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Vodafone Ireland has announced the launch of Real-Time Text (RTT), a breakthrough accessibility service designed to improve emergency communications for the Deaf and hard of hearing community. Vodafone Ireland is the first mobile operator in Ireland to introduce RTT, reaffirming its commitment to inclusive, barrier-free digital communication and connection. The service is now available for emergency calls following pilot tests on the Vodafone network supported by BT ECAS and ComReg. New Service for Deaf and Hard of Hearing RTT is a next-generation messaging technology that enables text to be transmitted instantly, character by character, while maintaining a voice connection - eliminating the need to press "send." This creates a more natural, fluid communication experience, particularly for deaf, hard of hearing, and speech-impaired users. Vodafone Ireland customers using both Android and iOS devices can now activate Real-Time Text (RTT) directly via their handset accessibility settings. Once enabled, RTT allows users to send and receive text instantly during a call - making communication more accessible, especially for the deaf and hard-of-hearing community. Crucially, RTT is fully compatible with Ireland's Emergency Call Answering Service, allowing users to communicate directly with 112 or 999 in real time. This capability can be lifesaving in urgent situations where every second counts. Approximately 5%, almost 270,000, of the Irish population reports a hearing impairment, according to latest Census data. With the European Accessibility Act coming into effect last month, the need for inclusive digital communication has never been more urgent and RTT is a vital step forward in ensuring equal access for all, especially in critical services like emergency response. The RTT service is natively supported on smartphones that meet international accessibility standards. These devices allow character-by-character text transmission during voice calls, without requiring third-party apps or additional hardware. This ensures that users can communicate directly and immediately in emergency situations and in everyday interactions. Commenting as the service was launched today, Minister for Culture, Communications and Sport Patrick O'Donovan T.D. said: "The introduction of Real-Time Text by Vodafone Ireland marks a significant milestone in our national journey towards digital equality. As the European Accessibility Act comes into force, it is heartening to see Irish tech leaders stepping up with meaningful innovation which instantly improves lives. Most importantly, RTT empowers people who are deaf or hard of hearing to access emergency services with the same immediacy and simplicity as anyone else. This is not just a technological advancement - it is a statement of inclusion, of equality and our shared commitment to building a digital society with universal access. The RTT service is already available on the majority of Vodafone smartphones in Ireland right now, meaning the opportunity to make inclusive communication the norm is already in our hands. I encourage not only the Deaf and hard of hearing community, but the wider public also to embrace RTT. By making it part of our everyday communication and help ensure it becomes a turning point for real inclusion in a more connected society - one where everyone has the tools to engage, contribute and to be heard." Welcoming the launch, Chief Executive of Vodafone Ireland, Sabrina Casalta, said: "At Vodafone Ireland, we're committed to keeping everyone connected - our mission is to ensure digital access and connectivity for everyone, everywhere. RTT represents a significant step forward in digital accessibility, especially in emergency scenarios where real-time communication can save lives. We are proud to be the first in Ireland and one of the leaders in Europe to bring this innovative service to market, that we believe can change lives for the better. The RTT launch has been developed in pa...
Last time we spoke about Operation Downfall. The Allies, under General Krueger, initiated a decisive campaign to clear the Japanese from Luzon. As they faced the entrenched Shobu Group, challenges included treacherous terrain and a resilient enemy. Simultaneously, Japan braced for an invasion, mobilizing reinforcements and devising defensive strategies to ward off the impending Allied assault. As July approached, General Yamashita's forces prepared to execute a final breakout, but progress was hampered by relentless guerrilla attacks and adverse weather conditions. With Operation Downfall looming, Allied troops focused on strategic landings in Kyushu and Honshu, driven by a relentless determination to defeat the Japanese militarily. The intense battles of Luzon became a precursor to this monumental operation, marking a turning point in the Pacific War. This episode is The Siege of Japan Welcome to the Pacific War Podcast Week by Week, I am your dutiful host Craig Watson. But, before we start I want to also remind you this podcast is only made possible through the efforts of Kings and Generals over at Youtube. Perhaps you want to learn more about world war two? Kings and Generals have an assortment of episodes on world war two and much more so go give them a look over on Youtube. So please subscribe to Kings and Generals over at Youtube and to continue helping us produce this content please check out www.patreon.com/kingsandgenerals. If you are still hungry for some more history related content, over on my channel, the Pacific War Channel you can find a few videos all the way from the Opium Wars of the 1800's until the end of the Pacific War in 1945. Boy I have been waiting a long time to come to this point. One of the most significant events in human history that deeply affects us to this very day. Nuclear war is as much a threat today as it was during the cold war. The dropping of the Atomic bombs on Hiroshima and Nagasaki were deeply complicated events fraught with issues of morality. It goes without saying whether or not the bombs needed to be dropped, their actual impact on the surrender of Japan and so forth are still issues hotly debated to this very day. I have spoken on the issue countless times on my personal channel and podcast, but I figure to do this subject justice I will create a full episode for it. Thus in this episode we are going to just cover what happened, but rest assured I will come back to this later on. As we last explored, following the successful invasion of Luzon in the Philippines, along with the fall of Iwo Jima and Okinawa, American forces began preparing for the final invasion of the Japanese Home Islands. This operation was codenamed Operation Downfall. One key initiative leading up to this invasion was a comprehensive air-sea blockade and bombardment campaign against Japan itself. Previously, we detailed the extensive firebombing and precision bombing efforts executed by General LeMay's 21st Bomber Command. However, during this crucial period, the B-29 Superfortress bombers undertook a distinct operation under the codename Starvation. This single operation would be one of the largest factors that contributed to the surrender of Japan and its one most people have never heard of. In July 1944, Admiral Chester W. Nimitz proposed a bold plan to use B-29 Superfortress bombers to mine the waterways surrounding the Japanese Home Islands. Although Generals Henry H. Arnold and Walter Hansell expressed concerns that this mining campaign could distract from the B-29's primary role as a strategic bombardment aircraft, they eventually agreed to assign one bomber group to focus on aerial mining when conditions permitted. On December 22, Hansell's 21st Bomber Command was directed to formulate a naval mining program aimed at executing between 150 to 200 sorties each month, which was set to begin in April 1945. However, by this time, General Curtis LeMay had taken command of the 21st Bomber Command. LeMay was notably enthusiastic about the idea and successfully recommended to Washington an upgraded mining program that aimed to deploy up to 1,500 mines each month using a full B-29 wing. LeMay viewed aerial mining in a different light than Arnold or Hansell, seeing it as a vital extension of strategic bombing. He recognized that most of Japan's war production materials, as well as a significant portion of its food supplies, were imported from regions such as China, Southeast Asia, and the Dutch East Indies. Japan's industrial heartland is primarily found on Honshu, its largest and most industrialized island, while Shikoku, another island, also lacks essential resources such as iron ore and high-quality coal. These crucial materials were sourced from Kyushu and Hokkaido, both of which are other Japanese islands. All these resources were transported by sea, so without easy access to raw materials, Japan's industrial output would come to a grinding halt. The only aircraft capable of deploying mines effectively where they were needed were the B-29s. Areas such as the Inland Sea, the Sea of Japan, and the Korean Peninsula were out of reach for other Allied aircraft. Additionally, Allied submarines could only venture into these perilous waters with great risk. Notably, about 80% of Japan's merchant fleet utilized the Shimonoseki Strait, a critical waterway that separates Kyushu from Honshu. Understanding the strategic advantage of closing this strait, LeMay decided to allocate an entire wing of B-29s specifically to mine this vital route. Brigadier General John Davies commanded the 313th Bombardment Wing, tasked with deploying approximately 2,000 naval mines each month into Japanese waters. The primary goals of this operation were to prevent essential raw materials and food supplies from reaching the Home Islands, hinder the supply and mobilization of Japanese military forces, and disrupt transportation routes in the Inland Sea of Japan. Between March 27 and April 12, Davies' bombers targeted key enemy shipping bases located in Kure, Sasebo, and Hiroshima. They also focused on the Shimonoseki Strait, a narrow and strategically important waterway that links the Inland Sea with the Tsushima Strait. Notably, after these attacks, this strait was successfully closed for two weeks. On May 3 and 5, the 313th Bombardment Wing laid down a total of 1,422 mines in the waters surrounding the Shimonoseki Strait, as well as near major urban centers like Tokyo, Nagoya, Kobe, and Osaka. These efforts aimed to severely disrupt maritime commerce between Japan's major industrial areas. Just a week later, the minefields expanded from the Shimonoseki Strait to include Kyushu, the southernmost of Japan's four main islands, and northwest Honshu, the largest island containing Tokyo. By the end of that month, these mines were proving remarkably effective, accounting for the sinking of more ships than Japanese submarines. In fact, within the Shimonoseki Strait alone, 113 ships had been sunk. Between June 7 and July 8, American forces expanded and fortified minefields along the western coast of Japan while also replenishing the existing minefields in the Shimonoseki Strait and the Inland Sea. During this effort, they successfully laid a total of 3,542 mines across 14 missions. The "total blockade" officially commenced on July 9 and continued until the end of the war. Throughout this period, American forces executed 474 sorties, dropping another 3,746 mines that replenished existing minefields and extended coverage to harbors in Korea. In total, Brigadier General Davies conducted 46 missions that laid down 26 minefields containing 12,135 mines. Remarkably, only 15 B-29s were lost during these operations. In turn, the mines accounted for the sinking or damaging of 670 Japanese ships, with a total loss of 1.25 million tons. This mining campaign effectively strangled Japanese industry, as the denial of essential raw materials to factories proved more disruptive than the direct bombing of the plants themselves. Despite the clear vulnerability of Japan's economy to disruptions in coastal shipping, Japanese authorities were alarmingly unprepared to address the threat posed by air-dropped mines. By August 1945, Japan had committed 349 ships and 20,000 personnel to counter the Starvation campaign, but these efforts were overwhelmingly ineffective. The shipping crisis escalated to such a degree that searchlights and anti-aircraft batteries were redeployed from urban centers to defend expected mining targets. Additionally, suicide boats were employed in desperate attempts to clear the minefields. Royal Navy historian S.W. Roskill commented on the situation, stating, “The blockade had, in fact, been far more successful than we realized at the time. Although submarines initially played a critical role in enforcing the blockade, it was the air-laid mines that ultimately strangled Japan.” Japanese officials shared this assessment. A director from a Tokyo steel company reflected on the situation, noting that the denial of essential raw materials to factories caused far greater disruption than the direct bombing of the plants themselves. This contradicted the views of US Army Air Forces experts back in Washington. In a striking remark after the war, a Japanese minesweeping officer told American forces, “The result of B-29 mining was so effective against shipping that it eventually starved the country. You could have likely shortened the war by starting this campaign earlier.” Meanwhile, General LeMay continued his firebombing campaign against Japan. By the end of May, urban areas around Tokyo Bay had been devastated, prompting the 21st Bomber Command to shift focus westward toward the densely populated industrial complexes lining Osaka Bay. On June 1, 521 B-29s were dispatched to bomb industrial targets situated along the Yodo River, with an escort of 148 P-51 fighters. Unfortunately, an undetected thunderstorm struck en route, which meant only 27 P-51s reached Osaka, while another 27 crashed, and the remaining fighters had to return to Iwo Jima. Despite these complications, the B-29s bombed from altitudes ranging between 18,000 and 28,500 feet, successfully dropping 2,788 tons of incendiary bombs on Osaka. The attack resulted in the burning of 3.15 square miles, destroying 136,107 houses and 4,222 factories. Four days later, on June 3, 530 unescorted B-29 Superfortresses launched a bombing raid on the city of Kobe. Of those, 473 aircraft targeted the city, resulting in the destruction of 4.35 square miles. This devastating strike led to the demolition of 51,399 buildings, while another 928 suffered significant damage. The raid, however, came with losses, as 11 bombers were downed, and 176 were damaged in the operation. On June 7, 449 B-29s returned to Osaka. Despite facing heavy cloud cover that restricted visibility, they managed to burn an additional 2.21 square miles of the city, destroying another 55,333 buildings. By the conclusion of General Curtis LeMay's maximum-effort area bombing campaign, the six most significant industrial cities in Japan, Tokyo, Nagoya, Kobe, Osaka, Yokohama, and Kawasaki, had been left in ruins. Major factories were either destroyed or severely damaged, while thousands of smaller household and feeder industrial units were consumed by flames. Casualty figures surged into six figures, leaving millions of people homeless. The evacuation of survivors further complicated efforts to secure labor for the factories that remained operational. Japan's air-raid protection system proved woefully inadequate to withstand a protracted siege by very heavy bombers. The system lacked sufficient organization, trained personnel, shelters, fire-fighting equipment, and facilities for relief and evacuation. Additionally, there was a significant deficiency in civilian indoctrination regarding emergency procedures. Under the relentless pressure of repeated major attacks, local Air Raid Precaution organizations collapsed, adding strain to an already overburdened imperial government. Japanese civilians, who had been conditioned by victory propaganda, displayed little of the discipline that helped German citizens endure years of aerial bombardment. As news of military defeats and the impact of B-29 precision strikes filtered into the great cities, residents began to lose confidence in their leaders' ability to protect them or care for the victims of the attacks. Abe Motoki, the Minister of Home Affairs at the time, later remarked, “I believe that after the raids on Tokyo on May 23-24, 1945, civilian defense measures in that city, as well as in other parts of Japan, were considered a futile effort.” Regarding the operational cost of this campaign for the 21st Bomber Command, it was not considered excessively burdensome. Over the course of 17 maximum-effort incendiary attacks, LeMay dispatched a total of 6,960 B-29s, which dropped 41,592 tons of bombs. The losses amounted to 136 B-29s, averaging only 1.9% of the sorties, a rate significantly lower than what had been endured in earlier months, and quite acceptable by the standards of conventional strategic bombing. Meteorologists predicted that the summer monsoon would keep Japan's skies covered with clouds for most of the upcoming months, from June to August. As a result, LeMay shifted strategies under what became known as the Empire Plan. This approach prioritized targeting industrial and military sites during daylight hours when the weather permitted, while secondary cities that had sufficient industrial capability became targets for nighttime area attacks. This change meant that since no single target warranted a full four-wing maximum effort, multiple missions could be scheduled in a single day. Accordingly, on June 9, 110 B-29s attacked three aircraft factories located in Narao, Atsuta, and Akashi. The strikes successfully destroyed the factories in Narao and Atsuta, but an unfortunate miscalculation led to the bombing of the town near Akashi. The following day, June 10, a force of 280 B-29s, escorted by 107 P-51 Mustang fighters, targeted six distinct sites in the Tokyo Bay area. The mission yielded significant results, with all targets sustaining heavy damage. Finally, on June 15, 516 B-29s were dispatched for one last firebombing raid against Osaka and the neighboring city of Amagasaki. In this combined assault, 444 bombers dropped over 1,350 tons of incendiary bombs, incinerating an additional 1.9 square miles in Osaka and more than half a square mile in Amagasaki. Starting on June 17, General Curtis LeMay's firebombing campaigns began to focus on medium-sized secondary cities across Japan. On that day, 477 B-29 Superfortresses targeted the cities of Omuta, Hamamatsu, Yokkaichi, and Kagoshima, burning a combined total of six square miles in these urban areas. The success of this initial multi-target mission ensured the continuation of the program, establishing an operational pattern that would remain standard during the final weeks of the war. In total, multiple incendiary attacks were conducted on sixteen occasions, averaging about two missions per week. Between June 17 and August 14, American forces carried out 8,014 sorties, dropping a staggering 54,184 tons of incendiaries across 58 secondary cities. On June 22, 446 B-29s were dispatched to strike six targets located in southern Honshu, including the crucial Kure Naval Arsenal. In this mission, 382 bombers released 2,103 tons of bombs, inflicting heavy damage to these essential manufacturing facilities. Just four days later, on June 26, a force of 510 B-29s, accompanied by 148 P-51 Mustang escorts, targeted locations in southern Honshu and the nearby island of Shikoku. However, dense clouds over much of the area complicated assembly and forced many aircraft to attack targets of opportunity individually or in small groups. As a result, adverse weather conditions would delay subsequent daytime raids until July 24. In the coordinated strike program that commenced in June, the decision to focus on either the Empire Plan or urban industrial targets was largely influenced by weather conditions. As the program took shape, the 315th Bombardment Wing (VH) became available for combat operations. This wing operated somewhat independently from the other bomber units, with its activities significantly guided by the specialized equipment of its aircraft. Authorized for deployment in the Pacific in December 1944, the 315th settled at Northwest Field, Guam, during May and June. Its commander, Brigadier General Frank A. Armstrong, Jr., was a seasoned veteran of the strategic air offensive against Germany. The B-29s of the 315th Wing differed in two key respects from those of other units. They were equipped with the AN/APQ-7 (Eagle) radar, a sophisticated radar system designed for bombing, instead of the conventional AN/APQ-13 radar. The latter had primarily served as a navigational aid. While crews had become adept at using the AN/APQ-13 for night or poor-weather bombing, it lacked the precision necessary for accurate strikes. The Eagle radar, however, offered significantly greater definition and, although it required a long bomb run averaging seventy miles, this was not considered a serious hindrance in the tactical context of Japan. To further enhance its night-bombing capabilities, the Superfortresses had been stripped of all armament except for the tail gun. This modification, along with the Eagle radar, clearly marked the 315th as a dedicated night-bombing unit. There were various proposals for the use of these specially equipped B-29s, including high-altitude bombing, area bombing, and aerial mining. However, by the time the 315th Wing was ready for combat, the 313th Bombardment Wing had already gained proficiency in aerial mining, while all wings had become adept at area bombing using the AN/APQ-13. Training for the 315th had focused heavily on night radar tactics, with less emphasis on visual bombing and daytime formation flights. It was evident that if the Eagle radar was to undergo a thorough scientific evaluation, it should be tested against a specific set of targets that were preferably large in size and located along the coastline. In the view of the 21st Bomber Command, the oil industry met these requirements perfectly. The 315th Bombardment Wing initiated its specialized campaign on June 26 with a targeted strike against the Utsube Oil Refinery in Yokkaichi, the top-priority target. By August 14, the wing had conducted 15 additional missions against a total of 10 targets, which included various petroleum refineries and synthetic plants, such as the Maruzen Oil Company in Wakayama, Mitsubishi Oil Company in Kawasaki, and Nippon Oil Company plants spread across Akita, Kansai, Kudamatsu, and Amagasaki, as well as the Imperial Fuel Industry Company in Ube and Toa Fuel Industry in Wakayama. During the campaign, the 315th Wing dispatched a total of 1,200 B-29s, 1,095 of which successfully bombed their primary targets, dropping 9,084 tons of 500-pound general-purpose bombs deemed particularly effective against the scattered installations. The increase in bomb load capacity was made possible by stripping the planes of unnecessary equipment and conducting bombing missions individually at night. As the crews gained experience, they were able to increase the average weight carried from 14,631 pounds during the first mission to 20,684 pounds by August 9. Despite concerns about safety from removing most of the aircraft's armaments, only four planes were lost and 66 sustained damage throughout the campaign. The 20th Air Force estimated that the B-29 attacks led to the destruction of approximately 6 million barrels of tank storage capacity, and the United States Strategic Bombing Survey (USSBS) reported that refining capacity had been reduced from 90,000 barrels a day in December 1941 to around 17,000 barrels. However, the strategic impact was more apparent than real, as many storage tanks were empty and refinery production had fallen to just 4% of capacity before the very heavy bomber campaign began. The lack of precise intelligence regarding the state of Japan's economy had justified the emphasis on the oil program as a form of reinsurance. Nevertheless, the blockade had effectively severed the nation's oil resources, resulting in tankers remaining idle at the docks. On July 1, Admiral Halsey's 3rd Fleet departed San Pedro Bay to initiate the first preliminary strikes in preparation for Operation Olympic. This operation involved battleships and heavy cruisers conducting surface bombardments of industrial targets in eastern Japan, while lighter forces performed anti-shipping sweeps along the coast. Additionally, a fleet of submarines advanced ahead of Admiral McCain's Task Force 38 to eliminate picket boats and establish lifeguard positions. At 18:15 on July 9, the force began its 25-knot approach toward the Home Islands, launching its first strikes against the Tokyo area at 04:00 on July 10. A total of 1,732 sorties were executed, targeting locations from Koriyama to Hamamatsu, dropping 454 tons of bombs and 1,648 rockets over Honshu with negligible opposition. American airmen reported the destruction of 109 enemy aircraft and damage to 231 during these strikes. Following this, Halsey's fleet moved north to bombard Hokkaido and northern Honshu, which were beyond the effective range of the B-29s and had previously evaded attack. At 05:59 on July 14, Rear-Admiral John Shafroth's Bombardment Group Able, consisting primarily of three battleships and two heavy cruisers, was tasked with attacking the Kamaishi Works of the Japan Iron Company. By midday, Shafroth's forces had opened fire on Kamaishi, marking the first surface bombardment of Japan by a hostile fleet in over 80 years. Between 12:10 and 14:19, a total of 802 16-inch shells, 728 8-inch shells, and 825 5-inch shells were expended, setting the town ablaze as key industrial and residential targets were hit and resulting in the sinking of one oil tanker, two barges, and one small ship in the harbor. Simultaneously, McCain's carriers closed to within 80 nautical miles of Japan, launching 1,391 sorties against Hokkaido and northern Honshu to target railways, shipping, and airfields, again facing only light resistance. In the ensuing strikes, American planes sank over 50,000 tons of shipping and naval craft, including the destroyer Tachibana, four minesweepers, eight naval auxiliaries, and around 20 merchant vessels, with significant losses occurring at Muroran and Hakodate. In addition, 25 enemy planes were destroyed, while American losses totaled 24 aircraft and 17 airmen, about half of whom were lost in combat. Task Force 38 launched another assault on July 15, executing 966 combat sorties that dropped 355 tons of bombs and expended 2,093 rockets. This operation resulted in the sinking of 65 vessels and damaging 128 others, as well as the destruction of 48 locomotives and damage to 28. Widespread destruction was inflicted on several facilities, particularly the Aomori–Hakodate railcar ferry system, which transported 30% of the coal between Hokkaido and Honshu. The strikes devastated the ferry system, sinking eight ferries, beaching eight more, and damaging two. In total, 70 auxiliary sailing colliers were sunk, and 11 were damaged, along with 10 steel freighters lost and 7 damaged. The ferry strikes were the brainchild of Halsey's operations officer, Captain Ralph “Rollo” Wilson. “When the first action reports began to sift in,” Halsey related: He snatched them up and pored over them; the ferries were not mentioned. Later reports also ignored them. Rollo was sulking and cursing when the final reports arrived. I heard him whistle and saw him beam. “Six ferries sunk!” he said. “Pretty soon we'll have ‘em moving their stuff by oxcarts and skiffs!” Additionally, 20 city blocks in Kushiro were razed. The most significant outcome of these operations was the virtual severance of Hokkaido from Honshu. By the end of the raids, Halsey's 3rd Fleet had achieved the sinking of 140 ships and small craft, damaging 235 others, and destroying 38 planes while damaging 46. Meanwhile, Rear-Admiral Oscar Badger's Bombardment Group Baker, composed of three battleships, two light cruisers, and eight destroyers, was assigned to bombard Muroran. Between 09:36 and 10:25, this group fired 860 16-inch shells at the Nihon Steel Company and the Wanishi Ironworks, targeting both the coal liquefaction plant and coke ovens. This bombardment inflicted severe damage on those facilities and resulted in the destruction or damage of 2,541 houses in Muroran. As Hasley recalled “These sweeps and bombardments accomplished more than destruction. they showed the enemy that we made no bones about playing in his front yard. From now on, we patrolled his channels and shelled his coast almost every night that the weather permitted.” Additionally, Rear-Admiral James Cary Jones' four light cruisers conducted a sweep along the east coast of Honshu to hunt for Japanese shipping; however, they reported no contacts during their mission. Early on July 16, Task Force 38 retired east of Honshu to begin refueling and rendezvoused with Admiral Rawlings' Task Force 37, which agreed to operate closely as an additional task group for Admiral Halsey. At 03:50 on July 17, the two task forces began launching strikes against central Honshu despite adverse weather conditions. The American forces executed 205 sorties targeting the Mito area, while British aircraft flew 87 sorties against airfields and railyards along the northwest coast of Honshu. Despite the bad weather, several small craft and locomotives were destroyed, though the operation resulted in the loss of nine aircraft and four airmen. Later that afternoon, Halsey detached Badger's augmented Bombardment Group to attack Hitachi, a significant industrial and electronics-producing city. The 53-minute bombardment commenced in fog and rain at 23:14, during which 1,207 16-inch shells, 267 14-inch shells, and 292 6-inch rounds were expended against the Tago and Mito Works of the Hitachi Manufacturing Company, as well as the Yamate Plant and copper refining facilities of Hitachi Mine, resulting in severe devastation. On July 18, McCain's two leading carriers launched a total of 592 sorties against Yokosuka, specifically targeting the heavily camouflaged battleship Nagato at the naval base. The attacks resulted in the sinking of one old cruiser, one minesweeper, one submarine, one incomplete destroyer, and three patrol vessels, in addition to damaging one subchaser, one old destroyer, and one old battleship. Although Nagato was hit multiple times and suffered heavy damage, it managed to stay afloat. Meanwhile, three carriers also targeted airfields and other opportunities in Tokyo, while Task Force 37 attacked a seaplane base at Kitaura and airfields at Nobara, Naruto, Chosi, Kanoike, Natori, and Kitakawa. The recent raids resulted in the destruction of 43 enemy planes and damage to 77 others on the ground, along with the destruction of three locomotives and the derailing of four electrified train cars by rockets. However, the American forces incurred losses of 14 aircraft and 18 aircrew, as the 3rd Fleet flyers reported encountering the fiercest anti-aircraft fire they had yet experienced. Additionally, Rear-Admiral Carl Holden's four light cruisers were detached during the night to sweep shipping off Sagami Bay and to target the radar site at Cape Nojima. On July 21, Captain Thomas Hederman's Destroyer Squadron 61, consisting of nine destroyers, was assigned to conduct another anti-shipping sweep off Sagami Bay. Pursuing four radar contacts, the destroyers engaged targets at midnight on July 22, firing guns and torpedoes from 7,000 yards. This action resulted in the sinking of the 800-ton freighter No.5 Hakutetsu Maru and damaging the 6,919-ton Enbun Maru. In response, Japanese coastal artillery, the minesweeper W-1, and subchaser Ch-42 returned fire, but Hederman's squadron successfully retired without damage. Although minor in scale, the Battle of Sagami Bay would ultimately be the last surface action of the war. Meanwhile, as part of Operation Barney, a planned submarine penetration of the Sea of Japan, nine submarines succeeded in sinking 27 Japanese merchant vessels and one submarine, totaling 54,786 tons. On June 8, the submarine Barb commenced her twelfth patrol, tasked with terrorizing the Sea of Okhotsk using her newly installed 5-inch rocket launchers. Over the following weeks, Skipper Commander Eugene “Luckey” Fluckey executed successful rocket bombardments on Shari, Hokkaido, and targets in Shikuka, Kashiho, and Shiritoru on Karafuto (southern Sakhalin), also employing the submarine's deck guns to destroy 35 sampans in the town of Kaihyo To. Observing Karafuto trains transporting military supplies to ports, Fluckey devised a plan to intercept these trains. Engineman Third Class Billy Hatfield recalled how, as a child, he had placed nuts on railroad ties and watched as the weight of passing trains cracked them between rail and tie. Realizing this principle could be adapted, he suggested rigging an automatic detonator. Fluckey had many volunteers for the mission, including a Japanese POW, and carefully selected Hatfield and seven others, deciding against leading the shore party himself. Just after midnight on July 23, 1945, Fluckey maneuvered Barb to within 950 yards of the Karafuto coast. Led by Lieutenant William Walker, the team launched two rubber rafts at 00:30. Before they left, Fluckey instructed them, “Boys, if you get stuck, head for Siberia, 130 miles north, following the mountain ranges. Good luck.” Upon reaching the shore, the Americans located the tracks and buried a 55-pound scuttling charge and battery beneath the rails, positioning it under a water tower they planned to use as a lookout. As Motor Machinist's Mate First Class John Markuson climbed up, he unexpectedly found he was scaling a sentry tower, causing him to retreat without alerting the sleeping guard. When a train passed, the team dove for cover before resuming their work after it had gone by. Shortly after 01:30, Walker's team signaled their return to Barb, which was now just 600 yards offshore. Fifteen minutes later, while the boats were halfway back, Fluckey heard the rumble of an approaching train. He hoisted a megaphone and urged the crew to “Paddle like the devil, boys!” At 01:47, a 16-car Japanese train struck Hatfield's detonator, resulting in a massive explosion that sent debris soaring 200 feet into the air and reportedly killed 150 Japanese. Minutes later, all eight Americans were safely aboard Barb, which then slipped back into the night, having successfully executed the only amphibious invasion of Japan during World War II. Returning to the main action, Halsey aimed to eliminate the remnants of the Combined Fleet at the heavily fortified Kure Naval Base. Consequently, Task Force 38 began launching the first of 1,363 sorties against ships and airfields in Kyushu, Shikoku, and Honshu, ringing the Inland Sea at 04:40 on July 24. A total of 599 tons of bombs and 1,615 rockets were unleashed over Kure, resulting in the sinking or damaging of 22 warships, which totaled 258,000 tons. Among the affected vessels were the battleships Hyuga, Ise, and Haruna; fleet carriers Amagi and Katsuragi; the escort carrier Kaiyo; heavy cruisers Tone and Aoba; as well as light cruisers Oyodo and Kitakami. In addition, another 53 vessels amounting to 17,000 tons were sunk at various locations, including Hiroshima Bay, Niihama, Bungo Channel, and Kii Channel. At Kobe, the incomplete fleet carrier Aso was also attacked and damaged. American Hellcats and Corsairs effectively swept aside Japanese aerial opposition, shooting down 18 enemy planes while destroying 40 aircraft and damaging another 80 on the ground. Furthermore, around the Inland Sea, 16 locomotives were destroyed and five were damaged, while 20 hangars sustained damage. Three oil tanks were set ablaze at Kure and one at Tano. Additionally, four electric trains and a roundhouse were strafed at Hamamatsu, and various military installations, including barracks, warehouses, power plants, and factories around the airfields, received significant damage. Simultaneously, Rear-Admiral Rawlings' Task Force 37 conducted 257 sorties against targets in Japan and the surrounding offshore areas, sinking the escort carrier Shimane Maru in Shido Bay, along with a number of destroyers, small escorts, and coasters. Meanwhile, Jones' light cruisers swept through the Kii Channel before bombarding the Kushimoto seaplane base and airfields at Cape Shionomisaki during the night. Supporting these efforts, General LeMay dispatched 625 B-29s against seven targets in the Nagoya and Osaka areas, successfully inflicting heavy damage on all of them despite the spotty weather, marking this as the last major attack on the Japanese mainland during the war, as two weeks of cloudy weather ensued. In the early hours of July 25, McCain's aircraft carriers resumed launching strikes against airfields and shipping in the Inland Sea and the Nagoya-Osaka areas. During this operation, they executed a total of 655 sorties, expending 185 tons of bombs and 1,162 rockets, successfully sinking nine ships totaling 8,000 tons and damaging another 35 vessels. The strikes also resulted in the downing of 21 Japanese planes, with an additional 61 aircraft destroyed on the ground and 68 damaged. After refueling on July 27, Halsey's carrier forces moved to launch points located 96 nautical miles off Shikoku. At 04:43 on July 28, they resumed strikes over the Inland Sea, focusing on targets from northern Kyushu to Nagoya, as well as airfields across Honshu along the Sea of Japan. This resulted in McCain flying a total of 1,602 sorties, dropping 605 tons of bombs and expending 2,050 rockets. These attacks sank 27 ships, amounting to 43,000 tons, including the battleships Ise and Haruna, the fleet carrier Amagi, and the Combined Fleet flagship Oyodo. Additionally, 78 vessels totaling 216,000 tons were reported damaged, among them the fleet carrier Katsuragi, heavy cruiser Tone, and light cruiser Kitakami. American pilots reported the destruction of 21 Japanese aircraft in the air and claimed 115 destroyed on the ground across 30 area airfields. They also successfully destroyed 14 locomotives, four oil cars, two roundhouses, three oil tanks, three warehouses, one hangar, and a transformer station. In support of these efforts, Task Force 37 conducted 260 sorties against the eastern Inland Sea, targeting the dockyard at Harima and sinking or severely damaging four corvettes at Maizuru. Meanwhile, the 7th Air Force's 11th and 494th Bombardment Groups carried out a day-long raid on Kure, successfully sinking the heavy cruiser Aoba. By sunset that evening, the Imperial Japanese Navy had effectively ceased to exist, though the cost for the Americans was steep, with losses amounting to 101 planes and 88 men since July 24. As Halsey moved east to target the Osaka-Nagoya area, Shafroth's reinforced Bombardment Group was detached on July 29 to bombard Hamamatsu. During the night, they successfully unloaded 810 16-inch shells, 265 14-inch shells, and 1,035 8-inch shells, damaging the Imperial Government Railway locomotive works, igniting a blaze at the Japanese Musical Instrument Company, and wreaking havoc on infrastructure along the critical Tokaido main line. The following day, McCain's carriers conducted 1,224 sorties against airfields in Osaka, Kobe, Maizuru, and Nagoya, expending 397 tons of bombs and 2,532 rockets. These strikes resulted in the sinking of 20 vessels totaling 6,000 tons and damaging another 56 ships. The pilots also claimed destruction of 115 enemy aircraft on the ground, while inflicting severe damage on numerous industrial targets, including aircraft factories and naval docks in Maizuru. In Miyazu Bay, the destroyer Hatsushino struck an air-dropped naval mine, marking the final loss of 129 Japanese destroyers sunk during the war. That night, seven destroyers advanced deep into Suruga Bay, unleashing 1,100 5-inch shells on Shimizu within seven minutes, successfully destroying or damaging 118 industrial buildings. Typhoon weather would impede the operations of the 3rd Fleet for the next two weeks, as Admiral Nimitz ordered Halsey to steer clear of southern Japan, which was set to become the target of a new and deadly weapon: the atomic bomb. The U.S. Army had begun its project to develop an atomic bomb on August 16, 1942, under the auspices of the Manhattan Project. The project was directed by Major-General Leslie Groves and involved renowned scientists such as Robert Oppenheimer, Enrico Fermi, Niels Bohr, Richard Feynman, and Albert Einstein. Over time, it expanded to include a design center at Los Alamos and two production facilities at Hanford and Clinton. By August 1945, the teams at Los Alamos had successfully designed, developed, and built a gun-type atomic bomb capable of forcing five pounds of uranium-235 against another 17 pounds at high speed, thereby achieving critical mass and releasing immense heat, light, blast, and radiation. The team was also experimenting with an even more powerful device: the plutonium bomb, which utilized an implosion method whereby a sphere of plutonium was compressed by conventional explosives to reach criticality. By early August, scientists had managed to produce enough nuclear material to create only one uranium device, known as Little Boy, and one plutonium bomb, referred to as Fat Man. Each weapon had the potential to annihilate an entire city, and American leaders were prepared to use them if it could compel the Japanese Empire to surrender without necessitating an invasion of Japan. A Targeting Committee led by Groves, consisting of Manhattan Project and Air Force personnel, recommended Hiroshima, Niigata, Kokura, and Nagasaki as primary targets. Groves' Targeting Committee employed several criteria to select sites for atomic bomb targets. The chosen targets had to possess strategic value to the Japanese and be situated between Tokyo and Nagasaki. Additionally, the target needed to feature a large urban area with a minimum diameter of three miles and must be relatively untouched by previous bombings, ironically spared for potential atomic destruction at a later stage. A crucial condition was that, to the best of their knowledge, these areas should harbor no concentrations of Allied prisoners of war. However, this requirement was challenging to ascertain accurately due to a lack of reliable information about the locations of prisoners. Initially, the committee considered 17 candidates and selected five primary targets: Hiroshima, Yokohama, Kokura, Niigata, and Kyoto. On May 28, they narrowed the list to three: Kyoto, Niigata, and Hiroshima. Hiroshima was significant as it housed Hata's 2nd General Army headquarters and featured a large shipyard, while Niigata was a major industrial city with an important port. Moreover, Kyoto held considerable cultural and religious significance for the Japanese. Secretary of War Stimson, having previously cautioned General Arnold about the humanitarian consequences of targeting cities with incendiary bombings, insisted on removing Kyoto from the list after intense discussions with Groves. On July 21, President Truman concurred with Stimson during their meetings in Potsdam, deciding that Kyoto should be spared. Subsequently, Kokura, known for its large arsenal and ordnance works, replaced Kyoto. Additionally, LeMay's staff reportedly included Nagasaki as an alternate target due to potential weather issues, as it was home to Mitsubishi's arms factories, electric production facilities, ordnance works, and extensive dockyards, making it a valuable target. Meanwhile, a high-level civilian Interim Committee, under Secretary of War Henry Stimson, ultimately advised President Truman on the use of nuclear weapons, reasoning that their deployment would be no worse than the current incendiary bombing campaigns against Japan. The committee also recommended that an atomic bomb be deployed as soon as possible, without warning, to maximize shock value and target a "war plant… surrounded by workers' houses." Following a successful operational test of the experimental plutonium bomb conducted at Trinity on July 16, President Truman authorized General Spaatz to prepare for the bomb drops before August 3. Colonel Paul Tibbets' 509th Composite Group had been specially organized in secret since September 1944 to deliver nuclear weapons, and by June, it had arrived at Tinian under the command of LeMay's 21st Bomber Command. General Twinning replaced LeMay as commander of the 21st on August 1, and he would ultimately issue the direct orders for Tibbets to drop the atomic bomb. The atomic bomb mission had a convoluted command structure. The Joint Chiefs of Staff were largely left out of the chain of command. LeMay was Tibbet's nominal commander; however, Groves still had extensive control over the operation through his deputy Brigadier General Thomas Farrell on Tinian. The 21st Bomber Command would determine when the atomic bomb mission was launched, based on suitable weather conditions. Even at this stage, General of the Air Force Henry "Hap" Arnold and LeMay were still skeptical about the Manhattan Project; they thought B-29 incendiary and high-explosive bombing operations would suffice to end the war soon. LeMay even questioned the 509th CG pilots' ability to conduct the mission; he wanted seasoned Pacific B-29 veteran crews to drop the nuclear cargo. While the Imperial Japanese Army (IJA) and Imperial Japanese Navy (IJN) prepared for an impending invasion, the U.S. Army Air Forces (USAAF) continued its bombing campaign against Japan. The crews of the 509th Composite Group needed to acclimate to the navigational challenges, varied weather conditions, extensive distances, and the geography of the region, all while becoming accustomed to combat situations. Training commenced at Tinian on June 30, with conventional operational missions over Japan beginning on July 20. To prepare for their atomic missions, the crews trained with "pumpkins," which were specially constructed bombs designed to mimic the appearance and weight of nuclear weapons. This allowed them to practice handling and releasing the bombs. They also rehearsed navigational procedures, visual bomb release techniques, and dropping the weapon at an altitude of approximately 30,000 feet. Following the drop, the crew conducted high-speed, radical turns to evade the nuclear effects after detonation. During their first mission, a B-29 from the 509th sought an alternative target in Tokyo. The crew aimed to drop their 10,000-pound "pumpkin" on the Imperial Palace, but unfortunately, they missed their target. Had they succeeded in killing the emperor, it could have significantly impacted Japan's decision-making process, potentially fortifying the Japanese people's resolve to continue the war. Military leaders might have seized control in the aftermath, pushing their forces to keep fighting. Throughout their training, the units of the 21st Bomber Command intentionally avoided targeting Hiroshima, Niigata, Kokura, and Nagasaki during these practice runs. In total, Tibbets directed his crews on numerous combat missions that targeted 28 cities and involved the dropping of 49 "pumpkins." Remarkably, the 509th lost no aircraft during these operations. While Tibbets focused on perfecting the delivery method, the weapons Little Boy and Fat Man were being transported to Tinian. Some weapon assemblies were delivered by C-54 and B-29 aircraft from Kirtland Field near Albuquerque, while the cruiser Indianapolis delivered the fissionable material for Little Boy from San Francisco on July 26. Four days later, the submarine I-58 unexpectedly attacked the Indianapolis with six torpedoes while the cruiser was en route to Guam, successfully sinking it. Of the crew, 850 Americans survived the sinking, and another 316 were belatedly rescued by August 8. By July 31, most of the assembly of Little Boy had been completed. However, a detonation expert would need to emplace the cordite charges to fire the uranium "bullet" through the gun device to the uranium core after take-off, minimizing the risk of an inadvertent nuclear explosion in the event of a B-29 crash. Additionally, the crew carrying the atomic bomb had to exercise caution when descending once Little Boy was armed because the primary radar or a backup barometric fuse could potentially trigger an explosion if the aircraft descended too rapidly with the fuses in place. On August 2, B-29 crews arrived at Tinian with the assemblies for Fat Man. On that same day, General Twinning and President Truman approved the plan to bomb Hiroshima. Two days later, Colonel Tibbets briefed the crews about the mission, confirming that he would pilot the aircraft carrying the atomic bomb. Tibbets' B-29 No. 82, later named Enola Gay, was supported by three weather reconnaissance aircraft that reported conditions at Hiroshima, Kokura, and Nagasaki, as well as two additional B-29s assigned to conduct scientific and photographic missions. At 02:45 on August 6, Enola Gay took off from Tinian, with diversionary attacks by 604 B-29s throughout Japan also scheduled for that day, as coordinated by Twinning. After passing through Iwo Jima at approximately 05:55, Captain William Parsons and Second-Lieutenant Morris Jeppson armed the bomb at 07:30. Throughout the journey, the B-29s ascended slowly, reaching an altitude of over 30,000 feet as they crossed Shikoku and Honshu, finally reaching Hiroshima at 31,060 feet. At 09:12, Tibbets executed his final approach from the 'initial point', flying east-west over the city towards the intersection of the Ota and Motoyasu Rivers. Approximately at 09:15, Little Boy was released, and Enola Gay immediately began its turn away to escape the impending explosion. However, the bomb mistakenly descended towards the Shima Surgical Hospital rather than the intended target, the Aioi Bridge. At 09:16, Little Boy detonated at an altitude of 1,890 feet, just as Tibbets was about six miles away from the blast point. As a result of the atomic blast, the immediate area around the epicenter was heated to an astonishing 1 million degrees Celsius, instantly incinerating or vaporizing all people, animals, buildings, and other items within that zone. Hiroshima police officials estimated that immediate casualties amounted to 71,379 individuals who were either killed or reported missing. In the surrounding areas, the blast effects crushed unreinforced structures before igniting them, resulting in an additional 68,023 wounded, with 19,691 of those injuries classified as serious. Subsequent assessments, potentially incorporating the impacts of radiation sickness or more precise accounting, recorded 30,524 individuals as seriously wounded and 48,606 as slightly wounded. Just two minutes after detonation, a growing mushroom cloud of highly radioactive dust and debris soared to a height of 20,000 feet. Within eight minutes, Tibbets' crew could observe the mushroom cloud from 390 miles away. Ultimately, the dust cloud peaked at approximately 60,000 feet in altitude. Soon after, a thick, black, radioactive rain fell upon the areas beneath the cloud. The center of the city was utterly devastated; over four square miles of the urban center, which encompassed seven square miles in total, were completely flattened, resulting in about 60% of the city's area being destroyed. An additional 0.6 square miles suffered damage, while more than 75% of the city's 90,000 buildings were obliterated. The ensuing fires compounded the devastation, contributing to countless deaths and injuries. Tragically, some American prisoners of war were present in Hiroshima and lost their lives in the explosion. Meanwhile, Enola Gay safely returned to Tinian at 14:58, where Tibbets was awarded the Distinguished Service Cross, while the rest of the crew received Distinguished Flying Crosses for their participation in the mission. I would like to take this time to remind you all that this podcast is only made possible through the efforts of Kings and Generals over at Youtube. Please go subscribe to Kings and Generals over at Youtube and to continue helping us produce this content please check out www.patreon.com/kingsandgenerals. If you are still hungry after that, give my personal channel a look over at The Pacific War Channel at Youtube, it would mean a lot to me. Japan was broken. To be perfectly honest she had been broken long ago. Her leadership had been spending months trying to figure out the best possible way to surrender, while the civilians and troops were suffering horribly. Aerial mining strangled her of food, high explosive and incendiary bombs, killed untold scores of people, and then the Atomic weapons were let loose upon her. It was over.
Osborne Stables Equine Rescue Inc. is a 501(c)3 nonprofit. Located at 5056 U.S. 87 W. near Sutherland Springs, it provides a permanent refuge for 19 horses, six donkeys, three dogs, and six cats. Approximately 80 percent of the funding comes from Claudette and Bill Osborne, who founded the rescue. Approximately 20 percent comes from donations, bake sales, and rummage sales. Help is needed for the ongoing needs of the animals. Donations to Osborne Stables Equine Rescue can be made via: •PayPal — PayPal.com/paypalme/helphorses •CashApp — https://cash.app/$HorseRescueOSER •Mail — Send checks to Osborne Stables Equine Rescue Inc., P.O. Box 206, Sutherland...Article Link
Approximately3.5% of women and about 2% of men will experience binge eating disorder intheir lifetime. Half of the risk for developing this disorder is genetic. Intotal, 2.8% of American adults will struggle with binge eating disorder at somepoint in their lives. According to the Eating Disorder Center and McGillUniversity, binge eating disorder is the most common eating disorder in theUnited States, affecting individuals of all racial and ethnic backgrounds.Approximately 1.25% of adult women and 0.42% of adult men have binge eatingdisorder, and around 1.6% of teens aged 13 to 18 are affected. Amber Abila is aBinge Eating and Overeating Coach who helps women stop binge eating andovereating by rewiring their brains, allowing them to feel normal and incontrol around any food. Through coaching and psychology, she discovered thatthere was nothing wrong with her; she just needed simple brain tools to makesignificant changes in her eating habits and life. “After many yearsstruggling with numerous eating issues (yes, you name it, and I've probablyexperienced it), I decided enough was enough and embarked on my journey to foodfreedom. I sought therapy and coaching, read every book, and listened to everypodcast I could find. I wouldn't give up until I could finally feel normalaround food again. I didn't take the easy path, but it worked. Now, as yourcoach, I'm here to share everything I've learned and guide you step by step onthe exact path to stop binge eating and overeating, in a way that's muchfaster, simpler, and easier than you ever thought possible.” She alsoemphasizes that it's important to remember: "You are not broken, andnothing has gone wrong." For moreinformation: https://www.theconfidenteater.org/ Instagram:@@theconfidenteater_ Guided Audio:https://www.theconfidenteater.org/urge
Approximately 200 000 people are hospitalized for diverticulitis each year in the US, and the incidence of diverticulitis is increasing, particularly among younger people. Author Anthony Charles, MD, MPH, of the University of Vermont and JAMA Deputy Editor Mary M. McDermott, MD, discuss current evidence regarding the epidemiology, diagnosis, and treatment of diverticulitis. Related Content: Diverticulitis Quality-of-Life and Recurrence Outcomes Following Laparoscopic Elective Sigmoid Resection vs Conservative Treatment Following Diverticulitis Racial and Ethnic Disparities in Locoregional Recurrence Among Patients With Hormone Receptor–Positive, Node-Negative Breast Cancer ----------------------------------- JAMA Editors' Summary
Last week, the U.S. passed its first major piece of crypto legislation. Stablecoins now have a legal home, and that could open the floodgates for adoption, disruption, and regulation. But is this just the beginning? In this episode of Bits + Bips, Ram Ahluwalia, Noelle Acheson, Steve Ehrlich, and guest Cosmo Jiang of Pantera dive into what the stablecoin law actually means, who it helps, who it threatens, and why Wall Street and crypto startups alike are positioning fast. They also cover Ethereum's rally, what's fueling it, and whether the boom in digital asset treasury companies is sustainable. Plus, they unpack Trump's latest threats against the Fed and what it means for markets, inflation, and interest rates. Sponsors: Bitwise Mantle Hosts: Ram Ahluwalia, CFA, CEO and Founder of Lumida Noelle Acheson, Author of the “Crypto Is Macro Now” Newsletter Steve Ehrlich, Executive Editor at Unchained Guest: Cosmo Jiang, General Partner and Portfolio Manager for Liquid Strategies at Pantera Capital Links Stablecoins Unchained: GENIUS Act Passes: Who Are the Winners, Losers, and What Comes Next? House Passes Landmark Crypto Legislation: GENIUS Act and Digital Asset Bills Trump to Unblock Crypto Access in America's $9 Trillion 401(k) Market: Report The Block: GENIUS Act is helping Ethereum ‘have its moment,' Bernstein says WSJ: Why Banks Are on High Alert About Stablecoins Digital Asset Treasuries WSJ: Blank-Check Company Strikes Cryptocurrency Deal Unchained: SBET to Raise Additional $5B to Grow ETH Position Bloomberg: Trump Media Buys $2 Billion in Bitcoin for Crypto Treasury Plan CoinDesk: DeFi Development Nears $200M Solana Treasury DeFi Dev Corp Press release: DeFi Dev Corp. Announces Global Expansion Through Strategic Treasury Franchising Model TLGY Acquisition Corp Press release: TLGY Acquisition Corp. Announces Business Combination and Approximately $360 Million PIPE Financing to Form StablecoinX, an Ethena Stablecoin-Focused Treasury Company The Block: Nasdaq-listed Sonnet BioTherapeutics agrees to $888 million merger to become Hyperliquid Strategies, launch HYPE treasury Timestamps:
Approximately 9% of Missourians say they have significant medical bills they can't pay. In the St. Louis region, physicians groups have filed hundreds of lawsuits to collect unpaid debt. New research in the open-access journal JAMA Network Open found groups sued those in zip codes with low-income and Black residents more.
Last week, the U.S. passed its first major piece of crypto legislation. Stablecoins now have a legal home, and that could open the floodgates for adoption, disruption, and regulation. But is this just the beginning? In this episode of Bits + Bips, Ram Ahluwalia, Noelle Acheson, Steve Ehrlich, and guest Cosmo Jiang of Pantera dive into what the stablecoin law actually means, who it helps, who it threatens, and why Wall Street and crypto startups alike are positioning fast. They also cover Ethereum's rally, what's fueling it, and whether the boom in digital asset treasury companies is sustainable. Plus, they unpack Trump's latest threats against the Fed and what it means for markets, inflation, and interest rates. Sponsors: Bitwise Mantle Hosts: Ram Ahluwalia, CFA, CEO and Founder of Lumida Noelle Acheson, Author of the “Crypto Is Macro Now” Newsletter Steve Ehrlich, Executive Editor at Unchained Guest: Cosmo Jiang, General Partner and Portfolio Manager for Liquid Strategies at Pantera Capital Links Stablecoins Unchained: GENIUS Act Passes: Who Are the Winners, Losers, and What Comes Next? House Passes Landmark Crypto Legislation: GENIUS Act and Digital Asset Bills Trump to Unblock Crypto Access in America's $9 Trillion 401(k) Market: Report The Block: GENIUS Act is helping Ethereum ‘have its moment,' Bernstein says WSJ: Why Banks Are on High Alert About Stablecoins Digital Asset Treasuries WSJ: Blank-Check Company Strikes Cryptocurrency Deal Unchained: SBET to Raise Additional $5B to Grow ETH Position Bloomberg: Trump Media Buys $2 Billion in Bitcoin for Crypto Treasury Plan CoinDesk: DeFi Development Nears $200M Solana Treasury DeFi Dev Corp Press release: DeFi Dev Corp. Announces Global Expansion Through Strategic Treasury Franchising Model TLGY Acquisition Corp Press release: TLGY Acquisition Corp. Announces Business Combination and Approximately $360 Million PIPE Financing to Form StablecoinX, an Ethena Stablecoin-Focused Treasury Company The Block: Nasdaq-listed Sonnet BioTherapeutics agrees to $888 million merger to become Hyperliquid Strategies, launch HYPE treasury Timestamps:
Power Metallic Mines CEO Terry Lynch joined Steve Darling from Proactive to provide an update on promising preliminary mineralogy results from the Lion Zone, a key target at the company's flagship project. The scans are part of a broader effort to inform future metallurgical recovery studies and unlock the full value of the deposit. Microscopic mineral scans were conducted on a suite of over 100 samples collected from different mineralized zones at Lion. Approximately half of the samples have been analyzed to date, with results suggesting strong potential for conventional sulphide concentrate recovery—a promising sign for downstream processing and overall project economics. Lynch explained that drilling has identified two distinct mineralized zones within the Lion deposit: • A High-Grade Zone containing the majority of the deposit's metal value. • A lower-grade Hanging-wall Zone with more dispersed mineralization. The High-Grade Zone, which consists of semi-massive to massive copper sulphide mineralization, has emerged as the central focus of development. According to Lynch, the scans revealed that copper mineralization is predominantly hosted in coarse-grained chalcopyrite and cubanite—minerals known to respond well to conventional sulphide flotation methods, similar to those used in Sudbury-type ore processing. Additionally, the IOS analysis has helped map the presence and distribution of valuable metals like copper and platinum group elements (PGEs), offering key insights into their mineral species and host rock characteristics. This level of mineralogical detail is essential for accurately predicting metallurgical recoveries and refining process design. Lynch noted that these early results bolster confidence in the Lion Zone's economic potential and reinforce the company's strategy to advance toward feasibility studies with a well-informed, data-driven approach. Further mineralogical work is ongoing, with full results expected to guide the next phase of metallurgical testing and project planning. #proactiveinvestors #powermetallicmines #tsxv #pnpn #otcqb #cmetf #nickel #mining #invest #investing #PowerMetallicMines #MiningIndustry #PolymetallicExploration #Copper #Nickel #TSXVenture #TerryLynch #ProactiveInvestors #InstitutionalInvestment #Gold #Silver #PGMs #Investing #ResourceSector #MiningNews
Approximately 1 in 5 people struggle with anxiety and women are twice as likely to experience anxiety within their lifetime. If you are struggling to break free from the grip of anxiety, dear friend, you are not alone. If you have been using coping mechanisms, but are desperately seek healing practices, we are so glad you're here. In this episode, Allie Marie Smith and Julie Davies, licensed counselor, talk about the prevalent issue of anxiety, particularly among women, and how faith can play a crucial role in coping and healing. They share personal stories of their struggles with anxiety and the unhealthy coping mechanisms they've used, such as alcohol and social media. They emphasize the importance of understanding anxiety, recognizing its symptoms, and considering the healing processes that include spiritual, psychological, and practical tools for transforming and renewing your mind. Conversation Topics: Anxiety affects millions of people, primarily women. Having a firm faith and foundation in Christ can provide hope and healing for our anxious hearts. Allie and Julie share personal stories to help normalize anxiety. Coping mechanisms, like alcohol, can worsen anxiety. Understanding the difference between anxiety and fear is important for healing. Healing involves both spiritual and daily practices. Knowing your true identity in God is essential for strong mental health. Transforming your mind can help your healing process. Social media can heighten anxiety and increase poor mental health. Seeking help and community is vital for our healing and recovery. Chapters: 00:00 Introduction to Anxiety and Faith 02:12 Personal Stories of Anxiety 10:47 Understanding Anxiety: Definitions and Symptoms 15:59 Coping Mechanisms: Alcohol and Social Media 17:04 Healing Journeys: Spiritual and Practical Approaches 21:20 The Importance of Identity in Healing 25:18 Transforming the Mind: Renewing Thoughts 34:56 Brain Health vs. Mental Health 38:15 Encouragement for Those Struggling with Shame
Virginia Rodriguez, Executive Director of the Manhattan Area Resettlement Team (MART), shares how the organization has helped over 250 refugees establish new lives in Kansas since 2021. From airport pickups to job placement to navigating complex documentation, MART provides comprehensive support that has helped many refugees achieve self-sufficiency in just a few years.• MART began in 2021 following the withdrawal of American troops from Afghanistan• Currently serving 175 active clients with many others now self-sufficient• Refugees come from diverse countries including Afghanistan, Congo, Venezuela, Nicaragua, and Haiti• The organization helps with housing, employment, school enrollment, and documentation• Approximately 100 clients have been placed in jobs in Manhattan• 70-80 active volunteers assist with various services including translation• A single mother success story showcases how MART helped navigate childcare and employment challenges• New fundraising campaign "Rooted in Welcome, Growing in Hope" aims to raise $165,000• Funds will expand English language training and job readiness programs• A matching donor will double contributions up to $50,000Donations can be made through Venmo, the Greater Manhattan Community Foundation, or at allieswelcome.com.GMCFCFAs
BUFFALO, NY — July 21, 2025 — A new #research paper was #published in Aging (Aging-US) Volume 17, Issue 6, on June 27, 2025, titled “Enhancing oocyte activation in women with ovarian failure: clinical outcomes of the Stem Cell Regenera study using G-CSF mobilization of peripheral blood stem cells and intraovarian injection of stem cell factor-enriched platelet rich plasma in real-world-practice.” This study, led by Amparo Santamaria with co-authors Ana Ballester and Manuel Muñoz from IVI Clinics Alicante, evaluates the effectiveness and safety of a regenerative treatment that may enable women with ovarian failure to regain the ability to produce viable eggs. The approach combines stem cell mobilization and enriched plasma injections into the ovaries to stimulate follicle growth. It provides an alternative for patients experiencing infertility due to poor ovarian response, diminished ovarian reserve, or premature ovarian insufficiency. Researchers evaluated the Stem Cell Regenera treatment in 145 women, aged 26 to 44 years, who had not responded to conventional fertility therapies. The procedure involved mobilizing the body's own stem cells using granulocyte colony-stimulating factor (G-CSF), followed by an injection of platelet-rich plasma enriched with stem cell factors directly into the ovaries. This method was designed to activate dormant follicles and promote ovarian regeneration. Nearly 70% of participants demonstrated oocyte activation, defined as increased follicle growth or a rise in key hormone levels. Approximately 7% achieved spontaneous pregnancies, and 14% conceived through in vitro fertilization (IVF) after treatment. These results indicate that the therapy stimulates ovarian activity and may increase the chances of conception in selected patients. “The primary outcome measures were the rate of oocyte activation, leukocytes and stem cell count, and pregnancy rates.” No severe adverse effects were reported. Most participants tolerated the treatment well, with only mild and transient symptoms such as headaches or fatigue. The use of the patient's own cells minimized the risk of immune reactions and helped ensure the treatment was safe. The findings provide evidence of effectiveness and safety for the Stem Cell Regenera protocol in a clinical setting. While the study was retrospective observational, the outcomes support further investigation through larger controlled trials to confirm long-term benefits and identify which patient populations may gain the greatest benefit from this approach. This research contributes to the growing field of regenerative medicine in reproductive health, offering clinicians additional tools to address infertility in women with complex ovarian conditions. DOI - https://doi.org/10.18632/aging.206274 Corresponding author -Amparo Santamaria - Amparo.santamaria@ivirma.com Author interview - https://www.youtube.com/watch?v=oRFJNwnXZWI Sign up for free Altmetric alerts about this article - https://aging.altmetric.com/details/email_updates?id=10.18632%2Faging.206274 Subscribe for free publication alerts from Aging - https://www.aging-us.com/subscribe-to-toc-alerts Keywords - aging, Stem Cell Regenera, oocyte activation, ovarian regeneration, G-CSF, SCFE-PRP, ovarian failure To learn more about the journal, please visit our website at https://www.Aging-US.com and connect with us on social media at: Facebook - https://www.facebook.com/AgingUS/ X - https://twitter.com/AgingJrnl Instagram - https://www.instagram.com/agingjrnl/ YouTube - https://www.youtube.com/@AgingJournal LinkedIn - https://www.linkedin.com/company/aging/ Bluesky - https://bsky.app/profile/aging-us.bsky.social Pinterest - https://www.pinterest.com/AgingUS/ Spotify - https://open.spotify.com/show/1X4HQQgegjReaf6Mozn6Mc MEDIA@IMPACTJOURNALS.COM
Normal pressure hydrocephalus (NPH) is a pathologic condition whereby excess CSF is retained in and around the brain despite normal intracranial pressure. MRI-safe programmable shunt valves allow for fluid drainage adjustment based on patients' symptoms and radiographic images. Approximately 75% of patients with NPH improve after shunt surgery regardless of shunt type or location. In this episode, Aaron Berkowitz, MD, PhD, FAAN, speaks with Kaisorn L. Chaichana, MD, author of the article “Management of Normal Pressure Hydrocephalus” in the Continuum® June 2025 Disorders of CSF Dynamics issue. Dr. Berkowitz is a Continuum® Audio interviewer and a professor of neurology at the University of California San Francisco in the Department of Neurology in San Francisco, California. Dr. Chaichana is a professor of neurology in the department of neurological surgery at the Mayo Clinic in Jacksonville, Florida. Additional Resources Read the article: Management of Normal Pressure Hydrocephalus Subscribe to Continuum®: shop.lww.com/Continuum Earn CME (available only to AAN members): continpub.com/AudioCME Continuum® Aloud (verbatim audio-book style recordings of articles available only to Continuum® subscribers): continpub.com/Aloud More about the American Academy of Neurology: aan.com Social Media facebook.com/continuumcme @ContinuumAAN Host: @LyellJ Guest: @kchaichanamd Full episode transcript available here Dr Jones: This is Dr Lyell Jones, Editor-in-Chief of Continuum. Thank you for listening to Continuum Audio. Be sure to visit the links in the episode notes for information about earning CME, subscribing to the journal, and exclusive access to interviews not featured on the podcast. Dr Berkowitz: This is Dr Aaron Berkowitz, and today I'm interviewing Dr Kaisorn Chaichana about his article on management of normal pressure hydrocephalus, which he wrote with Dr Jeremy Cutsforth-Gregory. The article appears in the June 2025 Continuum issue on disorders of CSF dynamics. Welcome to the podcast, and please introduce yourself to our audience. Dr Chaichana: Yeah, thank you for having me. I'm Kaisorn Chaichana. I'm a neurosurgeon at Mayo Clinic in Jacksonville, Florida. Part of my practice is doing hydrocephalus care, which includes shunts for patients with normal pressure hydrocephalus. Dr Berkowitz: Fantastic. Well, before we get into shunt considerations and NPH specifically, which I know is the focus of your article, I thought it would be a great opportunity for a neurologist to pick a neurosurgeon's brain a bit about shunts. So, to start, can you lay out for us the different types of shunts and shunt procedures, the advantages, disadvantages of each type of shunt, how you think about which shunt procedure should be used for which patient, that type of thing? Dr Chaichana: Yeah. So, there are different types of shunts, and the most common one that is used is called a ventricular peritoneal shunt. So, it has a ventricular catheter, it has a catheter that tunnels underneath the skin and it goes into the peritoneum where the fluid goes from the ventricular system into the peritoneum. Typically, the shunts are in the ventricle because that is the largest fluid-filled space in the brain. Other terminal areas include the atrium, which is really the jugular vein, and those are called ventricular atrial shunts. You can also have ventricular pleural shunts, which end in the pleural space and drain flui into the pleural space. Those are pretty much the most common ventricular shunts. There's also a lumboperitoneal shunt that drains from the lumbar spine, similar to a lumbar drain into the peritoneum. For the lumbar shunts, we don't typically have a lumbar pleural or lumbar atrial shunt just because of the pressure dynamics, because the lumbar spine is below the lung and as well as the atrium. And so, the drainage pattern is very different than ventricular peritoneal which is top to bottom. The most common shunt, why we use the ventricular peritoneal shunt the most, is because it has the most control. So, the peritoneum is set at a standard pressure in the intraabdominal pressure, whereas the ventricular atrial shunt depends on your venous return or venous pressure and your ventricular pleural shunt varies with inspiration and expiration. So, the easiest way for us to control the fluid, the ventricular system is through the ventricular peritoneal shunt. And that's why that's our most common shunt that we use. Dr Berkowitz: Fantastic. So, as you mention in the article, neurologists may be reluctant to offer a shunt to patients with NPH because many patients may not improve, or they improve only transiently; and out of fear of shunt complications. So, of course, as neurologists, we often only hear about a patient's shunt when there is a problem. So, we have this sort of biased view of seeing a lot of shunt malfunction and shunt infection. Of course, we might not see the patient if their shunt is working just fine. How common are these complications in practice, and how do you as a neurosurgeon weigh the risks against the often uncertain or transient benefits of a shunt in a patient with NPH who may be older and multiple medical comorbidities? How do you think about that and talk about it with patients? Dr Chaichana: When you hear about shunt complications, most of the shunt complications you hear about are typically in patients with congenital hydrocephalus. Those patients often require several shunt revisions just from either growing or the shunt stays in for a long time or the ventricular caliber is a lot less than some with normal pressure hydrocephalus. So, we don't really see a lot of complications with normal pressure hydrocephalus. So that shunt placement in these patients is typically pretty safe. The procedure's a relatively short procedure, around 30 minutes to 45 minutes to place a shunt, and we can control the pressure within the shunt setting so that we don't overdrain---which means too much fluid drains from the ventricular system---which can cause things like a subdural, which is probably the most common complication associated with normal pressure hydrocephalus. So, to obviate those risks, what we do is typically insert the shunt and then keep the shunt setting at a high setting. The higher the setting, the less it drains, and then we bring it slowly down based on the patient's symptoms to try to minimize the risk of this over drainage in the subdural hematoma while at the same time benefiting the patient. So, there's a concern for shunt in patients with normal pressure hydrocephalus. The concern or the complication risks are very low. The problem with normal pressure hydrocephalus, though, is that over time these patients benefit less and less from drainage or their disease process takes over. So, I do recommend placing this shunt as soon as possible just so that we can maximize their quality of life for that period of time. Dr Berkowitz: So, if I'm understanding you, then the risk of complication is more sort of due to the mechanical factors in patients with congenital hydrocephalus or sort of outgrowing the shunt, their pressure dynamics may be changing over time. And in your experience, an older patient with NPH, although they may have more medical comorbidities, the procedure itself is relatively quick and low-risk. And the actual complications due to mechanical factors, my understanding, are just much less common because the patient is obviously fully grown and they're getting one sort of procedure at one point in time and tend to need less revision, have less complication. Is that right? Dr Chaichana: Yeah, that's correct. The complication risk for normal hydrocephalus is a lot less than other types of hydrocephalus. Dr Berkowitz: That's helpful to know. While we're talking about some of these complications, let's say we're following a patient in neurology with NPH who has a shunt. What are some of the symptoms and signs of shunt malfunction or shunt infection? And what are the best studies to order to evaluate for these if we're concerned about them? Dr Chaichana: Yeah. So basically, for shunt malfunction, it's basically broken down into two categories. It's either overdrainage or underdrainage. So, underdrainage is where the shunt doesn't function enough. And so basically, they return to their state before the shunt was placed. So that could be worsening gait function, memory function, urinary incontinence are the typical symptoms we look for in patients with normal pressure hydrocephalus and underdrainage, or the shunt is not working. For patients that are having overdrainage, which is draining too much, the classic sign is typically headaches when they stand up. And the reason behind that is when there's overdrainage, there's less cerebrospinal fluid in their ventricular system, which means less intracranial pressure. So that when they stand up, the pressure differential between their head and the ground is more than when they're lying down. And because of that pressure differential, they usually have worsening headaches when standing up or sitting up. The other thing are severe headaches, which would be a sign of a subdural hematoma or focality in their neurological symptoms that could point to a subdural hematoma, such as weakness, numbness, speaking problems, depending on the hemisphere. How we work this up is, regardless if you're concerned about overdrainage or underdrainage, we usually start with a CAT scan or an MRI scan. Typically, we prefer a CAT scan because it's quicker, but the CAT scan will show us if the ventricular caliber is the same and/or the placement of the proximal catheter. So, what we look for when we see that CAT scan or that MRI to see the location of the proximal catheter to make sure it hasn't changed from any previous settings. And then we see the caliber of the ventricles. If the caliber of the ventricles is smaller, that could be a sign of overdrainage. If the caliber of the ventricles are larger, it could be a sign of underdrainage. The other thing we look for are subdural fluid collections or hydromas or subdural hematomas, which would be another sign of lower endocranial pressure, which would be a sign of overdrainage. So those are the biggest signs we look for, for underdrainage and overdrainage. Other things we can look for if we're concerned of the shunt is fractured, we do a shunt X-ray and what a shunt x-ray is is x-rays of the skull, the neck and the abdomen to see the catheter to make sure it's not kinked or fractured. If you're really concerned, you can't tell from the x-ray, another scan to order is a CT of the chest and abdomen and pelvis to look at the location of the catheter to make sure there's no brakes in the catheter, there's no fluid collections on the distal portion of the catheter, which would be a sign of shunt malfunction as well. Other tests that you can do to really exclude shunt malfunction is a shunt patency test, and what that is a nuclear medicine test where radionucleotide is injected into the valve and then the radionucleotide is traced over time or imaged through time to make sure that it's draining appropriately from the valve into the distal catheter into the peritoneum or the distal site. If there's a shunt malfunction that's not drainage, that radioisotope would remain stagnant either in the valve or in the catheter. There's overdrainage, we can't really tell, but there will be a quick drainage of the radioisotope. For shunt infection, we start with an imaging just to make sure there's not a shunt malfunction, and that usually requires cerebrospinal fluid to test. The cerebrospinal fluid can come from the valve itself, or it can come from other areas like the lumbar spine. If the lumbar spine is showing signs of shunt infection, then that usually means the shunt is infected. If the valve is aspirated with- at the bedside with a butterfly needle into the valve and that shows signs of shunt infection, that also could be a sign of infection. Dr Berkowitz: That's very helpful. You mentioned CT and shunt series. One question that often comes up when obtaining neuroimaging in patients with a shunt, who have NPH or otherwise, is whether we need to call you when we're doing an MRI to reprogram the shunt before or after. Is there a way we can know as a neurologists at the bedside or as patients carry a card, like with some devices where we know whether we have to call and bother our neurosurgery colleagues to get this MRI? Or if the radiology techs ask us, is this safe? And is the patient's shunt going to get turned off? How do we go about determining this? Dr Chaichana: Yeah, so unfortunately, a lot of patients don't carry a card. We typically offer a card when we do the shunt, but that card, there's two problems with it. One is it tells the model, but the second thing is it has to be updated any time the shunt is changed to a different setting. Oftentimes patients don't know that shunt setting, and often times they don't know that company brand that they use. There are different types of shunts with different types of settings. If there's ever concern as to what type of shunt they have, an x-ray is usually the best bet to see with a shunt series, or a skull x-ray. A lateral skull x-ray usually looks at the valve, and the valve has certain radio-dense markers that indicate what type of shunt it is. And that way you can call neurosurgery and we can always tell you what the shunt setting is before the MRI is done. Problem with an MRI scan if you do it without a shunt x-ray before is that you don't know the setting before unless the patient really knows or it's in the patient chart, and the MRI can need to change the setting. It doesn't usually turn it off, but it would change the setting, which would change the fluid dynamics within their ventricular system, which could lead to overdrainage or underdrainage. So, any time a patient needs MRI imaging, whether it's even the brain MRI, a spine MRI, or even abdominal MRI, really a shunt x-ray should be done just to see the shunt setting so that it could be returned to that setting after the MRI is done. Dr Berkowitz: So, the only way to know sort of what type of shunt it would be short of the patient knowing or the patient getting care at the same hospital where the shunt was placed and looking it up in the operative reports would be a skull film. That would then tell us what type of shunt is there and then the marking of the setting. And then we would be able to call our colleagues in neurosurgery and say, this patient is getting an MRI this is the setting, this is the type of shunt. And do we need to call you afterwards to come by and reprogram it? Is that right? Dr Chaichana: That's correct, yeah. Dr Berkowitz: Is there anything we would be able to see on there, or it's best we just- best we just call you and clarify? Dr Chaichana: The easiest thing to do is, when you get the skull x-ray, you can Google different types of shunts or search for different shunts, and they'll have markers that show the type of shunt it is as well as the setting that it's at. And just match it up with the picture. Dr Berkowitz: And as long as it's not a programmable shunt, there's no concern about doing the MRI. Is that right? Dr Chaichana: Correct. So, if it's a programmable shunt, even if it's MRI-compatible, we still like to get the setting before and make sure the setting after the MRI is the same. Nonprogrammable shunts can't be changed with MRI scans, and those don't need neurosurgery after the MRI scan, but it should be confirmed before the scan is done. Dr Berkowitz: Very helpful. Okay, so let's turn to NPH specifically. As you know, there's a lot of debate in the literature, some arguing, even, NPH might not even exist, some saying it's underdiagnosed. I think. I don't know if it was last year at our American Academy of Neurology conference or certainly in recent years, there was a pro and con debate of “we are underdiagnosing NPH” versus “we are overdiagnosing NPH.” What's your perspective as a neurosurgeon? What's the perspective in neurosurgery? Is this something we're underdiagnosing, and the times you shunt these patients you see miraculous results? Is this something that we're overdiagnosing, you get a lot of patients sent to that you think maybe won't benefit from a shunt? Or is it just really hard to say and some patients have shunt-responsive noncommunicating hydrocephalus of unclear etiology and either concurrent Parkinson's disease, Alzheimer's, cervical lumbar stenosis, neuropathy, vestibular problems, and all these other issues that play into multifactorial gait to sort of display a certain amount of the percentage of problem in a given patient or take overtime? What's your perspective if you're open to sharing it, or what's the perspective of neurosurgery? Is this debated as it is in neurology or this is just a standard thing you see and patients respond to shunt to some degree in some proportion of the time? And what are the sort of predictors you see in your experience? Dr Chaichana: Yeah, so, for me, I'd say it's too complicated for a neurosurgeon to evaluate. We rely on neurology to tell us whether or not they need a shunt. But I think the problem is, obviously, a part of the workout for at least the ones that I like to do, is that I want them to have a high-volume lumbar puncture with pre- and postgait analysis to see if there's really an objective measure of them improving. If they have an objective measure of improvement---and what's even better is that they have a subjective measure of improvement on top of the objective measure of improvement---then they benefit from a shunt. The problem is, some patients do benefit even though they don't have objective performance increases after a high-volume shunt. And those are the ones that make me the most worrisome to do the shunt, just because I don't like to do a procedure where there's no benefit for the patient. I do see, according to the literature as well, that there's around a 30 to 40%, even 50%, increase in gait function, even in patients that don't have large improvements following the high-volume lumbar puncture. And those are the most challenging patients for us as neurosurgeons because we'll put the shunt in, they say we're no better in terms of their gait, no better in terms of their urinary incontinence. We try to lower their shunt down to a certain setting and we're kind of stuck after that point. The good thing about NPH, though, is that, from the neurosurgery side, the shunt, like I said, is a pretty benign, low-risk procedure. So, we're not putting the patient through a very severe procedure to see if there's any benefit. So, in cases where we try to improve their quality of life in patients that don't have a benefit from high-volume lumbar puncture, we give them the odds of whether or not it's improving and say it might not improve. But because the procedure's minimally invasive, I think it's a good way to see if we can benefit their quality of life. Dr Berkowitz: Yeah, it's a very helpful perspective. Yeah, those are the most challenging cases on our side as well, right. If the patient- we think they may have NPH, or their gait and/or urinary and/or cognitive problems are- at least have a component of NPH that could be reversible, we certainly want to do the large volume lumbar puncture and/or consider a lumbar drain trial, all discussed in other articles and interviews for this issue of Continuum, But the really tough ones, as you said, there is this literature on patients who don't respond to the large-volume lumbar puncture for some reason but still may be shunt responsive. And despite all the imaging predictors and all the other ways we try to think about this, it's hard to know who's going to benefit. I think that's really a helpful perspective from your end that, as you say in the very beginning of your article, right, maybe there's a little bit too much fear of shunting on the neurology side because when we hear about shunts, it's often in the setting of complication. And so, we're not sort of getting the full spectrum of all the patients you shunt and you see who are doing just fine. They might not improve---the question is related to NPH---but at least they're not harmed by the shunt, and we're maybe overbiased and/or seeing a overly representative sample of negative shunt outcomes when they're actually not that common in practice. Is that a fair summary of your perspective? Dr Chaichana: Yeah, that's correct. So, I mean, complications can occur---and anytime you do a surgery, there are risks of complications---but I think they're relatively low for the benefit that we can help their quality of life. And the procedure's pretty short. So, the risk, it mostly outweighs the benefits in cases with normal pressure hydrocephalus. Dr Berkowitz: Very helpful perspective. So, well, thanks so much again. Today I've been interviewing Dr Kaisorn Chaichana about his article on management of normal pressure hydrocephalus, which he wrote with Dr Jeremy Cutsforth-Gregory. This article appears in the most recent issue of Continuum on disorders of CSF dynamics. Be sure to check out Continuum Audio episodes from this and other issues, and thank you to our listeners for joining us today. Dr Monteith: This is Dr Teshamae Monteith, Associate Editor of Continuum Audio. If you've enjoyed this episode, you'll love the journal, which is full of in-depth and clinically relevant information important for neurology practitioners. Use the link in the episode notes to learn more and subscribe. AAN members, you can get CME for listening to this interview by completing the evaluation at continpub.com/audioCME. Thank you for listening to Continuum Audio.
Discussion Highlights:Building Schengen: Origins in the Coal and Steel Community (1952), the Treaty of Rome (1958), and the Schengen Agreement (1995), creating 16,000 km of invisible internal borders through a single market and shared enforcement mechanisms.Asylum strains: Germany and Austria have received over half of all EU asylum seekers during the Syrian and Ukrainian crises, revealing the breakdown of the Dublin allocation rules under free movement.Humanitarian crisis at the external border: Approximately 30,000 people have died attempting Mediterranean crossings in the last decade, underscoring the need to address smuggler-driven journeys.EU–Turkey precedent: The 2016 agreement cut irregular crossings from about 1 million to 30,000 and deaths from 1,100 to 80 within a year, demonstrating the efficacy of safe-third-country arrangements.Safe-third-country proposals: Knaus calls for similar pacts with West African states to deter Canary Islands crossings, coupled with procedural guarantees under international law.Regular migration frameworks: Expansion of refugee resettlement and labour migration via planned pathways—in the style of Canada or Australia—to meet workforce needs and reduce reliance on smugglers.European deterrence: With U.S. reliability in doubt, Europe must bolster its own deterrent capacity—including possibilities such as a German nuclear option—and integrate frontline democracies.EU enlargement: A clear, merit-based accession roadmap for Ukraine, Moldova, and Western Balkan candidates is essential to reinforce democracy, security, and prosperity.Engaging the next generation: Francesca Knaus highlights a gap in how Europe's peace “miracle,” the lived threat of modern warfare, and climate urgency are communicated to younger Europeans.About Gerald KnausGerald Knaus is an Austrian social scientist and co-founder and chairman of the European Stability Initiative (ESI), which he helped establish in Sarajevo in June 1999. An alumni of the University of Oxford, the Institut d'Études Européennes in Brussels, and the Johns Hopkins University Bologna Center, Knaus taught macroeconomics at the State University of Chernivtsi in Ukraine, worked for NGOs and international organisations in Bulgaria and Bosnia-Herzegovina and directed the Lessons Learned and Analysis Unit of the EU pillar of UNMIK in Kosovo. He is a founding member of the European Council on Foreign Relations and served as an Associate Fellow at the Carr Center for Human Rights Policy at Harvard Kennedy School. Knaus was a Mercator-IPC Senior Fellow in Istanbul and a Europe's Futures Fellow at the IWM here in Vienna.Knaus co-initiated and co-negotiated the 2016 EU–Turkey migration statement, authored Can Intervention Work? (2011) and Welche Grenzen brauchen wir? and received the Karl Carstens Award in 2021. He lives in Berlin. Further Reading & ResourcesEuropean Stability Initiative profile: https://www.esiweb.org/esi-staff/gerald-knausRumeli Observer blog: https://www.esiweb.org/rumeliobserverPiper Verlag author page: https://www.piper.de/autoren/gerald-knaus-6417Twitter: https://twitter.com/rumeliobserverGerald and Francesca Knaus's new book, Welches Europa Bracuhen Wir? is available to pre-order from amazon.de and will be published at the end of August 2025. Ivan Vejvoda is Head of the Europe's Futures program at the Institute for Human Sciences (IWM Vienna) implemented in partnership with ERSTE Foundation. The program is dedicated to the cultivation of knowledge and the generation of ideas addressing pivotal challenges confronting Europe and the European Union: nexus of borders and migration, deterioration in rule of law and democracy and European Union's enlargement prospects.The Institute for Human Sciences is an institute of advanced studies in the humanities and social sciences. Founded as a place of encounter in 1982 by a young Polish philosopher, Krzysztof Michalski, and two German colleagues in neutral Austria, its initial mission was to create a meeting place for dissenting thinkers of Eastern Europe and prominent scholars from the West.Since then it has promoted intellectual exchange across disciplines, between academia and society, and among regions that now embrace the Global South and North. The IWM is an independent and non-partisan institution, and proudly so. All of our fellows, visiting and permanent, pursue their own research in an environment designed to enrich their work and to render it more accessible within and beyond academia.For further information about the Institute:https://www.iwm.at/
Send us a textWe often take our existence for granted, getting caught up in fears about the past and future instead of enjoying the present moment. Learning to be truly present means recognizing that very few things drag us away from the now except our own thoughts.• Presence isn't just being physically in a room but mentally being in the now• Overthinking is trying to read the future while dwelling drags the past with us• We can learn from the past through trust, not by shielding or forcing• Ask yourself: if tomorrow was your last day, would you say you truly lived?• Living differently is what healing is about - making changes rather than repeating patterns• Approximately 90% of our problems are just our thoughts about how serious something is• Nothing is as serious as we make it out to be - even the serious stuffIf you think this episode would be helpful, forward it to someone who might need to hear it today. You can DM me at thecompletioncoach or email wendy@thecompletioncoach.co.ukIf you've enjoyed this episode, please leave me a review and subscribe! And if you want to learn more from me, come and say hello on Instagram @thecompletioncoach or via email at wendy@thecompletioncoach.co.uk or find out more about working with me on my website, thecompletioncoach.co.uk.
Approximately 40% of men older than 50 have urinary frequency or urgency that affects their quality of life. Author John T. Wei, MD, MS, of the University of Michigan Department of Urology and JAMA Deputy Editor Mary M. McDermott, MD, discuss diagnosis and management of these symptoms in older men. Related Content: Lower Urinary Tract Symptoms in Men
Listen to today's podcast... Approximately 1 in 5 seniors say that they are lonely. People can become lonely for any number of reasons, regardless of their age. Some people are lonely because they don't feel like they fit in, while others may become lonely after the death of a loved one. Other people might just suffer from an illness that doesn't allow them to see many people. When my boys were little, they were blessed to have 3 sets of grandparents and 3 sets of great-grandparents. Life was busy with two little ones, but we made it a point of visiting each of the great grandparents. Sometimes the boys would complain, and we would have to explain that not everyone's lives were busy like ours. Grandmas and Grandpas loved us and looked forward to us visiting. It made them happy. It doesn't take much to cheer up the lonely and make a difference. Take One Action Today To Build Your #Resiliency! Here are today's Tips For Building Resiliency and Celebrating Cheer Up The Lonely Day: Let your friend or family member know that you are thinking about them. Send them a message, call them on the phone, or go for a visit. We need physical contact, but giving a hug may not be appropriate at this time. Did you know that giving 5 people a hug every day can lower your own stress level by 25%. Look for other ways to get connected. Ask what they need. It's ok to ask. And if they are not sure, let them know that you are there when they need you. If you like today's wellness tips, let me know. You can leave me a review on amazon or through your #alexa app. Discover how to take small steps towards a healthier, happier, less-stressed you by visiting my website at worksmartlivesmart.com #mentalhealth #hr
We'll be turning our attention to Mark chapter six today, where we see the heart of God and some valuable principles that can help us as we set out to serve God. Approximately fifteen to twenty five thousand hungry people, and just five loaves and two fish. The disciples of Christ saw this as a problem, but Jesus saw it as an opportunity.
How to talk to those affected by misinformation. Dealing with the consequences of those affected by misinformation Conspiracy theorists tend to operate in polarised echo chambers, closing them off to other source. Approximately 25% of the population are susceptible to conspiratorial ideation, something many of us realised during the pandemic in family Whatsapp Groups.Speaking to Ivan this morning was Dr David Robert Grimes, Author and disinformation expert .
The Automotive Troublemaker w/ Paul J Daly and Kyle Mountsier
Shoot us a Text.Happy July 4th! Today, Chris Reeves joins Paul and Kyle to celebrating the most amazing industry in the most amazing country in the world.Here's some fun facts about this July 4th:72.2 million Americans are expected to travel 50+ miles from home between June 28 and July 6, marking a new record. 61.6 million will travel by car, making it the busiest Independence Day on the roads. 5.84 million air travelers are anticipated, with domestic airfare averaging $260 round trip—the lowest in four years. A 10-person cookout now averages $99, the highest on record, with beverages and meats comprising 64% of the total costTotal fireworks revenue is estimated at $2.3 billion in 2025, with consumer sales at $1.6 billion and professional displays at $700 million. Approximately 285 million pounds of fireworks are expected to be consumed, with 95% imported from China.Plus Chris brings a people-focused story to the show today:American teacher Mark Fogel was arrested in Russia 3 years ago, and released in February this year.Shults Ford and Dealer Richard Bazzy in Pittsburgh gifted Mark a brand-new F-150 as a celebration of him coming home.Join Paul J Daly and Kyle Mountsier every morning for the Automotive State of the Union podcast as they connect the dots across car dealerships, retail trends, emerging tech like AI, and cultural shifts—bringing clarity, speed, and people-first insight to automotive leaders navigating a rapidly changing industry.Get the Daily Push Back email at https://www.asotu.com/ JOIN the conversation on LinkedIn at: https://www.linkedin.com/company/asotu/
jQuery(document).ready(function(){ cab.clickify(); }); Original Podcast with clickable words : Contact: irishlingos@gmail.com €31 million worth of cocaine seized in west Cork. Luach €31 milliún de chócaon faighte in iarthar Chorcaí. Gardaí have arrested four men over a large haul of drugs found in Co. Cork this morning. Tá ceathrar fear gafa ag na Gardaí faoi lear mór drugaí a fuarthas i gCo Chorcaí ar maidin inniu. Approximately €31 million worth of cocaine was seized when Gardaí stopped a van in the Courtmacross area of the west of the county. Fuarthas luach thart ar €31 milliún de chócaon nuair a stop na Gardaí veain i gceantar Chúirt Mhic Shéafraidh in iarthar an chontae. Two men in their thirties and forties were arrested on the member and are being held at a Garda station in Co. Cork. Gabhadh beirt fhear sna tríochaidí agus sna daichidí ar an mball agus tá siad faoi choinneáil i stáisiún Gardaí i gCo Chorcaí. The other two men were caught on a rigid inflatable boat off the coast of Waterford. Gbhadh an bheirt fhear eile ar bhád righin inséidte amach ó chósta Phort Láirge. Those two are also in their thirties and forties. Sna tríochaidí agus sna daichidí atá an bheirt sin freisin. In a statement, the Gardaí said that customs officers, the Naval Service, the Air Corps and members of the local Garda Síochána were involved in the operation. I ráiteas, dúirt na Gardaí go raibh oifigigh chustaim, an tSeirbhís Chabhlaigh, an tAerchór agus comhaltaí den Gharda Síochána áitiúil páirteach sa bheart. RTÉ News and Current Affairs Nuacht agus Cúrsaí Reatha RTÉ
N Engl J Med 2004;351:2049-2057Background: Endothelial dysfunction, reduced nitric oxide availability, and increased oxidative stress occur in patients with heart failure and contribute to cardiac remodeling. In the V-HeFT I trial, combining isosorbide dinitrate (a nitric oxide donor) with hydralazine (an antioxidant) improved outcomes in patients with systolic heart failure. However, its long-term effectiveness in patients already receiving neurohormonal blockade was unclear.Cardiology Trial's Substack is a reader-supported publication. To receive new posts and support our work, consider becoming a free or paid subscriber.Racial differences exist in heart failure prevalence, mechanisms, and outcomes. Patients who identify as Black may have a less active renin–angiotensin system and lower nitric oxide availability. Prior analyses suggested that Black patients respond well to isosorbide dinitrate + hydralazine and respond less to Angiotensin Converting Enzyme Inhibitors (ACEi). For example, in a subgroup analysis of the V-HeFT I trial, isosorbide dinitrate + hydralazine reduced mortality in Black but not White patients.The African-American Heart Failure Trial (A-HeFT) sought to assess the efficacy of isosorbide dinitrate + hydralazine in Black patients with systolic heart failure.Patients: Patients were eligible if they self-identified as Black (defined as African decent), and had NYHA class III or IV heart failure for at least 3 months. The left ventricular ejection fraction had to be 35% or less or less than 45% if the ventricle was dilated. In addition, patients had to be on guideline medical therapy for at least 3 months.Patients were excluded if they had acute coronary syndrome or stroke within 3 months, cardiac surgery or percutaneous coronary intervention within 3 months, significant valvular disease, hypertrophic or restrictive cardiomyopathy plus many others.Baseline characteristics: Patients were recruited from 161 centers in the United States. The trial randomized 1,050 patients – 518 randomized to receive isosorbide dinitrate + hydralazine and 532 to receive placebo.The average age of patients was 57 years and 60% were men. The average left ventricular ejection fraction was 24% and the average left ventricular internal diastolic diameter was 6.5 cm. The cause of cardiomyopathy was ischemic in 23% of the patients, hypertensive in 39%, idiopathic in 26%, and other causes constituted the rest. The NYHA class was III in 96% of the patients. The average systolic blood pressure was 126 mm Hg.Approximately 40% had diabetes, 17% had chronic kidney disease and 17% had atrial fibrillation.At the time of enrollment, 90% were taking a diuretic, 69% were taking an ACEi, 17% were taking an angiotensin receptor blocker, 74% were taking a beta-blocker, 39% were taking spironolactone and 60% were taking digoxin.Procedures: The trial was double-blinded. Patients were randomized in a 1:1 ratio to receive fixed-dose combination of isosorbide dinitrate + hydralazine or to receive placebo. The initial dose was one tablet taken three times daily, containing either placebo or a combination of 37.5 mg of hydralazine and 20 mg of isosorbide dinitrate. If no side effects, the dose was increased to two tablets three times a day.Patients had follow up by phone every month and clinic visits every 3 months.Endpoints: The primary endpoint was a composite of weighted values of all-cause mortality, first hospitalization for heart failure within 18 months, and change in quality of life at 6 months. Quality of life was assessed using the Minnesota Living with Heart Failure Questionnaire, a 21-question self-administered questionnaire in which scores range from 0 to 5, with higher scores reflecting worse quality of life.The table below summarizes how the weighted score for the primary outcome was calculated.Analysis was performed based on the intention to treat principle. The main manuscript did not mention the estimated number of events for sample size calculation but did mention that 1,100 patients would provide sufficient power with a p
Darryl Anka Channeling Bashar - Join the Sixth Hybrid Race AwakeningDarryl Anka is an American spiritual medium and filmmaker best known for channeling an entity named Bashar. According to Anka, Bashar is an extraterrestrial being from the planet Essassani, located approximately 500 light-years away in the direction of the Orion constellation. Anka describes Bashar as existing in a parallel reality and time frame that we perceive as the future. (Reddit, rationalwiki.org)Anka's journey into channeling began after he reported witnessing two daylight UFO sightings in the 1970s. These experiences led him to explore UFO phenomena and the paranormal. Approximately ten years later, he attended a channeling class, during which he claims to have received a telepathic message from Bashar. This experience prompted him to begin channeling Bashar, a practice he has continued since the 1980s. (rationalwiki.org, bashar.org)Through Anka, Bashar conveys teachings that focus on personal empowerment and the nature of reality. Key concepts include the idea that all possible realities exist simultaneously and that individuals can shift between these realities by changing their beliefs and attitudes. Bashar emphasizes the importance of acting on one's highest excitement without attachment to specific outcomes, suggesting this approach aligns individuals with their true purpose.Anka has shared Bashar's messages through various mediums, including live seminars, books, and documentaries. One notable documentary is "First Contact," which explores Anka's experiences and the messages conveyed by Bashar. While Anka's work has garnered a following, it has also faced skepticism. Critics question the veracity of his claims and the authenticity of channeling extraterrestrial entities. Nonetheless, Anka continues to share Bashar's teachings, focusing on themes of self-empowerment and the exploration of consciousness.
The Michael Yardney Podcast | Property Investment, Success & Money
Did you know that for the first 15 years of your mortgage, you're working mostly for the taxman, not your future wealth? It's a startling claim, but one backed by data from the Housing Industry Association — and it sheds new light on why housing affordability is getting worse, not better. Today, I'm joined by Tim Reardon, Chief Economist at the HIA, to unpack this extraordinary insight. We explore how government taxes and regulatory charges are silently front-loading the cost of home ownership, inflating house prices, and burdening Aussie families before they've even laid a brick. And while there's some good news on the horizon — with interest rate cuts expected to drive a recovery in home building — the longer-term challenges are immense. Think taxes, planning bottlenecks, and a construction industry on its knees due to chronic underbuilding and workforce shortages. Whether you're a property investor, homeowner, or policymaker, this conversation will leave you thinking differently about the hidden forces shaping the housing market — and why just building more homes won't be enough. Takeaways · The first 15 years of mortgage repayments primarily cover taxes. · Approximately 50% of the cost of a new house is attributed to taxes and fees. · Government policies significantly impact housing supply and affordability. · Subsidizing first home buyers does not address the root causes of housing unaffordability. · The 1.2 million homes initiative requires substantial policy changes to succeed. · Foreign investment is crucial for increasing housing supply. · Build-to-rent projects are not currently providing affordable housing options. · Interest rates directly influence the volume of new home building. · Labor availability is a significant challenge for the construction industry. · Policy reforms are necessary to improve housing supply and affordability. Chapters 01:12 Understanding Mortgage Repayments and Taxes 04:54 Challenges in Housing Supply and Infrastructure 09:00 Government Schemes and Their Limitations 10:39 The 1.2 Million Homes Initiative 14:41 The Future of Build-to-Rent Projects 17:01 Market Dynamics and Housing Affordability 20:27 Structural Challenges in the Housing Industry 23:18 Conclusion and Future Outlook Links and Resources: Answer this week's trivia question here- www.PropertyTrivia.com.au · Win a hard copy of How to Grow a Multi-Million Dollar Property Portfolio – in your spare time. · Everyone wins a copy of a fully updated property report – What's ahead for property for 2025 and beyond Get the team at Metropole to help build your personal Strategic Property Plan Click here and have a chat with us Michael Yardney – Subscribe to my Property Update newsletter here Tim Reardon HIA Chief Economist Get a bundle of eBooks and Reports at www.PodcastBonus.com.au Also, please subscribe to my other podcast Demographics Decoded with Simon Kuestenmacher – just look for Demographics Decoded wherever you are listening to this podcast and subscribe so each week we can unveil the trends shaping your future.
On this episode Bryn talks to film maker and campaigner Barak Laub about his documentary Volunteers Needed and the discovery he made when travelling Nepal. Approximately 80% of children in orphanages have at least one living parent, so why, in some parts of the world, are orphan numbers dropping whilst orphanages are increasing in number? Is it possible that well-meaning travellers looking to volunteer in an orphanage are actually part of the problem? Find our more about Barak and his campaign at: https://www.volunteersneededthefilm.com/ This podcast was produced by Blue Bear Coffee Co. and narrated by Bryn Frere-Smith. Follow us at: @bluebearcoffeeco @brynfreresmith Books referred to in the Pod: The Jungle - Upton Sinclair Bad Aid - Dambisa Moyo Where Helping Hurts - Steve Corbett & Brian Fikkert Theme tune, Spotless Rose by Matt Tinsley
Hi This is Brad Weisman - Click Here to Send Me a Text MessageZach Tsakiris, founder of FastWill.com, explains how his online platform makes creating wills and trusts accessible and affordable compared to traditional legal services that often overcharge for basic estate planning documents.• Approximately 60% of Americans don't have wills, leaving critical decisions about children, assets, and healthcare to the government • Without a will or trust, the state decides who raises your children and how assets are distributed when you die• Revocable living trusts aren't just for the wealthy - they help bypass probate court and offer more control• Estate planning includes customizable options for pets, social media accounts, and even funeral song selections• Remote notarization ensures documents can't be disputed and eliminates the need to visit a bank• Users can store documents digitally, make updates as life changes, and access a nationwide network of attorneys• FastWill also offers a B2B platform for financial advisors to provide estate planning services to clientsVisit FastWill.com today to create, sign and notarize your estate planning documents from home.#fastwills #trusts #wills #estateplanning #thebradweismanshow ---Welcome to The Brad Weisman Show, where we dive into the world of real estate, real life, and everything in between with your host, Brad Weisman!
I was invited to participate in a job search panel at St. Xavier University along with James Miller (who coordinated the event), Lauren Milligan, Nathan Peck, and Dr. Vincent Alexander Davis. Approximately 30-40 students attended and asked questions in areas such as resumes, career changes, job scams, networking, and other related topics listed below. This […]
Last time we spoke about the victory at Okinawa.. As American forces led by General Buckner advanced, they captured strategic key points, driving the Japanese into a desperate retreat. Despite overwhelming odds, the remaining Japanese defenders, embodying the samurai spirit, fought to the bitter end, hoping to gain time for their homeland's defenses. On June 21, faced with inevitable defeat, Generals Ushijima and Cho chose to commit seppuku in honor of their duty. Their tragic decision underscored the deep commitment to their cause, an adherence to the warrior code. By this point, countless Japanese soldiers surrendered, acknowledging the futility of their fight. As the month drew to a close, the Americans secured Okinawa, a hard-won victory shadowed by staggering casualties, more than 107,000 Japanese lives lost and significant American losses. This battle not only symbolized the relentless spirit of those who fought but also the tragic costs of war, forever etched in history as a vivid reminder of sacrifice and the haunting price of conflict. This episode is Liberation of Luzon Welcome to the Pacific War Podcast Week by Week, I am your dutiful host Craig Watson. But, before we start I want to also remind you this podcast is only made possible through the efforts of Kings and Generals over at Youtube. Perhaps you want to learn more about world war two? Kings and Generals have an assortment of episodes on world war two and much more so go give them a look over on Youtube. So please subscribe to Kings and Generals over at Youtube and to continue helping us produce this content please check out www.patreon.com/kingsandgenerals. If you are still hungry for some more history related content, over on my channel, the Pacific War Channel you can find a few videos all the way from the Opium Wars of the 1800's until the end of the Pacific War in 1945. For most, the battle of Okinawa basically ends the Pacific War, but the truth is the war was raging all over the place. The second most noticeable place would be Luzon, where the remnants of General Yamashit'as 14th Area Army were still resisting in the northern and eastern mountain ranges. Yet here too, the curtains were beginning to fall. As we last left off, it was mid-April 1945, and the fierce struggle for the liberation of Luzon was reaching a critical phase. General Eichelberger's 8th Army was actively engaged in offensives across the Visayas and Mindanao, while General Krueger's 6th Army focused its might on two primary sectors in Luzon. The stakes were high, the liberation of Luzon was crucial for securing Manila and restoring the Filipino government that had been disrupted by the war. In the northern sector, General Swift's 1st Corps was grappling with General Yamashita's formidable Shobu Group, who were entrenched in this mountainous terrain, making the fighting particularly arduous. Meanwhile, General Hall's 11th Corps was applying relentless pressure on the opposing Shimbu Group, led by General Yokoyama, in the vital areas east of Manila. Starting in the northern reaches of Luzon, we find General Clarkson's 33rd Division making tangible advances, having secured Route 11 up to Camp 3, as well as segments of the Galiano Road and the Tuba Trail. This area, known for its treacherous paths and thick jungle, posed significant challenges, but the troops pressed on. Northward, General Beightler's 37th Division was also on the move, with its 129th Regiment overcoming all enemy resistance along Route 9, reaching the critical town of Sablan by April 14. Not to be overlooked, Colonel Volckmann's guerrilla 121st Regiment had carved a path up Route 4 to the strategically important Bessang Pass, known for its rugged terrain that offers a natural defense. General Mullins' 25th Division was making notable progress towards Balete Pass, gaining crucial footholds on Crump Hill and Myoko Ridge. These positions were essential as they provided elevated vantage points over the surrounding valleys. On the western front, General Gill's 32nd Division had successfully secured the western Salacsac Pass but still faced stiff enemy positions in the eastern pass, where Japanese forces were well-prepared to defend. With the arrival of the bulk of the 37th Division in early April, Swift was poised to launch a dynamic two-division drive towards Baguio, a city nestled in the mountains that had become a strategic goal due to its position and resources. While Clarkson's units continued to engage in patrol actions in the Arboredo, Agno, and Ambayabang River valleys, there was limited progress in these areas. However, the 129th Regiment initiated a decisive attack on Sablan on April 11, successfully breaching Japanese defenses there by April 14. On that pivotal day, the 148th Regiment took charge of securing Route 9 through Calot, a vital corridor for advancing troops. Meanwhile, the 130th Regiment encountered fierce resistance as it pushed west of Asin along the Galiano Road, exemplifying the tenacity of Japanese forces determined to hold their ground. As the battle raged, General Yamashita was already strategizing to evacuate Baguio. By April 19, he made the decision to relocate to the Bambang front, leaving Major-General Utsunomiya Naokata, one of his trusted chiefs of staff, in command of the remaining forces. Despite the growing pressure on Route 9, the Japanese command seemed out of touch by the second week of April 1945. They inaccurately assessed that the primary thrust of General Swift's 1st Corps would come along Route 11, allowing them to become complacent. This misplaced confidence led to a failure to redeploy troops to counter the increasing threat on their right flank. Instead of fortifying their defenses, they appeared to adopt an inexplicable, almost defeatist attitude, unusual for a military as disciplined as the Imperial Japanese Army. Compounding this lack of urgency was the intense effort from the 14th Area Army headquarters to evacuate civilians and supplies from Baguio, a city perched high in the Cordillera Central mountain range. This evacuation served as a clear signal that the situation was deteriorating, yet the Japanese command remained strangely passive. Yamashita's mindset regarding the unfolding crisis was evident when he made personal preparations to depart for the Bambang front on April 19. In a move echoing his earlier strategy for the Bambang area, he established an independent command for the Baguio front before his departure. Utsunomiya's responsibilities also included nominal command over the 19th Division, stationed north of Baguio, but his control was hampered by significant communication difficulties that plagued the Japanese forces. The first notable action Utsunomiya took was to relieve the 58th Independent Mixed Brigade from the 23rd Division's control, seeking to streamline command. Under Yamashita's directive to hold Baguio for as long as possible before retreating to a new defensive line, Utsunomiya issued an order for all troops along the existing Main Line of Resistance "hold out to the last man." His tone betrayed the grim reality, coming across as almost ironic given the mounting pressures they faced. Meanwhile, General Sato's 58th Independent Mixed Brigade was frantically working to fortify defenses along Route 9, southeast of Calot. However, their efforts came too late to prevent the 148th Regiment from swiftly capturing Yagyagan on April 15, gaining a crucial foothold in the area. In response to this setback, Sato began sending reinforcements to the Irisan Gorge starting April 16, apparently under Utsunomiya's orders. This narrow, treacherous gorge, surrounded by steep cliffs, was seen as a pivotal point for a last-ditch defense. The Japanese troops managed to repel the initial assaults from the 148th Regiment on April 17, but as night fell, the Americans executed a series of enveloping maneuvers, ultimately securing Ridge A. The following morning, the 148th seized Ridge C; however, their frontal assaults against Ridge B were met with fierce resistance and ended in failure. On April 19, the tide began to turn. After a devastating air strike and concentrated artillery fire that neutralized most of the Japanese positions on Ridge F, the Americans finally captured Ridge B. Concurrently, other American units seized Hills D and E, effectively cutting off the Japanese retreat route. The relentless pressure continued, and the next day, Ridges F and G were subjected to intense attacks, which ultimately resulted in their capture. This relentless campaign forced the Japanese to withdraw to Ridge H, where they continued to regroup. After heavy bombardment, the Irisan Gorge was finally cleared on April 21, sending the surviving defenders scrambling in retreat. As these operations unfolded, the 130th Regiment was busy repositioning two battalions from the Galiano Road to the junction of the Yagyagan Trail along Route 9, poised to mount a coordinated attack on Asin from both the east and west. On April 22, they launched their offensive, catching the Japanese defenders by surprise and effectively dismantling their defenses. By the afternoon of April 23, the Galiano Road was opened for American forces, marking a significant advancement in their campaign. Concurrently, the 129th Regiment had taken over operations from the 148th Regiment and advanced against only scattered resistance, making significant progress as far southeast as the junction of the highway and the Galiano Road. However, their advance was ultimately halted due to concerns about a potential threat from the north. Seizing on this hesitation, General Utsunomiya decided to leave small delaying forces at Trinidad and Baguio, while initiating a general withdrawal to the north and northeast. With Utsunomiya's defensive lines weakened, American patrols were able to enter Baguio on April 24, met with surprisingly little resistance. By April 26, the 129th had effectively secured most of the city, facing only negligible opposition. Simultaneously, elements from the 123rd and 130th Regiments worked diligently to eliminate the remaining Japanese defenses on nearby Mount Calugong, along the Tuba Trail, and on Mount Mirador, ensuring the area was cleared for further American operations. Despite these American successes, Utsunomiya managed to escape with approximately 10,000 troops to the Baguio-Aritao supply road, a crucial evacuation route for Japanese forces. As the end of April approached and into the first days of May, the 37th Division continued to mop up the surrounding areas, further securing Trinidad. Meanwhile, the 33rd Division also pressed forward, capturing the Balinguay-Itogon-Pitican sector, enhancing their control over the region. Looking eastward, General Gill's demoralized 32nd Division was still engaged in fierce fighting through the Salacsac Pass, hampered in their advance along the Villa Verde Trail. During the second week of April 1945, observers from the 6th Army headquarters reported alarming morale issues within the 32nd Division, echoing concerns that General Krueger had personally noted during previous visits to the front lines. The soldiers of the 126th and 128th Regiments were on the brink of complete mental and physical exhaustion. Front-line troops, many of whom had spent significant time overseas, were becoming overly cautious, possibly from the toll of constant combat. Conversations among the men frequently centered around one urgent topic: their rotation back to the United States. The once aggressive spirit characteristic of these combat troops was waning rapidly. With dwindling numbers and pervasive personnel issues, it was clear that the division would struggle to mount any spectacular gains in the coming days. If they couldn't quicken their pace along the critical Villa Verde Trail, reaching their objective, Santa Fe, by the targeted date of June 1 appeared increasingly unlikely. Delays would be catastrophic; they risked being trapped on the trail by the heavy rains of the impending wet season, which typically began in late May. Such circumstances would severely hinder their ability to withdraw and salvage their equipment from the treacherous mountainous terrain. Meanwhile, the Japanese forces retained key terrain advantages, allowing them to economically utilize their troops and reinforce their front lines almost at will. In stark contrast, the rugged landscape severely restricted the 32nd Division's maneuverability, forcing them to repeatedly launch costly frontal assaults with their diminishing strength. While terrain and weather conditions presented significant challenges, the growing personnel crisis loomed as a critical factor likely to further limit the division's progress in the days ahead. Compounding their challenges, General Iwanaka's reconstituted 2nd Tank Division had suffered heavy casualties, leaving General Konuma unable to provide further reinforcements. On April 17, the rested 127th Regiment finally began its move to relieve the beleaguered 128th Regiment at the western pass, launching operations to clear the last remnants of Japanese forces from the Hill 506-507 area. Although Hill 506B fell rapidly on April 19, and Hill 507C was captured three days later, American forces struggled to completely clear Hill 507D until May 2, underscoring the tenacity of the Japanese defenders. Despite the challenges, enough ground had been cleared by April 26 for the 2nd Battalion to initiate a drive east along and south of the Villa Verde Trail, aiming for the strategically important Hill 508. The Japanese forces, sensing this new threat, responded with fierce counterattacks from both the east and north, managing to delay the American capture of Hill 508 until April 29. The intense fighting illustrated the importance of this elevation, which offered vital visibility over the surrounding landscapes. In the days that followed, the 2nd Battalion expanded its control over Hill 508, establishing a defensive block on the Villa Verde Trail to the north while successfully repelling a series of heavy Japanese counterattacks. Meanwhile, the 3rd Battalion made significant strides by attacking and capturing Hill 509, further consolidating American positions in the area. Simultaneously, the 2nd Battalion of the 126th Regiment launched an offensive south from Hill 511, seizing Hill 515 on April 24. They advanced into the area north of Hill 508 while the 1st Battalion navigated through the rugged terrain of Hills 513 and 514, pressing southward to Hill 516. Their advance culminated in the capture of the crest of Hill 525, where they established a critical block on the Villa Verde Trail. However, the cost of these advances was significant. Due to the heavy losses incurred during these operations, the barely rested 128th Regiment began the process of relieving the exhausted 126th on May 3. Shortly after, the 128th's 2nd Battalion launched an assault southeast, successfully capturing Hill 526 on May 7, while some elements initiated a drive towards Hill 527. To the further east, General Mullins' 25th Division was persistently pushing its Santa Fe offensive against stubborn Japanese resistance. In a stroke of fortune, a successful aerial reconnaissance mission revealed that ground located just 1,000 yards west of their position might offer a more favorable route of advance to Balete Ridge, providing a welcome alternative to the challenging Myoko mass itself. On April 22, a reconnaissance force from the 27th Regiment successfully moved undetected to the southern slope of Balete Ridge, positioning themselves for a critical advance. The following day, the rest of the 2nd Battalion began to push toward Lone Tree Hill, while other units continued to exert pressure on the entrenched Japanese defenses at Myoko. Moving forward with enthusiasm and encountering negligible resistance, the Americans reached Lone Tree Hill on April 25, effectively bypassing the main concentrations of enemy forces. By April 27, the 2nd Battalion had advanced an impressive half mile beyond Lone Tree Hill, with its forward elements only three-quarters of a mile from Balete Pass. However, they were compelled to halt their advance due to the potential threat of an enemy counterattack looming on the horizon. Meanwhile, on April 23, the 35th Regiment began its ascent up Kapintalan Ridge, steadily making progress despite the challenging terrain. By April 27, their leading troops had reached a prominent knob located midway between Route 5 and Lone Tree Hill. The 161st Regiment was also making strides, continuing its attack northward towards Kembu Ridge, where they successfully secured Hill 4625 and the entirety of Highley Ridge by April 28. On that same day, the 27th Regiment began reinforcing their positions on Lone Tree Hill, while elements of the 2nd Battalion initiated a southwest push along Kapintalan Ridge to support the 35th Regiment advancing up Route 5. However, they encountered a formidable strongpoint and were only able to gain 350 yards of new ground northeast from the knob. Simultaneously, elements of the 27th Regiment advanced a modest 500 yards southwest by May 4, indicating the ongoing struggle. That morning, the 1st Battalion of the 161st Regiment seized the southeastern nose of Kembu Ridge, securing a valuable tactical position. At the same time, the 2nd Battalion pushed troops onto the ridge, extending their reach half a mile to the northwest, further consolidating American control in the area. As a breakthrough appeared imminent, General Krueger began dispatching Beightler's 37th Division to the Bambang front on May 2, with all elements of the division departing the Baguio area just three days later. With these reinforcements securing his rear and taking control of the Myoko massif, General Mullins ordered the 27th and 161st Regiments to concentrate their forces for a coordinated attack aimed at enveloping Balete Pass from both the east and west. On May 5, the 161st swiftly broke through Kembu Ridge and advanced to Haruna Ridge, while the 27th Regiment pushed west-northwest along Wolfhound Ridge. However, they faced fierce resistance, gaining only 350 yards against tenacious Japanese defenders. On May 8, Company I successfully launched a southwest offensive from their stronghold along a bare-crested ridge, while Company A deployed on Kenbu Ridge and began ascending the final sections of the Digdig River gorge. The following day, these two companies finally made contact with each other and linked up with the 161st on Haruna Ridge. By May 10, Wolfhound Ridge was secured, coinciding with elements of the 35th Regiment completing the clearance of Route 5 from Kapintalan to the pass. In the meantime, the 35th Regiment, along with units from the 27th, continued their assault on Kapintalan Ridge, which was ultimately secured by May 13. Meanwhile, the 148th Regiment renewed its attacks on Myoko Ridge, where Japanese resistance began to collapse by May 11. With these gains, Balete Pass was now secure. The Americans had incurred 565 men killed and 1,745 wounded during the drive, while General Okamoto's 10th Division experienced catastrophic losses, with nearly 7,000 men killed and a complete breakdown of their control and communications. Reflecting on the situation in Salacsac, by May 8, the Japanese position was deteriorating rapidly. In response, General Iwanaka made the critical decision to dispatch troops aimed at cutting the supply line to the 2nd Battalion of the 128th Regiment, with the intention of safeguarding his main stronghold at Mount Imugan. On that day, the 1st Battalion of the 128th Regiment began to push eastward, facing strong resistance, while elements of the 2nd Battalion moved west from Hill 526, struggling to make any significant progress. By May 10, Japanese forces successfully severed the track between Hills 525 and 516, forcing much of the 128th and one battalion of the 127th Regiment to allocate considerable resources to eliminate the Japanese pocket that had formed in that area. Meanwhile, the 33rd Division was left disheartened as it found itself assigned a holding mission to secure the Baguio-Bauang-San Fernando area. Their operations were limited to minor local gains and long-range reconnaissance, which did little to impact the overall situation. During May 1945, the only significant action undertaken by the 33rd Division took place along a trail connecting Santa Rosa in the Ambayabang Valley to Tebbo, located on the Agno River five miles south of Pitican. The division focused its efforts on clearing Japanese forces from the high ground situated between the main trail and the upper reaches of the Ambayabang Valley. On May 9, a battalion of the 130th Regiment advanced south from Baguio via Pitican and reached Tebbo, only to find the barrio abandoned. Meanwhile, on May 5, the 136th Regiment began its advance up the Ambayabang Valley. Approximately three miles south of Tebbo, they became embroiled in a ten-day battle, resulting in the deaths of a few hundred Japanese troops. However, these enemy forces posed little threat to the 33rd Division, their primary mission being to block American attacks toward the Baguio-Aritao supply road from the south. As the rainy season approached, 1st Corps and the 33rd Division had long since abandoned plans to use the valley as a route of advance against the Japanese supply lines. Consequently, the 136th Regiment relinquished the terrain it had gained along the valley and the trail to Tebbo almost immediately after capturing it. By May 15, all troops of the 33rd Division began their withdrawal, a challenging task compounded by heavy rains that had transformed the Pitican-Tebbo trail and the trails in the Ambayabang Valley into quagmires. The final destruction of the Japanese blocking force in the valley had little impact on the strategic plans or dispositions of 1st Corps or the Shobu Group, as the Japanese quickly replenished their outposts. By the end of May, the 33rd Division was left executing reconnaissance missions without significant enemy contact or major advances. The division remained in a state of restless anticipation, awaiting developments on the Bontoc and Bambang fronts before the 6th Army would authorize a new drive deeper into the rugged mountains of northern Luzon. Turning to the north, the guerrilla 121st Regiment achieved a significant victory on April 21 by overrunning the last Japanese positions on Lamagan Ridge. About a week later, they completed their occupation of Lower Cadsu. However, during the first part of May, the 121st Regiment faced formidable challenges as they advanced over steep terrain against increasingly fortified Japanese defenses, bolstered by reinforcements from General Ozaki's 19th Division. In the south, Hall's 11th Corps made good progress throughout mid-April, successfully pushing General Yokoyama's 41st Army, previously known as the Shimbu Group, further east from Manila. Concurrently, General Hurdis' 6th Division continued its offensive against the Kobayashi Detachment at Wawa Dam, achieving a notable success by securing the crest of Mount Mataba on April 17, marking a significant tactical gain in the ongoing battle. Despite General Hurdis' hopes to swiftly advance against Mount Pacawagan and Wawa Dam, persistent personnel issues forced him to halt any offensive actions until the 145th Regiment could relieve the 20th Regiment in the Montalban area. The 145th eventually began its assault on Pacawagan on April 21. However, even with effective supporting fire that destroyed much of the enemy's defenses, American forces struggled to secure a foothold on the mountain until the end of the month. Meanwhile, the 1st and 63rd Regiments continued to hold their occupied ground until they were relieved late in April by the 151st and 152nd Regiments of General Chase's 38th Division, which then officially assumed control of the offensive operations. In the southern part of Manila, significant water supply problems prompted General Hall to redeploy General Wing's 43rd Division northward in preparation for an offensive against Ipo Dam. By mid-April 1945, an acute water shortage had developed within the city of Manila. General MacArthur informed General Krueger about the dire situation, noting that south of the Pasig River, Manila had access to no water sources except for that supplied by Army tank trucks and shallow, often contaminated wells. This shortage significantly hampered sewage disposal throughout the city, as water pressure from the overtaxed Novaliches Reservoir, the only reliable source was insufficient to carry off waste. As a result, flush toilets were frequently clogged, forcing many citizens to resort to using gutters and esteros for defecation. Restaurants and nightclubs, which were heavily frequented by off-duty American troops, struggled to maintain even minimum sanitary standards. The situation was exacerbated by a steady influx of military units and civilians into the metropolitan area, raising concerns about the imminent threat of severe epidemics breaking out in the city. On April 19, MacArthur suggested to Krueger that the 6th Army could resolve Manila's water supply crisis by seizing "the reservoir in the Montalban area." He inquired how soon the installation could be captured. This query puzzled Krueger, who was aware that the only true reservoirs linked to the Manila water system were located west of the Marikina River and had been under American control since February. Furthermore, Krueger understood that Wawa Dam, the nearest water supply installation to Montalban, was no longer connected to the metropolitan system. He subsequently asked MacArthur if by "reservoir in the Montalban area," he meant Ipo Dam, the only major water installation still in Japanese hands. Krueger's question seemingly led to further examination of Manila's water system at General Headquarters, Southwest Pacific Area (GHQ SWPA). On April 22, MacArthur radioed back to Krueger, confirming that Ipo Dam was indeed the preferred objective. He emphasized that capturing the Ipo installation would effectively solve Manila's water supply problems. Upon receiving this directive, Krueger ordered the 11th Corps to launch a drive on Ipo Dam as soon as possible. This shift in forces meant the 112th Cavalry Regiment had to move south to take over the vacated positions. General Wing conducted a reconnaissance-in-force that revealed the Kawashima Force's defenses south of Route 52 were considerably weaker than those around the main highway. In light of this intelligence, the plan for assault was set into motion. On the night of May 6, the 103rd Regiment was ordered to advance towards Mount Katitinga and prepare to attack the dam. Supporting this effort, the 172nd Regiment would strike across a two-mile-wide front to the left of the 103rd towards the dam, while the 169th Regiment was tasked with demonstrating along Route 52 to pin down Japanese forces in the Bigti region. Additionally, Marking's Fil-American Yay Regiment at Norzagaray was to make a feint drive eastward north of the Angat River, targeting Mount Kabuyao. During the first three days of May, General Chase conducted probing attacks in preparation for a concerted offensive aimed at Wawa Dam, which was set to begin on May 4. Simultaneously, General Yokoyama observed what he believed to be a slowdown in enemy progress, leading him to conclude that American forces must be redeploying northward or evacuating from Luzon entirely. This prompted him to prepare a limited counteroffensive, consisting of a series of harassing and delaying actions designed to pin down enemy forces on this front. Consequently, Yokoyama was not anticipating a major offensive on May 4. However, on that day, the 145th Regiment managed to gain up to 1,000 yards along the northern and northeastern slopes of Pacawagan, while the 152nd Regiment advanced approximately 500 yards northward along Woodpecker Ridge. Although these territorial gains were not monumental, Yokoyama became increasingly concerned about the strength of the American attacks and made the urgent decision to launch his counteroffensive. As Japanese forces hurried to reposition for their counterattacks, the 145th Regiment struck eastward, successfully seizing the rocky summit of Mount Binicayan. Meanwhile, the 152nd continued its efforts along Woodpecker Ridge. This coordinated assault completely surprised General Kobayashi's troops, rendering their planned counterattack impossible as they were forced to shift their focus to defending their critical positions. In the southern sector, General Kawashima dispatched one battalion toward Montalban; however, the heavy air assaults that preceded Wing's offensive made it impossible for the Japanese unit to organize effectively for their attack. Adding to the Japanese troubles, the remnants of the Noguchi Force were unable to provide any significant reinforcements. Despite the surprise and disarray among the Japanese defenders, they could not prevent the 145th from capturing the crest of Binicayan on May 9. The troops stationed on Woodpecker Ridge experienced some success by halting the advance of the 152nd and initiated a week of increasingly aggressive dawn and dusk raids starting on May 14. Recognizing the futility of the ongoing conflict, which had resulted in over 1,300 Japanese casualties, General Yokoyama ordered an immediate withdrawal of all units involved on May 15. However, these orders would not reach the front lines until a week later. In the meantime, capitalizing on the element of surprise achieved during the night attack on May 6, General Wing launched an offensive that made excellent progress. The 103rd Regiment rapidly gained control of the western slopes of Katitinga and advanced swiftly along the ridgeline toward Hill 1000. Meanwhile, the 172nd Regiment reached the foot of a rocky ridge two miles southeast of Bigti, and the Marking Regiment encountered no resistance as it marched over seven miles eastward, ultimately halting just a mile and a half northwest of Kabuyao. The only significant resistance encountered occurred at Hill 535, where elements of a guerrilla unit were repelled by Japanese defenders. The unexpectedly weak Japanese opposition prompted the 43rd Division to sustain its offensive momentum without pause. By May 11, the 103rd had secured Hills 805 and 810, while the 172nd was probing Japanese defenses on Fork Ridge and advancing to the southwestern slopes of rocky Hill 815. The Marking Regiment had successfully overrun Kabuyao, though they were unable to capture Four-Corner Hill. At this point, Japanese resistance began to stiffen as American forces clashed with General Kawashima's main defenses. In response, Wing ordered the 169th Regiment to mount a limited attack on Osboy Ridge and directed the Marking guerrillas to launch a strong assault toward Ipo. Supported by artillery, Colonel Marcus Augustin succeeded in breaking through Four-Corner Hill on May 12, marking a critical turning point in the offensive. Unaware of Kawashima's precarious situation, Yokoyama directed the Kawashima Force to initiate a new counterattack against the left and left rear of the 38th Division, deeming the situation for the Kobayashi Force to be more critical. As a result, Kawashima was compelled to divert one battalion for this unnecessary assault, which weakened the Japanese defenses. This strategic miscalculation enabled General Wing to make significant gains on May 13, with the 103rd Regiment capturing Hill 860, the 172nd clearing much of Hill 815, and the Marking guerrillas seizing the summit of Hill 803. The extent of these advances prompted Kawashima to ultimately disregard Yokoyama's orders and recall his assault battalion. This battalion promptly mounted a counterattack against the Americans in a futile attempt to regain lost ground, managing only to restrict the 103rd and 172nd Regiments to minor gains on May 14. Simultaneously, Colonel Augustin's patrols crossed the Angat River unopposed, discovering that the dam remained intact and the powerhouse on the south bank was largely undamaged. However, the patrol force, too weak to hold these installations, retreated before dawn to the crest of Hill 803, where the remainder of the regiment was occupied with mopping up remaining resistance. Looking further south, General Griswold's 14th Corps had already secured most of southern Luzon and had successfully landed General MacNider's 158th Regiment in the Bicol Peninsula. In response, the remnants of the Fuji Force and the depleted Kogure Detachment decided to evacuate the open Santa Maria Valley, opting to retreat to more defensible positions at the Kapatalin Sawmill. This allowed Griswold to move the 7th and 8th Cavalry Regiments into the valley, with the former beginning a drive along Route 455 on May 6. Following a heavy air and artillery bombardment, the cavalrymen launched their assault on the sawmill on May 9 and swiftly overran the enemy defenses by mid-afternoon. After a brief pause to reorganize, the 7th Cavalry advanced up Route 455, leaving their vehicles behind, and reached Lamon Bay by May 13. Meanwhile, on the Bicol Peninsula, progress had been agonizingly slow throughout late April. It wasn't until April 28 that the Cituinan Hills were fully secured, leading to the collapse of organized Japanese resistance in the region. Following this, the 158th Regiment began moving northwestward toward Iriga and San Agustin, rapidly overrunning the remaining weak enemy positions along Route 1. Progress continued to be painfully slow, and it was not until 28 April that organized Japanese resistance finally collapsed. The task of clearing the Cituinan Hills cost the 158th Infantry approximately 40 men killed and 235 wounded; the Japanese lost almost 700 men killed in the region. Although the 158th RCT did not know it, the reduction of the Cituinan Hills marked the end of large-scale organized resistance on the Bicol Peninsula, where no more than 1,400 Japanese remained alive as of the end of April. Simultaneously, the 5th Cavalry Regiment captured Calauag on April 14 and began a two-pronged advance toward San Agustin by the end of the month. On May 2, San Agustin was finally taken as elements of both regiments converged there. Guerrillas had informed XIV Corps, which acquired control of the 158th RCT on 22 April, that a Japanese force of some 2,500 men was dug in along the slopes of Mt. Isarog, an extinct volcano centering eight miles northeast of San Agustin. This report the 5th Cavalry and 158th Infantry proved false in a series of patrol actions between 2 and 15 May. The next day, the 16th, General MacNider radioed to General Griswold that the Bicol Peninsula was secure and that no signs of organized Japanese resistance remained. The two regiments continued patrolling for some weeks until, on 6 June, the 5th Cavalry returned to southern Luzon. The 158th RCT busied itself with the problem of reorganizing and equipping guerrilla forces and in mid-June turned over responsibility for further mopping up to the Filipinos. To that time the operations to clear the Bicol Peninsula had cost the USArmy units involved approximately 95 men killed and 475 wounded. The Japanese had lost over 2,800 killed and 565 captured, including 350 Formosan labor troops whom the Japanese Army had left to fend for themselves. I would like to take this time to remind you all that this podcast is only made possible through the efforts of Kings and Generals over at Youtube. Please go subscribe to Kings and Generals over at Youtube and to continue helping us produce this content please check out www.patreon.com/kingsandgenerals. If you are still hungry after that, give my personal channel a look over at The Pacific War Channel at Youtube, it would mean a lot to me. In June 1945, amidst the Pacific War, American forces sought to liberate Luzon from General Yamashita's entrenched troops. Under Generals Eichelberger and Krueger, the 8th Army faced fierce resistance in the mountains and vital routes. As Japanese defenders struggled, the Americans advanced strategically, leading to fierce battles across treacherous terrain. The turning point came with the seizure of Baguio, crucial for the campaign.
THE LANCET 2003;362:772-776Background: Angiotensin converting enzyme inhibitors (ACEi) reduce mortality and morbidity in patients with systolic heart failure (see CONSENSUS and SOLVD trials). However, registry data showed that up to 20% of patients with systolic heart failure were not taking ACEi. One of the frequent causes for intolerance to ACEi is cough. Angiotensin converting enzyme inhibitors work by blocking the conversion of angiotensin I to angiotensin II, a key step in the renin–angiotensin–aldosterone system (RAAS). Angiotensin II receptor blockers were tolerated in patients with systolic heart failure who were intolerant to ACEi. However, data on long term effectives as an alternative to ACEi were lacking.Cardiology Trial's Substack is a reader-supported publication. To receive new posts and support our work, consider becoming a free or paid subscriber.The Candesartan in Heart failure: Assessment of Reduction in Mortality and morbidity (CHARM)-Alternative trial sough to assess if the angiotensin-receptor blocker (ARB) candesartan, could improve outcomes in patients with systolic heart failure who are intolerant to ACEi.Patients: Eligible patients had left ventricular ejection fraction of 40% or less and NYHA class II, III or IV symptoms of at least 4 weeks duration. Patients had also to be intolerant to ACEi.Exclusion criteria were not provided in the main manuscript.Baseline characteristics: Patients were recruited from 618 centers in 26 countries. The trial randomized 2,028 patients – 1,013 randomized to receive candesartan and 1,015 to receive placebo.The average age of patients was 67 years and 68% were men. The average left ventricular ejection fraction was 30%. Cardiomyopathy was ischemic in 68% of the patients. The NYHA class was II in 48% of the patients, III in 49% and IV in 4%.Approximately 50% had hypertension, 27% had diabetes, 61% had prior myocardial infarction, 9% had stroke, 25% had atrial fibrillation and 14% were current smokers.At the time of enrollment, 85% were taking a diuretic, 46% were taking digoxin, 55% were taking beta-blockers and 24% were taking spironolactone.The most common reasons for ACEi intolerance were cough in 72% of the patients, hypotension in 13%, renal dysfunction in 12% and angioedema or anaphylaxis in 4%.Procedures: The trial was double-blinded. Patients were assigned in a 1:1 ratio to receive candesartan starting at 4 or 8mg once daily or placebo. The treatment was doubled every two weeks to a target dose of 32mg once daily.After randomization, follow up occurred at 2, 4, and 6 weeks, 6 months and every 4 months thereafter.Endpoints: The primary outcome was a composite of cardiovascular death or heart failure hospitalizations. All deaths were classified as cardiovascular unless there was a clear non-cardiac cause.Analysis was performed based on the intention-to-treat principle. The estimated sample size to have 80% power at 5% alpha was 2,000 patients. The sample size calculation assumed 18% relative risk reduction in the primary outcome with candesartan assuming a 15% annual event rate in the placebo arm.Results: The median follow up time was 34 months. The mean candesartan daily dose was 23mg at 6 months.Candesartan reduced the primary endpoint of cardiovascular death or heart failure hospitalizations (33.0% vs 40.0%, adjusted HR: 0.70, 95% CI: 0.60 – 0.81; p< 0.001). Candesartan reduced the individual components of the primary outcome - (21.6% vs 24.8%; p= 0.02) for cardiovascular death and (20.4% vs 28.2%; p< 0.001) for heart failure hospitalizations. All-cause death was also lower with candesartan (26.2% vs 29.2%, adjusted HR: 0.83, 95% CI: 0.70–0.99; p= 0.033). The number of patients who had any hospitalization as well as the total number of hospitalizations were numerically but not statistically significantly lower with candesartan (60.2% with candesartan vs 63.3%; p= 0.16) and (1,718 vs 1,835; p= 0.06).Candesartan was associated with more hypotension (3.7% vs 0.9%), more increase in creatinine (6.1% vs 2.7%) and more hyperkalemia (1.9% vs 0.3%). Angioedema occurred in three patients in the candesartan group and none in the placebo group. Cough occurred in two patients taking candesartan and four taking placebo.Authors reported no significant subgroup interactions, however, a corresponding graph was not provided.Conclusion: In patients with systolic heart failure who are intolerant to ACEi, candesartan reduced the primary composite outcome of cardiovascular death or heart failure hospitalizations with a number needed to treat of approximately of 14 patients over 34 months of follow up. Candesartan also reduced all-cause death with a number needed to treat of approximately 33 patients. Adverse events including hypotension, increase in creatinine and hyperkalemia were more common with candesartan.The reduction in the primary endpoint with candesartan was significant and offers an alternative for patients who are unable to tolerate ACEi. Of note, 72% of the patients enrolled in the trial were intolerant to ACEi due to cough. This trial did not include a head-to-head comparison between ARBs and ACEi, and therefore does not address which agent should be preferred as first-line therapy. Only 24% of participants were receiving spironolactone. The combination of ARBs with spironolactone, may increase the risk of adverse events, particularly hyperkalemia and kidney injury.Cardiology Trial's Substack is a reader-supported publication. To receive new posts and support our work, consider becoming a free or paid subscriber. Get full access to Cardiology Trial's Substack at cardiologytrials.substack.com/subscribe
The City of Greater Geelong is converting the municipality's green waste into compost, which is then used to grow produce at the botanical gardens. This produce is donated to a local social supermarket to help feed those in need. Every month, Hamdieh Mohmmadi buys food from this Geelong social supermarket by exchanging vouchers for groceries. “We save money for electricity, fuel and gas and home and kids,” explains Mohmmadi. Each year, across 57 of Victoria's 79 councils, around 750,000 tons of organic material are collected from green bins. By turning green waste into compost locally, the City of Greater Geelong is leading the way. “The waste that we're creating, rather than going into landfill, is actually creating nutrients, going into food supply, and going back to the residents that we have that are most in need in Geelong,” explains Emma Sinclair of the City of Greater Geelong. First, it's manually sorted to remove any contaminants. Next, it's ground into smaller pieces before a machine is used to mix and irrigate the material. It's then piled up to mature, after which it's broken down further and bagged. “Landfill space is really expensive. We also don't want to send organic matter to landfill because it generates methane,” explains Andrew Lucas of the City of Greater Geelong. The Geelong Botanic Gardens is provided with about 2,000 tons of material. “Those garden beds that have it in it have performed a lot better than the ones that don't,” says horticulturist Liam Kelly. Approximately four crates of produce are donated to Geelong Foodshare every two weeks. Geelong is one of the Victorian councils that received funding from Sustainability Victoria to boost the use of compost made from green waste within the community. The goal is to expand this initiative to other local government areas to help feed those in need. “The more we can invest in turning those resources back into new products, like composts and like mulch, the better value we get out of those,” concludes Matt Genever of Sustainability Victoria. The state government's goal is to divert 80% of waste from landfills by 2030. This article was provided by The Associated Press.
Organisations often find themselves trapped in an infinite loop. Typically hailed as an "infinity loop" or "patching loop,” it's differentiated by a continuous cycle of fixing problems, patching, and redoing data pipelines just to maintain operations.“It's a trap that many financial institutions, banks, insurance companies, and more fall into. This loop or this cycle is a process of focusing on fixing problems, patching,” describes Errol Rodericks.In this episode of the Don't Panic It's Just Data podcast, Errol Rodericks, Product & Solutions Marketing and Sales Enablement Specialist at Denodo, discusses the challenges faced by financial services in steering the infinity loop of reactive data management. He emphasises the importance of breaking free from this cycle to achieve real innovation and success in AI-led initiatives. The conversation explores the significance of AI-ready data, the journey from bronze to gold data products, and how Denodo helps bridge the last-mile gap in data management. The Cost of Poor Data"The cost of poor data isn't just bad decisions. It's the decisions you never knew you could make. You never get around to that."This statement sets the stage for the podcast. It captures the profound effect of being stuck in a reactive data mode and how organisations can overcome it. Rodericks believes that financial services are entirely missing out on strategic opportunities that could redefine their market position.While many financial institutions have invested heavily in centralised lakehouse architectures like Snowflake or Databricks. These alone are not enough. They often struggle to deliver the trusted, real-time insights that Gen AI and business teams require. Missed Opportunities to Measurable OutcomesIt becomes more challenging for financial institutions to deliver adequate Gen AI real-time data insights when dealing with the "missing mile" of data. Approximately 30 per cent of crucial data is often overlooked or inaccessible. To overcome the Gen AI challenges, Denodo facilitates logical data management. The firm provides direct access to live, relevant, and governed data when it's needed. It becomes critical for achieving measurable outcomes with AI-led initiatives.For Chief Financial Officers (CFOs), Rodericks offered a succinct but powerful message – "Modern finance isn't about reports... It's about your ability to predict, to personalise, and to prevent – the three Ps."TakeawaysThe infinity loop is a trap for financial institutions.Reactive data handling leads to missed insights and customer churn.Breaking out of the infinity loop is essential for innovation.AI projects often fail due to unreliable data inputs.AI-ready data must be trusted, timely, contextual, and reusable.The journey from bronze to gold data products is strategic.Ownership of data products is crucial for success.Timeliness of data is critical in financial services.Denodo provides real-time access to data without copying it.Modern finance focuses on prediction, personalisation, and prevention.Chapters00:00 Understanding the Infinity Loop in Financial Services04:23 Breaking Free from the Infinity Loop06:03 The Cost of Firefighting Mode09:14 The Importance of AI-Ready Data19:42 The Journey from Bronze to Gold Data Products22:53 Bridging the Last Mile Gap27:06 Real-World Examples of
WE ARE LIVING IN SERIOUS TIMES ACROSS THE WORLD RIGHT NOW. RUSSIA AND UKRAINE (5,000 WEEKLY DYING IN WAR)HAMAS' EVIL MASSACRE IN ISRAEL ON OCTOBER 7, 2023, APPROXIMATELY 1200 DEATHS251 HOSTAGES TAKEN TO GAZA82 CONFIRMED DEAD NOW146 FREED OR RESCUED23 ARE STILL BELIEVED TO BE ALIVEIRAN AND ISRAEL ARE AT WAR WITH ONE ANOTHER (WHAT IS THE PROPHETIC MEANING)AMBASSADOR MIKE HUCKABEE PERSONALLYAMBASSADOR HUCKABEE COMMUNICATED THAT OVER 700,000 AMERICANS LIVE IN ISRAEL9.5 MILLION PEOPLE LIVE IN ISRAELPRAY FOR ISRAELGENESIS 12:1-31 Now the Lord said[a] to Abram, “Go from your country[b] and your kindred and your father's house to the land that I will show you. 2 And I will make of you a great nation, and I will bless you and make your name great, so that you will be a blessing. 3 I will bless those who bless you, and him who dishonors you I will curse, and in you all the families of the earth shall be blessed.”PSALM 122:6-96 Pray for the peace of Jerusalem! “May they be secure who love you!7 Peace be within your walls and security within your towers!”8 For my brothers and companions' sake I will say, “Peace be within you!”9 For the sake of the house of the Lord our God, I will seek your good.
This Day in Legal History: Abington School District v. SchemppOn this day in legal history, June 17, 1963, the U.S. Supreme Court decided Abington School District v. Schempp, a landmark case concerning the constitutional boundaries between church and state. The case arose when Edward Schempp, a Unitarian from Pennsylvania, challenged a state law that required public schools to begin each day with Bible readings. The Schempp family argued that this practice violated the Establishment Clause of the First Amendment, which prohibits the government from endorsing or establishing religion.In an 8–1 decision, the Court ruled in favor of the Schempps, holding that the mandatory Bible readings were unconstitutional. Justice Tom C. Clark, writing for the majority, emphasized that while the government must remain neutral toward religion, the school's policy amounted to state-sanctioned religious exercise. The ruling did not ban the Bible from public schools altogether but clarified that its use must be educational, not devotional.This decision built on the precedent set in Engel v. Vitale (1962), which struck down mandatory prayer in schools, and it reinforced a broader interpretation of the separation of church and state. The ruling provoked strong reactions across the country, with many viewing it as an attack on traditional religious values, while others saw it as a vital protection of individual liberties in a pluralistic society.The case remains a cornerstone in Establishment Clause jurisprudence, shaping debates over religion in public education for decades. It also marked a pivotal moment in the Warren Court's broader effort to expand civil liberties through constitutional interpretation.The American Bar Association (ABA) has filed a lawsuit against the Trump administration, accusing it of using executive orders to intimidate major law firms based on their past clients and hiring choices. Filed in federal court in Washington, D.C., the lawsuit argues that these actions violate the U.S. Constitution and have created a chilling effect on the legal profession. The ABA claims Trump's actions hindered its ability to secure legal representation, especially in cases opposing the federal government.The suit comes after four law firms successfully challenged similar executive orders, with judges temporarily or permanently blocking enforcement. One of these firms, Susman Godfrey, is now representing the ABA in this new case. Despite court setbacks, nine firms have agreed to provide nearly $1 billion in free legal services to the Trump administration to avoid similar targeting.White House spokesperson Harrison Fields dismissed the ABA's lawsuit as “frivolous,” asserting presidential authority over security clearances and federal contracting. The ABA also alleges the administration has threatened its accreditation authority and slashed funding, particularly in areas like training legal advocates for domestic violence victims.American Bar Association sues to block Trump's attacks on law firms | ReutersThe U.S. Department of Justice is undergoing a significant restructuring under the Trump administration, marked by mass resignations, staff reductions, and departmental overhauls. Approximately 4,500 DOJ employees have accepted buyouts through the administration's deferred resignation program, known as “Fork in the Road,” which allows for paid leave through September before official departure. These exits, along with planned eliminations of 5,093 positions, are expected to save around $470 million and reduce the DOJ's workforce from roughly 110,000.The administration's proposed budget for the next fiscal year aims to reshape the DOJ in line with conservative priorities. This includes dismantling the tax division—once staffed by over 500 people—and distributing its enforcement functions across the civil and criminal divisions. Despite some added funding to these divisions, they are also set to reduce attorney headcounts. The move has drawn backlash from former DOJ and IRS officials, who warned it could undermine tax enforcement. The DOJ's top tax official resigned earlier this year in protest.Political leadership changes have also prompted an exodus from the civil rights division, where two-thirds of career attorneys have either resigned or been reassigned. Cuts are also planned for the Environment and Natural Resources Division and other oversight bodies, such as the DOJ Inspector General's office and the Community Relations Service.Other structural shifts include folding INTERPOL's U.S. office into the U.S. Marshals Service, closing multiple field offices, and launching a new firearm rights restoration initiative. The administration has also proposed merging the ATF with the DEA and cutting the FBI's budget by over half a billion dollars.Justice Department to Lose 4,500 Staffers to Buyout Offers (1)Justice Department to Eliminate Tax Unit as Workforce ShrinksThe NCAA's $2.8 billion settlement—approved earlier this month—has reignited momentum in Congress for national legislation to address key issues in college athletics, particularly around antitrust liability, name, image, and likeness (NIL) compensation, and student-athlete classification. Beginning July 1, colleges can directly pay athletes, marking a historic shift that has intensified calls for a federal framework to standardize these changes.The settlement, which also includes back pay for nearly 400,000 athletes, has been described as a stabilizing force in the chaotic NIL landscape. It is now being used by the NCAA to push Congress for a liability shield to prevent further antitrust lawsuits. Although several NIL reform bills have been proposed in the past, none have passed. Two current bills—the bipartisan SPORTS Act and the GOP-led SCORE Act—aim to balance athlete rights with regulatory uniformity while clarifying that student-athletes are not employees.The SCORE Act would create revenue-based limits on athlete pay and involve multiple House committees, while the SPORTS Act focuses on educational support and fair market value benchmarks for NIL deals. Both would preempt state laws and address core NCAA concerns.Despite the settlement, legal uncertainty remains. Female athletes have already filed appeals challenging the deal under Title IX, and further litigation is expected. Experts note that any legislation granting an antitrust exemption—similar to the unique one held by Major League Baseball—would face judicial skepticism and political resistance.NCAA's $2.8 Billion Settlement Gets Congress Moving Toward FixesIn my column this week I write a bit about how a tax amnesty program in Illinois might provide a roadmap for the rest of the nifty fifty. Illinois' new remote seller amnesty program offers a strategic and replicable model for encouraging tax compliance among previously noncompliant businesses. By waiving penalties and interest and applying a simplified, flat 9% tax rate across the state's many local jurisdictions, the program lowers the barriers to voluntary disclosure. This approach addresses the core problem of the “compliance paradox,” where businesses avoid coming clean for fear of triggering audits. In contrast to fear-based enforcement, Illinois' model promotes intelligence-based compliance, exchanging amnesty for valuable insights into evasion tactics and tools.The program's design could be adapted to brick-and-mortar businesses engaged in sales suppression through tools like zapper software. If these businesses were offered amnesty in return for disclosing how they evaded taxes—such as revealing the software they used and methods employed—states could use this intelligence to improve enforcement. Such disclosures would turn voluntary compliance into a form of strategic reconnaissance, identifying enforcement blind spots and bad actors.Illinois' policy doesn't just recoup lost revenue; it also creates opportunities to map the ecosystem of tax evasion tools and techniques. By incentivizing transparency and simplifying compliance, the initiative provides a blueprint for other states facing fiscal pressure and looking to modernize tax enforcement.Illinois Remote Seller Amnesty Program Offers Roadmap for States This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit www.minimumcomp.com/subscribe
It's The Ranch It Up Radio Show! Join Jeff Tigger Erhardt, Rebecca Wanner AKA BEC and their crew as they talk about selling cattle the superior way, through Superior Livestock Auction's Corn Belt Classic. Plus auctioneering champions have been crowned, market recaps, cattle for sale and lots more on this all new episode of The Ranch It Up Radio Show. Be sure to subscribe on your favorite podcasting app or on the Ranch It Up Radio Show YouTube Channel. Season 5, EPISODE 241 Superior Livestock Auction Hosts Corn Belt Classic The summer video feeder calf sale season is here and kicks off with the Corn Belt Classic hosted by Superior Livestock Auctions. Approximately 105,000 head of cattle are slated to sell June 17 & 18 at South Sioux City, Nebraska. Be sure to check the deadlines for their next big video feeder calf sale, The Week In The Rockies. Check out their listings for the Corn Belt Classic HERE! American Angus Association Decides To Retain Grant Funds. The petition demanding the American Angus Association return the $4.85 million to the Bezos Earth Fund is now closed. Before the petition closed, the AAA board voted unanimously to retain the funds. You can read the letter from the American Angus Association Board of Directors HERE! Dean Edge Named WLAC Champion Livestock Auctioneer Dean Edge from Rimbey, Alberta has been named the 2025 World Livestock Auctioneering Champion. Joining Dean in the winner's circle was Reserve Champion Brennin Jack and Runner Up Preston Smith. We also recognized Steve Goedert for having the high score interview and Tyler Bell for being the Audrey K. Banks Rookie of the Year. Featured Experts in the Cattle Industry Roger Janes - Hi Tech Marketing & Superior Livestock Auctions https://superiorlivestock.com/ Follow on Facebook: @SuperiorLivestockAuction Mark Vanzee – Livestock, Equine, & Auction Time Expert https://www.auctiontime.com/ https://www.livestockmarket.com/ https://www.equinemarket.com/ Follow on Facebook: @LivestockMkt | @EquineMkt | @AuctionTime Kirk Donsbach – Financial Analyst at StoneX https://www.stonex.com/ Follow on Facebook: @StoneXGroupInc Shaye Koester – Host of Casual Cattle Conversation https://www.casualcattleconversations.com/ Follow on Facebook: @cattleconvos Contact Us with Questions or Concerns Have questions or feedback? Feel free to reach out via: Call/Text: 707-RANCH20 or 707-726-2420 Email: RanchItUpShow@gmail.com Follow us: Facebook/Instagram: @RanchItUpShow YouTube: Subscribe to Ranch It Up Channel: https://www.youtube.com/c/RanchItUp Catch all episodes of the Ranch It Up Podcast available on all major podcasting platforms. Discover the Heart of Rural America with Tigger & BEC Ranching, farming, and the Western lifestyle are at the heart of everything we do. Tigger & BEC bring you exclusive insights from the world of working ranches, cattle farming, and sustainable beef production. Learn more about Jeff 'Tigger' Erhardt & Rebecca Wanner (BEC) and their mission to promote the Western way of life at Tigger and BEC. https://tiggerandbec.com/ Industry References, Partners and Resources For additional information on industry trends, products, and services, check out these trusted resources: American Gelbvieh Association: https://gelbvieh.org/ Imogene Ingredients: https://www.imogeneingredients.com/ Allied Genetic Resources: https://alliedgeneticresources.com/ Westway Feed Products: https://westwayfeed.com/ Medora Boot: https://medoraboot.com/ Transova Genetics: https://transova.com/ Axiota Animal Health: https://axiota.com/multimin-campaign-landing-page/ Wrangler: https://www.wrangler.com/ Rural Radio Network: https://www.ruralradio147.com/ RFD-TV: https://www.rfdtv.com/ Wulf Cattle: https://www.wulfcattle.com/ Jorgensen Land & Cattle: https://jorgensenfarms.com/
This Day in Legal History: Loving v. Virginia On June 12, 1967, the U.S. Supreme Court issued its landmark decision in Loving v. Virginia, striking down state laws that banned interracial marriage. The case arose when Richard Loving, a white man, and Mildred Loving, a Black and Indigenous woman, were sentenced to a year in prison for marrying each other in Washington, D.C., then returning to their home in Virginia, which criminalized interracial unions under its Racial Integrity Act of 1924. The couple's challenge to their conviction eventually reached the nation's highest court.In a unanimous decision, the Supreme Court held that Virginia's anti-miscegenation law violated the Equal Protection and Due Process Clauses of the Fourteenth Amendment. Chief Justice Earl Warren, writing for the Court, stated that the freedom to marry is a “vital personal right,” and restricting that freedom on the basis of race was “directly subversive of the principle of equality at the heart of the Fourteenth Amendment.” The Court emphasized that classifications based solely on race are “odious to a free people” and cannot stand.The decision invalidated laws in 16 states that still prohibited interracial marriage at the time, cementing Loving v. Virginia as a major victory in the civil rights movement. It not only reinforced the constitutional commitment to racial equality but also laid critical groundwork for later decisions involving personal liberty, including Obergefell v. Hodges, which legalized same-sex marriage in 2015.A U.S. federal judge ruled that the Trump administration cannot detain Columbia University student and pro-Palestinian activist Mahmoud Khalil based on U.S. foreign policy concerns. The decision, issued by Judge Michael Farbiarz in Newark, found that using a rarely applied immigration law to justify Khalil's detention violated his free speech rights. Khalil, whose green card was revoked in March, has been in detention since then and was the first foreign student arrested amid the pro-Palestinian campus protests following the October 7 Hamas attack on Israel.The court found that Khalil was suffering irreparable harm due to the damage to his career and the chilling effect on his speech. While the ruling bars Khalil's deportation under the foreign policy provision, it does not require his immediate release, allowing the administration until Friday to appeal. Khalil's wife, Dr. Noor Abdalla, urged his immediate return to their home in New York, where she cares for their newborn son.Neither the State Department nor the Justice Department commented. The case reflects tensions over U.S. responses to student activism amid global political conflicts, particularly as Trump-era policies are used to target protesters. The foreign policy provision invoked allows deportation of non-citizens if their presence is seen as harmful to U.S. interests, but the court found it unconstitutional in this case.US foreign policy no basis to detain Columbia protester Khalil, judge rules | ReutersCalifornia is taking the Trump administration to court over the deployment of U.S. Marines to Los Angeles amid escalating protests against President Donald Trump's immigration policies. Approximately 700 Marines are set to join 4,000 National Guard troops to support federal agents and protect government property, sparking backlash from state officials who argue the move is illegal and inflammatory. California Governor Gavin Newsom, along with other state and local leaders, contends the deployment violates the state's rights and unnecessarily escalates tensions.The protests, which began in response to a wave of immigration raids, have spread to cities including New York, Chicago, and Washington, D.C., and are expected to intensify with over 1,800 demonstrations planned for the weekend. Demonstrators in Los Angeles have largely remained peaceful, though incidents of violence and aggressive police responses have been reported. A federal judge in San Francisco will hear arguments Thursday as California seeks a restraining order to halt the military's law enforcement involvement.The Marines have completed crowd control and de-escalation training but are operating under Title 10 of U.S. law, which authorizes limited military involvement in civilian matters. They are permitted to detain individuals interfering with federal duties but are not supposed to engage in regular policing. Trump defended the deployment, calling it essential to maintaining order, while critics, including national Democrats, have called it a dangerous overreach.Marines prepare for Los Angeles deployment as protests spread across USA group of current and former female athletes is appealing the NCAA's $2.8 billion antitrust settlement, arguing that the deal violates Title IX by disproportionately compensating male athletes. Approved by a federal judge on June 6, the settlement allocates 90% of back pay damages to men, largely benefiting football and basketball players. The objectors, represented by attorney John Clune, argue this breakdown reflects a $1.1 billion miscalculation and discriminates against women in violation of federal law.The appeal, filed in the U.S. Court of Appeals for the Ninth Circuit, is the first formal challenge to a settlement touted as a major victory for student-athletes. Clune said the agreement lacks meaningful support for women's sports, including basketball and Olympic disciplines, and warned that schools are already discussing cutting programs as a result of the deal's financial structure.Critics of the appeal, including settlement attorney Jeffrey Kessler, claim the Title IX objection is misplaced in an antitrust case and will delay compensation for over 100,000 athletes. Still, the challenge raises questions about gender equity in how the NCAA compensates athletes for past name, image, and likeness (NIL) restrictions.While the total settlement amount isn't being disputed, the appeal could impact future policies around compensation, roster limits, and salary caps. The NCAA says it's continuing with implementation, but the appeal introduces legal uncertainty into an already complex shift in college athletics.NCAA $2.8 Billion Deal Gets Appealed Over Title IX Issues (1)Donald Trump's legal team is attempting to fast-track an appeal of his New York felony conviction by moving the case toward the U.S. Supreme Court. Trump was convicted in Manhattan on 34 counts of falsifying business records related to hush money payments made to adult film actress Stormy Daniels, marking the first time a former or current president has been found guilty of a felony. His attorneys returned to court this week to argue the state case should be shifted to federal jurisdiction.They contend that Trump's actions were connected to his official duties as president and thus should be handled in federal court, where they believe he might receive a more favorable legal environment. The 2nd U.S. Circuit Court of Appeals is currently weighing the request, which Trump hopes will pave the way for a rapid review by the Supreme Court.The legal maneuvering is part of a broader strategy to challenge the legitimacy of the New York state trial and delay sentencing or any other consequences. Trump maintains that the case is politically motivated and that the charges are being used to interfere with his political agenda.Trump Seeks Quick Path to Supreme Court in Hush Money Appeal (1) This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit www.minimumcomp.com/subscribe
THE LANCET 2003;362:767-771Background: Angiotensin II which plays a role in ventricular remodeling and progression of heart failure can be produced by pathways independent of angiotensin convening enzyme. Preliminary studies showed that the combination of angiotensin II blockers with angiotensin-converting enzyme inhibitors (ACEi) improves hemodynamics and reduces ventricular remodeling.Cardiology Trial's Substack is a reader-supported publication. To receive new posts and support our work, consider becoming a free or paid subscriber.The Candesartan in Heart failure: Assessment of Reduction in Mortality and morbidity (CHARM)-Added trial sough to assess if adding the angiotensin-receptor blocker (ARB), candesartan, to ACEi could improve outcomes in patients with systolic heart failure.Patients: Eligible patients had left ventricular ejection fraction of 40% or less within the previous 6 months, and NYHA class II, III or IV symptoms. Patients with NYHA class II symptoms had to have cardiac-related hospitalization within 6 months. Patients also had to have treatment with ACEi at a constant dose for at least 30 days.Exclusion criteria were not provided in the main manuscript.Baseline characteristics: Patients were recruited from 618 centers in 26 countries. The trial randomized 2,548 patients – 1,276 randomized to receive candesartan and 1,272 to receive placebo.The average age of patients was 64 years and 79% were men. The average left ventricular ejection fraction was 28%. Cardiomyopathy was ischemic in 62% of the patients. The NYHA class was II in 24% of the patients, III in 73% and IV in 3%.Approximately 48% had hypertension, 30% had diabetes, 56% had prior myocardial infarction, 9% had stroke, 27% had atrial fibrillation and 17% were current smokers.At the time of enrollment, 90% were taking a diuretic, 58% were taking digoxin, 55% were taking beta-blockers, 17% were taking spironolactone and all but two patients were taking ACEi.Procedures: The trial was double-blinded. Patients were assigned in a 1:1 ratio to receive candesartan starting at 4 or 8mg once daily or placebo. The treatment was doubled every two weeks to a target dose of 32mg once daily.After randomization, follow up occurred at 2, 4, and 6 weeks, 6 months and every 4 months thereafter.Endpoints: The primary outcome was a composite of cardiovascular death or heart failure hospitalizations. All deaths were classified as cardiovascular unless there was a clear non-cardiac cause.Analysis was performed based on the intention-to-treat principle. The estimated sample size to have 80% power at 5% alpha was 2,300 patients. The sample size calculation assumed 16% relative risk reduction in the primary outcome with candesartan assuming an 18% annual event rate in the placebo arm.Results: The median follow up time was 41 months. The mean candesartan daily dose was 24mg at 6 months.Candesartan reduced the primary endpoint of cardiovascular death or heart failure hospitalizations (37.9% vs 42.3%, adjusted HR: 0.85, 95% CI: 0.75 – 0.96; p= 0.01). Candesartan reduced the individual components of the primary outcome - (23.7% vs 27.3%; p= 0.021) for cardiovascular death and (24.2% vs 28.0%; p= 0.018) for heart failure hospitalizations. There was no significant reduction in all-cause death (29.5% with candesartan vs 32.4%; p= 0.105). The number of patients who had any hospitalization was similar in both groups (66.8% with candesartan vs 67.5%; p= 0.7), however, the total number of hospitalizations was lower with candesartan (2,462 vs 2,798; p= 0.023).Serum creatinine at least doubled in 7% of the patients in the candesartan group vs 6% in the placebo group. In the subset of patients taking spironolactone, serum creatinine at least double in 11% of the patients taking candesartan compared to 4% of the patients taking placebo.Hyperkalemia, defined as serum potassium of 6 mmol/L or higher, occurred in 3% of the patients in the candesartan group vs 1% in the placebo group. In the subset of patients taking spironolactone, hyperkalemia occurred in 4% of the patients taking candesartan compared to 1% of the patients taking placebo.There were two cases of angioedema in the candesartan group and three in the placebo group. All patients were taking an ACEi.There were no significant subgroup interactions, including in patients taking both beta-blockers and ACEi at baseline.Conclusion: In patients with systolic heart failure, adding candesartan to an ACEi reduced the primary composite outcome of cardiovascular death or heart failure hospitalizations with a number needed to treat of approximately of 23 patients over 41 months of follow up. The total number of all-cause hospitalizations was reduced by 336 with candesartan. All-cause death was not significantly reduced with candesartan.While the results of the trial appear impressive, the high number of adverse outcomes with candesartan in patients taking spironolactone is concerning. Spironolactone led to significant reduction in all-cause mortality in patients with systolic heart failure, as seen in the RALES trial, and should be prioritized over adding candesartan. Notably, fewer than 20% of patients in the trial were on spironolactone at baseline; if more had been, the incremental benefit of candesartan would likely have been reduced due to an increased risk of adverse effects from triple neurohormonal blockade (ACEi, ARBs, and mineralocorticoid receptor antagonists). Furthermore, spironolactone acts by blocking the aldosterone receptor, which is downstream in the renin–angiotensin–aldosterone system. Since candesartan blocks angiotensin II upstream in the same pathway, simultaneous inhibition at multiple points may lead to diminishing benefit.Finally, the differences observed in the subgroup of patients on beta-blockers between this trial and Val-HeFT remain unclear and may simply reflect the play of chance. As we previously discussed, patients receiving both an ACEi and beta-blockers had worse outcomes with valsartan in the Val-HeFT trial.Cardiology Trial's Substack is a reader-supported publication. To receive new posts and support our work, consider becoming a free or paid subscriber. Get full access to Cardiology Trial's Substack at cardiologytrials.substack.com/subscribe
The Tragically Hip Top Forty Countdown: Song 19 – Jeff from BellevilleWelcome back, Hip faithful. This week on the Countdown, I'm joined by one of our most beloved Sunday Evening Jam regulars — the witty, wise, and wonderfully loquacious Jeff from Belleville. You know him. You love him. And if you've ever caught a live stream where he was in the comments, you've probably laughed out loud.But today? Today, we go deeper.Jeff takes us back to his teenage years, up in a century-old Belleville coach house where Road Apples first took hold and never let go. From bootleg tapes and roadside attractions to mosh pits, surprise shows, and backstage encounters — Jeff's Hipstory spans 31 shows and countless life moments tied to the soundtrack of this band.Along the way, we talk memory, meaning, and mortality — including the two cardiac arrests Jeff survived (yes, you read that right), and the unexpected video message he received from Paul Langlois while recovering. This episode reminds us why we do this show in the first place: for the love, for the connection, for the community.We even get a bonus English Lit breakdown of King Lear — and how defiance, irony, and Shakespearean tragedy might be woven into one of the Hip's most poetic tracks. (And yeah, we manage to keep the actual title of that track on the DL. You're welcome.)
Send us a text Attorney Ken W. Good joins us from Texas on this week's episode. Ken has over 25 years experience handling and assisting in multimillion dollar cases that cover a wide spectrum of areas including business and medical liability claims, products liability, patent cases, toxic tort and surety and fidelity bonds. Ken has argued important cases before the Supreme Court of Texas and the Texas Court of Criminal Appeals. Approximately 15 years ago, Ken was hired by a bondsman to assist in setting aside 45 default judgments and when this was completed word of mouth spread and this area has grown into a statewide practice representing insurance companies to underwrite bail bonds. We discuss current issues in a somewhat spirited way about catch & release policies, immigration laws, “ open borders “, Habeas Corpus, ICE raids,and soft on crime issues in the inner city. While we might not agree on every issue we try to find some common ground by discussing there issues. Ken hosts The Bail Post podcast and has written the book Good On Bail. For more information on Ken visit https://www.thebailpost.com/ #California #NewYork #DonaldJTrump #ICE #immigration #OpenBorders Follow us at Reality Redemption on Facebook, Instagram, Threads, BlueSky and Tik Tok
Kate Adie introduces stories from Ukraine, Chile, Indonesia, and France.Ukraine's audacious drone raid on Russian airbases was met with disbelief that such an attack was even possible. Operation ‘Spider's Web' was 18 months in the planning, and caused huge damage to Russia's bomber fleet. But as Paul Adams discovered, civilians in Kyiv are uneasy about celebrating this success, fearful of how Russia might respond.Approximately one fifth of Ukraine is currently under Russian occupation. Russia doesn't allow foreign journalists to enter the occupied territories, but the BBC's Olga Malchevska has been corresponding in secret with Ukrainian civilians in Crimea, through which she learned of the risks they face for small acts of resistance.During the rule of Chilean dictator Augusto Pinochet in the 70s and 80s, thousands of babies were illegally kidnapped and adopted by couples abroad. Today, many of Chile's ‘stolen children' are in a race against time to trace their aging mothers. Jane Chambers was there as one mother and daughter reunited.The coral reefs of Raja Ampat in Indonesia are among the most beautiful on Earth, but last year suffered a mass bleaching event which left reefs in some regions resembling white desert plains. Mark Stratton reports from West Papua where locals are worried that over-tourism is making the reefs even more vulnerable.And we're in Normandy in Northern France, where this week the 81st anniversary of the D-Day landings was commemorated. Each year, commemorations take on greater significance as the number of war veterans able to attend declines. Ash Bhardwarj visited one village keeping their memory alive.Series Producer: Serena Tarling Production Coordinators: Katie Morrison & Sophie Hill Editor: Richard Fenton-Smith
Neoborn Caveman explores the complex internal dynamics of Ukraine during its ongoing conflict with Russia, revealing deep-seated ethnic, political, and historical tensions that threaten the nation's unity. The Ukrainian Armed Forces (AFU) are not a monolithic entity but consist of diverse factions with varying visions of national identity, ranging from democratic western alignment to ultra-nationalist ideologies. These divisions are rooted in Ukraine's complex historical context, including Soviet-era border shifts and the legacy of nationalist movements like that of Stepan Bandera.NC highlights the role of groups like the Azov unit, which originated as a volunteer battalion in 2014 and has since evolved into a significant military formation with nationalist leanings. Neoborn examines how Russia's invasion has mobilized approximately 100,000 citizens into territorial defense units, creating a network of half-military groups with diverse political agendas. These groups, while united against Russian aggression, harbor potential for internal conflict due to their varied perspectives on Ukraine's future and national identity.As peace negotiations potentially loom, the podcast warns of a dangerous potential for internal fragmentation. The proliferation of weapons, coupled with deep-seated ethnic tensions and historical grievances, creates a volatile environment where disarmament seems nearly impossible. The greatest risk, according to the analysis, lies in the peace process itself, with factions like the Azov Brigade potentially rejecting territorial concessions and turning their weapons inward, threatening to unravel Ukraine's hard-fought social cohesion.Support us and grab Canada's Mirage (https://www.amazon.com/dp/B0DRYV6VJJ) or The Digital Trap (https://www.amazon.com/dp/B0DYWKLK2R/) and become a member: https://www.patreon.com/TheNeobornCavemanShowKEY TAKEAWAYS:• Ukraine's internal ethnic and political divisions threaten its unity, with tensions rooted in complex historical borders and identities shaped by Soviet-era territorial changes• The Ukrainian Armed Forces contain multiple factions with conflicting visions, ranging from Western-aligned democratic ideals to ultra-nationalist ethnic nationalism• The Azov unit represents a controversial nationalist military group with historical ties to far-right ideology, complicating Ukraine's internal cohesion and external perception• Approximately 100,000 citizens joined territorial defense units since 2022, creating diverse half-military groups with varied political agendas that could pose risks to post-war stability• Potential peace negotiations risk triggering internal conflict, as some military factions may reject territorial concessions and potentially turn weapons against each other• Russia's invasion narrative of protecting Russian-speaking Ukrainians is partially rooted in genuine ethnic tensions and documented minority persecution incidents• The proliferation of weapons and autonomous military groups makes comprehensive disarmament extremely challenging, increasing the potential for post-war internal violence• Stepan Bandera's complex historical legacy remains divisive, symbolizing anti-Soviet resistance in western Ukraine while simultaneously fueling Russian propaganda about Ukrainian 'fascism'Free speech marinated in comedy.........Humanity centered satirical takes on the world & news + music - with a marble mouthed host.Free speech marinated in comedy.Supporting Purple Rabbits. Hosted on Acast. See acast.com/privacy for more information.
N Engl J Med 2001;345:1667-1675Background: Angiotensin II is a peptide hormone that is part of the renin–angiotensin–aldosterone system (RAAS). Angiotensin II is a potent vasoconstrictor and growth-stimulating hormone. Data suggested that it plays a role in ventricular remodeling and progression of heart failure. Although treatment with angiotensin-converting enzyme inhibitors (ACEi) reduce angiotensin II levels, physiologically active levels of angiotensin II may persist despite long-term therapy.Cardiology Trial's Substack is a reader-supported publication. To receive new posts and support our work, consider becoming a free or paid subscriber.The Valsartan Heart Failure Trial (Val-HeFT) sough to assess whether the angiotensin-receptor blocker valsartan, could reduce mortality and morbidity when added to optimal medical therapy in patients with systolic heart failure.Patients: Eligible patients had left ventricular ejection fraction less than 40% and left ventricular dilation, in addition to having clinical heart failure for at least 3 months with NYHA class II, III or IV symptoms. Patient also had to have been receiving a fixed-dose drug regimen for at least two weeks, that could include ACEi, diuretics, digoxin, and beta-blockers.There were many exclusion criteria. We mention some here: Postpartum cardiomyopathy, acute myocardial infarction within 3 months, coronary artery disease likely to require intervention, serum creatinine >2.5 mg/dL and life expectancy less than 5 years.Baseline characteristics: Patients were recruited from 302 centers in 16 countries. The trial randomized 5,010 patients – 2,511 randomized to receive valsartan and 2,499 to receive placebo.The average age of patients was 63 years and 80% were men. The average left ventricular ejection fraction was 27%. Cardiomyopathy was ischemic in 57% of the patients. The NYHA class was II in 62% of the patients, III in 36% of the patients and IV in 2%.Approximately 26% had diabetes and 12% had atrial fibrillation.At the time of enrollment, 86% were taking a diuretic, 67% were taking digoxin, 35% were taking beta-blockers, and 93% were taking ACEi.Procedures: The trial was double-blinded. The trial had an initial run-in period for 2 - 4 weeks where patients received placebo twice daily. This was performed to confirm patients' eligibility, clinical stability and compliance.Patients were assigned in a 1:1 ratio to receive valsartan or placebo. Randomization was stratified according to whether or not they were receiving a beta-blocker.Valsartan was started at a dose of 40 mg twice a day, and the dose was doubled every two weeks to the target dose of 160 mg twice a day. Placebo doses were adjusted in a similar way.Follow up occurred at 2, 4, and 6 months and every 3 months thereafter.Endpoints: The trial had two primary end points. The first was all-cause mortality. The second was the combined end point of mortality and morbidity, which was defined as cardiac arrest with resuscitation, hospitalization for heart failure, or administration of intravenous inotropic or vasodilator drugs for four hours or more without hospitalization.The estimated sample size was 5,000 patients. The sample size calculation assumed 20% relative risk reduction in mortality with valsartan assuming 906 patients would die during the trial. This sample size would provide the trial 90% power at 0.02 alpha. Alpha was 0.02 instead of the traditional 0.05 since the trial had two primary endpoints and to adjust for the interim analyses.Results: The target valsartan dose of 160 mg twice a day was achieved in 84% of the patients. The reduction in systolic blood pressure was greater with valsartan vs placebo – mean of 5.2 ± 15.8 mm with valsartan compared to 1.2 ± 14.8 mm Hg with placebo, at 4 months.All-cause mortality was not different between both groups (19.7% with valsartan vs 19.4% with placebo, RR: 1.02, 95% CI: 0.88 – 1.18; p= 0.80). The second co-primary endpoint was reduced with valsartan (28.8% vs 32.1%, RR: 0.87, 95% CI: 0.77 – 0.97; p= 0.009). This was driven by reduction in hospitalizations for heart failure (13.8% vs 18.2%). Cardiac arrest with resuscitation was 0.6% with valsartan and 1.0% with placebo. All-cause hospitalization was numerically lower with valsartan, however, this was not statistically significance (2,856 vs 3,106; p= 0.14). The mean change in ejection fraction was higher with valsartan (4.0% vs 3.2%; p= 0.001). More patients had improvement in NYHA classification with valsartan (23.1% vs 20.7%; p
Michaux State Forest is the place I spend the most time outdoors. Located about 30 miles from where I live, it's where I hike and camp. It's where I bring visitors to show off the South Mountain region. It's where I breath in fresh air and explore the beauty of the Commonwealth. It's my safe place away from the goings-on of Harrisburg. But that safety was shattered in April 2025. I received text messages from friends telling me that Michaux was on fire. Then, news came that there were two fires. And they were spreading. With wind and no rain in the forecast it became evident that the situation could get bad quickly.Over the following two weeks, I'd see photos and videos of the fires spreading across the forest I loved. Friends were evacuated from their homes. Roads were closed. Massive clouds of smoke billowed across the area. People were scared. The beautiful landscape I loved was on fire and there was nothing I could do but watch. But thanks to incredibly brave firefighters and with a little help from the weather, the Thompson Hollow and Hammond Rocks fires were extinguished in 14 days. Over 150 fire companies from 10 Pennsylvania and Maryland counties battled the blaze. Approximately 2,700 acres were destroyed by the wildfires. Luckily, no homes or private property was damaged and only two people suffered minor injuries. And, predictably, a determination was made that the fires were human caused, like 99 percent of all wildfires.Here's the thing. While the situation was scary for many in the area – even for us 40 minutes from the fires – this is a common occurrence in Pennsylvania. There's between 1,000 and 2,000 wildfires every year in Commonwealth. And the majority of those wildfires occur in the spring. These fires so close to home was a sobering reminder of the ever-present danger of wildfires. With Michaux still charred from the fires, I wanted to know more about wildfires and the wildland firefighters that have to put them out. On this episode, I speak with Mike Kern. Mike is the Chief Forest Fire Warden for the Pennsylvania Department of Conservation and Natural Resources. Be sure to support our 2025 sponsors:Keystone Trails AssociationPurple Lizard MapsPennsylvania Parks and Forests FoundationSisters' SunflowersSupport the showVisit our website to learn more about the podcast, to purchase merch and to find out about our incredible sponsors. Follow us on Instagram and Meta to stay connected. Hosting, production and editing: Christian AlexandersenMusic: Jon SauerGraphics: Matt Davis
//The Wire//2300Z June 2, 2025////PRIORITY////BLUF: MAJOR ESCALATION IN RUSSIA AS UKRAINE STRIKES RUSSIA'S STRATEGIC BOMBER FORCE. MOLOTOV ATTACK OCCURS IN COLORADO.// -----BEGIN TEARLINE------International Events-Russia: At approximately 11:00pm Moscow time Sunday evening, Ukraine conducted a large-scale drone attack on military bases throughout Russia. Approximately 5-8 commercial cargo vehicles parked near critical military bases throughout the nation. Once parked, the drivers of these vehicles opened secret hatches cut into the tops of the cargo containers, from which dozens of Ukrainian drones were deployed in rapid succession. Within moments, these drones struck targets at several Russian military installations, ranging from airfields to supply depots.As of right now, four Russian airbases have been confirmed to be struck during the attacks: Ivanovo, Dyagilevo, Belaya, and Olenya Air Bases were all struck overnight.Various targets at Severomorsk and Severodvinsk Naval Bases appear to also have been struck, however this is unconfirmed at this time. Voskresensk Air Base is also claimed by some sources to have been struck during this attack, but this is also unconfirmed.All total, the initial assessment of battle damage indicates a total loss of 3x Tu-95 BEAR H bombers, with 5x more being damaged. Ukrainka Air Base was also targeted by Ukrainian drones, however this attack failed due to the defenses at this location.Ukraine has claimed credit for the attack, and has openly stated that the United States was made aware of the attack before it took place. The United States has denied these claims.-HomeFront-Colorado: Yesterday afternoon an arson attack took place in Boulder. Local authorities state that an assailant attacked a pro-Israel protest/demonstration in the vicinity of the historic Boulder County Courthouse. The attacker approached the protesters, using improvised incendiary devices to inflict burns on approximately 5x people attending the small demonstration. Concerning casualties, 2x victims were burned severely, and a several others suffered minor burns. The attacker has been identified as Mohammed Soliman, and authorities have claimed he is an illegal immigrant (specifically, a visa overstay) from Egypt.AC: Reports vary on the method of the attack; some sources claim the assailant used some sort of improvised flamethrower device, others state that he used Molotov cocktails in his attack. Either way, video evidence of the attack confirms the assailant was holding two Molotovs in his hands after the attack was conducted. Additionally, Soliman's statements during the fray also indicate he conducted the attack in support of the Palestinian movement. Considering the recent shift in federal agencies' priorities concerning this issue, the fallout of this incident is probably going to be a very big deal in many different ways.Oregon: Yesterday afternoon a mass stabbing attack was reported at the Union Gospel Mission in Salem. 11x people were wounded in the attack, and the assailant was detained at the scene.AC: Very few details have come to light regarding this incident, and the assailant has not been identified yet. However, this facility is a homeless shelter, so at the moment the most likely theory is that the attack is the result of a mental health incident.-----END TEARLINE-----Analyst Comments: From time to time, a new aspect of modern war comes to light that changes the dynamic of the modern battlespace in ways that most of us cannot possibly fathom. This happened over the weekend in Russia. While the drone attack on Russian airfields was not a new tactic by any means, it is expressly for this reason that this attack was special: most nations around the world have been waiting for someone to try this attack vector, and now it's actually happened.While the
Send us a textCindy Murphy shares the heartbreaking story of her son Tristan, who struggled with schizophrenia and died by suicide while incarcerated after being handed a chainsaw during a prison work detail. Through her grief, Cindy has become a powerful advocate for mental health reform in the criminal justice system, working to pass the Tristan Murphy Act in Florida.• Tristan developed schizophrenia in his 30s, unusually late compared to typical onset in teens or early 20s• After his first psychotic episode, Tristan spent 8 months in jail before being declared incompetent to stand trial• When properly medicated, Tristan functioned well and maintained a relationship with his children• Florida ranks #1 in mental health needs but #49 in providing mental health services• The Tristan Murphy Act aims to identify mental health issues within 24 hours of arrest and divert people to treatment• Approximately 30% of prison inmates have mental health issues• New treatments like long-acting injectable medications can help people with schizophrenia maintain stability• The documentary "The Warehouse: The Life and Death of Tristan Murphy" is available on YouTubeIf you know anyone that would like to tell their story, send them to tonymantor.com/contact with their information so one day they may be a guest on our show. Please tell everyone everywhere about Why Not Me ? Embracing Autism and Mental Health Worldwide The World, the conversations we're having, and the inspiration our guests give to everyone that you are not alone in this world.https://tonymantor.comhttps://Facebook.com/tonymantorhttps://instagram.com/tonymantorhttps://twitter.com/tonymantorhttps://youtube.com/tonymantormusicintro/outro music bed written by T. WildWhy Not Me the World music published by Mantor Music (BMI)
Contributor: Travis Barlock, MD Educational Pearls: Wheezing is classically heard in asthma and COPD, but it can be the result of a wide range of processes that cause airflow limitation Narrowed bronchioles lead to turbulent airflow → creates the wheezing Crackles (rales) suggest pulmonary edema which is often due to heart failure Approximately 35% of heart failure patients have bronchial edema, which can also produce wheezing COPD and heart failure can coexist in a patient, and both of these diseases can cause wheezing It's vital to differentiate whether the wheezing is due to the patient's COPD or their heart failure because the treatment differs Diagnosing wheezing due to heart failure (cardiac asthma): Symptoms: orthopnea, paroxysmal nocturnal dyspnea Diagnostic tools: bedside ultrasound Treatment: diuresis and BiPAP for respiratory support Not all wheezing is asthma Consider heart failure in the differential and tailor treatment accordingly References 1. Buckner K. Cardiac asthma. Immunol Allergy Clin North Am. 2013 Feb;33(1):35-44. doi: 10.1016/j.iac.2012.10.012. Epub 2012 Dec 23. PMID: 23337063. 2. Hollingsworth HM. Wheezing and stridor. Clin Chest Med. 1987 Jun;8(2):231-40. PMID: 3304813. Summarized by Meg Joyce, MS1 | Edited by Meg Joyce & Jorge Chalit, OMS3 Donate: https://emergencymedicalminute.org/donate/
When it comes to raising a family, American Robins have got it down. Approximately eight days after the male and female mate, the female builds the nest. A few days later, she lays eggs. She sits on the eggs for 18 hours a day, and the eggs hatch in about three weeks. Both parents feed the nestlings until they fledge, then Mom and Dad feed them for another three weeks, until the kids are on their own. Whew! Time for a break, right? Not a chance. Most robins raise two sets of young each season, and sometimes a third.This show brought to you by The Bobolink Foundation.More info and transcript at BirdNote.org.Want more BirdNote? Subscribe to our weekly newsletter. Sign up for BirdNote+ to get ad-free listening and other perks. BirdNote is a nonprofit. Your tax-deductible gift makes these shows possible.
Approximately 80% of orange cats are males, including the four orange cats owned by the Short Wave team. Scientists have long suspected that orange color was a sex-linked trait — hiding somewhere on the X chromosome. Now, scientists at Stanford University and Kyushu University in Japan have characterized the mutation responsible for orange cat coloration. Both groups published their results in the journal Cell Biology this week. Have a question about the animals all around us? Email us at shortwave@npr.org — we'd love to hear from you!Listen to Short Wave on Spotify and Apple Podcasts.Learn more about sponsor message choices: podcastchoices.com/adchoicesNPR Privacy Policy
Story at-a-glance Approximately 10% to 15% of Americans suffer from irritable bowel syndrome (IBS), a functional gastrointestinal disorder characterized by unpredictable symptoms that disrupt daily life Recent research reveals that psychological stress trains your body to misidentify safe foods as threats. This rewires your immune and nervous systems to produce pain responses in the gut Stress increases mast cell activity in the gut, which leads to nerve hypersensitivity and immune system changes that trigger IBS symptoms like bloating, pain, and altered digestion When stress becomes chronic, hormones like cortisol and CRF impair digestion, damage the gut lining, and throw off your microbial balance, worsening IBS symptoms Managing IBS involves comprehensive lifestyle strategies, including stress reduction techniques like mindfulness, exercise, improving sleep, and supporting gut health through diet and potential supplements
Send us a textTim Murphy, former congressman and psychologist, shares his journey advocating for mental health reform through the Helping Families in Mental Health Crisis Act and highlights the systemic failures in America's approach to serious mental illness.• Serious mental illness requires different treatment approaches than general mental health concerns• Current Medicaid restrictions only allow 15-day hospital stays with a 190-day lifetime limit• HIPAA laws often prevent necessary communication between doctors and families of mentally ill patients• Approximately 40% of prison inmates have serious mental illness, with jails becoming de facto psychiatric facilities• SAMHSA (Substance Abuse and Mental Health Services Administration) lacks accountability for billions in spending• Schizophrenia alone costs America approximately $380 billion annually across healthcare, criminal justice, and social services• Assisted Outpatient Treatment provides court-ordered care for those with severe mental illness who lack insight into their condition• Mental health advocacy requires specific, actionable requests to legislators rather than general appeals• Reform needs include lifting hospital bed restrictions, modifying HIPAA laws, and implementing stronger program accountabilityVisit drtimmurphy.com to read articles with plans for advocacy and reform in mental health policy.https://tonymantor.comhttps://Facebook.com/tonymantorhttps://instagram.com/tonymantorhttps://twitter.com/tonymantorhttps://youtube.com/tonymantormusicintro/outro music bed written by T. WildWhy Not Me the World music published by Mantor Music (BMI)
Send us a textPsychotherapist Haley Graham shares her journey from pharmacist to mental health advocate after her son's struggle with school led her to found the Bounce Brighter Futures Foundation. Her personal experience with neurodivergence drives her passion for supporting children, parents, and teachers through therapeutic storytelling and compassionate understanding.• Founded Bounce Brighter Futures Foundation in 2019, now supporting 90 families weekly with 12 therapists• Approximately 50% of children seeking support are neurodivergent (autistic or ADHD)• School attendance difficulties often stem from not belonging in the system rather than just peer bullying• Cautions against therapists inadvertently teaching autistic children to mask better• Uses storytelling with woodland animals to help children explore mental health challenges• Created "Shadow Monster" story as metaphor for facing anxiety and OCD• Developing new book based on interviews with late-identified autistic adults• Believes autism itself isn't the problem—fitting into society creates mental health challenges• Emphasizes curiosity about children's experiences rather than trying to fix them• Advocates for thoughtfulness and empathy when supporting neurodivergent individualsFind Haley Graham on LinkedIn, Instagram (hayleygrahauthor), and at Bounce Brighter Futures website.https://tonymantor.comhttps://Facebook.com/tonymantorhttps://instagram.com/tonymantorhttps://twitter.com/tonymantorhttps://youtube.com/tonymantormusicintro/outro music bed written by T. WildWhy Not Me the World music published by Mantor Music (BMI)
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