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Constraining landslide occurrence rates can help to generate landslide hazard models that predict the spatial and temporal occurrence of landslides. However, most landslide inventories do not include any temporal data due to the difficulties of dating landslide deposits. Here we introduce a method for estimating the mean landslide occurrence rate of deep‐seated rotational and translational slides derived solely from high‐resolution (≤3 m) elevation data and globally available estimates of the diffusion coefficient for sediment flux. The method applies a linear diffusion model to the roughest landslide deposits until they reach a representative non‐landslide roughness distribution. This estimates the time for a landslide deposit to be unrecognizable in high‐resolution digital elevation data, which we term the mean lifetime of the landslide. Using the mean lifetime and number of landslides within an area of interest, we can estimate the mean occurrence rate of landslides over that domain. We validate this approach using a comprehensive temporal inventory of landslides in western Oregon created using age‐roughness curves that are calibrated with high‐resolution elevation data and radiocarbon data. We find good agreement between our diffusion method and the existing age‐roughness‐derived estimates, producing mean lifetimes of 4500 and 5200 years (4% difference), respectively. Hazard maps produced using the two methodologies generally agree, with the maximum differences in landslide probability reaching 0.1. Due to the relative abundance of high‐resolution elevation data compared with age‐dated landslides, our method could help constrain landslide occurrence rates in areas previously considered unfeasible. Plain Language Summary: Estimating how often landslides occur over a given area can be helpful in reducing landslide damages in the future. Traditional methods of estimating how often landslides occur require complex methods for estimating landslide ages, which can be time consuming and expensive. As a result, age‐dated landslides are limited to a few locations around the world. Here, we present a method for estimating how often landslides occur using only widely available high‐resolution elevation data. We contrast our method with results using traditional age‐dating techniques and find good agreement. Using our method, we can estimate how often landslides occur in areas where it was previously impractical. Key Points: We present a method for constraining landslide occurrence rates without using traditional age‐dating techniquesThe method applies a diffusion model and only requires elevation data, a landslide inventory, and estimates of the diffusion coefficientEstimates of landslide occurrence rates using age‐dating and the diffusion method show good agreement [ABSTRACT FROM AUTHOR]

Introduction: Sexual devices, including vibrators, are commonly used to enhance and aid in individual and partnered sexual experiences. Previous studies show that the use of vibratory stimulation can be an effective treatment of issues related to pelvic health and sexual function, but additional research is needed to further explore patient-related factors that may be taken into consideration when discussing this treatment modality. Objective: The purpose of this pilot study was to explore patient beliefs and experiences related to vibrator use as a treatment option for genital pain. Methods: This study was conducted in collaboration with a local sexual health practitioner who includes vibrators, or they refer to it in office as "vibe therapy," as part of their regular practice. Participants, women recommended vibe therapy for genital pain within the past 24 months, were recruited though the sexual health provider. Those who consented accessed an anonymous electronic questionnaire covering vibrator use and beliefs prior to recommended vibe therapy and specific to vibe therapy, as well as demographics and the Female Sexual Function Index (FSFI). The survey was conducted twice in a six month span and the current analysis included three cases who completed the survey during both rounds of data collection. Unique identifiers were created based on participant responses and utilized for the current analysis. Descriptive analysis was completed using SPSS and a comparison of vibe therapy beliefs and experiences were examined within and between cases. Results: The three current cases reported that their most recent visit to the medical clinic was due to various reasons including: dyspareunia, overactive pelvic floor, and/or vaginismus. While two participants reported previous masturbation behaviors, none of the participants reported vibrator use prior to their clinician including it as a treatment option. Responses varied for each of the participants between the initial and secondary survey. Two participants reported use of medication and/or pelvic rehab in combination with vibe therapy. For all cases, duration and frequency of vibe therapy increased between the two time points. Additionally, positive beliefs related to comfort of use, desire to engage in sexual behaviors, and reduced pain during sex were reported. Two participants who initially experienced pain during vibration reported that it was no longer painful by the second time point. Sexual partner communication and inclusion in vibrator use varied between participants. All participants reported increased sexual enjoyment, reduced sexual pain, and intentions to continue vibe therapy. Conclusions: While the use of genital vibrators for pain has been shown to be effective, patient experiences and beliefs related to this treatment option differ based on their individual situations. For all cases, responses remained consistent or became more favorable with continued use of vibe therapy. This information may be helpful for providers to consider when thinking about how they counsel patients who choose to use a vibrator as a form of treatment for sexual pain and other issues. Future studies may further explore how medical practitioner comfort and approach towards this treatment option may influence patient experiences. Disclosure: No. [ABSTRACT FROM AUTHOR]

Introduction: Pain is commonly experienced during Intrauterine device (IUD) insertion and a possible barrier to this form of contraception. Pharmacological methods and non-pharmacological techniques are available to reduce pain during this procedure, but the efficacy varies on a case-by-case basis and data is conflicting regarding doses. Additional techniques are needed to increase the likelihood of a more patient centered approach to address pain experienced during IUD placement. Objective: The purpose of the current project is to describe exploratory use of vibration and propose it as an innovative pain management technique during IUD insertion. Methods: Recognizing that the umbilicus and the distal third of the vagina are embryologically connected, the current clinician hypothesized that external vibration applied to the umbilicus by a patient during IUD placement may reduce pain. Starting in 2017 external umbilical vibration was added to a previously established list of pain reduction options available during IUD placement at one clinical practice. Patients were consulted prior to IUD insertion and the list of multiple options discussed as part of regular practice. Patients and the provider determined the methods of pain reduction that best fit the individual patient's needs based on their previous experiences, apprehension, and other concerns related to the procedure. Clinician observation and recall of response and reactions following the use of vibration will be shared. Results: A detailed description of the umbilical vibration technique will be provided. Provider recall and summary of anonymous patient responses will be discussed, as well as the possible implications for gynecological care. Verbal and non-verbal responses from patients who elected to use umbilical vibration, or a combination of umbilical vibration and other techniques, to reduce pain have been overwhelmingly positive. No negative experiences with this non-invasive technique have occurred. Conclusions: Umbilical vibration may serve as an effective, low-cost option to reduce pain during IUD placement. Providers considering this technique should be comfortable discussing vibration and open to this type of patient centered care. Umbilical vibration as a pain reduction technique for IUD insertion could be utilized in a trauma informed practice. A more in-depth study to further explore the intricacies of this technique is in preparation. Disclosure: No. [ABSTRACT FROM AUTHOR]