POPULARITY
5 episodes with Baral
3 episodes with Baral
2 episodes with Baral
2 episodes with Baral
2 episodes with Baral
2 episodes with Baral
2 episodes with Baral
2 episodes with Baral
2 episodes with Baral
There has long since been a knowledge gap in medical education regarding care of LGBTQIA+ patients. This has manifested itself in health disparities that detrimentally affect the LGBTQIA+ population. This podcast serves as a way to start bridging the gap on order to mitigate the effects of bias, discrimination, and prejudice that queer patients often face in health care. Research has shown that consistent, early exposure in medical education to patients from the queer community has been beneficial in preparing future practitioners for gender inclusive care. We must also do our parts as pediatricians to make sure our queer youth grow into confident, thriving queer adults. Join Dr. Farrah-Amoy Fullerton, a recent graduate of the pediatric residency program at MCG, and Professor of Pediatrics, Dr. Lisa Leggio, as they introduce LGBTQIA+ health care disparities and describe ways to bridge the gap for eager general practitioners who would like to know more. CME Credit (requires free sign up): Link Coming Soon! References: Bonvicini, K. A. (2017). LGBT healthcare disparities: What progress have we made? Patient Education and Counseling, 100(12), 2357–2361. https://doi.org/10.1016/j.pec.2017.06.003 Fish, J. N. (2020). Future directions in understanding and addressing mental health among LGBTQ youth. Journal of Clinical Child & Adolescent Psychology, 49(6), 943–956. https://doi.org/10.1080/15374416.2020.1815207 Nowaskie, D. Z., & Patel, A. U. (2020). How much is needed? patient exposure and curricular education on medical students' LGBT cultural competency. BMC Medical Education, 20(1). https://doi.org/10.1186/s12909-020-02381-1 Ormiston, C. K., & Williams, F. (2021). LGBTQ youth mental health during COVID-19: Unmet needs in public health and policy. The Lancet, 399(10324), 501–503. https://doi.org/10.1016/s0140-6736(21)02872-5 Reisman, T., & Goldstein, Z. (2018). Case report: Induced lactation in a transgender woman. Transgender Health, 3(1), 24–26. https://doi.org/10.1089/trgh.2017.0044 Reisner, S. L., Bradford, J., Hopwood, R., Gonzalez, A., Makadon, H., Todisco, D., Cavanaugh, T., VanDerwarker, R., Grasso, C., Zaslow, S., Boswell, S. L., & Mayer, K. (2015). Comprehensive Transgender Healthcare: The gender affirming clinical and public health model of Fenway Health. Journal of Urban Health, 92(3), 584–592. https://doi.org/10.1007/s11524-015-9947-2 Underman, K., Giffort, D., Hyderi, A., & Hirshfield, L. E. (2016). Transgender Health: A standardized patient case for advanced clerkship students. MedEdPORTAL. https://doi.org/10.15766/mep_2374-8265.10518 Wamboldt, R., Shuster, S., & Sidhu, B. S. (2021). Lactation induction in a transgender woman wanting to breastfeed: Case report. The Journal of Clinical Endocrinology & Metabolism, 106(5). https://doi.org/10.1210/clinem/dgaa976 Wylie, K., Knudson, G., Khan, S. I., Bonierbale, M., Watanyusakul, S., & Baral, S. (2016). Serving transgender people: Clinical Care Considerations and Service Delivery Models in transgender health. The Lancet, 388(10042), 401–411. https://doi.org/10.1016/s0140-6736(16)00682-6 The Williams Institute at UCLA School of Law. (2023, July 10). How many adults and youth identify as transgender in the United States? - Williams Institute. Williams Institute. https://williamsinstitute.law.ucla.edu/publications/trans-adults-united-states/ https://implicit.harvard.edu/implicit/takeatest.html Coleman E, Radix AE, Bouman WP, et al. Standards of Care for the Health of Transgender and Gender Diverse People, Version 8. Int J Transgend Health. 2022;23(Suppl 1):S1-S259. Published 2022 Sep 6. doi:10.1080/26895269.2022.2100644 https://pflag.org/ thetrevorproject.org
In this conversation, Nikki interviews Nami Baral, the founder and CEO of Niural, an AI for global workforce management. They discuss the concept of meaningful work and how it can be achieved through a sense of community, alignment with personal values, joy, and a sense of pride. Nami shares her journey as a founder and the motivation behind starting Neural. She also highlights the importance of empathy in leadership and the need to upskill the workforce in the age of AI. Nami provides insights on how to navigate the world of AI and emphasizes the importance of putting humans at the center of AI technology. Additional Resources: NiuralConnect with Nikki on LinkedIn Follow PeopleForward Network on LinkedIn Learn more about PeopleForward Network
Exploring Health Systems Resilience with Experts.The podcast episode, hosted by Dr. Kim Ozano and co-hosted by Professor Sophie Witter, engages in an insightful discussion on health systems resilience, particularly in fragile settings affected by violence, conflict, pandemics, and other shocks. This conversation is part of a mini-series titled 'Stories of Resilience - Local Lives and Health Systems', powered by the ReBUILD for Resilience research consortium. The episode features insights from Dr. Sushil Baral of HERD International and Dr. Seye Abimbola from the University of Sydney, who share their experiences and reflections on building resilience in health systems. The discussion navigates the complexities of resilience as a concept, emphasising the importance of community engagement, co-creation, and adopting a learning approach to health systems strengthening. The panel explores the balance between self-reliance and demanding accountability from government systems, addressing the power dynamics and the necessity of a fair distribution of responsibilities across levels of governance.In this episode:Dr. Sophie Witter - Professor of International Health Financing and Health Systems, Institute of Global Health and Development, Queen Margaret University, EdinburghSophie has worked in health and development for the past 35 years, starting with development roles at Save the Children and moving on to academia. Much of her work has focused on reducing financial barriers to accessing health care – how can people get the essential care they need without having to make terrible sacrifices? – but she has also worked on many other important health system topics, such as incentivising health care workers and health system strengthening more generally. All of her research is oriented towards implementation – how to make systems work better for people, especially those who are most disadvantaged.Dr Sushil Baral - Managing Director, HERD InternationalDr. Baral, hailing from a remote hill district in Nepal, brings over two decades of experience in health systems, public health policy, and implementation research, with a particular focus on South Asia. His contributions have significantly impacted national and global health systems, policies, and public health agendas. He emphasises evidence-based practices tailored to local contexts, reflecting a dedication to global health research excellence. Dr. Baral's academic journey highlights innovative problem-solving and substantial contributions to health systems, policies, and disaster response in fragile and shock-prone settings in LMICs.Dr Seye Abimbola - Associate Professor of Health Systems, University of Sydney, AustraliaSeye Abimbola is a health systems researcher from Nigeria, where he has worked at the National Primary Health Care Development Agency on initiatives to strengthen the Primary Health Care system across the country so that it can deliver integrated health services to communities. Seye has also been involved in research on how decentralisation affects health system performance and how community health committees influence and support health services in their own communities. Seye is currently based at the University of Sydney in Australia, where his teaching and research focus on knowledge practices in global health, health system governance, and the adoption and scale-up of health system innovations.Want to hear more podcasts like this?Follow Connecting Citizens to Science on your usual podcast platform or YouTube to hear more about the methods and approaches that researchers apply to connect with communities and co-produce solutions to global health challenges. The podcast covers wide-ranging topics such as NTD's, NCD's, antenatal and postnatal care, mental wellbeing and climate change, all
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In this episode of Interlinks, host Patrick Daly converses with Pratik Baral, a freelance machine learning engineer, about Baral's journey from Nepal to the forefront of AI and machine learning innovation in California, USA. They discuss the practical applications of AI in various sectors, including healthcare, and delve into the future of AI and machine learning, highlighting the potential for AI to streamline business operations and reduce costs. Pratik shares his personal story with Patrick, reflecting on his transition from mechanical engineering to data science, and his ambitions to help businesses navigate the complexities of AI integration through his company, Jugged Mountains. Hosted on Acast. See acast.com/privacy for more information.
In this episode, we delve into the pioneering research led by Dr. Chitta Baral though his laboratory of Cognition and Intelligence at Arizona State University. He discusses the ground-breaking work and innovations emerging from his lab, with a special focus on the intersection of cognition, intelligence, and technology. Dr. Chitta's current research is an ambitious blend of exploring natural language, visual objects, and the intricate dynamics of multi-modal documents, with an eye toward impactful applications in cybersecurity, robotics, and the health sciences.The conversation explores the concept of Human-AI teaming, discussing the potential benefits and challenges of integrating artificial intelligence into our daily work and decision-making processes. Dr. Baral also shares his expert perspective on the explosive growth of Generative AI in the field. He offers a nuanced view, weighing in on whether this trend signifies a genuine paradigm shift or if it's part of a hype cycle with merely short-term advancements.Further into the discussion, we explore the cultural shift among students and professionals as they adapt to the latest Generative AI tools. Dr. Baral reflects on how these tools are reshaping teaching methodologies and the approach to student projects. Guest InformationChitta Baral, PhD ASU BiographyDr. Baral's Online CV with publication linksCognition & Intelligence Lab @ Arizona State University
Claire de Mézerville López welcomes Gina Baral Abrams, Dr.P.H., Ed.M., LSW, to the Restorative Works! Podcast public health series. Today we are discussing insights on Dr. Abrams' recently published white paper, A Restorative Practices Strategy to Advance Community Health. Using a restorative framework provides community health professionals a human-centered view from which they can begin their work by being inclusive, building authentic relationships, and identifying collective strengths. Dr. Abrams describes how this fundamental shift in public health is creating solutions to root issues. She offers several recommendations for practical applications for creating safe spaces for natural listening where groups can work towards strengthening social connection, enable community engagement, and address harm and healing. She also provides examples of how restorative practices can be used in large scale community culture and climate change in higher education and across sectors. Dr. Abrams serves as the Director of Research and Program Evaluation and Associate Professor at the IIRP Graduate School where she teaches courses in community health and research methods, serves as the principal investigator for the Restorative Practices in Higher Education Learning Collaborative, and oversees the Collaborative Center for Restorative Practices in Higher Education. She is also an adjunct faculty at the Boston University School of Social Work, the Tulane University School of Social Work, and Mercer County Community College in Jersey. Dr. Abrams has served in administrative roles at numerous institutions of higher education, including Lehigh University, Princeton University, MIT, and Bentley College. She also worked in disease prevention research with the Massachusetts Department of Public Health and Massachusetts Correctional System. Dr. Abrams' research interests include high risk behaviors among college students, restorative practices as a prevention strategy, psychological sense of community, community readiness, and collective action. For more information on Dr. Abrams' work and approach to public health solutions through a restorative lens, read her white paper, A Restorative Practices Strategy to Advance Community Health.
It's Sleeve Believe Heave week for new cards from March of the Machine. We play Modern and Pioneer with cards like Ancient Imperiosaur, Rona, Herald of Invasion, Fairie Mastermind, and more! The Break Down: Four Modern decks! The Dive Down: Some Pioneer decks too! Become a citizen of The Dive Down Nation!: http://www.patreon.com/thedivedown Show the world that you're a proud citizen of The Dive Down Nation with some merch from the store: https://www.thedivedown.com/store Check out our sponsor Barrister and Mann! https://www.barristerandmann.com/ Use coupon code THEDIVEDOWN2023 for 15% off your first order of some incredible fragrances, soaps, beard oils, and more. Get 10% off your first 2 months of ManaTraders! https://www.manatraders.com/?medium=thedivedown and use coupon code THEDIVEDOWN2023 And now receive 8% off your order of paper cards from Nerd Rage Gaming with code "DIVE8" at https://www.nerdragegaming.com/ Timestamps: 4:45 - Sleeve/Believe/Heave: MOM in Modern 7:36 - Stan plays Kuldotha Aggro 20:50 - Dave plays Jeskai Prowess 34:24 - Stan plays Baral & Kari Zev 44:33 - Dave plays Jund Indomitable Creativity 53:13 - Adagio and Presto 57:07 - Sleeve/Believe/Heave: MOM in Pioneer 58:51 - Shane plays Sultai Rona Combo 1:21:35 - Dave plays Dimir Rogues 1:34:31 - Wrapping up Links from this week's episode: Modern Kuldotha Aggro: httdps://www.mtggoldfish.com/deck/5569038#paper UR Prowess/YungDingo: https://www.streamdecker.com/deck/fOnU-Zwd- Baral & Kari Zev: https://www.mtggoldfish.com/deck/5565460#paper Jund Creativity: https://www.mtggoldfish.com/deck/5569004#paper Pioneer Sultai Rona Tandy Deck: https://www.mtggoldfish.com/deck/5570816#paper Dimir Rogues: https://www.mtggoldfish.com/deck/5566886#paper Our opening music is Nowhere - You Never Knew, and our closing music is Space Blood - Goro? Is That Your Christian Name? email us: thedivedown@gmail.com (mailto:thedivedown@gmail.com) twitter: https://twitter.com/thedivedown
There's a new card in town, and we're here to chat about Battles (including the band) during our first look at spoilers from March of the Machine, a Magic set that comes out in April... We kick with a chat about Battles in particular, and the type of questions we're asking before we trying playing these brand new cards in decks. Then we look at some new additions including Baral & Kari Zev, Halo Forager, The Sword of Once and Future, Elesh Norn, and more! Become a citizen of The Dive Down Nation!: http://www.patreon.com/thedivedown Show the world that you're a proud citizen of The Dive Down Nation with some merch from the store: https://www.thedivedown.com/store Check out our sponsor Barrister and Mann! https://www.barristerandmann.com/ Use code THEDIVEDOWN2023 for 15% off your first order of some incredible fragrances, soaps, beard oils, and more. Get 10% off your first 2 months of ManaTraders! https://www.manatraders.com/?medium=thedivedown and use code THEDIVEDOWN10 And now receive 8% off your order of paper cards from Nerd Rage Gaming with code "DIVE8" at https://www.nerdragegaming.com/ Timestamps: 5:01 - Housekeeping 9:31 - March of the Machine - Another Event Set! 13:09 - Battles are here! 21:26 - The spoilers begin, sort of 24:22 - Ayara, Widow of the Realm 29:28 - Baral and Kari Zev 34:35 - Surge of Salvation 38:35 - Bloodfeather Phoenix 44:19 - Elesh Norn 50:16 - Halo Forager 55:26 - Faerie Mastermind 59:32 - Sword of Once and Future 1:03:39 - Wrenn and Realmbreaker 1:08:00 - Invasion of Tarkir 1:10:57 - Invasion of Karsus 1:12:30 - Change the Equation 1:18:45 - Wrapping up Our opening music is Nowhere - You Never Knew, and our closing music is Space Blood - Goro? Is That Your Christian Name? email us: thedivedown@gmail.com (mailto:thedivedown@gmail.com) twitter: https://twitter.com/thedivedown
The CDC has admitted to some mishandling of the covid-19 pandemic.How did world governments respond to the onset of the pandemic? What role did the United Nations play during this global crisis? What lessons have we learned from this pandemic to prepare for potential future ones? What is considered misinformation during times of global pandemics? Has public trust in world governments grown or diminished based on how the pandemic was handled? What have been your personal experiences when it comes to the COVID-19 pandemic?Prativa Baral, Ph.D. is an epidemiologist and global health professional working to make our world more prepared against health emergencies and to promote global health equity through her research, advocacy and consultancy. She is the co-founder of Science Connect, a consultancy aimed to help bridge science communication gaps between academia and the rest of the world. Prativa is the host of Immunocity, a podcast released during the acute phase of the pandemic, to make sense of the changing science and circumstances. She is also a Pierre Elliott Trudeau Foundation Scholar, a CIHR Foreign Doctoral Study Award holder, and a Johns Hopkins School of Public Health PhD candidate. Listen as Prativa takes us through her journey as the Canadian head delegate for the G7 Youth Summit in Germany in 2022, and the lone Canadian representative of the Global Shapers delegation at the World Economic Forum's Annual Meeting in Davos in 2023.Listen as Prativa shares:- the narrative pushed against immune boosting for covid-19- how the pandemic hurt public trust in Science- do vaccine mandates give us a choice or take away our civil liberties?- did the media create panic?- was fear mongering used to promote covid-19 vaccinations?- equitable access to vaccines- factors affecting covid-19 vaccine acceptance- lessons learned from covid-19 vaccine outcomes- discouraging the public from seeking alternatives to vaccines- minimum sample size for statistical significance- what is covid-19 misinformation?- the evolution of science during covid- how communities can advocate for themselves during pandemics- how to prepare for future pandemics...and so much more!Additional Resources:"COVID-19: Surviving A Pandemic" by J. Michael RyanConnect with Prativa:Website: https://www.prativabaral.comTwitter: https://twitter.com/tivabaralFeel free to reach out on:LinkedInFacebookInstagramLeave a rating and a review:iTunes: https://podcasts.apple.com/us/podcast/covid-19-mishandling-mistrust-and-misinformation-w/id1614151066?i=1000607517678Spotify: https://open.spotify.com/episode/3BXsiNQajkLatHE3GITu9tYouTube: https://youtu.be/ZK_osB9dtT4
Season 18, Episode 2: Brewer's Guide to March of the Machine, Vol. 2 The hits keep coming for March of the Machine. There's so much to unpack, we needed brewing reinforcements, so we brought back special guest Lawson Zandi to help make sense of it all. Chrome Host Seedshark has the potential to dominate battlefields in multiple formats. The power of Shark Typhoon on a 3 drop opens up explosive lines with free spells and cost reduction spells, and works with artifact synergies as well. New Convoke removal spells like Pile On or Temporal Cleansing could be a piece of the puzzle. In Modern, Surge of Salvation is a huge boon for Hammer Time, providing counterplay against Force of Vigor and Rakdos Scam alike. Deeproot Wayfinder has echoes of Ragavan and Wrenn and Six. It dies to removal, but joins a roster of kill-on-sight creatures that can rapidly deplete the opponent's interaction. And don't rule out Omen Hawker, which provides explosive mana that fuels infinite combos with Freed from the Real, or powers up Urza's Saga and Elvish Reclaimer. Which cards have what it takes for Modern and Pioneer? We will find out in just two short weeks. Like our content? Support us on Patreon and join our brewing community! Decklists for this episode can be viewed at FaithlessBrewing.com Timestamps [1:33] Updates on Shining Shoal [7:06] Housekeeping [9:05] Another perspective on Battles [14:05] Invasion of Regatha — Furnace Disciples [17:10] Omen Hawker [21:37] Captive Weird — Compleated Conjurer [24:44] Surge of Salvation [28:27] Pile On [31:06] Temporal Cleansing [34:09] Invasion of Mercadia — Kyren Flamewright [36:48] Dusk Legion Duelist [40:02] Ozolith, Shattered Spire [41:34] Deeproot Wayfinder [44:48] Errant and Giada [48:04] Guardian of Ghirapur [51:27] Sword of Once and Future [54:01] Voldaren Thrillseeker [56:51] Polukranos Reborn — Polukranos, Engine of Ruin [1:01:07] Chrome Host Seedshark [1:08:45] Halo Forager [1:11:06] Ayara, Widow of the Realm — Ayara, Furnace Queen [1:13:31] Tribute to the World Tree [1:17:12] Baral and Kari Zev [1:21:18] Invasion of Dominaria — Serra Faithkeeper
In this episode, Young interviews Nami Baral: Founder & CEO of Niural, successful entrepreneur, and mother to a young toddler. Nami and Young dive deep into the struggles of maintaining individuality and personal identity while being both an entrepreneur and a parent. She also shares her parenting philosophy for building character and the importance of exposing her child to their cultural roots.Please enjoy and subscribe!ABOUT OUR GUEST:Nami Baral is the Founder & CEO of Niural (niural.com), a globally compliant payroll and contractor management platform . Nami is a repeat entrepreneur with two successful tech exits. Prior to Niural, Nami founded Harvest, a fintech company that leveraged AI to reduce debt for American consumers. Harvest was backed by several iconic investors like Kleiner Perkins, Hustle Fund, Barclays bank and more. Nami sold Harvest to Acorns in 2021. Before Harvest, Nami was Head of Product Partnerships at Twitter, which she had joined as an early employee. Nami graduated from Harvard with a degree in Economics and Mathematics. Nami is a prolific angel investor, and has made 60+ investments till date. Nami is an active mentor especially to fintech, data and AI founders. And most importantly, Nami is the mother of a highly opinionated and active 3 year old.STUFF WE LOVE:Attention founders and investors:Two12.co is the best cap table and fundraising toolkit. Use code TGDS for 25% off!https://bit.ly/3Q7wHsnTry Young's online recording studio!https://riverside.fm/homepage?utm_campaign=campaign_1&utm_medium=affiliate&utm_source=rewardful&via=youngLooking to outsource graphic design? Try Young's favorite resource, Penji: unlimited designs for one fixed cost from some of the world's top design talent!https://penji.co/pricing/?affiliate=3I86N6MSF5358220Learn more about us!Our website: https://thegirldadshow.com/Instagram: https://www.instagram.com/TheGirlDadShow/Facebook: https://www.facebook.com/TheGirlDadShowShop here for The Girl Dad Show products: https://thegirldadshow.com/collections*If you click on our links, we may receive a tiny commission AND… most of the time, you will receive an offer. Win/Win! The products that The Girl Dad Show recommends are the ones we believe in.
For ca 100 år siden kom den indiske yogien Baral til Norge og han slo seg etterhvert ned i Alvdal der han ble kjent som vismannen på Tronfjell. Han forlot kroppen sin frigjøringsdagen 1945 og den dag i dag kan du besøke graven hans på Tronfjell. Han etterlot seg visjonen om et fredsuniversitet som flere krefter har jobbet videre med siden den gang og i dagens episode får du høre mer om dette i samtale med Bjørn Pettersen. Bjørn fikk fire år med Einar Beer -disippel av Baral og har siden den gang på begynnelsen av 80-tallet fortsatt å gå livets skole og gjort sadhana. Bjørn har skrevet flere bøker, blant annet: Universell Religion. Essensiell religionsforståelse og Baral -vismannen på Tronfjell, Swami Sri Ananda Acharya, en biografi og antologi. Tronfjell Fredsuniversitet Tronsvangen Seter Vil du være med meg på yogaferie til Tronsvangen seter: Påskeyoga på fjellet Nettsiden for episoden: https://www.anahatayoga.no/vismannen-p-tronfjell --- Send in a voice message: https://podcasters.spotify.com/pod/show/anahatayoga/message
Prativa is the co-founder of Let Science Connect, an initiative aimed to restore trust in the scientific process by bridging science communication gaps between academia and the rest of the world. She is also an epidemiologist, operating at the intersection of global health and policy, and a Ph.D. candidate at Johns Hopkins School of Public Health, investigating methods in health systems strengthening, particularly in the context of crises. She has served as a global health consultant and expert advisory committee member for various international agencies including the UN, the WHO, the GPMB, the Bill & Melinda Gates Foundation, and the World Bank, with a special focus on institutional design for global health governance, monitoring efforts to better understand drivers of risk of health emergencies, as well as health systems resilience & service delivery during periods of shocks. Previously, she advised the Government of Canada in designing and drafting the country's first comprehensive global health research strategic plan. Her commitment to working with groups facing vulnerable conditions emerged through her work with the refugee resettlement program in Québec, where she acted as a point of contact between a wide range of Canadian ministries, local community partners, and refugee families across Québec. In 2018, she was selected to be a Global Shaper by the World Economic Forum, and in 2021, a Fellow of the Royal Society of Arts. Prativa is a graduate of McGill University's Faculty of Science and has received a Master's in Public Health in Infectious Disease Epidemiology from Columbia University as a Merit Scholar Recipient. She is also a Pierre Elliott Trudeau Foundation Scholar (2021) as well as a recipient of the Canadian Institutes for Health Research's Doctoral Foreign Study Award among other distinctions. Most recently, she served as the Canadian head delegate for the G7 Youth summit in Berlin, Germany (2022), and the sole Canadian representative as part of the Global Shapers delegation of young community leaders to the World Economic Forum's annual meeting in Davos (2023). Fluent in French, English and Nepali, Prativa is a former nationally-ranked chess player. She also regularly appears on CBC and CTV News and other media outlets providing Canadians with practical suggestions and advice regarding COVID-19. Listen until 06:59 to hear Dr. Baral talk about her experience at Davos and being proud of who you are. ”Leadership is something that's been kind of advertised by corporate America, right? And you gotta wear that navy blue suit and speak a certain way and not show compassion or empathy or whatnot. And I think, I hope that our global definition of leadership is changing. And so if I go back next time to Davos, I think I would wear a lot more colours than I did. So I did wear, you know, a red dress at a certain point and a red blazer at a certain point. But Davos, let me see that you want to stand out. I can't hide the fact that I'm a woman. I can't hide the fact that I'm brown. And so instead of trying to fit the mould and wearing a navy blue suit, which, you know, there's nothing wrong with wearing one, but I would wear something brighter and bolder. Why would you want to hide your identity or the pieces of you that make you, you just wear the bright colours if that's what you want to wear, and just be because there's no one else like you. Right?”Check out the book! - Fearless: Girls with Dreams, Women with VisionThe Fearless Women Podcastfearlesswomenpodcast@gmail.comThe Beacon Agency
Samragyee Rajya Laxmi Shah is an actress and model, known for Dreams, A Mero Hajur 2, Intu Mintu Londonma, and more. Bijay Baral is an actor, theater artist and acting coach, known for Maun, and Kabaddi series. Their movie ‘Harry Ki Pyari' is releasing on 3rd February. Go watch it with your friends and family. Cheers!
Episode SummaryIn this livecast episode, we welcome back Dr. Zain Chagla, Dr. Stefan Baral, and Dr. Sumon Chakrabarti to address some of the issues we've seen throughout the pandemic, new variants and what to expect with future variants, discussing what we've done well over the past few years, misinformation, the effect of social media and the messaging on Twitter, the role media plays and the influence of experts on policy, public health agencies, booster shots to combat new variants and who actually needs them, where we are at with public trust, and much more!SHOW SPONSORBETTERHELPBetterHelp is the largest online counselling platform worldwide. They change the way people get help with facing life's challenges by providing convenient, discreet and affordable access to a licensed therapist. BetterHelp makes professional counselling available anytime, anywhere, through a computer, tablet or smartphone.Sign up today: http://betterhelp.com/solvinghealthcare and use Discount code “solvinghealthcare"Thanks for reading Solving Healthcare with Dr. Kwadwo Kyeremanteng! Subscribe for free to receive new posts and support my work.Thank you for reading Solving Healthcare with Dr. Kwadwo Kyeremanteng. This post is public so feel free to share it.Transcript:KK: Welcome to ‘Solving Healthcare' I'm Kwadwo Kyeremanteng. I'm an ICU and palliative care physicianhere in Ottawa and the founder of ‘Resource Optimization Network' we are on a mission to transformhealthcare in Canada. I'm going to talk with physicians, nurses, administrators, patients and theirfamilies because inefficiencies, overwork and overcrowding affects us all. I believe it's time for a betterhealth care system that's more cost effective, dignified, and just for everyone involved.KK: All right, folks, listen. This is the first live cast that we have done in a very long time, probably a year.Regarding COVID, we're gonna call it a swan song, folks, because I think this is it. I'm gonna be bold andsay, this is it, my friends. I think what motivated us to get together today was, we want to learn, wewant to make sure we learned from what's gone on in the last almost three years, we want to learn that,in a sense that moving forward the next pandemic, we don't repeat mistakes. We once again, kind ofelevate the voices of reason and balance, and so on. So, before we get started, I do want to give acouple of instructions for those that are online. If you press NL into the chat box, you will be able to getthis. This recording video and audio sent to you via email. It'll be part of our newsletter. It's ballin, you'll,you'll get the last one the last hurrah or the last dance, you know I'm saying second, secondly, I want togive a quick plug to our new initiative. Our new newsletters now on Substack. Everything is on therenow our podcasts our newsletter. So, all the updates you'll be able to get through there. I'm just goingto put a link in the chat box. Once I find it. Bam, bam, bam. Okay, there we go. There we go. That's itright there, folks. So, I feel like the crew here needs no introduction. We're gonna do it. Anyway, we gotDr. Zain Chagla, we got Dr. Stef Baral, we got Dr. Sumon Chakrabarti back in full effect. Once again, like Isaid, we were we chat a lot. We were on a on a chat group together. We were saying how like, we justneed to close this out, we need to address some of the issues that we've seen during the pandemic. Talkabout how we need to learn and deal with some of the more topical issues du jour. So, I think what we'llstart with, well get Sumon to enter the building. If you're on Twitter, you're gonna get a lot of mixedmessages on why you should be fearful of it or why not you should be fearful of it. So, from an IDperspective, Sumon what's your what's your viewpoint on? B 115?SC: Yeah, so, first of all, great to be with you guys. I agree, I love doing this as a as a swan song to kind ofmove to the next stage that doesn't involve us talking about COVID all the time. But so yeah, I think thatwe've had a bit of an alphabet soup in the last year with all these variants. And you know, the most oneof the newest ones that we're hearing about recently are BQ 1, xBB. I think that what I talked aboutwhen I was messaging on the news was taking a step back and looking at what's happened in the last 14months. What that is showing us is that we've had Omicron For this entire time, which suggests a levelof genomic stability in the virus, if you remember, variants at the very beginning, you know, that wassynonymous with oh, man, we're going to have an explosion of cases. Especially with alpha for the GTAdelta for the rest of, of Ontario, and I'm just talking about my local area. We saw massive increases inhospitalizations, health care resources, of patients having been sent all over the province. So, it was itwas awful, right. But you know, I think that was a bit of PTSD because now after anybody heard theword variant, that's what you remember. As time has gone on, you can see that the number ofhospitalizations has reduced, the number of deaths has reduced. Now when omicron came yeah, therewas an explosion of cases. But you know, when you look at the actual rate of people getting extremely illfrom it, it's much, much, much less. That was something that, you know, many of us were secretlythinking, Man, this is great when this happened. So now where we are is we're in January 2023, we'vehad nothing but Omicron, since what was in late November 2020, or 21? Maybe a bit later than that.And x BB, if you remember, be a 2x BB is an offshoot of BH two. Okay. Yeah, if you're noticing all thesenew variants are their immune evasive, they tend to be not as they're not as visually as, I see this in myown practice, like all of us do here. You know, they are, well, I'm kind of piecemeal evolution of thevirus. Now, there's not one variant that's gonna blow all the other ones out of the water, like Oh, microndid or delta. Right. I think this is a good thing. This is showing that we're reaching a different stage of thepandemic, which we've been in for almost a year now. I think that every time we hear a new one, itdoesn't mean that we're back to square one. I think that this is what viruses naturally do. And I thinkputting that into perspective, was very important.KK: Absolutely. Zain just to pick your brain to like, I got this question the other day about, like, what toexpect what future variants like, obviously, is there's no crystal ball, but someone alluded to the ideathat this is what we're to expect. You feel the same?ZC: Yeah, absolutely. It's interesting, because we have not studied a Coronavirus this much, you know, inhistory, right. Even though we've lived with coronaviruses, there probably was a plague ofcoronaviruses. What was the Russian flu is probably the emergence of one of our coronaviruses areseasonal coronaviruses. You know, I think we had some assumptions that Coronavirus is when mutate,but then as we look to SARS, cov two and then we look back to see some of the other Coronavirus has,they've also mutated quite a bit too, we just haven't, you know, put names or other expressions tothem. This is part of RNA replication of the virus is going to incorporate some mutations and survival ofthe fittest, the difference between 2020, 2021, 2022, and now 2023 is the only pathway for this virus tokeep circulating is to become more immune evasive. This is what we're seeing is more immune evasion,we're seeing a variant with a couple more mutations where antibodies may bind a little bit less. But Ithink that the big difference here is that that protection, that severe disease, right, like the COVID, thatwe saw in 2020/2021, you know, that terrible ICU itis, from the COVID, you know, for the level ofantibody T cell function, non-neutralizing antibody functioning mate cell function, all of that that's builtinto, you know, humanity now through infection, vaccine are both really, you know, the virus can evolveto evade some of the immunity to cause repeat infections and, you know, get into your mucosa andreplicate a bit, the ability for the virus to kind of, you know, cause deep tissue infection lead to ARDSlead to all of these complications is getting harder and harder and harder. That's us evolving with thevirus and that's, you know, how many of these viruses as they emerge in the population really have kindof led to stability more than anything else? So, yes, we're going to see more variants. Yes, you know, thisis probably what what the future is, there will be some more cases and there may be a slight tick inhospitalizations associated with them. But again, you know, the difference between 2020/2021/2022/2023 is a syrup prevalence of nearly 100%. One way or another, and that really does define how thisdisease goes moving forward.KK: Yeah, absolutely. Maybe Stef we could pipe it a bit on, the idea that, first of all, I just want toreinforce like as an ICU doc in Ottawa with a population of over a million we really have seen very littleCOVID pneumonia since February 2022. Very minimal and it just goes to show know exactly whatSumon and Zain were alluding to less virulent with the immunity that we've established in thecommunity, all reassuring science. One question I want to throw towards Stef, before getting into it. Youdid an interview with Mike Hart. As you were doing this interview, I was going beast mode. I was hearingStef throw down. I don't know if you were, a bit testy that day, or whatever. There was the raw motionof reflecting on the pandemic, and how we responded and far we've gone away from public healthprinciples, was just like this motivator to say, we cannot have this happen again. I gotta tell you, boys,like after hearing that episode, I was like ‘Yeah, let's do this'. Let's get on. Let's go on another, doanother show. I'm gonna leave this fairly open Stef. What has been some of the keyways we'veapproached this pandemic that has really triggered you?SB: Yeah, I mean, so I guess what I'd say is, in some ways, I wish there was nobody listening to this rightnow. I wish there was like, I don't know what the audience is. I don't know if it's 10 people or underpeople, but I think it's like, I wish nobody cared anymore. I want Public Health to care. I want doctors tocare, we're going to keep talking because you know, Kwadwo, you've had folks in the ICU we we'vewe've seen cases in the shelters, we have outbreaks, like public health is always going to care aboutCOVID, as it cares about influenza cares about RSV, and other viruses, because it needs to respond tooutbreaks among vulnerable folks. That will never stop COVID, it was just clear very early, that COVID isgoing to be with us forever. So that means tragically, people will die of COVID people. I think that, youknow, there's that that's a reality, it's sometimes it's very close to home for those of us who areproviders, as it has for me in the last week. So COVID never ends. I think the issue is that like when doesCOVID And as a matter of worthy of discussion for like the average person? The answer is a long timeago. I mean, I think for the folks that I've spoken to, and the way that we've lived our lives as a family isto focus on the things that like bring folks joy, and to kind of continue moving along, while also ensuringthat the right services are in place for folks who are experiencing who are at risk for COVID and seriousconsequences of COVID. Also just thinking about sort of broader systems issues that I think continue toput folks at risk. So, one: I think it's amazing, like how little of the systematic issues we've changed,we've not improved healthcare capacity at all. Amazingly, we've not really changed any of the structuresthat put our leg limitations on the on the pressures on the health system, none of that has changed. Allof it has been sort of offset and downloaded and just like talking about masks and endless boosterswhen we've never really gotten to any of the meaty stuff. As you said three years into it, andeverybody's like, well, it's an emergency. I'm like, it was an emergency and fine. We did whatever wasneeded, even if I didn't agree with it at the time. But irrespective of that, whatever that was done wasdone. But now it's amazing that like the federal money expires for COVID In next few months, and allwell have shown for this switch health guys got became millionaires like a bunch of people, I don't mindnaming and I don't care anymore. These folks, these Grifters went out and grabbed endless amounts ofmoney. These cash grabs that arrival, the ArriveCan app with, like these mystery contractors that theycan't track down millions of dollars. So it's like all these folks like grabbed, you know, huge amounts ofmoney. And I think there's a real question at the end of it of like, what are we as a country? Or youknow, across countries? What do you have to show for it? How are you going to better respond? Andthe answer right now is like very little, like we have very little to show for all this all these resources thathave been invested, all this work that has been done. That I think should be the conversation. That tome needs to be this next phase of it is like billions and billions and billions of dollars trillion or whatever,like 10s of billions of dollars were spent on what? and what was achieved? And what do we want to donext time? And what do we have to show for it? that, to me feels like the meat of the conversationrather than like silly names for these new variants that do nothing but scare people in a way that isn'thelpful. It does not advance health. It doesn't you know, make the response any more helpful. It justscares people in a way that I think only detracts them from seeking the care that we want them to beseeking.KK: Yeah, I think you brought up a point to about or alluded to how some of this was the distraction.That was one of the points that really stuck home is that we, we didn't really dive into the core s**t, thecore issues. This is why at the end of it all, are we that much more ready for the next pandemic that wellsee, you know, and so like maybe Sumon, what do you think in terms of another tough one, are weready for the next pandemic? Do you think we've done enough? do we think are in terms of what we'veinvested in, how we've communicated to the public. The messaging to the public. Are we learning? Is myquestion, I guess.SC: I'm a clinician and I don't work with the public health and the policy aspect as closely as Stefan does.But I will say that, obviously, I've been in this realm for quite a long time, since in ID, I think that, youknow, what that's important to remember is that for SARS 1 we actually had this document thatoutlined all of this, you know, masking, social distancing, what to do with funding and all that kind ofstuff. Basically, I was actually interviewed about this, I remember back way back in 2020, and half of itwas basically just thrown out the window. I think that a lot of what happened is that fear came indecisions were made from emotion, which is, by the way, understandable, especially in April 2020. I'veshared with you guys before that, in February 2020, I was waking up at night, like nervous, that I wasgonna die. I that that's where I was thinking I it was, it was terrible. I completely understand makingthose decisions. I think as time went on, I wish that, you know, there's a bit more of public healthprinciples. You know, making sure that we're dealing with things without, you know, stepping onpeople's bodily autonomy, for example, you know, doing things in an equitable way, where you, youknow, we all know that every intervention that you do is squeezing a balloon, you must remember theunintended consequences, I think that we did. So, kind of putting that all together. I think, right now, aswe stand in Canada if we do have another pandemic. I fear that a lot of these same mistakes are goingto be made again, I should say, a disruptive pandemic of this because it's not forgotten H1N1, thepandemic it that was a pandemic, right. It wasn't nearly as disruptive as COVID was, but I do think thatinquiry and like you mentioned at the beginning, Kwadwo was talking about what we did, well, we didn'tdo well, and making sure the good stuff happens, and the bad stuff doesn't happen again, because this islikely not the last pandemic, in the information age in our lifetimes.KK: Zain, was there anything that stuck out for you? In terms of what you'd really want to see usimprove? Or whether it is messaging, whether it is public health principles, does any of those stick out inyour mind?ZC: Yeah, I mean, I think the one unique thing about this pandemic that is a lesson moving forward andfor us to kind of deal with I think we talked about messaging. This was the first major pandemic thatoccurred with social media and the social media era, right, and where, information, misinformation,disinformation, all the things that were all over the place, you know, we're flying, right, and there doesneed to be some reconciliation of what's been we have to have some reconciliation of some of thebenefits of the social media era in pandemic management, but also the significant harms the people,you know, we're scared that people got messaging that may not have been completely accurate, thatpeople had their biases as they were out there. I will say even that social media component penetratedinto the media. This is also the first time that I think we saw experts you know, including myself andSuman and all of us you know, that you know, could be at home and do a news interview on NationalNews in five minutes and be able to deliver their opinion to a large audience very quickly. So, you know,I think all of that does need a bit of a reconciliation in terms of what worked, what doesn't how youvalidate you know, good medical knowledge versus knowledge that comes from biases how we evaluatepsi comm and people you know, using it as a platform for good but may in fact be using it you know,when or incorporating their own biases to use it for more, more disinformation and misinformationeven if they feel like they have good intentions with it. I you know, I think this is a, you know, for thesociologists and the communications professionals out there, you know, really interesting case exampleand unfortunately, I don't think we came out the other side. Social media being a positive tool, it mayhave been a positive tool, I think in the beginnings, but, you know, I think I'm finding, it's nice tocommunicate with folks, but I'm finding more harm and more dichotomy and division from social mediathese days is compared to the beginnings of the pandemics where, you know, I think, again, there's justbeen so much bias, so much misinformation so much people's clouds and careers that have been, youknow, staked on social media that it's really become much, much harder to figure out what's real andwhat's not real in that sense.KK: Absolutely, I fully agree Zain. At the beginning, in some ways, I'll tell you, ICU management, thatwhole movement for us to delay intubation, as opposed to intubation early, I really think it was pushedby in social media. So, I think it saved lives, right. But then, as we got through more and more thepandemic, wow, like it, like the amount of just straight up medieval gangster s**t that was going on thatin that circle, in that avenue was crazy. Then just like, I mean, this might be controversial to say, I don'tknow, but news agencies got lazy, they would use Twitter quotes in their articles as, evidence, or asproof of an argument. It's like, what is happening? It? Honestly, when you think about it, it was it wascrazy. It still is crazy.ZC: Yeah. And I think expertise was another issue. Right. And, you know, unfortunately, we know of, youknow, certain experts that were not experts that weren't certified that weren't frontlines and a varietyof opinions and various standpoints and epidemiology, public health, intensive care, infectious diseases,whatever is important. But, you know, there were individuals out there that had zero experience thatwere reading papers and interpreting them from a lens of someone that really didn't have medicalexperience or epidemiologic experience, that chased their clout that made money and, we know someexamples that people that eventually had the downfall from it, but you know, at the end of the day,those people were on social media, and it penetrated into real media, and then that is a real lesson forus is that validation of expertise is going to be important. You know, as much as we allow for anyone tohave an opinion, you know, as they get into kind of real media, they really have to be validated that thatopinion comes from a place that's evidence based and scientific and based on a significant amount oftraining rather than just regurgitating or applying one small skill set and being an expert in many otherthings.KK: SumonSC: So we're just gonna add really quickly is that, in addition to what Zain saying. When this stuff bledover from social media to media, the thing that I mean, at least what it seemed like is he was actuallyinfluencing policy. That's, I think that's the important thing is, so you can have 10 people 20 peopleyelling, it doesn't matter if they're extreme minority, if it's influencing policy that affects all of us, right.So, I think that's important.KK: I'll be honest with you, like, I got to the point where I really hated Twitter, I still kind of hate Twitter.Okay. It was conversation. I remember Sumon that you and I had I don't remember it was we weretexting. I think we talked about this. But the fact that policy could be impacted by what we're throwingdown the facts or the messages that we were doing on media that this can impact policy, you had tolike, especially when there was some badness happening, we had to step up. We had to be a voice oflogic, whether it was mandates, whether it was you know, lockdown school closures, whatever it mighthave been like, the politicians, we heard about this politicians looking at this, the mainstream medialooking at this, and for us not to say anything at this point, like we had, we had to do something Sorry,Stef, you're gonna jump in?SB: Yeah, I think I think what was interesting to me to see and I think a clear difference between H1N1was that in a lot of places, and including in Ontario, across the US, where this sort of emergence of theselike the science tables, these task forces, these whatever you want to call them, it was like a new bodyof people often whom had never spent a day in a public health agency. Often academics that you know,are probably good with numbers, but really don't have a lot of experience delivering services, you know,all of a sudden making decisions. So I think there's a real interesting dynamic that when you compare,for example, Ontario and British Columbia, one has this science table one does not, and just howdifferent things played out, I mean, given it's a, you know, an end of have to, or no one in each camp,but I think what you see is like, there's a place there where like public health or you know, let's say,Sweden, you know, as a public health agency that didn't strike up its own taskforce that used itstraditional public health agency. I think was in a place to make more like reasoned and measureddecisions, and just was better connected, like the relationships exist between the local healthauthorities and the provincial health authorities and the national ones. I think when you set up these,the one thing that I hope we never do, again, is that something like the science table never happensagain. That's not to sort of disparage most of the people. Actually, most of the folks on the science tableI like, and I respect, say many of them, maybe not most, but many of them, I like and respect, but it isthe case that there was it was they weren't the right group of people. They weren't representativeOntarians he was like, ten guys and two women, I think, I don't know many of them white, they weren'trepresentative socio economically, racially diverse, anything. They didn't have the right expertise onthere. I would have liked to see some like frontline nurses on there to say ‘listen, this stuff is silly' orsome frontline, whoever just some frontline folks to be say ‘listen, none of the stuff that you're sayingmakes any sense whatsoever'. And luckily, there was some reason, voices on there, but they were theminority. But luckily, they prevailed, or we would have had outdoor masking and even tougherlockdowns. I don't know how folks really; it was really close. I think we fortunately had thatrepresentation, but that should have never even happened, we should have had public health Ontario,being its agency and making recommendations to the ministry and to the government. There shouldhave never been a science table. Then second thing, I just want to say I've we've talked about thisforever and I do think we should talk about this more, not in the context of like this, this podcast, but isalso just absolutely the role of the media. I do want to say that, like historically, media had to do a lot ofwork, they had to go to universities or hospitals and ask for the right expert, and then the media orcomms team, ‘you should really talk to Zain Chagla' Because he has good example, you know, it givesgood expertise on this or you start to like, I don't know, like Dr. so and so for this or that, and they puttogether the right person, they organize the time and then they talk. Now you know that it was reallylike the story I think was more organically developed on based on what the experts had to say. Nowyou've got reporters, for people who are not from Ontario, there's a sports reporter in the city ofToronto that I looked historically, I can't see that they've ever done anything in public health suddenlybecame like the COVID reporter in the city of Toronto, for a major newspaper. It's like this person hasnot a clue of what they're talking about, just like has no clue they've never trained in. I don't disparagetheir sports reporter like why should they? but they became the voice of like public health for like theaverage person. It just it set us up where that person just had a story and then just found whateverpeople on Twitter that they could to like back up their story irrespective to drive controversy, to driveanger towards the government based on sort of political leanings. Even if maybe my political leaningsare aligned with that person, it's a relevant because it's not about politics, it's about public health. So Ithink the media, we have to think about, like, how do we manage the media's need for clicks and profit,you know, during this time, in with, like, their role as like, the responsible are an important part of like,you know, social functioning, in terms of the free press. So, I, there's no easy answers to that. But I'll justsay, I think there was a fundamentally important role that the media played here. And I have to say, itdidn't play out positively, in most places.KK: I gotta say, like, this is gonna be naive talk. But we're in a pandemic, there had to be so many of ushad a sense of duty, like, I was surprised at the lack of sense of duty, to be honest with you. Even if youare about your cliques, ask yourself, is this is this about the greater good here? Is this really gonna get usfurther ahead? I've said this a few times on my platform, I would have a balance of a mess. The balancedmessage on was usually one specific network that would bail on the interview. They would literally bailon the interview because my message might not be as fearful. What the actual f you know what I mean?Like it's crazy.(?) I will say there were some good reporters. I don't want to say that that you know, there were someincredible folks. I was talking to someone the other day, I won't mention who but I think the mark of thegood reporter was, you know, they have a story, they want to talk about it. They contacted us. And theysaid, what time can we talk this week, right? They didn't say I need to get this filed in three hours. If yousay you need to get this filed in three hours, the expert you're gonna go to is the one that's available inthe next three hours, right? They wanted to hear an opinion, they wanted to get multiple opinions onthe table, but they would carve out the time so that everyone could give their story or, what theiropinion was or what evidence they presented. They made sure it rotated around the experts rather thanthe story rotating around being filed. I think it's important and, you know, you can get a sense of certainthings that are on the need to be filed this day, or even on the 24/7 news cycle, where they may not beas well researched, they're they're a single opinion. They're quoting a Twitter tweet. Now, I think insome of these media platforms, you can just embed that Twitter tweet, you don't even have to, youknow, quote it in that sense, you just basically take a screenshot of it basically. Versus again, thosearticles where I think there was there more thought, and I think there were some great reporters inCanada, that really did go above and beyond. Health reporters, particularly that really did try to presenta picture that was well researched, and evidence based, you know, with what's available, but therecertainly are these issues and it's not a COVID specific issue, but with media ad reporting, in that sense.Yeah, it's and it's important to say like, it's not actually just the reporter, it's the editors, its editorialteams, like I had said, OTR discussions with reporters very early on, I've tried to stay away from themedia, because I think the folks who have done it, I've done it well. But it was interesting, because BobSargent, who sadly passed away, an internal medicine physician, and an amazing mentor to manyclinicians in Toronto. Put me in touch with a couple of reporters. He's like, you know, you're a publichealth person, you should really talk to these reports. We had this; can we talk to you privately? It wasso weird. This was summer of 2020. So, we had a very private discussion where I said ‘Listen, I haveconcerns about lockdowns for like, these reasons' I think it's reasoned, because it's not it, I've got noconspiracy to drive, like, I've got no, there's no angle in any of it. So, but it was just fascinating. So, theywere like we might be able to come back to you, and maybe we'll try to do a story around it. Then theycame back and said, we're not going to be able to pursue it. I said that's fine. It's no problem. It just sortof showed that I think, similar as academics, and clinicians, and all of us have been under pressure basedon everything from like CPSO complaints, the complaints to our employers, to whatever to just saw, youknow, the standard attacks on Twitter. I think there was also a lot of pressure on reporters based on thiswhole structure, and of it. So I think, I don't mean to disparage anybody, but I do think the point thatyou made is really important one is. I'll just say, in our own house, you know, my wife and I both werelike talking at the beginning of this and being like, what do we want to know that we did during thistime? So, my wife worked in person, as a clinician alter her practice all throughout her pregnancy? Shenever didn't go, you know, she did call she did all of that, obviously, I have done the work I've done interms of both clinically and vaccine related testing. But this just idea of like, what do you want toremember about the time that you would like what you did when s**t hit the fan? And, you know,because first, it'll happen again, but just also, I think it's important to sort of, to be able to reflect andthink positively about what you did. Anyways,KK: I hear you both, part of it, too, for me, I'll just straight up honesty. In some ways, I'm just pissed, I'mpissed that a lot of the efforts that were that a lot of people put into to try and get a good message outthere. The backlash. Now people reflecting saying, ‘Oh, I guess you did, you know, many of you do tohad a good point about lockdowns not working out'. I know it may be childish in some way, but it's just,you know, a lot of us have gone through a lot to just try and create a balanced approach. I think therewas a little bit of edge in this voice, but I think it comes with a bit of a bit of reason to have a bit of edge.I think in terms of the next couple questions here are areas to focus on. A lot of people in terms of like,decisions regarding mandates, boosters, and so forth, like we talk a lot about it on public health, it's thedata that helps drive decisions, right. That's really what you would think it should be all about. So, one ofthe many questions that were thrown to us, when we announced that this was happening was, the needfor like, almost like universal boosters, and Sumon, I'll put you on the spot there, at this stage in thepandemic, where I'm gonna timestamp this for people on audio, we're on January 10th, 2023. There aresome questions that we get, who really needs to push through to we all need boosters? What's yourthoughts on that?SC: So, I think that one of the things that I said this, as Zain makes fun of me throughout the pandemic, Icame up with catchphrases, and my one for immunity is the way that we've conceptualized immunity inNorth America. I think a lot of this has to do with an actual graphic from the CDC, which likens immunityto an iPhone or a battery, iPhone battery. So, iPhone immunity, where you have to constantly berecharging and updating. I think that has kind of bled into the messaging. That's what we think of it. Iremember back in I think it was October of 2021, where they were also starting to talk about the thirddose. The third dose, I think that at that time, we knew that for the higher risk people, it was probablythe people who would benefit the most from it. We had Ontario data from it was I think, was ISIS.There's vaccine efficacy against hospitalization, over 96% in Ontario in health care workers 99%, if you'reless than seventy-seven years of age, yet this went out, and everybody felt like they had to get thebooster. So, I think that the first thing that bothered me about that is that there wasn't a kind ofstratified look at the risk level and who needs it? So now we're in 2023. I think that one of the big thingsapart from what I said, you know, who's at higher risk, there's still this problem where people think thatevery six months, I need to recharge my immunity, which certainly isn't true. There wasn't a recognitionthat being exposed to COVID itself is providing you a very robust immunity against severe disease, whichis kind of it's coming out now. We've been we've all been talking about it for a long time. And you know,the other thing is that the disease itself has changed. I think that I heard this awesome expression, thefirst pass effect. So, when the COVID first came through a completely immune naive population, ofcourse, we saw death and morbidity, we saw all the other bad stuff, the rare stuff that COVIDencephalitis COVID GB GBS tons of ECMO, like 40-year old's dying. With each subsequent wave asimmunity started to accrue in the population, that didn't happen. Now we're at a different variant. Andthe thing is, do we even need to be doing widespread vaccination when you're with current variant, andyou can't be thinking about what we saw in 2021. So, putting that now, all together, we have as Zanementioned, seroprevalence, about almost 100%, you have people that are well protected against severedisease, most of the population, you have a variant that absolutely can make people sick. And yes, it cankill people. But for those of us who work on the front line, that looks very different on the on the frontlines. So, I really think that we should take a step back and say, number one: I don't think that thebooster is needed for everybody. I think number two: there are under a certain age, probably 55 andhealthy, who probably don't need any further vaccination, or at least until we have more data. Numberthree: before we make a widespread recommendation for the population. We have time now we're notin the emergency phase anymore. I really hope that we get more RCT data over the long term to seewho is it that needs the vaccine, if at all. And you know, who benefits from it. And let's continue toaccrue this data with time.KK: Thanks Sumon. Zain, are you on the along the same lines assume on in terms of who needs boostersand who doesn't?ZC: Yeah, I mean, I think number one: is the recognition that prior infection and hybrid immunityprobably are incredibly adequate. Again, people like Paul Offit, and we're not just talking about youknow, experts like us. These are people that are sitting on the FDA Advisory Committee, a man thatactually made vaccines in the United States, you know, that talks about the limitations of boosters andprobably three doses being you know, The peak of the series for most people, and even then, you know,two plus infection probably is enough is three or even one plus infection, the data may suggest maybe isas high as three. Yeah, I think, again, this is one of these things that gets diluted as it starts going downthe chain, if you actually look at the Nazi guidance for, you know, bi-Vaillant vaccines, it's actuallyincorporates a ‘should' and a ‘can consider' in all of this, so they talked about vulnerable individuals,elderly individuals should get a booster where there may be some benefits in that population, the restof the population can consider a booster in that sense, right. And I think as the boosters came out, andagain, you know, people started jumping on them, it came to everyone needs their booster. Andunfortunately, the messaging in the United States is perpetuated that quite a bit with this iPhonecharging thing, Biden tweeting that everyone over the age of six months needs a booster. Again, wereally do have to reflect on the population that we're going at. Ultimately, again, if you start pressing theissue too much in the wrong populations, you know, the uptake is, is showing itself, right, the peoplewho wanted their bi-Vaillant vaccine got it. Thankfully the right populations are being incentivized,especially in the elderly, and the very elderly, and the high risk. Uptake in most other populations hasbeen relatively low. So, people are making their decisions based on based on what they know. Again,they feel that that hesitation and what is this going to benefit me? and I think as Sumon said, theconfidence is going to be restored when we have better data. We're in a phase now where we can docluster randomized RCTs in low-risk populations and show it If you want the vaccine, you enter into acluster randomized RCT, if you're in a low-risk population, match you one to one with placebo. You wecan tell you if you got, you know, what your prognosis was at the end of the day, and that information isgoing to be important for us. I don't think that policy of boosting twice a year, or once a year is gonnaget people on the bus, every booster seems like people are getting off the bus more and more. So, wereally do have to have compelling information. Now, as we're bringing these out to start saying, youknow, is this a necessity? especially in low-risk populations? How much of a necessity is that? How muchdo you quantify it in that sense? And again, recognizing that, that people are being infected? Now, thatadds another twist in that sense.KK: Yeah, and we'll talk a little bit about public trust in a bit here. But Stef, you were among someauthors that did an essay on the booster mandates for university students. As we've both alluded toZain, and Sumon there's this need to be stratified. From an RCT booster point of view that we're not wellestablished here. When Stef's group looked at university mandates and potential harm, when we'redoing an actual cost benefit ratio there, their conclusion was that there's more room for harm thanbenefits. So, Stef I want you to speak to that paper a bit.SB: Sure. So, I will say this, I don't actually have much to add other than what Zain and Sumon said. Runa vaccine program we are offering, you know, doses as it makes sense for folks who are particularlyimmunocompromised, multiple comorbidities and remain at risk for serious consequences related toCOVID-19. We'll continue doing that. And that will, you know, get integrated, by the way into like, sortof a vaccine preventable disease program, so offering, shingles, Pneumovax, influenza COVID. And alsowe want to do a broader in terms of other hepatitis vaccines, etc. That aside, so this, this isn't about, youknow, that it was really interesting being called antivax by folks who have never gotten close to avaccine, other than being pricked by one. Having delivered literally 1000s of doses of vaccine, so it'salmost it's a joke, right? but it's an effective thing of like shutting down conversation. That aside, I thinkthere's a few things at play one as it related to that paper. I find it really interesting, particularly foryoung people, when people are like, listen, yes, they had a little bit of like, inflammation of their heart,but it's self-resolving and self-limiting, and they're gonna be fine. You don't know that. Maybe sure we'llsee what happens with these folks twenty years later. The reality is for younger men, particularly, thishappens to be a very gender dynamic. For younger men, particularly, there seems to be a dynamicwhere they are at risk of myocarditis. I don't know whether that's a controversy in any other era for anyother disease, this would not be a controversy would just be more of a factual statement, the data wereclearer in I'd say, probably April, May 2021. I think there's lots of things we could have done, we couldhave done one dose series for people who had been previously infected, we could have stopped at two.There are a million different versions of what we could have done, none of which we actually did. In thecontext of mandating boosters now for young people, including at my institution, you were mandated toget a booster, or you would no longer be working. So obviously, I got one. There's a real dynamic ofwhat is it your goal at that point? because probably about 1011 months into the vaccine programbecame increasingly clear. You can still get COVID. Nobody's surprised by that. That was clear even fromthe data. By the way, wasn't even studied. I mean, Pfizer, the way if you just look at the Pfizer, Moderna,trials, none and look to see whether you got COVID or not, they were just looking at symptomaticdisease. That aside, I think that it just became this clear thing where for younger men, one or two doseswas plenty and it seems to be that as you accumulate doses for those folks, particularly, it's alsoimportant, if somebody had a bad myocarditis, they're not even getting a third dose. So, you're alreadyselecting out, you know, some of these folks, but you are starting to see increased levels of harm, as itrelated to hospitalization. That what we basically did, there was a very simple analysis of looking ataverted hospitalization, either way, many people say that's the wrong metric. You can pick whatevermetric you want. That's the metric we picked when terms of hospitalization related to side effects of thevaccine versus benefits. What it just showed was that for people under the age of 30, you just don't seea benefit at that point, as compared to harm that's totally in fundamentally different. We weren't talkingabout the primary series, and we weren't talking about older folks. So indeed, I think, you know, thatwas that was I don't know why it was it was particularly controversial. We it was a follow up piece tomandates in general. I'll just say like, I've been running this vaccine program, I don't think mandateshave made my life easier at all. I know, there's like this common narrative of like mandates, you know,mandates work mandates work. I think at some point, and I'll just say our own study of this is like we'rereally going to have to ask two questions. One: what it mandates really get us in terms of a burdenCOVID-19, morbidity, mortality? and two: this is an important one for me. What if we caught ourselvesin terms of how much pressure we put on people, as it relates to vaccines right now, in general? Thevery common narrative that I'm getting is they're like, oh, the anti Vax is the anti Vax folks are winning.And people don't want their standard vaccines, and we're getting less uptake of like, MMR andstandard, you know, kind of childhood vaccines, I have a different opinion. I really do at least I believesome proportion of this, I don't know what proportion, it's some proportion, it's just like people beingpushed so hard, about COVID-19 vaccines that they literally don't want to be approached about anyvaccine in general. So, I just think that with in public health, there's always a cost. Part of the decisionmaking in public health as it relates to clinical medicine too. It's like you give a medication, theadvantage and then you know, the disadvantages, side effects of that medication. In public health, thereare side effects of our decisions that are sometimes anticipated and sometimes avoidable, sometimescan't be anticipated and sometimes can't be avoided. You have to kind of really give thought to each ofthem before you enact this policy or you might cost more health outcomes, then then you're actuallygaining by implementing it.KK: Yeah, number one: What was spooky to me is like even mentioning, I was afraid even to use a termmyocarditis at times. The worst part is, as you said, stuff, it's young folk that were alluding to, and for usto not be able to say, let's look at the harm and benefit in a group that's low risk was baffling. It reallywas baffling that and I'm glad we're at least more open to that now. Certainly, that's why I thought thatthe paper that you guys put together was so important because it's in the medical literature that we'reshowing, objectively what the cost benefit of some of these approaches are. Sumon: when you think ofmandates and public trust, that Stef was kind of alluding to like, every decision that we madethroughout this thing. Also has a downside, also has a cost, as Stef was mentioning. Where do you thinkwe are? In terms of the public trust? Talking about how the childhood vaccines are lower. I don't knowwhat influenza vaccine rates are like now, I wouldn't be surprised if they're the same standard, but whoknows them where they're at, currently. Based on your perspective, what do you think the public trust isright now?SC: Yeah, as physicians, we obviously still do have a lot of trust in the people we take care of. People arestill coming to see us. I wish they didn't have to because everyone was healthy but that's not the case. Ido think that over the last two and a half, we're coming up on three years, I guess right now, that peoplethat we have burned a lot of trust, I think that mandates were part of it. I do think that some of it wasunavoidable. It's just that there's a lot of uncertainty. There was back and forth. I think that one thingthat were that concern me on social media was that a lot of professionals are airing their dirty laundry tothe public. You could see these in fights, that doesn't, that's not really a good thing. We saw peoplebeing very derisive towards people who were not listening to the public health rules. You know what Imean? There's a lot of that kind of talk of othering. Yeah, I think that that certainly overtime, erodedpublic trust, that will take a long time to get back, if we do get it back. I think that the bottom line is that,I get that there are times that we have to do certain things, when you have a unknown pathogen comingat you, when you don't really know much about it. I do think that you want to do the greatest good forthe, for the population or again, you always must remember as Stefan alludes to the cost of what you'redoing. I do think that we could have done that much early on. For example, Ontario, we were lockeddown in some areas, Ontario, GTA, we were locked down in some regard for almost a year and a half. Ifyou guys remember, there was that debate on opening bars and restaurants before schools. It's just like,I remember shaking my head is, look, I get it, I know you guys are talking about people are going to beeating a burger before kids can go to school, that might ruin everything. But the problem is, is that youmust remember that restaurant is owned by someone that small gym is someone's livelihood, you'remoralizing over what this is, but in the end, it's the way somebody puts food on the table. For a yearand a half, we didn't let especially small businesses do that. I'm no economist, but I had many familymembers and friends who are impacted by this. Two of my friends unfortunately, committed suicideover this. So, you know, we had a lot of impact outside of the of the things that we did that hurt people,and certainly the trust will have to be regained over the long term.KK: It's gonna take work. I think, for me, honestly, it's, it's just about being transparent. I honestly, I putmyself in some in the shoes of the public and I just want to hear the truth. If we're not sure aboutsomething, that's okay. We're gonna weigh the evidence and this is our suggestion. This is why we'resaying this, could we be wrong? Yes, we could be wrong but this is what we think is the best pathforward, and people could get behind that. I honestly feel like people could get behind that showing alittle bit of vulnerability and saying ‘you know, we're not know it alls here' but this is what our beststrategy is based on our viewpoint on the best strategy based on the data that we have in front of usand just be open. Allowing for open dialogue and not squash it not have that dichotomous thinking ofyou're on one side, you're on the other. You're anti vax, you're pro vax, stop with the labels. You know,it's just it got crazy, and just was not a safe environment for dialogue. And how are you supposed to he'ssupposed to advance.SB: Yeah, I do want to say something given this this is this idea of our swan song. I think there was thissort of feeling like, you know, people were like ‘you gotta act hard, you gotta move fast' So I thinkeverybody on this, you guys all know I travel a lot. I like to think of myself as a traveler. In the early2020's I did like a COVID tour, I was in Japan in February, then I was in Thailand, and everywhere Ilanded, there were like, COVID here, COVID here, COVID here. Then finally, I like got home at the end ofFebruary, and I was supposed to be home for like four days, and then take off. Obviously things got shutdown. It was like obvious like COVID was the whole world had COVID by, February, there may have beena time to shut down this pandemic in September 2019. Do you know what I mean? by November 2019,we had cases. They've already seen some and Canadian Blood Services done some showing someserological evidence already at that time. There was no shutting it down. This thing's gonna suck. Thereality is promising that you can eliminate this thing by like, enacting these really like arbitrary that canonly be described as arbitrary. Shutting the border to voluntary travel, but not to truckers. Everythingfelt so arbitrary. So, when you talk about trust, if you can't explain it, if you're a good person do it. If youdon't do it, your white supremacist. Kwadwo you were part of a group that was called ‘Urgency ofNormal' you are a white supremacist. It's so ridiculous. You know what I mean? It creates this dynamicwhere you can't have any meaningful conversation. So, I really worry, unless we can start having somereally meaningful conversations, not just with folks that we agree with. Obviously, I deeply respect whateach of you have done throughout this pandemic, not just actually about what you say, but really whatyou've done. Put yourselves out there with your families in front of this thing. That aside, if we can't dothat, we will be no better off. We will go right back. People will be like ‘Oh, next pandemic, well, let'sjust get ready to lock down' but did we accomplish anything in our lock downs? I actually don't think wedid. I really don't think we got anything positive out our lock downs, and I might be alone in that. I mightbe wrong, butut that said it needs to be investigated and in a really meaningful way to answer that,before it becomes assume that acting hard and acting fast and all these b******t slogans are the truthand they'd become the truth and they become fact. All without any really meaningful evidencesupporting them.KK: I gotta say, I'll get you Sumon next here, but I gotta say the idea of abandoning logic, I think that'sthat's a key point there. Think about what we're doing in restaurants, folks. Okay, you would literallywear your mask to sit down, take off that bloody thing. Eat, chat, smooch even, I mean, and then put itback on and go in the bathroom and think this is meaningful. Where's the logic there? You're on a plane,you're gonna drink something, you're on a six hour flight, you know what I'm saying.(?) During the lockdown, by the way, you're sending like 20 Uber drivers to stand point. If you ever wentand picked up food, you would see these folks. It'd be like crowding the busy restaurants all like standingin there, like arguing which orders theirs, you know what I mean? then like people waiting for the foodto show up.KK: I mean, that's the other point. The part that people forget with the lockdowns, tons of people willwork. I'm in Ottawa, where 70% are, could stay home, right? That's a unique city. That's why we werevery sheltered from this bad boy.(?) Aren't they still fighting going back to the office?KK: Oh, my God. Folks, I'm sorry. Yeah, it's like 70% could stay home, but you're in GTA your area. That'sa lot of essential workers. You don't have that option. So, how's this lockdown? Really looking at the bigpicture? Anyway, sorry. Sumon you're gonna hit it up.SC: We just wanted to add one anecdote. I just think it kind of talks about all this is that, you know therewas a time when this thing started going to 2020. Stefan, I think you and I met online around that time.You put a couple of seeds after I was reading stuff, like you know about the idea of, you know, risktransfer risk being downloaded to other people. That's sort of kind of think of a you know, what, like,you know, a people that are working in the manufacturing industry, you're not going to receive them alot unless you live in a place like Brampton or northwest Toronto, where the manufacturing hub of, ofOntario and in many cases, central eastern Canada is right. So, I remember in, I was already starting touse this doing anything. And when I was in, I guess it would have been the second wave when it was itwas pretty bad one, I just kept seeing factory worker after factory worker, but then the thing that stuckout was tons of Amazon workers. So, I asked one of them, tell me something like, why are there so manyAmazon workers? Like are you guys? Is there a lot of sick people working that kind of thing? Inretrospect, it was very naive question. What that one woman told me that her face is burned into mymemory, she told me she goes, ‘Look, you know, every time a lockdown is called, or something happenslike that, what ends up happening is that the orders triple. So, then we end up working double and tripleshifts, and we all get COVID' That was just a light went off. I was like, excuse my language, guys, but holys**t, we're basically taking all this risk for people that can like what was it called a ‘laptop class' that canstay home and order all this stuff. Meanwhile, all that risk was going down to all these people, and I wasseeing it one, after another, after another, after another. I'm not sure if you guys saw that much, but Iwas in Mississauga, that's the hardest, Peele where the manufacturing industry is every single peanutfactory, the sheet metal, I just saw all of them. That I think was the kind of thing that turned me andrealize that we what we'll be doing. I'll shut up.ZC: Yeah, I would say I mean, I think Stefan and Sumon make great points. You know, I think that thatwas very apparent at the beginning. The other thing I would say is 2021 to 2022. Things like vaccinationand public health measures fell along political lines. That was a huge mistake. It was devastating. Iremember back to the first snap election in 2021. Initially great video of all the political partiesencouraging vaccination and putting their differences aside. Then all of a sudden, it became mudslingingabout how much public health measure you're willing to do, how much you're willing to invest in, andit's not a Canadian phenomenon. We saw this in the United States with the Biden and Trump campaignsand the contrast between the two, and then really aligning public health views to political views, andthen, you know, really making it very uncomfortable for certain people to then express counter viewswithout being considered an alternative party. It's something we need to reflect on I think we havepublic health and public health messengers and people that are agnostic to political views but are reallythere to support the health of their populations, from a health from a societal from an emotional fromthe aspects of good health in that sense. You really can't involve politics into that, because all of asudden, then you start getting counter current messaging, and you start getting people being pushed,and you start new aligning values to views and you start saying, right and left based on what peopleconsider, where again, the science doesn't necessarily follow political direction. It was a really bigmistake, and it still is pervasive. We saw every election that happened between 2021 to 2022 is publichealth and public health messaging was embedded in each one of those and it caused more harm thangood. I think it's a big lesson from this, this is that you can be proactive for effective public healthinterventions as an individual in that society that has a role, but you can't stick it on campaigns. It reallymakes it hard to deescalate measures at that point when your campaign and your identity is tied tocertain public health measures in that sense.KK: Amen. I am cognizant of the time and so I'm gonna try to rapid fire a little bit? I think, there's only acouple points that people hit up on that we haven't touched on. There was a push for mass mandates inthe last couple months because of of RSV and influenza that was happening. It still is happening in,especially in our extreme ages, really young and really old. Any viewpoint on that, I'll leave it open toalmost to throw down.(?) I think mass mandates have been useless. I don't expect to ever folks to agree with me, it's like it's aninteresting dynamic, right? When you go and you saw folks who were on the buses, I take the bus to theairport. Our subway in Toronto just for folks only starts at like, 5:50am. So, before that, you gotta jumpon buses. So the construction workers on the bus who were wearing masks during the when the maskmandates were on taking this what's called, it's like the construction line, because it goes down Bloorare basically and takes all the construction workers from Scarborough, before the subway line, get todowntown to do all the construction and build all the stuff that you know, is being built right now.Everyone is wearing this useless cloth mask. It's like probably the one thing that the anti-maskers who Ithink I probably am one at this point. The pro-maskers and all maskers can agree on is that cloth masksare useless. That's what 100% of these folks are wearing. They're wearing these reusable cloth masksthat are like barely on their face often blow their nose. So, to me, it's not so much about like, what couldthis intervention achieve, if done perfectly like saying the study you were involved with the help lead,it's like everybody's like, but all of them got COVID outside of the health care system, they didn't get itwhen they're wearing their N95. That's like, but that's the point, like public health interventions live ordie or succeed or fail in the real world. I was seeing the real world, I would love to take a photo but Idon't think these folks have been friendly to me taking a photo of them, but it was 100%, cloth masks ofall these folks in the morning all crowded, like we're literally like person to person on this bus. It's like aperfect, you know, vehicle for massive transmission. I just I just sort of put that forward of like, that'swhat a mask mandate does to me. I think to the person sitting at home calling for them, they are justimagining, they're like ‘Oh but the government should do this'. But they didn't. The government shouldbe handing out in N95's. How are you going to police them wearing a N95's and how are you gettingthem? It would be so hard to make a massive program work. I would say it's like if you gave me millionsand millions and millions of dollars, for me to design a mass program, I don't know, maybe I could pull itoff you really with an endless budget. But for what? So, I just think that like as these programs went outin the real world, I think they did nothing but burn people's energy. You know because some people itjust turns out don't like wearing a mask. Shocking to other folks. They just don't like wearing a mask.Last thing I'll say is that just as they play it out in the real world, I think we're functionally useless, otherthan burning people's energy. I'm a fervent anti masker at this point because it's just an insult to publichealth. To me everything I've trained in and everything I've worked towards, just saying these two wordsmask mandate, as the fix. That is an insult to the very thing that I want to spend my life doing .ZC: Yeah, I mean, three points, one: you know, masks are still important in clinical settings. I think we allunderstand that. We've been doing them before we've been continuing to do them. So I you know,that's one piece. Second: I mean, to go with the point that was raised here, you know, the best study wehave is Bangladesh, right? 10% relative risk reduction. It's interesting when you read the Bangladeshstudy, because with community kind of people that pump up masking that are really trying to educateand probably are also there to mask compliance. Mask's compliance people, you get to 54% compliance,when those people leave compliance drops significantly. Right. You know, I think you have to just lookaround and see what happened in this last few months, regardless of the messaging. Maybe it's thecommunities I'm in, but I didn't see mass compliance change significantly, maybe about 5%. In thecontext of the last couple of months. You must understand the value of this public health intervention,Bangladesh has actually a nice insight, not only into what we think the community based optimalmasking efficacy is, but also the fact that you really have to continue to enforce, enforce, enforce,enforce, in order to get to that even 10%. Without that enforcement, you're not getting anywhere inthat sense. That probably spells that it's probably a very poor long term public health intervention in thecontext that you really must pump it week by week by week by week in order to actually get compliancethat may actually then give you the effects that you see in a cluster randomized control trial. Again, youknow, the world we live in is showing that people don't want to mask normally. Some people can, i
Dr. Stefan Baral is a family and community medicine physician in Ontario, Canada. Dr. Stefan Baral has seen firsthand what COVID has done to Ontario's most vulnerable populations; he recorded this podcast while working on a shift in a shelter. This podcast is an evidence-based discussion on COVID, why our most vulnerable and low-income populations have suffered the most, what we've done wrong, and how we can improve decision-making in the future.
Dr. Stefan Baral is a family and community medicine physician in Ontario, Canada. Dr. Stefan Baral has seen firsthand what COVID has done to Ontario's most vulnerable populations; he recorded this podcast while working on a shift in a shelter. This podcast is an evidence-based discussion on COVID, why our most vulnerable and low-income populations have suffered the most, what we've done wrong, and how we can improve decision-making in the future.
Dr. Stefan Baral is a physician epidemiologist and a Professor in the Department of Epidemiology at the Johns Hopkins School of Public Health. Dr. Baral is encouraging parents to keep kids home when they're sick, but to avoid any other restrictions in our schools.
Dr. Stefan Baral is a physician epidemiologist and a Professor in the Department of Epidemiology at the Johns Hopkins School of Public Health. Dr. Baral is encouraging parents to keep kids home when they're sick, but to avoid any other restrictions in our schools.
Season 15, Episode 17: Brew Session (Haughty Djinn) + Flashback (Soul of Windgrace, Tolarian Terror) Cost reduction creatures are incredibly dangerous. Modern players know that Baral, Chief of Compliance and Goblin Electromancer must be killed on sight. If your opponent untaps with a cost reducer, you will surely be buried beneath an avalanche of spells. Still, it's not so hard to kill a 2/2 or 1/3. Electromancer isn't scaring anyone in the red zone, and Baral has skipped leg day every day of his life. For most of Magic's history, phenomenal cost reduction also means itty bitty power and toughness. But all that is about to change. Haughty Djinn is a cost reduction creature that slaps HARD. We're talking Enigma Drake, Crackling Drake, massive one-hit-kill territory. To be sure, Drakes also need to be killed on sight, so there's not a huge change on that front. But we've never seen cost reduction paired with such impressive power and toughness, on a flyer no less. This is a rare combination and a dream worth chasing. David has some ideas for Haughty Djinn in Pioneer, and Cavedan is dusting off the spellbook to find the best instants and sorceries to feed the genie. Will this be the Djinn that grants all of our wishes? There's only one way to find out. **** Like our content? Support us on Patreon and join our brewing community! **** Decklists for this episode can be viewed at FaithlessBrewing.com **** Decklists and Timestamps [2:19] Housekeeping [5:12] Brew Session: Haughty Djinn [8:02] Building around cost reduction [11:43] Theat packages [13:30] Key synergies [18:53] David's Izzet Djinn [24:05] David's Dimir Flying [37:28] Flashback: Soul of Windgrace, Tolarian Terror [38:24] David's Jund Titan Ramp [47:55] Dimir Terror by erbianchuibeifang
Season 15, Episode 17: Brew Session (Haughty Djinn) + Flashback (Soul of Windgrace, Tolarian Terror) Cost reduction creatures are incredibly dangerous. Modern players know that Baral, Chief of Compliance and Goblin Electromancer must be killed on sight. If your opponent untaps with a cost reducer, you will surely be buried beneath an avalanche of spells. Still, it's not so hard to kill a 2/2 or 1/3. Electromancer isn't scaring anyone in the red zone, and Baral has skipped leg day every day of his life. For most of Magic's history, phenomenal cost reduction also means itty bitty power and toughness. But all that is about to change. Haughty Djinn is a cost reduction creature that slaps HARD. We're talking Enigma Drake, Crackling Drake, massive one-hit-kill territory. To be sure, Drakes also need to be killed on sight, so there's not a huge change on that front. But we've never seen cost reduction paired with such impressive power and toughness, on a flyer no less. This is a rare combination and a dream worth chasing. David has some ideas for Haughty Djinn in Pioneer, and Cavedan is dusting off the spellbook to find the best instants and sorceries to feed the genie. Will this be the Djinn that grants all of our wishes? There's only one way to find out. **** Like our content? Support us on Patreon and join our brewing community! **** Decklists for this episode can be viewed at FaithlessBrewing.com **** Decklists and Timestamps [2:19] Housekeeping [5:12] Brew Session: Haughty Djinn [8:02] Building around cost reduction [11:43] Theat packages [13:30] Key synergies [18:53] David's Izzet Djinn [24:05] David's Dimir Flying [37:28] Flashback: Soul of Windgrace, Tolarian Terror [38:24] David's Jund Titan Ramp [47:55] Dimir Terror by erbianchuibeifang
Gjør deg klar til en praksis relatert til bevissthetssenteret, Ajna chakra. Finn frem det du trenger for å sitte godt, eventuelt et pledd for å holde på varmen. I tratak-praksis lar vi blikket hvile på et objekt foran oss, det kan være en stein, en blomst eller noe annet fra naturen. Det kan også være flammen i et stearinlys eller bilde av noen som betyr mye for deg. Plasser objektet du skal meditere på ca en armlengdes avstand fra kroppen og i øyenhøyde. Kontra-indikasjoner for tratak er om du er veldig nærsynt, har skjeve hornhinner eller grå stær. Gjelder en av disse deg, eller om du er blind, kan du fint følge instruksjonene i øvelsen -bare uten å bruke synet. I delen der det blir instruert å la blikket hvile på objektet foran deg beholder du øynene lukket igjen og ser for deg et lysende punkt. Nettsiden for episoden med illustrasjon av Ajna: anahatayoga.no/chakra Vil du være med meg på yogaferie til fjells neste påske? Tidlig-ute fordel ved påmelding nå i august! Da får du et stort påskeegg på rommet med yogiske overraskelser ved ankomst. Har du hørt historien om Baral? Han er en yogi fra India som kom til Norge i 1914, slo seg etterhvert ned i Alvdal og ble kjent som vismannen på Tronfjell. Han døde i 1945 og etterlot seg en visjon om et fredsuniversitet. De som nå driver Tronsvangen Seter jobber videre med universitetet for fred og med dette som bakteppe har vi anledning til å få en unik yogapåske i fjellet. --- Send in a voice message: https://anchor.fm/anahatayoga/message
Let's face it, there are a thousand distractions we run into every day as we try to get our work done. Some of those distractions are unavoidable, others are self-sabotage, like scrolling on your phone when you're in the middle of a project. Our guest this week is Gail Baral, a business strategist, mindset coach, spiritual guide, and the founder of The Productivity Space. Through her experience and strategies, Gail helps people double, triple, or even quadruple their productivity. She shares tips on how to fight distractionsGal shows us why it's important to reframe the way we think about our tasks and responsibilities.If you've ever found yourself wondering where your time went Why we don't look forward to doing the things we're great at.Check out Gail's website here: www.theproductivityspace.com See acast.com/privacy for privacy and opt-out information.
Gina and Shashwat talk to Kayla Baral on her experiences with network marketing. Kayla talks about how she got involved with Arbonne products and how that quickly turned into a major part of her life. She discusses the opportunities in network marketing, how it actually works, and what that opportunity has meant for her life.
I'm sure you hear the saying all the time: Life is in the journey, not the destination. But what does that actually mean? Our guests today, Gail Baral, Aimee DeBaun, and Keith Byam, give us tips on how to listen to one's heart and the sound of that inner voice. They share how they've discovered that chasing success isn't all that's in a day's work, but it truly comes from welcoming the bumps in the journey of life with open arms and curiosity. Enjoy the ride, fellow travelers!
Stephan Baral is the Managing Director at Porsche Digital, the sports car manufacturer's digital subsidiary in the U.S. He also heads up Marqued, an on-line venture of Porsche Digital that focuses on classic and modern-classic vehicles.
TDC Podcast Brand Of TDC Publication TDC Podcast is a show focused to bring the spotlight on rising artists, extremely talented but still not getting the hype and attention they deserve. A platform to help them reach the audience and entertain people at the same time through conversations with the artists. instagram.com/tdcpublication www.tdcpublication.com E-mail - tdcpublication@gmail.com Title -: Han mein apang hun lekin bejaan nehi hun Voice by-: Jaswalini Baral Written by -: Jaswalini Baral Instagram -:@iam_jas_ E-mail -: bjaswalini@gmailmcom Author Bio-:She is Jaswalini Baral,. She is an engineering graduate. She used to hail from Bhubaneswar city of Odisha. She is a writer by passion . She feels that emotions and feelings can be betterly expressed through poems which encourage her to write more. She has contributed her poetries for about 200 and above anthologies book. Podcast description- It's a beautiful poem describing the inner feelings of a handicapped person . The pain they suffer. But, all above that person never feels down and wants to show to the world he/she is a special version that god made. He/she is handicapped but not lifeless.
I sat down with Jim Baral just before the New Year, and we discussed his experience with colon cancer as a lynch syndrome patient, as well as the upcoming colonoscopy ESPY (colonEscapy) awards ceremony as we both walk the blue carpet for 25 plus times. Proof that we're all originally from Brooklyn. We have very similar stories and attitude about this. Jim's LA cleansing is the stuff of legend. We talk about branding and what will move the needle from a marketing standpoint, but we also talk about prioritizing especially as we've gotten older and what it's like to be living with lynch.
SOLVINGWELLNESS: An amazing wellness platform for healthcare professionalsSOLVINGWELLNESS.COMKEYNOTE SPEAKINGsolvinghealthcare.ca or kwadcast99@gmail.comBETTERHELPBetterHelp is the largest online counselling platform worldwide. They change the way people get help with facing life's challenges by providing convenient, discreet and affordable access to a licensed therapist. BetterHelp makes professional counselling available anytime, anywhere, through a computer, tablet or smartphone.Sign up today: http://betterhelp.com/solvinghealthcare and use Discount code “solvinghealthcare"Solving Healthcare Seminars & Merchandise.The full conference can be purchased for $9.99 at solvinghealthcare.ca/shopDepartment of Medicine site: https://ottawadom.ca/solving-healthcareResource Optimization Network website: www.resourceoptimizationnetwork.com/Follow us on twitter, TikTok & Instagram: @KwadcastLike our Facebook page:https://www.facebook.com/kwadcast/YouTube:https://www.youtube.com/channel/UCLmdmYzLnJeAFPufDy1ti8wBridges Over Barriers:https://t.co/jxsWRsnWwH?amp=1
SOLVINGWELLNESS: An amazing wellness platform for healthcare professionalsSOLVINGWELLNESS.COMKEYNOTE SPEAKINGsolvinghealthcare.ca or kwadcast99@gmail.comBETTERHELPBetterHelp is the largest online counselling platform worldwide. They change the way people get help with facing life's challenges by providing convenient, discreet and affordable access to a licensed therapist. BetterHelp makes professional counselling available anytime, anywhere, through a computer, tablet or smartphone.Sign up today: http://betterhelp.com/solvinghealthcare and use Discount code “solvinghealthcare"Solving Healthcare Seminars & Merchandise.The full conference can be purchased for $9.99 at solvinghealthcare.ca/shopDepartment of Medicine site: https://ottawadom.ca/solving-healthcareResource Optimization Network website: www.resourceoptimizationnetwork.com/Follow us on twitter, TikTok & Instagram: @KwadcastLike our Facebook page:https://www.facebook.com/kwadcast/YouTube:https://www.youtube.com/channel/UCLmdmYzLnJeAFPufDy1ti8wBridges Over Barriers:https://t.co/jxsWRsnWwH?amp=1
Esra Baykal'ın hazırlayıp sunduğu Zamana Kafa Tutanlar programının bu bölümünde Peyman CEO'su Kaan Baral konuğumuz oldu.
Esra Baykal'ın hazırlayıp sunduğu Zamana Kafa Tutanlar programının bu bölümünde Peyman CEO'su Kaan Baral konuğumuz oldu.
Esra Baykal'ın hazırlayıp sunduğu Zamana Kafa Tutanlar programının bu bölümünde Peyman CEO'su Kaan Baral konuğumuz oldu.
Episode-20. Jiban Rakchya 2078-04-15 {Ramji Baral & Jagadish Prasad Kusiyet}
HALLO Pforzheim! Ana und Sebastian haben in dieser Woche den Kulturmanager Gerhard Baral zu Besuch und sprechen mit ihm über das langsam wieder aufblühende Kulturleben in der Stadt aber auch über die durchaus dramatische Situation, in der sich viele Künstlerinnen und Künstler befinden. Ausserdem gibt es einige Tipps und Termine, etwa im Osterfeld, der Antoniuskierche und der Galerie ArtOrt, und der SWDKO-Chefdirigent Douglas Bostock gibt einen Ausblick auf die kommenden sechs Monate des Orchesters. Viel Spaß beim Reinhören! Unseren Kulturpodcast HALLO Pforzheim findet Ihr jeden Mittwoch neu und kostenlos überall dort, wo es Podcasts gibt. Am einfachsten über die vorinstallierte App auf Eurem Smartphone.
Quentin Tarantino is one of the most recognizable director working today. From the non-linear storylines, stylistically excessive violence, satirical subject matter and being littered with repetition he has created his own genre of cinema. Today I talk with a fellow cinephile Abinash Baral about our love for Tarantino's films. Specifically about Inglorious Basterds and it's villain Hans Landa. In the words of Lt. Aldo Raine: 'You know somethin', Listener? I think this just might be my masterpiece.' Arrivederci !! If you want to comment on the episode please send the email at: unmarriedideas@gmail.com PODCAST INFO: Apple Podcast: https://podcasts.apple.com/us/podcast/unmarried-ideas/id1501321554?uo=4 Google Podcast: https://podcasts.google.com/feed/aHR0cHM6Ly9hbmNob3IuZm0vcy8xMmY5ZWRiMC9wb2RjYXN0L3Jzcw?ep=14 Spotify: https://open.spotify.com/show/1T4c9iQGj1Muvhq9Kap8EO RSS: https://anchor.fm/s/12f9edb0/podcast/rss Overcast: https://overcast.fm/itunes1501321554/unmarried-ideas Breaker: https://www.breaker.audio/unmarried-ideas PocketCasts: https://pca.st/nsmuedcc RadioPublic: https://radiopublic.com/unmarried-ideas-WxkRYo SUPPORT & CONNECT: Facebook: Sudarshan Poudel --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app
We must have discourse regarding experimental vaccinations to be a moral society. For this reason, I will take on this controversial topic. Are we all ok with an emergency use authorization for the COVID19 vaccine for children under age 16 years old? That is a loaded question. In the British Medical Journal we see a piece written by Drs. Pegden, Prasad and Baral this week. They state: "For adults, the benefits of covid-19 vaccination are enormous, while for children they are relatively minor. Rare side effects from adult covid-19 vaccination are unlikely to lead to future vaccine hesitancy whose public health impact could be comparable to the benefits of the adult covid-19 vaccination program itself. But accelerated mass child vaccination under emergency use authorization—perhaps even spurred by school mandates and “vaccine passports”—presents a different balance of risks and benefits. The possibility that rare adverse events could emerge as the more durable public health legacy of an emergency use authorization for child covid-19 vaccines is much greater." (Pegden et. al. 2021)....... If you prefer to read the newsletter or see the references, go to https://www.salisburypediatrics.com/patient-education/dr-magryta-s-newsletter/954-volume-11-letter-23-coronavirus-update-36
Welcome to the new format of The Doers Podcast i.e. DOERS GOES OUTDOORS, where leaders from across the various spectrum share their stories about their turning points. In this series, we are pushing the boundaries with our podcast. We are going outdoors! 16 episodes & 16 distinguished guests in a never like before conversation. Hosted by Don Director, Aman Pratap Adhikary, this series is going to show the guest in a conversation like never before. We are sure there is something for every to takeaway. EPISODE 8 Guest: Anup Baral https://www.instagram.com/backstage_anup/ Host: Aman Pratap Adhikary https://www.instagram.com/aman_pratap... As always, we're a new podcast with a lot to learn so send us your thoughts, comments, and suggestions either by email (thedoers.2019@gmail.com). Development Partner - Ambe Cement High Tech Cement Gift Partner - Kayo Creative Studio Production - Viewfinder's Production Event Partner - Wedding Dreams Nepal Team Producer: Anup Ghimire https://www.instagram.com/ghimire.anup/ Production / Sound / Colorist: Astha Shrestha https://www.instagram.com/maho_astha/ Cinematographer/ Editor/ Colorist: Abhishek Khati https://www.instagram.com/abhishek_kh... Cinematographer: Sujan Ghimire https://www.instagram.com/myself_mr.s... Rojit Jung Karki https://www.instagram.com/rozitjung/?hl=en Marketing: Chandan Budhathoki https://www.instagram.com/chandan_bud... VFX / Designer: Dhananjaya Acharya(DJ) https://www.instagram.com/acharyadj/ Location: Lhakpa's Chulo (Jhamsikhel) Catch us on other social media for more: Facebook: https://www.facebook.com/thedoersnepal Instagram: https://www.instagram.com/thedoersnepal LinkedIn: https://www.linkedin.com/company/thed... Twitter: https://www.twitter.com/thedoersnepal TikTok: https://www.tiktok.com/thedoersnepal Visit our Website: www.thedoresnepal.com The Doers Nepal, Get Inspired. Be a Doer.
This episdoe is a bit of a hybrid between our standard performance episodes and a clinical one. We speak to Dr Randolph Baral, who owns and works in a feline-only practice in Sydney, Australia. But Randolph doesn't just like staying up to date with what's new for his patients - he prefers to stay at the forefront by doing his own research. This has led to him gaining his memberships feline medicine, a pHD in clinical pathology, being a regular contributor on VIN, and authoring a string of publications and articles on all things clin path. We talk to Randolph about the benefits of niche practice and about being a researcher while also being a clinician and practice owner, but the bulk of our conversation is around Randolph's insights around his pet topic: variation in blood results, how we interpret our blood results, and more specifically BETTER ways of thinking about our results. Now, a quick word of warning - some of the things Randolph talks about might hurt your brain a bit when you first hear them, but I guarantee that once they click into place you'll wonder how it is that you never thought about things in this way. This episode is supported by Heska Australia. https://www.heska.com.au Heska is the most exciting new player in the in-house lab equipment market in Australia. They offer top of the line machines and proven reliable results, but with significantly reduced spend on consumables, with savings of 30% or more compared to other dry-slide analysers. Pay less, get more, no tricks. Go to https://thevetvault.com/podcasts/ for the show notes, to get your hands on the answers to ‘the one question' from our first 20 guests, and to check out our guests' favourite books, podcasts and everything else we talk about in the show. If you want to lift your clinical game, subscribe to our clinical podcast series at https://vvn.supercast.tech for weekly short and sharp high value clinical updates that you can consume on the go. We love to hear from you. If you have a question for us or you'd like to give us some feedback please leave us a voice message by going to our episode page on the anchor app (https://anchor.fm) and hitting the record button, via email at thevetvaultpodcast@gmail.com, or just catch up with us on instagram. (https://www.instagram.com/thevetvault/) If you like what you heard then please share the love by clicking on the share button wherever you're listening and sending a link to someone who you know will enjoy listening. --- Send in a voice message: https://anchor.fm/vet-vault/message
Kaldheim Season, Episode 9: Birgi, God of Storytelling // Harnfel, Horn of BountyWhen evaluating new cards, a quick hack is to look for anything that cheats on mana. These are the cards that can really do something special. Cheating out a 7 mana Tibalt? Yep, that tracks. Fistfuls of Treasure off Magda? Sign us up.This week continues that trend. Birgi, God of Storytelling is a cost reducer dialed up to 11. Her front face resembles Baral, Chief of Compliance or Goblin Electromancer: mana engines that scale the more spells you cast. But Birgi is even more generous. Cards that cost 1 are completely free, and cards that cost zero actually send up you mana. Mishra’s Bauble becomes a ritual; Mox Amber becomes Seething Song.Once you have this much mana, all you’re looking for is a source of cards. Birgi makes this easy as you please: just flip the card over and you have Harnfel, Horn of Bounty, a multi-use Magmatic Channeler that trades each card in your hand for two fresh ones. Standard players learned to fear the pairing of Runaway Steam-Kin and Experimental Frenzy; Birgi gives you both effects on the same card.All told, Birgi is shockingly open-ended, capable of supporting existing engine decks or perhaps spawning new archetypes all her own. We’ve got seven lists to test across multiple formats, so let’s see what Birgi can do! View decklists for this episode at FaithlessBrewing.com Decklists for Birgi // HarnfelSketch 1: Boros Showdown StormSketch 2: Temur Artifact RampSketch 3: Pioneer Song of CreationSketch 4: Modern Birgi SongSketch 5: Birgi Grinding Breach by Nilsfit (5-0 league)Sketch 6: UR ProwessSketch 7: Birgi Waste NotFlashback: Magda, Brazen OutlawMagda Jeskai Ascendancy: 1-4 leagueTemur Treasures: 0-4 leagueJeskai Dwarf Tempo: 2-3 leagueAura of Dominion Combo: 2-3 league Like our content? Become a supporter and join the Faithless Family! https://patreon.com/faithlessbrewing
Kaldheim Season, Episode 9: Birgi, God of Storytelling // Harnfel, Horn of BountyWhen evaluating new cards, a quick hack is to look for anything that cheats on mana. These are the cards that can really do something special. Cheating out a 7 mana Tibalt? Yep, that tracks. Fistfuls of Treasure off Magda? Sign us up.This week continues that trend. Birgi, God of Storytelling is a cost reducer dialed up to 11. Her front face resembles Baral, Chief of Compliance or Goblin Electromancer: mana engines that scale the more spells you cast. But Birgi is even more generous. Cards that cost 1 are completely free, and cards that cost zero actually send up you mana. Mishra’s Bauble becomes a ritual; Mox Amber becomes Seething Song.Once you have this much mana, all you’re looking for is a source of cards. Birgi makes this easy as you please: just flip the card over and you have Harnfel, Horn of Bounty, a multi-use Magmatic Channeler that trades each card in your hand for two fresh ones. Standard players learned to fear the pairing of Runaway Steam-Kin and Experimental Frenzy; Birgi gives you both effects on the same card.All told, Birgi is shockingly open-ended, capable of supporting existing engine decks or perhaps spawning new archetypes all her own. We’ve got seven lists to test across multiple formats, so let’s see what Birgi can do! View decklists for this episode at FaithlessBrewing.com Decklists for Birgi // HarnfelSketch 1: Boros Showdown StormSketch 2: Temur Artifact RampSketch 3: Pioneer Song of CreationSketch 4: Modern Birgi SongSketch 5: Birgi Grinding Breach by Nilsfit (5-0 league)Sketch 6: UR ProwessSketch 7: Birgi Waste NotFlashback: Magda, Brazen OutlawMagda Jeskai Ascendancy: 1-4 leagueTemur Treasures: 0-4 leagueJeskai Dwarf Tempo: 2-3 leagueAura of Dominion Combo: 2-3 league Like our content? Become a supporter and join the Faithless Family! https://patreon.com/faithlessbrewing
Kaldheim Season, Episode 9: Birgi, God of Storytelling // Harnfel, Horn of BountyWhen evaluating new cards, a quick hack is to look for anything that cheats on mana. These are the cards that can really do something special. Cheating out a 7 mana Tibalt? Yep, that tracks. Fistfuls of Treasure off Magda? Sign us up.This week continues that trend. Birgi, God of Storytelling is a cost reducer dialed up to 11. Her front face resembles Baral, Chief of Compliance or Goblin Electromancer: mana engines that scale the more spells you cast. But Birgi is even more generous. Cards that cost 1 are completely free, and cards that cost zero actually send up you mana. Mishra’s Bauble becomes a ritual; Mox Amber becomes Seething Song.Once you have this much mana, all you’re looking for is a source of cards. Birgi makes this easy as you please: just flip the card over and you have Harnfel, Horn of Bounty, a multi-use Magmatic Channeler that trades each card in your hand for two fresh ones. Standard players learned to fear the pairing of Runaway Steam-Kin and Experimental Frenzy; Birgi gives you both effects on the same card.All told, Birgi is shockingly open-ended, capable of supporting existing engine decks or perhaps spawning new archetypes all her own. We’ve got seven lists to test across multiple formats, so let’s see what Birgi can do! View decklists for this episode at FaithlessBrewing.com Decklists for Birgi // HarnfelSketch 1: Boros Showdown StormSketch 2: Temur Artifact RampSketch 3: Pioneer Song of CreationSketch 4: Modern Birgi SongSketch 5: Birgi Grinding Breach by Nilsfit (5-0 league)Sketch 6: UR ProwessSketch 7: Birgi Waste NotFlashback: Magda, Brazen OutlawMagda Jeskai Ascendancy: 1-4 leagueTemur Treasures: 0-4 leagueJeskai Dwarf Tempo: 2-3 leagueAura of Dominion Combo: 2-3 league Like our content? Become a supporter and join the Faithless Family! https://patreon.com/faithlessbrewing
On today's episode we feature an in-depth interview with Dr. Julia Marcus (Associate Professor at Harvard Medical School) and Dr. Stefan Baral (Associate Professor at Johns Hopkins Bloomberg School of Public Health), two infectious disease epidemiologists, on public health messaging around COVID-19 -- what we're getting right and where we're going terribly wrong. Back us on Patreon! www.patreon.com/plenarysession Check out our YouTube channel: www.youtube.com/channel/UCUibd0E2kdF9N9e-EmIbUew
Episode NotesSign up today: http://betterhelp.com/solvinghealthcareand use Discount code “solvinghealthcare"Solving Healthcare Seminars & Merchandise.solvinghealthcare.ca/shopUse promocode kwadcast20 for 20% our seminarsProceeds will be going to Feeding Frontline Healthcare Providers:gf.me/u/xstpfkDepartment of Medicine site: https://ottawadom.ca/solving-healthcareResource Optimization Network website: www.resourceoptimizationnetwork.com/Follow us on twitter & Instagram: @KwadcastLike our Facebook page:https://www.facebook.com/kwadcast/YouTube:https://www.youtube.com/channel/UCLmdmYzLnJeAFPufDy1ti8wBridges Over Barriers:https://donate.micharity.com/education-foundation-of-ottawa/3796079647/donate?campaign=33
Tejas is a recent graduate from Northwestern, and Jessika is currently attending Washington University in St. Louis. Due to the pandemic and the social inequities that rose, they founded Compass, an SMS triaging solution to increase accessibility to preventative healthcare. In this episode, we discuss Compass's founding story, their entrepreneurship experience during undergrad, forming their team, and the future of Compass. Check out Compass: https://www.linkedin.com/company/covidcompass/ Podcast Socials: https://linktr.ee/and_this_is_how_it_started
In this episode of Inspired Conversations Amy is talking with Gail Baral about mindset, awareness and having grace in these interesting times. Gail shares what we need to be to evolve as entrepreneurs right now. She also get personal and shares how she's been evolving in her life and business in 2020. You will pick up some ideas to evolve your mindset, notice where you might be disempowering yourself and pick up some inspiration as well! Can't wait to hear what you think! Let me know by subscribing, rating and reviewing the show. Learn. Create. Thrive. www.AmySchuber.com
Sign up today: http://betterhelp.com/solvinghealthcareand use Discount code “solvinghealthcare"Solving Healthcare Merchandise.https://solving-healthcare.myshopify.com/Proceeds will be going to Feeding Frontline Healthcare Providers:gf.me/u/xstpfkDepartment of Medicine site: https://ottawadom.ca/solving-healthcareResource Optimization Network website: www.resourceoptimizationnetwork.com/Follow us on twitter & Instagram: @KwadcastLike our Facebook page:https://www.facebook.com/kwadcast/YouTube:https://www.youtube.com/channel/UCLmdmYzLnJeAFPufDy1ti8wBridges Over Barriers:https://donate.micharity.com/education-foundation-of-ottawa/3796079647/donate?campaign=33
Gail Baral brings over 30 years of business experience and personal and professional development to her work as a business strategist, mindset coach, startup mentor, workshop facilitator, and speaker. Known for her razor-sharp intuition, calm positive energy, and uncanny ability to pragmatically organize anything into a logical or beneficial structure, Gail works with clients in a collaborative coaching partnership that focuses on awareness, clarity, creativity, action, and results. Follow Gail:https://www.gailbaral.com/https://www.instagram.com/gailbaral/Follow Carrie and watch these interviews on IG live:https://www.instagram.com/bra_network/https://www.bra-network.com/ See acast.com/privacy for privacy and opt-out information.
durée : 00:01:01 - C'est ma vie
Gail Baral has had a life-long appreciation of art, culture, design, music and food and has built businesses around her passions while also nurturing and supporting artisans and small businesses. When her personal life stepped in, requiring more, she was beckoned away from the businesses and lifestyle she had built and had to leave her globe-trotting career as a tastemaker behind. Drawing from her expansive experiences and knowledge, she transformed her keen abilities into a hybrid of coaching, mentoring, teaching and accountability to guide entrepreneurs and creatives on their journey to realize their best and to create, manage and grow successful businesses. Gail has co-created an incredible group to support entrepreneurs.Follow Gail Baral:https://www.gailbaral.com/Follow Elizabeth and Learn More:https://www.elizabethribons.com/http://www.nextcareerlife.com/https://www.instagram.com/nextcareer_life/https://www.facebook.com/NEXTCareerLife/https://www.linkedin.com/in/eribonsnext/ See acast.com/privacy for privacy and opt-out information.
We start this week's episode by interviewing Dr. Alasdair Munro, a pediatrics infectious disease expert, on the risk of spread of COVID-19 in children and through schools. We end with an interview with Dr. Stefan Baral, a field epidemiologist studying COVID-19, on the nature of public health during a global pandemic. Back us on Patreon! www.patreon.com/plenarysession Check out our YouTube channel: www.youtube.com/channel/UCUibd0E2kdF9N9e-EmIbUew
Right during this podcast recording, Dr Sony Baral received the acceptation to be the first woman to take up a position as an associate professor at the Institute for Forestry at Thribhuvan University/Nepal. The OeAD warmly congratulates her!Sony Baral grew up in rural Nepal, an area where forests play a major role for the population. They are the basis of life, living space, provide fuelwood for cooking and heating, and products to sell. On the other hand, especially cooking and heating with fuelwood is responsible for a large part of CO2 emissions in the rural areas of Nepal. Sony Baral has devoted her academic career to these CO2 emissions and the forests in Nepal in general.In 2019 she completed her PhD at the University of Natural Resources and Life Sciences, Vienna, as a scholarship holder of the APPEAR program. In addition, she has been working repeatedly at the interface between science and policy making for many years. A work that encouraged her to study additionally law since 2018.In this podcast she talks about forest management in Nepal, about the special features of so-called community forests and about the discrepancy between firewood as a necessity on the one hand and as a cause of CO2 emissions on the other hand.
Link to bioRxiv paper: http://biorxiv.org/cgi/content/short/2020.09.28.313114v1?rss=1 Authors: Tavakoli, A., Paul, D., Mu, H., Kuchlyan, J., Baral, S., Ansari, A., Broyde, S., Min, J. H. Abstract: Biomolecular structural changes upon binding/unbinding are key to their functions. However, characterization of such dynamical processes with high spatial and temporal resolutions is difficult as it requires ways to rapidly trigger the assembly/disassembly as well as ways to monitor the structural changes over time. Recently, various chemical strategies have been developed to use light to trigger changes in oligonucleotide structures, thereby their activities. Here we report that photoswitchable DNA can be used to modulate the DNA binding of the Rad4/XPC DNA repair complex using light. Rad4/XPC specifically binds to diverse helix-destabilizing/distorting lesions including bulky organic adducts and functions as a key initiator for the eukaryotic nucleotide excision repair (NER) pathway. We show that the 6-nitropiperonyloxymethyl (NPOM)-modified DNA is recognized by the Rad4 protein as a specific substrate and that the specific binding can be abolished by light-induced cleavage of the NPOM group from DNA in a dose-dependent manner. Fluorescence lifetime-based analyses of the DNA conformations suggest that free NPOM-DNA retains B-DNA-like conformations despite its bulky NPOM adduct, but Rad4-binding renders it to be heterogeneously distorted. Subsequent extensive conformational searches and molecular dynamics simulations demonstrate that NPOM in DNA can be housed in the major groove of the DNA, with stacking interactions among the nucleotide pairs remaining largely unperturbed and thus retaining overall B-DNA conformation. Our work suggests that photoactivable DNA can be used as a DNA lesion surrogate to study DNA repair mechanisms such as nucleotide excision repair. Copy rights belong to original authors. Visit the link for more info
durée : 00:01:43 - C'est ma vie
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Welcome to Episode 70 of Building My Legacy.In this podcast, we talk with transformational life coach Reshma Baral. Reshma used her own experience of being in an abusive relationship to discover neuro-linguistic programming (NLP) and became a master NLP coach. She originally worked with women who had experienced abuse and trauma. Today she also works with men, helping people build their self-confidence, excel in their careers and achieve a work-life balance that leads to happiness. Our discussion with Reshma is particularly timely as we face continued uncertainty with the COVID-19 pandemic and its aftermath. And, for those of you moving on and thinking about your legacy, Reshma offers helpful suggestions for starting the next chapter of your life.So if you want to know:– The one question to ask to determine if you really believe in yourself– The two things you need to do in times of uncertainty– Why you need to trust yourself if you want to achieve your goals– About the importance of finding a life coach you can trust About Reshma BaralAn accountant by training, Reshma Baral became a life coach as a result of a traumatic incident she experienced in an abusive relationship. When she realized that time alone would not heal her post-traumatic stress disorder, she read Tony Robbins’ book, Awaken the Giant Within, and used simple neuro-linguistic programming techniques to get rid of her limiting beliefs and change her habits. With her newfound confidence, she began helping other women who had experienced abuse, trauma and depression. She eventually expanded her work to include men and founded Coach 4 Life, which uses Time Line Therapy® to help people, as she describes it, “Rediscover The Possibilities.” Reshma is a Master Practitioner of Neuro-Linguistic Programming (NLP) and Time Line Therapy and is also a Master Hypnotherapist. About Lois Sonstegard, PhDWorking with business leaders for more than 30 years, Lois has learned that successful leaders have a passion to leave a meaningful legacy. Leaders often ask: When does one begin to think about legacy? Is there a “best” approach? Is there a process or steps one should follow?Lois is dedicated not only to developing leaders but to helping them build a meaningful legacy. Learn more about how Lois can help your organization with Leadership Consulting and Executive Coaching: https://build2morrow.com/ Thanks for Tuning In!Thanks so much for being with us this week. Have some feedback you’d like to share? Please leave a note in the comments section below!If you enjoyed this episode, please share it with your friends by using the social media buttons you see at the bottom of the post.Don’t forget to subscribe to the show on iTunes to get automatic episode updates.And, finally, please take a minute to leave us an honest review and rating on iTunes. They really help us out when it comes to the ranking of the show, and I make it a point to read every single one of the reviews we get.Please leave a review right now. Thanks for listening!Building My Legacyhttps://businessinnovatorsradio.com/building-my-legacy/Source: https://businessinnovatorsradio.com/episode-70-reshma-baral-on-what-it-takes-to-get-through-these-uncertain-times-building-my-legacy-with-lois-sonstegard
Welcome to Episode 70 of Building My Legacy.In this podcast, we talk with transformational life coach Reshma Baral. Reshma used her own experience of being in an abusive relationship to discover neuro-linguistic programming (NLP) and became a master NLP coach. She originally worked with women who had experienced abuse and trauma. Today she also works with men, helping people build their self-confidence, excel in their careers and achieve a work-life balance that leads to happiness. Our discussion with Reshma is particularly timely as we face continued uncertainty with the COVID-19 pandemic and its aftermath. And, for those of you moving on and thinking about your legacy, Reshma offers helpful suggestions for starting the next chapter of your life.So if you want to know:– The one question to ask to determine if you really believe in yourself– The two things you need to do in times of uncertainty– Why you need to trust yourself if you want to achieve your goals– About the importance of finding a life coach you can trust About Reshma BaralAn accountant by training, Reshma Baral became a life coach as a result of a traumatic incident she experienced in an abusive relationship. When she realized that time alone would not heal her post-traumatic stress disorder, she read Tony Robbins’ book, Awaken the Giant Within, and used simple neuro-linguistic programming techniques to get rid of her limiting beliefs and change her habits. With her newfound confidence, she began helping other women who had experienced abuse, trauma and depression. She eventually expanded her work to include men and founded Coach 4 Life, which uses Time Line Therapy® to help people, as she describes it, “Rediscover The Possibilities.” Reshma is a Master Practitioner of Neuro-Linguistic Programming (NLP) and Time Line Therapy and is also a Master Hypnotherapist. About Lois Sonstegard, PhDWorking with business leaders for more than 30 years, Lois has learned that successful leaders have a passion to leave a meaningful legacy. Leaders often ask: When does one begin to think about legacy? Is there a “best” approach? Is there a process or steps one should follow?Lois is dedicated not only to developing leaders but to helping them build a meaningful legacy. Learn more about how Lois can help your organization with Leadership Consulting and Executive Coaching: https://build2morrow.com/ Thanks for Tuning In!Thanks so much for being with us this week. Have some feedback you’d like to share? Please leave a note in the comments section below!If you enjoyed this episode, please share it with your friends by using the social media buttons you see at the bottom of the post.Don’t forget to subscribe to the show on iTunes to get automatic episode updates.And, finally, please take a minute to leave us an honest review and rating on iTunes. They really help us out when it comes to the ranking of the show, and I make it a point to read every single one of the reviews we get.Please leave a review right now. Thanks for listening!Building My Legacyhttps://businessinnovatorsradio.com/building-my-legacy/Source: https://businessinnovatorsradio.com/episode-70-reshma-baral-on-what-it-takes-to-get-through-these-uncertain-times-building-my-legacy-with-lois-sonstegard
Welcome to Episode 70 of Building My Legacy.In this podcast, we talk with transformational life coach Reshma Baral. Reshma used her own experience of being in an abusive relationship to discover neuro-linguistic programming (NLP) and became a master NLP coach. She originally worked with women who had experienced abuse and trauma. Today she also works with men, helping people build their self-confidence, excel in their careers and achieve a work-life balance that leads to happiness. Our discussion with Reshma is particularly timely as we face continued uncertainty with the COVID-19 pandemic and its aftermath. And, for those of you moving on and thinking about your legacy, Reshma offers helpful suggestions for starting the next chapter of your life.So if you want to know:– The one question to ask to determine if you really believe in yourself– The two things you need to do in times of uncertainty– Why you need to trust yourself if you want to achieve your goals– About the importance of finding a life coach you can trust About Reshma BaralAn accountant by training, Reshma Baral became a life coach as a result of a traumatic incident she experienced in an abusive relationship. When she realized that time alone would not heal her post-traumatic stress disorder, she read Tony Robbins’ book, Awaken the Giant Within, and used simple neuro-linguistic programming techniques to get rid of her limiting beliefs and change her habits. With her newfound confidence, she began helping other women who had experienced abuse, trauma and depression. She eventually expanded her work to include men and founded Coach 4 Life, which uses Time Line Therapy® to help people, as she describes it, “Rediscover The Possibilities.” Reshma is a Master Practitioner of Neuro-Linguistic Programming (NLP) and Time Line Therapy and is also a Master Hypnotherapist. About Lois Sonstegard, PhDWorking with business leaders for more than 30 years, Lois has learned that successful leaders have a passion to leave a meaningful legacy. Leaders often ask: When does one begin to think about legacy? Is there a “best” approach? Is there a process or steps one should follow?Lois is dedicated not only to developing leaders but to helping them build a meaningful legacy. Learn more about how Lois can help your organization with Leadership Consulting and Executive Coaching: https://build2morrow.com/ Thanks for Tuning In!Thanks so much for being with us this week. Have some feedback you’d like to share? Please leave a note in the comments section below!If you enjoyed this episode, please share it with your friends by using the social media buttons you see at the bottom of the post.Don’t forget to subscribe to the show on iTunes to get automatic episode updates.And, finally, please take a minute to leave us an honest review and rating on iTunes. They really help us out when it comes to the ranking of the show, and I make it a point to read every single one of the reviews we get.Please leave a review right now. Thanks for listening!Building My Legacyhttps://businessinnovatorsradio.com/building-my-legacy/Source: https://businessinnovatorsradio.com/episode-70-reshma-baral-on-what-it-takes-to-get-through-these-uncertain-times-building-my-legacy-with-lois-sonstegard
Today In The Suite welcomes Nami Baral, Founder and CEO of Harvest Platform. Nami is an innovative and ambitious woman who finds herself at a unique point in time: a FinTech founder working at the intersection of finance and technology. And as an investment banker turned executive turned female founder, Nami has illustrated through her career the beauty of the pivot. In our discussion, Nami walks us through each major shift she’s made in her career and how all of her previous chapters helped write the one she’s currently in with Harvest Platform.Nami created Harvest Platform to support the average American, who is riddled with debt. Backed by a group of powerhouse investors, Harvest Platform uses AI & automation to help users reduce bank fees, credit card charges and more, to ultimately increase net worth & achieve financial stability.With a wealth of experience making challenging career choices, Nami shares her wisdom for how women at every stage of their career can walk the tight rope of being a woman and being successful in the business world. Her story is an undeniable testament to how living life on passion and purpose always grants you a seat In The Suite.Join the conversation to hear more about:How medicine brought Nami from Nepal to New York (5:20)Why Nami believes the recession we’re in right now is markedly different from years’ past (8:37)Advice on where new grads can take their career (12:00)Nami’s experience at Twitter, working under Jack Dorsey (15:30)How a female leader gets on the radar of someone like Jack Dorsey and benefits from their leadership (18:36)Why Nami believes that each of her unique career chapters was needed to launch Harvest Platform (24:40)How Harvest Platform tackles an oft ignored financial area (31:05)The leading indicator of financial health that is at the center of Harvest Platform (33:14) Why success stories are integral for start ups and the ones Harvest Platform has heard (40:45)The debt distinction Americans would benefit from understanding (46:00)How you know you have what it takes to be a founder (53:07)The psychological and physical things Nami leans on for strength (58:39)Referenced Material:Nami Baral - TwitterNami Baral - LinkedInNami Baral - NYC FinTech WomenHarvest PlatformHarvest Platform - TwitterHarvard Business School
Dr. Stefan Baral is a physician epidemiologist and an Associate Professor in the Department of Epidemiology at the Johns Hopkins Bloomberg School of Public Health (JHSPH). He is the Key Populations Program Director at the Center for Public Health and Human Rights at JHSPH. Stefan has also been involved in HIV epidemiology, prevention, and implementation research focused on the epidemiology, human rights contexts, and effective interventions for gay men and other men who have sex with men, transgender women, and female sex workers across Western and Central, and Southern Africa and parts of Asia. Find more of Stefan's work here, including on COVID-19, and you can follow him on Twitter here. Dr. Stefan Baral discusses his journey to focusing on human rights, stigma and HIV. Stefan's work on stigma is sex positive and highlights the importance of people being able to have the sex they want. He discusses how stigma manifests in assumptions and poor health services. Stefan talks about the need to consider the complexity of stigma, its pervasive negative effects on communities and their wellbeing, and the importance of an equity framing of public health and human rights. We talk about being inspired by persons who work hard on their craft to achieve excellence. He shares his favourite place to eat fresh fish in Senegal. Stefan reminds the listeners to not discount their ideas before they are released in the world. Episode hosted by Dr. Carmen Logie. Original music and podcast produced by Cozmic Cat. Supported by funding from the Canada Foundation for Innovation and Canada Research Chairs program.
Carole Baral has been a Board Member of North American Vegetarian Society for decades and taught cooking,Yoga and philosophy at their annual Summerfest Conference on the east coast for over 35 years. She co-authored a book about the Yogic lifestyle with Swami Satchidananda in 2017 all about the Vegan life called The Yoga Way:Food for Body, Mind and Spirit, which can be found on on Amazon. Carole has been a Yoga teacher for over 40 years and is a talented gardener. Needless to say, we had a lot to chat about! Get in touch with Dan: dan@goingveganpodcast.com Instagram: @goingveganpodcast
With so many Americans deeply entrenched in debt, the American economy has one more obstacle to overcome. We speak with socially responsible entrepreneur, Nami Baral, and what she is doing to tackle this catastrophic public debt crisis. Check out Nami's initiative here: https://www.joinharvest.com/
In the first Rise FinTech Podcast recorded in New York, new host Kester chats with Nami Baral, founder and CEO of Harvest Platform. Nami and Kester cover a wide range of topics, including financial wellness, and how Nami and her team are coping with the impact of COVID-19. And Nami offers some tips and advice for aspiring founders and entrepreneurs. If you enjoy this podcast, subscribe to the Rise FinTech Podcast channel via your favourite podcast app, and be the first to hear new episodes.
Reshma is a life coach who works exclusively with women that have been a victim of trauma & abuse. She is a certified practitioner of Neuro-Linguistic Programming (NLP). She helps her clients get out of the negative effects of those significant emotional events, increase self-confidence & live a happier life. She chose this because she has gone through abuse & trauma herself in the past and wanted to use her skills and experience to educate & empower other women with similar experiences. Besides being a coach, she is also a chartered accountant.
Sabina BaralAlberto Corsani"Credenti in bilico"La fede di fronte alla fratture dell'esistenzaClaudiana Editricewww.claudiana.itSabina Baral e Alberto Corsani – in dialogo con Massimo Recalcati, Bruno Forte, Bruna Peyrot, Stefano Levi Della Torre, Eraldo Affinati, Vivian Lamarque, Michel Kocher, Elisabetta Ribet e Gianni Genre – raccontano di una fede che, oggi, mostra una certa esitazione a palesarsi, aggrappandosi a dettagli e piccole cose, per tentare egualmente il salto verso il «progetto più grande che Dio ha per noi».«Perché balbettiamo quando si tratta di spiegare al nostro vicino di casa in cosa consiste la nostra fede? Perché ci sentiamo orgogliosi della nostra chiesa e del suo agire sociale, ma al contempo siamo titubanti nel dire che a muoverci è l'Evangelo? Nella Bibbia leggiamo che la fede è certezza di cose che si sperano, dimostrazione di realtà che non si vedono: ma come dire, oggi, che quanto non si vede ha per noi credenti un significato? La bellezza della fede è che non dà risposte immediate, fornisce però un senso alla nostra vita. Oggi la ritroviamo nei dettagli, negli interstizi, nelle lacune, negli spiragli. Con l'aiuto di alcuni interlocutori, in queste pagine abbiamo cercato lo slancio per ripartire da qui senza rassegnazione e guardare al di là di un presente ripiegato su se stesso».Sabina Baral, responsabile della segreteria del moderatore della Tavola valdese, è coautrice di La Parola e le pratiche. Donne protestanti e femminismi (Claudiana 2007) e, con Alberto Corsani, di Di' al tuo prossimo che non è solo (Claudiana 2013).Alberto Corsani, direttore del settimanale “Riforma”, ha pubblicato Il libro che affiora. Suggestioni dal cinema di Ingmar Bergman (Seb27, 2008) e Il Vangelo secondo Robert Bresson. Il cinema come ricerca spirituale (Claudiana 2011).IL POSTO DELLE PAROLEascoltare fa pensarewww.ilpostodelleparole.it
In this podcast, we discuss an article on transgender health that makes a very specific recommendation for the role occupational therapy professionals can play in providing care to the transgender communityWe'll also discuss some general recommendations and considerations to keep in mind next time you find a transgender client on your caseload.Finally, we'll wrap up by talking about some trends that have repeatedly appeared in the research we've covered...and I am excited to discuss these with you!To join the discussion, sign in to the OT Potential Club!If you are you are not a Club member, you can join the waitlist! Wylie, K., Knudson, G., Khan, S. I., Bonierbale, M., Watanyusakul, S., & Baral, S. (2016). Serving transgender people: clinical care considerations and service delivery models in transgender health. The Lancet , 388 (10042), 401–411. doi: 10.1016/s0140-6736(16)00682-6Support the show (https://otpotential.com/ot-potential-club)
Studying art is quite different from most other lanes of education and approaching the art classroom with the right mindset will help you go far. Bethany Baral joins us this week, bringing her experiences while earning her MFA and teaching at the college level to talk about the best way to approach learning as an art student. We sift through the attitudes, actions, and achievements to be expected over the course of a semester in art school. Follow Bethany! https://www.instagram.com/bethanyb.creative/ Watch this episode on YouTube! https://youtu.be/lmb7GOLKbqM Connect with us on social media! www.facebook.com/destinationarete/ www.instagram.com/destinationarete/ Read the latest chapter of the webcomic! www.destinationarete.com/launch Follow us for more conversations like this one as we work toward our goal of interviewing 20 creators in 2020.
Reshma is a life coach who works exclusively with women that have been a victim of trauma & abuse in the past. She is a Master Practitioner of Neuro-Linguistic Programming (NLP) & Hypnotherapy. She helps her clients recover from the negative effects of those significant emotional events and take back control over their lives. She chose this because she has gone through abuse & trauma herself in the past and wanted to use her skills and experience to educate & empower other women in a similar journey. Besides being a coach, she is also a chartered accountant.Connect with Reshma at: https://www.facebook.com/reshma.baral.980https://www.coach4life.com.auNational Domestic Violence Hotline (United States)1-800-799-7233 https://www.thehotline.orgResources in Australia:https://www.whiteribbon.org.au/find-help/domestic-violence-hotlines/https://www.respect.gov.au/services/Thank you for listening!Connect with host Sheilla Dare at: https://www.instagram.com/sheilladare/?hl=enhttps://courageovercomfort.life
Learn how atomic clocks and how GPS clocks work, with help from the engineer who made GPS clocks possible: Hugo Fruehauf. But first, you’ll learn about how Harvard researchers finally figured out why stress can turn your hair gray. Why Stress Turns Hair Gray by Grant Currin Zhang, B., Ma, S., Rachmin, I., He, M., Baral, P., Choi, S., Gonçalves, W. A., Shwartz, Y., Fast, E. M., Su, Y., Zon, L. I., Regev, A., Buenrostro, J. D., Cunha, T. M., Chiu, I. M., Fisher, D. E., & Hsu, Y.-C. (2020). Hyperactivation of sympathetic nerves drives depletion of melanocyte stem cells. Nature, 577(7792), 676–681. https://doi.org/10.1038/s41586-020-1935-3 Clark, S. A., & Deppmann, C. D. (2020). How the stress of fight or flight turns hair white. Nature, 577(7792), 623–624. https://doi.org/10.1038/d41586-019-03949-8 Additional resources from Hugo Fruehauf: The Global Positioning System. (2019). Queen Elizabeth Prize for Engineering. https://qeprize.org/winners/the-global-positioning-system Elizabeth, Q. (2020). The QEPrize Judges introduce GPS [YouTube Video]. https://www.youtube.com/watch?v=7CH_fmO-QO8&feature=youtu.be Hugo Fruehauf. (2019). Queen Elizabeth Prize for Engineering. https://qeprize.org/winners/hugo-fruehauf Cozzens, T. (2019, December 3). GPS pioneers honored with Queen’s award at Buckingham Palace - GPS World. GPS World. https://www.gpsworld.com/gps-pioneers-honored-with-queens-award-at-buckingham-palace/ Hugo Fruehauf Official Website http://hugofruehauf.com/ Subscribe to Curiosity Daily to learn something new every day with Cody Gough and Ashley Hamer. You can also listen to our podcast as part of your Alexa Flash Briefing; Amazon smart speakers users, click/tap “enable” here: https://www.amazon.com/Curiosity-com-Curiosity-Daily-from/dp/B07CP17DJY
This is an episode with Reshma Baral who is a Trauma & Abuse Recovery Coach at Coach4life and helps us understand about Autoimmune diseases and connection with gluten and other toxins in our body. To get in touch with Reshma and get access for more conversations and health tips, join our Motivated Mindful and Moving Women's group.
Reshma is a life coach who works exclusively with women that have been a victim of trauma & abuse. She is a certified practitioner of Neuro-Linguistic Programming (NLP). She helps her clients get out of the negative effects of those significant emotional emotions and live a happier life. Reshma chose career field, because she has gone through abuse & trauma herself in the past and wanted to use her skills and experience to educate & empower other women with similar experiences. Besides being a coach, she is also a chartered accountant.Don't miss this episode..."This Is The Year For Your New Book"www.selfpublilshn30days.com
Ginna Christensen (founder of Women at Work) and business and life strategy coach Gail Baral talk to a group of women about the energy of client relationships. There are 7 levels of energy: You can think of them as 7 energetic lenses that form the filters through which we experience the world. The lower 2 levels feel heavy, exhausting and are destructive. As you go up the scale our energy becomes lighter, more energizing, and optimizing to the point when we are in the flow state; on purpose, focused, creative and passionate, non-judgemental and connected to the highest universal intelligence. Gail shares tips on how to achieve the higher states of energy and create better relationships with your clients.
In this episode of The Third Power, Usman and Anthony welcome Zakeel Gordon and Drew Bentley of the "What's In the Box" cube podcast after meeting at GP/MagicFest Memphis to talk about what 2017 brought for cubes. Aether Revolt: 00:08:40 - Walking Ballista 00:12:22 - Aethersphere Harvester 00:15:45 - Heart of Kiran 00:22:57 - Lifecrafter's Bestiary 00:26:00 - Metallic Mimic 00:32:30 - Planar Bridge 00:39:43 - Untethered Express 00:46:20 - Treasure Keeper 00:47:26 - Felidar Guardian 00:52:54 - Baral, Chief of Compliance 00:56:54 - Disallow 01:00:30 - Fatal Push 01:01:40 - Gifted Aetherborn 01:03:20 - Glint-Sleeve Siphoner 01:05:40 - Kari Zev, Skyship Raider 01:08:58 - Rishkar, Peema Renegade Amonkhet: 01:12:39 - Angel of Sanctions 01:20:30 - Cast Out 01:21:50 - Gideon of the Trials 01:30:14 - Glory-Bound Initiate 01:36:48 - Pull from Tomorrow, Liliana, Death's Majesty 01:42:40 - Ahn-Crop Crasher, Glorybringer 01:49:50 - Hazoret, the Fervent, Soul-Scar Mage, Insult//Injury 01:55:54 - Manglehorn, Rhonas the Indomitable (3-0 decklist referenced was in Usman's Ravnica Allegiance review article: https://www.coolstuffinc.com/a/usmanjamil-02282019-ravnica-allegiance-cube-review ) 02:08:34 - Throne of the God-Pharaoh, cycling lands 02:13:14 - Champion of Wits, Supreme Will 02:18:40 - Abrade 02:22:31 - Firebrand Archer 02:25:30 - The Scarab God 02:28:50 - Nicol Bolas, God-Pharaoh The Third Power's blog: https://thethirdpowerpodcast.wordpress.com/ Follow: Anthony: @antknee42 Usman: @UsmanTheRad Zakeel: @ZakeelGordon Drew: @QuadNINES
Episode 34: The Commander Smiths get a little loopy in this one. Commander Spotlight with Niv-Mizzet, Parun. We also discuss why we personally enjoy the game of Magic along with the top 15 rotation specs from Aether Revolt. Enjoy! Episode Jump: Commander Spotlight 6:47 Why we play Magic 33:30 Top 15 Aether Revolt Rotating SPECS 54:53 Niv-Mizzet, Parun Spotlight: http://tappedout.net/mtg-decks/niv-mizzet-the-king-of-ping/?cb=1537810477 Smith Specs Aether Revolt Rotation: 1.Paradox Engine 2.Walking Ballista 3.Heroic Intervention 4. Dissalow 5. Mechanized Production 6. Planar Bridge 7. Metallic Mimic 8. Whir of Invention 9. Rishkar's Expertise 10. Scrap Trawler 11. Yahenni, Undying Partisan 12. Baral, Chief of Compliance 13. Exquisite Angel 14. Spire of Industry 15.Lifecrafter's Bestiary Total List: https://www.mtggoldfish.com/index/AER#paper Destiny’s Child- Survivor https://www.youtube.com/watch?v=Wmc8bQoL-J0 Remember to send any questions or comments to: CommanderSmiths@Gmail.com or follow us on Twitter for News, Updates and NOW INSTA SPECS! @CommanderSmiths Check out our YouTube channel, subscribe, Like and Share!
Recently, Integral Yoga teacher Carole Kalyani Baral was interviewed on Unity Online Radio's "Main Street Vegan" program by its host Victoria Moran. In this excerpt from the show, Kalyani talks about her Integral Yoga journey, becoming a vegetarian (and, later, vegan), and the health challenges that culminated in a life-threatening diagnosis. Kalyani discusses how a liver transplant, Yoga, and a healthy lifestyle gave her a new lease on life and a renewed dedication to selfless service. Kalyani also talks about contributing several sections to the new book, The Yoga Way: Food for Body, Mind & Spirit by Swami Satchidananda and that she was instrumental in bringing to fruition. https://www.unityonlineradio.org/main-street-vegan Ⓟ© 2018 Unity Online Radio
Seventh-Day Adventists are taught to refrain from meat; Rev. Dr. Kevin Jenkins tells why and weighs in on being a dapper vegan podcaster in New York City, after longtime Integral Yoga practitioner Carole Baral shares about yogic vegan practices. Show notes.
Live vom IFMS Kompaktseminar im Juni 2018. In dieser Folge sind wir im Interview mit Alexendra Baral. Was ist eigentlich Q10 und was bewirkt es? Es folgt noch 1 weiteres Interview zu dem Thema funktionelle Nährstoffe vom IFMS Kongress. Themen dieser Folge: - Wer ist Alexandra Baral? - Was ist Q10 und was bewirkt es? - Auswirkung auf Schlafzyklus - Institut Dr. Enzmann - mse Pharmazeutika Links aus der Folge: Unternehmen Institut Dr. Enzmann https://www.mse-pharma.de Wasserfilter Konfigurator: https://wasserfilter-doc.com/checkliste-kurz/ Aufgrund einer Außenaufnahme bitten wir die Tonqualität zu entschuldigen. Fragen, Anregungen und Feedback bitte an: podcast@edelwasser4you.com Wir freuen uns auf Deine Nachricht! :-) Thomas Schwabe, der AQUA Coach, ist seit über 18 Jahren im Bereich Trinkwasserfachberatung und -optimierung mit Begeisterung und Perfektion engagiert. Hier spricht ein praxiserfahrener Experte! ____________ Unsere Bitte: Wenn dir diese Folge gefallen hat, hinterlasse uns bitte eine 5-Sterne-Bewertung, ein Feedback auf iTunes und abonniere diesen Podcast. Es geht auch ganz schnell ;-)
This week Ian & John talk about the big Brawl announcement and how B&R announcements usually go! Gavin Verhey’s The Future of Brawl article Brawl Format Survey As always, you can reach Ian on Twitter @dixonij and on Twitch at twitch.tv/dix. You can find John on Twitter @jwiley129 and on Twitch at the same handle. You can reach the podcast directly over at @eyesonthemise and by email at eyesonthemise@gmail.com. Music by: Can't Stop Won't Stop - Scrape The Sky (feat. Fresh Big Mouf) Download the song: http://lstnto.me/ijp5t6mw6 Check out Can't Stop Won't Stop: http://lstnto.me/ag6ryvspm License music for your own videos: https://usemysongs.com/cswsmusic
This week we’re venturing in to a new format on Allied Strategies – Brawl! This 60-card singleton format features a commander but only standard legal cards, and is dominated by Baral and Ghalta on magic online in a way that formats are rarely dominated. We’ve decided to basically ignore that phenomenon, and brew up a […]
Welcome back to the eleventh episode of the Champions of Virtue Podcast! Thanks to your listening support, you can now listen to us on SoundCloud and iTunes! If you're new to the series, welcome! Be sure to listen the previous episodes to keep up to date! If you're a return listener, thank you so much for coming back! All of us are greatly appreciated and so happy that you've chosen to listen to us. Stay connected with the series by following the #champsofvirtue on Twitter and let us know what you think! Special thanks to composer Jeff Ball for the brand-new intro theme music. You can find his work at http://jeffballmusic.com/ Want to support a good cause? Check out 120dnd.storenvy.com, a charity Dungeons and Dragons zine featuring 26 unique pieces of artwork by 20 different artists including our own Sesel, who plays Kindra. Preorders are available for $10 from now until May 1st. All proceeeds go to production costs and United for Puerto Rico, which provides aid and support for those affected in Puerto Rico by Hurricane Harvey. Visit 120dnd.storenvy.com today. And of course, before we start, a quick refresher. The party set out through the Ravel Pass towards the Drawven village of Padun. On their way, the first encountered another dwarven village called Hargun. There, they learned more about the Great Furnace and the difficulty getting there. After stocking up on some supplies, the group set out again to Padun. They arrived at night, encountering Kilvar, one of the locals of Padun. After a tumultuous morning and being accidentally accosted by the Padun guard, led by Baral, who happened to be the contact the group was supposed to meet. They were led to the Padun court, headed by Baral's father, the Mayor Bael. After a lengthy discussion, the group decided to walk towards the Great Furnace, where they were buffeted by a powerful dust storm. With the aid of Jon's spells, the group made it through the storm and began their ascent up the mountain. Kindra sent her pseudodragon ZuZu up the mountain to scout ahead, finding a deep cave that seemed to house a Sphinx, waiting for the group's arrival.
Nella trasmissione di Rbe, Tutto Qui, Diego Meggiolaro e Matteo Chiarenza hanno intervistato Luca Baral, nipote del partigiano pinerolese e deportato a Mauthausen Sergio Coalova, scomparso il 24 marzo. Oltre alle parole del nipote Baral, vogliamo postare anche il ricordo che ha pubblicato Gian Piero Clement. "Ci ha lasciati un grande uomo della ns città del ns paese Sergio Coalova ! Era nato a Pinerolo il 1/8/1923 e giovanissimo il 20/9/1943 sali in montagna aderendo alla lotta partigiana aderendo alla 5 Divisione di GL in Val Pellice . Il 20/3/1944 viene catturato durante un rastrellamento e incarcerato alle Carceri Nuove . Dopo un breve passaggio a Fossoli e Bolzano viene deportato a Mauthasen dove inizia il suo calvario ! Con la liberazione del campo dopo indicibili sofferenze rientra a Pinerolo in condizioni di salute molto precarie . Si riprende piano piano , fa la sua vita, si sposa ha 2 figlie e ricostruisce il ns paese. Come molti passati attraverso quelle esperienze , non parla di quelle vicende e quasi si schernisce. Poi cambia tutto, decide che il suo compito è di fare memoria sopratutto con le generazioni più giovani ed è instancabile ! Allestisce mostre che porta nelle scuole, quasi tutti gli anni accompagna classi della scuole della ns citta a Mauthasen raccontando sul posto la sua esperienza. E poi ci lascia il suo libro testamento "Un partigiano a Mauthasen" con un sottotitolo molto significativo"La sfida della speranza ". Continua la sua opera fino a quando l'età e la salute glielo permettono ! Io ho avuto l'onore di essergli amico e ricordo con lui un indimenticabile viaggio a Mauthausen. Alla moglie,compagna di una vita Lidia Toya , alle figlie Mariella e Paola , al nipote Luca Baral le mie più sentite condoglianze. Saluteremo Sergio e faremo di lui memoria martedi 27 alle ore 10 presso la chiesa di San Maurizio.A tutti noi il compito di continuare in tutti i modi il suo impegno e la sua memoria !Ciao Sergio grazie di tutto e che la terra ti sia lieve!"
We talk about resource management and then start rambling about all the commander archetypes. Baral has a song. Eternal Magic's Commander Archetypes: http://eternalmagic.com.br/en/2017/06/introduction-on-commander-archetypes/ patreon.com/commandertime, youtube.com/c/CommanderTime @commandtime, @grubfellow, @misterplorg, @detectiveyarmas articles.edhrec.com/author/dean-gootee articles.edhrec.com/author/nate-burgess articles.edhrec.com/author/patrick-sippola deckstats.net/decks/85558
This week's guests, M.C. Sungaila (Haynes and Boone), Gerald Sauer (Sauer & Wagner), and James Wagstaffe (Kerr & Wagstaffe) weigh in on two Cal. Supreme Court cases that have opin-ions filing imminently; one with massive stakes for defense attorneys involving the component parts doctrine, and the other further outlining anti-SLAPP contours.
Il numero 88 della rivista La Beidana, che esce nel periodo del 17 febbraio, è un numero monografico. Il tema scelto, anche grazie ad alcuni spunti arrivati da lettori e lettrici della rivista, è l'analisi delle valli valdesi di oggi: legare quindi il territorio con l'attualità, attraverso l'analisi della profondità storica. Si parla quindi dell'evoluzione dell'amministrazione in comune sul territorio, della gestione di problemi e possibilità, di collaborazioni. Aline Pons e Simone Baral, della redazione, ci presentano alcuni articoli.
Il numero 88 della rivista La Beidana, che esce nel periodo del 17 febbraio, è un numero monografico. Il tema scelto, anche grazie ad alcuni spunti arrivati da lettori e lettrici della rivista, è l'analisi delle valli valdesi di oggi: legare quindi il territorio con l'attualità, attraverso l'analisi della profondità storica. Si parla quindi dell'evoluzione dell'amministrazione in comune sul territorio, della gestione di problemi e possibilità, di collaborazioni. Aline Pons e Simone Baral, della redazione, ci presentano alcuni articoli.
Baral, Chief of Compliance, Baral's Expertise, Exquisite Archangel, and more!
We discuss the very important case of Baral v. Schnitt, in which the California Supreme Court finally dealt with the split of authorities regarding how to deal with complaints with mixed causes of action; those that contain allegations of both protected and unprotected activities. This is probably the most important anti-SLAPP decision of the decade. […] The post SLAPP021 – Anti-SLAPP Motions Against Mixed Causes of Action appeared first on California SLAPP Law.
We discuss the very important case of Baral v. Schnitt, in which the California Supreme Court finally dealt with the split of authorities regarding how to deal with complaints with mixed causes of action; those that contain allegations of both protected and unprotected activities. This is probably the most important anti-SLAPP decision of the decade. […] The post SLAPP021 – Anti-SLAPP Motions Against Mixed Causes of Action appeared first on California SLAPP Law.
ANUP BARAL is powerhouse on stage. His understanding of the stage makes him a delight to watch. Anup is one among the few to promote Nepali theater and give it the professionalism it deserves. An actor, director and now a teacher with the commence of his acting school Actor's Studio, Anup is an icon by all standards. I had such an amazing time listening to his ideas, thoughts, stories & more.. I hope you will enjoy the show.
"Risks, Vulnerabilities, and Burden of HIV among Key Populations in Low and Middle Income Countries" There is an emerging understanding of the importance of addressing the HIV prevention, treatment, and care needs of key populations across HIV epidemic settings including sex work, people who use drugs, gay men and other men who have sex with men, and transgender populations. This session will provide a holistic view of the epidemiology and prevention needs of HIV among key populations by exploring the latest science on the epidemic as well as policy and programmatic influences that enhance or impede the global response.
Showtime: Tuesday, February 12th at 6pm PT / 9pm ET Do you have kids and want to help them to be healthy naturally? Do you feel lost when it comes to vaccines, fevers, antibiotics, and flu shots? Want to use natural treatments but don't know how? Naturopathic Pediatric Doctor, Matt Baral ND, stops by Dr Lo Radio to discuss all things health when it comes to babies and kids! You'll learn his top tips to keeping your little ones well, the truth about fevers, natural antibiotics, home remedies, and more! Hosted by Dr Lauren "Lo" Noel
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