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The G Word
Vivienne Parry, Alice Tuff-Lacey, Dalia Kasperaviciute and Kerry Leeson Bevers: What can we learn from the Generation Study?

The G Word

Play Episode Listen Later Mar 19, 2025 34:03


As of February 2025, the Generation Study has recruited over 3,000 participants. In this episode of Behind the Genes, we explore what we have learnt so far from running the study and how it continues to evolve in response to emerging challenges. The conversation delves into key lessons from early recruitment, the challenges of ensuring diverse representation, and the ethical considerations surrounding the storage of genomic data. Our guests discuss how ongoing dialogue with communities is helping to refine recruitment strategies, improve equity in access, and enhance the diversity of genomic data.  Our host Vivienne Parry, Head of Public Engagement at Genomics England, is joined by Alice Tuff-Lacey, Program Director for the Generation Study; Dalia Kasperaviciute, Scientific Director for Human Genomics at Genomics England; and Kerry Leeson Bevers, CEO of Alström Syndrome UK. For more information on the study, visit the Generation Study website, or see below for some of our top blogs and podcasts on the topic: Podcast: What do parents want to know about the Generation Study? Podcast: How has design research shaped the Generation Study? Blog: What is the Generation Study? "We always have to remember, don't we, that if people say no to these things, it's not a failure to on our part, or a failure on their part. It's just something they've thought about and they don't want to do, and for all sorts of different reasons. And the other reflection I have about different communities is the ‘different' bit, is that what approach works for one community may not work for another, and I think that that's something that's going to have to evolve over length of the study, is finding the things that are the right way, the most helpful way to approach people." You can download the transcript, or read it below.   Vivienne: Hello and welcome to Behind the Genes.    Alice: “And this is quite an exciting shift in how we use whole genome sequencing, because what we are talking about is using it in a much more preventative way. Traditionally, where we've been using it is diagnostically where we know someone is sick and they've got symptoms of a rare condition, and we're looking to see what they might have. What we're actually talking about is screening babies from birth using their genome, to see if they are at risk of a particular condition, and what this means is this raising quite a lot of complex ethical, operational, and scientific and clinical questions.”    Vivienne: My name's Vivienne Parry, and I'm Head of Public Engagement here at Genomics England, and I'm your host on this episode of Behind the Genes.      Now, if you are a fan of this podcast, and of course you're a fan of this podcast, you may have already heard us talking about the Generation Study, the very exciting Genomics England research project which aims to screen 100,000 newborn babies for over 200 genetic conditions using whole genome sequencing.      Well, we've got more on the study for you now. What we're doing to make it both accessible and equitable for all parents-to-be, and our plans to ensure that we continue to listen to parents, and perhaps in future, the babies as they grow up. We'll chat, too, about emerging challenges and how we might deal with them.    I'm joined in our studio by Alice Tuff-Lacey, the Programme Director for the Generation Study, and Dalia Kasperaviciute, Scientific Director for Human Genomics, both from Genomics England, and we're delighted to welcome Kerry Leeson-Bevers, Chief Executive of Alström Syndrome UK. And I'm just going to quickly ask Kerry, just tell us about Alström Syndrome and how you're involved.    Kerry: Yes, so Alström Syndrome is an ultra-rare genetic condition. My son has the condition and that's how I got involved. So, the charity has been around now since 1998, so quite a well-established charity, but as part of our work we developed Breaking Down Barriers, which is a network of organisations working to improving engagement and involvement from diverse, marginalised and under-served communities as well.    Vivienne: And you wear another hat as well?  Kerry: I do. So, I'm also a member of the research team working on the process and impact evaluation for the Generation Study. So, I'm Chair of the Patient and Public Involvement and Engagement Advisory Group there.    Vivienne: Well, the multiply hatted Kerry, we're delighted to welcome you. Thank you so much for being with us.      So, first of all, let's just have a sense from Alice Tuff-Lacey about this project. In a nutshell, what's it all about, Alice?  Alice: Thanks Viv. So, I think in the last few years we've seen some really big advances in the diagnoses of rare diseases through things the Genomic Medicine Service. But we know it takes about 5 years often to diagnose most of these rare conditions. What we also know is that there are several hundred of them that are treatable, and actually there can be massive benefits to the child's health from diagnosing and treating them earlier. I think a really good example of this which is often talked about is spinal muscular atrophy, which is a particular condition where there is a genetic treatment available and there is a really big difference in families from those babies where the condition was identified later on, versus their brothers and sisters where they were identified early because they knew there was a sibling that had it and they were given that treatment.     What we think there is a huge potential opportunity to identify these children from their genome before they get ill, and this is quite an exciting shift in how we use whole genome sequencing, because what we are talking about is using it in a much more preventative way.  But this is a really different approach to how we've been using it so far, because traditionally where we have been using it is diagnostically where we know someone is sick and they've got symptoms of a rare condition and we are looking to see what they might have, what we are actually talking about is screening babies from birth using their genome to see if they are at risk of a particular condition. And what this means is, this raises quite a lot of complex ethical, operational and scientific and clinical questions.      So the aim of the Generation Study is really to understand if we can and should use whole genome sequencing in this way to screen for rare conditions in newborn babies. We've been funded by the Department of Health and Social Care to do this over the following years, and the way we'll be doing this is by a national study across a network of trusts in England where we are aiming to recruit about 100,000 babies and screen them for rare treatable conditions that we know present in childhood. And really the aim of this is to understand if this will work and how it will work, and to generate the evidence to allow the NHS and the National Screening Committee to decide if this could become a clinical service, and that's very much the primary goal of the study.      Beyond that, however, there are some other aims of the study, and we also consent mothers to ask permission to retain their genomic data and to link it to the baby's clinical data over their childhood, and we'll be providing access to this to researchers in the de-identified way in our trusted research environment. And this is to really understand if that data can also be used to further generate information around other discovery research, but also critically understand that the motivations for parents involved will be very different, and we need to think very carefully about how we engage and work with the parents of the babies going forward about how we use their data.    Vivienne: And the super exciting thing is we've started recruiting. How many mothers have we recruited?  Alice: So, we've recruited over 3,000 to date, and it's building every day and every week really. And it's really exciting because we see more and more trusts coming online and the study building and really starting to learn from the experience. And every week and every month, we're learning much more about how this process works, what the impact it's having, and kind of what we need to do over the coming few months and years to deliver it.    Vivienne: And we did a huge about of work at Genomics England before the study even started, to try and find out what people wanted. So, we found out, for instance, that people didn't want to know about late onset conditions, they did want to know about conditions where there was a treatment, and they wanted things that could be done for their babies in childhood. So, we had a really clear steer from the public about this project before we even started. So, how are we continuing to learn from the people who are involved in the study and the public? I mean Kerry, you've been involved in this aspect. We need to listen, don't we, to find out what's going on?    Kerry: We do, we do, and I think it's really encouraging to see the public dialogue and the amount of engagement work that was done there to kind of identify what some of those areas were, but it's really important that we don't stop that engagement there. It's really important to continue that, and I know that we've got quite a diverse group for our Patient and Public Involvement Advisory Group and the Evaluation Team, and one of the things they're really interested in is how we're going out there to speak with communities. You know, we can't just be reliant on the media, and press releases about the study. We need to actually go to communities and have these conversations so that people can have a conversation within an environment that they feel safe and confident with the people that they feel supported by as well.    So I think it's really key that we continue to ask those questions but also learning from the evaluation and, as we go through the process, of speaking to the patient organisations as well who support families that suffer from some conditions that we plan to identify through this study, and learn what some of their challenges are as well. You know, do they feel equipped to be able to support parents that are getting a diagnosis? As well as obviously their participants and the general public, to make sure that we're aware of attitudes and perceptions as the study goes along.    Vivienne: Because there's always a danger with this kind of study that it's people who are health literate who end up being involved. Whereas some of the people on whom the burden of rare disease is greatest may not either feel that they can access, or would want to access, this study. So, what are we doing there? How are we listening to people?  Kerry: When we are looking at recruitment as well, like you say, you know this is a research study and when we look at history and when we look at participants in research studies, we very rarely do you get a diverse representation of people in these types of studies. So, it's really important that those extra efforts are made really in terms of recruitment to get the right sample of people involved. And I know at Genomics England, that they have invested their time and money in terms of interpreters and translating materials and things, but actually it's the sites and recruiting people that need to be well resourced in order to use recruitment strategies, because if we're just looking at posters in waiting rooms, for instance, you're going to get a particular demographic of people that will respond to those kind of posters, such as people who don't speak English as a first language, it would be really difficult sometimes to read those kinds of posters and then to ask questions about that.     We need skilled people within sites that are recruiting who have got cultural competence who can have those conversations, address some of those areas, some of those concerns so that we can get that diverse representation.    Vivienne: So, there's a whole piece about equity of access for everybody and Dalia, perhaps you can explain why this is so important, scientifically as well as ethically? There's another piece about making sure that we get a full diversity represented.    Dalia: We know that some of the conditions are more common in certain populations or certain communities. We also know that some of the conditions are caused by certain variants in one population but not in the others. And these genetic causes even of the same condition can vary between different communities and different genetic ancestors.  On the other hand, our knowledge about the conditions and the genes, and the variants which cause them, come a lot from what we've seen before. Where we've seen those variants in the patients with the disease, and importantly where we've seen those variants in control populations where these individuals which don't have conditions.      Therefore, if we lack the diversity in our datasets, we would not know about all the diverse reasons of why conditions can be caused, or how it progresses, or what it might mean for individuals. And we would not be able to have equitable testing, or we wouldn't know whether the test works for everyone. If that happened, we might be in the territory where we can't detect or don't detect as well all the conditions across different individuals. But also, we may be having more false positive results and create more anxiety for families as well as burden for healthcare system.    Vivienne: So, are you saying, Dalia, that actually sometimes we might get a false positive, or indeed a false negative, simply because in that person, the condition which we think is usually caused by a particular change, they've got a slightly different change and so therefore we're not picking it up.  Dalia: Indeed, but it's one of the possibilities. If, let's say, all our knowledge about certain genes came from a limited number of individuals, seeing a new variant in another individual might seem that it's something really rare and never seen before and it's potentially changes how the gene functions, we would say; “oh that's maybe something which causes the disease,” when actually it can be that it is a benign variant, just a normal variation which is very common in another part of the world, it's just that we don't have enough data to know about it. So, we need to be aware of those risks and take it into account when we interpret the variants.      And, we also need to be transparent when operating in the environment. There was historical and investment in the diversity in research and our data sets still are not as diverse as we would like to be. It's shifting, the balance is definitely shifting in the last few years. A lot of effort is being done but the only way to shift the balance forever and make that genomic medicine work for everyone is to really actively engage those individuals and involve them in the research, and taking all the effort that Kerry was talking about.    Advert: The Genomics England Research Summit is fast approaching and registration is now open! Join us for this one day in-person event on Tuesday 17 June 2025. This year's agenda dives into rare condition diagnosis, cancer genomics, pharmacogenomics, therapeutic trials, and the impact of emerging technologies. Hear from leading experts and inspirational speakers as we explore the present and future of genomics and the latest research and technology from the Genomics England research community. Keep an eye on the website, genomicsresearchsummit.co.uk for all the details and to secure your spot. Spaces are limited, so don't miss out. We'll see you at the summit!  Vivienne: Alice, that goes back to this thing about holding the genomic data, because you need to hold the genomic data because the thing about genomics as always, you need to know what happens next. So, for instance, if somebody had a negative result and then later developed a condition, you need to be able to go back that data in order to find out what the problem was.  Kerry: That's right. You know, as Dalia talked about, we know that there is a risk within the study and we try and be clear about that in our participant information that there are some babies where they may have a genetic condition that we will need not find it, and others where we might find something that doesn't go on to be the actual condition. And we need to kind of monitor those in different ways.      So in particular in the cases where, if we've returned a result where we don't think we suspect a condition and a baby goes on to develop a condition, it's quite complex how we monitor that, and we're trying to go for a multi-track approach, and I think a lot of the benefits is some of the infrastructure that Genomic England already has that we can utilise.  So, some of the foundational things we've put into the study to help support the approach are things like the ability to contact parents regularly so we can actually work with them to find out over time if their babies develop conditions.    As you say, ability and consent to access the clinical data about the baby so that we can then access national data sets, and then we can then potentially monitor to see if babies seem to be showing signs of developing a condition. And also, really continuing to work with a network of clinical specialists where we've work quite hard over the last couple of years to build that kind of network and engage with them about the study, because they'll be the ones who the babies will come to if they develop those conditions. So, they are a really good route to us finding out, whether or not there are babies who have been part of the study who then go on to develop a condition.     And I think the reality is that this is a really complex process and it's something that even traditional screening programmes really struggle with, and that's why this multi-pronged approach is really important, and why also we see that this approach will evolve over time, and at the moment, the important thing is we've worked hard to put the right foundations in to allow us to do this type of monitoring, and to really evolve that approach as things develop and as more things come along potentially where we can invest in.    Vivienne: So, it's interesting, isn't it, because I guess that some parents would think that if you get a false positive or false negative, that it means that the test is at fault. And actually the accuracy of the test is good, but what we may have an issue with is that there is something else causing the problem that we don't yet know about. So, a big part of this project is giving much, much more information about the causes of conditions.    Alice: Yes, and I think that's also why the discovery research aspect is really important, the fact that we consent for that ability to hold the baby's data. So not only will we want to use it for the evaluation, but as I mentioned at the beginning, we have asked for parents to be able to allow us to link it to clinical data which then allows us to track over time and find out more information, because it's always the quality of the information we know that will help us in the future to identify these conditions, so the more we can generate potential information, you know, the more we will learn as a society.    And so it's actually quite an altruistic thing we're asking of parents, and that's something we recognise and that's why it's also important we think about, how we continue to engage with the parents and the baby over their lifetime to remind them that we're holding this data, but also to understand what their concerns and feelings are about us holding that data and how we're using it for that broader research.  Vivienne: And that's very much what you're involved in, isn't it Kerry?  Kerry: Yes, and I think sometimes in some ways that may offer some reassurance to parents as well, to know that's there as a reference point if things do develop over time, but I know that one of the things we're looking at as part of the evaluation, and the PPI Group we're involved in, is looking at the experiences of patients through this journey because actually it will create quite a lot of uncertainty.      As a parent of a child with a genetic condition, that uncertainty really is one of the hardest things to learn to live with. So at that early stage, one of the things we're looking at is that experience, how much support people have received, whether that has an impact on the parent and their child and their on bonding and their experiences and things like that, and I think it is important that we do that, but I think also having those references, where you're able to go back and ask those questions, that's really important that the support is in place, and that pathway really for parents to know where to go to. Because sometimes, although we may arrange to have calls at regular intervals and things, sometimes the questions of parents don't necessarily come at the time when they are having a telephone call. They come really late at night when there's nobody to pick up the phone, so having as much information as we can available, and those support structures in place, is really key.    Vivienne: We all start off these projects thinking that they are going to go in a particular way, but actually there's a lot of flexibility in this study, isn't there, Alice?  For instance, we will be looking at all those false positives, false negatives because we need to learn from that. We will be, perhaps, changing our approach as we go on if there is something that isn't working out. Is that what we're doing?  Alice: Yes, I think what we have recognise is it is a study and therefore that involves learning by it's very nature, and that's why partly we're working with external evaluation partners that Kerry's involved with, but also why we invest in a lot of things internally. Like we do a lot of user research with our midwives and our participants, and also potential participants. Because, actually we don't know the answer to this. No one's done this before, and so this is about all of us really learning, and learning in the right way and continuing to do that throughout the study, but also more importantly capturing that information and making sure that at the end of it, we then have some understanding of if we were to see that it's right to deliver this as a clinical service, what that might actually involve.      But also, even if we get to that point, I think beyond that we will still continue to learn over time and that's again why that long enduring consent is quite important, because we can then continue to maintain that long term evaluation and continue to maintain that long term potential to help further further research. And so that's the thing where actually we'll be learning for the next 10-15 years, really what the Generational Study has learnt, and actually what we have achieved through it.  Vivienne: I just want to move back to something that you mentioned, Kerry, about conditions that we're looking for, and there were a lot of very specific things. I've said that what parents wanted, but there's also some scientific things, and Dalia might want to come in here, that these are conditions that we pretty sure that if you've got the particular genetic change, that you will get the condition – something called penetrance. So, you know, we're not leaving people with a lot of uncertainty. But, how will we go about assessing new conditions as part of this study, or are we just on the ones that we're on at the moment?  Dalia: So, we started from the things we understand the best and we know how to detect them and we know how to confirm them because the tests that we are doing in Genomics England is a screening test, it will not be a definitive answer whether you have or you don't have a condition. Anyone which will get a positive result will be referred to an NHS specialist clinician for further assessment. And some of those positive results turn out not to have the conditions and some of them will have, and they will have their treatment pathways. So, we're started to very cautiously, and that's what came from public dialogue, everyone was saying that; “you need to be really cautious, we need to see that it works for the conditions that we understand well”.     But as a starting point, as we learn more, we're learning of how could we expand that list.  What would be acceptable for public. Maybe some conditions will have an experimental treatment, which currently would not be included in screening but as treatments evolve, at some stages maybe there will be opportunities to include some conditions in the future.      As our science evolves, we keep assessing the new conditions and seeing can we include them, would it be acceptable to parents, would it be acceptable to the healthcare system, and one of the things about screening it's really important not to cause harm. There are a lot of benefits in screening but if we didn't do it cautiously, it also has some risks, and we need to be very careful about it.    Vivienne: Now Kerry, there are lots of parent groups who will come along to us and say; “oh you must include this condition,” but perhaps there isn't yet a treatment, or there isn't a pathway in the NHS that will help people get what they need. And I guess if we try to include too many conditions, we would actually undermine trust.    Kerry: So, the patient organisation, our condition, Alström Syndrome, isn't included in the list. For our condition, there is no specific treatment although we do have a highly specialised service, and it is very important to get early diagnosis because children can develop heart failure and there are symptom-specific treatments available there. But I get the reasoning why there needs to be a specific treatment and the need to include just a smaller group at the beginning, but our hope as with I'm sure a lot of other patient organisations, is that our condition will be added at a later time if it is found that this is something that would be acceptable in routine care.    Advert: If you're enjoying what you've heard today and you'd like to hear some more great tales from the genomics coalface, why don't you join us on the Road to Genome podcast, where our host, Helen Bethell, chats to the professionals, experts and patients involved in genomics today. In our new series, Helen talks to a fantastic array of guests including the rapping consultant, clinical geneticist Professor Julian Barwell about Fragile X Syndrome, cancer genomics and the holistic approach to his practice. A genuine mic-drop of an interview. The Road to Genome is available wherever you get your podcasts.  Vivienne: Let me move on to another aspect of this study. These are babies, and we are holding their genomic information but at 16, they will be able to decide whether they want us to continue holding their genomic information. Alice, is that very much part of this programme to think about what we're going to say and how we're going to engage those 16-year-olds?  Alice: Yes, it very much is. What I always say, because I get asked this question a lot, is that I don't think we can pre-judge what that looks like. Because I look at my children, and certainly their lives are very different from my childhood, and I don't think we can imagine exactly what our babies will look in 16 years and what that world looks like. I think the important thing is many of things we are trying to do is that we lay the right foundations in place, and part of that is ensuring that we continue to think about how we engage with young people as the study evolves and over time, so that we understand what the world is looking like from their perspective.      But also, how do we equip the parents to talk about the fact that these babies are part of the study to them? What does that look like? How can we support them? And that's very much something we want to be looking at in the next year, really working with parents from the Generation Study to understand how best we can do that so that they can have some of that conversation for themselves as well. I think we can't pre-judge exactly how we need to talk about them and also not think it's just one thing. We need to evolve and work with the children as they grow up, and work with their parents to equip them because, as I said, we don't really know how they're going to access information in the future. You know certainly TikTok didn't exist when I was a child, and so that's what we've got to think about is what's the best avenues or forums to really engage properly with them as they grow.  Vivienne: Kerry, what other concerns to parents have that we're learning now?    Kerry: I think the concern is that when treatments are being developed, that they are not necessarily being developed for the whole population. They're often being developed for sub-sets of population because we don't have a complete dataset. And when you think about people being involved in research, people feel that they are being left behind because their data is not necessarily represented within there, it doesn't reflect their community, and it's not being discussed within communities, the different research opportunities and things have been available, I think it's the fact that we're not investing enough in community engagement and dialogue to explain more about genetics.   I think technology has advanced at pace. As a parent of a child with a genetic condition, that is very encouraging to see that, but I think sometimes the support and the information is not necessarily keeping up, so we're not having those open conversations really about genetics and genomics, and I think that's one of the things I hope that this study will really lead to, that it will now become much more part of everyday conversation.   Because often, when you have a child with a genetic condition, you first hear about a condition, the way you take in that information and ask questions is very different than having a conversation with the general public about genetics. When you're concerned that your child may have a condition or you may have a condition yourself, you're in a completely different mindset. So, the hope is that that dialogue will open so that people will be able to ask questions to learn more about the projects and things that are out there and available so that people are included and can take part in research if they want to. But it's important to remember that not everybody will want to. It's about being given informed choices and to do that we need to make sure that the support and the information is appropriate, inclusive and accessible.    Vivienne: We always have to remember, don't we, that if people say no to these things, it's not a failure to on our part, or a failure on their part. It's just something they've thought about and they don't want to do, and for all sorts of different reasons. And the other reflection I have about different communities is the ‘different' bit, is that what approach works for one community may not work for another, and I think that that's something that's going to have to evolve over length of the study, is finding the things that are the right way, the most helpful way to approach people.   Kerry: I completely agree. I think it's like you say, if people say no, that is completely their right to do so as long as they're saying no when they've been given the information to be able to really take that on board, think through, consider it and then make an informed decision. I think often people say no because they've not been given the right information to be able to understand what is expected, so they've not necessarily been given the opportunity. And I think we all want good outcomes for everybody. That doesn't mean delivering the services in the same way. Sometimes we need to deliver services in different ways because often services aren't very accessible for some communities to be able to access. So sometimes we need to make changes, adapt, to make sure that everybody has the same opportunities to the same outcomes.  Vivienne: We are constantly re-evaluating, rethinking, re-engaging to try and make it the best we can. Whether it's with different communities and different approaches. Whether it's with constantly assessing people who've had false positives, false negatives and finding out why that is the case. And in the future, I think this will have some really major effect.  Dalia, you're the scientist amongst us today. Tell us what you're hoping for from this study in science terms.  Dalia: So, first of all, we want to find the babies which we can treat before we develop symptoms, before we get ill, so that we can have more fulfilling lives. That's the bottom line. But we're doing that, we also will learn about the conditions. We'll learn a lot about the natural history of the conditions. What happens when you detect it before baby gets ill, then you start treatment, and how does it work in the diverse communities and diverse populations that we've talked about. Are there are any differences based on people's ancestry, but not just ancestry, about their lifestyle, about anything else which can affect how disease develops, or how the care or treatment goes.      So, that's kind of the bottom line. The top line and now our ultimate aim, probably many years from now, would be that we can detect variants of genes or conditions before they develop, and we can create treatments for them before our children get their conditions.  That's something that the science community is very excited about. I think we're quite a few years from that, but that's where we hope all this will be heading in the future.    Vivienne: It's really becoming a possibility, but the science is only the first part of it. It's the human interaction. It's the how it lands with people. It's how they feel about it. It's how they trust it. And these are all the things that we're really working on at Genomics England to make this study not just a scientific success, not just a success for the NHS, but also something that is really meaningful and important and valuable and trusted for people having babies. Would you agree?  Alice: Yes, 100%. I think, just to come in there, Viv, I think we've talked a bit about the importance of public trust and being the foundations of what we do, and I think that's something that Genomics England's always held true to itself, but I think for the purpose of the Generation Study, it's been one of kind of the foundational principles from the beginning, and I think Kerry and you have touched upon some really important themes today about how it's not a ‘one size fits all' approach. And I think very much that piece that we touched on a bit about, kind of, how do we make this accessible to everybody, we see it very much as not a ‘one size fits all', and so we've been trying lots of different things to really tackle that, and evolving the approaches which, as you said, that's where the flexibility comes in.      My hope for the next 12 months is that we can really, now that we've got the study up and running, work a lot with the some of the regional networks, the Genomic Medicine Service alliances who are working at the regional level, and the recruiting trusts, to really explore different approaches and work out how we can support them to engage with the communities in their areas, because they're the ones who will understand who they are, and our role is to really try and provide, as Kerry highlighted, the tools of support to allow them to do that, and to try and make sure that we can make this as equitable as possible in terms of people being able to at least understand the studies here, get the information in the appropriate way, and then as we have also talked about, making their own minds up about whether this is the right thing for them to be part of.    Vivienne: So, the final question for you all is if I'm a mother-to-be, where can I find out more information. Let's start with you, Kerry.  Kerry: Well, from the Generation Study website, there's information there. Midwives, GP practices, obviously they're often going to be your first port of call, so I'm hoping that they feel equipped to be able to answer those questions and to signpost people to one of the trusts that are involved.    Vivienne: And we've also got a Genomics 101 episode where we answer some of the frequently asked questions, and I think there are at least 2 or if not 3 separate episodes from Behind the Genes, which people can look for which look at different aspects of the project. Anything else, Alice, that we need to know?  Alice: So, Kerry highlighted it, the Generation Study website is a really good starting point, but that's a good place to also find out what trusts are involved because it's also important to know that this is not available in all trusts in England at the moment. We have a network and it's growing, and it is all around England, but the first place to start is, kind of, is it in your local trust?  And then from there, it's then engaging with your trust and hospitals where there will be information, and the midwives are prepared to kind of talk to people.  So those are, kind of, the good first places to start.    Vivienne: Well, we're going to wrap up there. It's been so good talking to you all. So, thank you to our guests Alice Tuff-Lacey, Kerry Leeson-Bevers, and Dalia Kasperaviciute for joining me as we talked through how the Generation Study is continuing to evolve as it responds to emerging challenges. Now, if you would like to hear more about this, then please subscribe to Behind the Genes on your favourite podcast app and, of course, we hope that you would like to rate this.  Because, if you rate it, it allows more people to see it and more people to get enthused about Behind the Genes, which we love. It's available through your normal podcast apps. I've been your host, Vivienne Parry. The podcast was edited by Bill Griffin at Ventoux Digital, and produced by Naimah Callachand at Genomics England. Thank you so much for listening. Bye for now.  

RADIO4 MORGEN
Mandag d. 3. februar kl. 7-8

RADIO4 MORGEN

Play Episode Listen Later Feb 3, 2025 55:09


(00:00): Enhedslisten smider andet medlem ud inden for en måned. Medvirkende: Ulf Baldrian Kudsk Harbo, byrådsmedlem for Enhedslisten i Norddjurs Kommune. (10:00): J.D. Vance: Danmark er en dårlig allieret. Medvirkende: Rasmus Jarlov, forsvars-, grønlands- og arktisordfører for Konservative. (30:00): 160.000 protesterende tyskere gik i går på gaden i Berlin. Medvirkende: Nora Sina, uddannet politolog politisk konsulent hos psykiatrifonden og tidligere skribent for mediet Altinget om Tyskland. (39:00): Udskældt bosteds leder har fået nyt job. Nu er hun kvalitetskonsulent for hele habitus-koncernen. Medvirkende: Jais Nørgård Alstrøm, en af journalisterne bag "Hvem slog Nanna ihjel?". Værter: Anne Phillipsen og Nicolai Dandanell See omnystudio.com/listener for privacy information.

RADIO4 MORGEN
Torsdag d. 29. august kl. 7-8

RADIO4 MORGEN

Play Episode Listen Later Aug 29, 2024 55:07


(02:00): Cheføkonom hos 3F: Velfærdsaftalen sikrer slet ikke velfærden. Medvirkende: Frederik Imer Pedersen, cheføkonom for 3F. (12:00): Horsens bliver Europa-hovedstad... eller gør det? Medvirkende: Peter Sørensen, Borgmester i Horsens for Socialdemokratiet. (30:00): Styrelse afviser direktørs udlægning efter dødsulykke. Medvirkende Jais Nørgaard Alstrøm, journalist på RADIO IIII. (40:00): Lars Boje Mathiesens nye partiprogram minder umiskendeligt meget om Nye Borgerliges. Medvirkende: Lars Boje Mathiesen, formand for Borgernes Parti – Lars Boje Mathiesen. Værter: Anne Phillipsen og Mathias Wissing See omnystudio.com/listener for privacy information.

Canal Retina
Episodio 43 - Alström: Un síndrome ultra raro

Canal Retina

Play Episode Listen Later Mar 14, 2023 35:09


En este episodio de Canal Retina, Diana Valverde, catedrática de Bioquímica y Biología Molecular en la Universidad de Lugo, habla sobre el síndrome de Alström, una enfermedad ultra rara que se manifiesta con una distrofia hereditaria de retina. El síndrome de Alström tiene muchos síntomas, incluyendo pérdida de audición, resistencia a la insulina que se convierte en diabetes mellitus, hipertrigliceridemia, miocardiopatía dilatada y obesidad. Aunque este síndrome puede confundirse con otros, como el síndrome de Usher o el síndrome de Bardet-Biedl, se diferencia por características clínicas específicas. En España, hay registrados 13 pacientes con síndrome de Alström, pero se espera encontrar más pacientes en el futuro. Visítanos: Página oficial de la asociación https://www.retinamurcia.org Nuestro canal de podcast https://canalretina.org Síguenos en todas las redes como @retinamurcia

Once Upon A Gene
Care Team Prescription - The Importance of Clinical Pharmacists with Chase Palmer

Once Upon A Gene

Play Episode Listen Later Dec 29, 2022 28:25


ONCE UPON A GENE - EPISODE 167 Care Team Prescription - The Importance of Clinical Pharmacists with Chase Palmer Chase Palmer is a pharmacist on the board of Alström Syndrome International. In rare disease, we need all the help we can get, and he's motivated and he's jumped right in to share his voice. He's been dubbed the rare disease pharmacist– and I think it's going to stick.  EPISODE HIGHLIGHTS Can you introduce yourself and tell us how you became involved in rare disease as a pharmacist? In 2020 I started working with a nonprofit called Alström Syndrome International. We work with persons living with Alström syndrome, which is a rare genetic disorder that affects almost every cell and organ in the body, starting with blindness and deafness and leading to major organ failure. I was approached by ASI to become a member of the board and began meeting with patients living with rare disorders. I've been trying to learn more and more as time goes on to hopefully treat and cure Alström syndrome and other rare disorders.  What does it mean to practice as a clinical pharmacist? A clinical pharmacist is a hospital pharmacist or a pharmacist with a specialty. Some clinical pharmacists work in a specialization like cardio or infectious disease. They work with patients in a hospital, acute care setting or ambulatory care setting to monitor medications and understand side effects and interactions to provide the best quality of life possible. What approach can pharmacists be in helping to manage the care of kids with rare disease? For patients taking multiple medications, I think it's important to have a pharmacist on the care team who is monitoring drug interactions to ensure medications aren't negatively affecting organs and making sure they're safe and effective, making things better and not worse.  Do you have any advice for getting drugs covered by insurance companies? Insurance can be a major barrier and they may require patients to try alternative medications first. If that happens, make sure the insurance company's preferred medication is going to have the same positive result and not have any interactions with other medications or side effects. Sometimes a doctor can submit a pre-authorization and get medications covered that way.  Do you recommend that patient advocacy groups connect with pharmacists as board consultants? I think it's a good idea to have a pharmacist on the board and it can be really progressive and allows for multi-disciplinary care for rare diseases and genetic disorders. A pharmacist can help to manage medications, consult with other advocacy groups and other pharmacists and optimize care. I think they play an important role in moving rare disease forward and meeting the needs of patients. LINKS & RESOURCES MENTIONED Alström Syndrome International https://www.alstrom.org/ Voices of the People - The Alström Syndrome Journey https://vimeo.com/770936312 TUNE INTO THE ONCE UPON A GENE PODCAST Spotify https://open.spotify.com/show/5Htr9lt5vXGG3ac6enxLQ7 Apple Podcasts https://podcasts.apple.com/us/podcast/once-upon-a-gene/id1485249347 Stitcher https://www.stitcher.com/podcast/once-upon-a-gene Overcast https://overcast.fm/itunes1485249347/once-upon-a-gene CONNECT WITH EFFIE PARKS Website https://effieparks.com/ Twitter https://twitter.com/OnceUponAGene Instagram https://www.instagram.com/onceuponagene.podcast/?hl=en Built Ford Tough Facebook Group https://www.facebook.com/groups/1877643259173346/ Interested in advertising on Once Upon a Gene? Email advertising@bloodstreammedia.com for more information!

RADIO4 REPORTAGE
De udstødte slår igen

RADIO4 REPORTAGE

Play Episode Listen Later May 30, 2021 55:00


Simon Ørregaard. Der er formand for Ateistisk Selskab vil have Jehovas Vidner dømt for hadforbrydelser mod tidligere medlemmer. For når man som Jehovas Vidne bliver udstødt af trossamfundet for at bryder de interne regler, eller hvis man selv forlader Jehovas Vidner, skal de andre i menigheden undgå dig. De må ikke kontakte dig eller have noget med dig at gøre. En retssag i Belgien stiller nu spørgsmål ved, om dette er lovligt og om, hvor langt religionsfriheden rækker. For her blev Jehovas Vidner dømt for at opfordre til had, når de beder medlemmer om at undgå ’frafaldne’ Vidner. Det er med den sag i ryggen, at Simon Ørregaard, der også selv er tidligere Jehovas Vidne, nu håber på at kunne hive Jehovas Vidner i retten. Medvirkende: Simon Ørregaard, David Bille Maagaard, Poul Dal, Lisbet Christoffersen, Annika Hvitamar, Patrick Haeck, Joni Valkila. Tilrettelæggelse: Jais Nørgaard Alstrøm og Maiken Friis Lange

My name is !
My Name is ... Alström syndrome!

My name is !

Play Episode Listen Later Apr 17, 2021 1:19


This episode aims to raise the awareness on very rare autosomal recessive genetic disorder. It is not treatable thats why prevention is the best treatment for disorders development. #Alström_syndrome #Alström #raredisease #Alstrom --- Send in a voice message: https://anchor.fm/magpie-concept/message

syndrome alstr
RADIO4 REPORTAGE
Sårbar i en corona-tid

RADIO4 REPORTAGE

Play Episode Listen Later Feb 28, 2021 55:00


Der eksisterer en gruppe særlige mennesker i vores samfund, som vi normalt ikke lægger mærke til, fordi de ligner alle andre på overfladen. Men inden i deres kroppe har de sygdomme, der gør, at de ikke kan fungere som de fleste andre. De kan måske ikke have et arbejde eller tage en uddannelse. De er til gengæld blevet nogen, vi taler om nu, fordi covid-19 kan være ekstra farlig for dem. Nanna Marinussen, er en af de personer, der er særligt sårbar overfor covid-19. Hun er 31 år, førtidspensionist og kronisk syg. Hun har det seneste år gennemlevet en ekstrem udgave af den isolation, der har ramt os alle. Hun har mest har været hjemme i sin lejlighed, og hvor de meget få besøg fra venner og familie er foregået med rigelig afstand og grundigt afsprittede hænder. I den her reportage tager hun os med ind i dét liv. Et liv, hvor styrke og svaghed går hånd i hånd. Tilrettelæggelse og klip: Jais Nørgaard Alstrøm. Medvirkende: Nanna Marinussen, Anne Hansen. See omnystudio.com/listener for privacy information.

RADIO4 REPORTAGE
Sårbar i en corona-tid

RADIO4 REPORTAGE

Play Episode Listen Later Feb 28, 2021 55:00


Der eksisterer en gruppe særlige mennesker i vores samfund, som vi normalt ikke lægger mærke til, fordi de ligner alle andre på overfladen. Men inden i deres kroppe har de sygdomme, der gør, at de ikke kan fungere som de fleste andre. De kan måske ikke have et arbejde eller tage en uddannelse. De er til gengæld blevet nogen, vi taler om nu, fordi covid-19 kan være ekstra farlig for dem. Nanna Marinussen, er en af de personer, der er særligt sårbar overfor covid-19. Hun er 31 år, førtidspensionist og kronisk syg. Hun har det seneste år gennemlevet en ekstrem udgave af den isolation, der har ramt os alle. Hun har mest har været hjemme i sin lejlighed, og hvor de meget få besøg fra venner og familie er foregået med rigelig afstand og grundigt afsprittede hænder. I den her reportage tager hun os med ind i dét liv. Et liv, hvor styrke og svaghed går hånd i hånd. Tilrettelæggelse og klip: Jais Nørgaard Alstrøm. Medvirkende: Nanna Marinussen, Anne Hansen.

P1 Podcastserier
Revolution & Søstersind 3:4 - Stop volden! - 16. feb 2021

P1 Podcastserier

Play Episode Listen Later Feb 16, 2021 27:04


Inger Stauning var som rødstrømpe med til at besætte Danner-huset i 1979 og starte en samtale om nødvendigheden af et tilbud til kvinder, der var udsat for vold i hjemmet. 21-årige Isabel Donen er frivillig i Everyday Sexism Project Denmark. Begge er og har været yderst aktive for at stoppe overgreb og sexisme. Medvirkende: Inger Stauning, lektor og rødstrømpe. Isabel Donen, frivillig i Everyday Sexism Project Denmark. Pernille Ipsen, kvindehistoriker og forfatter. Tilrettelægger: Silja Nørgaard Alstrøm. Fortæller: Sara Røjkjær Knudsen. Redaktør: Mette Willumsen.

RADIO4 REPORTAGE
De knækkede betjente

RADIO4 REPORTAGE

Play Episode Listen Later Jan 15, 2021 55:00


De ansatte i de danske fængsler får i høj grad psykiske mén af deres arbejde med at passe på landets kriminelle. Et job, som er uundværligt. PTSD er udbredt. Hver femte af de tidligere fængselsbetjente har en psykiatrisk diagnose, som enten er PTSD eller en anden sygdom med samme symptomer. Selvom PTSD er så udbredt blandt fængselspersonalet, findes der ingen veteranindsats for dem, som der gør for soldater. Medvirkende: Martin Esberg, Eyjólfur Hannesson, Ask Elklit, Mette Nielsen, Ina Eliasen, Peter Skaarup, Karina Lorentzen, Susanne Mårtensson. Tilrettelæggelse: Jais Nørgaard Alstrøm og Tine Toft.

Sögur af landi
Aðalstræti 16. Ræktun burnirótar. Nökkvi.

Sögur af landi

Play Episode Listen Later Jan 8, 2021


Í þættinum verður fjallað um Aðalstræti 16 á Bolungarvík, ræktun burnirótar á Íslandi og starfsemi Siglingaklúbbsins Nökkva á Akureyri. Efnin í þáttinn unnu Halla Ólafsdóttir, Gígja Hólmgeirsdóttir og Ágúst Ólafsson. Umsjón: Gígja Holmgeirsdóttir

halla akureyri umsj alstr bolungarv
Sögur af landi
Aðalstræti 16. Ræktun burnirótar. Nökkvi.

Sögur af landi

Play Episode Listen Later Jan 8, 2021


Í þættinum verður fjallað um Aðalstræti 16 á Bolungarvík, ræktun burnirótar á Íslandi og starfsemi Siglingaklúbbsins Nökkva á Akureyri. Efnin í þáttinn unnu Halla Ólafsdóttir, Gígja Hólmgeirsdóttir og Ágúst Ólafsson. Umsjón: Gígja Holmgeirsdóttir

halla akureyri umsj alstr bolungarv
Sögur af landi
Aðalstræti 16. Ræktun burnirótar. Nökkvi.

Sögur af landi

Play Episode Listen Later Jan 8, 2021


Í þættinum verður fjallað um Aðalstræti 16 á Bolungarvík, ræktun burnirótar á Íslandi og starfsemi Siglingaklúbbsins Nökkva á Akureyri. Efnin í þáttinn unnu Halla Ólafsdóttir, Gígja Hólmgeirsdóttir og Ágúst Ólafsson. Umsjón: Gígja Holmgeirsdóttir

halla akureyri umsj alstr bolungarv
Getting Things Done® podcast from GTDnordic
Using GTD as a leadership advisor with Birgitte Alstrøm

Getting Things Done® podcast from GTDnordic

Play Episode Listen Later Aug 5, 2020 22:46


In this episode Lars talks GTD with Birgitte Alstrøm, Leadership Consultant at Lederne. Birgitte is a long time GTD'er and she shares how she currently uses GTD, how she came across it, some great tips for you to try out and much more. You can get in touch with Birgitte via LinkedIn: http://dk.linkedin.com/in/birgittealstrom And you can find Lederne here: https://www.lederne.dk/ And as always, if you have any feedback we'd love to hear from you via podcast@gtdnordic.dk, you can learn more about GTD in the Nordics at GTDnordic.com and find cool GTD gear at GTDshop.com.

RADIO4 REPORTAGE
Jeg tilhører jorden

RADIO4 REPORTAGE

Play Episode Listen Later Jul 4, 2020 55:00


Knud Høirup er stenhugger og spillemand, og han har en livslang forelskelse i Limfjorden og det omkringliggende landskab, som han udtrykker gennem sine sange, digte og granitskulpturer i denne reportage. Forelskelsen startede da han som dreng begyndte at finde hilsner fra fortiden i form af tusinder af år gamle flinteredskaber; hele livet har han søgt efter disse hilsner i bakkerne omkring fjorden. De er et vidne om en simplere tid, hvor mennesket skulle kende landskabet for overhovedet at leve. Medvirkende: Knud Høirup Tilrettelæggelse: Jais Nørgaard Alstrøm

Resten skal nydes
16. Samtale med behandler Kirsten Alstrøm

Resten skal nydes

Play Episode Listen Later Jun 3, 2020 80:14


I denne episode snakker jeg med en behandler til spiseforstyrrede, Kirsten Alstrøm. Vi kommer vidt omkring: det psykiske, tankerne bag en spiseforstyrrelse, mad og vægt, om at finde ud af hvad man har LYST til og meget mere.  Kirstens hjemmeside: http://www.treeoflifebykirsten.dk/ 

P4 Extra – Gästen
Skådespelerskan Hanna Alström: "Han valde att gå bort då"

P4 Extra – Gästen

Play Episode Listen Later May 24, 2020 16:05


Hon kom till teatern bara fem år gammal och blev kvar - sedan dess har hon medverkat i både svenska och internationella storfilmer. Nu är skådespelerskan Hanna Alström aktuell i thrillerserien Maskineriet. P4 Extra  p4extra@sr.se

att bort p4 valde alstr p4 extra
Helt ärligt med Sebastian Stakset

Hanna Alström är en helt fantastisk människa. Hon blev känd för hela svenska folket redan som barnskådis och har sedan dess hunnit göra allt från stadsteatern till Hollywood. Nu sitter hon ner för att prata om sin nyblivna roll som mamma, sorgen och saknaden efter sin pappa och hur det känns att springa in i väggen. Välkommen till ett väldigt vackert samtal om livet. Det här är Hanna Alström.

RADIO4 REPORTAGE
Alt for min datter (2:3)

RADIO4 REPORTAGE

Play Episode Listen Later Apr 11, 2020 55:00


Første del af Martins mission med at kurere sin datter Isabella for den sjældne genfejl, hun er født med, er tæt på at være opnået. Martin har skaffet en masse penge ved at få danskere til at donere til sagen, og de penge skal bruges af det forskerhold fra USA, som han har fået samlet. Selv om det ser lovende ud, er hans hårde prøvelser ikke overstået. For der opstår splid i mellem forskerne, og han bliver stillet overfor at skulle tage et nærmest umuligt valg: hvem skal være dem der skal redde Isabella? Medvirkende: Martin Jensen, Isabella, Susanne Jensen, Lindsey McCarthy Tilrettelæggelse og redigering: Jais Nørgaard Alstrøm

Digitala influencer-podden
55. Alok Alström, Appjobs, vd och grundare – Världens största marknadsplats för gig-jobb

Digitala influencer-podden

Play Episode Listen Later Apr 8, 2020 41:12


I avsnitt 55 av Digitala influencer-podden gästar Alok Alström som är VD och grundare på Appjobs – världens största marknadsplats för gig-jobb. I detta samtal kommer vi prata om hur gig-ekonomi fungerar och vilka möjligheter detta ger upphov till. Alok kommer att berätta om sin tidigare roll som Sverigechef på Uber och hur denna tjänst la grunden till idén bakom Appjobs. Detta och givetvis mycket mer. Trevlig lyssning!

TÆT PÅ
Tæt på grænselandet - sammendrag

TÆT PÅ

Play Episode Listen Later Mar 13, 2020 50:58


For 100 år siden blev den dansk-tyske grænse tegnet på ny. Ved en folkeafstemning blev det bestemt, at det nordlige Slesvig skulle høre til Danmark, mens det sydlig forblev tysk. Følgerne af den nye grænsedragning kan stadig ses og mærkes den dag i dag, for på hver side af grænse opstod der mindretal, der talte dansk, tysk og frisisk, og identiteten som en del af ’det andet land’ hænger stadig ved. På begge sider af grænsen er der børnehaver, skoler, gymnasier og foreninger, der er dedikeret til folket og sproget på den modsatte side af grænsen. I denne uges tæt på, ser vi nærmere på livet i grænselandet. Tilrettelæggelse: Jais Nørgaard Alstrøm

TÆT PÅ
Tæt på grænselandet - Manden på grænsen

TÆT PÅ

Play Episode Listen Later Mar 12, 2020 50:58


Henrik Gotborg Hansens familiegård ligger lige midt på grænsen mellem Danmark og Tyskland – nogle af markerne og hele laden ligger i Tyskland, mens selve gården ligger i Danmark. Hans familie byggede gården i 1875, da området var tysk, og fik stemt sig ind i Danmark i 1920. Familien har gennem historien været vidner til, hvad det kan gøre ved mennesker, at man sætter barriere op: fra nazister, der ikke ville lade hans Henriks farfar køre sine egne kartofler ind til gården fra de tyske marker til vesttyske grænsevagter med maskingeværer, der i 1980’erne hele tiden ville have, familien skulle vise ID, når de passerede over den vej, der deler deres ejendom i to. Nu er der kommet en ny udfordring, som bekymrer Henrik Gotborg Hansen; vildsvinehegnet går direkte gennem hans marker og hele vejen rundt om hans gård. Det giver ham mindelser tilbage til dengang, da området var mindre fredeligt, at hun nu er hegnet inde. Tilrettelæggelse: Jais Nørgaard Alstrøm.

TÆT PÅ
Tæt på grænselandet - Danskerne i Tyskland

TÆT PÅ

Play Episode Listen Later Mar 11, 2020 50:58


’Danmark er et sted, som vi danske mindretalsborgere kan kalde hjertehjem’, sagde 18-årige Johanne Juul Olsen sidste år i en tale til den danske dronning, da Dronning Margrethe sidste år besøgte det danske mindretal syd for grænsen. Johanne har altid søgt mod Danmark, og føler sig meget mere dansk end tysk, selvom hun er født i Tyskland. Men hun mener samtidig, at hun har fået visse fordele ved at være vokset op som en del af en mindretalsbefolkning. Tilrettelæggelse: Jais Nørgaard Alstrøm

RADIO4 REPORTAGE
Alt for min datter (1:3)

RADIO4 REPORTAGE

Play Episode Listen Later Mar 7, 2020 55:00


Martin har sat sig for at han vil opnå det umulige. Han vil helbrede sin treårige datter Isabella for den sjældne genfejl, hun er født med, som betyder, at hun ikke kan gå eller tale, og som også betyder, at hun ikke vil få et særligt langt liv. Han er tatovør og har derfor ikke selv nogen ekspertviden inden for genteknologi, så hans eneste våben i kampen for miraklet er håbet og sin egen hårdnakkede indstilling til, at det her skal lykkes. Derfor kan det lyde usandsynligt, at han skulle kunne redde sin datter, men intet skal stoppe ham, og han rækker om på den anden side af jorden efter hjælp. Medvirkende: Martin Jensen, Isabella, Susanne Jensen, Elo Jensen, Pankaj Agrawal. Tilrettelæggelse og redigering: Jais Nørgaard Alstrøm

Teknikveckan
Så hemautomatiserar proffsen - Med Isabella Gross Alström

Teknikveckan

Play Episode Listen Later Jul 13, 2019 40:24


I veckans Teknikveckan special bjuder vi in Isabella Gross Alström, admin för institutionen Svenska Hemautomatiseringsgruppen på Facebook och expert på Home Assistant, kanske den populäraste plattformen för de som vill ha total kontroll över sitt smarta hem.Vi får reda på hur Isabella Gross Alström tar hjälp av automatisering både när det kommer till katternas och tvättstugans behov. Vi pratar även hur du kommer igång för att använda Home Assistant och hur du överlever strömavbrott utan att behöva göra om alltihopa.Detta avsnitt bjuder på smarta hem både högt och lågt och vi tror att det finns någonting för alla oavsett hur långt du har kommit självt. See acast.com/privacy for privacy and opt-out information.

gross detta home assistant alstr teknikveckan
Teknikveckan
Så hemautomatiserar proffsen - Med Isabella Gross Alström

Teknikveckan

Play Episode Listen Later Jul 13, 2019 40:24


I veckans Teknikveckan special bjuder vi in Isabella Gross Alström, admin för institutionen Svenska Hemautomatiseringsgruppen på Facebook och expert på Home Assistant, kanske den populäraste plattformen för de som vill ha total kontroll över sitt smarta hem.Vi får reda på hur Isabella Gross Alström tar hjälp av automatisering både när det kommer till katternas och tvättstugans behov. Vi pratar även hur du kommer igång för att använda Home Assistant och hur du överlever strömavbrott utan att behöva göra om alltihopa.Detta avsnitt bjuder på smarta hem både högt och lågt och vi tror att det finns någonting för alla oavsett hur långt du har kommit självt. See acast.com/privacy for privacy and opt-out information.

gross detta home assistant alstr teknikveckan
The Full Pint Podcast
The Eulogy of Beer Writing - Andy Crouch

The Full Pint Podcast

Play Episode Listen Later Mar 12, 2019 59:37


We are joined by veteran beer writer and noted beer twitter villain Andy Crouch. Andy guides us through his journey covering craft beer that leads us to hot takes on the current state of beer writing. Items of discussion include: - Andy's writing resume. - The challenges of writing about beer history. - Framing up the world known as Beer Twitter. - Linking up with the Alström Brothers / BeerAdvocate. - BeerAdvocate's reputation of yesteryear. - Thoughts on "Beer Reddit." - The erosion of print beer magazines. - The beer industry supporting beer media? - What Andy thinks is lost in today's beer coverage. - The intersection of heavy social issues and the brewing industry. And much more! This podcast is sponsored by CraftyShipping.com . Please listen to the show to receive your 10% off promo code for perfectly made beer bottle shippers. Music for The Full Pint Podcast provided by our pal Ben Tuttle, check him out at tenderbubbles.com

Brewbound Podcast
Episode 023: Jason and Todd Alström

Brewbound Podcast

Play Episode Listen Later Feb 14, 2019 65:14


In episode 23 of the Brewbound Podcast, Jason and Todd Alström sit down for a discussion about the business of beer festivals, the future of print journalism within beer, A-B InBev’s investment in competitor beer ratings website RateBeer, and what it’s like to be at the center of a controversy that is unfolding on the BeerAdvocate forum. Also in this episode: Furnari and Kendall discuss forthcoming acquisitions by a well-funded cannabis company, brewery closures in Portland, Oregon, and the disturbing allegations of sexual misconduct by the owner of a small craft brewery in Ohio. Show Notes: 0:00 – 23:40: Furnari and Kendall introduce episode 23 and discuss recent news items.23:40 – 52:40: Furnari and Kendall interview the Alströms52:40 – 1:05:19: Furnari and Kendall share their takeaways from the interview and rundown segments

Byggeriet Podcast
Byggeriet 16

Byggeriet Podcast

Play Episode Listen Later Jul 30, 2018 51:27


Programledare: Anders JP Eskilsson Gäst: Nicki Malm Axplock från avsnittet: - Nickis overall vinst i Men's Physique på Alströmmer 2018 - Atleters önskan att tävla i andra divisioner - Träningsfilosofier - Veckans Lägg ner & Veckans trofé - Plus klassiskt mittemellansnack

veckans men's physique alstr nickis veckans l
Empowered Patient Podcast
Attacking Fibrosis with Smart Drugs to Promote Faster Healing with Pierre Laurin Prometic Life Sciences

Empowered Patient Podcast

Play Episode Listen Later Jul 18, 2018 16:45


Pierre Laurin, B.Sc.Pharm., M.Sc is President and CEO, Prometic Life Sciences, a company working to address varying forms of fibrosis. Pierre points out how much researchers have learned about fibrosis just over the last 10 years and how it is more common than you may think attacking vital organs for a variety of reasons. We also learn about what Prometic is doing to tackle highly progressive fibrotic diseases such as idiopathic pulmonary fibrosis (IPF) and the ultra-rare condition Alström syndrome. #fibrosis #ipf #alstromsyndrome   Prometic Life Sciences

Flakk
Flakk um Aðalstræti þriðji þáttur

Flakk

Play Episode Listen Later Jan 20, 2018


Rætt við Guðfinnu Eydal sálfræðing sem býr efst í Grjótagötunni og hefur gert frá 1980, húsið var nánast endurbyggt, skipt um glugga, kjallari dýpkaður og litir fundnir. Afar fallegt í dag og Guðfinna getur ekki hugsað sér að búa annars staðar. Gengið með Guðjóni Friðrikssyni niður Grjótagötu, sagt frá fólki, sögu og byggingum. Guðbrandur Benediktsson safnstjóri Borgarsögsafns gengur með okkur um Landnámssýninguna, en nýjar mannvistarleifar hafa fundinst undanfarin ár sem breyta öllu varðandi landnám Íslands, líklega var landið numið töluvert miklu fyrr, og ekki einu sinni víst að Ingólfur Arnarson hafi verið til.

Flakk
Flakk um Aðalstræti þriðji þáttur

Flakk

Play Episode Listen Later Jan 20, 2018


Rætt við Guðfinnu Eydal sálfræðing sem býr efst í Grjótagötunni og hefur gert frá 1980, húsið var nánast endurbyggt, skipt um glugga, kjallari dýpkaður og litir fundnir. Afar fallegt í dag og Guðfinna getur ekki hugsað sér að búa annars staðar. Gengið með Guðjóni Friðrikssyni niður Grjótagötu, sagt frá fólki, sögu og byggingum. Guðbrandur Benediktsson safnstjóri Borgarsögsafns gengur með okkur um Landnámssýninguna, en nýjar mannvistarleifar hafa fundinst undanfarin ár sem breyta öllu varðandi landnám Íslands, líklega var landið numið töluvert miklu fyrr, og ekki einu sinni víst að Ingólfur Arnarson hafi verið til.

Flakk
Flakkað um Aðalstræti annar þáttur

Flakk

Play Episode Listen Later Jan 13, 2018


Gengið í fylgd Guðjóns Friðrikssonar sagnfræðings frá Aðalstræti 7, upp Fishersund og Mjóstræti í Grjótaþorpinu. Rætt um sögu, verslanir, íbúa og fleira. Staldrð við í Gröndalshúsi, sem nýlega var flutt í Grjótaþorpið og rætt við Kristínu Viðarsdóttir annan tveggja staðarhaldara, um húsið, hlutverk og Benedikt Gröndal. Í Mjóstræti 6 er farið í heimsókn til Tómasar Andrésar Tómassonar kenndan við Tommaborgara, nú Búlluna.

mj gu krist annar flakka gengi alstr grj benedikt gr
Flakk
Flakkað um Aðalstræti annar þáttur

Flakk

Play Episode Listen Later Jan 13, 2018


Gengið í fylgd Guðjóns Friðrikssonar sagnfræðings frá Aðalstræti 7, upp Fishersund og Mjóstræti í Grjótaþorpinu. Rætt um sögu, verslanir, íbúa og fleira. Staldrð við í Gröndalshúsi, sem nýlega var flutt í Grjótaþorpið og rætt við Kristínu Viðarsdóttir annan tveggja staðarhaldara, um húsið, hlutverk og Benedikt Gröndal. Í Mjóstræti 6 er farið í heimsókn til Tómasar Andrésar Tómassonar kenndan við Tommaborgara, nú Búlluna.

mj gu krist annar flakka gengi alstr grj benedikt gr
Flakk
Flakk um Aðalstræti

Flakk

Play Episode Listen Later Jan 6, 2018


Umsjón: Lísa Pálsdóttir. Flakk um Aðalstræti. Fyrsti þáttur. Í fylgd Guðjóns Friðrikssonar sagnfræðings er farið í gamla Víkurkirkjugarð við Aðalstræti og gengið Fishersundi. Rætt um sögu götunnar, m.a. er sagt frá Innréttingunum, íbúum, verlunarsögu, en gatan er talin fyrsta gata í þéttbýli á Íslandi. Farið í heimsókn í Aðalstræti 10, sem er talið elsta hús borgarinnar fyrir utan Viðeyjarstofu. Rætt við Þorstein Bergsson hjá Minjavernd sem hafði umsjón með uppgjöri hússins, en nú stendur til að tengja nýja sýningu um þróun og sögu Rvk. við Landnámssýninguna í Aðalstræti 16.

Flakk
Flakk um Aðalstræti

Flakk

Play Episode Listen Later Jan 6, 2018


Umsjón: Lísa Pálsdóttir. Flakk um Aðalstræti. Fyrsti þáttur. Í fylgd Guðjóns Friðrikssonar sagnfræðings er farið í gamla Víkurkirkjugarð við Aðalstræti og gengið Fishersundi. Rætt um sögu götunnar, m.a. er sagt frá Innréttingunum, íbúum, verlunarsögu, en gatan er talin fyrsta gata í þéttbýli á Íslandi. Farið í heimsókn í Aðalstræti 10, sem er talið elsta hús borgarinnar fyrir utan Viðeyjarstofu. Rætt við Þorstein Bergsson hjá Minjavernd sem hafði umsjón með uppgjöri hússins, en nú stendur til að tengja nýja sýningu um þróun og sögu Rvk. við Landnámssýninguna í Aðalstræti 16.

Stocks och Wilson har en pod
Hanna Alström

Stocks och Wilson har en pod

Play Episode Listen Later Feb 14, 2017 45:07


Grabbarna har fått besök av den ljuvliga Hanna Alström och de pratar barnskådespeleri , Hollywood och vad Hanna skulle vilja vara om hon inte skådespelade. Och så klart om hennes fantastiska vänskap med Astrid Lindgren. Också.. SPOILERALERT!!! Från 20:30 till 25:00 pratas det om vitala scener i KINGSMAN! Prenumerera på nyhetsbrevet på DagensPS.se See acast.com/privacy for privacy and opt-out information.

#nntech podcast
#slowtofast Ep 12 with Alok Alström, the GM of Uber Sweden, on how to scale and adapt a business

#nntech podcast

Play Episode Listen Later May 23, 2016 39:04


In this episode, we interview Alok Alström the General Manager of Uber in Sweden. We get an inside look at how Uber operates, a company that has scaled from nothing 7 years ago to being valued at more than $60 billion dollars.  The conversation is centered around how Uber is set up for growth and scale. It’s jam-packed with useful insights for any type of business. We discuss topics such as: - Alok’s approach to management and hiring - Uber’s employee onboarding process - How Uber uses internal apps in product development - Successful traits of an adaptive organization - Uber’s core values, and lots more Show notes: https://goo.gl/haovgH

VI Talk
Rare Eye Conditions - Alström Syndrome Chris Lyon

VI Talk

Play Episode Listen Later May 1, 2015 8:33


Chris Starts our series on rare eye conditions talking about he deals with Alström Syndrome and how it affects his life For more information on Alström Syndrome please see http://www.alstrom.org.uk/ for more information