Podcasts about avf

This ended up being the only podcast we could capture this past weekend in Helen for AVF. So go check it out!

Hyundai ha anunciado el lanzamiento de Pleos, su nueva marca de software de movilidad, durante la conferencia ‘Pleos 25' celebrada en Seúl. Esta plataforma está diseñada para gestionar de forma autónoma dispositivos en movimiento y conectar vehículos, infraestructuras y servicios en la nube. Pleos se posiciona como un ecosistema integral que integra chips de alto rendimiento, sistema operativo, infoentretenimiento (Pleos Connect), análisis de datos y gestión de flotas, ofreciendo funciones como conducción autónoma, conectividad avanzada y planificación inteligente de rutas para mejorar la eficiencia en el transporte urbano y la logística. En el plano internacional, Hyundai ha impulsado la creación de la alianza público-privada Next Urban Mobility Alliance (NUMA), con la que busca transformar la movilidad urbana abordando retos como la sostenibilidad, la despoblación regional y los derechos de movilidad. Esta colaboración se estructura en torno a tres ejes: libertad de movimiento, vehículos autónomos y aplicaciones a bordo. A nivel tecnológico, Hyundai planea desplegar la conducción autónoma de Nivel 2+ en 2027, basada en inteligencia artificial y cámaras avanzadas. Además, colabora con Samsung Electronics para integrar vehículos y dispositivos móviles, y con Uber a través de la iniciativa AVF para el desarrollo de servicios de robotaxi. Hasta aquí el programa de hoy del podcast de seguridad vial y educación vial. ¿Quieres escuchar episodios anteriores sobre seguridad en moto? • P138 100 tramos más peligrosos para motoristas https://go.ivoox.com/rf/72292314 • P154 Hugo de 14 años muere en el campeonato Europeo de motociclismo. https://go.ivoox.com/rf/73574655 • P176 Motos sin ITV https://go.ivoox.com/rf/75543112 • P262 Seguridad Vial en moto No me llames paquete https://go.ivoox.com/rf/93733543 • P289 Caídas en quad o moto y la importancia de la equipación adecuada. Seguridad vial Dakar 2023 https://go.ivoox.com/rf/101146657 • P300 Seguridad vial en moto en el Dakar https://go.ivoox.com/rf/101515123 • P327 Seguridad vial en moto, formación conducción, compra de equitación y exigir la retirada de guardarraíles asesinos https://go.ivoox.com/rf/105221622 • P376 seguridad vial en moto, episodio 5 del verano de seguridad en Onda Cero https://go.ivoox.com/rf/114152759 • P470 La seguridad vial en moto a debate https://go.ivoox.com/rf/126752010 • P566 chaleco airbag moto para la atgc https://go.ivoox.com/rf/135729959 • P557 4000 motos en la manifestación motera por la seguridad vial https://go.ivoox.com/rf/134812092 • P601 charla de seguridad vial en la concentración motorista La Leyenda en Cantalejo https://go.ivoox.com/rf/137929200 • P610 motoristas maltratados por Juan Carlos toribio en la concentración La Leyenda https://go.ivoox.com/rf/139115892 ¿Quieres escuchar episodios anteriores sobre seguridad en Euro NCAP? • P22 Seguridad infantil en Euro NCAP 2020 https://go.ivoox.com/rf/60410726 • P31 La seguridad infantil de los 7 coches ensayados en Euro NCAP 2020 https://go.ivoox.com/rf/63999896 • P119 En AutoFM hablamos del origen de lo que hoy es Euro NCAP https://go.ivoox.com/rf/70766776 • P192 Hyundai Ioniq 5 en Euro NCAP https://go.ivoox.com/rf/77624794 • P200 El coche más seguro para niños según Euro NCAP https://go.ivoox.com/rf/79810679 • P278 ¿Qué es EuroNCAP? https://go.ivoox.com/rf/97118681 • P320 Seguridad EuroNCAP en el Lexus RX https://go.ivoox.com/rf/104093361 • P325 Cupra en Euro NCAP seguridad made in Spain https://go.ivoox.com/rf/104841125 • P353 Euro NCAP y la seguridad de nuestros vehículos https://go.ivoox.com/rf/111970962 • P413 Etiquetas de seguridad en EuroNCAP https://go.ivoox.com/rf/121984964 • P426 BMW Serie 5 en EuroNCAP https://go.ivoox.com/rf/121989858 • P525 el coche más seguro en euro ncap 2023-24 https://go.ivoox.com/rf/132581951 • P617 euro ncap deepal s07 https://go.ivoox.com/rf/143237685 • P619 Xpeng pasa por Euro NCAP https://go.ivoox.com/rf/143237909 • P621 NIO EL6 en EuroNCAP https://go.ivoox.com/rf/143595669 ¿Quieres escuchar episodios anteriores sobre patinetes eléctricos (VMP) y su influencia en la educación vial y seguridad vial? • VMP o los patinetes eléctricos (13-11-2020) https://go.ivoox.com/rf/58970634 • P29 200€ de multa a los patinetes que circulen por la acera (19-1-2021) https://go.ivoox.com/rf/63999858 • P39 El 80% de los accidentados en patinete eléctrico iban sin casco. https://go.ivoox.com/rf/64652023 • P88. En la sección de RiveKids dentro de AutoFM hablamos de atropellos de niños con patinete eléctrico VMP https://go.ivoox.com/rf/68488690 • P134 Tráfico dice que se va a poner duro con patinetes y bicicletas https://go.ivoox.com/rf/71998645 • P205 certificado para VMP y manual de características del patinete eléctrico https://go.ivoox.com/rf/81250012 ¿Quieres escuchar episodios anteriores sobre cómo la DGT afronta la educación vial y seguridad vial? • P47 La DGT recauda más de un millón de euros al día en multas https://go.ivoox.com/rf/65042824 • P68 2.880 conductores fueron denunciados dos o más veces en un mismo año por no llevar el cinturón de seguridad. https://go.ivoox.com/rf/66793732 • P72 La otra cara del rescate en carretera. DGT https://go.ivoox.com/rf/67030950 • P78 ¿Por qué nos denuncia la DGT en España? https://go.ivoox.com/rf/67470851 • P85 los tribunales anulan la mitad de las multas que pone la DGT. https://go.ivoox.com/rf/68027004 • P189 Cómo adelantar con seguridad https://go.ivoox.com/rf/76818386 • 6 puntos por usar el móvil al volante y más cambios de la DGT. https://go.ivoox.com/rf/60394281 • P383 ¿Hay que abrochar el cinturón de seguridad incluso sin ocupantes en las plazas traseras? https://go.ivoox.com/rf/115775880 • P444 Ocurrencias de la DGT en 2024 https://go.ivoox.com/rf/124103189 • P559 estrategia de país en la seguridad vial https://go.ivoox.com/rf/134812303 • P447 Propuestas de la DGT para bajar fallecidos en carretera https://go.ivoox.com/rf/124482117 • P456 La DGT incumple la promesa de retirar la Ley de tráfico si aumentaban los fallecidos https://go.ivoox.com/rf/124862871 • P494 La DGT frena los cambios del carnet de conducir https://go.ivoox.com/rf/130588417 • P559 estrategia de país en la seguridad vial https://go.ivoox.com/rf/134812303 • P564 la seguridad en los adelantamientos https://go.ivoox.com/rf/135729856 ¿Quieres escuchar episodios anteriores del podcast de educación vial y seguridad vial? • P6 Coronavirus y Seguridad Vial https://go.ivoox.com/rf/49513283 • P169 Seguridad vial en Onda Cero https://go.ivoox.com/rf/74292123 • P125 ¿Isofix en un SsangYong Rodius? Y mucha más seguridad vial https://go.ivoox.com/rf/71289331 • P196 Seguridad vial para bebés prematuros y CIPSEVI https://go.ivoox.com/rf/78652365 • P168 Sin ruedas no hay seguridad vial https://go.ivoox.com/rf/74292023 • P182 La educación vial en El Enfoque, Onda Madrid https://go.ivoox.com/rf/76018355 • P7 Mascarillas y guantes son al coronavirus lo que el cinturón de seguridad y los SRI a la violencia vial https://go.ivoox.com/rf/50038459 • P197 Estudio sobre la inseguridad vial en el contenido de las series en Capital Radio https://go.ivoox.com/rf/78897119 • P565 la mayoría de gente no usa el cinturón de seguridad https://go.ivoox.com/rf/135729932 • P561 4 de cada 10 conductores dan positivo en drogas https://go.ivoox.com/rf/134812530 • P541 La DGT no sabe dónde hay más de 650 millones de euros https://go.ivoox.com/rf/133580231 ¿Quieres escuchar episodios anteriores del podcast de seguridad vial en el Dakar? • P290 Lluvia torrencial, helicópteros que no pueden volar y buggies en medio de riadas. Seguridad vial Dakar 2023 https://go.ivoox.com/rf/101146767 • P291. Señalización de accidentes en la carrera más dura del mundo. Seguridad vial Dakar 2023 https://go.ivoox.com/rf/101146815 • P295 Exceso de velocidad, radar, sanción y distancia de frenado. Seguridad vial Dakar 2023 https://go.ivoox.com/rf/101147162 • P297 Muere atropellado por conseguir la mejor foto. Seguridad vial Dakar 2023 https://go.ivoox.com/rf/101514720 • P302 El Dakar 2023 da una lección de seguridad vial. La velocidad no mata, matan otras cosas. Seguridad vial Dakar https://go.ivoox.com/rf/101515334 • P301 Seguridad Vial con Manolo Plaza en el Dakar y en la vida. Seguridad vial Dakar 2023 https://go.ivoox.com/rf/101515325 • P300 La seguridad vial en moto en el Dakar y en las carreteras españolas. Seguridad vial Dakar 2023 https://go.ivoox.com/rf/101515123 • P294 Cansancio y fatiga extrema en competición. Seguridad vial Dakar 2023 https://go.ivoox.com/rf/101147100 • P296 ¿Es más seguro un chasis tubular? Biomecánica del impacto y aceleraciones en la seguridad vial Dakar 2023 https://go.ivoox.com/rf/101514635 • P288 Arco antivuelco o jaula de seguridad. Seguridad vial Dakar 2023 https://go.ivoox.com/rf/100776113 • P293 Hans. Seguridad vial Dakar 2023 https://go.ivoox.com/rf/101146904 • P292. Pos seguridad después de un vuelco o un accidente ¿qué hacer?. Seguridad vial Dakar 2023 https://go.ivoox.com/rf/101146866 • P287 Arnés vs cinturón de seguridad. Seguridad vial Dakar 2023 https://go.ivoox.com/rf/100775999 • P299 Conducir sin luna en la seguridad vial Dakar 2023 https://go.ivoox.com/rf/101515049 • P298 Fallece atropellado un aficionado que estaba viendo el Dakar 2023. Seguridad vial dentro y fuera de la competición https://go.ivoox.com/rf/101514818 • P430 Prologo Dakar 2024, seguridad vial https://go.ivoox.com/rf/122182887 • P438 Etapa 10 Dakar 2024 competición vs vida real en la señalización https://go.ivoox.com/rf/123338733 • P435 Etapa 5 Dakar 2024, la fatiga https://go.ivoox.com/rf/122440640 • P440 Etapa de descanso Dakar 2024 los twit de la DGT https://go.ivoox.com/rf/123339096 • P439 Etapa 11 Dakar 2024 adelantamientos extremos https://go.ivoox.com/rf/123338820 • P436 Atropello de un espectador en el Dakar 2024 https://go.ivoox.com/rf/122440725 • P434 Etapa 4 seguridad jurídica y excesos de velocidad en el Dakar 2024 https://go.ivoox.com/rf/122440464 • P431 Etapa 1 Dakar 2024, espectador atropellado https://go.ivoox.com/rf/122229047 • P432 Etapa 2 Dakar 2024, jaula de seguridad y Carles Falcón https://go.ivoox.com/rf/122229139 • P433 Etapa 3 Dakar 2024, los 3 impactos de un accidente https://go.ivoox.com/rf/122440325 “El verdadero viaje es el que termina como comenzó, con felicidad e inocencia” Feliz viaje hasta el próximo programa. _______________________________________

Abdurrahman b. Avf (r.a.)'in kerem sahibi ve cömertliği öylesine yaygındı ki zenginleri de kapsamına alırdı. İbn Abbas (r.a.) rivayet ediyor ki, Abdurrahman b. Avf (r.a.) bir keresinde hastalanmıştı. Servetinin üçte birinin vefatından sonra ayrılarak dağıtılmasını vasiyet etmişti. Daha sonra sağlığına kavuştu ve derhal vasiyeti olan miktarı malından ayırarak sadaka olarak dağıttı ve dedi: “Ölümümden sonra birileri bunu yapacak diye beklemektense ben hayatımdayken bunu yapıyorum.” O, vasiyeti olan bu miktarı fakirlerle beraber zenginlere de dağıttı. Çünkü bu zekât olmadığı gibi, bir fakirin ihtiyacını karşılamak için de değildi. Abdurrahman b. Avf (r.a.) daha sonraları da zenginlere dahi varlığından dağıtmaya devam etti ve dedi ki: “Ey Bedir savaşma katılanlar! Sizlerden her biriniz için 400 dinar vereceğim.” Bedir'e katılanların her birisi bu miktarı teslim almak için ona gittiler. Hatta zenginlerden olduğu halde Osman b. Affan (r.a.) da gitmişti. Kendisine: “Sen zenginsin” denildiğinde Hz. Osman (r.a.) şöyle cevap verdi: “Bu bir kulun dostluk gereği verdiği bir şeydir, sadaka değildir.” Abdurrahman b. Avf (r.a.)'in dağıttığı miktar 150.000 dinar'a ulaşmıştı. Hatta kendisinin şöyle dediği rivayet olunur: “Yerden bir taş kaldırsam, neredeyse kaldırdığım her taşın altında ya gümüş veya altın bulacağım.” O, Allâh (c.c.)'un hoşnutluğunu kazanmak uğrundaki bol dağıtmasıyla şu ayette buyurulan hüküm onun hakkında da gerçekleşmiştir: “Allâh yolunda mallarını harcayanların misâli, yedi başak bitiren bir dane gibidir ki, her başakta yüz dane vardır. Allâh dilediğine kat kat fazlasını verir.” (Bakara s. 261) (Muhammed Mütevelli Şaravî

Je deviens co-responsable de mon groupe local de l'AVF : je te raconte tout !À l'occasion du Podcasthon 2025, j'ai choisi de mettre en lumière une association qui me tient à cœur : l'AVF (Association Végétarienne de France), qui accompagne avec bienveillance et sans jugement celles et ceux qui souhaitent découvrir une alimentation plus végétale — grâce à l'information, au partage et à des actions locales conviviales.-Le Podcasthon est le premier événement caritatif mondial qui rassemble plus de 1500 podcasteurs et podcasteuses. À travers un épisode dédié, le but est de tendre notre micro à une association afin de la soutenir et de renforcer la solidarité. Pour en savoir plus sur l'initiative : podcasthon.org-L'AVF compte 22 groupes locaux à travers la France qui contribuent à faire rayonner l'association en région et à animer une dynamique locale. En décembre 2024, je suis devenu co-responsable du groupe local AVF79 (Deux-Sèvres).Dans cet épisode solo, je te partage :- Ce qu'est vraiment l'AVF et le rôle essentiel des groupes locaux- Mon chemin (pas du tout prévu !) vers ce rôle de co-responsable- Les actions qu'on a mises en place pour relancer la dynamique de notre groupe- Les coulisses de l'organisation locale et du bénévolat- Les activités qu'on a déjà réussi à organiser- Mon retour d'expérience authentique et sincère — avec les réussites et les défisTu vas plonger dans les coulisses du monde associatif et du bénévolat… et qui sait, peut-être que ça te donnera envie de t'engager à ton tour ?

Guest: Dr. Christian de Virgilio is the Chair of the Department of Surgery at Harbor-UCLA Medical Center. He is also Co-Chair of the College of Applied Anatomy and a Professor of Surgery at UCLA's David Geffen School of Medicine. He completed his undergraduate degree in Biology at Loyola Marymount University and earned his medical degree from UCLA. He then completed his residency in General Surgery at UCLA-Harbor Medical Center followed by a fellowship in Vascular Surgery at the Mayo Clinic.   Resources:  Rutherford Chapters (10th ed.): 174, 175, 177, 178 Prior Holding Pressure episode on AV access creation: https://www.audiblebleeding.com/vsite-hd-access/ The Society for Vascular Surgery: Clinical practice guidelines for the surgical placement and maintenance of arteriovenous hemodialysis access: https://www.jvascsurg.org/article/S0741-5214%2808%2901399-2/fulltext  KDOQI Clinical Practice Guideline for Vascular Access: 2019 Update: https://pubmed.ncbi.nlm.nih.gov/32778223/    Outline: Steal Syndrome Definition & Etiology Steal syndrome is an important complication of AV access creation, since access creation diverts arterial blood flow from the hand. Steal can be caused by multiple factors—arterial occlusive disease proximal or distal to the AV anastomosis, high flow through the fistula at the expense of distal arterial perfusion, and failure of the distal arterial networks to adapt to this decreased blood flow.  Incidence and Risk Factors The frequency of steal syndrome is 1.6-9%1,2, depending on the vessels and conduit choice Steal syndrome is more common with brachial and axillary artery-based accesses and nonautogenous conduits. Other risk factors for steal syndrome are peripheral vascular disease, coronary artery disease, diabetes, advanced age, female sex, larger outflow conduit, multiple prior permanent access procedures, and prior episodes of steal.3,4  Long-standing insulin-dependent diabetes causes both medial calcinosis and peripheral neuropathy, which limits arteries' ability to vasodilate and adjust to decreased blood flow. Patient Presentation, Symptoms, Grading Steal syndrome is diagnosed clinically.  Symptoms after AVG creation occurs within the first few days, since flow in prosthetic grafts tend to reach a maximum value very early after creation. Native AVFs take time to mature and flow will slowly increase overtime, leading to more insidious onset of symptoms that can take months or years. The patient should have a unilateral complaint in the extremity with the AV access. Symptoms of steal syndrome, in order of increasing severity, include nail changes, occasional tingling, extremity coolness, numbness in fingertips and hands, muscle weakness, rest pain, sensory and motor deficits, fingertip ulcerations, and tissue loss.  There could be a weakened radial pulse or weak Doppler signal on the affected side, and these will become stronger after compression of the AV outflow. Symptoms are graded on a scale specified by Society of Vascular Surgery (SVS) reporting standards:5  Workup Duplex ultrasound can be used to analyze flow volumes. A high flow volume (in autogenous accesses greater than 800 mL/min, in nonautogenous accesses greater than 1200 mL/min) signifies an outflow issue. The vein or graft is acting as a pressure sink and stealing blood from the distal artery. A low flow volume signifies an inflow issue, meaning that there is a proximal arterial lesion preventing blood from reaching the distal artery. Upper extremity angiogram can identify proximal arterial lesions. Prevention Create the AV access as distal as possible, in order to preserve arterial inflow to the hand and reduce the anastomosis size and outflow diameter.  SVS guidelines recommend a 4-6mm arteriotomy diameter to balance the need for sufficient access flow with the risk of steal. If a graft is necessary, tapered prosthetic grafts are sometimes used in patients with steal risk factors, using the smaller end of the graft placed at the arterial anastomosis, although this has not yet been proven to reduce the incidence of steal.  Indications for Treatment Intervention is recommended in lifestyle-limiting cases of Grade II and all Grade III steal cases. If left untreated, the natural history of steal syndrome can result in chronic limb ischemia, causing gangrene with loss of digits or limbs. Treatment Options Conservative management relies on observation and monitoring, as mild cases of steal syndrome may resolve spontaneously. Inflow stenosis can be treated with endovascular intervention (angioplasty with or without stent) Ligation is the simplest surgical treatment, and it results in loss of the AV access. This is preferred in patients with repetitive failed salvage attempts, venous hypertension, and poor prognoses. Flow limiting procedures can address high volumes through the AV access. Banding can be performed with surgical cutdown and placement of polypropylene sutures or a Dacron patch around the vein or graft. The Minimally Invasive Limited Ligation Endoluminal-Assisted Revision (MILLER) technique employs a percutaneous endoluminal balloon inflated at the AVF to ensure consistency in diameter while banding Plication is when a side-biting running stitch is used to narrow lumen of the vein near the anastomosis. A downside of flow-limiting procedures is that it is often difficult to determine how much to narrow the AV access, as these procedures carry a risk of outflow thrombosis. There are also surgical treatments focused on reroute arterial inflow. The distal revascularization and interval ligation (DRIL) procedure involves creation of a new bypass connecting arterial segments proximal and distal to the AV anastomosis, with ligation of the native artery between the AV anastomosis and the distal anastomosis of the bypass. Reversed saphenous vein with a diameter greater than 3mm is the preferred conduit. Arm vein or prosthetic grafts can be used if needed, but prosthetic material carries higher risk of thrombosis. The new arterial bypass creates a low resistance pathway that increases flow to distal arterial beds, and interval arterial ligation eliminates retrograde flow through the distal artery.  The major risk of this procedure is bypass thrombosis, which results in loss of native arterial flow and hand ischemia. Other drawbacks of DRIL include procedural difficulty with smaller arterial anastomoses, sacrifice of saphenous or arm veins, and decreased fistula flow. Another possible revision surgery is revision using distal inflow (RUDI). This procedure involves ligation of the fistula at the anastomosis and use of a conduit to connect the outflow vein to a distal artery. The selected distal artery can be the proximal radial or ulnar artery, depending on the preoperative duplex. The more dominant vessel should be spared, allowing for distal arterial beds to have uninterrupted antegrade perfusion. The nondominant vessel is used as distal inflow for the AV access. RUDI increases access length and decreases access diameter, resulting in increased resistance and lower flow volume through the fistula. Unlike DRIL, RUDI preserves native arterial flow.  Thrombosis of the conduit would put the fistula at risk, rather than the native artery.  The last surgical revision procedure for steal is proximalization of arterial inflow (PAI). In this procedure, the vein is ligated distal to the original anastomosis site and flow is re-established through the fistula with a PTFE interposition graft anastomosed end-to-side with the more proximal axillary artery and end-to-end with the distal vein. Similar to RUDI, PAI increases the length and decreases the diameter of the outflow conduit. Since the axillary artery has a larger diameter than the brachial artery, there is a less significant pressure drop across the arterial anastomosis site and less steal. PAI allows for preservation of native artery's continuity and does not require vein harvest.  Difficulties with PAI arise when deciding the length of the interposition graft to balance AV flow with distal arterial flow. 2. Ischemic Monomelic Neuropathy Definition Ischemic monomelic neuropathy (IMN) is a rare but serious form of steal that involves nerve ischemia. Severe sensorimotor dysfunction is experienced immediately after AV access creation. Etiology IMN affects blood flow to the nerves, but not the skin or muscles because peripheral nerve fibers are more vulnerable to ischemia. Incidence and Risk Factors IMN is very rare; it has an estimated incidence of 0.1-0.5% of AV access creations.6 IMN has only been reported in brachial artery-based accesses, since the brachial artery is the sole arterial inflow for distal arteries feeding all forearm nerves. IMN is associated with diabetes, peripheral vascular disease, and preexisting peripheral neuropathy that is associated with either of the conditions. Patient Presentation Symptoms usually present rapidly, within minutes to hours after AV access creation. The most common presenting symptom is severe, constant, and deep burning pain of the distal forearm and hand. Patients also report impairment of all sensation, weakness, and hand paralysis. Diagnosis of IMN can be delayed due to misattribution of symptoms to anesthetic blockade, postoperative pain, preexisting neuropathy, a heavily bandaged arm precluding neurologic examination. Treatment Treatment is immediate ligation of the AV access. Delay in treatment will quickly result in permanent sensorimotor loss.   3. Perigraft Seroma Definition A perigraft seroma is a sterile fluid collection surrounding a vascular prosthesis and is enclosed within a pseudomembrane. Etiology and Incidence Possible etiologies include: transudative movement of fluid through the graft material, serous fluid collection from traumatized connective tissues (especially the from higher adipose tissue content in the upper arm), inhibition of fibroblast growth with associated failure of the tissue to incorporate the graft, graft “wetting” or kinking during initial operation, increased flow rates, decreased hematocrit causing oncotic pressure difference, or allergy to graft material. Seromas most commonly form at anastomosis sites in the early postoperative period. Overall seroma incidence rates after AV graft placement range from 1.7–4% and are more common in grafts placed in the upper arm (compared to the forearm) and Dacron grafts (compared to PTFE grafts).7-9 Patient Presentation and Workup Physical exam can show a subcutaneous raised palpable fluid mass Seromas can be seen with ultrasound, but it is difficult to differentiate between the types of fluid around the graft (seroma vs. hematoma vs. abscess) Indications for Treatment Seromas can lead to wound dehiscence, pressure necrosis and erosion through skin, and loss of available puncture area for hemodialysis Persistent seromas can also serve as a nidus for infection. The Kidney Disease Outcomes Quality Initiative (KDOQI) guidelines10 recommend a tailored approach to seroma management, with more aggressive surgical interventions being necessary for persistent, infected-appearing, or late-developing seromas.   Treatment The majority of early postoperative seromas are self-limited and tend to resolve on their own Persistent seromas have been treated using a variety of  methods-- incision and evacuation of seroma, complete excision and replacement of the entire graft, and primary bypass of the involved graft segment only. Graft replacement with new material and rerouting through a different tissue plane has a higher reported cure rate and lower rate of infection than aspiration alone.9     4. Infection Incidence and Etiology The reported incidence of infection ranges 4-20% in AVG, which is significantly higher than the rate of infection of 0.56-5% in AVF.11  Infection can occur at the time of access creation (earliest presentation), after cannulation for dialysis (later infection), or secondary to another infectious source. Infection can also further complicate a pre-existing access site issue such as infection of a hematoma, thrombosed pseudoaneurysm, or seroma. Skin flora from frequent dialysis cannulations result in common pathogens being Staphylococcus, Pseudomonas, or polymicrobial species. Staphylococcus and Pseudomonas are highly virulent and likely to cause anastomotic disruption. Patient Presentation and Workup Physical exam will reveal warmth, pain, swelling, erythema, induration, drainage, or pus. Occasionally, patients have nonspecific manifestations of fever or leukocytosis. Ultrasound can be used to screen for and determine the extent of graft involvement by the infection.   Treatments In AV fistulas: Localized infection can usually be managed with broad spectrum antibiotics.  If there are bleeding concerns or infection is seen near the anastomosis site, the fistula should be ligated and re-created in a clean field. In AV grafts: If infection is localized, partial graft excision is acceptable. Total graft excision is recommended if the infection is present throughout the entire graft, involves the anastomoses, occludes the access, or contains particularly virulent organisms Total graft excision may also be indicated if a patient develops recurrent bacteremia with no other infectious source identified. For graft excision, the venous end of the graft is removed and the vein is oversewn or ligated. If the arterial anastomosis is intact, a small cuff of the graft can be left behind and oversewn. If the arterial anastomosis is involved, the arterial wall must be debrided and ligation, reconstruction with autogenous patch angioplasty, or arterial bypass can be pursued. References   1. Morsy AH, Kulbaski M, Chen C, Isiklar H, Lumsden AB. Incidence and Characteristics of Patients with Hand Ischemia after a Hemodialysis Access Procedure. J Surg Res. 1998;74(1):8-10. doi:10.1006/jsre.1997.5206 2. Ballard JL, Bunt TJ, Malone JM. Major complications of angioaccess surgery. Am J Surg. 1992;164(3):229-232. doi:10.1016/S0002-9610(05)81076-1 3. Valentine RJ, Bouch CW, Scott DJ, et al. Do preoperative finger pressures predict early arterial steal in hemodialysis access patients? A prospective analysis. J Vasc Surg. 2002;36(2):351-356. doi:10.1067/mva.2002.125848 4. Malik J, Tuka V, Kasalova Z, et al. Understanding the Dialysis access Steal Syndrome. A Review of the Etiologies, Diagnosis, Prevention and Treatment Strategies. J Vasc Access. 2008;9(3):155-166. doi:10.1177/112972980800900301 5. Sidawy AN, Gray R, Besarab A, et al. Recommended standards for reports dealing with arteriovenous hemodialysis accesses. J Vasc Surg. 2002;35(3):603-610. doi:10.1067/mva.2002.122025 6. Thermann F, Kornhuber M. Ischemic Monomelic Neuropathy: A Rare but Important Complication after Hemodialysis Access Placement - a Review. J Vasc Access. 2011;12(2):113-119. doi:10.5301/JVA.2011.6365 7. Dauria DM, Dyk P, Garvin P. Incidence and Management of Seroma after Arteriovenous Graft Placement. J Am Coll Surg. 2006;203(4):506-511. doi:10.1016/j.jamcollsurg.2006.06.002 8. Gargiulo NJ, Veith FJ, Scher LA, Lipsitz EC, Suggs WD, Benros RM. Experience with covered stents for the management of hemodialysis polytetrafluoroethylene graft seromas. J Vasc Surg. 2008;48(1):216-217. doi:10.1016/j.jvs.2008.01.046 9. Blumenberg RM, Gelfand ML, Dale WA. Perigraft seromas complicating arterial grafts. Surgery. 1985;97(2):194-204. 10. Lok CE, Huber TS, Lee T, et al. KDOQI Clinical Practice Guideline for Vascular Access: 2019 Update. Am J Kidney Dis. 2020;75(4):S1-S164. doi:10.1053/j.ajkd.2019.12.001 11. Padberg FT, Calligaro KD, Sidawy AN. Complications of arteriovenous hemodialysis access: Recognition and management. J Vasc Surg. 2008;48(5):S55-S80. doi:10.1016/j.jvs.2008.08.067

När man säger att mycket är skit, att vi får ta mycket skit så kanske man inte menar - BOKSTAVLIGT TALAT. Men, med en ständig ström ärkehjon till landet som vill att du bokstavligt talat ska ta (i) deras skit så är det precis vad som händer. Dolt under locket på affärens toalett så har någon lämnat en VÄLDIGT otrevlig och ociviliserad överraskning. Missa inte det här programmet!Att säga att vi nu bara väntar på dagen då poddens dator inte kommer gå att få igång igen, är ingen överdrift. Att det här programmet blev färdigt att släppas, är ett mirakel. Ett obeskrivligt mirakel vore det om vi kan under dessa rea-tider i december få chansen att köpa en ny dator till podden. 1500 av 10 000 kr har samlats in, kan du komma med ett mirakel nu när rea-luckan i december fortfarande är öppen?Verklighetscheckens Swish: 073 846 37 64 (Johan Widén står på numret)Meddelande: GåvaIdag, lördagen den 14 december hör du oss snacka om detta:* Avföringsfälla gillrad i affären.* En farsot av diagnoser drar över landet, och en mamma orosanmäls - FÖR FRUKOST.* Gamlingar som hoppar ner i den ena sängen efter den andra.* Fina omskrivningar för att slippa lägga en extra krona på dig eller dina nära och kära.* Nej till sex, att dejta, äktenskap och nej till barn.* Kristen vill inte radera nyfikenheten till kristendomen - "ELLER ANDRA, religioner."MEDVERKANDE:Programledare: Lelle Johansson.Gäster: Elisabeth Engman & Johan Widén VI SÖKER NYA GÄSTER:VERKLIGHETSCHECKEN@GMAIL.COMFörra programmet:SEXUELLT NEGATIVA TROSOR BLIR KONSThttps://www.spreaker.com/episode/sexuellt-negativa-trosor-blir-konst--63201223Alla program:https://www.spreaker.com/show/verklighetscheckenNÄSTA NYA PROGRAM: Lördagen den 21 december 2024Du hittar även Verklighetschecken här:PODDTOPPEN:https://poddtoppen.se/podcast/1516623687/verklighetscheckenSPOTIFY:https://open.spotify.com/show/3Lvy0LS8zfffv7ad60LwqoRUMBLEhttps://rumble.com/c/c-2636134iTUNES:https://podcasts.apple.com/us/podcast/verklighetschecken/id1516623687?uo=4VECKANS TIPSLELLEWhitechapel - A Visceral Retchhttps://www.youtube.com/watch?v=UzsX5pjZggo&list=PLin3XHw3tBCPQ4Z9qoSqEjBNd9TL2xCj1&index=56ELISABETHSankta Luciahttps://www.youtube.com/watch?v=wcCnso0PcAsJOHANPRESUMED INNOCENThttps://www.imdb.com/title/tt17677860/?ref_=nv_sr_srsg_0_tt_4_nm_4_in_0_q_pres

Cet épisode propose une plongée fascinante dans le monde des céphalées primaires avec un focus sur l'algie vasculaire de la face. Souvent confondue avec la migraine, cette pathologie se distingue par une douleur intense et invalidante, accompagnée de symptômes tels que des larmoiements, un nez bouché, et une chute de la paupière.Aux côtés du Dr Anne Philippe, responsable du centre d'évaluation et de traitement de la douleur au CHU Pellegrin, découvrez les mécanismes de cette pathologie rare, touchant souvent les hommes jeunes. Nous abordons les facteurs déclencheurs, l'impact des crises récurrentes et les solutions thérapeutiques qui visent à soulager les patients: du traitement par oxygénothérapie aux injections de corticoïdes, jusqu'aux solutions de stimulation implantée pour les cas les plus résistants.Pour les professionnels de santé, les proches des patients et tous ceux qui souhaitent en savoir plus sur cette pathologie méconnue, cet épisode fournit des clés pour mieux comprendre l'impact émotionnel de la douleur chronique et l'importance de dépister et de traiter rapidement cette affection.Écoutez cet épisode pour découvrir les traitements qui permettent de reprendre le contrôle face à l'algie vasculaire de la face.Merci de vous être arrêté sur ce compte!Abonnez-vous et mettez une belle note!Hébergé par Ausha. Visitez ausha.co/politique-de-confidentialite pour plus d'informations.

Rivayet olunduğuna göre Abdurrahman b. Avf (r.a.)'a ait bir ticaret kervanı Şam'dan dönüyordu. Kafile Medine-i Münevvere'nin caddelerine ulaştığı zaman çarşıda bir kımıldama ve hareketlilik meydana geldi. Durumdan haberdar olan Hz. Âişe (r.anhâ) bunun ne olduğunu sorunca kendisine: “Abdurrahman b. Avf (r.a.)'in ticaret kervanının geldiğini” söylediler. Hz. Âişe (r.anhâ): “Bir ticaret kafilesi nasıl bu kadar gürültü koparabilir?” diye sordu. Hz. Âişe (r.anhâ)'ya: “Kafilenin 700 hayvan yükünden oluştuğu” söylendiği zaman Hz. Âişe (r.anhâ): “Hz. Peygamberin hakkında cennete malının hesabı dolayısıyla emekleyerek gireceğini haber verdiği Abdurrahman b. Avf (r.a.)'in 700 yükten oluşan kafilesi ha?” dedi. Bu söz kendisine ulaşınca Abdurrahman b. Avf (r.a.) hemen üzüntü ile harekete geçti ve: “Allâh (c.c.)'u şahit tutarak söylüyorum ki, bu kafilenin tamamı, her şeyi ile tüm müslümanlara tarafımdan hediye edilmiştir'” dedi. Abdurrahman b. Avf (r.a.)'ın cömertliği bu olaydan sonra da devam etmiştir. Rivayet olunduğuna göre servetinin çoğunu akrabası olan “Zühreoğulları” arasında taksim etmiş, Zühreoğulları'ndan kimin ne ihtiyacı varsa onun ihtiyacını gidermiştir. Hatta onun cömertliği konusunda şöyle bir şey söylenir: “Medine halkı Abdurrahman b. Avf (r.a.)'in çoluk çocuğu gibidir. Halkın üçte birinin borçlarını kendi malından öder, üçte birine armağanlar verir, diğer üçte birine de ihtiyaçları kadar ödünç para verirdi.” Allâh (c.c.)'un, Resûlullâh (s.a.v.)'in ve müslümanların hoşnutluğunu kazanmak için bu kadar bol dağıtmasına rağmen ticareti durmadan artmış, serveti çoğalmış ve kazancı ziyadeleşmiştir. (Muhammed Mütevelli Şaravî, Cennetle Müjdelenen On Sahâbî, s.188-189)

Je reçois aujourd'hui Audrey qui a 43 ans et qui souffre d'algie vasculaire de la face, de névralgies d'Arnold et du trijumeau.Avec Audrey, nous avons parlé des conséquences dans sa vie de l'arrivée de ses maladies, mais aussi des nombreuses solutions qu'elle a testées et parfois approuvées. Notamment l'opération qui a changé beaucoup son quotidien de malade. Même si la maladie est encore là, elle est présente de manière moins régulière et surtout moins intense.Malgré un parcours difficile rempli de douleurs terribles, le témoignage d'Audrey est rempli d'espoir. Oui, on peut s'en sortir et comme elle le dit si bien elle-même : reconstruire sa vie.Je vous souhaite une très bonne écouteVous pouvez suivre le podcast sur son compte Instagram : Un mot sur mes mauxMontage : Yasmine FleurotMixage : SebMusique Oak StudioHébergé par Ausha. Visitez ausha.co/politique-de-confidentialite pour plus d'informations.

Comment élever son enfant en étant végane ?

Surgical arteriovenous fistula (AVF) creation has been a mainstay of dialysis care for multiple decades. What does it take to break into such an established space with a new endovascular medical device? In this episode of the BackTable Podcast, Dr. Jeffrey Hull discusses the challenging journey of developing the Ellipsys system for endovascular AVF creation. --- CHECK OUT OUR SPONSOR Medtronic ClosureFast https://www.medtronic.com/closurefast6f --- SYNPOSIS We trace Dr. Hull's path from the device's initial conception in 2006, through the first-in-human cases in 2013, to regulatory approval and acquisition by Medtronic in 2020. Dr. Hull highlights the roles of key business mentors, the importance of multidisciplinary collaboration with vascular surgery and nephrology, and the impact of investment. He also shares valuable insights on the benefits of having competitors and selecting a well-thought-out exit strategy. Additionally, we explore deep vein arterialization (DVA) as another application of endovascular AVF creation in the context of peripheral arterial disease. --- TIMESTAMPS 00:00 - Introduction 03:05 - The Birth of the Percutaneous AV Fistula Creation 15:04 - First-in-Human Cases 17:58 - Navigating the Startup Journey 21:52 - Identifying Mentors and Investors 27:33 - Competition and Criticism 36:43 - Regulatory Hurdles 44:45 - Acquisition by Medtronic 49:14 - Deep Vein Arterialization for Peripheral Arterial Disease 54:40 - Final Thoughts and Advice --- RESOURCES Avenu Medical: https://avenumedical.com/ Gracz KC et al. Proximal forearm fistula for maintenance hemodialysis (1977): https://pubmed.ncbi.nlm.nih.gov/839655/ Hull JE et al. The Pivotal Multicenter Trial of Ultrasound-Guided Percutaneous Arteriovenous Fistula Creation for Hemodialysis Access (2018): https://pubmed.ncbi.nlm.nih.gov/29275056/ Endovascular Today- Update on Percutaneous AV Fistula Creation (2015): https://evtoday.com/articles/2015-june/update-on-percutaneous-av-fistula-creation Mallios A, Jennings WC. Percutaneous arteriovenous fistula creation with the Ellipsys Vascular Access System-the state of the art (2020): https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8353338/

Surgical arteriovenous fistula (AVF) creation has been a mainstay of dialysis care for multiple decades. What does it take to break into such an established space with a new endovascular medical device? In this episode of the BackTable Podcast, Dr. Jeffrey Hull discusses the challenging journey of developing the Ellipsys system for endovascular AVF creation. --- SYNPOSIS We trace Dr. Hull's path from the device's initial conception in 2006, through the first-in-human cases in 2013, to regulatory approval and acquisition by Medtronic in 2020. Dr. Hull highlights the roles of key business mentors, the importance of multidisciplinary collaboration with vascular surgery and nephrology, and the impact of investment. He also shares valuable insights on the benefits of having competitors and selecting a well-thought-out exit strategy. Additionally, we explore deep vein arterialization (DVA) as another application of endovascular AVF creation in the context of peripheral arterial disease. --- TIMESTAMPS 00:00 - Introduction 03:05 - The Birth of the Percutaneous AV Fistula Creation 15:04 - First-in-Human Cases 17:58 - Navigating the Startup Journey 21:52 - Identifying Mentors and Investors 27:33 - Competition and Criticism 36:43 - Regulatory Hurdles 44:45 - Acquisition by Medtronic 49:14 - Deep Vein Arterialization for Peripheral Arterial Disease 54:40 - Final Thoughts and Advice --- RESOURCES Avenu Medical: https://avenumedical.com/ Gracz KC et al. Proximal forearm fistula for maintenance hemodialysis (1977): https://pubmed.ncbi.nlm.nih.gov/839655/ Hull JE et al. The Pivotal Multicenter Trial of Ultrasound-Guided Percutaneous Arteriovenous Fistula Creation for Hemodialysis Access (2018): https://pubmed.ncbi.nlm.nih.gov/29275056/ Endovascular Today- Update on Percutaneous AV Fistula Creation (2015): https://evtoday.com/articles/2015-june/update-on-percutaneous-av-fistula-creation Mallios A, Jennings WC. Percutaneous arteriovenous fistula creation with the Ellipsys Vascular Access System-the state of the art (2020): https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8353338/

Andy Vargas, acclaimed successor to the throne of Latino soul music in the U.S., has been making waves in the music industry for over two decades. As Santana's lead vocalist since 2000, he has collaborated with musical titans such as Juanes, Mana, Chris Perez, Frankie J, The Black Eyed Peas, Beyonce, and Enrique Iglesias. Given his first shot by legendary producer and managers Terry Melcher, Bruce Johnston of the Beach Boys, and Lou Adler, Andy inked a record deal at the age of 16 to Ron Fair at RCA, BMG. Here, he wrote and recorded Pop, Latin funk, and R&B Soul music. This caught the interest of Clive Davis and Carlos Santana, who asked him to support the worldwide smash “Supernatural” record. Vargas has crafted a unique music genre, earning him widespread recognition and acclaim. He has also expanded his professional reach by co-founding Malaspalabras Records (MPR) alongside acclaimed comedian George Lopez and music distribution giant, United Masters. MPR is committed to safeguarding artists' rights and launching fresh talents in both conventional distribution and the evolving Web3 arena. This year marks a significant milestone in Andy's journey as a musician. He has earned solo recognition, securing a coveted spot among the illustrious lineup of the Dave Koz Friends at Sea Cruise. For two weeks of musical bliss sailing through the Mediterranean, he'll share the stage with fellow superstar musicians, promising an unforgettable experience for all aboard.% But Andy's musical odyssey doesn't end there. He's set to join his mentor, the legendary Carlos Santana, and the Santana Band for the 2024 Oneness tour, featuring the iconic Counting Crows. This collaboration with musical giants is a testament to Andy's talent and unwavering dedication to his craft. Beyond his musical pursuits, Vargas is dedicated to giving back. In 2015, he founded The Andy Vargas Foundation (AVF), a non-profit organization with a mission to inspire, mentor, and educate underprivileged youth with dreams of making it in the music industry. AVF offers a host of free community programs, such as instrument training, vocal coaching, music composition and production workshops, music business courses, and college scholarships. Amidst these grand ventures, Andy remains deeply connected to his roots, finding solace and joy in performing on his favorite local So Cal stages, Spaghettini in Seal Beach and Herb Alpert's Vibrato, throughout the year. Here, amidst the cozy ambiance and intimate setting, he shares his gift with fans, creating moments of magic that linger long after the last note fades. --- Support this podcast: https://podcasters.spotify.com/pod/show/matt-brown57/support

Volcano city virtual field trip Travel to Tāmaki Makaurau Auckland to discover more about the fiery past of Auckland's Volcanic Field Ngā Tapuwae-o-Mataoho. There are over 50 volcanoes within the Auckland Volcanic Field (AVF). The AVF has been active for around 200,000 years. The most recent and largest volcano is Rangitoto, created around 600 years ago from at least two eruptions. As Māori became established in Aotearoa New Zealand, the maunga were valued as natural places for pā, with their rich volcanic soils and their unique form and height for easy defence. Evidence of a hot magma source deep beneath Tāmaki Makaurau Auckland suggests there could potentially be an eruption in the future. Before a new eruption starts, scientists will be using forecasting models to try to predict when and where a new volcano will appear. Objective To find out how large parts of the city would be affected by the likely next eruption, and how to be prepared for the impacts of volcanic activity. Key learning Explore science and mātauranga behind the Auckland Volcanic Field Ngā Tapuwae-o-Mataoho. Look at evidence of past volcanic eruptions. Hear stories about volcanoes from mana whenua. Visit Rangitoto, Tāmaki Makaurau Auckland's youngest and largest volcano. Explore the inside of a lava cave. Investigate the impacts of a future eruption in Tāmaki Makaurau Auckland. Meet experts in hazard preparedness and learn about how you should plan to manage the impacts of a volcanic eruption. Student-led inquiry Empower your ākonga to take charge of their learning journey. Encourage them to ask meaningful questions, explore resources, and embark on their own journey of volcanic hazard preparedness. Curriculum alignment This virtual field trip aligns with the refreshed New Zealand Curriculum. It covers a range of learning areas, predominantly science and social sciences. Access guidance that supports teaching and learning to align with curriculum goals.

Eric welcomes Will Selber, Military Affairs Fellow with the Bulwark and a 20 year veteran of U.S. military intelligence with multiple tours of duty in Iraq and Afghanistan. In addition to his writing at the Bulwark, you can read Will's substack - Grumpy Combat Veteran - and listen to the podcast he co-hosts, Shoulder to Shoulder. They discuss the recent IS-KP attack on the Crocus City Theater in Moscow, the terrorist threat from both IS-KP and al Qaeda operating from Afghanistan, the difficulties of establishing an over-the-horizon counter-terrorist capability for CENTCOM, the Trump and Biden decisions to withdraw from Afghanistan, the failure to hold the Taliban to the terms of the Doha agreement, the repetition of US failures in VIetnam in training the Afghan National Defense and Security Forces (ANDSF), a post-mortem on the shambolic withdrawal from Afghanistan in August 2021, the reputational damage to the U.S. for abandoning its Afghan allies, the importance of military introspection and accountability for some of the failures in Afghanistan, and the ongoing impact of the Afghanistan debacle on military recruiting for the all volunteer force (AVF). https://grumpycombatveteran.substack.com https://plus.thebulwark.com/p/al-qaeda-in-afghanistan-how-serious-threat https://plus.thebulwark.com/p/president-biden-should-talk-about-afghanistan https://plus.thebulwark.com/p/deeper-reason-for-military-recruitment-woes

Tusentals personer säger att de är drabbade av elöverkänslighet - något som den samlade vetenskapen inte kunnat bevisa existerar. Kaliber om statliga miljoner till ett förbund som gör motstånd mot forskningen. Del 1/2. Lyssna på alla avsnitt i Sveriges Radio Play. Arja och Helén upplever sig sjuka av el– De här lysrören, det kändes som ett strykjärn mot huvudet, och jag kunde inte gå rakt.Det är 1992, och Arja kliver in i en mataffär i Upplands Väsby när hon plötsligt tycker att hon känner av de flimrande lysrören i taket. Tron på elöverkänslighet blir starkare hos henne.– Jag hade ingen längtan efter döden, men det, det är den fruktansvärda sjukdomen, att man är så sjuk och har så ont i huvudet.I en annan del av landet, på den uppländska slätten, bor Helén i ett rött hus i en glänta mellan snöklädda åkrar och högresta granar.Det är 2006 när Helén upplever en starkare sjukdomskänsla. Hon säger att hon känner yrsel och smärta, och börjar att rasa i vikt. Helén går till vårdcentralen, men där hittar de ingen orsak.Vid den här tiden får Helén höra talas om elöverkänslighet från en släkting som själv tror sig vara drabbad. Ju mer Helén tänker på elöverkänslighet, desto mer tror hon på det som en förklaring. Och som ett problem som i sådana fall går att lösa.– Vi fick ju tömma hela huset på datorer, på mobilerna, på alla batterier vi hade i allting.All teknik som finns i ett normalt tjugohundratalshem, blir ett hot, enligt Helén.BildskärmssjukaVi får kontakt med människor som har eller har haft besvär som de själva beskriver som diffusa smärtor, trötthet. Yrsel. Sömnsvårigheter. Nästäppa. Domningar. Stickningar. Svimningar. Flera av dem har också pratat om hur att uppleva sig som elöverkänslig kan väcka självmordstankar. Och flera av dem har fått bekräftat av andra som tror på elöverkänslighet att deras ohälsa beror på strålning.Och ett namn återkommer bland flera av de vi pratar med, det är Bengt Håkansson från Elöverkänsligas Riksförbund, ett förbund med 2.200 medlemmar.– Min entré där, det var bland annat att jag skrev en rätt lång artikel i deras tidning, eller i vår tidning, ska jag säga nu, Ljusglimten. Rätt snart så fick jag överta frågespalten “teknikfrågan” där jag svarar på frågor om teknik. Och, ja, vad som bekymrar folk. Jag har ju några som lyssnar och som behöver hjälp och råd. Det har väl varit det viktigaste.Går inte att koppla– Det här har ju många namn.Lena Hillert har lång erfarenhet som forskare på Arbets- och miljömedicin inom miljörelaterade hälsobesvär. Hon har nyligen gått i pension men fortsätter att hålla föreläsningar i ämnet på Karolinska Institutet i Solna.– Det mesta har ju varit vad man kallar dubbelblindprovokationer, det vill säga att man har gjort en försöksuppsättning som man så långt som möjligt tror, att det här är någonting som triggar besvären hos personerna. Och ibland har man gjort öppna prov innan, det vill säga att de vet ”nu är du exponerad, nu sätter vi på den här utrustningen”, och man har valt försökspersoner då som har sagt ”ja men det här är någonting som utlöser besvär hos mig.” Man har också tagit personernas i andra studier, inte mina, men man har tagit utpekad utrustning och gjort i deras hemmiljöer, för man tänkte att ”om vi gör det här i laboratorier så kanske vi missar någon faktor”, men inte där heller fick man något samband.Studier har kunnat visa att det är en negativ förväntan som kan orsaka besvären, något som kallas ”noceboeffekt”. Det innebär att människor kan uppleva sjukdomssymptom för att de är övertygade om att de ska inträffa i en specifik miljö.Samtidigt har Lena Hillert utsatts för försök till misskreditering, då personer påstått att hon varit anställd av Telia.– Jag har aldrig varit anställd, jag har aldrig fått ett öre från Telia. Man försökte ju misskreditera mig. För att, så att säga, minska min trovärdighet. Det är ju naturligtvis inte roligt, säger Lena Hillert.Avfärdar att elöverkänslighet inte skulle ha bevisatsOrdförande för Elöverkänsligas Riksförbund, Marianne Ketti, upplever själv att hon började drabbas av elöverkänslighet för många år sedan.När vi påtalar för Marianne Ketti att elöverkänslighet inte vetenskapligt går att bevisa, avfärdar hon den erkända forskningen.– Den bygger inte på någon saklighet.Marianne Ketti är övertygad om att forskningsresultat och myndigheter som arbetar med strålsäkerhet, så som Strålsäkerhetsmyndigheten, är korrupta.– Strålsäkerhetsmyndigheten kan du inte lita på. De har ett vetenskapligt råd, och delvis hänger det här...sitter det här, från det här vetenskapliga rådet då, så sitter det folk från en organisation som heter ICNIRP. Vi har försökt komma åt dom här länge.ICNIRP, den organisation hon är kritisk mot, är en icke vinstdrivande internationell sammanslutning av forskare och experter inom området icke-joniserande strålning och människors hälsa. Det är också därifrån den senaste forskningen kan hämtas som stöd för bland annat myndigheter i Sverige, till exempel gällande de gränsvärden som mäts kring hur hög strålning som får förekomma i samhället utan att det innebär risker.Hot mot myndighetspersoner och forskareVi kommer i kontakt med flera myndighetspersoner och forskare som berättar om hot som de blivit utsatta för från medlemmar i förbundet. Jimmy Estenberg jobbade som utredare på Strålsäkerhetsmyndigheten fram till 2021. En dag får han ett samtal. Det kommer från en medlem i Elöverkänsligas Riksförbund, berättar han.– En person hade letat upp mina barns födelseannonser...och då var de ju några år gamla, så det är ingenting som låg i dagens tidning direkt. Det var ju en väldig tydlig markering från dem att de hade koll på mig och min familj.Vi frågar Marianne Ketti, som varit ordförande i Elöverkänsligas Riksförbund i 10 år, om hoten.– Ja, vi hotar ingen, sådant jobbar inte vi med i förbundet, vi jobbar seriöst. Jag tycker det är förjäkligt om man hotar politiker, om man hotar någon annan, oavsett om jag inte sympatiserar med dem så tycker jag att ingen människa ska vara utsatt för hot i sin yrkesutövning eller vad man nu jobbar med. Ett sådant samhälle ska vi inte ha.Miljoner i bidragVarje år får Elöverkänsligas Riksförbund omkring 1,7 miljoner kronor i statsbidrag. Detta på grund av att elöverkänslighet räknas som ett funktionshinder efter ett regeringsbeslut 1995. Bidraget är utformat så att pengarna ska gå till påverkansmöjlighet i samhället som ligger i medlemmarnas intressen.– Det finns ingen koppling till det i just det här organisationsbidraget, utan fokus som vi tittar på utifrån statsbidrag, det är helt enkelt om de har uppfyllt de kriterier för en organisation, och för att kunna organisera sig som verksamhet, säger Zara Warglo, som är avdelningschef för Avdelningen för behörighet och statsbidrag på Socialstyrelsen. Mellan åren 1995 och 2000 betalade Regeringskansliet ut statsbidrag till handikapporganisationerna, men år 2000 tog Socialstyrelsen över ansvaret för att betala ut pengarna.– Och sedan fick vi ta över det här uppdraget, och sedan dess då, 2000, så har de ungefär sammanlagt fått ut 33 miljoner kronor. Här får man väl titta på det i ljuset av just den funktionshinderspolitik, tänker jag, som var runt millennieskiftet, där man var väldigt noggrann med att trycka på att man skulle inte titta för mycket på medicinska diagnoser, utan man skulle se personerna och individerna som hade de här bekymren och en funktionsnedsättning då som kunde leda till ett funktionshinder.Vill se över hur bidraget är utformat– Vi skulle ju gärna se att man gör en översyn av den här förordningen. Vi kan inte ändra i en förordning. Men däremot så har vi ju påtalat det för Regeringskansliet, säger Zara Warglo.Regeringskansliet vill inte ställa upp på en intervju men skriver i mejl att ett nytt förslag till förordningen förbereds inom Regeringskansliet.Till Kaliber uppger majoriteten av riksdagspartierna att det bör finnas krav på vetenskapliga belägg för de handikapporganisationer som får statsbidrag och välkomnar att bestämmelsen ses över.Reportrar: Jill Eriksson och Johanna Torshall Svensson.Producenter: Johan Sundström och Viktor Papini.Slutmix: Johan HörnqvistProgramledare: Annika H Eriksson

Découvrez en 10 minutes avec Dr De Mijolla Gabriel, neurologue, l'essentiel à savoir concernant l'algie vasculaire de la face (AVF). ✅ Quels sont les drapeaux rouges à rechercher devant toute céphalée ? ✅ Quel est le tableau clinique typique d'une AVF ? ✅ Le diagnostic d'AVF est clinique, pourquoi faut-il demander des examens complémentaires en urgence ? ✅ Quel traitement débuter en MG ? Quelle précaution suivre pour le prescrire ? ✅ A l'image des migraines, y a t'il un traitement de fond à proposer aux patients ? ✅ Quand adresser au neurologue ? Les RÉPONSES du CAS CLINIQUE (COMMENTÉES EN VIDEO par Dr De Mijolla), cliquez-ici

Hz. Ebû Bekir (r.a.)'in asıl adı Abdullah b. Ebî Kuhâfe'dir. Annesi Ümmül Hayr Selmâ bint-i Sahr'dır. Annesi, babasının amcasının kızıdır. Hem annesi, hem babası Teymoğullarındandır. Bu kabîle zarif ahlâkı ve çok edepli olmalarıyla meşhurdur. Hz. Peygamber (s.a.v.)'i tasdik etmekte süratli davranışından dolayı Resûlullâh (s.a.v.) Hz. Ebû Bekir (r.a.)'i şöyle tanıtır: “Müslüman olmaya davet ettiğim herkes mutlaka bir tökezlemiş ve tereddüt göstermiştir. Ebû Bekir böyle değildir. O beni tasdik edip desteklemekte çabuk davranmıştır. Bize destek için uzanan her elin bizim katımızda mutlaka bir mükâfatı vardır. Ebû Bekir'in eli böyle değildir. Onun elinin mükâfatı Allâh katındandır. Ebû Bekir'in malının bana yararlı olduğu kadar hiçbir kimsenin malı faydalı olmamıştır. Bir dost edinecek olsam, Ebû Bekir'i dost edinirim.” Peygamberliğin ilk yıllarında Hz. Ebû Bekir (r.a.) İslâm davetinin yükünü üstlenmiştir. Toplum tarafından takdir ve saygı gören ve güvenilen birisi olup bu özelliğinden dolayı İslâm davetinin ağırlığını üstlendiği zaman büyük başarılar kazanmıştır. İlk müslüman olup, İslâm dinini yayan ve bazen kılıçla, bazen söz ile müslümanlığı savunan bir grup onun eliyle müslüman olmuştur. Osman b. Affan, Talha b. Ubeydullah, Zübeyr b. Avvam, Sa'd b. Ebî Vakkas, Abdurrahman b. Avf, Erkâm b. Ebi'l Erkâm, Ebû Ubeyde b. Cerrah (r.a.e.), Hz. Ebû Bekir (r.a.)'in eliyle müslüman olan ilk insanlardır. Amr b. As (r.a.)'den şöyle dediği rivayet edilmiştir. Peygamber (s.a.v)'e: “İnsanlardan en çok sevdiğin kimdir?” diye sordum. “Aişe” buyurdu. “Erkeklerden en çok sevdiğiniz kimdir?” dedim. “Âişe'nin babası” buyurdu. (Muhammed Mütevelli Şaravî, Cennetle Müjdelenen On Sahâbî, s.15-18)

En octobre 2023 avait lieu la première édition du festival "Les Végés de l'Encan" à La Rochelle. Un évènement dédié au végétal avec des expositions, une conférence, un coin traiteur et des produits locaux. J'étais sur place pour tendre mon micro aux passant·e·s et aux intervenant·e·s afin de recueillir leurs témoignages. C'était un plaisir pour moi d'être présent et de relayer un événement comme celui-ci, car on manque cruellement de solutions dans les petites et moyennes villes. Des associations comme L214 ou AVF, présentes au niveau local, font un travail formidable pour faire connaître l'alimentation végétale au grand public grâce à des actions de sensibilisation. Je ne l'ai pas mentionné dans l'épisode mais : un grand bravo à la ville de La Rochelle d'avoir fait le pari de proposer un évènement tourné vers le végétal. C'est grâce à des initiatives comme celle-ci que nous pouvons faire évoluer les mentalités

The U.S. Department of Defense underwent several significant changes in 1973. First, the law that empowered the draft expired when Congress didn't extend it, and the all-volunteer force (AVF) was born. Second, Secretary of Defense James R. Schlesinger initiated "the Total Force Policy which integrates the active, Guard, and Reserve forces into a homogeneous whole.” Lindsay Cohn is in the studio to discuss the impact these force management changes have had on civil-military relations. She joins guest host Carrie Lee to consider how eliminating the draft and expanding the reserve component changed how the military interacted with the citizens of the nation. This is the fourth episode in a multi-part special series supporting the U.S. Army War College's Civil-Military Relations Center.

Hicretten sonra Hz. Peygamber (s.a.v.) Abdurrahman b. Avf (r.a.)'i Sa'd b. Rab'î (r.a.) ile kardeş yapmıştı. Hz. Sa'd (r.a.) Medine'nin zenginlerindendi. Kardeş olduktan sonra Hz. Sa'd (r.a.), Abdurrahman b. Avf (r.a.)'a dönerek: “Sen artık sahip olduğum her şeyde benimle ortaksın. Hatta ben iki hanımla evliyim. Eşlerimden birisini boşayayım, sen onunla evlen. Ben böyle bir şey yapmayı kardeşlik adına arzu ediyorum” dedi. Abdurrahman b. Avf (r.a.) bu yüksek fedakârlığa şöyle mukâbele etti: “Allâh (c.c.) eşini, çoluk çocuğunu ve mal varlığını sana mübarek eylesin. Bana çarşıyı göstermen yeterlidir.” Abdurrahman b. Avf (r.a.) çarşıyı öğrendikten sonra yaptığı alışverişler sonrasında büyük zenginlerden birisi oldu. Rivâyet olunduğuna göre Hz. Peygamber (s.a.v.) ona şöyle buyurmuştu: “Ey Abdurrahman! Sen zenginlerdensin. Cennete ancak dört ayak emekleyerek gireceksin. Varlığından Hz. Allâh (c.c.)'a ödünç ver ki Allâh (c.c.) ayaklarını serbest bıraksın.” Resûlullâh (s.a.v.)'in bu sözünden sonra o, servetinden daha çok dağıtmaya başladı. Bol bol dağıtmayı çok seviyordu. Rivâyet olunur ki o bir keresinde malının yarısını sadaka olarak vermişti de bunun üzerine şu âyet inmişti: “Mallarını Allâh yolunda harcayıp da arkasından başa kakmayan, fakirlerin gönlünü kırmayan kimseler var ya, onların Allâh katında has mükâfatları vardır. Onlar için korku yoktur, üzüntü de çekmeyeceklerdir.” (Bakara s. 262) Abdurrahman b. Avf (r.a.)'in cömertliği ve keremi bu olaydan sonra birbirini izleyerek devam etti. Çünkü o cennete emekleyerek girmek istemiyordu. Onun arzusu, ayakları üzerinde yürüyerek ve süratli bir biçimle cennetin yükseklerine ulaşmaktı. (Muhammed Mütevelli Şaravî, Cennetle Müjdelenen On Sahâbî, s.188-189)

Dr. Jeanette Rowley holds a PhD in Law and has a special interest in veganism and human rights. She has published widely and presented globally on the subject of legal protection for vegans. She founded and chaired The Vegan Society's International Rights Network. Last year, she and Dr. Carlo Prisco edited Law and Veganism: International Perspectives on the Human Right to Freedom of Conscience (2022). Dr. Rowley is the driving force behind a decade of symposiums on vegan rights. She has given evidence in Mr. Casamitjana's case and gave oral evidence for Canadian firefighter Adam Knauff. Astrid Prevost is an ethical vegan and aspiring dietician. She battled bulimia for several years, until veganism gave Astrid the strength to create boundaries; to reject what she didn't want; to say “no.” In respecting other animals, she found self-respect. Those boundaries are being tested now, by a cooking class that demands Astrid use animal products or risk failing. Astrid offered to substitute animal ingredients with vegan ones and submitted a doctor's note. When both were rejected, she initiated a lawsuit in France for discrimination. Tamara Bedić, is an ethical vegan, animal rescuer, employment attorney. Tamara is a past-President of the National Lawyers Guild, NYC chapter. She is chair of the Animal Rights Committee. When she's not championing the rights of women in the workplace, she is organizing webinars or rescuing birds in distress. She is ‘Mom' to two FIV+ tom cats.     Links mentioned in the podcast: 1. FREE WEBINAR: Expanding Vegan Rights, Tuesday, October 17, 2023, 12 – 1pm EDT Four plaintiffs and three lawyers will discuss vegan discrimination cases in the U.S., UK, Canada and France. The laws of these countries differ, but the common goal is having ethical veganism recognized as a “creed” or “ethical belief” worthy of protection from discrimination. The ethical vegans who will be speaking about their individual cases are: Jerold Friedman, Jordi Casamitjana, Adam Knauff and Astrid Prevost. 2. Crowdfunding for Mathias, who will also speak on the above October 17th webinar: https://www.ulule.com/droit-detre-vegane/ Astrid shares this message with us: I'd like to take this opportunity to let you know about this existential project supported by the AVF: in many collective catering places, vegans are prevented from eating according to their philosophy, and attempts are made to force them to consume animal products. This is what happened to Mathias during a preventive incarceration. He was left with no access to vegan meals during 11 months, and sometimes could not eat anything for days as all dishes were cooked with dairy or eggs. Although he was in perfect health before being held in custody, he came out of detention malnourished and with several nutrient deficiencies. Today, Mathias and his lawyer are taking the case to the European Court of Human Rights: if they win, this will have consequences in all 46 member countries of the Council of Europe. Beyond the prison setting, access to vegan meals will be recognized as a fundamental right. We need your help to turn our right into a reality : we have a crowdfunding going on to finance Maître Olivier Peter's work, a lawyer specializing in European and international law. Every euro counts: please support us, and spread the word! His lawyer, Olivier Peter, defended a lot of antispeciest and does it pro bono in front of national courts, but going to an international court like the ECHR requires a lot more work, and that's why there is this crowdfunding.  

Use code VFP100 for $100 off on the Rejuvenate Indoor Garden and 3 pod packs for freeJoin Harry Duran, host of Vertical Farming Podcast, as he welcomes to the show Christine Zimmermann-Loessl, Chairwoman at Association for Vertical Farming. Association for Vertical Farming (AVF for short) is an internationally active nonprofit organization of individuals, companies, research institutions and universities focusing on leading and advancing the sustainable growth and development of the vertical farming movement. Today, Harry and Christine talk about how Christine's entrepreneurial spirit and natural curiosity led her from studying philosophy and political science to heading one of the largest vertical farming advocate organizations. Christine speaks to the need for all companies in the vertical farming industry to work together to combat issues like overpopulation, climate change and other existential planetary crises facing our world. Finally, Christine and Harry talk about the critical role technology continues to play in our world and our future as well as the importance of remembering that we are all part of nature. It is at this intersection of technology and nature that vertical farming can play a saving role.Thanks to Our SponsorsCultivatd – https://cultivatd.com/Indoor AgCon '22 - https://indoor.ag/Use promo code 'VFP' to receive 20% your registrationVertiFarmHorti Agri Next MEAKey Takeaways03:41 – Harry welcomes to the show Christine Zimmermann- Loessl who shares the origins of her entrepreneurial spirit, her background in philosophy and political science, and her goals to understand and positively impact the world 10:26 – An early passion for Chinese medicine 17:08 – The origin story of Association for Vertical Farming and early challenges faced 24:29 – The evolution of Christine's role at AVF and what she's observed about competitors and the overall industry 30:00 – Relationship-building in the vertical farming space and growing AVF through partnerships 40:53 – Christine makes a specific ask of the audience 45:56 – Harry thanks Christine for joining the show and reiterates where listeners can go to learn more about AVF and connect with ChristineTweetable Quotes“My father was an entrepreneur, so I grew up with that spirit of being independent and working in the framework that is set by myself and not by somebody else. I could never imagine myself in an office job from nine to five.” (08:20) (Christine) “Now, with vertical farming, all of that comes together for me with technology and biology. The marriage of these two important developments in our history, I think, is a really decisive transformation for us.” (14:57) (Christine) “The mandate [of Association of Vertical Farming] clearly was to raise awareness and build a collaboration and cooperation platform where the few people or institutions who were active in that field had a place together to exchange and grow organically from there.” (20:41) (Christine) “In the beginning, as a newcomer into that field with a very different background in philosophy and political science and not agriculture, I really played the role of organization setup for the legal and administrative things. There were people in the front representing and knowing much more than me about that and I was really more in the back than I am now. That totally changed, but I really had to grow into that role and...

O programa Radar Esportivo, que vai ao ar todas as sextas-feiras na UniFM 107,9, está agora disponível nas plataformas de streaming para você acompanhar! Caso não tenha conseguido nos acompanhar no ao vivo, você pode escutar o que rolou no programa desta semana. Conversamos com o Jean Pierre Chagas Avila, Gestor de projetos da AVF, que está organizando o Festival Internacional LGBTQIA+ de Vôlei, que vai acontecer nos dias 17 e 18 de junho. Ouça já!

Hz. Ömer (r.a.)'in halife seçimini kendilerine bıraktığı altı kişilik grup bir araya gelerek istişârede bulundular. Bunlardan Abdurrahman b. Avf (r.a.): “Ben bu hususta sizinle yarışa girecek değilim; yani halifelik falan istemiyorum. Eğer isterseniz içinizden birini halife seçebilirim.” dedi. Bunun üzerine diğer beş kişi bu hususta Abdurrahman b. Avf (r.a.)'e yetki verdiler. Bundan sonra halk, Abdurrahman b. Avf (r.a.)'in yanına gidip gelmeye ve ondan bilgi almaya başladılar. Halktan hiç kimse bu şûra üyelerini rahatsız etmiyor; sadece sabahları Abdurrahman b. Avf (r.a.)'e koşup gece yapılan toplantı hakkında ondan bilgi ediniyorlardı. Bu durum Hz. Osman (r.a.)'e biat edilen gecenin sabahına kadar böyle devam etti. Abdurrahman b. Avf (r.a.) o gece hiç uyumadı. Zübeyr (r.a.) ve Sa'd (r.a)'i çağırdı ve onlarla konuştu. Sonra Hz. Ali (k.v.)'yi çağırıp şafak sökünceye kadar onunla konuştu. Hz. Ali (r.a.)'den sonra Abdurrahman b. Avf (r.a.) Hz. Osman (r.a.)'i çağırdı ve müezzin sabah ezanını okuyuncaya kadar da onunla konuştu. Sabah namazını kılan halk, Hz. Peygamber (s.a.v.)'in mescidinde, minberin yanında toplandı. Abdurrahman b. Avf (r.a.) o sırada Medine'de bulunan diğer Ensar ve Muhâcirleri de çağırttı. Ayrıca ordu kumandanlarını da oraya getirtti. Bunların hepsi o sene Hz. Ömer (r.a.)'le birlikte haccetmek için gelmişlerdi. Herkesin toplandığına kanaat getiren Abdurrahman b. Avf (r.a.) şehâdet getirerek kalktı ve Hz. Osman (r.a.)'in elinden tutarak “Allâh'ın ve Resûlü'nün ve ondan sonra gelen iki halifenin sünneti üzerine sana biat ediyorum!” dedi. Onun bu şekildeki biatından sonra Muhâciriyle, Ensarıyla, ordu kumandanlarıyla tüm müslümanlar da kalkarak Hz. Osman (r.a.)'a biat ettiler. (Yusuf Kahdehlevî, Hayat'üs-Sahâbe, c.1, s.251-252)

Le réseau national des Accueils des Villes Françaises propose, aux nouveaux habitants et à toutes les personnes en recherche de lien social, des animations conviviales leur permettant de découvrir leur nouvel environnement et de nouer de nouvelles amitiés. Dans un monde de plus en plus virtuel, les AVF permettent à chacun d'être réellement écouté, accueilli avec empathie et bienveillance, d'être connu et reconnu, de trouver sa place. 

Le réseau national des Accueils des Villes Françaises propose, aux nouveaux habitants et à toutes les personnes en recherche de lien social, des animations conviviales leur permettant de découvrir leur nouvel environnement et de nouer de nouvelles amitiés. Dans un monde de plus en plus virtuel, les AVF permettent à chacun d'être réellement écouté, accueilli avec empathie et bienveillance, d'être connu et reconnu, de trouver sa place. 

Selon des chiffres de l'Insee, publiés en février 2022, plus de 67 % des Français partaient alors en vacances. Il est possible que, du fait de l'inflation, ce pourcentage soit plus faible en 2023.Il existe cependant des aides pour permette à davantage de personne de prendre des vacances. Ainsi, dans le cadre du dispositif d'aide aux projets vacances (APV), l'Agence nationale pour les chèques-vacances (ANCV) propose des chèques-vacances, qui peuvent couvrir jusqu'à 80 % des frais de séjour.Il est à noter que si ce dispositif s'adresse en priorité aux ménages modestes, il concerne aussi les adultes isolés et les personnes en situation de handicap.De son côté, les Caisses des allocations familiales (CAF) ont conçu un programme vacances spécifique, qui porte le nom de "Vacaf". Il se présente sous la forme d'une aide, versée directement aux hébergements. Ce qui évite aux bénéficiaires d'avoir à avancer la somme en attendant d'être remboursés.Cette aide permet de financer une partie des frais de séjour, dans un camping, par exemple, ou dans un des 3.600 villages vacances qui participent au programme Vacaf. Cette aide, qui varie selon les revenus, le nombre d'enfants et le type de séjour choisi, est attribuée aux personnes touchant une prestation de la CAF pour au moins un enfant à charge de moins de 20 ans.Comme son nom l'indique, cette "aide aux vacances familiales" (AVF) est destinée aux familles. Mais les CAF, selon des modalités qui diffèrent en fonction des départements, proposent aussi une "aide aux vacances enfant" (AVE), qui couvre une partie des frais d'une colonie de vacances, et une "aide au temps libre" (ATL), qui permet aux jeunes de bénéficier d'un ensemble d'activités et d'animations.De son côté, la Bourse solidarité vacances (BSV) s'adresse à un public composé aussi bien de ménages aux ressources modestes ou de jeunes en situation précaire qu'à des personnes au chômage ou à des bénéficiaires du RSA. Ce dispositif propose, sur des séjours vacances, des réductions allant souvent de 50 à 70 % par rapport aux prix habituels. Hébergé par Acast. Visitez acast.com/privacy pour plus d'informations.

Selon des chiffres de l'Insee, publiés en février 2022, plus de 67 % des Français partaient alors en vacances. Il est possible que, du fait de l'inflation, ce pourcentage soit plus faible en 2023. Il existe cependant des aides pour permette à davantage de personne de prendre des vacances. Ainsi, dans le cadre du dispositif d'aide aux projets vacances (APV), l'Agence nationale pour les chèques-vacances (ANCV) propose des chèques-vacances, qui peuvent couvrir jusqu'à 80 % des frais de séjour. Il est à noter que si ce dispositif s'adresse en priorité aux ménages modestes, il concerne aussi les adultes isolés et les personnes en situation de handicap. De son côté, les Caisses des allocations familiales (CAF) ont conçu un programme vacances spécifique, qui porte le nom de "Vacaf". Il se présente sous la forme d'une aide, versée directement aux hébergements. Ce qui évite aux bénéficiaires d'avoir à avancer la somme en attendant d'être remboursés. Cette aide permet de financer une partie des frais de séjour, dans un camping, par exemple, ou dans un des 3.600 villages vacances qui participent au programme Vacaf. Cette aide, qui varie selon les revenus, le nombre d'enfants et le type de séjour choisi, est attribuée aux personnes touchant une prestation de la CAF pour au moins un enfant à charge de moins de 20 ans. Comme son nom l'indique, cette "aide aux vacances familiales" (AVF) est destinée aux familles. Mais les CAF, selon des modalités qui diffèrent en fonction des départements, proposent aussi une "aide aux vacances enfant" (AVE), qui couvre une partie des frais d'une colonie de vacances, et une "aide au temps libre" (ATL), qui permet aux jeunes de bénéficier d'un ensemble d'activités et d'animations. De son côté, la Bourse solidarité vacances (BSV) s'adresse à un public composé aussi bien de ménages aux ressources modestes ou de jeunes en situation précaire qu'à des personnes au chômage ou à des bénéficiaires du RSA. Ce dispositif propose, sur des séjours vacances, des réductions allant souvent de 50 à 70 % par rapport aux prix habituels. Learn more about your ad choices. Visit megaphone.fm/adchoices

This is a free preview of a paid episode. To hear more, visit www.americanprestigepod.comDanny and Derek welcome back Michael Brenes, associate director of the Brady-Johnson Program in Grand Strategy and lecturer in history at Yale University, to discuss the shocking, scandalous, and salacious history of the United States' military-industrial complex (MIC). They pick up in the 1970s, touching on the advent of the all-volunteer force (AVF), …

Premiär! Galapremiär till och med! The Mandalorian kör igång med en rivstart och det är med glädje vi tar oss an första avsnittet - Avfällingen. Stöd oss gärna via www.buymeacoffee.com/rebellradion

Videonun içerisinde geçen kaynaklara buradan erişebilirsiniz: 1 Konuyla ilgili ayetler için bkz; Bakara 197-200, 203; Maide 1-2, 96; Hac 25,27,29,37. Hz. İbrahim (as) ve Ka'be ilişkisine dair ayetler için ise; Bakara 125-127, İbrahim 37, 2 Bu rivayeti İbn Hanbel, Fâkihî, Tirmîzî, Hâkim ve Beyhakî tahric etmişler, Tirmizi ise bu rivayete “garib” hükmünü vermiştir. Hadisin rivayet zincirinde geçen Recâ b. Sabîh Ebû Yahyâ el-Hareşî isimli şahıs ise hadis uleması tarafından cerh edilmiş, zayıf ve kuvvetsiz bulunmuştur. Dolayısıyla bu hadis sahih kabul edilmemiştir. 3 Ayrıntılı bilgi için bkz; Hadislerde Kutsiyet Atfedilen Fenomenlerin Dinî Değeri (Hacerülesved Örneği), Yrd. Doç. Dr. Ahmet Emin SEYHAN, Rağbet Yayınları, 2016, S. 147-155 4 Buhârî, Hac, 57; Müslim, Hac, 41 5 Mircea Eliade, Dinler Tarihine Giriş, Kabalcı Yayınları, 2014. s: 27 6 Bakara, 144 7 Bakara, 158; Hac, 29 8 Bakara, 158 9 “Benim nasıl namaz kıldığımı gördüyseniz siz de öyle namaz kılın.” (Buhari, Ezan, 18) 10 Kütüb-ü Sitte, Rezin, Abdurrahman b. Avf rivayeti, kayıt no: 1352

1.10 Localization of MI on ECG Cardiovascular system review for the USMLE Step 1 exam T Myocardial infarction (MI) can be localized by identifying changes in various ECG leads Anterior STEMI: ST elevation in precordial leads V3, V4, indicating occlusion of the distal left anterior descending artery (LAD) Lateral MI: ST elevation in leads I, aVL, aVR, and precordial leads V5, V6, caused by an occlusion of the LAD Septal MI: ST elevation in leads V1, V2, V3, caused by an occlusion to the LAD Inferior MI: ST elevation in leads II, III, aVF, caused by an occlusion of the right coronary artery (RCA) Posterior MI: ST elevation in V7, V8, V9, caused by an occlusion of the posterior descending artery (PDA)

Danny and Derek welcome Jennifer Mittelstadt, professor of history at Rutgers University, and Mark Wilson, professor of history at UNC Charlotte, to discuss their new edited volume The Military and the Market. They talk about the military welfare state and the all-volunteer force (AVF), mercenaries within the system, and more. This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit www.americanprestigepod.com/subscribe

A Assoeva fechou a primeira fase do Gauchão do Futsal com vitória por 4 a 3 sobre o Lagoa Futsal. Foi a quinta vitória seguida da equipe no estadual. Os gols da Assoeva foram marcados por Zé Antônio (2x), Lima e Léo Borges. Agora a Assoeva se prepara para as oitavas de final da competição. Como fechou a primeira fase em terceiro lugar, vai enfrentar o Uruguaianense fora de casa no jogo de ida e em casa no jogo da volta. A Liga Gaúcha ainda não divulgou as datas dos confrontos. Os demais jogos serão: Após a partida, realizada na sexta-feira, dia 7, o técnico Fernando Malafaia avaliou. Acompanhe, áudio, a fala do técnico no boletim com o repórter Ismael Stürmer. Os demais confrontos são: Afucs e Atlântico; Guarani-FW e Passo Fundo; AVF e AGE; Marau e Guarani de Espumoso; Alaf X ACBF; SASE X Lagoa; Horizontina X Sercca.

Osman b. Âs (r.a.)'ın annesi Fâtıma-i Sakîfe anlatıyor: “Ben o gece Hz. Âmine'nin yanındaydım. Yeryüzünde benzeri görülmemiş bir güzellik ortaya çıkarak, gökteki bir yıldız, dünyanın dört bir yanına ışıklar saçtı; oda içinde birçok meşale yandı zannettim. Çünkü o saadet yıldızı, koca bir nur ile doğdu. Amine'den bütün âleme bir nur yükseldi ki yerle gök arasında nurdan başka bir şey görünmedi. Abdurrahman bin Avf (r.a.)'in anası Şifâ Hâtûn bildiriyor: Hz. Peygamber (s.a.v.) doğunca ben almıştım. Elim üstüne düştüğü anda bir kimsenin “Allâh (c.c.)'un rahmeti üzerine olsun” dediğini duydum ve doğu ile batı arasının nurla dolduğunu ve Rum ülkesindeki bazı köşkleri gördüm ve yine o anda Peygamber (s.a.v.)'i emzirdim, sarıp yatırdım. Birden vücudum titredi, gözlerim karardı ve Peygamber (s.a.v.) gözümden kayboldu. Ve ne oldu deyince; “doğu tarafına götürdüler” diye kulağıma bir ses geldi. Bu söz kalbimden hiç gitmedi. Tâ Hz. Peygamber (s.a.v.) peygamber oluncaya kadar unutmadım ve ilk müslüman olanlardan biri oldum. Hz. Peygamber (s.a.v.)'in doğumu ile meydana gelen haller şunlardı: Ahiret gününde şefaatçi olacak Resûlullâh (s.a.v.) Efendimiz'in doğduğu gece Sâve gölünün suyu kaybolmuş, o geceye gelinceye değin bir damla su görülmemiş olan Semâve çölünde çeşitli ırmaklar ortaya çıkmıştı. İran kisrasının sarayından on dört burç düşmüş, Fars ilinde ateşe tapanların bin yıldan beri yanan ateşi sönmüştü. (Eyüp Sabri Paşa, Peygamber (s.a.v.) Efendimiz'in Hayatı, s.45; İmâm Kastalâni, Mevahib-ü Ledünniyye, s.37)

Na noite desta quarta-feira, dia 14, o time de Venâncio Aires tem compromisso fora de casa pelo Gauchão de Futsal Série A. O jogo é contra o AVF, de Vacaria. Em entrevista ao programa Terra Esportes, na terça-feira, dia 14, o ala Ian Lucas anunciou que a Capital do Chimarrão atuará com time misto. A maioria dos jogadores que estarão em quadra serão da categoria Sub-20. O jogo será transmitido pela Terra FM a partir das 20h. Ainda durante a entrevista, Ian Lucas ressaltou a expectativa para o jogo da volta que ocorre domingo, dia 18, às 13h, entre Assoeva e Cascavel, pelas oitavas de final da Liga Nacional de Futsal. Na primeira partida a vitória foi da equipe de Venâncio Aires por 4 a 2. Ian Lucas destacou, ainda, que o futsal nessas condições é ainda mais dinâmico. “Quem se predispor a marcar mais e errar menos sairá vitorioso. Tudo vai ser decidido no detalhe. Nosso foco é ganhar ainda no tempo normal”, disse ele na entrevista. A partida entre Cascavel e Assoeva será também transmitida pela Terra FM. Outro tema comentado pelo camisa 7 da Assoeva é a sua volta às quadras, após ficar mais de um mês e meio paralisado por conta de lesão. Ouça a entrevista completa de Ian Lucas concedida aos jornalistas Carlos Roberto de Oliveira e Daniel Heck.

ÉPISODE SPÉCIAL JMFS Le samedi 27 août a eu lieu la Journée Mondiale pour la Fin du Spécisme (JMFS). C'est une journée internationale qui existe depuis 2015 et a pour but de nommer et dénoncer le spécisme en tant que tel, de faire se réunir les associations et collectifs qui militent toute l'année contre cette discrimination, cette idéologie, cette oppression. C'est évidemment une journée essentielle dans la lutte contre le spécisme, et à cette occasion je voulais faire quelque chose de spécial. Je me suis donc rendu à la marche contre le spécisme organisée à Paris. Dans cet épisode, je vous emmène avec moi et je vous fais vivre cette journée ! Un immense merci à toutes les personnes qui ont participé à cet épisode : Margaux de l'équipe d'organisation de la marche contre le spécisme, Mathilde de Anonymous for the Voiceless, Céline et Sandro de la Révolution Écologique pour le Vivant, Mathilde de l'Association Végétarienne de France, Sandra de la chaîne Youtube L'Effet chimpanzé qui a lu le discours du Projet Méduses, Mathilde de L214, Valentine et Pierre de Sentience Rennes, Alice du Campus animaliste (association de jeunesse du Parti animaliste), Marie, Hugo, Mathilde, Jean-Luc, Lio et Nico de la chorale antispéciste, Amadeus de Futur et Lucie qui est à la fois à la chorale et à Futur. Merci aussi à Swen et Joseph pour leur aide ! ________________________________ Références et sources citées dans l'épisode : - Site de la Journée Mondiale pour la Fin du Spécisme (JMFS) : https://www.end-of-speciesism.com/fr/ - La conférence de l'AVF dont parle Mathilde, donnée aux Estivales de la question animale par Anna Labarre et Jérôme Guilet : https://www.youtube.com/watch?v=SL7c0GN37SA - Les chants que vous avez pu entendre : "Penn Sardin" écrite et composée par Claude Michel, sa reprise antispéciste "Le chant des sardines" écrite par la chorale antispéciste, "La Promesse" écrite et composée par Simon, militant antispéciste ________________________________ SOUTENIR : https://linktr.ee/poissonpodcast Comme un poisson dans l'eau est un podcast indépendant et sans publicité : votre soutien est indispensable pour qu'il puisse continuer à exister. Merci d'avance ! Les comptes Instagram, Twitter, Facebook et Mastodon du podcast sont également à retrouver dans le link tree ! CRÉDITS Comme un poisson dans l'eau est un podcast créé et animé par Victor Duran-Le Peuch. Charte graphique : Ivan Ocaña Générique : Synthwave Vibe par Meydän Musique : Paris La Nuit par A Virtual Friend

Bu video 05/02/2017 tarihinde yayınlanan "MAHPUSLAR, MAZLUMLAR, MUHÂCİRLER VE HİMMET" isimli bamtelinden alınmıştır. Tamamı burada: https://www.herkul.org/bamteli/bamtel... Bize bugün Ensâr-Muhâcir kardeşliği sergilemek düşüyor; inşaallah, Allah'ın vaz' ettiği vüdd gelecekte inkişaf edecek ve Hizmet tam bir “dünya meselesi” haline gelecek. Bizim çektiğimiz şeyler, önemli değil ama bu dönemde çektiğimiz şeyleri, gâvurlardan görmedik, hiçbir dönemde. Çekilen şeyler… Fakat olsun.. “Cihâna geldiğim günden beri pek çok cefâ gördüm. Ezildim bâr-ı gam altında bin türlü ezâ gördüm. Değil bigânelerden, âşinâlardan belâ gördüm. Vücudum âlem-i sıhhatte bîmâre dönmüştür.” Aklını peynirle yemiş insanlar; eziyet etmek, işkencede bulunmak suretiyle, insanları kendi çizgilerine çekeceklerini zannediyorlar. Allah'a inanan, Rasûlullah'a inanan (sallallâhu aleyhi ve sellem) gerçek mü'min; iz'an mü'mini, yakîn mü'mini, ilme'l-yakîn mü'mini, ayne'l-yakîn mü'mini, hakka'l-yakîn mü'mini, tevekkül-i tâm mü'mini, teslim-i tâm mü'mini, tefviz-i tâm mü'mini, sika-i tâm mü'mini, o türlü şeylere katiyen tenezzül etmez. Acından ölse bile, el-etek öpmez. El-etek öpecekse şayet, لِتَكُونَ كَلِمَةُ اللهِ هِيَ الْعُلْيَا “Allah'ın nâm-ı celil-i sübhanîsinin bayrak gibi dalgalanması için..” öper. Onun için yapar; mü'min kardeşlerine yardım etmek için yapar. Öyle yardım etmeli ki, bir gün o mü'min kardeşler kapınıza gelse, tıpkı muhacirîn-i kiram efendilerimizin Ensâr-ı fihâm efendilerimize dedikleri gibi demeliler. (Birileri “ekremîn”, diğerleri de “efhamîn”.) “Biz artık şöyle-böyle geçimimizi temin edecek duruma geldik; müsaade buyurursanız, o bağ ve bahçedeki durumdan elimizi-eteğimizi çekmek istiyoruz ve bundan böyle o imkânlardan istifade etmek istemiyoruz. Kendimize birer kulübecik yaptık; sizin hânelerinizde kalmayı da düşünmüyoruz artık!” Gelip dediler muhâcirîn-i kirâm efendilerimiz. Ensâr, ağlayarak Rasûlullah'a geldiler, “Yâ Rasûlallah! Muhâcir kardeşlerimiz böyle bir şey diyor; onlar yurtlarını yuvalarını terk ettiler. Ebu Cehiller, Utbeler, Şeybeler –كَمَا كَانَ الْيَوْمَ، كَمَا كَانَ اَلْيَوْمَ (Bugün de olduğu gibi.. bugün de olduğu gibi.)– onların her şeylerini gasp etmişlerdi. Tagallüpte, tahakkümde, tasallutta, temellükte bulunmuşlardı. Haramîlik etmişlerdi. Biz onlara bağrımızı açtık. Ve bu mevzuda onlara destek olmayı, Cenâb-ı Hakk'ın kurbetine vesile olacak mülahazasıyla yapıyorduk. Evlerimizin şerefi olmuştu. Bağ ve bahçelerimizin şerefi olmuştu. Müsaade buyurursanız, bu kardeşlik devam etsin!..” Ensâr, böyle davranıyordu; Muhâcir de o istiğna ruhuyla, o îsâr ruhuyla, mutlaka artık alın teriyle kazanmak istiyordu. Onlar ticaretten anlıyorlardı. Bir-iki sene içinde, Kaynuka, Kureyza, Nadır çarşı ve pazarında âdeta ticareti ele geçirdiler. Ve çokları, Hazreti Osman efendimiz gibi, Abdurrahman İbn Avf gibi, hamallıkla işe başladılar. Medine-i Münevvere'nin en zengini haline geldiler. Fakat o servet de bir yönüyle, beş yüz deveyi birden, gözünü kırpmadan verecek kadar, bir sehâvet (cömertlik) anlayışına bağlı idi; elinin tersiyle “Al götür, umurumda değil” diyecek kadar… Dolayısıyla onlar ayrılmak istiyordu ama öbürlerinin de onlara bakma şerefinden mahrumiyete tahammülleri yoktu. Böyle bir mülahaza ve böyle bir anlayış ile… Zalimler tarafından gadre uğrayan, mazlumiyet ve mağduriyet yaşayan kardeşlerimize yardım etmeliyiz. İmkanı varsa, ceketimizi satarak, onun parasıyla onlara bakmayı, insanlığın gereği, İslamiyet'in gereği, îsâr ruhunun gereği, kendimiz için yaşamamanın gereği, yaşatma mülahazasıyla yaşamanın gereği, “ba'su ba'de'l-mevt erleri” olmanın gereği, adanmışlık ruhunun gereği bilmeliyiz!..

Samsung 4K QN95B & 8K QN800B thoughts, TV Stands explained, Thor: Love & Thunder and Netflix's Sea Beast Reviews, AV & Hi-Fi, 4K + Movie/TV news & more

Episode 98: Apretude and code blue. Apretude is a new injectable medication for HIV pre-exposure prophylaxis (PrEP), Dr. Yomi presents how to use it. Then, Mandeep, Jon, and.  Introduction: Apretude, a new injectable for HIV PrEP.  By Timiiye Yomi, MD. Moderated by Jennifer Thoene, MD.   What is HIV PrEP? Pre-exposure prophylaxis (or PrEP) consists of taking medication when a patient has a high risk of contracting HIV to lower their chances of getting infected.  Who can take HIV PrEP? Individuals who may benefit from PrEP include but are not limited to: Male who have sex with male (MSM), people with multiple sexual partners with no consistent use of condoms, or people who have been diagnosed with an STD in the past 6 months, IV drug users who share needles, syringes, or other injection equipment. History of HIV PrEP: In 2012, the first medication for HIV PrEP was approved—Truvada® (tenofovir-emtricitabine). Truvada is a once-daily oral prescription drug. Seven years later, in 2019, the next medication for HIV PrEP was approved— Descovy® (tenofovir alafenamide and emtricitabine). It is also a daily PO medication. But today we want to introduce you to the newest medication for HIV PrEP—Apretude® (cabotegravir). On Dec 20, 2021, FDA approved Apretude (cabotegravir), an extended-release injectable for HIV-1 pre-exposure prophylaxis for at-risk adolescents and adults who weigh at least 35 kg (77 lbs). Mechanism of action: Apretude is a long-acting integrase inhibitor that works by binding to the HIV integrase active site and blocking the strand transfer step of retroviral DNA integration. How is it given? Comes as a 600-mg (3-mL) injection. Patients receive 2 initiation injections administered 1 month apart, thereafter every 2 months. Patients can start medication immediately or first take the oral formulation for 4 weeks to assess how well they tolerate the medication before beginning the injection. Trials: The safety and efficacy of Apretude in reducing the risk of contracting HIV-1 were evaluated in two randomized double-blind trials comparing Apretude and Truvada (once-daily oral medication).Trial 1: Participants who took Apretude had a 69% less risk of contracting HIV compared to Truvada.Trial 2: Participants who took Apretude had a 90% less risk of contracting HIV compared to Truvada. Common side effects: Fever, malaise, fatigue, sleep problems, myalgias and arthralgias, headache, rash, red and swollen eyes, edema of face, lips, mouth, tongue; GI discomfort, hepatotoxicity, and depression. Note: Some drug-resistant HIV variants have been identified in people with undiagnosed HIV prior to beginning Apretude. People who test positive for HIV while on Apretude must transition to a complete HIV treatment regimen as Apretude is not approved for HIV treatment.  Requirements to receive Apretude: -Patient must be HIV-1 negative-Patient must remain negative to continue receiving Apretude-Patient must not miss any injections as this increases their risk of contracting the virus Apretude does not protect against other sexually transmitted infections. Patients must be sexually responsible and use other forms of protection such as condoms during sexual intercourse. This is the Rio Bravo qWeek Podcast, your weekly dose of knowledge brought to you by the Rio Bravo Family Medicine Residency Program from Bakersfield, California. Our program is affiliated with UCLA, and it's sponsored by Clinica Sierra Vista, Let Us Be Your Healthcare Home. This podcast was created for educational purposes only. Visit your primary care provider for additional medical advice.___________________________A code blue in clinic.  By Manpreet Singh, MS3; Jon-Ade Holter, MS3; and Sheinnera Gerongay, MS3. Ross University School of Medicine. What is a code blue?Arreaza: Today we will present to you a case to remind you about some principles of cardiopulmonary resuscitation (CPR). The term “code blue” in the United States refers to a situation where a patient is in cardiac arrest, respiratory arrest, unresponsive, or experiencing another medical emergency that requires immediate attention. “Code blue” is commonly used in hospitals and clinics to call a rapid response team to arrive immediately to evaluate the patient. We hope you can benefit from this brief review and feel ready for your next code blue. Of course, you will need more than we provide during these few minutes, but we hope it triggers your curiosity to keep learning or practicing. By the way, “code blue” is not standard for medical emergency in the whole world. For example, in the United Kingdom, they call it “code red”. Case presentation: Mr. DD 56-year-old man with a past medical history of coronary artery disease, recent MI, DM2, and CHF presents today to our clinic for hospital follow. He had an MI 2 weeks ago. He reports that when he was at home working in the yard, he suddenly had 8/10 retrosternal chest pain, pressure-like, accompanied by shortness of breath and diaphoresis. The pain radiated to the left side of his neck/jaw and down his left shoulder and arm. Jon: Nitroglycerin was taken by Mr. DD 3 times without resolution of symptoms. The patient was taken by EMS to Kern Medical ER. In the hospital, there was a 4mm ST elevation on ECG on leads II, III, and aVF. Q waves were also seen in anterior leads V4-V6. Patient was taken to cath lab and stent was placed in the RCA. ECHO showed decreased left ventricle wall motion and dilated left ventricle with an ejection fraction of 28%. Mr. DD was discharged after 5 days in the hospital.M: He is currently on lisinopril, carvedilol, atorvastatin, aspirin, clopidogrel, metformin, and digoxin. He states he is not compliant with all the medications because he forgets to get refills at times. He has a 35-pack year history of smoking and drinks 3-4 4oz drinks every day after work. He states he has used methamphetamine and cocaine intermittently within the last 6 months.J: Today, he lets the MA know that he is having some chest pain at night, shortness of breath with minimal activity for the last week, and at times he feels his heart is beating too fast. He has a follow-up appointment with cardiology in 2 weeks. The MA tells you that the patient vitals today are BP:195/105, HR: 108, RR: 28, and O2% 89% on room air. M: You are reviewing the patient's chart when you hear a loud thud coming from the room, you rush into the room and find the patient on the ground. The patient is unresponsive and is not moving. What is your next action? A. Try to lift the patient off the ground and back onto the chair or bed B. Give the patient nitroglycerin sublingually C. Call and wait for the EMS before proceeding D. Obtain IV accessE. See if the patient is arousable and check pulse and breathing E is the correct answer to this question because before initiating any type of treatment, first, you must assess the patient for alert response and their basic vitals such as their pulse and breathing.J: We do this because we need to know if the cardiopulmonary systems are intact. When they are not intact, regardless of the level of medical training, we must start CPR protocol. M: This patient most likely suffered a tachyarrhythmia, a very common post-MI-complication that causes the highest mortality rates. The most common cause of death are ventricular fibrillation and ventricular tachycardia. J: These are the steps we must take in order to start resuscitation of the cardiopulmonary system in any environment before the patient can be taken to a higher level of care. In this situation, Doctor Holter and Doctor Singh will perform 2-patient CPR. This is only an introduction of basic life support and advanced cardiac life support. You will need additional training to get the BLS and ACLS certificates. M: First, assure your environment is safe before preceding to render care. You want to be able to give the best uninterrupted care to your patient without becoming a patient yourself. Jon: Doctor Holter. Mandeep: Doctor Singh.J - Doctor Holter: I will reach down and check the patient. “Sir, Sir, are you okay” – I am assessing for reactions from visual or verbal cues given by me. When the patient is unresponsive to verbal and visual cues, I will give a painful stimulus to the patient such as a nail bed pinch or sternal rub. Next, it is necessary to assess the pulse and breathing of the patient. Narrator: The reason we check if the patient is alert is to assess the neurologic activity. The lack of response to painful stimuli indicates there is no self-protect response. To assess the carotid pulse, you must palpate the carotid artery by placing the index and middle fingers near the upper neck between the sternomastoid and trachea roughly at the level of the cricoid cartilage. Assess breathing by checking the rise and fall of the chest. Lack of responsiveness, pulse, and breathing indicates that immediate Cardiopulmonary Resuscitation (CPR) needs to be initiated. J - Doctor Holter: Please call 911 and get an AED.M - Doctor Singh: I will call 911 and get an AED.J- Doctor Holter: I will place the person on their back and start single-person CPR until Doctor Singh comes back. Narrator: CPR is performed by placing the patient flat on their back on an even surface. Place the heel of your hand on the center of the person's chest (on the mid sternum) then place the palm of your other hand on top. Press down 5-6 cm (2-2.5 inches) at a rate of 100-120 beats per minute. Compressions should not be interrupted because they serve as an artificial way of contracting the heart and circulating the blood to maintain blood perfusion. For 1 or 2 person CPR on an adult: Give 5 cycles of 30 compressions to 2 breaths.For 1 person CPR on a child: Give 5 cycles of 30 compressions to 2 breaths.For 2 person CPR on a child: Give 5 cycles of 15 compressions to 2 breaths.M - Doctor Singh : Doctor Holter, continue the compressions and I will give rescue breaths and start to place the AED pads on the patient. Let me know if you are tired and we can switch to give high-quality CPR with adequate depth and rate. Narrator: The AED comes with a diagram made on the pads to instruct where to place the pads. Once an AED is positioned correctly on the patient's chest, let it detect if a shockable rhythm is present. Shockable rhythms include ventricular fibrillation and ventricular tachycardia. If there is not a shockable rhythm detected, then continue with CPR until a higher level of care is reached. If a shockable rhythm is detected, the AED will advise the users to step back and verbalize “clear” in order to ensure that everyone is clear of the patient. It will then administer a shock to the patient in the range of 120-200 Joules, based on the device manufacturer's recommendation.M - Doctor Singh: Doctor Holter, stay clear of the patient. The AED advises shocking the patient. I will press the button to administer the shock now.Narrator: After administration of the first shock, ACLS guidelines recommend continuing CPR for 2 minutes without checking for a pulse, as effective cardiac contractility lags behind the restoration of an organized electrical rhythm. After the next 2-minute cycle of CPR, the AED will reanalyze the patient's rhythm to determine if the rhythm is once again shockable. J - Doctor Holter: Doctor Singh , continue high-quality CPR while I initiate ACLS protocol. I will get an IV and start epinephrine. M- Doctor Singh: I will continue CPR in the meantime. Narrator: ACLS starts with again CPR, AED rhythm reading, and shock administration but with a higher level of care (ACLS). You must obtain IV or IO access. Epinephrine is administered every 3-5 minutes during the cycle in doses of 1 mg at a time. After each dose of epinephrine and CPR for 2 minutes the AED should reassess if the rhythm is shockable, and then continue CPR for another 2 minutes. At this time, it is recommended to use amiodarone or lidocaine. CPR will continue but at this time patient will likely be in the ambulance on the way to the hospital, and EMS will be managing the cycles. The cycles will continue until return of spontaneous circulation is obtained.J: Myocardial infarction is the most common cause of shock-refractory ventricular fibrillation, along with coronary artery disease. If CPR does not resume spontaneous circulation within 40-50 minutes, there is a decreased chance of recovery. Spontaneous circulation may be achieved in patients with refractory Vfib with coronary revascularization. Therefore, in addition to traditional CPR, venoarterial ECMO (extracorporeal membrane oxygenation) can be used as an adjunct and can result in much better systemic perfusion. Essentially, this is a technique in which blood is drained from the body and circulated outside through an oxygen and heat exchanger and is then reintroduced into the body. This technique can be used if preparing for coronary revascularization. M: Vfib is a great risk in the acute phase after MI, up to 72 hours after revascularization, due to the recent ischemia and reperfusion. After the first 72 hours and up to a month following, Vfib remains a risk due to the continued remodeling of the heart. This newly remodeled tissue can cause interruptions in the normal electrical signaling of the heart leading to dissociated contractions and subsequent lack of perfusion through the body, which can quickly lead to death within minutes if not recognized and managed immediately with CPR and defibrillation as described.J: Clinicians should be aware of their patients who would be more susceptible to serious events such as this and be on top of their training about management. This may not be a common occurrence in clinics, but it is a very serious event and requires a prompt and appropriate response. Conclusion: Now we conclude our episode number 98 “Apretude and code blue.” Dr. Yomi concisely explained how to use the new injectable medication for HIV Pre-Exposure Prophylaxis (PrEP). Then, Manpreet, Jon, and Sheinnera presented a case that can actually happen in clinic and anywhere. CPR is a life-saving skill that needs to be learned and practiced over and over so we are not taken by surprise. Remember that heart disease continues to be the number 1 killer in the United States. So, make sure you know where your AED is and be ready to use it when needed. Even without trying, every night you go to bed being a little wiser.This week we thank Hector Arreaza, Timiiye Yomi, Jennifer Thoene, Manpreet Singh, Jon-Ade Holter, and Sheinnera Gerongay.Thanks for listening to Rio Bravo qWeek Podcast. If you have any feedback, contact us by email at RioBravoqWeek@clinicasierravista.org, or visit our website riobravofmrp.org/qweek. Audio edition: Suraj Amrutia. See you next week!_____________________References:American Heart Association 2022 CPR cheat sheet. American Heart CPR Class, BLS, ACLS Ft. Myers all Lee County. (n.d.). Retrieved June 2, 2022, from https://www.cprblspros.com/cpr-cheat-sheet-2022. Algorithms. CPR & First Aid, Emergency Cardiovascular Care, American Heart Association, cpr.heart.org. Retrieved June 2, 2022, from https://cpr.heart.org/en/resuscitation-science/cpr-and-ecc-guidelines/algorithms. Bhar-Amato J, Davies W, Agarwal S. Ventricular Arrhythmia after Acute Myocardial Infarction: 'The Perfect Storm'. Arrhythm Electrophysiol Rev. 2017 Aug;6(3):134-139. doi: 10.15420/aer.2017.24.1. PMID: 29018522; PMCID: PMC5610731. Farkas, J. (2021, November 29). Post-mi complications. EMCrit Project. Retrieved June 2, 2022, from https://emcrit.org/ibcc/post-mi-complications/#ventricular_tachycardia. 

Tanım Bundgaard ve arkadaşları 2018'de bizi atriyal fibrilasyon, VT ve ani kardiyak ölüme yatkın hale getiren yeni bir kardiyak aritmi sendromu olan “Ailesel ST-segment depresyon sendromu” ile tanıştırmıştır.Birbiriyle ilişkisiz beş aileden alınan EKG'lerin incelenmesi sonucu, koroner arter hastalığı veya iskemi yokluğunda tutarlı bir yaygın, içbükey-yukarı ST depresyonu paterni gösterilmiştir.Brugada sendromu ve Uzun QT sendromu gibi diğer genetik bozuklukların aksine, bu değişiklikler zamanla sabit kalmakta, yalnızca egzersizle şiddetlenmektedir.Etkilenen bireylerde hastalık süreçleri değişmekle birlikte, genellikle taşiaritmilerin başlangıcına kadar asemptomatik kalmaktadır ve sıklıkla atriyal fibrilasyonu takiben ani kardiyak ölüme yol açan VT/VF epizodları meyfana gelmektedir. Ailesel ST-Segment Depresyonu Sendromu Tanısı En az 7 derivasyonda J noktasından 90 ms sonra açıklanamayan konkav yukarı dönük ST depresyonlarıaVR derivasyonunda > 0.1 mV ST elevasyonuEKG bulguları zaman içerisinde kalıcı hale gelir.Otozomal dominant kalıtım paterni. Otörler,duruma tanı koymadan önce, iskemi, yapısal kalp hastalığı ve metabolik anormalliklerin dışlanmasının önemini vurgulayarak “açıklanamayan” tabiri ile birlikte yukarıdaki tanısal kriterleri önermişlerdir.Diğer ikincil tanısal özellikler, bazı kişilerde egzersizle görülen belirginleşme ve ST segmentinin çıkan kısmında bir çentik varlığı olmuştur. Etkilenen bireylerin sınırlı gözlemlerine dayanarak, komplikasyonların başlangıcının yaşla ilişkili görünmediği vurgulanmıştır. Bundgaard Sendromu - NEJM (A) I, II, aVL, aVF, V2-V6 derivasyonlarında yukarı doğru içbükey ST segment çökmesi, (B) aVR'de ST segment elevasyonu. (C) Prekordiyal derivasyonların ST segmentinin çıkan kısmında, en belirgin olanı V3-V4 derivasyonlarında bir çentik görülmekte. Klinik önemi: Bu tanıdık gelmiyor mu? “aVR derivasyonunda ST elevasyonu ile birlikte yaygın ST çökmesi” paterni çoğumuza tanıdık gelecektir. Akut göğüs ağrısı sunumunda, şiddetli iskemiye neden olan LMCA'da bir yetmezlik endişesi uyandırır. Bu patern artık akut oklüzyonun bir göstergesi olarak düşünülmese de, bu NOMI hastalarına tıbbi tedaviyi takiben acil kateterizasyon yapılmalıdır.Göğüs ağrısı ile başvuran Ailesel ST-segment Depresyon Sendromlu hastalar, yanlışlıkla akut iskemik olaydan muzdarip gibi tanı alabilir. Bu paternin “statik” doğası ile birlikte müteakip olağanüstü laboratuvar ve anjiyografi bulguları, Ailesel ST-segment Depresyon Sendromu için endişe uyandırmalı ve aile üyelerinin daha fazla araştırılmasını ve taranmasını sağlamalıdır.Etkilenen bireylerde kardiyovasküler bozukluklar için yapılan genetik testler negatif sonuçlanmış olup, bugüne kadar nedensel bir genetik dizilim henüz tanımlanmamıştır. Diğer örnekler Örnek 1 Örnek 2 Örnek 3 İlişkili Kişiler Henning Bundgaard. Kardiyoloji Bölümü, Rigshospitalet, Kopenhag Üniversite Hastanesi, Danimarka Yazar katkıları Metin : Robert Buttner ve Mike Cadogan EKG'ler ve açıklamaları : litfl.com Çeviri : Melis Efeoğlu Destekleyenler Bu ve benzeri sayfalarda yer alan içerik Lifeinthefastlane.com Global FOAMed Portalının EKG Kütüphanesi ve A'dan Z'ye EKG Tanıları kısımlarından çevrilmiştir. Bu vesileyle Acil Tıp eğitiminin yeni çağı olarak nitelendirirebileceğimiz FOAM hareketine katkıları ve bu yoldaki şevkleri için Lifeinthefastlane.com eş-editörleri Dr. Chris Nickson ve Dr. Mike Cadogan'a teşekkürü bir borç biliriz. This page is translated as is from the ECG Library and A to Z by Diagnosis series of Global FOAMed Portal Lifeinthefastlane.com into Turkish. We would like to thank Lifeinthefastlane.com Co-editors Dr. Chris Nickson and Dr. Mike Cadogan for their enthusiasm and contribution to the new era of Emergency Medicine Education. Viva la FOAM! Kaynaklar Tarihsel referanslar Bundgaard H, Jøns C, Lodder EM et al. A Novel Familial Cardiac Arrhythmia Syndrome with Widespread ST-Segment Depre...

Sahâbe-i Kirâm (r.a.e.)'in büyüklerinden, yirmiden ziyâde raviden rivayet edilen hadislere göre bir kimsenin Şer'i bir özür olmadan, bir namazı terk etmesi hâlinde, yanî kılmayıp vaktini çıkarması durumunda, kâfir olacağı buyrulmaktadır. Rivâyet eden Sahabeden bazıları; Ömer bin Hattab, Ali bin Ebû Talib, Abdullah b Ömer, Abdullah b Abbas, Ebû Hüreyre, Muaz b Cebel, Abdurrahman b Avf, Ebu'd-Derda, İbn-i Mes'ud (r.a.e.) hazretleridir. Üç âyet inmiştir ki, üç şeyle beraberdir. Bunlardan her biri, yanındaki olmadıkça kabul edilmez. Biri, “Allâhü Teâla'ya ve Resûlü (s.a.v.)'e itaat ediniz”dir. Allâhü Teâlâ'nın emrine itaat, Resûlü (s.a.v.)'in emrine itaatsiz kabul olmaz, demektir. İkincisi; “Bana ve vâlideyninize (ana-baba) şükür ediniz”dir. Allâhü Teâlâ'ya şükür, anaya-babaya şükürsüz olmaz. Üçüncüsü; “Namazı kılın ve zekâtı verin”dir. Malının zekâtını vermeden, namaz makbul olmaz. Her şeyin doğrusunu Allâhü Teâlâ bilir. “Beni Allâhü Teâlâ seviyor, Ben de O (c.c.)'u seviyorum, O benim namaz kılmama, oruç tutmama bakmaz, günâh işlesem de, bana azâb etmez” diyen zındık olur. Peygamber (s.a.v.)'den kaldırılmayan emir ve teklîf-i ilâhî, başkasından nasıl kaldırılır! Sevmenin alâmeti emre uymaktır. Şeyh Cüneyd-i Bağdadî (k.s.), bir gün şeytânı, kendi mescidinin kapısında gördü. “Ey zavallı, niçin Âdem (a.s.)'a secde etmedin de, kovuldun?” dedi. “Ey Cüneyd, bu kadar bin yıl, O (c.c.)'un huzûrunda secdeye koyduğum başımı, O'ndan başkasının huzûrunda eğip secde etmede bana gayret geldi” dedi. Cüneyd-i Bağdadî (k.s.) bu sözden şaştı kaldı. Kalbine ilhâm gelip: “Ey Cüneyd, ona söyle, beni sevdiğini iddia ediyor mu? Eğer seviyorum derse, de ki, sevdiğinin emrine nasıl muhalefet ettin. Hiç seven sevdiğinin sözünü sevgili bulmaz, dinlemez mi?” buyuruldu. Şeytan bu sözleri duyunca, feryâd edip: “Ey Cüneyd, beni yaktın” dedi ve ağladı. (Muhammed Rebhami, Riyâdü'n-Nâsihîn, s.193)

With the prevalence of Leaf Roll Three, Red Blotch, and other viruses, accurate and timely detection of viruses in grapevines has never been more imperative. Alan Wei, Owner and Lab Manager at Agri-Analysis LLC in Davis California explains how his lab is using next generation sequencing (NGS) to find new viruses. Currently, polymerase chain reaction (PCR) is the widely accepted method for testing for viruses. This process tests for one gene at time. Next generation sequencing allows labs to test multiple genes at a time and get results much faster. References: 20: Dr. Mark Fuchs | Red Blotch Virus in Grapevines 49: Stopping the Spread of Red Leaf Viruses 71: New Techniques to Detect Grapevine Leafroll Disease Agri-analysis LLC Donate: Juan Nevarez Memorial Scholarship Grape Program at Foundation Plant Services Leafroll 3 Virus (GLRaV3) AKA Grapevine Leafroll Disease in Washington Next Generation Sequencing (Deep Sequencing) PCR (Polymerase Chain Reaction) Testing Red Blotch Virus SIP Certified Sustainable Ag Expo November 14-16, 2022 Get More Subscribe wherever you listen so you never miss an episode on the latest science and research with the Sustainable Winegrowing Podcast. Since 1994, Vineyard Team has been your resource for workshops and field demonstrations, research, and events dedicated to the stewardship of our natural resources. Learn more at www.vineyardteam.org. Transcript Craig Macmillan  0:00  My guest today is Alan Wei, who's owner and lab manager of Agri Analysis LLC in Davis, California. Alan, thanks for being on the show. Alan Wei  0:10  Thank you very much, Craig, for hosting me. And I'm very delighted to be here. And I want to use this opportunity to say hello to listeners as well. Craig Macmillan  0:19  So Alan, I want to have you on the show, because I want to talk about anything that's new and exciting in the world of grapevine virology, and a lot of research and a lot of development in industry with labs like your own. So, what's what's what's happening out there, what's going on with detection of viruses these days? Alan Wei  0:36  There is a International conference on grapevine viruses that's held every three years. So last time was 2018, in Chile. And the second, the following time was supposed to be 2021 in Greece, and unfortunately, that was canceled due to the obvious reasons, and then was supposed to be happening this year. And by the way, is not happening, and it's postponed until next year. So as a result, we have not, the researchers in this field have not been able to meet to report the latest grapevine viruses. Just to mention something that in the literature, for example, there are two or three new DNA viruses being discovered and reported. In fact, in grapevines, but their practical consequences are known. So we probably don't want to get in too much into them. Craig Macmillan  1:33  Maybe not, but I think this is an interesting thing because for instance, red blotch, caught everybody by surprise. And so how are these new...how are these these new viruses, how are they found, if you are looking forward, you're looking for other things, what kind of technology they're using to find this new stuff? Alan Wei  1:49  Typically, they're found by deep sequencing, also known as NGS Next Generation Sequencing. Researchers are always trying to look for the frontiers of why viruses virology by applying these methods and find this new viruses, but their practical impact needs to be validated, study to further be before we alarm growers. And red blotch was found a similar way. With the exception that the red blotch phenomena, and the disease was known to growers for years without the assay and the way the branch was first reported, or discovered through NGS that was, you know, the "wow" moment to growers. Yeah, we do now know what is causing this read leaf in my vineyard. Craig Macmillan  2:43  Tell me a little bit more about NGS, it sounds like this is gonna be an important technology for us, this deep sequencing. Alan Wei  2:48  Yeah, definitely. Deep sequencing is very widely used in the research community. And, when was that, in December meeting hosted by FFPS, they reported that NGS is going to be accepted by regulators like APHIS as a alternative way of testing materials coming from overseas. Which means shortened time and rapid, faster deployment of foreign important materials in in this country, or practically to growers hands. Yeah, the technology is definitely upcoming, and we're looking to possibly deploy it for routine use. We need to hear more feedback before we really do it. Craig Macmillan  3:41  This is obviously a very complicated technology, but like in a sense, can you explain what it is? Alan Wei  3:48  PCR is the way that accepted method in testing viruses or microbial in general. Compared to PCR, which tests one gene at a time, NGS would allow you to test multiple genes at a time. Because through the use of small, small redundant primers, which amplify many sometimes millions of hundreds of millions of fragments of the gene, which can parallelize sequenced with that data, and coupled with information, analysis, informatics, you can extract new new information from your sample, including new viruses, new bacteria. Craig Macmillan  4:38  So essentially, I've got a sample of plant material. And I run it through this NGS process, and it comes back and says, hey, there's genetic material in here that doesn't belong here. This is not grapevine, or hey, visit genetic material that's associated with some virus or something like that. And that's the flag that I get. And I get it from the whole picture. I'm not doing it like like you say gene by looking at for specific genes, I'm getting a kickback, I'm saying hey, there's there's a variety of things or whatever genes we weren't, wouldn't even thought to look for. Alan Wei  5:10  Exactly, exactly. You're right. And then that gene can be not not only you find genes and not belong to the grapevine, which we considered as, you know, the background gene, by further analysis of that, that special gene, you can assign them to, to pathogens, basically, different types of pathogens. Craig Macmillan  5:30  Gotcha. Yeah, that definitely speeds up the process a lot and makes it possible to catch things in finer net than we ever would have been able to do before. So that's pretty exciting. Alan Wei  5:38  Yes, def definitely. Craig Macmillan  5:40  Coming to red blotch, this is continues to be, you know, a very hot topic, obviously, it continues to be an issue in the field and continues to be an issue in other places. Is there anything new that we've learned regarding the Red Blotch Virus in any realm, anything about how it moves, its symptomology, new means of detection, anything like that? Alan Wei  6:08  I have a list of articles that just simply published during the past a couple of years, and researchers from you know, several major universities have really dived deep into the physiology, the virology, their impact on wine quality, in aspect of, of a rather large virus. They're really fascinating. From a practical standpoint, though, the progress has been less because what was reported to us few years ago remain the same, which which you know, very well. Which means rogueing, you know, rogueing your infected vines as aggressively as possible. Sourcing for clean materials as diligently as possible to prevent any viruses infecting material being planted. And once they do present in your vineyard take them out as quickly as possible. And also, although we know the Threecornered Alfalfa Hopper is the vector for red blotch. And folks don't recommend you spray against this particular insect because it is not a very efficient transmitter of the virus. Grapevine is not its preferred host. So those information were already known through talks by various speakers in the past. Craig Macmillan  7:33  We were talking about spread. And this is something that is absolutely puzzling to me, in years of field checking, I had never once seen this Threecornered Alfalfa Hopper. But I have talked to people who have. And they apparently are very reclusive, they will move away from you, the signs of the damage and very subtle, they do this little kind of girdling thing in the leaves. I just feel like there's just kind of be another vector. I mean, just I just feel to kind of be another vector. I mean, is there is there anything new in that world? I mean, we've identified the one but it seems kind of mysterious. And I'm thinking about the spread at the Russell Ranch, that finish and plant services ranch where we've not only identified it, but they were able to see that was spreading, attributed to the Threecornered Alfalfa Hopper, correct me? Alan Wei  8:19  I completely agree with you. Yeah, we don't see too many of our tree hoppers in the field. Yet spread in Russell Ranch has been phenomenal. It's more like, more exponential increase year after year, since 2018. So it is a mystery. If some of you, listeners, went to the seminar by UC Davis in early December, particularly the presentation by Professor Kent Daane, then the entomologists have been looking at a number of potential hosts. But unfortunately, they either have not been proven yet or, most of them were disproven to be a potential host. So we're still in that regard., virtually in the context of Russell Ranch, it is a complete mystery. You would think through the very aggressive management by FPS, you know, any presence over vectors were eliminated. And any source of vectors were eliminated. We have but yet they see this exponential growth in terms of infected vines, which, which stopped Russell Ranch from operation, basically. Craig Macmillan  9:40  Yeah, exactly. And I was actually looking at a table for one of your publications earlier today, and it looks like it went from zero to exponential like there was no nothing was detected for a couple of years or two. Then blammo! And I've been thinking about the same thing happening in other vineyards, I'm familiar with. And obviously just underlines how big of a threat red blotch is because we don't understand, you know, a lot, there's a lot we don't understand about it. So that means you got to sample. That you should rogue vines when you see them. But also you got to be sampling. Are there any is there anything new in the way of sampling protocols? Because I know that the distribution of the virus varies quite a bit between different parts of the plant different times of year and whatnot. So it's easy to miss it. What's the what's the best recommendation these days, if I wanted to test some lines, asymptomatic vines for red watch? Alan Wei  10:31  Yeah, we still recommend growers to sample cane materials, because in our analysis, you know, relative concentration in different parts of the vine, the cane materials has highest concentration of virus tighter level. And we also suggest growers to consider combine cuttings from different vines to make a what's called a composite sample. Therefore, they can you know, cost, testing costs can be reduced, and their testing budget can be maximized. And of course, you know, the testing objectives dictate how high your sample. Sometimes growers want to test the individual vines to really zoom in to which vine is exactly is infected, that you can only do that by testing individual vines. But the composite testing gave you the first level of screening. To see if you composite ten vines into one sample, and the entire sample would be positive. But if you want to zoom in which vine, but you're gonna want to use positive so that you can take it out, then you will do individual testing after the first round over the course screen, if you will. Craig Macmillan  11:44  Yeah, so the strategy would be basically like test the vineyard. And then if you find that something, then you drill down, and you can get it down to decide kind of what area where the individual vines are. That's a very, very smart technique. It's a really great idea. How sensitive are the detection techniques these days? So like, if I've got a if I have 10 vines out of 1000, and I sample and I sampled 10 vines, and I hit one of them, one of the infected ones, is that enough to show up in in the in the analysis? Alan Wei  12:15  Yeah, definitely. So if there's only one out of 10 cuttings is positive, and that means practically you're diluting the by 10 times, it is very much detectable. Craig Macmillan  12:27  Is there a lower detection limit? Alan Wei  12:28  Yeah, when there's a theoretical detection limit, and then there's a practical detection limit. If we do a back of the envelope calculation, a PCR method would allow you to detect one copy without the problem. But then of course, practically, there are other considerations such as whether you know, the one copy, you can sample that one copy into your PCR tube to begin with, because you know, if there's a one copy per microliter, and the way you want to use a two microliter in a PCR mix, you may or may not be able to transfer that one copy from a sample to the PCR tube to begin with. And even if you do, there may be potential inhibitors that present in grapevine material that could potentially influence your sensitivity as well. So there's a practical detection limit, and there's their theoretical detection limit issues. But overall, you know, we have found the red blotch detection to be not a problem, because typically the virus titer is high enough to be detected, even if you compounded multiple vines or cuttings into one sample. Craig Macmillan  13:33  That's good. That's very, very useful, very, very useful. I would love to move on to kind of other viruses because it's red blotch is not the only game in town these days. Leaf Roll complexes and Leaf Roll viruses, there's still a problem correct? Alan Wei  13:44  Especially Leaf Roll Three is very much that the top of our problems still and because you know the vaccine is very well known. It's very prevalent. Inoculum widespread to the percentage of vines tested positive for Leaf Roll Three that are coming through our lab is roughly about 15 percent. So Leaf Roll Three is very much prevalent. There have been some really nice talks, organized before the pandemic was by the Lodi growers group. There are some talks from including from South Africa. Recently from Red Blotch symposium where there's some presentations on Leaf Roll Three as well. So Leaf Roll Three is very much a serious problem. And growers need to be very vigilant against the Leaf Roll Three from from new planting materials to management of existing vineyards. Craig Macmillan  14:37  So let's say I've got a vineyard and I'm seeing some symptoms. I'm seeing some red leaves or I'm seeing some bronzing or I'm seeing something, and I've looked at the nutritional situation, I've ruled out either toxicity or deficiency. So I'm not thinking hey, you know, maybe this is a virus issue. Can you take samples of vines and just bring them to a lab and say, please help me? Can you tell me what this might be? I know we just talked about the deep sequencing. Is that, I'm not gonna say that technology. But like if I brought you some material and I said this has got a problem, how would you go about diagnosing it? Alan Wei  15:14  Oh, definitely. That's what we do every day. Most of our work is focused on helping growers find out what is possible cause of a programmatic vine in their vineyard. They will send in the samples, either individual vines or composite samples. We have a panel, what's called a combo panel that covers the 11 viruses, 11 major viruses. Leaf Roll Roll 1, 2, 3, 4, and two or three viruses, and of course, Red Blotch, and Fan Leaf, Pierce's. And then also Pinot Gris virus. That is the most frequently requested a panel. And by doing that panel, we typically find out if it's a virus issue. Craig Macmillan  15:58  That's very useful. It's very, very good to know. In relation to grapevine viruses, or just diseases overall, what is the one thing you would recommend to the listeners that they should keep in mind? Alan Wei  16:08  I think that you already touched on this earlier. You know, one thing is, if they see problems in the vineyard, they should consider the sample and test to validate whether they're viruses or not. And if they're considering to plant new materials, they should be very vigilant to to ask questions of the nurseries, and also do their own independent homework. And the you will be interviewing Dr. James Samp in another session. He can tell you more about how he go about sourcing for cleaning materials for his clients, which are very quality conscious. Craig Macmillan  16:47  Yeah, we're really looking forward to that conversation, Much like I was looking forward to this one. You know, this reminds me of something. You hear the word tighter a lot. And I don't think I fully understand what it means. I know that it's important and seems to be coming up a lot. Can you explain the concept and why it's important and what it means for us practically? Alan Wei  17:09  Yeah, I'm so glad you brought this topic up. You know, you and I have been serving on AVF committee, Grant Review Committee for a number of years. And last week, we had our review meeting for this year, and the subject came up. You know, we can talk about different aspects of Red Blotch impact in wine quality, wine physiology, you know, readily and so on and so forth. If we want to contribute one single factor of all of this different symptomology, it would be the virus tighter level. The virus tighter means the number of particles in the vine. If the vine is only infected with a smaller number of particles, its response to the virus is going to be different than the vines that are infected with larger or large number of particles. In our experience, the virus level in different vines can be very much different. I'm not talking about different by you know, 50 percent, or two or three fold. I'm talking about several orders of magnitude. There is a poster right behind me, which you cannot see. But we did a measurement of three infected vines. One, with clean, non effective. Another one is chosen for medium Red Leaf symptom. Another one, it's very heavily Red Leaf symptom. And virus level, the obviously the non infected vine was zero. And then the mediumly infected vine was about one or 200. And then heavily infected vine, was one hundred thousand in relative copy numbers. So this tells you that you know, this virus kinda level concentration level in the vine, really affect symptomology as well as the vine performance and the barrel quality and obviously, eventually, wine  quality. If we read the scientific literature, lots of studies report Red Blotch positive, Red Blotch negative, they did not talk about the virus tighter level. That's why we were so glad to see last week one of the research proposes to study the virus tighter level on different aspects of vine physiology and berry quality. I just think it was so so so important because the virus tighter will make it make a huge difference. Craig Macmillan  19:39  So we may be moving from a world of infected or not, to not, to more sick, less sick. Alan Wei  19:47  Yes, absolutely right. That is actually how we protect ourselves against the human viruses as well. You know, our vaccine does not completely protect us from infection. But it does protect us from viruses being propagated in high numbers in our body. Therefore, our symptoms of the infection in the individual is much less. And the ability for that individual to infect others are much less. Simply because of the lower virus tighter level in an infected person and similarly is true in grapevines. Craig Macmillan  20:24  So plants and animals are obviously very different organisms and where an animal has an immune system plants do not, they do not have an immune defense system. Is that correct? Alan Wei  20:35  Yes, you're right, correct. But they do have basic defense system against foreign organisms. One of them is the RNAi system. So speaking of that, you know, the simple symptomology in response to Red Blotch, and most of it is a total response, as a result of virus infection. The RNAi defense system gets activated. For example, the accumulation of the sugar of the raisin should be gradually, in a normal process, will be gradually moving towards the berries. But in Red Blotch, in fact, in vines, they are accumulated in leaves. Not moving toward the sugars. And the same for anthocyanins. That's why we see this red leaf. And those red color should be you know, in the berries, but they're not. They get stuck together, accumulating in leaves. It's fascinating. Unfortunately, we are still at the beginning of understanding all of this. Some reports are gradually coming out. Craig Macmillan  21:40  And so I want to make sure that I understand kind of how this works. So there's a grapevine that becomes infected. However way. The virus is very, very tiny bits of genetic material. Unlike, unlike a bacteria, which has a cell wall. Viruses don't have that they're just genetic material. The plant recognizes that somehow. And then RNA is the material that is produced from genes, the genes or have a have a sequence and then when that is reproduced that goes out into the world as RNA. Is that right? Alan Wei  22:17  Yes, the RNA is inside the host. And in response to a virus infection. And the defense mechanism get activated, which involves what is called enzymes. These RNA into smaller pieces, typically 20 nucleotide long. And they are, they are the what's called the interference RNA, or RNAi which inhibit the host from propagation inside the plant. Craig Macmillan  22:48  This is just, we need to wrap up for time, but I just have been thinking about this for years. And that is, where do these viruses come from? Where, how do they, how do they show up? What are these plant viruses? What? Are they jumping from other plants as a mutation of one into another? Or...do we know? Do I have any idea where these things come from? Because it seems like it's not just a question of finding it. Seems it's got to come from someplace. Alan Wei  23:14  Yeah, that's that's a really good question. I you know, you have biology, you have a load viruses, and obviously, RNA. Some viruses are readier to evolve, to change, to mutate. And that's why we see so many different mutants in the COVID virus family. And this is Red Blotch, is a DNA base virus, which have shown less mutation. And so far, we only seen two mutants, two clay types. And they practically they don't have much difference. As far as the, you know, the origin and the evolution. We need to have folks like Mark Fuchs to answer that. Craig Macmillan  23:55  At Cornell. Well, that's fantastic. That's that's our future. That's where, that's where we're going. Well, I think we've covered everything. Where can people find out more about you? Alan Wei  24:03  We have a website, agri-analysis.com. And then they could call us or email us anytime. We're here to help growers to build a better and clean vineyard so that they can make the best wine possible for the for their clients. Yes, sorry, Craig for the background noise. I think folks who are preparing samples as we speak. Craig Macmillan  24:26  I want to thank you Alan, our guest today has been Alan Wei, Owner and Lab Manager at Agri-analysis, David California. Thanks so much. This is really fascinating conversation. Alan Wei  24:35  Thank you very much Craig for hosting me. Continue to the great job. I'm so glad you're back at the Vineyard Team. You guys. You guys are wonderful team and doing great job. I'm very pleased to be here. Craig Macmillan  24:44  Thank you. I appreciate that.   Transcribed by https://otter.ai

Efendimiz (s.a.v.) bir hadis-i şerifte şöyle buyurmuştur: “Allâh (c.c.)'un huzuruna, yeryüzünün en çok şükreden kulu getirilir de, Allâh (c.c.) ona, şükredenlere vermiş olduğu mükâfaatı verir. Sonra, yeryüzünün en çok sabreden kulu getirilir de ona, “Şu şükreden kimseye verdiğim mükâfaatı sana da vermemi ister misin?” denilir. Kul bunun üzerine, “Evet Ya Râbbi” der. Bunun üzerine de Allâhü Teâlâ “Andolsun ki sana nimetler verdim, sen de buna mukabil şükrettin. Seni çeşitli belâlarla sınadım, dayandın. Andolsun ki ben de şimdi sana, mükâfaatı kat kat vereceğim” der. Böylece o kula, şükredenlere verilen mükâfaatın kat kat fazlası verilir” buyurmuştur. Hz. Peygamber (s.a.v.)'in, “Yeyip de şükreden kimse oruç tutup da sabreden kimse gibidir.” (Tirmizi) sözü de sabrın üstün olduğuna delildir. Çünkü bu ifâde, ancak mübalağa sadedinde zikredilmiş olan bir ifâdedir. Tıpkı Hz. Peygamber (s.a.v.)'in “İçki içen kimse, puta tapan kimse gibidir.” (Camiu's-sağîr) buyruğunda olduğu gibi. Yine rivâyet edildiğine göre Hz. Süleyman (a.s.), mülkünün mertebesine göre peygamberlerden kırk yıl sonra cennete girecektir. Sahabe içinde cennete en son girecek olan ise, zenginliğinden dolayı Abdullah İbn Avf (r.a.)'dır. Haberde rivayet edildiğine göre, sabır kapısı hariç, bütün cennet kapıları iki kanatlıdır. Sabır kapısının ise tek kanadı vardır. Sabır kapısından girenlerin ilki, çeşitli belâlara mübtelâ olanlardır ki, bunların da önderi Hz. Eyyûb (a.s.)'dır. (Fahruddîn Er-Râzî, Tefsîr-i Kebîr Mefâtîhu'l-Ğayb, c.4, s.90)

In this our 700th episode of Investor Connect, Hall welcomes David Narrow, CEO at Sonavex. Sonavex is a venture-backed clinical stage Medtech company spun out from Johns Hopkins with two FDA clearances. The company's technology uses deep learning to improve arteriovenous fistula (AVF) maturation times for patients with end-stage renal disease. Despite the fact that the superior method of AV access for the 4.9M patients projected to be on dialysis by 2025 is an AVF, they fail to mature in >30% of procedures and are rendered unsuitable for dialysis. Those that do mature take a median time of 6-9 months until they are used. This results in significant catheter-based dialysis and associated bloodstream infections, costly hospitalizations, and increased mortality. Every additional catheter day costs more than $160 per patient per day to CMS, or $30,000+ per patient.  Volumetric flow rate, diameter, and depth have been proven to determine AVF maturation status. However, the specialized skill set required to operate conventional ultrasound prevents its use in the dialysis clinic, and the additional travel needed to see a trained sonographer limits its use in this patient population. Due to a variety of factors including socioeconomic status, compliance with non-dialysis appointments is 12-33%. Sonavex's technology enables staff at the dialysis clinic to rapidly collect volumetric flow rate, diameter, and depth in just seconds during existing visits via a bioresorbable implant (EchoMark) with >90% margins and an automated 3D ultrasound (EchoSure) to enable early decision-making and reduce catheter time. Sonavex has secured a multimillion-dollar NIH grant to fund a large prospective randomized controlled clinical trial for EchoMark & EchoSure, and another NIH grant to advance its pipeline product EchoGuide to improve AVF cannulation. The company is currently raising a Series A-2 financing to support the non-dilutive funding. Comps in this space have exited for $225M - $1.1B in the last three years, ranging from clinical to early commercial stages.  David previously worked with multinational medical device companies to commercialize their technologies and provide long-term business strategies as a healthcare consultant at Health Advances LLC. David earned his B.S. in Biomedical Engineering with the highest distinction from the University of Rochester before receiving his Master's from Johns Hopkins University. He was named “30 Under 30 in Healthcare” by Forbes in 2016 and “40 Under 40” by the Baltimore Business Journal in 2017. David shares his background with Hall and discusses the differences between Sonavex and other companies in the industry. He advises entrepreneurs who are thinking about entering the space and mentions some of the challenges they may face. You can visit Sonavex at , on LinkedIn at , and on Twitter at .  David can be contacted at , on LinkedIn at , and on Twitter at .  ______________________________________________________________________ For more episodes from Investor Connect, please visit the site at:    Check out our other podcasts here:   For Investors check out:   For Startups check out:   For eGuides check out:   For upcoming Events, check out    For Feedback please contact info@tencapital.group    Please , share, and leave a review. Music courtesy of .

Canlıların Efendimiz'le (sallallahu aleyhi ve sellem) irtibat kurmaları. • Efendimizin (sallallahu aleyhi ve sellem) Hz. Ali'yi (ra) Yemen'e göndereceği zaman yaptığı dua ve tesiri. • Efendimizin (sallallahu aleyhi ve sellem) Hz. Enes'e mal ve evladının çok olması için yaptığı dua. • Abdurrahman bin Avf'ın Efendimizin (sallallahu aleyhi ve sellem) dua etmesiyle çok zengin olması. • Efendimizin (sallallahu aleyhi ve sellem) Sad ibni Ebi Vakkas'ın duasının kabul olması için dua etmesi. • Resulü Ekrem'in duası üzerine Ebu Hureyre'nin anasının Müslümanlığı kabul etmesi. • Hayvanların Resulü Ekrem'i (sallallahu aleyhi ve sellem) tanımaları. • Devenin Efendimize (sallallahu aleyhi ve sellem) sahibini şikayet etmesi. • Bir kurdun sürüye saldırması sonucu koyunu kapması üzerine çobanın kurtarmasından sonra kurdun 'Niye Allah'ın bana rızık olarak verdiğini elimden alıyorsun' demesi ve Efendimiz'den (sallallahu aleyhi ve sellem) haber vermesi ve çobanın Medine'ye gitmesi üzerine de... • Hayvanların Resulü Ekrem'e çok şey borçlu olması ve onun sayesinde kıymet kazanmaları. • Beşerin büyük hakikatı Resulü Ekrem (sallallahu aleyhi ve sellem) sayesinde tanıdığı, hakikate onun sayesinde aşina olduğu öyleyse...

Episode Summary:  Join Harry Duran, host of Vertical Farming Podcast, as he welcomes to the show Christine Zimmermann-Loessl, Chairwoman at Association for Vertical Farming. Association for Vertical Farming (AVF for short) is an internationally active nonprofit organization of individuals, companies, research institutions and universities focusing on leading and advancing the sustainable growth and development of the vertical farming movement. Today, Harry and Christine talk about how Christine's entrepreneurial spirit and natural curiosity led her from studying philosophy and political science to heading one of the largest vertical farming advocate organizations. Christine speaks to the need for all companies in the vertical farming industry to work together to combat issues like overpopulation, climate change and other existential planetary crises facing our world. Finally, Christine and Harry talk about the critical role technology continues to play in our world and our future as well as the importance of remembering that we are all part of nature. It is at this intersection of technology and nature that vertical farming can play a saving role. Episodes Sponsor:  Global Vertical Farming Show – https://verticalfarmingshow.com/ (https://verticalfarmingshow.com/)  Cultivatd – https://www.cultivatd.com/ (https://www.cultivatd.com/) What We Covered: 03:41 – Harry welcomes to the show Christine Zimmermann-Loessl who shares the origins of her entrepreneurial spirit, her background in philosophy and political science, and her goals to understand and positively impact the world 10:26 – An early passion for Chinese medicine 17:08 – The origin story of Association for Vertical Farming and early challenges faced 24:29 – The evolution of Christine's role at AVF and what she's observed about competitors and the overall industry 30:00 – Relationship-building in the vertical farming space and growing AVF through partnerships 40:53 – Christine makes a specific ask of the audience 45:56 – Harry thanks Christine for joining the show and reiterates where listeners can go to learn more about AVF and connect with Christine Tweetable Quotes: “My father was an entrepreneur, so I grew up with that spirit of being independent and working in the framework that is set by myself and not by somebody else. I could never imagine myself in an office job from nine to five.” (08:20) (Christine) “Now, with vertical farming, all of that comes together for me with technology and biology. The marriage of these two important developments in our history, I think, is a really decisive transformation for us.” (14:57) (Christine) “The mandate [of Association of Vertical Farming] clearly was to raise awareness and build a collaboration and cooperation platform where the few people or institutions who were active in that field had a place together to exchange and grow organically from there.” (20:41) (Christine) “In the beginning, as a newcomer into that field with a very different background in philosophy and political science and not agriculture, I really played the role of organization setup for the legal and administrative things. There were people in the front representing and knowing much more than me about that and I was really more in the back than I am now. That totally changed, but I really had to grow into that role and into the field to really understand.” (24:36) (Christine) “Technology is important, but please never forget that we are part of nature. Vertical farming can play a role in freeing land giving back to nature and not using more and more land. That is what my understanding is.” (40:21) (Christine) Links Mentioned: https://verticalfarmingshow.com/ (Vertical Farming Show) https://www.linkedin.com/in/christineziloessl/ (Christine's LinkedIn) https://www.vertifarm.de/ (VertiFarm Website) https://vertical-farming.net/ (Association for Vertical Farming Website )...

På spåret-domaren, dialektexperten & finurlighetens gudfader Fredrik Lindström utmanar Hanna i "Aptonymer", "Be om ursäkt", "Avfärdnings-race" & "Har det hänt hos Malou?". Glad fredag önskar Torbjörn!

Wolfgang Wee Uncut #222: Magnus Vanebo er kunstner og student på Kunsthøgskolen i Oslo.I denne podcasten snakker vi om: Kant og Kunst, Rus, Fluesopp, Tortur, NFT, Woke, Avføring, Pandemi, Skrive Bok, Dune & Hans Zimmer.Se hele episoden her: https://youtu.be/RXwf9Fa8dDw00:00 Start01:30 Bronseringen06:00 Kant og skjønnhet22:43 Stemningen på Kunsthøgskolen?28:30 Utstilling forsøkt sabotert av aktivister36:20 Smarttelefonen - bør man gå tilbake til dum-telefon? 38:28 Smarttelefonen vs Sosiale Medier41:35 Smilies og Emojis54:50 Submechanophobia57:38 Lucid Dreaming og Søvnparalyse1:02:49 Pikken til William Heimdal 1:12:30 Magnus Vanebo Om Rus, Sopp, Fluesopp1:13:30 Fleinsopp1:14:05 Fluesopp1:29:50 De Som Måtte Dø Alene pga Coronarestriksjoner 1:34:14 Pandemidebatten i Norge Gjennom To År1:37:42 Pål Henrik Hagen1:51:50 Bakerst i vaksinekøen 2:20:20 Ideologi, Habilitet og Administrasjon i Norske Kunstmiljøer2:21:36 Moderne Kunst, Administrasjon og Bullshitspråk2:23:30 Kunsthøgskolen i Oslo2:24:05 Landskapsmaleri er hvitt og kolonialistisk!2:34:20 Rasisme i Asia2:39:00 NFT - Et Digitalt Kunstmarked Eller Bare En Stor Hype? 3:00:00 Hva Er En Talehandling? 3:02:30 Trym Ruud shoutout3:04:50 Trappefisern i NRK3:06:22 Magnus Vanebos Dassbåshistorie3:10:45 Rape-NFT3:11:06 Måtte partere sin egen bæsj3:13:20 - Ikke kødd med driterytmen!3:15:30 Bakterier - hvem styrer?3:16:05 Stillehavskrigen og Japansk Tortur3:17:20 With The Old Breed3:20:45 Enhet 371 - Japansk Tortur3:36:00 Spillelisteøkonomien i Spotify3:38:30 Tid for cognac!3:41:00 Å Bli 40 År Gammel3:43:00 Protestantisk Etikk 3:45:25 Wolfs Pokermanus 4:01:02 Alkohol 4:08:10 Alkohol er jo gøy4:12:36 Besvimte av Wim Hof 4:21:00 DNA4:23:00 Solarium4:25:40 Slosskamper4:37:00 Hjernen og kunst4:45:00 Dune og Hans Zimmer4:56:50 Pissoar-paradokset5:00:56 Å Sitte og Tisse Som Mann5:06:11 IQ 5:08:20 Jordan Peterson hos Skavlan 5:23:45 Kansellering, Woke-mob og Kunstbråk i Bærum 5:33:00 Sløserikommisjonen 5:38:00 Kunstutstilling i Nord-Korea5:46:15 Fire former for kjærlighet fra antikken6:01:20 Slutt⭐️ Støtt WWU!Om du er fan av Wolfgang Wee Uncut, legg gjerne igjen en rating og en kommentar på Apple Podcast eller trykk på følgeknappen i Spotify. Det tar kun noen få sekunder, og betyr enormt mye for både podcastens synlighet og booking av gjester.Om du kunne tenkt deg å støtte podcasten, kan du:➡️ besøke Webshoppen➡️ bli medlem av Youtube-kanalen➡️ bli abonnent på Apple Podcast➡️ gjøre en liten donasjon via PayPal eller krypto (se under). See acast.com/privacy for privacy and opt-out information.

Wolfgang Wee Uncut #222: Magnus Vanebo er kunstner og student på Kunsthøgskolen i Oslo.I denne podcasten snakker vi om: Kant og Kunst, Rus, Fluesopp, Tortur, NFT, Woke, Avføring, Pandemi, Skrive Bok, Dune & Hans Zimmer.Se hele episoden her: https://youtu.be/RXwf9Fa8dDw00:00 Start01:30 Bronseringen06:00 Kant og skjønnhet22:43 Stemningen på Kunsthøgskolen?28:30 Utstilling forsøkt sabotert av aktivister36:20 Smarttelefonen - bør man gå tilbake til dum-telefon? 38:28 Smarttelefonen vs Sosiale Medier41:35 Smilies og Emojis54:50 Submechanophobia57:38 Lucid Dreaming og Søvnparalyse1:02:49 Pikken til William Heimdal 1:12:30 Magnus Vanebo Om Rus, Sopp, Fluesopp1:13:30 Fleinsopp1:14:05 Fluesopp1:29:50 De Som Måtte Dø Alene pga Coronarestriksjoner 1:34:14 Pandemidebatten i Norge Gjennom To År1:37:42 Pål Henrik Hagen1:51:50 Bakerst i vaksinekøen 2:20:20 Ideologi, Habilitet og Administrasjon i Norske Kunstmiljøer2:21:36 Moderne Kunst, Administrasjon og Bullshitspråk2:23:30 Kunsthøgskolen i Oslo2:24:05 Landskapsmaleri er hvitt og kolonialistisk!2:34:20 Rasisme i Asia2:39:00 NFT - Et Digitalt Kunstmarked Eller Bare En Stor Hype? 3:00:00 Hva Er En Talehandling? 3:02:30 Trym Ruud shoutout3:04:50 Trappefisern i NRK3:06:22 Magnus Vanebos Dassbåshistorie3:10:45 Rape-NFT3:11:06 Måtte partere sin egen bæsj3:13:20 - Ikke kødd med driterytmen!3:15:30 Bakterier - hvem styrer?3:16:05 Stillehavskrigen og Japansk Tortur3:17:20 With The Old Breed3:20:45 Enhet 371 - Japansk Tortur3:36:00 Spillelisteøkonomien i Spotify3:38:30 Tid for cognac!3:41:00 Å Bli 40 År Gammel3:43:00 Protestantisk Etikk 3:45:25 Wolfs Pokermanus 4:01:02 Alkohol 4:08:10 Alkohol er jo gøy4:12:36 Besvimte av Wim Hof 4:21:00 DNA4:23:00 Solarium4:25:40 Slosskamper4:37:00 Hjernen og kunst4:45:00 Dune og Hans Zimmer4:56:50 Pissoar-paradokset5:00:56 Å Sitte og Tisse Som Mann5:06:11 IQ 5:08:20 Jordan Peterson hos Skavlan 5:23:45 Kansellering, Woke-mob og Kunstbråk i Bærum 5:33:00 Sløserikommisjonen 5:38:00 Kunstutstilling i Nord-Korea5:46:15 Fire former for kjærlighet fra antikken6:01:20 Slutt⭐️ Støtt WWU!Om du er fan av Wolfgang Wee Uncut, legg gjerne igjen en rating og en kommentar på Apple Podcast eller trykk på følgeknappen i Spotify. Det tar kun noen få sekunder, og betyr enormt mye for både podcastens synlighet og booking av gjester.Om du kunne tenkt deg å støtte podcasten, kan du:➡️ besøke Webshoppen➡️ bli medlem av Youtube-kanalen➡️ bli abonnent på Apple Podcast➡️ gjøre en liten donasjon via PayPal eller krypto (se under). See acast.com/privacy for privacy and opt-out information.

Apabila seseorang melakukan medical check up dan mendapati hasil pemeriksaan yakni hipertensi grade I, Sinus Bradikardi 55x/menit , ST Depresi III, aVF, Iskemi Inferior. Lantas apa yang seharusnya dilakukan? Dengarkan penjelasan medis di Podcast Assalamu'alaikum Dokter episode kali ini.

What do you say at your Thanksgiving dinner table to honor our Native American relatives? In this episode, host and Executive Director of Alliance for a Viable Future, Lev Natan, shares stories of the Haudenasaunee Confederacy, The PeaceMaker, the Stockbridge-Munsee Band of the Mohicans, and The Seven Generations teaching. Lev's wish is that his words spark your ideas for what to say around the dinner table. Also, Lev gives an update about the Climate Leadership Initiative that AVF is launching in 2022. Happy Thanksgiving to each and every one of you!

Ticarette rol modelin kim “Bir maldan belirli bir oranın üzerinde kâr elde etmek hukuken meşru olsa bile ahlâken meşru değildir” diyen Gazali'ye göre alışverişte adalet şartlarına riayet eden satıcının bile aşırı kâr sağlaması zulümdür. Malı az bir kârla ama pek çok miktarda satmak bereketin kaynağıdır. Buna örnek de servetini defalarca dağıtarak sıfırlayıp sonra tekrar büyük servet sahibi olan son peygamber Hz Muhammed'in en yakın dostlarından (sahabe) Abdurrahman bin Avf'tır. Gazali kimdir? Gazzâlî Miladi 1058 yılında Horasan'ın Tus şehrinde doğmuş. 28 yaşına kadar Nişabur Nizamiye Medresesi'nde öğrenim görmüş. Büyük Selçuklu Devleti'nin veziri Nizâmülmülk tarafından Bağdat'taki Nizamiye Medresesi'nin baş müderrisliğine tayin edilmiş. Ancak dönemin siyasi çalkantıları arasında daha fazla kalamamış. Tus'a dönerek yaptırdığı tekkede müritleriyle birlikte sufi yaşamı sürdürürken 53 yaşında vefat eden dönemin en meşhur bilginlerindendir. Gazzâlî'nin yaşadığı dönemde Bağdat'ta Abbasiler, Anadolu'da Büyük Selçuklu Devleti, Mısır'da Şiî- Fâtımîler, Avrupa'da ise Endülüs Emevî Devleti vardı. Hepsinde de büyük siyasi iç çekişmeler yaşanıyordu. Sahte peygamber Hasan Sabbah ve büyük alim Ömer Hayyam da Gazzâlî ile aynı çağda yaşayan tanınmış kişilerdir. 53 yıllık kısa hayatında 457 tane kitap yapmış, 75 tanesi bugüne ulaşmış. En önemli ve meşhur eseri İhya-u Ulumuddin.

Lyden fra morgenen, tyngde av fryktens egg, stillheten i knyttneven | Podcast Det spilte ingen rolle hva som skjedde i mitt sinn, månen var ikke full, Og giften ble til sår i morgenenes lyd. Og såret helbredet ikke under tyngden av fryktens egg. Den bitre smaken av hverdagen kjennes i ende av munnen. Sommeren var kommet, og som vanlig druknet jeg med halvparten av ansiktet mitt i enden av begravelsens korridor. På slutten av denne korridoren var de negativene som kom ut av hosten min Jeg sov ikke. hvis jeg sov, så var jeg sikkert Lyden av en mor som en dag kom over det hodeløse liket av den lille dattera i baksetet på bilen. Men jeg var våken, våken Lagunen under furutrærne spilte countryrock fra slutten av 1960-tallet. Jentene var nakne i duften av røkelse De myksinnede guttene helte Gin flasker og tonic vann i stumme og stille bønner ved kroppens oppstandelse. De ropte: Hey buksbom på randen av utryddelse under et angrep når Varg Vikernes knivstikker «Euronymous» og brenner kirker i Norges siste ord. Hey skjelvende muterte virus når dansk etterretning samarbeider med USA for å spionere på Europeere Hey dans av ord i farger når tyske shefferhunder blir fjernet fra Det hvite hus fordi de biter. Hey hull i pannen når 110 000 mennesker i Fransk Polynesia blir utsatt for radioaktive partikler i Sør-Stillehavet Hey implantasjon av en mikrochip i et forlatt barn når urfolks graver blir funnet i Canada Hey, DNA manipulasjon i kinesisk aluminiumsfolie. Hey, geopolitiske organer i Midtøsten, i hendene på bastard mullas. Hey, Skriket fra den eneste røde fuglen i skogen når en ung jente blir bortført, voldtatt og drept av politiet i Kalpham i London. Du visste ikke at det finnes noen skitnere enn politiet Den falne Guden, jeg så ham ri på en ubemannet ubåt styrt av kunstig intelligens, Avføring var dyrt og de fattigste blandt de fattige ble født uten hull i rumpa. Jeg var våken og mengder av ekle ting var heist til topps. Da jeg hørte en merkelig radiofrekvens, fra en ukjent kilde, som kom ut av de sammenfiltrede ledningene til hustelefonen, kom den andre halvdelen av ansiktet mitt til syne. Denne skremmende, kvelende og ydmykende situasjonen tvang meg til å gjøre opprør mot den. Å gjøre opprør Å gjøre opprør ..................... Podcast Nr: 16 Del 1 Lyden fra morgenen, tyngde av fryktens egg, stillheten i knyttneven Forfatter og Regi: Nama Jafari Stemmen i lydmiks 1: Lise Eriksen Merethe Stemmen i lydmiks 2: Kjartan Monsen Vert: Marit F. Wiik Gjest: Anne Bitsch Diktleser: Ali Djabbary Cover design: Nama Jafari Mix and adjusting the sound: Nama Jafari Oversettelse: G.T, Ali Djabbary, Marit F. Wiik Produsert i samarbeid med Nordic Black Theatre Where from: freemusicarchive

Directly from the Vascular Annual Meeting in 2021 in San Diego, here's a taste of some of the great things that are happening at this year's VAM.  Hear perspectives from some first-time VAM attendees, as well as speakers, moderators, and other leaders in the field.     In this episode, we hear from Dr. Alan Dardik on the brand-new JVS: Vascular Science journal, which is the latest addition to the JVS family of publications.  We discuss the frontiers of vascular physiology, the scope of basic science beyond the wet lab, and his favorite articles from the journal to date.   Show Guests: Dr. Alan Dardik (@adardik) is a surgeon-scientist, and a professor of Surgery (Vascular) and of Cellular and Molecular Physiology at the Yale School of Medicine.  He leads the NIH-funded and VA-funded Dardik lab to study the healing and function of blood vessels and blood vessel substitutes used to treat patients with vascular disease, and is the editor of the JVS: Vascular Science journal.  He completed his MD/PhD, general surgery residency, and vascular surgery fellowship all at the Johns Hopkins University.   Relevant Resources: JVS: Vascular Science: https://jvsvs.org/ Inaugural issue cover article: https://doi.org/10.1016/j.jvssci.2020.09.004 JVS: VS May 2021 webinar: https://www.youtube.com/watch?v=xaByfdcOxRU Dardik Lab webpage: https://medicine.yale.edu/lab/dardik/ Cyclosporine and AVF article: https://doi.org/10.1161/ATVBAHA.120.315875 Vascular Research Initiatives Conference (VRIC): https://vascular.org/meetings/vascular-research-initiatives-conference-vric Previous Audible Bleeding Basic Science Episode: https://www.audiblebleeding.com/getting-started-in-basic-science/   Host Introductions:  Dr. Chris Audu (@ChrisAuduMD) is in his 5th year of training in the integrated vascular surgery residency at the University of Michigan. His research studies the role of chromatin modifying enzymes on wound healing pathways as well as learning the details of high throughput experimentation in discovering novel acid-amine organic reactions for vascular-focused, medicinal chemistry. He is currently F32 funded and was recently awarded the 2020 VESS Resident Research Award. Dr. Matt Chia (@chia_md) is in his 6th year in the integrated vascular surgery program at Northwestern University. He obtained his medical degree from the University of Illinois College of Medicine, and also holds a Master's in Health Services and Outcomes Research at Northwestern.    Follow us @audiblebleeding Learn more about us at https://www.audiblebleeding.com/about-1/ and #jointheconversation.

We discuss the phenomenon of basing movies and TV shows on toys and board games and try and work out if it has ever been a good idea. We also find out your opinions on the best and worst toy-inspired movies. PLUS, we introduce our newest AVF movie reviewer, Mark. AND there will be a podcast exclusive competition.

Samtliga tre delar av soloföljetongen Kapten Steéns rymdäventyr är nu publicerade och därmed passar Amanda och Jimmy på att diskutera deras respektive genomspelningar av den inledande delen i Mass Effect-trilogin. Vilka är deras Commander Shepard? Vem blev deras rymdromans? Vilka val gjorde de under vägens gång och varför? Naturligtvis utfärdas en massiv spoilervarning även i detta avsnitt! Har du ej lyssnat på Kapten Steéns rymdäventyr och vill göra det kan du finna den första episoden "Avfärd" genom att klicka här, andra episoden "Leva eller dö" här samt tredje episoden "Den som bryter cykeln" här!

Peygamber efendimizin mubârek yüzünü görmekle, tatlı sözlerini işitmekle şereflenen müslimânlara, “Eshâb-ı kirâm” denir. Peygamberlerden sonra, gelmiş ve gelecek bütün insanların en hayrlısı, en üstünü Ebû Bekr-i Sıddîkdır “radıyallahü anh”. İlk halîfe budur. Bundan sonra insanların en üstünü Fârûk-ı a'zam, ikinci halîfe Ömer bin Hattâb, sonra en üstünü ve Resûlullahın üçüncü halîfesi, îmân, hayâ ve irfân kaynağı hazret-i Osmân bin Affân “radıyallahü anh”, bundan sonra insanların en hayrlısı, dördüncü halîfe, şaşılacak üstünlükler sâhibi, Allahü teâlânın arslanı Alî bin Ebî Tâlibdir “radıyallahü anh”. Hadîs-i şerîflerden anlaşıldığına göre hazret-i Fâtıma, hazret-i Hadîce, hazret-i Âişe, hazret-i Meryem, hazret-i Âsiye dünyâ kadınlarının en üstünüdürler. Hadîs-i şerîfde: “Fâtıma, Cennet hâtunlarının üstünüdür. Hasen ve Hüseyn de, Cennet gençlerinin yüksekleridir” buyuruldu. Bunlardan sonra Eshâb-ı kirâmın en üstünleri (Aşere-i mübeşşere)dir. Cennetle müjdelenmiş on kişidir. Bunlar, hazret-i Ebû Bekr-i Sıddîk, Ömer-ül-Fârûk, Osmân bin Affân, Alî bin Ebû Tâlib, Ebû Ubeyde bin Cerrâh, Talha, Zübeyr bin Avvâm, Sa'd bin Ebî Vakkâs, Sa'îd bin Zeyd, Abdürrahmân bin Avf “rıdvânullahi teâlâ aleyhim ecma'în.” Sonra Bedr muhârebesinde, sonra Uhudda, sonra da Bî'at-ür-rıdvânda bulunanlardır. Resûlullahın yolunda canlarını, mallarını fedâ eden, Ona yardım eden, Eshâb-ı kirâmın hepsinin ismlerini saygı ve sevgi ile söylemekliğimiz bize vâcibdir. Onların büyüklüğüne yakışmıyan sözler söylememiz, aslâ câiz değildir. İsmlerini saygısızca söylemek dalâletdir, sapıklıkdır. Resûlullahı seven kimsenin, Onun Eshâbının hepsini de sevmesi lâzımdır. Çünki bir hadîs-i şerîfde buyurdu ki: “Eshâbımı seven, beni sevdiği için sever. Onları sevmiyen kimse beni sevmemiş olur. Onları inciten beni incitir. Beni inciten de, Allahü teâlâyı incitmiş olur. Allahü teâlâyı inciten kimse, elbette cezâ, acı karşılıklar. Günahlar sebebiyle âhirette çekilecek cezâ. '> azâb görecekdir.” Başka bir hadîs-i şerîfde: “Allahü teâlâ, benim ümmetimden bir kuluna iyilik yapmak isterse, onun kalbine Eshâbımın sevgisini yerleşdirir. Onların hepsini canı gibi sever” buyurdu. Peygamberimiz vefât etdiği gün, Medîne şehrinde 33 bin Sahâbî vardı. Sahâbîlerin hepsi, yüzyirmidörtbinden fazla idi. Namâz Kitâbı | Sayfa : 26

Det är hög tid för den sista delen i soloföljetongen Kapten Steéns rymdäventyr! Som många säkert känner till, då det påtalats i ett antal avsnitt, har Amanda under många års tid beundrat rymdrollspelsserien Mass Effect på avstånd och har gjort försök att föra den ur sin personliga skämshög, men har aldrig tidigare ens sett första spelets eftertexter. Detta är den tredje tillika sista delen av flera om det inledande spelet i serien och vill du som lyssnare ta dig igenom det utan att veta vad som händer rekommenderas du därför att återkomma efter genomspelningen. I den här följetongen avslöjas nämligen berättelsen till fullo ur Amandas perspektiv vilket avspeglar hennes val och därmed utfärdas en enorm spoilervarning! Har du ej lyssnat på första episoden "Avfärd" finner du den genom att klicka här samt den andra episoden "Leva eller dö" här! Oavsett om du har spelat Mass Effect eller ej är du dock naturligtvis hjärtligt välkommen att följa med på den färd som är Kapten Steéns rymdäventyr!

Helmut Herrmann wurde 1956 in Nürnberg geboren. Bereits während seiner Schulzeit leistete er Pionierarbeit, indem er als Herausgeber einer Schülerzeitung fungierte. Während seiner Berufstätigkeit als Beamter schrieb er unregelmäßig Kurzgeschichten. 2017 und 2018 veröffentlichte er zwei historische Kriminalromane, deren Handlung in Südfrankreich spielt („Der Fluch von Rennes-le-Château“ Band 1 und 2, „Das Geheimnis von Rennes-le-Château“). Seit 2019 tritt er mit einem Satireprogramm auf und ist Mitglied im AVF und im Schriftstellerverband, außerdem Leiter der Autorengruppe Wortkünstler Mittelfranken und des regelmäßig stattfindenden Wortkünstler-Lesefestes.

Det är dags för den andra delen i soloföljetongen Kapten Steéns rymdäventyr! Som många säkert känner till, då det påtalats i ett antal avsnitt, har Amanda under många års tid beundrat rymdrollspelsserien Mass Effect på avstånd och har gjort försök att föra den ur sin personliga skämshög, men har aldrig tidigare ens sett första spelets eftertexter. Detta är den andra delen av flera om det inledande spelet i serien och vill du som lyssnare ta dig igenom det utan att veta vad som händer rekommenderas du därför att återkomma efter genomspelningen. I den här följetongen avslöjas nämligen berättelsen till fullo ur Amandas perspektiv vilket avspeglar hennes val och därmed utfärdas en enorm spoilervarning! Har du ej lyssnat på första episoden "Avfärd" finner du den genom att klicka här! Oavsett om du har spelat Mass Effect eller ej är du dock naturligtvis hjärtligt välkommen att följa med på den färd som är Kapten Steéns rymdäventyr!

Snedtänkt firar 300 avsnitt! Författaren och skåningen Maria Maunsbach diskuterar kollegan och landsmannen Fritiof Nilsson Piraten. Nyponsoppa och filmjölk! Hemmagjord bäsk! Avföringsprov! Homoerotik! Häradsindelning!

Snedtänkt firar 300 avsnitt! Författaren och skåningen Maria Maunsbach diskuterar kollegan och landsmannen Fritiof Nilsson Piraten. Nyponsoppa och filmjölk! Hemmagjord bäsk! Avföringsprov! Homoerotik! Häradsindelning!

Meâl-i şerîfi, (Mallarını cihâd ve hayr işlerinde Allah için harcayanlar...) olan Bekara sûresinin 262.ci âyet-i kerîmesi Osmân bin Affân, Abdürrahmân bin Avf “radıyallahü teâlâ anhümâ” hazretlerinin şân-ı şerîfleri için nâzil olmuşdur. Abdürrahmân bin Avf, Resûlullahın “sallallahü teâlâ aleyhi ve sellem” huzûr-ı şerîflerine, dört bin dirhem ile geldiler. Dedi ki, yâ Resûlallah! Yanımda sekiz bin dirhem var idi. Dört bin dirhemini ıyâlime nafaka için alıkoydum. Dört bin dirhemini getirdim. Allahü teâlâ hazretlerine karz-ı hasen [ödünç] verdim. Resûlullah “sallallahü teâlâ aleyhi ve sellem” buyurdu ki: Allahü tebâreke ve teâlâ verdiğine ve hem de ıyâlin için alakoyduğuna bereket versin. Fekat Osmân “radıyallahü teâlâ anh” Tebûk gazâsında buyurdular ki, techîzatı olmıyan herkesin techîzatını almak benim üzerime olsun. Bin deve yükü ile gâzîlerin techîzâtına sarf etdi. Allahü teâlâ bu âyet-i kerîmeyi onların şânları için gönderdi. Abdürrahmân bin Sümre “radıyallahü teâlâ anh” der ki: Osmân “radıyallahü teâlâ anh” bin kırmızı altın getirdi. Resûlullah “sallallahü teâlâ aleyhi ve sellem” hazretlerinin kucağına dökdü. Dahâ önce de beyân olunmuşdur. Hazret-i Habîb-i ekrem mubârek eli ile o altınları döndürüp, buyurdular ki, (Affân oğluna, bugünden sonra her ne ederse, ziyân etmez!) Ebû Sa'îd-i Hudrî “radıyallahü teâlâ anh” der ki: Resûlullah “sallallahü teâlâ aleyhi ve sellem” hazretlerini gördüm. Mubârek ellerini kaldırmış, Osmâna şöyle düâ buyururdu: (Yâ Rabbî! Ben Osmândan râzıyım. Sen de râzı ol!) Böylece, sabâh oluncaya kadar düâ buyurdular. Menâkıb-ı Çihâr Yâr-i Güzîn | Sayfa : 228

Contributor: Jared Scott, MD Educational Pearls: EKGs look at different angles, or vectors, of the heart’s electrical conduction as it travels through the heart. Knowing how to read these vectors is essential in diagnosing locations of cardiac pathologies  Leads II, III, and aVF follow an inferior path, so ST elevation in those leads indicates inferior involvement Major complications more common with inferior STEMIs can include:  hypotension which can be made worse by nitroglycerin Severe bradycardia due to SA/AV node involvement Inferior STEMI, barring no hypotension or bradycardia, have better mortality than other types  References Warner MJ, Tivakaran VS. Inferior Myocardial Infarction. 2020 Aug 8. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2020 Jan–. PMID: 29262146. Summarized by Jackson Roos, MS4 | Edited by Erik Verzemnieks, MD The Emergency Medical Minute is excited to announce that we are now offering AMA PRA Category 1 credits™ via online course modules. To access these and for more information, visit our website at www.emergencymedicalminute.com/cme-courses/ and create an account. 

Paul J. Wang: Welcome to the monthly podcast, On the Beat for Circulation: Arrhythmia and Electrophysiology. I'm Dr. Paul Wang, Editor-in-Chief, with some of the key highlights from this month's issue. In our first paper, Bruce Wilkoff and associates examine the impact of cardiac implantable electronic device [CIED] infections on mortality, quality of life, healthcare utilization, and cost in the U.S. Healthcare system. They found that the majority CIED infection was associated with increased all-cause mortality, 12-month risk-adjusted hazard ratio 3.41, P < 0.001. An effect that sustained beyond 12 months.   The quality of life was reduced, P = 0.004, and did not normalize for six months. Disruptions in CIED therapy were observed in 36% of infections for a median duration of 184 days. The authors reported that the mean hospital costs were $55,547.   In our next paper, Songwen Chen, Xiaofeng Lu and associates examine the ability to eliminate premature ventricular complexes [PVCs] originating from the proximal left anterior fascicle, safely from the right coronary sinus. The authors mapped the the right coronary sinus and left ventricle in 20 patients with left anterior fascicle PVCs. They found that the earliest activation site with Purkinje potential during both PVC and sinus rhythm was localized at proximal left anterior fascicle in eight patients, the proximal group, or non-proximal left anterior fascicle in 12 groups, the non-proximal group. The Purkinje potentials proceeded PVC-QRS at the earliest activation site in proximal group 32.6 milliseconds was significantly earlier than that in non-proximal group, 28.3 milliseconds P = 0.025. Similar difference in the Purkinje potentials proceeding sinus QRS at the earliest activation site was also observed between proximal and non-proximal group, 35.1 milliseconds versus 25.2 milliseconds, P < 0.001.   In proximal group, the distance between the earliest activation site to the left His-bundle into the right coronary sinus were shorter than that of the non-proximal group 12.3 millimeters versus 19.7, P = 0.002, and 3.9 millimeters versus 15.7 millimeters, P < 0.001, respectively. The authors found no difference in the distance between the right coronary sinus to proximal left anterior fascicle between the two groups. PVCs were successfully eliminated from the right coronary sinus in all proximal group, but at left ventricular earliest activation site for the non-proximal group, the radiofrequency application time, ablation time and procedure time of non-proximal group were longer than that proximal group.   Electrocardiographic analysis showed that when compared to non-proximal group, the PVCs proximal group had a narrower QRS duration, smaller S wave in leads one, V five,and V six; lower R waves in leads one, aVL, aVR, V one, V two, and V four and smaller q wave in leads three and aVF. The QRS duration difference [PVC-QRS and sinus rhythm QRS] < 15 milliseconds predicted the proximal left anterior fascicle origin with high sensitivity and specificity.   In our next paper, Benjamin Steinberg and associates examined the factors that are associated with large improvements in health-related quality of life in patients with atrial fibrillation. The authors assessed factors associated with a one-year increase in quality of life, measured by AFEQT of one standard deviation that is greater and equal to 18 points, three times clinically important difference among patients in the ORBIT-AF one registry. They found that 28% of patients had such a health-related quality improvement compared with patients not showing large health-related quality of life improvement. They were similar age, (median 73 versus 74 years of age), equally likely to be female, (44% versus 48%), but more likely to have newly diagnosed atrial fibrillation [AF] at baseline (18% versus 8%, P = 0.0004) prior antiarrhythmic drug use (52% versus 40%, P = 0.005), baseline antiarrhythmic drug use (34.8% versus 26.8%, P = 0.045), and more likely to undergo AF related procedures during follow-up (AF ablation 6.6% versus 2.0%, cardioversion 12.2% versus 5.9%). In multivariate analysis, a history of alcohol abuse has a ratio 2.4 and increased baseline diastolic blood pressure has a ratio 1.23 per 10 point increase and greater than 65 millimeters of mercury were associated with large improvements in health-related quality of life at one year. Whereas patients with prior stroke, chronic obstructive pulmonary disease and peripheral artery disease were less likely to improve.   In our next paper, Eiichi Watanabe and associates studied safety and resource consumption of exclusive remote follow-up in pacemaker patients for two years. Consecutive pacemaker patients committed to remote pacemaker management were randomized to either remote follow-up or conventional in-office follow-up at twice yearly intervals.   Remote follow-up patients were only seen if indicated by remote monitoring, all returned to hospital after two years. In 1,274 randomized patients (50.4% female, age 77 years), 558 remote follow-up or 550 conventional in office follow-up patients reached either the primary end point or 24 months follow-up. The primary end point, a composite of death, stroke, or cardiovascular events requiring surgery occurred in 10.9% and 11.8% respectively in the two groups (P = 0.0012) for non-inferiority. The median number of in-office follow-ups was 0.5 in the remote follow-up group and 2.01 in the conventional in-office follow-up per patient year (P < 0.001). Only 1.4% of remote follow-ups triggered an unscheduled in-office follow-up, and only 1.5% of scheduled in-office follow-ups were considered actionable.   In our next paper, Sarah Strand and associates use fetal magnetocardiography from the University of Wisconsin biomagnetism laboratory to study 39 fetuses with pathogenic variants in long QT syndrome, LQTS genes. 27 carried the family variant, 11 had de novo variants, and one was indeterminant. De novo variants, especially de novo SCN5A variants were strongly associated with a severe rhythm phenotype and perinatal death. Nine or 82% showed signature LQTS rhythms, six showed torsade de pointes, five were still born, and 9% died in infancy. Those that died exhibited novel fetus rythms, including AV block with 3:1 conduction ratio, QRS alternans in 2:1 AV block, long cycle length, torsade de pointes, and slow monomorphic ventricular tachycardia. Premature ventricular contractions were also strongly associated with torsade de pointes and perinatal death. Fetuses with familiar variants showed a lower incidence of signature LQTS rhythm, six out of 27 or 22%, including torsade de pointes, and 3 out of 27 or 11% all were live born. The authors concluded that the malignancy of de novo LQTS variants was remarkably high and demonstrate that these mutations are a significant cause of stillbirth.   In our next paper, Corina Schram-Serban and associates compare the severity of extensiveness of conduction disorders between obese patients and non-obese patients measured at high resolution scale. They studied 212 patients undergoing cardiac surgery (male:161, mean 63 years of age), who underwent epicardial mapping of the right atrium, Bachmann's bundle, and left atrium during sinus rhythm. Conduction delay [CD] was defined as interelectrode conduction time seven to 11 milliseconds and conduction block [CB] as conduction time ≥ 12 milliseconds. In obese patients, the overall incidence of conduction delay was 3.1% versus 2.6% (P = 0.002), conduction block 1.8% versus 1.2%, and continuous CDCB 2.6% versus 1.9% higher in the obese patients, conduction delay (P = 0.012) and continuous CDCB lines are longer. There were more conduction disorders at Bachman's bundle, and this area has a higher incidence of conduction delay 4.4% versus 3.3% (P = 0.002), conduction block 3.1% versus 1.6% (P < 0.001), continuous conduction block conduction delay 4.6% versus 2.7% and longer conduction delay or conduction delay conduction block lines. Severity of conduction block is also higher, particularly in the Bachmann bundle and pulmonary vein areas. In addition, obese patients have a higher incidence of early de novo postoperative atrial fibrillation. Body mass index and the overall amount of conduction block were independent predictors for the incidents of early postoperative atrial fibrillation.   In our next paper, Ricardo Cardona-Guarache and associates describe five patients with concealed, left-sided nodoventricular in four patients and nodofascicular in one patient accessory pathways. They proved the participation of accessory pathway in tachycardia by delivering His-synchronous premature ventricular complexes that either delayed the subsequent atrial electrogram or terminated the tachycardia, and by observing an increase in ventricular atrial interval coincident with left bundle branch block in two patients. The accessory pathways were not atrioventricular pathways because the septal ventricular atrial interval during tachycardia was less than 70 milliseconds in 3, 1 had spontaneous AV dissociation, and in 1 the atria were dissociated from the circuit with atrial overdrive pacing.   Entrainment from the right ventricle showed ventricular fusion in 4 out of 5 cases. A left-sided origin of accessory pathways was suspected after failed ablation of the right inferior extension of the AV node in 3 cases and by observing VA increase in left bundle branch block in 2 cases. The nodofascicular in 3 of the 4 nodoventricular accessory pathways were successfully ablated from within the proximal coronary sinus guided by recorded potentials at the roof of the coronary sinus, and nodoventricular accessory pathway was ablated via a transseptal approach near the coronary sinus os.   In our next paper, Pierre Qian and associates examined whether an open irrigated microwave catheter ablation can achieve deep myocardial lesions endocardially and epicardially through fat while acutely sparing nearby coronary arteries. Epicardial ablations via subxiphoid access in pigs were performed at 90 to 100 Watts at four minutes at sites near coronary arteries and produced mean lesion depth of 10 millimeters, width 18 millimeters, and length 29 millimeters through median epicardial fat thickness of 1.2 millimeters. Endocardial ablations at 180 Watts achieved depths of 10.7 millimeters, width of 16.6 millimeters, and length of 20 millimeters. Acute coronary occlusion or spasm was not observed at median separation distance of 2.7 millimeters.   In our next paper, Jad Ballout and associates examined 21 consecutive patients with cardiogenic shock and refractory ventricular arrhythmias undergoing bailout ablation due to inability to wean off of mechanical support. Mean age was 61 years, 86% were males, median left ventricular injection fraction 20%, 81% ischemic cardiomyopathy. The type of mechanical support in place prior to the procedure was intra-aortic balloon pump in 14 patients, Impella in 2, ECMO in 2, ECMO and intra-aortic balloon pump in 2, and ECMO and Impella in 1. In the cardio voltage maps with myocardial scar in 90% (19 patients), the clinical ventricular tachycardias VTs were inducible in 13% (62 patients), whereas 6 patients had PVC induced ventricular fibrillation, VT (29%), and VT could not be induced in 2 patients (9%). Activation mapping was possible in all 13 patients with inducible clinical VTs, substrate modification was performed in 15 patients with scar in 79%. After ablation and scar modification, the arrhythmia was noninducible in 19 patients (91%). Seventeen (81%) were eventually weaned off mechanical support successfully with the majority of patients being discharged home and surviving beyond one year. However, 6 (29%) died during the index admission with persistent cardiogenic shock.   In a research letter, Parveen Garg and associates examined the multi-ethnic study of atherosclerosis [MESA] incident atrial fibrillation a population with 50% African-American or Hispanic. After adjusting for age, race, ethnicity, sex education, income, clinic site, height, body, mass index, cigarette, smoking, diabetes, systolic and diastolic blood pressure, and hypertensive medications, physical activity, alcohol consumption, lipid parameter to lipid lowering therapy, the baseline lipoprotein A level greater or equal to 30 milligram per deciliter was inversely associated with developing atrial fibrillation compared those with lower levels (hazard ratio 0.84). However, the mechanism of this paradoxical association is unclear.   In another research letter, Yoshihide Takahashi and associates reported that 49 patients undergoing ablation of persistent atrial fibrillation had at least one focal site and rotational activation in 57%. Of these, 19 patients underwent a repeat ablation for recurrent atrial fibrillation. AF was mapped in 17 patients and 131 focal activation sites were ablated. There were 105 displayed focal activation sites during the de novo ablation and 89 focal activation sites during the repeat ablation. During the de novo ablation, rotation activation was observed in 19 sites. Of the 19 sites, 12 (63%) displayed rotational activity, also with the repeat ablation. The author suggested focal or rotational activation sites can be classified into two types, ones critical for AF recurrence and the ones that are bystander.   That's it for this month. We hope that you'll find the journal to be the go-to place for everyone interested in the field. See you next time.   This program is copyright American Heart Association, 2020.   Correction: In the study by Pierre Qian and associates, the epicardial ablations via subxiphoid access were performed in sheep, not pigs, as previously stated.

Cardio: 3. Yvonne and Sally talk through the Acute Coronary Syndromes. This episode was vetted by Retesh Bajaj, Interventional Cardiology Fellow at Queen Mary University, London. Links: ECG showing a pathological q wave: https://ddxof.com/ecg-guide-part-ii/hcm/ ECG showing ST elevation in leads II, III and avF, in keeping with an inferior STEMI: https://litfl.com/wp-content/uploads/2018/08/ECG-Inferior-AMI-STEMI.jpg

A sudden headache was all is seemed for our Fire & Grace guest Alison Green, a young mom with a newborn to care for. After displaying stroke like symptoms and being rushed to hospital, Alison learned she had an arteriovenous fistula (AVF), an irregular connection between an artery and vein in her brain. We invite you to listen to the many changes that occurred in Alison's life following her diagnosis... but most of all her incredible change of heart. "My hope is that we stop trying to be in charge and realized that He (God) is!" ~ Alison Green To connect with Alison: jandagreen@yahoo.ca

M. Fethullah Gülen - 16 Mayıs 1975 / Manisa Muradiye Camii - Kardeşlik, ittifak ve ittihad tevfîk-i İlahiyye'nin vesilesidir... - Bu kardeşlik ve birlik anlayışıyla Müslümanlık cihana hâkim oldu... - Hicret sonrası, Medine’de oluşan Ensar-Muhacir kardeşliği... - Sa'd bin Rebi - Abdurrahman bin Avf arasındaki örneği görülemeyecek kardeşlik... Sohbetin yazılı haline aşağıdaki linkten ulaşabilirsiniz: https://drive.google.com/open?id=15qwphXH7I_hn2NEX9m0GDMWILRPA0zUZ

SOS America (Service over Self) is a patriotic, membership organization that supports a military service program for our young adults. It will require broad public support (polling is very encouraging). Congressional legislation (previous draft legislation died in committee) and Executive Branch support are required. The plans for 2019 address all these matters. Increasingly, the high costs of the All Volunteer Force (AVF) raise legitimate questions as to shortages in many career fields and the need to have such highly qualified people in the many support roles. SOS America contends that a specialized one-year enlistment program can be of great benefit to our young adults and the nation. Designed to augment the AVF, it would have these characteristics: Its name is: The United States Military Service Corps (USMSC) It will take advantage of small unit identity and loyalty.  Volunteer recruits will enlist, train and serve together in small units. The Units (roughly 100 recruits) will be led by 6 active duty personnel–2 officers and 4 experienced sergeants. Open to recruits ages 18-25–the units will mix geography, ages, economic and educational backgrounds. Physical and Mental requirements are based on the ability to ‘take care of (look after) oneself’ vs current AVF requirements that eliminate an estimated 85% of our young adults. Yearly recruit numbers will be based “on demand.” The Services, Guard and Reserve plus Federal and State Agencies will forecast their needs to allow for planning and accession. Proposed legislation will identify the Department of Defense as the executive/responsible agency. The selective service system will be used, in part, to help administer the program The program is highly encouraged but voluntary for young men and women (18-25). The costs of the program, part of the Defense budget, will return 3 to 4 times program cost investment in a given year. Recruits will be subject to the Uniformed Code of Military Justice. Recruit remuneration will be at a basic enlistment rate. An educational (mustering out) stipend will be awarded upon honorable completion of the year of service. The honorable year of service should also secure citizenship (if needed), expunge police records, ensure English language and GED or better achievement and like benefits. These program characteristics are essential elements of the proposed program and legislation.

Bir gün Hz. Ömer (r.a.), Hz. Ebû Bekir (r.a.)'in yanına girdiğinde Ebû Bekir (r.a.) dilini kınıyordu. Hz. Ömer (r.a.) ona: “Sakin ol! Allâh (c.c.) seni bağışlasın!” diye çıkışınca, Ebû Bekir (r.a.): “Beni istemediğim birçok olayla karşı karşıya bırakan budur (dilimdir)!” karşılığını verdi. Hz. Ebû Bekir (r.a.), bir hutbesinde şöyle demiştir: “Ey Müslümanlar! Allâh (c.c.)'dan hayâ edin! Canım elinde olana yemin olsun ki helâya gittiğim zaman Rabbime karşı hayâmdan dolayı ıssız yerlerde bile başım dâhil giysilerime sarınarak duruyorum.” Humeyd b. Abdurrahman b. Avf, babasından bildiriyor: Vefâtına sebep olan hastalığı sırasında Ebû Bekir (r.a.)'in yanına girdim. Kendisine selâm verdikten sonra bana: “Dünyanın bizlere doğru yöneldiğini gördüm ama bize henüz ulaşamadı. Fakat size gelecektir, ipekten perdeler, ipek işlemeli giysiler edinecek, yünden yataklar ve örtüler içinde yatacaksınız; ama yine de çakır dikenleri üzerindeymiş gibi olacaksınız. Vallahi birinizin haksız yere boynunun vurulması sizin için dünya nimetleri için yüzmenizden daha hayırlıdır.” dedi. Yine Hz. Ebû Bekir es-Sıddîk (r.a.) bir hutbesinde şöyle demiştir: “Gençlikleriyle övünen güzel yüzlü gençler nerede? Şehirler inşa eden ve bunları surlarla çeviren krallar nerede? Savaş meydanlarında zafer kazananlar nerede? Zaman onları yok etti. Şimdi onlar, mezarların karanlığındadır. Acele ediniz! Kurtulmaya bakınız!” Hz. Ebû Bekir (r.a.) vefât edeceği zaman, Hz. Ömer (r.a.)'i çağırıp şöyle demiştir: “Ey Ömer! Allâh (c.c.)'dan kork. Şunu bil ki, Allâh (c.c.)'un gündüz yapılmasını emrettiği ve gece yapıldığında kabul etmediği ameller olduğu gibi, gece yapılmasını emredip, gündüz yapıldığında kabul etmediği ameller vardır. Allâh (c.c.), farzlar yerine getirilmedikçe nafileleri kabul etmez.” **(Ebu Nuaym el-Isbehânî, _Hilyeu'l Evliya_, c.1, s.54-60)**

Hz. Ömer (RA), çâr-yâr-ı güzîn efendilerimizin ikincisidir. Hz. Ömer'in (RA) İslâm'ın yayılmasında ve inkişafında hususî bir yeri vardır. O'nun İslâmiyete girmesi, İslâm'ın inkişafında bir dönüm noktası olmuştur. O zamana kadar Müslümanlar Hz.Erkam'ın (RA) evinde gizli ibadet ederlerdi. Bir perşembe gecesi Peygamber Efendimiz (SAV), Cenâb-ı Hakk'a şöyle niyazda bulundu: "Ey Allah'ım! Ömer bin Hattâb ve Amr bin Hişâm'dan birisiyle İslâm'ı aziz kıl, kuvvetlendir." Cenâb-ı Hak bu duayı Hz. Ömer hakkında kabul buyurdu. Bu duanın bereketiyle Hz. Ömer İslâm'la şereflendi ve küllî bir fazilete mazhar oldu. İbn-i Mes'ûd diyor ki, "Hz. Ömer (RA) İslâm nâmına bir rahmet timsâli oldu. O İslâm olmazdan evvel Müslümanlar açıktan namaz kılamıyorlardı. Ne zaman ki Hz. Ömer Müslüman oldu, Resûlüllah, mübarek elini Ömer'in üzerine koyarak 'Ya Rabbi, Ömer'in göğsündeki kötü sıfatları, hastalıkları çıkar, yerini iman ve hikmetle doldur.' diye dua buyurdular." Hz. Ömer (RA) külli kemalât sahibiydi. Zühd, takva, tevazu, sabır, tevekkül ve şükür gibi faziletler O'nda en mükemmel bir şekilde tecelli etmişti. Hz. Ömer (RA), fevkalâde bir temyiz kabiliyetine mazhardı. Hakkı bâtıldan ayırmada, adaleti bihakkın tatbik etmede, eşsiz bir mertebe kazanmıştı. O'na (RA) Faruk yani, iyiyi kötüden, hakkı bâtıldan en iyi bir şekilde tefrik eden lâkabını bizzat Resûlüllah Efendimiz (SAV) vermişlerdi. Abdurrahman bin Avf hazretleri rivayet eder: Resulullah, bir gün Medine-i münevverenin mescidinde, minbere çıktı. Allahü teâlâya hamd ve sena edip buyurdu ki: Ebu Bekir efendimizden Sonra (Ömer bin Hattab nerede?) buyurdu. O da, yerinden ok gibi fırlayıp kalktı. Ona da, (Ya Ömer, yanıma gel, minber üzerine gel) buyurdu. Hz. Ömer de minber üzerine geldi. Resulullah onun yüzünü de, mübarek göğsüne dayadı. İki gözünün arasından öptü. Mübarek gözlerinin yaşı Ömer’in üzerine damladı. Onun için de buyurdu ki: (Ey Müslümanlar! Bu Ömer ibni Hattabdır. Muhacir ve Ensarın büyüğüdür. Allahü teâlânın emri ile bunu kendime yardımcı ve müşavir olarak aldım. Bu öyle bir zattır ki, Allahü teâlâ Kur'an-ı kerimi bunun lisanı ve kalbi üzerine indirmiştir. Bu öyle kıymetli biridir ki, acı da olsa, hakkı kabul eder ve söyler. Allah’ın emir ve yasakları olan bir işte, ayıplanmaktan çekinmez. Şeytan ondan kaçar. Bunun heybetinden, taş ve demir erir. Bu, Cennetin ışığıdır ve Cennet ehlinin kendisiyle övündüğü kimsedir. Allah’ın, meleklerin ve bütün halkın laneti, buna buğz edenin üzerine olsun. Allahü teâlâ buna buğz edenlerden uzaktır, ben de uzağım.) Bu bölümdeki okumalar aşağıdaki şekilde devam ediyor. ZAKİRİN-7 (Hz Omer RA Duaları, 26 dk) ZAKİRİN-7 (1-Hz Omer RA Fazileti ve Duaları-13 dk) ZAKİRİN-7 (2-Hz Omer RA Duaları,Çar-ı Yar ı Güzin İlahi, Fetih Suresi-13)

Belajar gelombang T dalam EKG. Gelombang T adalah depleksi (+) atau tinggi gelombang yang terdiri dari Lead (L1,L2, L3, AvR, AvL, dan AvF adalah < 5 kotak kecil dan kemudian Lead V1, V2, V3, V4, V5, V6 adalah < 10 kotak kecil. Kemudian apabila gelombang T < angka normal dinamakan Hyperkalemia, kemudian bila gelombang T tidak terbentuk dinamakan Hypokalemia dan bila gelombang T depleksi (-) dinamakan Iskemik Miokard.

This episode is the first in a series produced in collaboration with the Society for Vascular Surgery Young Surgeons Advisory Committee (SVS YSC). This episode will focus on establishing a research lab and setting the groundwork for a productive academic career. Our guests for this episode are two members of the Young Surgeons Advisory Committee, Dr. Mohamed Zayed and Dr. Nicholas Osborne. Dr. Mohamed Zayed (zayedm@wustl.edu) has been an assistant professor of surgery at Washington University in St. Louis since 2014.  He received his medical degree and Ph.D. in pharmacology from UNC and vascular surgery residency training from Stanford.  He has received many research awards for his translational research, including the Vascular Cures Wylie Scholar, American Surgical Association Foundation Fellow and in 2016 was awarded a K08 career development grant from the NIH, National Heart Lung and Blood Institute. Dr. Nicholas Osborne (nichosbo@umich.edu, @nichosbo) has been an assistant professor of vascular surgery at the University of Michigan in Ann Arbor, Michigan since 2014.  He received his medical degree from Dartmouth and general surgery residency and vascular surgery fellowship at the University of Michigan.  He has received multiple awards for his health services research from the American Heart Association, industry and has submitted a grant through the NIH Department for Health and Human Services. Resources discussed on the show: AAS: https://www.aasurg.org/awards/ AAS Fall Courses: Grant writing course: https://www.aasurg.org/aas-fall-courses/ ASC AAS Investigator's Course: https://academicsurgicalcongress.org/sic/ Wylie Scholars Grant: https://vascularcures.org/wylie-scholar-program-2/ VESS:  https://vesurgery.org/grants-awards/ AVF: https://www.veinforum.org/avf-foundation/bsn-jobst-research-grant/ AHA: https://professional.heart.org/professional/ResearchPrograms/ApplicationInformation/ScientistPrincipalinvestigators/UCM_316962_For-Scientists.jsp SVS: https://vascular.org/career-tools-training/awards-and-scholarships Association of VA Surgeons: https://www.vasurgeons.org/research-awards.html HHMI downloadable book: Making the Right Moves: A Practical Guide to Scientific Management for Postdocs and New Faculty Melina Kibbe's book: Success in Academic Surgery: Basic Science Three main categories of research funding: Institutional microgrants Internal funding mechanisms through research centers or foundations at your institution: university, VA, etc. SVS Other professional societies' awards: AHA, ADA, VESS, etc. Foundation award K award series: career development grants for early-stage investigators R01: highest level, most coveted NIH funding

InsideTheBoards Audio Blog (powered by MedSchoolTutors)  Another feature in our Audio Blog series where we take posts from The MedSchoolTutors Blog (the very best blog for medical school) and record them for on-the-go learning. We're focusing on articles that cover question breakdowns, examination and study advice, and those related to mental wellbeing and wellness during medical school.  Today's episode features two articles:  Rest Assured: Studies Show Sleep Affects Learning in Medical School    USMLE Question Breakdown: Structural Changes to the Heart    Question Excerpt:  A 62-year-old man presented to the emergency room with a 45-minute history of severe chest pain. EKG shows ST elevations in leads II, III, and aVF... ...  Which of the following conditions is the most likely the cause of structural changes to the patient’s heart? A) Atrial septal defect B) Mitral insufficiency C) Long-standing hypertension D) Mitral Stenosis E) Recent myocardial infarction F) Ventricular fibrillation   Read the full vignette and post here. InsideTheBoards Study Smarter Podcast Check out the ITB Study Smarter Series Podcast channel. Go to bit.ly/ITBpodcasts or just click here to listen on iTunes.  ITB Audio Qbank and iOS Beta App The Audio Qbank by InsideTheBoards mobile app has both free and premium features and is available on both Android and iOS.  To get started, first, create a Boardsinsider Account on our website insidetheboards.com Free Features  All of our podcasts in one place organized into playlists for easy studying (also with less ads and exclusive content)  Mindfulness meditations designed specifically for medical students  A monthly offering of high yield content (questions dissections, audio qbank samples) available only on our mobile app.  Premium Features Subscribe to an ITB premium account and get additional features  Access to 500+ audio optimized board style practice questions in our Audio Qbank. The Step 1 version is powered by Exam Circle and the Step 2 Version is powered by OnlineMedEd. New questions added each month.  High Yield Pharmacology (powered by Lecturio) with 100 of the top pharm questions you need to know for both Step 1 and Step 2  Audio Flashcards (coming soon)  Our audio qbank is THE PERFECT companion for studying for the boards on the go. And we're adding content and improving it all the time.   Learn more about the Audio Qbank by InsideTheBoards mobile app here Legal Stuff and Thanks InsideTheBoards is not affiliated with the NBME, USMLE, COMLEX, NBOME or any professional licensing body. InsideTheBoards fully adheres to the policies on irregular conduct outlined by the aforementioned credentialing bodies.  Music: "So Into You" by Niights. Courtesy of Sun Pedal Recordings. Listen to the full track on Spotify.  Thanks to MedSchoolTutors for providing the content for this show. Thanks to Greg Rodden, host of the Med School Phys Podcast for helping us with this episode. Listen to the Med School Phys podcast for high-yield learning and review of physiology topics for your classes and exams. 

One year later, what did the ATTRACT Trial NOT tell us, and where do we go from here?

Gör er redo för en resa genom tid och rum! Geekpodden bjuder nu på första delen i serien ”Tidsresan”, där vi blickar tillbaka på vår världs historia skildrat genom popkulturens glasögon! Så på med era romerska hjälmar, 1800-talsskor, westernpistol och upptäckarglasögon! För nu är det dags för ”Avfärden”! I detta första avsnitt analyserar vi historiska skildringar rent generellt! Vilka tidsepoker är tacksammast att filmatisera? Hur missvisande är popkulturens historieberättande? Lär vi oss historia genom film och tv, eller får film och tv oss att vilja lära oss mer om historia? Och hur mycket historia kan man lära sig genom brädspel? Panelen befolkas vid detta avsnitt av Game of Thrones-älskaren Fredrik Fornänger (som självklart vurmar lite extra för medeltiden), strategen Patric Hjelm (som inte helt otippat vill prata krig) och Dödsexperten Erik Svensson (vilken era erbjuder mest död?!). Förutom en massa analys så kommer de delge sina favoriteror och historiska hjältar! Dessutom så blir det nyheter så klart där e-sport, John Williams och orcher avhandlas! Dags för avfärd! MEDVERKANDE:  Fredrik Fornänger Erik Svensson Patric Hjelm

Vanessa och Linda-Marie älskar sina kroppar, men så har det inte alltid varit. De berättar hur de började tycka om sina kroppar och tillsammans med UMO:s sjuksköterska ger de tips till en person med kroppskomplex. – Jag har försökt banta hundra gånger i mitt liv, säger Linda-Marie. När jag var 20 år tröttnade jag på det och la ut en bikinbild med texten "Kan alla med platta magar lägga ut sina bilder så kan jag också det". Bilden blev viral vilket Linda-Marie tyckte var kul men också sorgligt. Hon blev glad för alla fina kommentarer men ledsen att hennes bild var så ovanlig.  Vanessa hade också mycket komplex för sitt utseende när hon var yngre. Hon säger att ingen annan hade hennes hudfärg eller kroppstyp.  – Jag hade ätstörningar och tyckte inte om min kropp. Men nu förtiden tycker jag att jag är fett snygg, säger Vanessa. Förut la jag bara ut bilder där jag såg smalare ut men nu vill jag visa hur min kroopp ser ut på rikitigt. Det är normalt att ha valkar, bristningar och celluliter.  Både Vanessa och Linda-Marie har tusentals följare på Instagram.  Här är några av deras tips för att bli nöjd med sin kropp:  Avfölj alla vars inlägg får dig att må dåligt.  Följ personer som ser ut som du. Skriv en lista på saker du är nöjd med. Lyssna på avsnittet för fler tips!

Kanskje ikke det mest delikate temaet i verden, men vi kikker nærmere på tarmsystemet, besøker et kloakkrenseanlegg, graver i dinosaurbæsj og hilser på en liten skapning som synes at Avføring er det beste temaet i verden!

Avföring, anonymitet och analogier. Stötta podden på https://www.patreon.com/DEKONSTRUKTIVKRITIK

This week's show sees the return of Chris Callahan, creator of RoboChuck. Chris talks about his work on the AVF 25th anniversary special, working on NatGeo's "Building Wild", the current status of RoboChuck, and getting to see the rough cut of "The Amazing Spider-Man". The guys then round out the show with the announcement of next week's weight loss challenge and failure punishment.

Avføring og forsøpling preger museumsområder i Oslo. NHO Reiseliv er bekymret for årets turistsesong. Artister og Grand-Prix-tilhengere vil ha levende musikk tilbake i sangkonkurransen. Dessverre umulig, sier arrangøren.

Saudiarabiska läroböcker tillhör de mest intoleranta i den muslimska världen. De demoniserar västvärlden, kristna, judar och andra otrogna. Avfällingar eller konvertiter måste dödas och våldsamt jihad uppmuntras. Texterna läggs ut på nätet och exporteras över världen" , säger Nina Shea, director vid Center for Religious Freedom i USA, som har studerat läroböckerna. Varför är innehållet så hatiskt mot andra religioner? Varför har inte kungen, trots att han varit kritisk mot innnehållet, kunnat stoppa läroböckerna? Abdulhadi Khalaf, sociolog knuten till Centrum för Mellanösternstudier vid Lunds Universitet kommenterar undersökningen från Center for Religious Freedom, vid Hudson Institute i Washington. Just nu leder Texas-guvernören Rick Perry opinionsmätningarna inför det amerikanska presidentvalet nästa år. Han är Teaparty-rörelsens favorit, men stöttas dessutom av en kristen evangelikal strömning som har rötter i pingstkyrkan: The New Apostolic Reformation. Och många oroas av vad denna nya allians kan innebära för USA om Rick Perry vinner valet. Reportage i Människor och tro av frilansjournalisten Petra Socolovsky. Jobs bok i Gamla testamentet handlar om Guds mest förtjänstfulle tjänare som med Guds tillåtelse prövas i sin trofasthet av Satan. Job förlorar all sin rikedom, alla sina barn och han drabbas av de plågsammaste sjukdomar, men han vänder sig inte från sin Gud. Berättelsen brukar tas som utgångspunkt för resonemang om varför Gud tillåter så mycket lidande och så mycket orättvisa och ligger till grund för Hanoch Levins pjäs Jobs lidanden som nu får Nordenpremiär på Judiska teatern i Stockholm. Regissören Philip Zandén och teaterns konstnärliga ledare Pia Forsgren berättar om frågorna pjäsen väcker. Alice Petrén står för veckans utrikeskrönika om katolska kyrkans kritik mot Silvio Berlusconi i Italien.  I veckan har kyrkomötet, Svenska kyrkans högst beslutande organ, haft sin första session. Hör samtalet med Moderaternas Hans Wallmark och Centerpartiets Karin Perers om politiska partiers närvaro i Svenska kyrkan. För en månad sedan föreslog Moderaternas partistyrelse att de skulle klippa banden till kyrkan, medan man i Centerpartiet tycker att den politiska närvaron är viktig.  Programledare: Tithi Hahn Producent: Åsa Furuhagen

Ziel dieser Arbeit war es, neue Erkenntnisse über den bisher wenig beachteten Bereich der elektrokardiographischen Untersuchung in der Reptilienmedizin zu erlangen. Dabei wurden 39 gesunde Grüne Leguane ohne Narkose und 15 gesunde Grüne Leguane in Narkose mit einem Elektrokardiographen für Kleintiere (PC-EKG 2000 der Firma Eickemeyer, Tuttlingen, Bundesrepublik Deutschland) untersucht. Die Tiere wurden zunächst fixiert, dann fand eine Aufzeichnung in Brustlage statt. Die Elektroden wurden wie folgt angebracht: rote Elektrode: rechten Körperseite ventrolateral am Übergang des Halses zum Thorax auf Höhe der Clavikular; gelbe Elektrode: symmetrisch zur roten Elektrode auf der linken Körperseite; grüne Elektrode: linken Körperseite cranioventral des Hüftgelenkes in der Regio abdominalis lateralis sinstra; schwarze Elektrode: symmetrisch zur grünen Elektrode auf der rechten Körperseite Bei den geschriebenen Elektrokardiogrammen wurden in der II Ableitung Herzfrequenz, Herzrhythmus, P-Welle, Q-Zacke, R-Zacke, S-Zacke, SV-Welle und T-Welle, QRS- Intervall, PQ-Intervall, PR-Intervall, PQ-Strecke, PR-Strecke, QT-Intervall, RT-Intervall, ST-Strecke, RT-Strecke, ST-Streckensenkung oder -hebung, SVP-Intervall und elektrischen Herzachse bestimmt. Des weiteren kam es zur Messung der Amplituden in der Ableitung I, III, aVR, aVL und aVF. Es erfolgte eine statistische Auswertung der Ergebnisse für die Tiere, die ohne Narkose und mit Narkose untersucht wurden. Die ermittelten Werte wurden mit den in der Literatur gemachten Angaben verglichen und diskutiert. Aufgrund der vorliegenden Ergebnisse zeigt sich, dass elektrokardiographische Untersuchungen beim Grünen Leguan gut durchführbar sind und auch in der Praxis sowohl zur Diagnostik als auch zur Narkoseüberwachung und -steuerung bei Operationen einsetzbar sind.