Nowadays, an increasing number of consumers are demanding more information and more direct contact with food producers in order to avoid the various intermediaries in the supply chain, thus improving food traceability and price transfer. This has led to the development of more direct (short) food supply chains (SFSCs). Although consumer preferences to use SFSCs rather than traditional (long) supply chains have been widely researched in the literature, this study brings a new approach with the use of social media sites to build online SFSCs. A focus group approach with a total of 32 participants was used in this study with the main objective to understand consumers’ awareness and acceptance of SFSCs. Special attention was given to the use of social media and electronic word of mouth (eWOM) as new approaches to support the creation of such alternative channels.

defined by short, tight pelvic floor muscles with hypersensitive trigger points. It commonly presents with symptoms of overactive bladder, dyspareunia, or constipation, as well as aching, burning, clenching, or feelings of heaviness (1). Local trigger point pain may refer to distant areas or cause development of additional trigger points in surrounding muscle groups. Digital reproduction by a transvaginal or transrectal exam may elicit a local twitch response (3). The exact incidence of pelvic floor myofascial spasm is not known; however, Carter (3) reported an incidence of 7% in 500 patients. Although the etiology of myofascial pain and pelvic floor myofascial spasm is unclear, acute or repetitive trauma to the pelvic floor from sports injuries, obstetric delivery, sexual trauma, post-traumatic stress disorder, or previous surgeries may cause hyper-intensive stimulation of the motor plate of the pelvic floor muscles (4). A prospective study using a validated questionnaire reported that operative vaginal delivery may have more of a negative impact on postpartum sexual functioning at 6 months after delivery compared to spontaneous vaginal delivery and cesarean delivery; however, results of other investigations have been conflicting with most reporting no evidence of a direct association between mode of delivery and postpartum sexual outcomes (5, 6). Additionally,

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Background: The outcome of transcutaneous aortic valve replacement (TAVR) in patients with kidney transplant is unknown, as majority of these patients were excluded from the major TAVR clinical trials. We sought to compare patients with severe aortic stenosis who underwent TAVR versus surgical aortic valve replacement (SAVR) with a history of kidney transplant. Methods: PubMed, Google Scholar and Cochrane databases were searched to identify relevant articles. The incidence of all-cause mortality and acute kidney injury (AKI) was calculated using relative risk on a random effect model. Results: A total of 1,538 patients (TAVR 328, SAVR 1,210) were included in the study. TAVR was associated with lower mortality as compared with SAVR at 30 days from the index procedure (odds ratio (OR) 0.48, 95% confidence interval (CI): 0.25-0.93; P = 0.03). Oneyear mortality was studied in three studies and showed comparable mortality in patients undergoing TAVR and SAVR (OR: 0.76, 95% CI: 0.10-5.51; P = 0.78). Compared to SAVR, TAVR carries an identical risk of AKI (OR: 0.44, 95% CI: 0.10-1.90; P = 0.27). A sensitivity analysis performed by exclusion of Voudris et al study showed a non-significant difference in the mortality incidence of two groups at 30 days (OR: 0.72, 95% CI: 0.27-1.91; P = 0.51). Conclusions: In patients with a history of kidney transplant, TAVR was associated with a comparable risk of mortality and AKI compared to SAVR.