The YMCA of Greater Houston has launched a virtual platform called HTX+. Image via HTXplus.org

It started with a Zoom class. Shelby Saylor remembers shutting the doors to the YMCA of Greater Houston on March 17, 2020, as the threat of the coronavirus pandemic surged across the city. Like the rest of the world, the executive director of healthy living had no idea when the YMCA would reopen to its community.

"How do we reach our friends and our community in a time where they are isolated and maybe a little lost?" asked Saylor.

Using a webcam, the staff at YMCA of Greater Houston began recording videos and supportive content for members within the early days of the pandemic.

"We were more concerned with getting a product out there because it was needed, and then we iterated for quality," she says.

Over time, the concept of digital programming evolved into HTX+, the YMCA of Greater Houston's new on-demand virtual platform with fitness and wellness courses and resources for all ages.

The platform has emerged at a time when digital resources have become a necessity for people to work and live. The YMCA has been a long-held bastion of community outreach, making its resources accessible to all and working to eradicate inequalities. The virtual service emerged as a solution for addressing food insecurity, racial inequities, health disparities, social isolation, and learning gaps from afar.

"It was a two-pronged process," explains Shelby. "We had to serve the immediate needs...so we looked at the gaps in our communities as well as the gaps from closing out brick-and-mortar for a period of time," she says.

From there, the YMCA answered another question: "What gaps can we fill once we are at 100 percent capacity?"

"People are going to come back at different levels," says Saylor. She describes her own uneasiness going into a crowded grocery store and feeling her heart race. "It's going to take some time [for people] to unlearn some of that social isolation," she anticipates.

HTX+ includes fitness, mindfulness, virtual personal training, and educational resources members can access from anywhere. Saylor feels the platform, available on the Houston YMCA app and online, will help enhance the Y experience even after the pandemic. She notes the interactive platform can supplement members' in-person workouts and also provide the connection to those who are not yet comfortable returning to the facility.

"It has tremendously grown with webinars where you can ask questions and be a part of more than just the content that we're all used to consuming right now," she says.

One offering that has helped members at the YMCA handle the onslaught of pandemic stress is meditations. Saylor, who says she typically prefers to be behind the camera, was proud to step out of her comfort zone to teach a midday meditation.

Programs targeted to different age groups, from children to seniors, have helped provide resources and tools to two generations with unique needs.

"I'm really proud of our ability to find stuff for younger members because there is just not that much out there," she says. The HTX Kids program has evolved to include STEM activities, sports, crafts, and learning. "Seeing all come to fruition from one Zoom video to where it is now—I couldn't be more proud," she continued.

YMCA Virtual Personal Trainingwww.youtube.com

ForeverWell, a program for members ages 55 and up, has also expanded digital opportunities to members.

"We focus on things that maybe younger communities don't have to tackle beyond your social isolation but as well as activities of daily living, balance and things they can do that will improve how they can move around, stay healthy, and stay connected," says Saylor.

The YMCA's mission to provide health equity also helps communities that are disproportionately impacted by disasters like the pandemic and recent winter storm. The organization has set up food drives and even put warming centers in place during Winter Storm Uri.

"That's what makes us not a gym. We're going to open our facility for you to come and get a hot shower, unlike a big box gym. We're going to do that because it's not about fitness; it's about making sure basic needs are met," says Saylor.

Saylor knows that communities of color as well as the senior population, who may be on a restricted income, can benefit from the tool.

"It really helps them become stronger, healthier, and attach to something. That connectedness is worth its weight in gold," she says.

The YMCA of Greater Houston adds content to HTX+ on a weekly basis, and Saylor says programming will continue to grow long after the pandemic.

"Now that people have been exposed and have integrated digital into their life, regardless of when the pandemic ends, I believe that will always be a part of our new way of life," she says.

"Digital is never final. It's going to take our whole team and our whole community to work together to continue to meet those digital needs because it's not going anywhere," she continues.

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Houston doctor wins NIH grant to test virtual reality for ICU delirium

Virtual healing

Think of it like a reverse version of The Matrix. A person wakes up in a hospital bed and gets plugged into a virtual reality game world in order to heal.

While it may sound far-fetched, Dr. Hina Faisal, a Houston Methodist critical care specialist in the Department of Surgery, was recently awarded a $242,000 grant from the National Institute of Health to test the effects of VR games on patients coming out of major surgery in the intensive care unit (ICU).

The five-year study will focus on older patients using mental stimulation techniques to reduce incidences of delirium. The award comes courtesy of the National Institute on Aging K76 Paul B. Beeson Emerging Leaders Career Development Award in Aging.

“As the population of older adults continues to grow, the need for effective, scalable interventions to prevent postoperative complications like delirium is more important than ever,” Faisal said in a news release.

ICU delirium is a serious condition that can lead to major complications and even death. Roughly 87 percent of patients who undergo major surgery involving intubation will experience some form of delirium coming out of anesthesia. Causes can range from infection to drug reactions. While many cases are mild, prolonged ICU delirium may prevent a patient from following medical advice or even cause them to hurt themselves.

Using VR games to treat delirium is a rapidly emerging and exciting branch of medicine. Studies show that VR games can help promote mental activity, memory and cognitive function. However, the full benefits are currently unknown as studies have been hampered by small patient populations.

Faisal believes that half of all ICU delirium cases are preventable through VR treatment. Currently, a general lack of knowledge and resources has been holding back the advancement of the treatment.

Hopefully, the work of Faisal in one of the busiest medical cities in the world can alleviate that problem as she spends the next half-decade plugging patients into games to aid in their healing.

Houston scientists develop breakthrough AI-driven process to design, decode genetic circuits

biotech breakthrough

Researchers at Rice University have developed an innovative process that uses artificial intelligence to better understand complex genetic circuits.

A study, published in the journal Nature, shows how the new technique, known as “Combining Long- and Short-range Sequencing to Investigate Genetic Complexity,” or CLASSIC, can generate and test millions of DNA designs at the same time, which, according to Rice.

The work was led by Rice’s Caleb Bashor, deputy director for the Rice Synthetic Biology Institute and member of the Ken Kennedy Institute. Bashor has been working with Kshitij Rai and Ronan O’Connell, co-first authors on the study, on the CLASSIC for over four years, according to a news release.

“Our work is the first demonstration that you can use AI for designing these circuits,” Bashor said in the release.

Genetic circuits program cells to perform specific functions. Finding the circuit that matches a desired function or performance "can be like looking for a needle in a haystack," Bashor explained. This work looked to find a solution to this long-standing challenge in synthetic biology.

First, the team developed a library of proof-of-concept genetic circuits. It then pooled the circuits and inserted them into human cells. Next, they used long-read and short-read DNA sequencing to create "a master map" that linked each circuit to how it performed.

The data was then used to train AI and machine learning models to analyze circuits and make accurate predictions for how untested circuits might perform.

“We end up with measurements for a lot of the possible designs but not all of them, and that is where building the (machine learning) model comes in,” O’Connell explained in the release. “We use the data to train a model that can understand this landscape and predict things we were not able to generate data on.”

Ultimately, the researchers believe the circuit characterization and AI-driven understanding can speed up synthetic biology, lead to faster development of biotechnology and potentially support more cell-based therapy breakthroughs by shedding new light on how gene circuits behave, according to Rice.

“We think AI/ML-driven design is the future of synthetic biology,” Bashor added in the release. “As we collect more data using CLASSIC, we can train more complex models to make predictions for how to design even more sophisticated and useful cellular biotechnology.”

The team at Rice also worked with Pankaj Mehta’s group in the department of physics at Boston University and Todd Treangen’s group in Rice’s computer science department. Research was supported by the National Institutes of Health, Office of Naval Research, the Robert J. Kleberg Jr. and Helen C. Kleberg Foundation, the American Heart Association, National Library of Medicine, the National Science Foundation, Rice’s Ken Kennedy Institute and the Rice Institute of Synthetic Biology.

James Collins, a biomedical engineer at MIT who helped establish synthetic biology as a field, added that CLASSIC is a new, defining milestone.

“Twenty-five years ago, those early circuits showed that we could program living cells, but they were built one at a time, each requiring months of tuning,” said Collins, who was one of the inventors of the toggle switch. “Bashor and colleagues have now delivered a transformative leap: CLASSIC brings high-throughput engineering to gene circuit design, allowing exploration of combinatorial spaces that were previously out of reach. Their platform doesn’t just accelerate the design-build-test-learn cycle; it redefines its scale, marking a new era of data-driven synthetic biology.”