State or ability to perceive, to feel, or to be conscious of events, objects, or sensory patterns
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Decoding Pulmonary Hypertension: Echo and Cath Insights for Pulmonologists. Dr. Marc Simon shares his expertise on diagnosing pulmonary hypertension, emphasizing echocardiographic markers, right heart catheterization pitfalls, and risk stratification with the H2FPEF score. His insights help clinicians refine their diagnostic approach for better patient outcomes. This Special Edition episode is sponsored by Liquidia. View PDF Slides here. Learn more about pulmonary hypertension trials at www.phaware.global/clinicaltrials. Engage for a cure: www.phaware.global/donate #phaware Share your story: info@phaware.com Like, Subscribe and Follow us: www.phawarepodcast.com. #phawareMD #PHILD @Liquidia_Corp @UCSFCardiology @MarcSimonMD @CalThoracic
John Maytham speaks to Mokebe Thulo, CEO of Aware.org, about a ground-breaking nationwide study involving 1,100 teens that offers one of the most detailed pictures yet of youth alcohol behaviour in South Africa. Presenter John Maytham is an actor and author-turned-talk radio veteran and seasoned journalist. His show serves a round-up of local and international news coupled with the latest in business, sport, traffic and weather. The host’s eclectic interests mean the program often surprises the audience with intriguing book reviews and inspiring interviews profiling artists. A daily highlight is Rapid Fire, just after 5:30pm. CapeTalk fans call in, to stump the presenter with their general knowledge questions. Another firm favourite is the humorous Thursday crossing with award-winning journalist Rebecca Davis, called “Plan B”. Thank you for listening to a podcast from Afternoon Drive with John Maytham Listen live on Primedia+ weekdays from 15:00 and 18:00 (SA Time) to Afternoon Drive with John Maytham broadcast on CapeTalk https://buff.ly/NnFM3Nk For more from the show go to https://buff.ly/BSFy4Cn or find all the catch-up podcasts here https://buff.ly/n8nWt4x Subscribe to the CapeTalk Daily and Weekly Newsletters https://buff.ly/sbvVZD5 Follow us on social media: CapeTalk on Facebook: https://www.facebook.com/CapeTalk CapeTalk on TikTok: https://www.tiktok.com/@capetalk CapeTalk on Instagram: https://www.instagram.com/ CapeTalk on X: https://x.com/CapeTalk CapeTalk on YouTube: https://www.youtube.com/@CapeTalk567 See omnystudio.com/listener for privacy information.
GOOD.GOD.GOSPEL.https://goodgodgospel.comHouse Church & Lifestage Events:https://www.churchproject.org/housechurchGive to Church Project:https://www.churchproject.org/give
GOOD.GOD.GOSPEL.https://goodgodgospel.comHouse Church & Lifestage Events:https://www.churchproject.org/housechurchGive to Church Project:https://www.churchproject.org/give
(Insight Meditation Society - Retreat Center) Instructions on being with thoughts and emotions.
Dharma Seed - dharmaseed.org: dharma talks and meditation instruction
(Insight Meditation Society - Retreat Center) Instructions on being with thoughts and emotions.
I imagine you and I are similar in many ways. When creating my editorial calendar, I try to craft a broader narrative of the design and architecture industry. I view this show as a time capsule being both created and consumed in real time. But if you go back and listen to episodes from 2013 when this podcast was started until now, you will discover an illustrative exposition that both narrates in real time and looking forward to demonstrate where the industry is going by examining where we are. It's a futuristic approach to the built environment. To be transparent with you, that is the part I enjoy most. Every now and then, like the impact of a meteor, something happens to make us all think about the industry as we know it. As we approach the work. These days, it feels like we are experiencing an unending barrage of meteor strikes which is turning our industry upside down. And, believe it or not, I'm not even talking about tariffs, government chaos, wildfires or the supply chain! Designer Resources Pacific Sales Kitchen and Home. Where excellence meets expertise. Design Hardware - A stunning and vast collection of jewelry for the home! - Where service meets excellence TimberTech - Real wood beauty without the upkeep We will be reviewing all of these, but not today. In 2018, you might have heard a conversation I published from the LA Design Festival on the topic of intellectual property rights, IP law and how it was affecting the industry. In the following episode, I will be introducing you to Andrew McBride, Partner @ Adams & Reese and Carter Pope, Associate @ Adams & Reese. I found Andrew and Carter while on a journey of exploration, there is a case moving it's way through the legal system called Aaron and Samantha Judge v. Drew Designs, LLC. This is a case about a design relationship gone wrong rife with communication issues, contract issues and a litany of other things that make for a messy professional relationship that winds up in the courts. McBride and Pope authored an article called, “Hidden Ball Trick” - Yankees' Aaron Judge Case Involving Deception Carries Lessons for Contractors. I've added a link in the show notes and I highly recommend this for contractors, architects and designers. The following conversation covers a number of issues that led to both parties winding up in court and as you are going to hear, much if not all of this could have been avoided. In addition to this case, we also explore, the Judd Foundation v. Clements Design, Inc. in a case that will surely affect the future of dupes as well as another case winding it's way through the courts like a medieval knight moving through the digestive tract of a money guzzling dragon, Gifford v. Sheil. Perhaps the metaphor is too graphic, I'll rethink that one. But it fits. The law is a complicated knot of ideas and it seems to me the best way to avoid legal entanglements is to do good business in the first place and when disagreements come up, and they will, you work hard to find common ground and squash it. And this is why. You will hear the whole conversation with Andrew McBride and Carter Pope of Adams & Reese, right after this. Thank you, Andrew and Carter. Enlightening. Thank you to my incredible partner sponsors, TimberTech, Pacific Sales, and Design Hardware. Amazing companies and great friends to the trade so please give them an opportunity for your next project. Thank you for listening, subscribing to the show and sharing with your colleagues. If not already subscribing, please consider that so you receive every new episode automatically to your podcast feed. Please keep those emails coming convo by design at outlook dot com and follow the conversation on Instagram, @ConvoXDesign with an “X”. Until next week, thank you for sharing this time together, until the next episode, be well, stay focused and now that it has arrived in earnest, try to rise above the chaos. - CXD
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In the next two episodes we're going to look at certain sets of facts that are designed to do just one thing – to help us to stop taking things for granted so that we can begin to see how incredibly special this life is for us, and how truly amazing our actual potential is as human beings. When we begin to grasp and understand this viewpoint, so many things can positively change for us, both Within You and Without You, as George Harrison sang all those years ago. Now given the nearly absurd nature of how quickly things move in this life of ours in this allegedly civilized world of ours, it's amazing that we have time to even think at all, let alone focus on some of the deeper elements of life that lend true meaning to our existence. We are constantly bombarded by so much messaging that our brains become literally numb to anything that takes more than just a few minutes to consider. Our exposure to all this messaging is 4 to 10 times greater than it was just ten years ago. But given all this, both the Wisdom of the Ages as well as modern neuroscience insist that this life holds amazing potential for us to evolve as beings and grow into levels of meaning, happiness, and satisfaction that are absolutely remarkable, and more than well worth the effort of simply opening up to them. So, to get started in this tour of the miraculous, let's begin at the beginning – the beginning of our overall story as a species, because if we want to understand who we are, and ultimately grow into the best possible versions of ourselves, it really is essential to know where we came from, which will help us gain a deeper understanding of what an absolute miracle it is that we are here at all. And the process of cultivating a profound sense of appreciation for the miracle of life that we are being given every moment of every day, is the real beginning of our joyful journey to higher ground. So, let's take a deep breath and travel back roughly 300,000 years ago, to the emergence of our species—Homo sapiens—on this planet. When you give yourself time to really pause and reflect on this, you begin to see that our origins are both humbling, as well as awe-inspiring. Scientists estimate that over the course of Earth's history, somewhere between 5 billion and 50 billion different species have evolved. Now that's truly a staggering number, but here's the real kicker and it's a bigger number: about 99 percent of them have gone extinct. This means that entire species came into existence, thrived for a while, and then, due to environmental shifts, predators, disasters, or simply because they just couldn't adapt, they disappeared, and they disappeared forever. Which brings us to a profound and rather unsettling question: why not us? Why didn't we, too, disappear like so many countless others? It's an obvious question because, after all, if you look at the big picture, human beings aren't exactly a strong pick for survival. We are not the biggest animals. We are not the strongest. We're certainly not the fastest, and in terms of physical defenses, we're laughably weak. No fangs. No claws. No protective armor. Not to mention the fact that we can't even fly. As a result of this, our position on the food chain is ridiculously low. Think about trying to run away from a cheetah, or outswim a shark and we'd lose the fight every time. And in terms of pure survival, put a naked human being in a fight to the death against a little squirrel and the squirrel would take us out in seconds. With its sharp claws and its ability to jump into attack mode, it would rip out our eyes and slit our throats almost instantaneously. What can we do with just our bare hands? And that's just a fight with a relatively small creature. Let's not even think about our survival odds barehanded against a lion, a tiger or a bear. On top of all this, when it comes to reproduction, the odds of our survival get even more pathetic. We have a comparatively small number of offspring and our infants are born completely helpless. Indeed, a human baby is probably the most vulnerable creature on Earth. It takes them years to become even remotely self-sufficient, which makes us an extreme outlier in the animal kingdom, where many creatures are walking and foraging within hours of birth. So, from a statistical standpoint, according to the laws of the survival of the fittest, we should have been wiped out long ago. Yet, we're still here. And not only did we survive, but we've thrived, eventually becoming the dominant life form on the planet. So, how in the world did this happen? What was the game-changer? What was nature's secret ingredient that allowed this vulnerable, physically weak and unimpressive species to outmaneuver and outlast so many others? The answer, of course, is sitting quietly inside of each and every one of our skulls right now: the human brain. It's easy to overlook, but this small, three-pound organ—about the size of a medium cantaloupe—is nothing short of a miracle of evolution. Though it occupies less than 100 cubic inches, it is, without question, the most sophisticated masterpiece every produced by nature. Packed with approximately 100 billion neurons, each one connected to thousands of others, it forms a vast and intricate network capable of truly astonishing things. Each neuron can fire between 200 - 1,000 times per second, so we're talking speeds in the milliseconds here. Truly astounding! At first, our ancestors' brains gave them the ability to craft simple tools—sharp-edged stones that allowed them to cut, scrape, and build in ways no other species could. But that was just the beginning of the revolution. With those primitive tools, we began to rewrite the rules of survival. But then something truly incredible happened. It is largely hypothesized that at first, all we humans were running on was pure instinct. We didn't have the ability to think rational thought. Suddenly, at some point, for reasons unknown, our brains took on a third more fat and we developed our prefrontal cortex. We became able to think rational thought and language developed, vastly expanding our capabilities, followed by writing, and everything really started to change for us because we could evolve and pass our understanding beyond the barriers of time and space. Over time, we became hunters, gatherers, farmers, builders, and eventually, creators of civilization itself. As millennia passed, this remarkable brain of ours allowed us to harness fire, cultivate crops, construct shelter, and later, to write poetry, compose symphonies, and build spacecraft that could escape Earth's gravity. So, we each have our own modern human brain and let's take a look at it from a modern perspective, which reveals a most remarkable fact: it's estimated that it would take a dozen of the most advanced computers in the world about 45 hours to perform what your brain does in just one second. Think about that for a moment. And then take it one step further, our brain is involved in a key area that no computer will ever be able to touch – it can feel! And boy can it feel. We can literally feel hundreds of millions of different feelings. We don't have the time here to get into all this here, but you get the point. You are walking around every day with a mind of such complexity, speed, and brilliance that it outshines the most cutting-edge machines ever built. And yet, most of us rarely, if ever, give it any thought, let alone tap into even a fraction of its potential. This brings us to an essential insight: while our brain is the very thing that has allowed us to survive and dominate, it is also the key to something even much greater than all of this – It is the key to our growth, our transformation, and, yes, even our happiness. Now, evolution didn't just stop when we made it to the top of the food chain. The brain itself is a dynamic, ever-changing organ. Through the miracle of neuroplasticity, it is constantly rewiring, adapting, and evolving in response to what we think, feel, and experience. So, our brain truly is an incredible masterpiece. But let's not forget: with great power comes great responsibility. The very intelligence that has given us so much can also lead us terribly astray. It is capable of fear, anxiety, self-sabotage, and truly destructive habits. We see this everywhere—from personal struggles with self-worth to global crises fueled by greed and lust for power. Our human brain is a real double-edged sword. It can create miracles—or it can create truly horrible mayhem. That's why conscious evolution is so critical now, perhaps more than ever. We are at a pivotal point in human history where the challenges we face—whether ecological, political, or psychological—demand a new level of awareness and intentionality. And this is where the NeuroHarmonic Method comes in. Designed to consciously engage the brain's natural capacity for growth and transformation, it's about learning to harness your neural wiring in ways that uplift your life, enhance your clarity, and empower you to live with purpose, compassion as well as passion, and peace. It is a framework for harmonizing your intelligence with your highest aspirations. The same brain that once helped your ancestors carve flint and build fires can now be tuned—harmonized, if you will—to unlock your deepest potential. Imagine what your life would look like if you could access more of your brain's innate power—not just for survival, but for true flourishing. What if you could train your mind to break free from limiting beliefs, to rewire patterns of fear and doubt, and to create new habits of joy, resilience, and creativity? What if you could harmonize your inner world so beautifully that it naturally radiates out to transform your outer world as well? This is not a pipe dream. This is the promise of the NeuroHarmonic Method. And it begins with recognizing where we've come from and nurturing a deep sense of gratitude for life itself, as well as for the evolutionary miracle of the human brain. And it continues with a commitment to expanding your awareness of that miracle within yourself, day by day, breath by breath. We have some rather detailed plans regarding the release of the NeuroHarmonic Method which will include a revolutionary new book and a powerful website that will host many different innovative formats including video presentations and a specially trained NeuroHarmonic Artificial Intelligence Service. And I'd like to close this episode with a poem that was co-produced with this service. When I was researching the part of this podcast that dealt with the remarkable idea that it would take a dozen of the world's most advanced computers over 45 hours to do what our brain does in just one second, we decided to put that information into an artistic form and ended up writing this poem. Pay close attention to the words because it really sums up the deeper meanings of this episode. It's called “The Symphony in a Second,” and see if this rings any inner bells for you… In a single second, your brain conducts a symphony no machine can follow— light enters your eyes, and is not only seen but recognized, interpreted, remembered, and folded into the ongoing narrative of you. Your breath adjusts without command. Your heart adapts to emotion before you speak its name. Memories rise like whispers, and feelings surface like the wind before a storm. You balance the physics of posture, weigh the weight of a word, and anticipate the consequences of a choice you haven't even made yet. In that same second, dozens of the world's greatest computers—humming in bunkers, consuming megawatts— would still be struggling to simulate the visual field of a child watching a butterfly land. And yet you do it while thinking about dinner, holding a loved one's hand, and remembering a song from thirty years ago. This is not processing. This is presence. This is not code. This is consciousness. The marvel is not just that the brain is faster— it's that it is alive. Aware. Awake. And, when tuned rightly, capable of touching the Infinite. So, that's the end of this episode. As always, keep you eyes, mind and heart opened, and let's get together in the next one.
D&P Highlight: BE WEATHER AWARE, PEOPLE! full 342 Mon, 19 May 2025 18:56:00 +0000 bmJ1afBErpHXXFAn96fnsEb2ZVk5Q7DP news The Dana & Parks Podcast news D&P Highlight: BE WEATHER AWARE, PEOPLE! You wanted it... Now here it is! Listen to each hour of the Dana & Parks Show whenever and wherever you want! © 2025 Audacy, Inc. News False https://player.amperwavepodcasting.com?feed-link=htt
Dr. Jean Elwing, a leading expert in pulmonary hypertension, discusses groundbreaking advancements in treating pulmonary hypertension associated with interstitial lung disease (PH-ILD). For years, patients with this condition had limited treatment options beyond oxygen therapy and symptom management. However, recent studies have introduced new hope, showing improved patient outcomes and quality of life. Dr. Elwing emphasizes the importance of early diagnosis, ongoing research, and clinical trial participation in pushing the field forward. This Special Edition episode is sponsored by Gossamer Bio and Pulmovant. Learn more about pulmonary hypertension trials at www.phaware.global/clinicaltrials. Engage for a cure: www.phaware.global/donate #phaware Share your story: info@phaware.com Like, Subscribe and Follow us: www.phawarepodcast.com. #phawareMD #PHILD @uc_health @ElwingJean @GossamerBio #Pulmovant @accpchest #PHOCUSstudy #PROSERAstudy
Photo by CDC on Unsplash Many people […] The post Public Health: Public Aware? appeared first on HealthCetera.
This week we talk about Demi Tebow, winner of the Miss South Africa pageant. A few months after her win, she pulls up to a red light and five armed men surround her car. We also talk about Christopher Thomas Knight, a man who enjoys his alone time. One day he finally has it and just walks into the forest with only a tent and keeps going until he is completely alone. Listen to how they survived now! Drink of the Week: Watermelon Sling
Name covered in this lesson al-Khabeer (The All-Aware). In the Qur'an, Allah says, "To Allah belongs the Most Beautiful Names, so call on Him by them" (7:180). This verse encourages people to worship Allah by praising Him with His beautiful names and making du'ā'. In this series Dr. Mufti Abdur-Rahman goes through the famous 99 names of Allah and provides practical examples on which name to call on Him in different situations. Learning the names of Allah, or Asma ul-Husna, can help people get closer to Allah.
Be bear aware! Seriously. Hour 2 5/13/2025 full 2177 Tue, 13 May 2025 20:00:00 +0000 iq0RSkkWZJPxSC8VWBjB0FwUMz8ECwyz news The Dana & Parks Podcast news Be bear aware! Seriously. Hour 2 5/13/2025 You wanted it... Now here it is! Listen to each hour of the Dana & Parks Show whenever and wherever you want! © 2025 Audacy, Inc. News False https://player.amperwavepodcasting.com?feed-link=h
Seth Hall, MBA, RRT, takes listeners on a journey through the past, present, and future of inhaled therapies. Discover how these treatments have evolved, the life-changing benefits they offer, and the revolutionary technologies that could redefine outcomes for PAH and PH-ILD patients. This Special Edition episode is sponsored by Liquidia. Learn more about pulmonary hypertension trials at www.phaware.global/clinicaltrials. Engage for a cure: www.phaware.global/donate #phaware Share your story: info@phaware.com Like, Subscribe and Follow us: www.phawarepodcast.com. #phawareMD #PHILD @Liquidia_Corp #PRINTTechnology
Satan wants to convince us to do things that are not good for us, for others, or for the glory of God. This week, Pastor Shannon charges us to live watchful, spiritual lives so that we are aware of the enemy's schemes.
(Insight Meditation Society - Forest Refuge)
Insight Meditation Society - Forest Refuge: dharma talks and meditation instruction
(Insight Meditation Society - Forest Refuge)
Dharma Seed - dharmaseed.org: dharma talks and meditation instruction
(Insight Meditation Society - Forest Refuge)
Meaningful chats with my sweet friend J-Love! Living life prayerfully aware of many things! Give it a joyful spin! @purejoyprojectna
Episode Summary Afreenish Amir, Ph.D., Antimicrobial Resistance (AMR) Project Director at the National Institute of Health in Pakistan, highlights significant increases in extensively drug-resistant typhoid and cholera cases in Pakistan and discusses local factors driving AMR in Asia. She describes the development and implementation of a National Action Plan to combat AMR in a developing country, emphasizing the importance of rational antimicrobial use, surveillance and infection control practice. Ashley's Biggest Takeaways AMR is a global and One Health issue. Pakistan has a huge disease burden of AMR. Contributing factors include, but are not limited to, overcrowding, lack of infection control practices, poor waste management practices and over-the-counter prescription practices. Promoting the rational use of antimicrobials is imperative at all levels—from tertiary care to primary care practitioners. Typhoid and cholera are high-burden infections in Pakistan, with typhoid being a year-round issue and cholera being seasonal. A holistic approach, involving various sectors and disciplines, is necessary in order to address the global AMR threat. Amir highlights the need for better communication and collaboration to bridge gaps and build trust between different organizations. Featured Quotes: I've been working at the National Institutes of Health for the last 7 years now. So, I've been engaged in the development and the implementation of the national action plan on AMR, and that gave me the opportunity to explore the work in the field of antimicrobial resistance. Reality of AMR in Pakistan [Pakistan] is an LMIC, and we have a huge disease burden of antimicrobial resistance in the country right now. A few years back, there was a situational analysis conducted, and that has shown that there is presence of a large number of resistant pathogens within the country. And National Institutes of Health, they have started a very standardized surveillance program based upon the global antimicrobial use and surveillance system back in 2017. And [those datasets have] generated good evidence about the basic statistics of AMR within the country. So, for example, if I talk about the extensively drug-resistant typhoid, typhoid is very much prevalent in the country. Our data shows that in 2017 there were 18% MDR typhoid cases through the surveillance data. And in 2021 it was like 60%. So that has shown that how the resistance has increased a lot. A number of challenges are associated with this kind of a thing, overcrowded hospitals, poor infection prevention and control (IPC) measures. So, there is AMR within the country—there's a huge burden—and we are trying to look for the better solutions. Local Factors Driving AMR Bacteria, they do not know the borders. We have a close connection with the other Asian countries, and we have a long border connected with the 2 big countries, which are Afghanistan and India and Bangladesh and China. So, we see that it's not limited to 1 area. It's not regional. It's also a history of travel. When the people travel from one area to the other, they carry the pathogen as a colonizer or as a carrier, and they can infect [other] people. So, it's really connected, and it's really alarming as well. You never know how the disease is transmitted, and we have the biggest example of COVID—how things have spread from 1 country to the other, and how it has resulted in a massive pandemic. AMR is similar. We have seen that it's not limited to 1 region. We are part of this global community, and we are contributing somehow to the problem. First, I'll talk about the health care infrastructure. We do have the capacities in the hospitals, but still, there's a huge population. Pakistan is a thickly populated country. It's a population of around 241 million. And with the increasing population, we see that the infrastructure has not developed this much. So now the existing hospitals are overcrowded, and this has led to poor infection control practices within the hospitals. The staff is not there. In fact, ID consultants are not available in all the hospitals. Infection control nurses are not available in all the hospitals. So, this is one of the main areas that we see, that there is a big challenge. The other thing that can contribute is the poor waste management practices. Some of the hospitals—private and public sectors—they are following the waste management guidelines—even the laboratories. But many of the hospitals are not following the guidelines. And you know that AMR is under one health. So, whatever waste comes from the hospital eventually goes to the environment, and then from there to the animal sector and to the human sector. [Another big] problem that we are seeing is the over-the-counter prescription of antimicrobials. There is no regulation available in the country right now to control the over-the-counter prescription of antibiotics. They are easily available. People are taking the antibiotics without a prescription from the doctors, and the pharmacist is giving the patients any kind of medicine. And either it is effective/not effective, it's a falsified, low-quality antibiotic for how long in duration antibiotic should be taken. So, there are multiple of things or reasons that we see behind this issue of AMR. Rational Use of Antimicrobials It is a complex process how we manage this thing, but what we are closely looking at in the country right now is that we promote the rational use of antimicrobials at all levels—not only at the tertiary care levels, but also at the general practitioner level. They are the first point of contact for the patients, with the doctors, with the clinicians. So, at this point, I think the empirical treatment needs to be defined, and they need to understand the importance of this, their local antibiograms, what are the local trends? What are the patterns? And they need to prescribe according to those patterns. And very recently, the AWaRE classification of WHO, that is a big, big support in identifying the rational use of antimicrobials—Access, Watch and Reserve list—that should be propagated and that should be understood by all the general practitioners. And again, I must say that it's all connected with the regulations. There should be close monitoring of all the antibiotic prescriptions, and that can help to control the issue of AMR. National Action Plan on AMR So, when I joined NIH, the National Election plan had already been developed. It was back in 2017, and we have a good senior hierarchy who has been working on it very closely for a long period of time. So, the Global Action Plan on AMR, that has been our guiding document for the development of the national action plan on AMR, and we are following the 5 strategic objectives proposed in the global action plan. The five areas included: The promotion of advocacy and awareness in the community and health care professionals. To generate evidence through the data, through the surveillance systems. Generation of support toward infection prevention and control services IPC. Promoting the use of antimicrobials both in the human sector and the animal sector, but under the concept of stewardship, antimicrobial consumption and utilization. Invest in the research and vaccine and development. So, these are some of the guiding principles for us to develop the National Action Plan, and it has already been developed. And it's a very comprehensive approach, I must say. And our institute has started working on it, basically towards recreating awareness and advocacy. And we have been successful in creating advocacy and awareness at a mass level. Surveillance We have a network of Sentinel surveillance laboratories engaged with us, and they are sharing the data with NIH on a regular basis, and this is helping NIH to understand the basic trends on AMR and what is happening. And eventually we plan to go towards this case-based surveillance as well, but this is definitely going to take some time because to make people understand the importance of surveillance, this is the first thing. And very recently, the Institute and country has started working towards the hospital acquired infection surveillance as well. So, this is a much-needed approach, because the lab and the hospital go hand in hand, like whatever is happening in the lab, they eventually reach the patients who are in the hospitals. Wastewater surveillance is the key. You are very right. Our institute has done some of the work toward typhoid and cholera wastewater surveillance, and we were trying to identify the sources where we are getting these kinds of pathogens. These are all enteric pathogens. They are the key source for the infection. And for the wastewater surveillance mechanism, we can say that we have to engage multiple stakeholders in this development process. It's not only the laboratory people at NIH, but we need to have a good epidemiologist. We need to have all the water agencies, like the public health engineering departments, the PCRWR, the environmental protection agencies who are working with all these wastewater sites. So, we need to connect with them to make a good platform and to make this program in a more robust fashion. Pathogens and Disease Burdon For cholera and typhoid within Pakistan, I must say these are the high burden infections or diseases that we are seeing. For typhoid, the burden is quite high. We have seen a transition from the multidrug-resistant pathogens to the extensively drug-resistant pathogens, which now we are left with only azithromycin and the carbapenems. So, the burden is high. And when we talk about cholera, it is present in the country, but many of the times it is seasonal. It comes in during the time of the small zone rains and during the time of floods. So, every year, during this time, there are certain outbreaks that we have seen in different areas of the country. So, both diseases are there, but typhoid is like all year long—we see number of cases coming up—and for cholera, it's mainly seasonal. Capacity Building and ASM's Global Public Health Programs Capacity building is a key to everything, I must say, [whether] you talk about the training or development of materials. I've been engaged with ASM for quite some time. I worked to develop a [One Health] poster in the local language to create awareness about zoonotic diseases. So, we have targeted the 6 zoonotic diseases, including the anthrax, including the Crimean-Congo hemorrhagic fever and influenza. And we have generated a very user-friendly kind of layout in the local language, trying to teach people about the source of transmission. What are the routes of transmission, if we talk about the CCHF? And then how this can be prevented. So, this was one approach. And then I was engaged with the development of the Learnamr.com. This is online platform with 15 different e-modules within it, and we have covered different aspects—talking about the basic bacteriology toward the advanced, standardized methods, and we have talked about the national and global strategies [to combat] AMR, One Health aspects of AMR, vaccines. So, it's a huge platform, and I'm really thankful to ASM for supporting the program for development. And it's an online module. I have seen that there are around more than 500 subscribers to this program right now, and people are learning, and they are giving good feedback to the program as well. We keep on improving ourselves, but the good thing is that people are learning, and they are able to understand the basic concepts on AMR. Links for This Episode: Experts Discuss One Health in Pakistan: Biosafety Education Inside and Outside the Lab. Explore ASM's Global Public Health Programs. Download poster about zoonotic disease in English or Urdu. Progress on the national action plan of Pakistan on antimicrobial resistance (AMR): A narrative review and the implications. Global diversity and antimicrobial resistance of typhoid fever pathogens: insights from 13,000 Salmonella Typhi genomes. Wastewater based environmental surveillance of toxigenic Vibrio cholerae in Pakistan. Point Prevalence Survey of Antimicrobial Use in Selected Tertiary Care Hospitals of Pakistan Using WHO Methodology: Results and Inferences. Overcoming the challenges of antimicrobial resistance in developing countries. Take the MTM listener survey!
In high-pressure environments, your biggest battle isn't always external, it's the storm within. Join Anu Krishna, ASK Mind & Leadership Coach, in Episode 60 of ASK Aware Living with host Madhavi, as we explore how to master your mind, regulate emotions, and shift from chaotic thinking to clarity. Discover how ASK Mind Mastery Coaching helps leaders and entrepreneurs stay grounded, focused, and aware, no matter the storm. Tune in to TALRadio English on Spotify and Apple Podcast.Host : MadhaviExpert: Anu KrishnaAnu Krishna Contact Details:iam@aware-living.comwww.askawareliving.inMobile: 8421258488#TALRadioEnglish #LeadershipMindset #MentalClarity #EntrepreneurWellbeing #MindMastery #EmotionalIntelligence #ThoughtAwareness #SelfLeadership #ASKAwareLiving #MindfulnessInBusiness #CoachingForLeaders #InnerStrength #AnuKrishnaCoach #TouchALife #TALRadio
Open Tech Talks : Technology worth Talking| Blogging |Lifestyle
Generative AI Adoption Maturity Model The last two weeks' articles on the Generative AI adoption Maturity framework sparked discussion within the AI circle. Thank you for sharing the comments and feedback, and even triggering a few thought-provoking views on this topic. We have started a journey to develop a Gen AI Maturity Model or framework as a joint effort with a few organizations' colleagues, friends, and leadership teams. Earlier work: Where Are You on the Generative AI Maturity Curve? Generative AI Maturity Framework for Structured Guidance Why Maturity matters and levels of Gen AI Maturity model This week, we will continue this journey: Generative AI Maturity Model Overview The model defines six sequential levels and six dimensions. The full article with the slide is available here: https://www.otechtalks.tv/mapping-your-generative-ai-maturity-from-aware-to-transformative-part-1/
In this episode of EpiPod, we're diving into the ever-evolving journey of raising kids with food allergies—from toddlers to teens. How do we empower allergy kiddos with the right knowledge at the right time, without overwhelming them with fear? It's all about striking the balance between education and anxiety.Sarah walks us through how to introduce allergy concepts to little ones—building awareness, routines, and confidence from the earliest stages. Then Danielle shares her lived experience navigating middle and high school with allergies, offering insights on peer interactions, independence, and the emotional side of allergy management in adolescence.Whether you're a parent, caregiver, educator, or someone growing up with allergies yourself, this episode offers real talk, practical tips, and a whole lot of empathy for every age and stage.CONNECT WITH US:Follow EpiPod on Instagram and TikTokTo connect with Danielle - click HERETo connect with Sarah - click HEREThank you to Abe's Muffins & Lorissa's Kitchen for sponsoring this EpiSode of EpiPod.CODES + LINKS:Lorissa's Kitchen – Shop HERE with code: EPIPOD for 15% offInchBug – Shop HERE with code: EPIPOD25TelyRx – Order HERE with code: EPIPOD for 20% off****A box of 2 epipens is $299.99 – $240 with the code!Well Too Wipes – Shop HERE with code: EPIPOD20 Music by Bryce Cain Band & other various artistsThings mentioned in the EpiSode:- Daniel Tiger Allergy Book- Charlie Learns About her Food Allergy
Dr. Richard Channick, dives into the evolving world within pulmonary hypertension -- interstitial lung disease (PH-ILD). He sheds light on why early diagnosis matters and how new therapies are transforming care. Learn about the latest FDA-approved treatment and what's on the horizon. This Special Edition episode is sponsored by Gossamer Bio and Pulmovant. Learn more about pulmonary hypertension trials at www.phaware.global/clinicaltrials. Engage for a cure: www.phaware.global/donate #phaware Share your story: info@phaware.com Like, Subscribe and Follow us: www.phawarepodcast.com. #phawareMD #PHILD @UCLAHealth @GossamerBio #Pulmovant @accpchest #PHOCUSstudy #PROSERAStudy
Pastor Greg continues his sermon series "Jesus Changes Everything" with today's message "Make Us Aware Of Your Presence."
There's a way to reduce the damage your annual tax bill inflicts - and it starts by replacing your windows. Read this Elevated Remodeling ((800) 672-8519) resource to learn about tax credits and rebate programs in Pennsylvania. https://elevatedremodeling.com/2024/08/20/pennsylvania-tax-credits-rebates-for-replacement-windows/ Elevated Remodeling City: Newark Address: 1500 Casho Mill Rd Newark Website: https://elevatedremodeling.com/
(00:00-2:49) Friend of the show, Chris Pronger says the hits on Scheifele were clean. Says players have to be more aware out there. (2:57-6:45) Jackson was flirting with Marsh during the commercial break. Going shirtless under quarter zips. Doug has one of the best quotes in a while. Don't forget to hit the Bilge Pump. (6:55-15:34) E-Mail of the DaySee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.
What does it truly mean to lead with awareness in the world of entrepreneurship? In Episode 59 of ASK Aware Living, we dive deep into the heart of conscious leadership with Anu Krishna, ASK Mind Coach & Leadership Coach. Join host Madhavi as they explore how mindfulness, emotional intelligence, and value-driven choices shape the way entrepreneurs navigate tough decisions. Tune in to TALRadio English on Spotify and Apple Podcast to discover what mindful entrepreneurship really looks like.Host : MadhaviExpert: Anu KrishnaAnu Krishna Contact Details:iam@aware-living.comwww.askawareliving.inMobile: 8421258488#TALRadioEnglish #ASKAwareLiving #MindfulLeadership #EntrepreneurshipMatters #AnuKrishna #MindfulEntrepreneurship #LeadershipWithHeart #ConsciousBusiness #AwareLiving #PodcastForLeaders #SelfAwareLeadership #WomenInBusiness #MindfulnessAtWork #TouchALife #TALRadio
Hello! Andrew Musgrove reflects back on Rio Ferdinand's take on the future of Alexander Isak after the former England defender suggested that Man United could be a destination for Alexander Isak this summer. Get your NORD VPN plan: https://nordvpn.com/toon Learn more about your ad choices. Visit megaphone.fm/adchoices
Dr. Vitz talks about the fantasy we create about the people we meet. (Originally aired 07-03-2024)
Aware of Being Unaware! Today’s ‘Hour of Power’ is about considering the question, “What are you missing?” We are UNCONSCIOUS creatures. The highest level of learning is UNCONSCIOUS COMPETENCE, and the lowest level of learning is UNCONSCIOUS INCOMPETENCE. It is posited that we only use 3-5% of our brain Consciously. I hear all kinds of flak on this statement, but what I usually hear it as, is that we only use 10% of our brain. I said, “CONSCIOUSLY”. We are programmed creatures. We have a CONSCIOUS mindbrain, and an UNCONSCIOUS mindbrain. We breathe without thinking about it, but if we think about it, we can change our breathing- but it works without Conscious thought or attention. We drove home after work, without realizing how we drove home. Yet, we stopped at all the stops, we turned at all the turns and we wind up at home realizing- “I don’t remember driving home”. That is also what can happen in life, we get to the end, to a trauma and a drama and then we wonder, “WHAT HAPPENED?”. Today on Like It Matters Radio you will hear from recent graduates of Leadership Awakening. A 2.5-day intensive Leadership Experience that WAKES PEOPLE UP to what they have been missing- UP UNTIL NOW! Join Mr. Black as he is joined by TEAM MEMBERS from Team 894. Listen in as you hear what it is like to become AWARE OF BEING UNAWARE! Be sure to Like and Follow us on our facebook page!www.facebook.com/limradio Instagram @likeitmattersradioTwitter @likeitmatters Get daily inspiration from our blog www.wayofwarrior.blog Learn about our non profit work at www.givelikeitmatters.com Check out our training website www.LikeItMatters.Net Always available online at www.likeitmattersradio.comSee omnystudio.com/listener for privacy information.
See omnystudio.com/listener for privacy information.
Wolves win, Wild split, NFL draft recap, and make sure you stay sky aware!! Learn more about your ad choices. Visit podcastchoices.com/adchoices
Wolves win, Wild split, NFL draft recap, and make sure you stay sky aware!! Learn more about your ad choices. Visit podcastchoices.com/adchoicesSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.
Monday Night Sports Talk with Patrick Reusse and Joe Soucheray
Wolves win, Wild split, NFL draft recap, and make sure you stay sky aware!! Learn more about your ad choices. Visit podcastchoices.com/adchoicesSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.
Monday Night Sports Talk with Patrick Reusse and Joe Soucheray
Wolves win, Wild split, NFL draft recap, and make sure you stay sky aware!! Learn more about your ad choices. Visit podcastchoices.com/adchoices
Dr. Ioana Preston explores the emerging field of pulmonary hypertension associated with interstitial lung disease (PH-ILD). She discusses the growing recognition of PH-ILD, especially after the introduction of inhaled treprostinil as a treatment, and highlights the importance of early screening and diagnosis. Dr. Preston also delves into the challenges of treating rare diseases, the evolution of research, and the hope for future therapies that could significantly improve patients' lives. This insightful conversation sheds light on a critical yet often overlooked aspect of pulmonary care, urging clinicians to stay vigilant and informed about PH-ILD's complexities. This Special Edition episode is sponsored by Liquidia. Learn more about pulmonary hypertension trials at www.phaware.global/clinicaltrials. Engage for a cure: www.phaware.global/donate #phaware Share your story: info@phaware.com Like, Subscribe and Follow us: www.phawarepodcast.com. #phawareMD #PHILD @Liquidia_Corp @LaheyHospital
Monday Night Sports Talk with Patrick Reusse and Joe Soucheray
Wolves win, Wild split, NFL draft recap, and make sure you stay sky aware!! Learn more about your ad choices. Visit podcastchoices.com/adchoices
Aware of the growing impatience among MAGA for the FBI to make criminal arrests and the DOJ to prosecute America's corrupt players in government, we hear today that justice is definitely coming. Sperm races are taking the USC/UCLA rivalry to a new level. Plus two ex-CNN staffers discuss how they are saving media credibility by doing podcasts in their living rooms and a double dose of Good News to prove that angels really do exist.
Investing in individual company stocks may provide an attractive potential return, but it comes with both company-specific and market risk combined. Most investors like to brag about the high-performing stock picks they made during cocktail parties; it is very exciting... Read More ›
Take it Talk Ep.2 | THE LIBRARY
By exercising our free will we can change the way we feel, by being Aware of the advantages of being Positive whenever we feel the opposite. teZa Lord shares how she's learned to keep spiritually fit by exercising this human choice we all have, even in the most dire circumstances. See tezalord.com for her books and Mind-Stillers. #chooseLove #nofear #ScottPeck #theroadlesstravelled #spiritualpodcast
Fitzy gives us a Public Safety Announcement about a certain scam going around and we risk getting cancelled and have Jim Jeffries call in!See omnystudio.com/listener for privacy information.
Dr. Raj Parikh from Hartford Hospital discusses the development of the PH-ILD Detection tool, a screening tool designed to help detect pulmonary hypertension (PH) in patients with interstitial lung disease (ILD) at an early stage. Early detection is critical, as there is often a significant delay in diagnosis of PH in ILD patients, leading to worsened outcomes. This Special Edition episode is sponsored by Liquidia. Learn more about pulmonary hypertension trials at www.phaware.global/clinicaltrials. Engage for a cure: www.phaware.global/donate #phaware Share your story: info@phaware.com Like, Subscribe and Follow us: www.phawarepodcast.com. #phawareMD @HartfordHealthC @Liquidia_Corp @teamphhope #PHILD
Visit Greg's website at Assassination of JFK.net Director Oliver Stone, Jefferson Morley & Jim DiEugenio spoke at the House hearing on the JFK files. Watch here. Jesse Watters interviewed Oliver Stone & Jim DiEugenio after they spoke at Congress. Watch here. Peruse the recently declassified files at the National Archives. Visit here. View "50 Reasons for 50 Years" on Youtube. Watch here. Greg & Len reflect on over 25 years of Black Op Radio. Greg was the very first guest on Black Op Radio in 2000! Len & Greg were both friends with whistleblower Col. L. Fletcher Prouty before he passed away. Len created the "50 Reasons For 50 Years" series for the 50th anniversary of JFK's murder & to counter Gary Mack's lies. Greg was interviewed on "The Men Who Killed Kennedy" over 22 years ago. Watch here. While "No Smoking Gun" has been the go to phrase of the media, Greg explains we've had "smoking guns" for decades. The "Silence of the Media" despite there being several smoking guns has lead to the delay in justice for JFK. Dr. David Mantik wrote an article "The Silence of the Historians" years ago. Read here. Greg encourages Congress to initiate another investigation into JFK's assassination & review all info learned. Over the decades the National Archives has fought to have documents to remain sealed & squash the investigators. CIA document #1035-960 went out to all of the station chiefs on how to handle the criticism of the Warren Report. We've had this document for decades, if it had been recently released, would the media consider this a "smoking gun"? The CIA tries to stifle thought, conversation & research into critical thinking citizens who investigate JFK's assassination. Western Cartridge Co. FBI doc. dated Dec 2/63, Subject: JFK assassination, written in response to Mr. Belmont's memo. This FBI memo is evidence of the bias investigation, wanting the ammo to be traced & put in Oswald's hands. Stalin's top man in the secret police, Beria, "you show me the man and I will find you the crime". Targeted lawfare. In the United States, you investigate the crime & see where it goes, not the other way around. Western Cartridge Co. in East Alton, Illinois manufactured 4,000,000 rounds for the USMC in 1954. Order was authorized under government contract DA-23-196-ORD-27. FBI memo states this is probably CIA connected. The interesting thing about this order is it's for ammo for weapons that the does not fit any weapon issued by the USMC. The FBI memo regarding the Mannlicher-Carcano cartridges was also shared with Division 5 & Division 6 of the FBI. The FBI is stating the ammo is 9 years old, purchased by the CIA, under the USMC cover. How did it end up in the TSDB? If this document had been released 2 weeks ago, would the media be saying that this is a "smoking gun"? View document. What if we'd not had the LBJ Tapes this whole time? Would these be considered a "smoking gun" by the media if just released? In a recording with Hoover & LBJ, LBJ asks Hoover how Connally was hit if Oswald was shooting from behind? How could Connally be shot if he was never between Jack & the TSBD building? Another "smoking gun". Hoover is basically saying Kennedy was shot from the front! Media remains silent. The media was AWARE of the lies, glossing over ALL of the "smoking guns", yet continues to make sensationalist stories. Greg doesn't have any high hopes over the release of the recent JFK files. The media has failed. The reason that we don't have all of the information should not be the government refused to release documents. Len mentions if the media reviewed the working file on George Joannides, it would be like hieroglyphics to the media. The media is failing! With shows like Joe Rogan & Black Op Radio, people do not believe the Warren Commission. With every release of documents, nothing is released that actually proves the case that...
It's a question that's been raised by some who've wondered if aviation has changed in any way of late
Last time we spoke about Yamato's Last Stand. In the spring of 1945, as WW2 intensified, the US Marines commenced a fierce assault on Okinawa. Amidst heavy bombardment, the Japanese 32nd Army fortified their positions, preparing for a desperate counteroffensive. Codenamed Operation Ten-Ichi-Go, Japan's final bid involved the legendary battleship Yamato, tasked with a suicidal mission to confront the American fleet. On April 7, 1945, as the Yamato sailed towards its fate, American forces were ready. Hundreds of aircraft descended upon the ship in a coordinated attack, unleashing bombs and torpedoes. Despite its infamous firepower, Yamato struggled against the relentless onslaught. With its systems failing, Captain Aruga and Admiral Ito made the agonizing decision to go down with their ship. As the proud battleship sank, it symbolized both Japan's indomitable spirit and the crushing weight of defeat, forever etching its story into the annals of military history. This episode is the First Okinawa Counteroffensive Welcome to the Pacific War Podcast Week by Week, I am your dutiful host Craig Watson. But, before we start I want to also remind you this podcast is only made possible through the efforts of Kings and Generals over at Youtube. Perhaps you want to learn more about world war two? Kings and Generals have an assortment of episodes on world war two and much more so go give them a look over on Youtube. So please subscribe to Kings and Generals over at Youtube and to continue helping us produce this content please check out www.patreon.com/kingsandgenerals. If you are still hungry for some more history related content, over on my channel, the Pacific War Channel you can find a few videos all the way from the Opium Wars of the 1800's until the end of the Pacific War in 1945. Picking up from last time. The Japanese naval-air counteroffensive against Admiral Spruance's forces at Okinawa had been decisively defeated with minimal losses, allowing General Buckner's 10th Army to proceed with the land offensive largely without interference. While General Geiger's Marines advanced toward the sparse Japanese defenses in northern Okinawa, General Hodge's 24th Corps in the south encountered the main enemy line of resistance centered around the Shuri fortified zone. Initially, the 32nd Army had declined to launch a land counteroffensive in conjunction with Operation Ten-Go and the Yamato's suicide attack, fearing that the Americans might execute another amphibious landing at Machinato while the Japanese wasted their strength in a futile effort to reclaim the airfields. However, pressure from Tokyo and Formosa compelled General Ushijima to resume planning for this operation. Ultimately, it was decided that instead of initiating a broad counterattack, the Japanese would deploy a brigade-strength force overnight on April 12 to breach the American lines and advance approximately six miles. If successful, this would be followed by a general attack. Accordingly, Colonel Yoshida Masaru's 22nd Regiment was assigned to the 62nd Division and assembled northeast of Shuri, tasked with attacking through enemy lines east of the Ginowan Road and advancing toward Shimabuku. To bolster this offensive, General Fujioka was also instructed to deploy three reserve battalions for a three-pronged attack from the west aimed at Chatan. However, Colonel Yahara, 32nd Army operations chief, strongly opposed the counterattack plan, feeling that it was not in keeping with the army's defensive mission and that it would waste men. He succeeded in getting the 1st Battalion of the 22d Regiment and elements of the 23d IIB cut from the counterattack force. He made a dire prediction that the infiltrating units, unfamiliar with the terrain in their attack sectors, would get lost, confused, and cut to pieces during a night assault. Taking a sidenote here, I read Yahara's rather famous novel about his experience of the battle for Okinawa and I highly recommend it to all of you. It's a great insight into the perspective of the Japanese and how the leadership were beginning to change their mind on how to go about the war. Yahara, acting without Ushijima's knowledge, advised Fujioka to commit only four battalions to the attack, predicting it would inevitably fail. Meanwhile, the American offensive was still in progress. On April 9, as Major-General George Griner's 27th Division landed at the Orange Beaches near Kadena, the ships of Colonel Waltern Winn's 105th Regiment met with Admiral Blandy's Eastern Islands Attack and Fire Support Group at the Kerama Islands, preparing to move to Tsugen Island overnight. Following a preliminary air and naval bombardment, which saw some Japanese mortar fire in response, Winn's 3rd Battalion successfully landed on the morning of April 10. The Americans then advanced inland with light resistance, quickly securing the northern part of the island but failing to overrun the entrenched enemy positions in Tsugen village. The assault continued the next day against persistent opposition, but organized resistance gradually diminished, allowing the Americans to secure the rest of the island by nightfall, marking the conclusion of the Eastern Islands operation. On April 11, General Shepherd's Marines continued to probe for the main enemy positions in northern Okinawa; the 1st Battalion, 22nd Marines patrolled eastward from their new base at Shana Wan, while the 29th Marines advanced toward Manna. Due to this progress, Buckner decided to fully merge Phases I and II, ordering the 77th Division to capture Iejima on April 16. To the south, Colonel Albert Stebbins's 106th Regiment was attached to the 96th Division, moving toward that division's reserve area, while Colonel Gerard Kelley's 165th Regiment relieved the 17th Regiment in the corps service area. Most significantly, General Bradley continued his attacks on Kakazu Ridge, with the 1st Battalion, 381st Regiment attempting to assault the western slopes but halted short of the ridge crest by determined defenders. At the same time, the 3rd Battalion, 383rd Regiment pushed up the northwest slopes of Kakazu Ridge but was also pinned down by intense Japanese fire. Simultaneously, following an intense artillery bombardment, the 1st Battalion of the 32nd Regiment finally succeeded in breaking into Ouki. However, additional reinforcements were thwarted by heavy Japanese fire, forcing the troops to retreat. With no further advancements, the 7th Division and the 382nd Regiment were relegated to patrolling and mopping up their designated areas over the next few days. At sea, Admiral Ugaki resumed his kamikaze assaults that day, damaging the carriers Essex and Enterprise, the battleship Missouri, and eight destroyers. However, his primary operation commenced on April 12, when he launched approximately 380 aircraft for a second mass Kikisui attack, primarily targeting Admiral Turner's Task Force 51 west of Okinawa. Thanks to cryptanalysis warnings, Turner scrambled his own fighter planes, which successfully shot down 298 Japanese aircraft. Despite attempting numerous missions, Kanoya's specially trained 721st Kokutai Jinrai-Butai “Divine Thunder” unit had so far failed to launch a single Ohka suicide rocket against the Americans. On April 12, however, eight Betty bombers would finally launch six Ohkas against the 5th Fleet, although five Betties never returned. At RPS-14, about 70nm northwest of Okinawa, a Zero plowed into Mannert L. Abele's engine room at 14:40, its 500lb bomb exploding and leaving the destroyer dead in the water. One minute later an Ohka came screaming in at 575mph, slammed into Mannert L. Abele and exploded. She sank in five minutes, losing 97 dead. Mannert L. Abele was the first destroyer hit by an Ohka and the last sunk by one. Destroyer-minesweeper Jeffers, en route to assist Mannert L. Abele, observed a twin-engined bomber eight miles away drop a smoking “belly tank” that suddenly rocketed towards Jeffers “at terrific speed.” Numerous 40mm hits and hard maneuvering saw the Ohka miss Jeffers astern and disintegrate. Additionally 3 battleships, 14 destroyers, 2 destroyer minesweepers, and another landing craft were damaged. Meanwhile, Admiral Rawlings' Task Force 57 was ordered to strike the Shinchiku and Matsuyama airfields in northern Formosa, and over the next two days, 48 Avengers and 40 fighters successfully attacked Shinchiku and Kiirun Harbor. On Okinawa, the 6th Reconnaissance Company captured Bise Saki with minimal resistance, while the 29th Marines faced significant opposition southeast of Manna near Mount Yae-Take, indicating where the main enemy forces were located. This prompted Shepherd to reposition the 3rd Battalion, 22nd Marines to Awa as his new divisional reserve. At the same time, Japanese guerrillas managed to retake Ishikawa, which they would hold for the following two days. Facing south, the 96th Division made another attempt to capture Kakazu but was once again thwarted by the determined defenders. By this time, approximately 5,750 Japanese soldiers were estimated to have been killed in the southern region, while the 24th Corps suffered losses of 451 men killed, 2,198 wounded, and 241 missing. In the afternoon of April 12, 1945, in Warm Springs, Georgia, while sitting for a portrait by Elizabeth Shoumatoff, President Franklin D. Roosevelt said: "I have a terrific headache." He then slumped forward in his chair, unconscious, and was carried into his bedroom. The president's attending cardiologist, Howard Bruenn, diagnosed a massive intracerebral hemorrhage. At 3:35 pm, Roosevelt died at the age of 63. His declining health had been kept secret from the public, leading to shock and sorrow worldwide upon the news of his death. Harry Truman, who was serving as vice president in 1945, succeeded FDR as president. Meanwhile, back in Okinawa, Fujioka initiated his counteroffensive after a heavy artillery bombardment, advancing his four battalions to secretly infiltrate the American lines. On the eastern front, the 22nd Regiment struggled to advance due to becoming disoriented in unfamiliar terrain. The night attacks suffered from several unexpected problems. Heavy shelling had changed the landscape, blasting away villages and thickets, so that even though night infiltrators knew their maps and thought they knew the terrain, they lacked the landmarks needed to tell them where they actually were. Moreover, frequent illumination shells forced the eyes of night infiltrators to adjust so many times that their capacity to adjust was lost. They became temporarily blinded and so were unable to move. Because of the unfamiliar terrain and flash blindness, the Japanese night fighters had difficulty reaching their assigned objectives. In fact, it was hard for them to reach their jumping-off points. Continuous naval bombardment of crossroads and bridges forced units to rush across in small groups between shells so that the units became strung out on the roads and difficult to control. It was hard to move heavy ammunition and supplies forward because of these interdiction points and the generally churned up roads. Even when units reached their northward assembly points safely by night, they were immediately exposed to aerial observation and artillery fire at dawn, since they lacked enough time to dig in. Units that attacked across American lines safely in darkness had the same problem: they lacked time to dig in and so were utterly exposed to artillery fire at morning light. Night attacks, like flanking maneuvers, were a kind of cure-all in prewar Japanese doctrine. But they failed to provide the expeditious results on Okinawa that IJA doctrine had led the 32d Army Staff to expect. Consequently, Yoshida's four infiltration attempts, each involving about a squad, were effectively repelled by troops from the 32nd, 184th, and 382nd Regiments before midnight. The only significant attack came from around 45 Japanese soldiers against the positions held by Company G of the 184th, which quickly returned fire, forcing the enemy to retreat to their caves and trenches. In contrast, the assault on the 96th Division on the western front was intense, sustained, and well-coordinated. The forward units of Major-General Nakajima Tokutaro's 63rd Brigade launched their own local offensive to maintain pressure on the thin line held by the 382nd and 383rd Regiments, while elements from the 23rd, 272nd, and 273rd Independent Battalions infiltrated the American lines and moved into the Ginowan area. The majority of the 272nd Division launched an assault on American positions at Kakazu Ridge, enduring intense naval and artillery fire but ultimately being repelled by the determined defenders after several hours of combat. By morning, the bodies of 317 enemy soldiers were counted on the ridge, whereas the Americans suffered 50 casualties. Meanwhile, the 273rd Division attacked along the west coast against the recently arrived 2nd Battalion of the 106th Regiment, which decisively repelled the Japanese assault and nearly annihilated the independent battalion. Despite this, some units from the 23rd and 272nd Independent Battalions managed to penetrate approximately 1,000 yards behind American lines between Nishibaru and Kaniku but became isolated after dawn on April 13. Throughout the day, Bradley's troops worked to eliminate these infiltrators, many of whom detonated explosives when trapped. When these units retreated into Japanese lines later that night, only half of their original numbers had survived. Just before midnight, the reserve 9th Company of the 22nd Regiment launched an attack against the 184th Regiment following preparatory artillery fire, but this offensive was quickly disrupted by artillery, mortars, and machine-gun fire. On April 14, Nakajima's forces attempted two more assaults on Kakazu in the early hours, but these attempts were similarly thwarted by artillery and machine-gun fire. Given the failures of the offensives, Ushijima had no choice but to order a suspension of the attack, resulting in a shift to a defensive posture for the Japanese. Over the two days of combat, the 24th Corps reported killing 1,594 Japanese soldiers and capturing four, with losses of fewer than 100 American troops. In the northern region, an extensive air and naval bombardment of Iejima commenced while the Fleet Marine Force Amphibious Reconnaissance Battalion landed on Minna Island, securing it without encountering resistance to position artillery units for General Bruce's upcoming attack, which would involve the 305th and 306th Regiments. Meanwhile, in northern Okinawa, the 29th Marines continued to advance against enemy positions at Yae-Take through vigorous patrolling, preparing for a morning assault the next day. Concerned about the pace of progress, Shepherd relieved Colonel Bleasdale of command, replacing him with veteran Colonel William Whaling. However, Shepherd recognized that taking the 1,200-foot summit would require more than one regiment, so he ordered the 4th Marines to move from the east coast to Yofuke and then to the southwest corner of the Motobu Peninsula. Additionally, Colonel Shapley's 3rd Battalion was tasked with moving to Kawada, while the reinforced 2nd Battalion of the 22nd Marines rapidly advanced up the west coast to secure Hedo Misaki. On April 14, Shepherd initiated a coordinated assault on Yae-Take, with Whaling's 3rd Battalion and Shapley's 2nd Battalion advancing from the area around Toguchi against unexpectedly light resistance, while the rest of the 29th Marines moved out from Itomi to clear the Itomi-Toguchi Road. Although the eastern front faced strong opposition and required a change in strategy to advance southwesterly for better elevation advantage, rapid progress was made on the west, prompting Shapley to commit his reserve 1st Battalion to secure the exposed right flank. At the same time, Whaling's 3rd Battalion and Shapley's 2nd Battalion continued their advance against significantly strengthened enemy resistance, ultimately capturing another ridge located 1,000 yards ahead. Initial opposition consisted of small enemy groups. These hostile covering forces employed every available means to delay and disorganize the advance, and to mislead the attackers as to the location of the battle position. The Japanese would lie in concealment, with weapons zeroed in on a portion of a trail, allowing a considerable number of Marines to pass before opening up on a choice target. An entire platoon was permitted to pass a point on a trail without interference, but when the company commander reached that point with his headquarters section, a burst of machine-gun fire killed him and several others. Officer casualties were excessively high. In an area in which there had been no firing for over half an hour, Major Bernard W. Green, commanding the 1st Battalion, 4th Marines, was killed instantly by machine-gun fire. No one else was hurt, although Major Green was standing with his operations and intelligence officers on either side of him. Lieutenant Colonel Fred D. Beans, Regimental Executive Officer, assumed command of the battalion. "It was like fighting a phantom enemy." For while the hills and ravines were apparently swarming with Japanese, it was difficult to close with them. The small enemy groups, usually built around a heavy Hotchkiss machine gun augmented by Nambus, would frequently change positions in the dense vegetation. Hostile volleys elicited furious Marine fusillades into the area from whence the firing had come. But after laboriously working their way to the spot, the Marines came upon only an occasional bloodstain on the ground. Neither live nor dead Japanese were to be found. One Marine registered his impression of these tactics by blurting out, "Jeez, they've all got Nambus, but where are they?" Meanwhile, the 29th Marines advanced 800 yards up steep slopes despite facing fierce opposition; however, the 1st Battalion eventually found itself pinned down by intense Japanese gunfire. Additionally, Shapley's 3rd Battalion crossed the island via motor march to relieve the 3rd Battalion of the 22nd Marines in division reserve, which then returned to its patrol base at Majiya. To the south, Hodge recognized the need for a full-scale effort to penetrate the fortified Shuri area, so he scheduled a corps attack involving three divisions abreast for April 19. In preparation, he dedicated the following four days to organizing the assault, with the 27th Division taking over from the 96th Division in the western region of its zone, while smaller local attacks were conducted to enhance forward positions. Aware of the impending major attack, the Japanese used this preparatory period to bolster their defenses with additional supporting weapons. Back to the north, on April 15, most of the 29th Marines consolidated their defenses on high ground and exerted constant pressure on the rear of the Yae-Take position through vigorous patrols to the west and northwest. On the other hand, Whaling's 3rd Battalion advanced east and south approximately 900 yards amidst heavy machine-gun, mortar, and artillery fire before being halted by a strong enemy position on Hill 210. Additionally, the 4th Marines faced fierce resistance as Shapley's battalions finally secured Hill 200 and a critical hill mass just southwest of Yae-Take. Fully aware that his primary positions would soon be overrun, Colonel Udo decided to transition to guerrilla tactics by nightfall, relocating his command to the mountainous regions of northern Okinawa via Itomi. In light of these developments, the 1st Battalion, 22nd Marines was placed into division reserve at Awa to allow Shapley's 3rd Battalion to prepare for the following day's assault. On April 16, the offensive resumed, with Whaling's 3rd Battalion swiftly capturing Hill 210 in conjunction with Shapley's 2nd Battalion. Meanwhile, the rest of the 4th Marines secured a ridge just below Yae-Take by midday, while the 29th Marines applied continuous pressure on the rear of Udo's fortified stronghold. While the 4th Marines was storming the fortified position on Yae-Take, the 29th Marines maintained relentless pressure against its rear. The opposition which faced the 29th was similar to that on the front of the 4th. From log-revetted bunkers and occasional concrete emplacements the enemy resisted the advance with increasing stubbornness, supported by machine-guns, mortars, and artillery concealed in ravines and in caves on the high ground. Rugged terrain and an acute supply situation also contributed to the difficulties confronting the 29th Marines in accomplishing its task of clearing the high ground flanking the Itomi-Toguchi Road. The enemy displayed his usual ability to exploit the terrain and derived the maximum benefit from his weapons emplaced in caves and pits and concealed by natural cover. Particularly noteworthy was his use of 20mm dual-purpose cannon against personnel. Fire from these weapons on battalion CPs was a daily occurrence. All roads and natural avenues of approach were covered. Any attempt to move over the easier routes was met with bitter and effective resistance. Consequently, "the method of reducing the enemy positions followed a pattern of 'ridgehopping'," covered by the fires of all supporting weapons. This tactic enabled the attacker to envelop the hostile defenses and reduce them in detail. Numerous abandoned positions and weapons encountered by the 29th indicated that the determination of the Japanese to resist diminished considerably when they were taken from the flank. In contrast to a coordinated advance with all units in contact across a broad front, the action in the zone of the 29th Marines was characterized by attacks that, even when delivered simultaneously, constituted a series of local patrol actions to seize critical positions, followed by mopping up activity within the area. In the afternoon, Shapley's 1st and 3rd Battalions assaulted the formidable mountain, gradually making their way up the steep slope under light and scattered small-arms fire. However, as the Marines reached the peak, they encountered intense fire at close range, which quickly forced them to pull back. After a fierce and close engagement, the 1st Battalion ultimately regained control of Yae-Take, managing to hold the summit against strong Japanese counterattacks, aided by artillery support and Shapley's 2nd Battalion. Meanwhile, at dawn on April 16, two battleships, four cruisers, and seven destroyers under Rear-Admiral Bertram Rodgers launched a heavy bombardment on Iejima, while aircraft bombed and rocketed the island, dropping tanks of napalm on and behind the beaches. Approximately 2,000 Japanese troops, led by Major Igawa Masashi, had destroyed Iejima's airfields and strengthened the central eastern region of the island in an effort to entice the invaders to approach the vulnerable southeastern beaches. Their aim was to annihilate them with concentrated fire from numerous hidden positions in the Pinnacle and the town of Ie. However, the Americans saw through this strategy. Bruce's plan involved landing Lieutenant-Colonel Joseph Coolidge's 305th Regiment on the Red Beaches along the southern coast of Iejima and Colonel Aubrey Smith's 306th Regiment on the Green Beach at the island's southwest tip. The 305th was tasked with advancing eastward to capture additional landing areas, while the 306th was to move north and take control of the airfield. Both regiments would then focus on neutralizing enemy strongholds at the island's eastern end. Following intense air and naval bombardments, amphibious tanks and subsequent waves of amphibious tractors surged toward the landing beaches that morning, supported by rocket fire from LCI gunboats. At 07:58, the forward elements of the 1st Battalion, 305th Regiment successfully landed on the southern coast of Iejima, just south of the airfield, while the 3rd Battalion landed on a different beach, 600 yards to the left, three minutes later. At 08:07, the first waves of the 306th Regiment made landfall on Green Beach. The 305th moved swiftly inland over high dunes and then turned east toward Ie, while the 306th advanced 2,000 yards inland to the airfield's western edge, with the reserve 3rd Battalion securing the island's western end. By the afternoon, the troops advanced rapidly, seizing the airfield with only light resistance, achieving a total gain of about 5,500 yards by nightfall. Conversely, the 305th faced stiffer opposition on its way to Ie, managing to advance only about 800 yards eastward while defending against strong nighttime counterattacks. During the night of 16 April the enemy launched a coordinated attack on the 3d Battalion of the 305th. The attack came with suicidal recklessness. The Japanese were supported by mortars and 70-mm. guns, and were armed with small arms, sharpened stakes, bags of hand grenades, and literally hundreds of satchel charges, some of which had been improvised from mortar shells. Japanese worked up to the perimeters in small groups and either threw their satchel charges at close range or blew themselves up in an effort to take Americans with them. Some of the human bombs were successful, but most of the Japanese were killed before they came within effective range. One American had his arm broken by the flying leg of a Japanese soldier who had blown himself up. After hours of wild fighting in the dark the enemy withdrew, leaving 152 of his dead in and around the 3d Battalion's position. While back at sea, Admiral Mitscher's Task Force 58 had effectively launched attacks on Amami Oshima, Tokunoshima, Kikaijima, and southern Kyushu over the past four days, the Japanese responded with a series of scattered kamikaze assaults that caused damage to the battleship New York and four destroyers. On April 16, Ugaki initiated his third large-scale Kikisui attack, acutely aware that another failure in the air could spell the doom of Operation Ten-Go. Despite Mitscher's preemptive strikes against Kyushu, where Americans claimed to have destroyed 202 aircraft and damaged 79 at the cost of only nine planes, at least 289 Japanese attackers were still able to launch missions against Spruance's 5th Fleet. Although American interceptors and anti-aircraft fire recorded another 217 kills, the surviving kamikaze pilots managed to sink the destroyer Pringle and inflict damage on the carrier Intrepid, the battleship Missouri, three destroyers, two destroyer minesweepers, and two landing craft. Notably, the destroyer Laffey withstood six kamikaze impacts, four bomb hits, and numerous strafing runs, resulting in 32 fatalities and 71 injuries among its crew. The following day, a smaller attack on April 17 resulted in additional damage to the light carrier Bataan and one destroyer, yet Americans claimed another 49 kills. However, Ugaki had exhausted much of his strength since the invasion began and was left with approximately 598 operational planes. Meanwhile, fighting continued in northern Okinawa, where some surviving troops from Udo advanced toward Nakaoshi to escape the Motobu Peninsula. Supported by heavy artillery barrages and battleship gunfire, the 29th Marines slowly progressed over challenging terrain, encountering only light resistance, as they successfully secured the mountainous area ahead and connected with the 4th Marines. Shapley's 1st and 3rd Battalions continued their push northward toward the Itomi-Toguchi Road, swiftly advancing downhill and completely overwhelming all Japanese defenses in the region. By nightfall, the 4th and 29th Marines had positioned themselves along the elevated terrain overlooking the Itomi-Toguchi Road. The 305th resumed its assault, aiming to capture the high ground behind Red Beaches 3 and 4. The 1st Battalion encountered only minimal resistance along the coast, allowing them to make significant progress, while the 3rd Battalion quickly secured the high ground in its area before being halted by intense machine-gun fire from caves in the coral slopes to the north. A maneuvering strategy followed by an infantry-tank assault eventually neutralized this enemy position, enabling the advance to continue steadily until the 3rd Battalion reached the outskirts of Ie. Due to the strong resistance faced, Bruce opted to deploy Colonel Stephen Hamilton's 307th Regiment on the beaches southwest of Ie. The 2nd and 3rd Battalions were subsequently landed there and launched an attack northeast, quickly advancing approximately 400 yards despite increasingly fierce resistance, ultimately being halted by heavy enemy fire from Bloody Ridge and Government House Hill. Meanwhile, the 306th Regiment maintained its defensive position while probing the enemy's fortifications around Iegusugu. The next day, the 306th began to pivot its right flank and launched an attack toward the Pinnacle with two battalions, making notable progress throughout the day. Concurrently, the 307th continued its advance into Ie despite facing heavy resistance, quickly reaching a standstill in front of Government House Hill. As a result, with the 2nd Battalion effectively immobilized, the decision was made to deploy the 3rd Battalion around to the right flank to launch an assault toward the northeast in the eastern part of the town, while the 3rd Battalion of the 305th Regiment advanced eastward toward Iegusugu. After a heavy preparation by the artillery on Minna Shima, the 3d Battalion, 305th, attacked at 1130 on an 800-yard front. A house-to-house fight ensued amid the rubble of Ie. "Every street became a phase line," one observer reported. The necessity of forming a connecting link over the wide area between the 306th and the 307th made the fight harder. Artillery was ineffective against many enemy positions and could not be used freely because other friendly units were so close by. Self-propelled guns were held up by mines and debris in the narrow streets. After working about halfway through the northwestern section of the town, the troops withdrew to a more secure position on the outskirts, their right (south) flank then being 500 yards west of Government House Hill, and their left (north) flank 100 yards west of the base of Iegusugu. They had made a net gain of only about 350 yards for the day. Similarly, Hamilton's 3rd Battalion achieved moderate success, advancing to a position 300 yards north of the village of Agarii-mae. To protect its right flank, the 1st Battalion of the 305th Regiment positioned itself alongside the 3rd Battalion of the 307th Regiment and launched a northern attack, gaining approximately 1000 yards by day's end before withdrawing to a position about 600 yards east of Agarii-mae. Medium tanks and self-propelled guns covered the gap that developed between the two battalions of the 307th. These weapons put direct fire into caves, pillboxes, and enemy gun positions in the town of Ie and the Pinnacle. They could not be moved close to the enemy positions, however; deadly machine-gun and mortar fire held the infantry back and left the armor vulnerable to suicide attacks by Japanese armed with satchel charges, who hid in holes until the tanks and guns came within range. Meanwhile, after four days of intense fighting, activities in the Motobu area on April 18 were limited to reorganization, consolidating the gains from the previous day, patrolling the Itomi-Toguchi Road, and resupplying. Looking south, Griner called for a nighttime preliminary attack to secure the Machinato Inlet and the Urasoe-Mura Escarpment. As the area was shrouded in smoke during the afternoon, Company G of the 106th Regiment swiftly crossed the inlet and successfully secured Machinato by nightfall, while bridges were constructed at the inlet. The 106th then moved across the bridges, stealthily advancing toward the Urasoe-Mura Escarpment without encountering opposition. Near the summit, the troops launched a surprise ambush against the defenders, ultimately forcing the Japanese to retreat in chaos. With the escarpment secured by dawn, the 106th was prepared to participate in the general attack to the south. I would like to take this time to remind you all that this podcast is only made possible through the efforts of Kings and Generals over at Youtube. Please go subscribe to Kings and Generals over at Youtube and to continue helping us produce this content please check out www.patreon.com/kingsandgenerals. If you are still hungry after that, give my personal channel a look over at The Pacific War Channel at Youtube, it would mean a lot to me. The first Okinawa counteroffensive, as part of Operation Ten-Ichi-Go was not achieving results. Despite overwhelming sacrifices of men and supplies, it seemed hopeless for the Japanese on Okinawa. Those like Colonel Yahara could see the paint on the wall, much to their growing depression.
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