Leveraging new technologies and workflows to provide rural and remote patients access to specialized rehabilitation and musculoskeletal assessments. We envision a vibrant eHealth and mHealth ecosystem, accelerating innovation, growth, and transforming healthcare through collaboration and partnerships. Enhancing Recovery After Surgery THEME 2: REMOTE MONITORING AND VIRTUAL CARE Date Alex Baron | January 2024 As we age it can take longer for our bodies to heal from trauma. As many as 40% of patients that undergo surgery will have major complications that lead to long-term health problems, such as heart disease or stroke. This is especially true for adults over the age of 65 following a major surgery, with many experiencing difficulties in returning to their pre-operation levels of function. Led by Dr. Duminda Wijeysundera, MD, at the University of Toronto, the Functional Improvement Trajectories After Surgery (FIT After Surgery) study aims to gain a better understanding of how often and why some patients experience significant disability after surgery. As one of 14 study sites across Canada, W21C is currently working with the Calgary site lead, Dr. Melinda Davis, MD, director of Master Teaching Program, clinical associate professor, Cumming School of Medicine, on recruitment efforts at the Foothills Medical Centre, actively engaging with patients prior to their surgery. Patient recruitment for the Calgary site began in July 2021 and is ongoing. Researchers are excited about the possibilities this work could reveal, especially as Canada’s population continues to age and the likelihood of more seniors needing major surgery every year is increasing. Having a better understanding of when and why patients experience disability after surgery will enable patients to make better-informed decisions about having surgery and allow physicians to identify patients that may need additional support following surgery. Overall recruitment and follow up for the study is expected to finish in 2023, with preliminary results anticipated in early 2024. By capitalizing on W21C's capabilities in eHealth and mHealth technologies, fostering collaboration, and actively engaging communities, the Health Everywhere Hub is poised to play a pivotal role in improving seniors' recovery experiences post-major surgeries. Project Contact: Dr. Mary Brindle Image Sources: Adobe Stock

THEME # The Title Goes Here Here is two lines for your subtitle if you have one on your file Lead Matthew James (Co-Lead ) Co-lead Name Surname Team Member Maria Dalton (Project Coordinator) INNOVATION STAGE Name of the stage Health Innovation Focus What is it What is it Population and Setting What is it Technology and Intervention What is it What is it BENEFITS For Users For parents, NeoApp offers personalized guidance and support, increasing confidence and reducing anxiety. The app empowers parents with knowledge specific to their baby’s needs, helping them monitor recovery, track milestones, and recognize signs of concern without relying on generic information or internet searches. By connecting with a community of parents facing similar challenges, they feel less isolated. The clear recovery pathway and milestones NeoApp offers make the transition from hospital to home smoother, providing peace of mind. For The System For parents, NeoApp offers personalized guidance and support, increasing confidence and reducing anxiety. The app empowers parents with knowledge specific to their baby’s needs, helping them monitor recovery, track milestones, and recognize signs of concern without relying on generic information or internet searches. By connecting with a community of parents facing similar challenges, they feel less isolated. The clear recovery pathway and milestones NeoApp offers make the transition from hospital to home smoother, providing peace of mind. Project Theme Information Current State OVERVIEW Patients and physicians face challenges in addressing non-physiological factors impacting cardiovascular health—such as mental health, social support, and medication affordability—within the limited time of an appointment. This often results in a narrow focus on immediate physiological symptoms, leaving other important aspects of health unaddressed. What Is The Innovation OVERVIEW NeoApp is an innovative digital health solution, grounded in Enhanced Recovery After Surgery (ERAS) principles, created to guide parents through the complex journey of post-surgical recovery for NICU infants. It is the first ERAS-focused platform designed for neonatal populations and their parents at home, providing personalized support and education tailored to each baby’s surgical background, development stage, and ongoing health needs. INTENDED USERS Physicians using the APPROACH ePROM report for efficient patient assessments. Patients completing the APPROACH ePROM survey prior to appointments. Researchers gathering Patient-Reported Outcome Measures (PROMs) data through the APPROACH registry for cardiovascular disease. How It Works OVERVIEW Before an appointment, patients complete a survey that includes mental health, social support, and self-care information, using validated instruments. This data is then used to generate a report for physicians, which flags significant changes and provides actionable insights. Physicians can review the report prior to or during appointments, allowing for a more comprehensive understanding of the patient’s health beyond immediate symptoms. Other Known Use Cases OVERVIEW Project Theme Information Current State Partnerships with Xsensor and Baxter are undergoing to evaluate the impact of eHealth tools on patient outcomes. The specific focus will be on two products: 1) Xsensor’s ForeSite® Intelligent Surface, an artificial intelligence-powered continuous skin monitoring... What is the Innovation Partnerships with Xsensor and Baxter are undergoing to evaluate the impact of eHealth tools on patient outcomes. The specific focus will be on two products: 1) Xsensor’s ForeSite® Intelligent Surface, an artificial intelligence-powered continuous skin monitoring... Other Known Use Cases Partnerships with Xsensor and Baxter are undergoing to evaluate the impact of eHealth tools on patient outcomes. The specific focus will be on two products: 1) Xsensor’s ForeSite® Intelligent Surface, an artificial intelligence-powered continuous skin monitoring... How it Works Partnerships with Xsensor and Baxter are undergoing to evaluate the impact of eHealth tools on patient outcomes. The specific focus will be on two products: 1) Xsensor’s ForeSite® Intelligent Surface, an artificial intelligence-powered continuous skin monitoring... Get Involved Add a Title Add a Title Connect via email: Email: Discover More: here Previous Item Next Item

THEME # The Title Goes Here Here is two lines for your subtitle if you have one on your file Lead Matthew James (Co-Lead ) Co-lead Name Surname Team Member Maria Dalton (Project Coordinator) INNOVATION STAGE Name of the stage Health Innovation Focus What is it What is it Population and Setting What is it Technology and Intervention What is it What is it BENEFITS For Users For parents, NeoApp offers personalized guidance and support, increasing confidence and reducing anxiety. The app empowers parents with knowledge specific to their baby’s needs, helping them monitor recovery, track milestones, and recognize signs of concern without relying on generic information or internet searches. By connecting with a community of parents facing similar challenges, they feel less isolated. The clear recovery pathway and milestones NeoApp offers make the transition from hospital to home smoother, providing peace of mind. For The System For parents, NeoApp offers personalized guidance and support, increasing confidence and reducing anxiety. The app empowers parents with knowledge specific to their baby’s needs, helping them monitor recovery, track milestones, and recognize signs of concern without relying on generic information or internet searches. By connecting with a community of parents facing similar challenges, they feel less isolated. The clear recovery pathway and milestones NeoApp offers make the transition from hospital to home smoother, providing peace of mind. Project Theme Information Current State OVERVIEW Patients and physicians face challenges in addressing non-physiological factors impacting cardiovascular health—such as mental health, social support, and medication affordability—within the limited time of an appointment. This often results in a narrow focus on immediate physiological symptoms, leaving other important aspects of health unaddressed. What Is The Innovation OVERVIEW NeoApp is an innovative digital health solution, grounded in Enhanced Recovery After Surgery (ERAS) principles, created to guide parents through the complex journey of post-surgical recovery for NICU infants. It is the first ERAS-focused platform designed for neonatal populations and their parents at home, providing personalized support and education tailored to each baby’s surgical background, development stage, and ongoing health needs. INTENDED USERS Physicians using the APPROACH ePROM report for efficient patient assessments. Patients completing the APPROACH ePROM survey prior to appointments. Researchers gathering Patient-Reported Outcome Measures (PROMs) data through the APPROACH registry for cardiovascular disease. How It Works OVERVIEW Before an appointment, patients complete a survey that includes mental health, social support, and self-care information, using validated instruments. This data is then used to generate a report for physicians, which flags significant changes and provides actionable insights. Physicians can review the report prior to or during appointments, allowing for a more comprehensive understanding of the patient’s health beyond immediate symptoms. Other Known Use Cases OVERVIEW Project Theme Information Current State Partnerships with Xsensor and Baxter are undergoing to evaluate the impact of eHealth tools on patient outcomes. The specific focus will be on two products: 1) Xsensor’s ForeSite® Intelligent Surface, an artificial intelligence-powered continuous skin monitoring... What is the Innovation Partnerships with Xsensor and Baxter are undergoing to evaluate the impact of eHealth tools on patient outcomes. The specific focus will be on two products: 1) Xsensor’s ForeSite® Intelligent Surface, an artificial intelligence-powered continuous skin monitoring... Other Known Use Cases Partnerships with Xsensor and Baxter are undergoing to evaluate the impact of eHealth tools on patient outcomes. The specific focus will be on two products: 1) Xsensor’s ForeSite® Intelligent Surface, an artificial intelligence-powered continuous skin monitoring... How it Works Partnerships with Xsensor and Baxter are undergoing to evaluate the impact of eHealth tools on patient outcomes. The specific focus will be on two products: 1) Xsensor’s ForeSite® Intelligent Surface, an artificial intelligence-powered continuous skin monitoring... Get Involved Add a Title Add a Title Connect via email: Email: Discover More: here Previous Item Next Item

THEME # The Title Goes Here Here is two lines for your subtitle if you have one on your file Lead Matthew James (Co-Lead ) Co-lead Name Surname Team Member Maria Dalton (Project Coordinator) INNOVATION STAGE Name of the stage Health Innovation Focus What is it What is it Population and Setting What is it Technology and Intervention What is it What is it BENEFITS For Users For parents, NeoApp offers personalized guidance and support, increasing confidence and reducing anxiety. The app empowers parents with knowledge specific to their baby’s needs, helping them monitor recovery, track milestones, and recognize signs of concern without relying on generic information or internet searches. By connecting with a community of parents facing similar challenges, they feel less isolated. The clear recovery pathway and milestones NeoApp offers make the transition from hospital to home smoother, providing peace of mind. For The System For parents, NeoApp offers personalized guidance and support, increasing confidence and reducing anxiety. The app empowers parents with knowledge specific to their baby’s needs, helping them monitor recovery, track milestones, and recognize signs of concern without relying on generic information or internet searches. By connecting with a community of parents facing similar challenges, they feel less isolated. The clear recovery pathway and milestones NeoApp offers make the transition from hospital to home smoother, providing peace of mind. Project Theme Information Current State OVERVIEW Patients and physicians face challenges in addressing non-physiological factors impacting cardiovascular health—such as mental health, social support, and medication affordability—within the limited time of an appointment. This often results in a narrow focus on immediate physiological symptoms, leaving other important aspects of health unaddressed. What Is The Innovation OVERVIEW NeoApp is an innovative digital health solution, grounded in Enhanced Recovery After Surgery (ERAS) principles, created to guide parents through the complex journey of post-surgical recovery for NICU infants. It is the first ERAS-focused platform designed for neonatal populations and their parents at home, providing personalized support and education tailored to each baby’s surgical background, development stage, and ongoing health needs. INTENDED USERS Physicians using the APPROACH ePROM report for efficient patient assessments. Patients completing the APPROACH ePROM survey prior to appointments. Researchers gathering Patient-Reported Outcome Measures (PROMs) data through the APPROACH registry for cardiovascular disease. How It Works OVERVIEW Before an appointment, patients complete a survey that includes mental health, social support, and self-care information, using validated instruments. This data is then used to generate a report for physicians, which flags significant changes and provides actionable insights. Physicians can review the report prior to or during appointments, allowing for a more comprehensive understanding of the patient’s health beyond immediate symptoms. Other Known Use Cases OVERVIEW Project Theme Information Current State Partnerships with Xsensor and Baxter are undergoing to evaluate the impact of eHealth tools on patient outcomes. The specific focus will be on two products: 1) Xsensor’s ForeSite® Intelligent Surface, an artificial intelligence-powered continuous skin monitoring... What is the Innovation Partnerships with Xsensor and Baxter are undergoing to evaluate the impact of eHealth tools on patient outcomes. The specific focus will be on two products: 1) Xsensor’s ForeSite® Intelligent Surface, an artificial intelligence-powered continuous skin monitoring... Other Known Use Cases Partnerships with Xsensor and Baxter are undergoing to evaluate the impact of eHealth tools on patient outcomes. The specific focus will be on two products: 1) Xsensor’s ForeSite® Intelligent Surface, an artificial intelligence-powered continuous skin monitoring... How it Works Partnerships with Xsensor and Baxter are undergoing to evaluate the impact of eHealth tools on patient outcomes. The specific focus will be on two products: 1) Xsensor’s ForeSite® Intelligent Surface, an artificial intelligence-powered continuous skin monitoring... Get Involved Add a Title Add a Title Connect via email: Email: Discover More: here Previous Item Next Item

Jill de Grood jointly leads the W21C Research and Innovation Centre with Dr. Jaime Kaufman, PhD. Together, Jill and Jaime support the strategic direction of the initiative, promoting W21C’s value proposition as an organization dedicated to research, innovation, and education. They support day-to-day W21C operations and processes, and lead specific portfolios. Jill completed her Master’s degree in Sociology at the University of Calgary. Her thesis project examined factors impacting lawyer’s physical and mental health. She completed a Certificate in Professional Management in 2015 and received her Project Management Professional Certification in 2018. Jill has been in an evolving leadership role with W21C for more than nine years, and became Director of the Centre in 2013. Over the years, Jill has led and been involved in numerous industry partner projects in areas such as technology assessment, infection prevention and control, and examining the effectiveness and impact of health care innovations for patient care. Jill is a published author with fourteen journal publications along with a number of knowledge translation pieces. As Director of Development and Partnerships, Jill continues to bring a strategic perspective to the W21C, to solve challenges and identify opportunities for the Centre. Jill is responsible for establishing and enhancing new and existing community partnerships with government and external organizations. Jill oversees the clinical trials and human factors teams in conjunction with Michelle Wright. She is also accountable for externally focused innovation support programs like SPARK Calgary. W21C Leadership Representative Jill de Grood  jill.degrood@ucalgary.ca NEXT OPERATIONS MEMBER PREVIOUS OPERATIONS MEMBER

Dr. Martin Ferguson-Pell, a distinguished biomedical engineer and former Dean of the Faculty of Rehabilitation Medicine at the University of Alberta, is a leader in the field of rehabilitation and biomedical research. As the co-director of the University of Alberta's Rehabilitation Robotics Laboratory and a Principal Investigator in the Smart Network, he spearheads the development of virtual reality systems for healthcare learning objects and biomechanics research. Beyond academia, he played a pivotal role in establishing the Peter Lougheed Leadership College and actively supports leadership skills and mentorship for students. Serving as the CEO of the Alberta Bone and Joint Health Institute, Dr. Ferguson-Pell utilizes clinical data to drive innovations in bone and joint health, collaborating with the Bone and Joint Health Strategic Clinical Network. His extensive credentials include being a Fellow of Rehabilitation Engineering Society of America, a Chartered Physicist, a Certified Clinical Scientist, and a Fellow of the Royal Society of Arts. Notably, he co-founded Click&Push Accessibility Inc., a startup addressing barriers for individuals with mobility limitations, exemplifying his commitment to advancing accessibility and inclusivity. Remote Monitoring and Virtual Care Lead Martin Ferguson-Pell  fe4@ualberta.ca NEXT THEME LEAD

THEME # The Title Goes Here Here is two lines for your subtitle if you have one on your file Lead Matthew James (Co-Lead ) Co-lead Name Surname Team Member Maria Dalton (Project Coordinator) INNOVATION STAGE Name of the stage Health Innovation Focus What is it What is it Population and Setting What is it Technology and Intervention What is it What is it BENEFITS For Users For parents, NeoApp offers personalized guidance and support, increasing confidence and reducing anxiety. The app empowers parents with knowledge specific to their baby’s needs, helping them monitor recovery, track milestones, and recognize signs of concern without relying on generic information or internet searches. By connecting with a community of parents facing similar challenges, they feel less isolated. The clear recovery pathway and milestones NeoApp offers make the transition from hospital to home smoother, providing peace of mind. For The System For parents, NeoApp offers personalized guidance and support, increasing confidence and reducing anxiety. The app empowers parents with knowledge specific to their baby’s needs, helping them monitor recovery, track milestones, and recognize signs of concern without relying on generic information or internet searches. By connecting with a community of parents facing similar challenges, they feel less isolated. The clear recovery pathway and milestones NeoApp offers make the transition from hospital to home smoother, providing peace of mind. Project Theme Information Current State OVERVIEW Patients and physicians face challenges in addressing non-physiological factors impacting cardiovascular health—such as mental health, social support, and medication affordability—within the limited time of an appointment. This often results in a narrow focus on immediate physiological symptoms, leaving other important aspects of health unaddressed. What Is The Innovation OVERVIEW NeoApp is an innovative digital health solution, grounded in Enhanced Recovery After Surgery (ERAS) principles, created to guide parents through the complex journey of post-surgical recovery for NICU infants. It is the first ERAS-focused platform designed for neonatal populations and their parents at home, providing personalized support and education tailored to each baby’s surgical background, development stage, and ongoing health needs. INTENDED USERS Physicians using the APPROACH ePROM report for efficient patient assessments. Patients completing the APPROACH ePROM survey prior to appointments. Researchers gathering Patient-Reported Outcome Measures (PROMs) data through the APPROACH registry for cardiovascular disease. How It Works OVERVIEW Before an appointment, patients complete a survey that includes mental health, social support, and self-care information, using validated instruments. This data is then used to generate a report for physicians, which flags significant changes and provides actionable insights. Physicians can review the report prior to or during appointments, allowing for a more comprehensive understanding of the patient’s health beyond immediate symptoms. Other Known Use Cases OVERVIEW Project Theme Information Current State Partnerships with Xsensor and Baxter are undergoing to evaluate the impact of eHealth tools on patient outcomes. The specific focus will be on two products: 1) Xsensor’s ForeSite® Intelligent Surface, an artificial intelligence-powered continuous skin monitoring... What is the Innovation Partnerships with Xsensor and Baxter are undergoing to evaluate the impact of eHealth tools on patient outcomes. The specific focus will be on two products: 1) Xsensor’s ForeSite® Intelligent Surface, an artificial intelligence-powered continuous skin monitoring... Other Known Use Cases Partnerships with Xsensor and Baxter are undergoing to evaluate the impact of eHealth tools on patient outcomes. The specific focus will be on two products: 1) Xsensor’s ForeSite® Intelligent Surface, an artificial intelligence-powered continuous skin monitoring... How it Works Partnerships with Xsensor and Baxter are undergoing to evaluate the impact of eHealth tools on patient outcomes. The specific focus will be on two products: 1) Xsensor’s ForeSite® Intelligent Surface, an artificial intelligence-powered continuous skin monitoring... Get Involved Add a Title Add a Title Connect via email: Email: Discover More: here Previous Item Next Item

THEME # The Title Goes Here Here is two lines for your subtitle if you have one on your file Lead Matthew James (Co-Lead ) Co-lead Name Surname Team Member Maria Dalton (Project Coordinator) INNOVATION STAGE Name of the stage Health Innovation Focus What is it What is it Population and Setting What is it Technology and Intervention What is it What is it BENEFITS For Users For parents, NeoApp offers personalized guidance and support, increasing confidence and reducing anxiety. The app empowers parents with knowledge specific to their baby’s needs, helping them monitor recovery, track milestones, and recognize signs of concern without relying on generic information or internet searches. By connecting with a community of parents facing similar challenges, they feel less isolated. The clear recovery pathway and milestones NeoApp offers make the transition from hospital to home smoother, providing peace of mind. For The System For parents, NeoApp offers personalized guidance and support, increasing confidence and reducing anxiety. The app empowers parents with knowledge specific to their baby’s needs, helping them monitor recovery, track milestones, and recognize signs of concern without relying on generic information or internet searches. By connecting with a community of parents facing similar challenges, they feel less isolated. The clear recovery pathway and milestones NeoApp offers make the transition from hospital to home smoother, providing peace of mind. Project Theme Information Current State OVERVIEW Patients and physicians face challenges in addressing non-physiological factors impacting cardiovascular health—such as mental health, social support, and medication affordability—within the limited time of an appointment. This often results in a narrow focus on immediate physiological symptoms, leaving other important aspects of health unaddressed. What Is The Innovation OVERVIEW NeoApp is an innovative digital health solution, grounded in Enhanced Recovery After Surgery (ERAS) principles, created to guide parents through the complex journey of post-surgical recovery for NICU infants. It is the first ERAS-focused platform designed for neonatal populations and their parents at home, providing personalized support and education tailored to each baby’s surgical background, development stage, and ongoing health needs. INTENDED USERS Physicians using the APPROACH ePROM report for efficient patient assessments. Patients completing the APPROACH ePROM survey prior to appointments. Researchers gathering Patient-Reported Outcome Measures (PROMs) data through the APPROACH registry for cardiovascular disease. How It Works OVERVIEW Before an appointment, patients complete a survey that includes mental health, social support, and self-care information, using validated instruments. This data is then used to generate a report for physicians, which flags significant changes and provides actionable insights. Physicians can review the report prior to or during appointments, allowing for a more comprehensive understanding of the patient’s health beyond immediate symptoms. Other Known Use Cases OVERVIEW Project Theme Information Current State Partnerships with Xsensor and Baxter are undergoing to evaluate the impact of eHealth tools on patient outcomes. The specific focus will be on two products: 1) Xsensor’s ForeSite® Intelligent Surface, an artificial intelligence-powered continuous skin monitoring... What is the Innovation Partnerships with Xsensor and Baxter are undergoing to evaluate the impact of eHealth tools on patient outcomes. The specific focus will be on two products: 1) Xsensor’s ForeSite® Intelligent Surface, an artificial intelligence-powered continuous skin monitoring... Other Known Use Cases Partnerships with Xsensor and Baxter are undergoing to evaluate the impact of eHealth tools on patient outcomes. The specific focus will be on two products: 1) Xsensor’s ForeSite® Intelligent Surface, an artificial intelligence-powered continuous skin monitoring... How it Works Partnerships with Xsensor and Baxter are undergoing to evaluate the impact of eHealth tools on patient outcomes. The specific focus will be on two products: 1) Xsensor’s ForeSite® Intelligent Surface, an artificial intelligence-powered continuous skin monitoring... Get Involved Add a Title Add a Title Connect via email: Email: Discover More: here Previous Item Next Item

Dr. Neesh Pannu, a distinguished nephrologist and Professor in the Department of Medicine at the University of Alberta, is a highly accomplished medical professional. She obtained her medical degree from the University of Alberta and furthered her training at Stanford University, culminating in a master's degree in Epidemiology and Biostatistics from Harvard University. Dr. Pannu's research focuses on acute kidney injury, delving into aspects of diagnosis, management, and outcomes in this critical field. Actively engaged in impactful organizations such as the Alberta Kidney Disease Network (AKDN) and the Interdisciplinary Chronic Disease Collaboration (ICDC), she contributes significantly to advancements in nephrology. Beyond her research endeavors, Dr. Pannu holds key leadership positions as the co-Scientific Director of the Kidney Strategic Clinical Network and the assistant Dean of Clinical Research Platforms at the University of Alberta, showcasing her commitment to advancing healthcare and clinical research. Bridging Community and Acute Care Lead Neesh Pannu  fe4@ualberta.ca NEXT THEME LEAD

We envision a vibrant eHealth and mHealth ecosystem, accelerating innovation, growth, and transforming healthcare through collaboration and partnerships. Enhancing Recovery After Surgery THEME 2: REMOTE MONITORING AND VIRTUAL CARE Date Alex Baron | January 2024 As we age it can take longer for our bodies to heal from trauma. As many as 40% of patients that undergo surgery will have major complications that lead to long-term health problems, such as heart disease or stroke. This is especially true for adults over the age of 65 following a major surgery, with many experiencing difficulties in returning to their pre-operation levels of function. Led by Dr. Duminda Wijeysundera, MD, at the University of Toronto, the Functional Improvement Trajectories After Surgery (FIT After Surgery) study aims to gain a better understanding of how often and why some patients experience significant disability after surgery. As one of 14 study sites across Canada, W21C is currently working with the Calgary site lead, Dr. Melinda Davis, MD, director of Master Teaching Program, clinical associate professor, Cumming School of Medicine, on recruitment efforts at the Foothills Medical Centre, actively engaging with patients prior to their surgery. Patient recruitment for the Calgary site began in July 2021 and is ongoing. Researchers are excited about the possibilities this work could reveal, especially as Canada’s population continues to age and the likelihood of more seniors needing major surgery every year is increasing. Having a better understanding of when and why patients experience disability after surgery will enable patients to make better-informed decisions about having surgery and allow physicians to identify patients that may need additional support following surgery. Overall recruitment and follow up for the study is expected to finish in 2023, with preliminary results anticipated in early 2024. By capitalizing on W21C's capabilities in eHealth and mHealth technologies, fostering collaboration, and actively engaging communities, the Health Everywhere Hub is poised to play a pivotal role in improving seniors' recovery experiences post-major surgeries. Project Contact: Dr. Mary Brindle Image Sources: Adobe Stock