional Air Force members the opportunity to earn their next rank six months early. Members are nominated by their chain of command and undergo a rigorous interview process to go over their major accomplishments and attributes. Lee was one of two Air Force members who earned Below the Zone in her unit.

After being honorably discharged from the Air Force as a Sergeant (E-4) in 1995, Lee came back to eastern North Carolina to use her GI bill to attend nursing school at Pitt Community College. Right out of college, she was hired at Vidant (previously Pitt Memorial Hospital). She has worked as a nurse at VMC for over 20 years now, currently serving as a Staff Nurse III on CVIU.

When asked how her military training has helped with her current career, she replied, “I am used to team building and teamwork. In the Air Force, we were mission-focused, and we are mission-focused in health care, as well.”

Lee said, “Traveling and serving in third-world countries and seeing the conditions there, really makes you appreciate what we have here. I am proud to have served our country. I love America!”

This Veterans Day – and every day – we are grateful to Vidant team members who served our nation and now serve eastern North Carolina. We are Vidant Proud of their commitment and dedication to improving the health and well-being of those around them. Please join us in thanking these heroes for all they do, for all of us. Watch a recap of the celebration at VMC below.

Community | Health News

Over the last seven years, Vidant Medical Center (VMC) has partnered with organizations across eastern North Carolina to host Project SEARCH for exceptional Pitt County students.

Project SEARCH is an international transition program that provides real life work experiences to high school graduates with intellectual and developmental disabilities. The one-year program helps students learn various marketable skills that can help them gain employment after graduation from the program.

Lisa Lassiter, director of workforce development at Vidant Health, said Pitt County Schools approached Vidant about the possibility of partnering in the program. She took the lead on the Vidant side and attended meetings, worked with community partners and, with support and approval from senior leaders at the hospital, had a classroom for these students created at VMC.

Lassiter said she is grateful for the program, the students, community partners and everyone involved.

“I think this program and these kids have taught me more than I have ever been able to expose to each of them,” Lassiter said. “I was very limited in what I knew about exceptional children when the program began and they have opened my eyes and amazed me many times.”

Seven years in, the 2021-22 Project SEARCH class is the largest to date with nine students. These students spend time in the classroom learning employable skills and go out to internship sites throughout different departments at VMC to practice and refine these skills.

A Shining Example

For students that have an internship experience at the VMC cafeteria, they get a chance to work with a program graduate.

David Jenkins is a utility worker and is a direct supervisor for the Project SEARCH interns placed in the main cafeteria. Jenkins graduated from the program in 2019 and said he loves helping those going through their internships.

“I enjoy that a lot. I get to teach them about stuff that I know and I can sit back and watch them grow because of things that they learn from me,” Jenkins said. “Hopefully that will help them be a better citizen in this community.”

Jenkins had opportunities to intern in different areas throughout VMC during his year with Project SEARCH but enjoyed working in the cafeteria most. He said he felt a breakthrough when he asked to join team meetings during his internship and learned a lot about team goals.

He said it was important for him to go through the program and learn the important skills that have set him up for success today.

“My favorite part of going through the program was pretty much experiencing stuff that would be like the real world, such as advocating for myself, learning how to manage money, working with other people and how to interact with other people,” Jenkins said.

Katie Nagler Houmard, Project SEARCH instructor, said she was proud to see Jenkins’ growth from his time as a shy student to the leader he is today. She also said it’s important for current students to see what they can accomplish with Jenkins setting the example.

“We’ve seen that when they hear it from someone who has been where they are, they’re much more likely to really grasp it and take the advice,” Houmard said. “Sometimes when we tell them something, they could think, ‘What do you know? You’ve never been in my shoes.’ I think it’s inspiring for our current students to see him now in his role and working as part of the team at Vidant. It definitely gives them a good goal to work toward.”

Quintequa Weaver, Project SEARCH job coach, agrees. “I think just seeing him be a role model to the kids now is such a great thing to see,” she said.

It Takes a Village

Lassiter said community partnerships are an important part of what makes the program so special. While VMC hosts the classroom and offers the locations for internships, other community organizations contribute so much.

Pitt County Schools provide a teacher and identify students who make great candidates. RHA Health Services offers up a job coach to help students learn skills and work with them to find positions after graduation. On a state level, the North Carolina Council on Developmental Disabilities and North Carolina Vocational Rehabilitation provide support as well.

Internally to Vidant, team members who support the program are invaluable. Bernard Dixon, assistant manager for Central Services at VMC, is one of many team members who supports Project SEARCH and students going through the program. He said he appreciates the opportunity to work with these exceptional students and help them grow as team members.

When a student is preparing for an internship, they go through the typical steps that any team member would take before joining a department.

“They come down and they interview for the position as a typical employee would and we sit down and talk with them,” Dixon said. “Once we sit down and talk, we find out what exactly they can do and what their skill level is. Once we determine what their skill level is, we treat them just like we would any other employee.”

He has found that as he works with the students in Project SEARCH, once they are comfortable in their role, they often exceed expectations. He said supporting the students—and not putting labels or limitations on them while also helping them learn employable skills—is the most important thing his team can do.

“We don’t want them to be labeled or anything like that,” Dixon said. “It’s not about saying they can’t do this or they can’t do that – no. Let them do what they do. We find out that a lot of them can do more than we think they can.”

Learn more

Community | Featured | Health News

Vidant Health hosted the Run, Walk & Roll to Independence Road Race on Saturday, Oct. 16 to get community members active and raise funds for Vidant’s Therapy and Rehabilitation Services.

Fifty-three runners came out for the event in Greenville and some participated virtually. The road race offered three distances for attendees, including a 100-yard dash for children, a 1-mile fun run and 5K race.

Clint Faulk, medical director for the Vidant Rehabilitation Center, said this is an important event to celebrate the Therapy and Rehabilitation services for the health system.

“Rehabilitation services really helps people get home again and get back into the community,” Faulk said. “Patients come in for different diagnoses and they go through therapies with us, three hours of therapy a day. It really is about getting people back home to their families and getting them into their community.”

The event was making its return after two years away; first a hurricane washed out the event in 2019 and the COVID-19 pandemic halted last year’s plans. Kasey Shue is a recreational therapist at Vidant and served as the chairperson for the event. She said she was thankful and excited to be back for this special event.

Shue knows firsthand the importance of the rehabilitation services Vidant offers. About five years ago, before becoming a Vidant team member, she was a patient going through rehabilitation for six weeks while recovering from a neurological condition called Guillain-Barré Syndrome.

“That actually inspired me to go back to school to become a recreational therapist,” Shue said. “I’m just one of the many members of the team that Vidant has on hand to help people live the most functional and active lifestyle they can, regardless of any medical condition, circumstance or disability that they may have.”

She said she was proud to serve as the chairperson for the road race and help organize the event along with Therapy and Rehabilitation Services colleagues.

“It’s just a personal passion of mine and this sort of event that supports rehab and encourages people to get out and continue to be active – even if they do live with some type of limitation or disability – I’m all for supporting that,” Shue said.

Proceeds from the road race benefited Vidant’s Therapy and Rehabilitation Services and in turn help community members in the program.

Visit the Vidant Rehabilitation Center Facebook page for more information and updates.

Community | Health News | Therapy & Rehabilitation

Burnout in health care providers is not a new concept but ideas and theories of how to avoid it are developing in unique ways.

Dr. Stephen Trzeciak served as the featured lecturer for the 13th annual José G. Albernaz Golden Apple Distinguished Lecture presented by ECU Medical & Health Sciences Foundation and Vidant Health. Dr. Trzeciak, chief of medicine at Cooper University Health Care and professor and chair of medicine at Cooper Medical School of Rowan University in Camden, New Jersey, discussed compassion and the importance of meaningful connections in health care and everyday life.

A few years ago, Dr. Trzeciak was facing burnout as a health care provider and knew something needed to change.

As a person who loves research, he began to dig into related literature and studies that focused on combating burnout in providers. In medical school, he said, he was taught that caring too much and having too much compassion could cause a provider burnout more quickly. What he found in studies, however, painted a different picture.

“What the literature shows is that there is an association with compassion and burnout – but it’s inverse. If there’s high compassion, there’s low burnout. Why? Well, we don’t know for sure but I have my hypothesis,” Dr. Trzeciak said. “Because when you connect with people through compassion, and have a relationship that flows from that, you get the fulfilling part. If you don’t have that then all you have is a really stressful job.”

Key to Resilience is Relationships

He tested his hypothesis on himself, as a study subject of one and found that when he leaned into caring more rather than detaching, his feelings of burnout began to lift. It wasn’t just about connecting with and showing compassion to patients and families, but to everyone he worked with and interacted with—professionally and personally. He believes this method can work not only within health care but in every walk of life.

He challenged everyone who is feeling the effects of burnout to give his method a chance, not just because it has worked for him and helped change his life, but because it is backed by science.

He highlighted a Harvard University study that tracked students at the university and Boston-area teenagers throughout their lives and found the best predictor of good health and well-being into your 80’s is your midlife quality of relationships. Dr. Trzeciak said this and many other studies show that the key to resilience is relationships.

“That’s why it is vitally important in our health systems, in our medical schools, everywhere – at the shopping mall, at the grocery store – that we take good care of each other,” Dr. Trzeciak said. “You don’t have to be a health care provider to feel burnout, especially in 2021.”

Compassion in Health Care

Compassionate and caring environments not only help team members face less burnout, but also help patients see better outcomes.

During his lecture, Dr. Trzeciak discussed many studies pointing to positive results for patients whose health care providers show compassion in various ways. He said that he does not have any magical thinking about compassion and that the top determinant of clinical outcome is still clinical excellence.

However, he said no patient and no provider should have to choose between clinical excellence and compassionate care. It’s not an either-or choice, but a both-and.

In eastern North Carolina

Dr. Michael Waldrum, chief executive officer of Vidant and dean of the Brody School of Medicine, said it was no mistake that Vidant chose compassion as one of its core values six years ago—a thoughtful selection rooted in understanding what behaviors help patients, the communities Vidant serves and team members.

“As I think about that time and the now the world we live in today, with the most profound social and health care disruptions, with more Americans that died in any event in over 102 years… at no time is compassion more important than right now,” Dr. Waldrum said. “That is a really hard thing to deal with, those realities. The great thing is that we know we have solutions to the challenges we face and compassion is one of those solutions.”

Typically, the José G. Albernaz Golden Apple Distinguished Lecture is set for the first day of class for first-year Brody School of Medicine students. However, due to the COVID-19 pandemic, the event was held for a smaller audience with a few representatives from the first-year Brody class.

Dr. Waldrum said during the event that he recently had dinner with a group of first-year Brody students who discussed the need to bring greater compassion to health care.

“It was so impactful to me because I left that meeting last night and I’m just so proud to be in eastern North Carolina and having that dialogue and making compassion cool,” Dr. Waldrum said. “Because I think that’s what it takes. It takes intention in talking about it, understanding it and knowing we’ll never be perfect, but we’re all on this journey.”

Community | Featured | Health News

“This is a place that feels like home, where families can come and spend meaningful time with a loved one,” said Jefferson. “The staff helped prepare our family for what we needed to know and expect. We met the chaplain and several team members while my father was at Inpatient Hospice House and the team members were so giving and welcoming to our family.”

“My father, Henry Edward Jefferson, was a father of eight children, so we had a large family to consider while visiting at Inpatient Hospice House,” said Jefferson. “Each family member was given one-on-one time to visit with my dad, and we were even able to bring our pets and the grandchildren for visits.”

Jefferson’s family received so much support from the staff at Inpatient Hospice House, they decided to provide support to other families experiencing similar circumstances there.

For the last 5 years, around the date of her father’s death, the Jefferson family has donated a carload of items for comfort and convenience, including snacks, prepackaged meals, cereal bars and treats to families of patients at Inpatient Hospice House.

“These food items allow people to stay here and visit loved ones without having to go out to get something to eat,” said Jefferson. “Families don’t want to miss a single precious moment with their loved one and these donations help allow more time together to enjoy each other’s company.”

For Jefferson and her family this annual delivery honors their father for the person he was and how much he gave to others in need. “This is our way of saying thanks for being here to help families going through this end of life experience and providing a sense of home.”

Community | Health News

Vidant Health’s mission to improve the health and well-being of eastern North Carolina stretches beyond the walls of our hospitals and clinics here in the East.

With recent Community Health events across the 29 counties we serve, Vidant is delivering health care in unique ways. Recently, Vidant partnered with local leaders and community groups to host these events in Grantsboro in Pamlico County and Farmville in Pitt County.

Community members had the opportunity to get health screenings, receive health coaching, learn about providers and health care options near them, and even receive a COVID-19 vaccine.

Cheryl Willoughby, project coordinator for Systems & Procedures at Vidant, plays a key role in organizing these events. She said it is crucial to bring health care to the people of eastern North Carolina because of Vidant’s unique rural positioning.

“Access to health care is a huge issue for a lot of the people that we serve,” Willoughby said. “So when we do these community events, that barrier is easily broken when we meet people where they are. That’s the exciting piece for me.”

Pamlico County Health Event

Vidant hosted a Pamlico County Community Health event on July 27 at Pamlico County Community College with great support from many local leaders and organizations. Pamlico County government, the Pamlico County Health Department and Pamlico County Community College all played a vital role in making the event possible.

Vidant Beaufort Hospital, a campus of Vidant Medical Center, team members came out to the event to administer health screenings to community members, including body mass index measurements, blood pressure readings and blood sugar checks. Team members were also on hand to educate the community on colorectal cancer, diabetes and stroke.

Jennifer Lewis, community health improvement coordinator for Vidant Beaufort, said screenings and wellness checks events like these are crucial to making sure community members are staying on top of their health. She said that people will often go through everyday life feeling completely healthy while chronic illnesses like hypertension and diabetes go unchecked.

“We want to help identify some of those risk factors and maybe here we can share something with an individual that will get their attention,” Lewis said. “Hopefully we can get them in to see a physician and maybe make some changes in their diet, in their physical activity and if they need to get medication, that too.”

Dr. John Callahan from Vidant Family Medicine – Aurora was on hand to discuss any concerns with community members and to discuss COVID-19 vaccines with those interested. About 20 COVID-19 first doses were distributed to community members at the event.

The EastCare team also showed support for the Pamlico County event by showcasing a helicopter on the main road leading to the event and the Eastern Carolina Health Care Preparedness Coalition had a medical emergency bus and mobile field hospital out on display for the event as well.

Farmville Community Health Event

The following weekend, Vidant team members and community groups showed up again to bring health care directly to the communities we serve at the Farmville Public Library. Many of the same screenings and opportunities available at the Pamlico County event were brought to Farmville as well.

KaSheta Jackson, nurse executive fellow at Vidant, said the community partnerships Vidant has built and are working to strengthen are key to creating trust with the whole community. She said having those trusting relationships with community groups trickles down to individuals within communities and ultimately leads to better health for everyone.

“We are making sure that we are connecting with the community,” Jackson said. “We are here with CAREE, which is a community group. They’re doing our vaccines with the Pitt County Health Department. The local library, they’ve offered up the space. Cheryl (Willoughby) worked with a lot of local agencies here so that they would support it. We work with a lot of communities here because we don’t want to just come in, we want to be a part of how we improve health care in these comminutes.”

Along with health screenings and awareness campaigns at the event, behavioral health team members were on hand to provide support and share information. Vidant’s Talent Acquisition team also joined each of the events to make connections with community members seeking employment with the health system.

Jackson said the Community Health events are important to bringing health care to people and hopes that positive responses and results continue to come out of these opportunities.

“We are following the model of doing health care on the outside to make health care better on the inside,” Jackson said. “We’re working to address the social determinants of health, offering employment, trying to take care of the need for vaccines, taking health care into communities versus having people come to us – we’re taking services to those that need them.”

Where will we be next?

Vidant’s next Community Health event will be on Aug. 21 in Bethel at the Field of Dreams – additional information can be found on the Events page of VidantHealth.com.

Community | Health News

Vidant Health’s Eastern Carolina Injury Prevention Program (ECIPP) partnered with Martin-Pitt Partnership for Children, the Pitt County Health Department and Greenville Fire-Rescue to educate community members about the dangers children, senior adults and pets can face in a hot car.

ECIPP Coordinator Ellen Walston said five children have already died in the United States this year from being left in a vehicle on warm days. Since 1998, when tracking began for these deaths, there have been 888 deaths across the country.

“Temperatures rise so quickly in a car and when a car is enclosed,” Walston said. “There is a myth that if you crack a window, the temperature will be reduced and that really does not happen. They heat up so quickly and we actually have a way to measure that today, just to show you how quickly cars can heat.”

Temperatures rise very quickly in vehicles. Ensure safety for children, pets and senior adults.This exercise took place on a 90-degree day. The temperature inside a parked car rose to 110 degrees within 10 minutes and over 120 degrees within 15 minutes.

Walston said while the risk is still high for seniors and pets, the majority of deaths that occur are in children under 2 years old. Children have less body surface area, so they are not able to cool themselves as quickly as adults and most of these children cannot verbalize if they are too hot.

In 53 percent of cases, a child is forgotten in the car by a parent or caregiver – often because that person is out of their daily routine. Walston said leaving a reminder for yourself can save a life.

“We always want to make sure that you have some type of reminder for yourself that the child is in the car because we do want the child to be in the rear seat,” Walston said. “If you can put your purse, a briefcase, your wallet, something in the backseat to remind you. We also have plenty of alarms on our phones and other devices that we use – just set an alarm. Particularly if it’s out of your normal routine.”

This reminder came at an important time as more people are out and traveling and running errands away from the house this year as COVID-19 restrictions are loosened and routines have changed.

Walston said now is the time to be vigilant if you are traveling with children, a senior adult or pets — or if you see one in a hot car.

“We always want a bystander to act and that means you need to take action right away,” Walston said. “So many times people are concerned about breaking a window, if they would be responsible. We ask you to take action, we ask that you immediately call 911. Please don’t wait to see if someone else will take action. We never want them left alone in a car – even for one minute.”

Learn more about the varied support ECIPP offers by visiting VidantHealth.com.

Community | Featured | Health News

Hand enters combination on a digital lock of a safe's door

Hand enters combination on a digital lock of a safe's doorGreenville, N.C. – June 21, 2021 – Vidant Health, the Eastern Carolina Injury Prevention Program (ECIPP), Veteran’s Affairs (VA) and the Greenville Police Department (GPD) are proud to announce the formation of the Pitt County Firearm Safety Coalition (PCFSC), a non-partisan, apolitical group with the goal of reducing injuries and death from firearm violence through education and safe storage techniques.

PCFSC will partner with stakeholders representing various sectors in the community, including the VA, GPD, East Carolina University, health care providers, Child Protective Services, Pitt County Health Department, faith-based groups, wildlife and hunting organizations, gun manufacturers and schools to identify solutions and impactful interventions.

“Firearm injuries have increased at an alarming rate in our state and in our region in recent months,” said PCFSC member Dr. Shannon Longshore, who serves as medical director of Injury Prevention and Pediatric Trauma for ECIPP. “We know each injury and each life lost is devastating to our community. The Pitt County Firearm Safety Coalition works together to prevent firearm injuries with proven solutions such as safe handling and storage and by addressing issues we see locally.”

Firearms are among the top five leading causes of injury-related deaths and account for half of all suicides, according to the Center for Disease Control and Prevention National Center for Injury Prevention and Control. Safe storage of firearms decreases the risk of accidental discharge by a child. Additionally, evidence suggests those living in households where firearms are stored and locked have a lower risk of suicide than those where firearms are stored unlocked.

“Increasing the time and distance between someone with suicidal intent and firearms can reduce suicide risk,” said PCFSC member Tiffany Chavis, senior social worker, suicide prevention coordinator, Durham VA Health Care System. “Providing education and resources to keep firearms safely secured, especially during mental health crises, is crucial in reducing the number of suicides. The Pitt County Firearm Safety Coalition demonstrates how well partners can work together for shared purpose, even if the populations differ.”

PCFSC has launched a firearm safety awareness campaign: “Lock It For Love – Firearm Safety is OUR Responsibility” to encourage the safe storage of firearms in order to reduce the number of firearm injuries in the region. GPD recently partnered with Project ChildSafe to get free gun locks, which will be distributed to local firearms owners/families.

“As police officers we often encounter people during some of the worst times of their lives, but our jobs take on an entirely new meaning when a child loses their life, especially to unnecessary gun violence,” said Chief Mark Holtzman of GPD. “The Greenville Police Department is humbled to be a partner in the Pitt County Firearm Safety Coalition to raise awareness for this very important cause. There is strength in numbers, and the safety and well-being of the members of our community is truly a collaborative effort. Together, we hope to make a difference and save lives.”

Community | Press Releases

Technology on a virtual screen

Technology on a virtual screenVidant Health is aware scammers are calling community members in an attempt to solicit Medicare or financial information. This is a common practice used by scammers nationally and is not the result of a data breach. If a community member receives a suspicious call from a Vidant number, or from someone who says they are from Medicare, they should hang up. Individuals should communicate directly with their provider regarding their medical equipment and service needs. Vidant encourages community members to be careful when giving financial, medical or personal information over the phone.

Community | Health News

Vidant team members pose with Stop the Bleed kits.

“The school nurses have been instrumental in getting their school staff trained and prepared for the use of Stop the Bleed kits,” Erika Greene, pediatric trauma program manager for Maynard Children’s Hospital at ECU Health Medical Center, said. “We have expanded our outreach to Wayne County Schools while working towards our goal of providing education and placement of Stop the Bleed kits at each public school within the 29-county Vidant Health region.”

One of the most common contributing factors in trauma-related events is preventable blood loss. Approximately 40 percent of trauma-related deaths worldwide can be attributed to bleeding or its consequence. The items in these kits help control the loss of blood, leading to positive outcomes for those who sustain injuries.

The Stop the Bleed Kits are funded by Children’s Miracle Network along with training in the use of a combat tourniquet provided by Maynard Children’s Hospital. They were distributed to Wayne County Schools with education to ensure schools are prepared in the event of a trauma incident.

The Pediatric Trauma Department of Maynard Children’s Hospital distributed 66 kits to cover the 33 public schools in Wayne County with the assistance of the VMC Trauma Outreach Coordinator.

“Vidant Health provided an awesome comprehensive Stop the Bleed training for the school nurses of Wayne County Public Schools,” said Kim Kennedy, manager of School Health Services for Wayne County Schools. “Thanks to Stop the Bleed and The Children’s Miracle Network, all WCPS campuses will be equipped with tourniquet kits that can be utilized in the event someone suffers severe bleeding. We thank Vidant Health and The Children’s Miracle Network for sponsoring this vitally important project.”

Community | Press Releases